Eosinophils in Autoimmune Diseases
Open accessAbstract
Eosinophils are multifunctional granulocytes that contribute to initiation and modulation of inflammation. Their role in asthma and parasitic infections has long been recognized. Growing evidence now reveals a role for eosinophils in autoimmune diseases. In this review, we summarize the function of eosinophils in inflammatory bowel diseases, neuromyelitis optica, bullous pemphigoid, autoimmune myocarditis, primary biliary cirrhosis, eosinophilic granulomatosis with polyangiitis, and other autoimmune diseases. Clinical studies, eosinophil-targeted therapies, and experimental models have contributed to our understanding of the regulation and function of eosinophils in these diseases. By examining the role of eosinophils in autoimmune diseases of different organs, we can identify common pathogenic mechanisms. These include degranulation of cytotoxic granule proteins, induction of antibody-dependent cell-mediated cytotoxicity, release of proteases degrading extracellular matrix, immune modulation through cytokines, antigen presentation, and prothrombotic functions. The association of eosinophilic diseases with autoimmune diseases is also examined, showing a possible increase in autoimmune diseases in patients with eosinophilic esophagitis, hypereosinophilic syndrome, and non-allergic asthma. Finally, we summarize key future research needs.
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Giant cell myocarditis and eosinophilic necrotizing myocarditis are traditionally classified as autoimmune myocarditis due to their strong association with existing autoimmune conditions.
“Giant cell myocarditis and eosinophilic necrotizing myocarditis are traditionally classified as autoimmune myocarditis due to their strong association with existing autoimmune conditions”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [30]
The Eosinophilic Myocarditis section says autoimmune processes often play a role in myocarditis and links eosinophilic myocarditis with EGPA. It does not say that giant cell myocarditis or eosinophilic necrotizing myocarditis are traditionally classified as autoimmune because of strong associations with existing autoimmune conditions; it describes giant cell and eosinophilic myocarditis as usually idiopathic. No page number is available in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measuredEosinophilic myocarditis leads to advanced heart disorders such as heart failure, fibrosis, and thrombosis.
“leading to advanced heart disorders such as heart failure, fibrosis, and thrombosis.”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [30]
The Eosinophilic Myocarditis section (page not provided) describes thrombosis and eventual endomyocardial fibrosis in hypereosinophilic syndrome. It also links myocarditis to dilated cardiomyopathy and heart failure, but says the rate at which patients with eosinophilic myocarditis progress to cardiomyopathy is unknown. The claim presents these outcomes more categorically than the source does. (LLM, conf=0.85)
Experimental — accuracy not yet measuredVarious conditions including infections, drugs, hypersensitivity, and autoimmune factors may be associated with the onset and progress of eosinophilic myocarditis.
“various conditions including infections, drugs, hypersensitivity, and autoimmune factors may be associated with the onset and progress of this disease.”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [30]
Eosinophilic myocarditis is characterized by predominant infiltration of eosinophils in the myocardium.
“Eosinophilic myocarditis is characterized by a predominant infiltration of eosinophils in the myocardium”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [30]
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The cardiovascular manifestations of the hypereosinophilic syndrome
Parrillo, J. E., Borer, J. S., Henry, W. L., Wolff, S. M., & Fauci, A. S. (1979) · The American Journal of Medicine · doi:10.1016/0002-9343(79)90227-4 · Cited by 314 · see citing works
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- Authors
- Diny, N. L., Rose, N. R., & Čiháková, D.
- Affiliations
- Johns Hopkins University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Čiháková, Daniela
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2017-04-27
- Volume
- 8
- Pages
- 484-484
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC5406413
- OpenAlex
- W2609809651
- Cited by
- 172
- References
- 5
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 21 · 2023: 22 · 2022: 20 · 2021: 25 · 2020: 20 · 2019: 16 · 2018: 18 · 2017: 4
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (R01HL113008, R01HL118183)
- American Heart Association (15PRE25400010)
- American Autoimmune Related Diseases Association
- Johns Hopkins Bloomberg School of Public Health (Richard J and Margaret Conn Himelfarb Student Support)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Rheumatology › Eosinophilic Disorders and Syndromes
- Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
- Keywords
- eosinophils, autoimmune disease, inflammatory bowel disease, neuromyelitis optica, bullous pemphigoid, autoimmune myocarditis, primary biliary cirrhosis, eosinophilic granulomatosis with polyangiitis, eosinophil-targeted therapy, eosinophil degranulation, antibody-dependent cellular cytotoxicity, proteolytic enzymes, cytokines, antigen presentation, eosinophilic esophagitis, hypereosinophilic syndrome, non-allergic asthma, eosinophilic disorders
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