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Updated: Jun 12, 2026

Basophil Activation Test for Allergy Diagnosis
Published on: May 31, 2021
Basophils are potent antigen-presenting cells that selectively induce Th2 cells
1Department of Immunology and Medical Zoology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan. nakaken@hyo-med.ac.jp
Basophils, circulating immune cells, are key antigen-presenting cells (APCs) that initiate T helper 2 (Th2) responses. They drive Th2 cell development through IL-4 production and antigen presentation, crucial for combating parasites and allergies.
Area of Science:
- Immunology
- Cell Biology
Background:
- Basophils and mast cells are effector cells in helminth infections and IgE-mediated allergic inflammation.
- Basophils circulate in blood, while mast cells differentiate in peripheral tissues.
- The source of early Interleukin-4 (IL-4) driving T helper 2 (Th2) responses was previously unclear.
Purpose of the Study:
- To review the known functions of basophils in allergy and parasite infection.
- To examine the newly discovered antigen-presenting cell (APC) functions of basophils.
- To discuss the potential clinical implications of basophil-mediated Th2 responses.
Main Methods:
- Review of existing literature on basophil and mast cell differentiation and function.
- Analysis of studies demonstrating basophil capacity for antigen uptake, processing, and presentation.
- Examination of evidence for basophil-derived IL-4 production and its role in Th2 cell induction.
Main Results:
- Basophils are identified as the predominant APCs inducing Th2 responses against helminths and allergens.
- Basophils express MHC class II and CD80/86, process antigens (especially IgE-antigen complexes), and present peptides.
- Ag-pulsed basophils induce Th2 cell development both in vitro and in vivo, distinct from dendritic cell (DC) functions.
Conclusions:
- Basophils contribute significantly to Th2/IgE responses via IL-4 production and MHC class II-peptide presentation to naive CD4+ T cells.
- This function contrasts with the Th1-inducing role of dendritic cells.
- Understanding basophil APC function offers potential clinical applications in allergy and parasitic infection treatment.
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