“…Furthermore, it is clear that although the precise cascade of events leading to IgE production induced by IL-4 in vivo still remains to be determined, the frequency of successful IgE production in vitro by PBMC of patients with CVI is much lower than that by PBMC of healthy donors (2/8 versus 7/8), It remains to be clarified why PBMC of healthy donor 6 failed to produce IgE, but recent studies in our laboratory have indicated the PBMC of a small proportion of healthy donors do not produce IgE under the present culture conditions (Chretien et al, 1990), It has been shown that B cells of patients with CVI behave functionally like immature cord blood B cells (de Gast et al, 1980;Tosato e;Platts-Millse/a/,, 1981;Perreirae/a/,, 1982;Haber era/,, 1983;Brenner era/,, 1984;Mayer era/,, 1984), Stimulation of B cells of patients with CVI by EBV, PWM or supernatants of activated T cells results, as with cord blood B cells, predominantly in secretion of IgM and no or very low levels of IgA and IgG, However, we have found that cord blood cells from 8/8 donors produced IgE in the presence of IL-4, indicating that cord blood B cells and B cells of CVI patients differ in their capacity to produce IgE in response to unpublished). Therefore, B cells from patients with CVI cannot be compared functionally with cord blood B cells.…”