Review Article

Eosinophils from Physiology to Disease: A Comprehensive Review

Table 1

Functional characterisation of eosinophil granules.

Primary granules

Galectin 10 (CLC protein)Charcot-Leyden crystals formation in tissues and fluids
lysophospholipase activity
Potential immunoregulatory function towards T cells

Specific/crystalloid granules

Crystal coreMBPDisrupts lipid layers and increases membrane permeability → cytotoxic to host cells and pathogens
Component of EETs
Basophils, neutrophils & mast cells activation and degranulation
Neuroprotective effect
Epithelial activation and expression of tissue remodelling factors
Increases smooth muscle reactivity
Inhibits M2 muscarinic receptors

MatrixEDN(potent) RNAse → antiviral role (ssRNA viruses)
Neurotoxicity (Purkinje cells)
Dendritic cells chemotaxis, maturation and activation → proliferation of T and B cells
ECP(Weak) RNAse
Cytotoxic to host cells and pathogens (parasites, viruses, bacteria)
Neurotoxicity (Purkinje cells)
Membrane disruption
Component of EETs
EPOGeneration of ROS toxic to extracellular pathogens (helminth parasites, bacteria)
Pro- and anti-inflammatory effects
Epithelial activation and expression of tissue remodelling factors
Lipid peroxidation

Lipid bodies

Arachidonic acid derivatives (LT, PG, TX)Promotion of acute and late hypersensitivity responses
Prominent role in airways inflammation

ECP: eosinophil cationic protein; EDN: eosinophil derived neurotoxin; EETs: eosinophil extracellular traps; EPO: eosinophil peroxidase; LT: leukotrienes; MBP: major basic protein; PG: prostaglandins; ROS; reactive oxygen species; TX: thromboxanes.