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Cover Figure


Cover: (A-D) The predominant LTC4S-containing cells (green in A and B, arrows) were not eosinophils (red in A and C, arrowheads), although LTC4S positivity was observed on some eosinophils (cells labeled c and d in A). Digital image analysis with three-color line scan (D) of two non-eosinophils (mast cells labeled a and b in A) and two eosinophils (labeled c and d in A) illustrated the intensity and location of the perinuclear LTC4S immunoreactivity (green line in D) in these cells. Note the lack of reactivity in one eosinophil (unlabeled red cell in A). (E-G) These strong LTC4S-immunoreacting cells (green in E, arrows) were mast cells as they co-expressed c-kit (red in F and G, arrows). Note the LTC4S-negative eosinophils, which are visualized by their prominent granules in DIC microscopy (G, arrowheads). (H-J) Similar results were observed in GMA-embedded acetone-fixed specimens, where the dominating LTC4S-expressing cells (green in H and J, arrows) were not eosinophils as they were mAb EG2-negative (red in F and G, arrowheads). (K-P) Although the anti-LTC4S-peptide37-51 antiserum predominantly identified mast cells (green arrowed cell in K and M) and not eosinophils (mAb EG2 + red cells in L and M) in untreated aspirin-tolerant patients with asthma, it detected such immunoreactivity (green cells, arrowheads in N) in bronchial eosinophils (mAb EG2+ red cells, arrowheads in N, O, and P) in the aspirin-intolerant patients. Note the strong green LTC4S-immunoreactivity in non-eosinophils (one is arrowed in N and P) which represented LTC4S-expressing mast cells. Digital multi overlay images from three-color immunohistofluorescence labeling for LTC4S (anti-LTC4S-peptide31-51 antiserum, green); eosinophils (red mAb EG2+ cells in A, C, I, J, L, M, O, and P); or mast cells (c-kit, red in F and G), and nuclei (DAPI, blue), superimposed on diffraction interface contrasted (DIC) images in A, G, J, M, and P. Bronchial cryosection from treated (H-J) and untreated aspirin-tolerant patients with asthma (A-C; E-G; K-M) and one aspirin-intolerant patient (N-P). Panels J, M, and P are not shown on cover. For more information see article by Cai and colleagues beginning on page 683.


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Proc. Am. Thorac. Soc. Am. J. Respir. Crit. Care Med.
Copyright © 2007 American Thoracic Society.