of white blood cells, comparing basophil amount (shown in violet) with other cells. Basophils appear in many specific kinds of
inflammatory reactions, particularly those that cause
allergic symptoms. Basophils contain anticoagulant
heparin, which prevents blood from clotting too quickly. They also contain the vasodilator
histamine, which promotes blood flow to tissues. They can be found in unusually high numbers at sites of
ectoparasite infection (e.g.
ticks). Like
eosinophils, basophils play a role in both parasitic infections and allergies. They are found in tissues where allergic reactions are occurring and probably contribute to the severity of these reactions. Basophils have protein receptors on their cell surface that bind
IgE, an
immunoglobulin involved in macroparasite defense and
allergy. It is the bound IgE antibody that confers a selective response of these cells to environmental substances (e.g.,
pollen proteins or
helminth antigens). Recent studies in mice suggest that basophils may also regulate the behavior of
T cells and mediate the magnitude of the secondary immune response.
CD200 Basophil function is inhibited by
CD200.
Herpesvirus-6, herpesvirus-7, and herpesvirus-8 produce a CD200
homolog which also inhibits basophil function. This suggests that basophils may play a role in the immune response to these viruses. The role of basophils in the immune response to these viruses is further supported by findings that the CD200 receptor is expressed more frequently in basophils than in other circulating leukocytes.
Secretions Basophils arise and mature in
bone marrow. When activated, basophils
degranulate to release
histamine,
proteoglycans (e.g.
heparin and
chondroitin), and
proteolytic enzymes (e.g.
elastase and
lysophospholipase). They also secrete
lipid mediators like
leukotrienes (
LTD-4), and several
cytokines. Histamine and proteoglycans are pre-stored in the cell's granules while the other secreted substances are newly generated. Each of these substances contributes to inflammation. Recent evidence suggests that basophils are an important source of the
cytokine,
interleukin-4, perhaps more important than
T cells. Interleukin-4 is considered one of the critical cytokines in the development of allergies and the production of
IgE antibody by the immune system. There are other substances that can activate basophils to secrete which suggests that these cells have other roles in inflammation. The degranulation of basophils can be investigated
in vitro by using
flow cytometry and the so-called basophil-activation-test (BAT). Especially, in the diagnosis of allergies including of drug reactions (e.g. induced by
contrast medium), the BAT is of great impact.
Basopenia (a low basophil count) is difficult to demonstrate as the normal basophil count is so low; it has been reported in association with autoimmune
urticaria (a chronic itching condition).
Basophilia is also uncommon but may be seen in some forms of
leukemia or
lymphoma. ==Clinical significance==