333CIA = collagen-induced arthritis; IL = interleukin; IFN-γ = interferon γ; IFN-γR = interferon γ receptor; MHC = major histocompatibility complex; PG = proteoglycan; PGIA = proteoglycan-induced arthritis; R = receptor; RA = rheumatoid arthritis; Th = T helper cell.Available online http://arthritis-research.com/content/4/6/333
IntroductionCytokines play critical roles in regulating the outcome of antigen-specific T-cell responses, and thus have been a major focus in the study of the pathogenesis of autoimmunity. On the basis of the original description by Mosmann et al.[1], we know that the cytokine profile of a T-cell response to an antigen is indicative of which T helper (Th) cell pathway is stimulated by the antigen-presenting cell. Th1 responses, generally characterized as cell-mediated immune responses, are identified primarily by the presence of IL-12, IL-2 and IFN-γ, whereas Th2 responses, generally characterized as humoral responses, are defined primarily by the production of IL-4 and IL-10. In addition to these characterizations, there is convincing evidence that these two pathways are antagonistic, in other words Th1 cytokines repress Th2 responses, and Th2 cytokines repress Th1 responses. Learning how to regulate these responses therapeutically, therefore, has become an important focus in autoimmunity research.Most autoimmune diseases and models of autoimmunity in which susceptibility is associated with the expression of specific MHC class II allotypes appear to be of the Th1 type, based on these cytokine definitions of Th function. Thus considerable emphasis has been placed on developing means of altering the course of the autoimmune Th1 response to become that of a Th2 response, with the goal of downregulating the autoimmune pathogenesis. These cytokine networks not only influence the function of T cells involved in the pathogenesis of the autoimmune disease, however, but also affect qualitative differences in the antibody responses that are often associated with autoimmune disease, or, in some cases, represent the actual pathogenic mechanism. For example, IFN-γ, a cytokine strongly associated with a Th1 response, is an important regulator of the production of IgG2a antibody, a subclass frequently associated with a pathogenic autoantibody response, while IgG1 production (promoted by IL-4) predominates in a Th2 response. IFN-γ, therefore, has been T-cell responses to antigens are classified on the basis of the cytokines they produce as either Th1 (IFN-γ, IL-2) or Th2 (IL-4, IL-10), with these Th types being indicative of either cell-mediated or antibody-mediated responses, respectively. Using this classification, T-cell responses in MHC-class-IIrestricted autoimmune diseases appear to be predominantly of the Th1 type, based on the presence of high levels of IFN-γ. This simplistic classification has recently been challenged, however, as disease incidence and severity are frequently elevated in animals that have a deficient IFN-γ response. The recent data discussed here indicate that the cytokine circ...