Is There A Role For Basophils In Cancer
- 1Section of Hygiene, Department of Public Health, University of Naples Federico II, Naples, Italy
- 2Azienda Ospedaliera Ospedali dei Colli, Monaldi Hospital Pharmacy, Naples, Italy
- 3Division of Allergy and Clinical Immunology, Department of Medicine, Johns Hopkins Asthma and Allergy Center, Johns Hopkins University, Baltimore, MD, United States
- 4Department of Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy
- 5Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy
- 6Center for Basic and Clinical Immunology Research , University of Naples Federico II, Naples, Italy
- 7WAO Center of Excellence, Naples, Italy
- 8Institute of Experimental Endocrinology and Oncology G. Salvatore, National Research Council , Naples, Italy
Who Should Take The Basophils Blood Test
Measure your general blood and immune health and ability to fight viral & bacterial infections using a home finger-prick blood test kit.
You get the convenience of home testing with the reassurance of professional clinical analysis. Your results are delivered quickly & securely online.
This Full Blood Count Test is advised if you:
- have symptoms of anemia
- think you may have a bacterial or viral infection
- want to check the general health of your blood
- want the convenience of home testing without waiting for a GP appointment
- need a high quality, clinically accredited test done in a professional clinical laboratory.
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Why Normal Levels Can Differ Across Different Labs
Each laboratory must establish its own normal ranges for the basophil count in the blood. These ranges depend on the makeup of the local population, the technologies used and the accuracy of the measurement. There may be also slight differences in the normal levels, according to age, gender, race or ethnic origin, geographic region, diet, type of sample and other relevant status.
Your doctor will study the results along with your medical record, screenings, physical condition, symptoms and any other relevant information about your situation.
In addition, the normal basophil count is lowest in the morning and peaks at night.
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Consult A Doctor For Your Basophils Problem
High Basophils and Eosinophils levels in the blood can cause a number of health problems. Your GP may recommend follow-up tests to get an important picture of your overall health and well-being. If the results are greater than 2 % for Basophils and more than 6 % for Eosinophils, you may also need some follow-up tests that will help detect the underlying disease early.
What Are The Functions Of Basophils

Basophils play an important role in
Proper functioning of the immune system
Basophils are the soldiers of the immune system. In the body, they recognize the invading microorganism as a foreign body that needs to be destroyed. Basophils are the most effective in protecting the body against bacteria and parasites, including external parasites, such as ticks.
Mediating allergic reactions
Basophils along with IgE type of proteins mediate response to allergens. Basophils bind to immunoglobulin E , which is an antibody that protects against allergens
Basophil activation test
It is a specific test that helps in confirming allergic reactions. During the test, potential allergens are applied to a sample of the blood. If the person has an allergy, the basophils in their blood sample will activate specific molecules. This test is highly accurate in detecting food, drug, and venom allergies in patients.
Actions of basophils
The normal range for basophils
Basophils, eosinophils and neutrophils constitute a group of white blood cells known as granulocytes. Basophils are the least common of granulocytes and account for 0.5 to 1 percent of white blood cells.? Complete blood count can confirm the abnormally high or abnormally low levels of basophils in the blood.
Change in basophil levels may be a sign of an underlying condition.
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What Does Basophilia Mean In A Blood Test
Basophilia is more of a sign that something else is going on than it is a diagnosis. If your tests show a high basophil count, your provider might perform a physical examination and additional tests to find out whats causing basophilia.
What is a normal basophil count?
A normal basophil count is .5% to 1% of your white blood cell count. This equals about zero to 300 basophils per microliter of blood in healthy adults. Basophil counts that fall outside this range may be a sign you have basophilia. Providers use your basophil count, along with other information such as your medical history and your symptoms, to treat the underlying condition causing your basophilia.
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What Are Normal And High Basophil Ranges
The normal range of absolute basophil count is 0 to 300 microliters. Basophils normally constitute just 0.5% to 1% of the total white blood cell count. The absolute basophil count is derived by taking the total white cells count and calculating the percentage of basophils in them.
Abnormal basophil levels can be detected with a complete blood count test, which evaluates the composition of all blood cells. Symptoms of abnormal basophil levels depend on the underlying conditions. Abnormal basophil levels may be corrected by treating the underlying conditions.
What is considered a high basophil count?
A basophil count is considered high if the absolute basophil count is above 200 microliters or the percentage is greater than 2%. The absolute count range considered normal may vary to some extent in laboratories in different places, based on the local population.
What Are Some Other Characteristics Of Basophils
Basophils will look black and blue or dark purple when stained by a basic dye, such as Wright stain. Dyes are colored stains that are used in laboratories, often to tell cells apart from one another. The nuclei of basophils come in various forms. The word Nuclei means more than one nucleus. A nucleus is the center of a cell. The grain-like particles of basophils contain the following substances
Histamine is a substance found in all cells that are released during inflammatory and allergic reactions. Leukotrienes are substances in the body that produce allergic and inflammatory reactions, similar to histamine. Heparin is a naturally occurring substance in the body that prevents clotting .
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Basophils: Normal And Abnormal Ranges
Even though basophils play an important role in our immune responses, they account for only around 0.1-1% of the bodys white blood cells. This count can be as low as 0.5%.As an absolute count, an adult human should have 0 to 300 basophils per microliter of blood.There usually are no symptoms for an abnormal range of basophils.
Basophils And Lung Cancer
It has been well-known for some time that murine and human basophils have a propensity to migrate into the site of inflammation, including the lung. Whether this influx contributes to the supply of tissue resident basophils that promote M2 polarization of lung macrophages remains to be determined. Nonetheless, the evidence that lung-resident basophils acquire the expression of several cytokines due to the exposure to lung-specific signals , emphasizes the plasticity of these cells. Thus, basophils migrating into tissue may take on completely new roles, based on the cytokine environment they encounter. The observation that the pulmonary microenvironment may condition the transcriptional and functional development of immune cells has recently been extended to the oncological context. Single-cell transcriptomics of human and mouse lung cancers revealed that blood and tumor neutrophils and monocytes strongly differed in their gene expression . Interestingly, basophils were present in mouse lung tumors. Lavin and collaborators compared the simultaneous single-cell analysis of the immune compartments in early lung adenocarcinoma, non-involved lung tissue , and peripheral blood of each patient . Basophils were present in both solid tumor site and nLung. A percentage of basophils in the tumor were PD-L1+. This study demonstrates that, as early as in stage I disease, basophils are present in the immune landscape of nLung adenocarcinoma.
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How Much Do Full Blood Count Tests Cost
The Vitall full blood count test is available online for just£69. Your home test kit will be dispatched by free first class post for delivery to your door.
For the best value testing you can also upgrade this full blood count home test to tests which also measure other biomarkers, including:
- Anaemia – Assess your blood cells, iron levels & B vitamins.
Basophils And Pancreatic Cancer

Figure 2. Proposed model of how basophils are recruited and activated in tumor draining lymph nodes in the context of pancreatic cancer. It has been previously demonstrated that cancer-associated fibroblasts can produce TSLP that engages TSLP receptor on dendritic cells . TSLP-conditioned DCs migrate into TDLNs were they prime CD4+ T cells for early IL-3 production. Monocytes, which are driven to differentiate toward a M2-type by activated CAFs, release the basophil chemoattractant CCL7/MCP3 . Basophils are recruited from afferent arterial blood into lymph nodes and are activated by IL-3 to express IL-4. Basophils are a major source of IL-4 contributing to both Th2 and M2 polarization. The percentage of basophils in TDLNs is an independent negative prognostic factor of survival after surgery of pancreatic cancer patients .
There is compelling evidence that CD4+ CD25+ Foxp3+ regulatory T cells contribute to maintain immune tolerance in the TME particularly in pancreatic cancer . A recent study has shown that Tregs can induce the expression of activation markers and promote the release of several cytokines from human basophils . Tregs induced basophil activation through the release of IL-3. It has been suggested that Tregs might also promote tumor evasion by activating basophils to augment and sustain Th2 responses in TME by secreting IL-3 .
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What Will Symptoms Cause The Basophil Blood Test To Be Ordered
There are a number of different risk factors that can create some specific symptoms that are combined with the results of the basophils blood test to determine a suspected diagnosis. The presence of basophils in the blood alone is not enough for a detailed diagnosis in most cases, however, so additional testing may be required.
There are nearly 50 specific symptoms that are associated with abnormal basophil levels, so a complete examination is necessary. Most people will eventually be diagnosed with a minor condition, such as sinusitis, asthma, allergies, or even a residual chickenpox infection. People who have allergies will almost always have elevated basophil counts, even if those allergies are well controlled. Certain types of eczema also create higher than normal Basophils blood test results.
Whats The Normal Range For Basophils
Basophils account for less than three percent of your white blood cells. You should have 0 to 300 basophils per microliter of blood. Keep in mind that blood test normal ranges can vary from lab to lab.
Blood testing is the only way to discover whether your basophils are abnormal. There typically arent any exact symptoms tied to an abnormal level, and doctors rarely order a test just for a basophil count.
Blood tests are usually performed during a general wellness check or when investigating some other issue.
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What Symptoms Will Cause The Baso Blood Test To Be Ordered
There are a number of different risk factors that can create some specific symptoms that are combined with the results of the Baso blood test to determine a suspected diagnosis. The presence of basophils in the blood alone is not enough for a detailed diagnosis in most cases, however, so additional testing may be required.
There are nearly 50 specific symptoms that are associated with abnormal basophil levels, so a complete examination is necessary. Most people will eventually be diagnosed with a minor condition, such as sinusitis, asthma, allergies, or even a residual chicken pox infection. People who have allergies will almost always have elevated basophil counts, even if those allergies are well controlled. Certain types of eczema also create higher than normal Baso blood test results.
What Do Basophils Look Like
Basophils are microscopic cells that are spherical in shape. To view these cells under a microscope, a lab technician adds a stain or dye to the sample of cells, making the cells turn a shade of purple to black. The basophil cell has a two-lobed nucleus that appears as black and tiny purple polka dot granules, which float in a light pink fluid .
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Chronic Myeloproliferative Disorders And Cancer
Chronic myeloproliferative disorders are a group of slow-growing blood cancers in which the bone marrow makes too many blood cells. There are several different types of chronic myeloproliferative disorders and they depend on what type of blood cells the bone marrow overproduces.
Myeloproliferative disorders include:
In some cases, having elevated basophils can be a sign of other types of cancers, such as acute myeloid leukemia.
Heres What You Need To Know About Basophils
Most people who suffer a mild allergic reaction may have an increased level of basophils at the time, but generally do not need to seek out medical care. Taking over-the-counter medications which control histamine levels will help to reduce or eliminate the activity of the basophils until the reaction is able to subside. If youve never experienced an allergy reaction before, however, it is a good idea to speak with your medical provider to make sure there isnt another issue which could be affecting your health.
When basophil levels are very high and causing anaphylatic symptoms, this must always be treated as a medical emergency. Certain allergies, such as to bee stings or to peanuts, are known for causing this type of extreme reaction, but any allergic reaction can eventually build up to this. For this reason, a medical provider may prescribe an Epipen, or a shot which controls histamine levels almost immediately, that can be self-administered on location should an allergic reaction occur.
If an Epipen has been administered, medical care will still be necessary. You would need to inform the attending medical personnel that the shot had been administered.
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What Does It Mean If Basophil Levels Are Low
Low basophil levels, or basopenia, are normal and not usually a cause for concern. However, if medical records show that levels are too low, a doctor may consider the possibility of a health condition, such as an infection, a stress reaction, or if there are adverse effects to treatment, such as chemotherapy.
Differences Between Peripheral Blood And Tissue Basophils

We would like to suggest that any difference between circulating and tissue basophils should be confirmed in human models, given the differences between human and murine basophils. Moreover, studies are urgently needed to characterize the possible roles of tissue basophils residing in the tumor microenvironment of different human tumors in order to identify novel potential prognostic biomarkers and therapeutic targets.
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What Do High Basophil Blood Test Results Mean
When test results are above 1% in the complete blood count for basophils, then this condition is referred to as basophilia. It may indicate a number of potential health conditions. Hives, inflammation anywhere in the body, food allergies, Crohns disease, and certain types of leukemia may all create extra basophils.
What Happens If Basophils Are Low
What happens when basophil levels are low depends on the cause of the basopenia.Often, a low basophils count is related to an allergic reaction which is putting the basophils into overdrive. In these cases, symptoms will include watery eyes, a runny nose, red rash and hives.However, a basophil low can also be caused by a severe allergic anaphylactic reaction. Symptoms can include rash, swelling, shortness of breath, vomiting, lightheadedness, low blood pressure, and temporary blindness. This is a serious condition as it can prohibit the patient from breathing. Someone having an anaphylactic reaction requires immediate medical attention.
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What Is The Role Of Basophils In The Body
Basophils are a type of leukocyte or WBC . They are part of the immune system.
Basophils have two main roles in the immune system:
- Anticoagulant: Basophils contain heparin, which prevents blood from clotting too fast.
- Anti-infective: They release histamine that participates in various mast cell-mediated responses such as allergy, infection and inflammation. Histamine induces vasodilation that increase local blood flow to the tissues.
Along eosinophils, the basophils play an essential role in the immune response to parasitic infections and in allergies.
Pearls And Other Issues
- Any patient with chronic anemia with a rise in basophils for longer than 6 months should be worked up for an underlying cause.
- Patients with basophilia should be worked up for CML or AML when no other systemic infection or possible drug-related cause fits.
- Always rule out drug ingestion and parasitic infection.
- On a peripheral blood smear look for clues of underlying neoplasia .
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When Are Extra Basophils Often Seen
Parasitic infections are known to create abnormally high levels of basophils. The most common type of parasitic infection is heartworm that will spike levels. Most doctors who see this type of result where a parasite is suspected will see test results that are higher than theyve ever seen before if they do not regularly treat parasites.