2001
DOI: 10.1038/ni725
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IL-4 instructs TH1 responses and resistance to Leishmania major in susceptible BALB/c mice

Abstract: Immunity to infection with intracellular pathogens is regulated by interleukin 12 (IL-12), which mediates protective T helper type 1 (TH1) responses, or IL-4, which induces TH2 cells and susceptibility. Paradoxically, we show here that when present during the initial activation of dendritic cells (DCs) by infectious agents, IL-4 instructed DCs to produce IL-12 and promote TH1 development. This TH1 response established resistance to Leishmania major in susceptible BALB/c mice. When present later, during the per… Show more

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Cited by 253 publications
(261 citation statements)
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“…This is in contrast to previously published observations made in the murine model using subcutaneous infection in the footpad, where a rapid and intense production of IL-4 was detected in the draining lymph nodes of BALB/c mice but not mice of resistant strains. 17,22,23 In addition, although cytokine producing cells were detected in the skin at 24 h by immunohistochemistry, a similar number of IL-4 producing cells was observed in both C57BL/6 and BALB/c mice. The discrepancy in the early IL-4 production may be related to the different model of infection used, since there is evidence that the route of infection may lead to different disease phenotypes and different cytokine profiles.…”
Section: Discussionmentioning
confidence: 90%
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“…This is in contrast to previously published observations made in the murine model using subcutaneous infection in the footpad, where a rapid and intense production of IL-4 was detected in the draining lymph nodes of BALB/c mice but not mice of resistant strains. 17,22,23 In addition, although cytokine producing cells were detected in the skin at 24 h by immunohistochemistry, a similar number of IL-4 producing cells was observed in both C57BL/6 and BALB/c mice. The discrepancy in the early IL-4 production may be related to the different model of infection used, since there is evidence that the route of infection may lead to different disease phenotypes and different cytokine profiles.…”
Section: Discussionmentioning
confidence: 90%
“…29 Another factor that may contribute significantly to the outcome of infection is the innate immune system and its interaction with the adaptive immune system. 23,31,32 This modified view was supported by examination of the expression of IL-4 and IFN-g in the lymph nodes at several time points between the two extremes of the early hours of initiation of infection and the late stages of established disease. In the case of IFN-g, there was a difference in expression based only on the background strain of the mouse tested.…”
Section: Discussionmentioning
confidence: 99%
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“…This seems to be relevant for Th1 cell-mediated skin inflammation in mice and in humans (2,8,36). Deviating Th1 responses into Th2 responses improved Th1 cellmediated inflammation and protected against inflammation-induced angiogenesis in mice and humans (36)(37)(38). Most importantly, Th1 cells seem to coevolve simultaneously with IL-17-producing Th17 cells (39); IL-17 is a cytokine with strong proangiogenic effects (40,41).…”
Section: Discussionmentioning
confidence: 98%
“…BALB/c produces T helper (Th)2-type cytokines, in particular IL-4, which has been shown to be associated with disease progression and susceptibility, 13 whereas recovery from infection in resistant C57BL/6 depends critically upon the induction of a Th1-type response resulting in the activation of macrophages to kill the intracellular organisms. 14,15 This has led to the intensive study of the regulators of the polarised Th1/Th2 helper T-cell responses by immunologists.…”
Section: Introductionmentioning
confidence: 99%