GATA-3 and T-box expressed in T cells (T-bet) play central roles in
IntroductionT-cell receptor (TCR) ligation by the peptide-major histocompatibility complex (MHC) class II induces the clonal expansion of naive Th cells and their differentiation into at least 2 subtypes of effector cells: Th1, which produces IFN-␥ and plays a crucial role in immune responses against intracellular pathogens, and Th2, which expresses IL-4, IL-5, and IL-13 and is involved in antibody (Ab)-mediated responses to extracellular parasites. An imbalance in the relative proportion and function of either Th-cell population-as determined by the complex interaction of the genetic background and environmental factors, including exposure to certain infectious agents-has been implicated in the development of abnormal immune responses and the onset of autoimmune and allergic conditions (reviewed by Wills-Karp et al 1 ).Besides the intrinsic predisposition of naive Th cells to acquire a Th1 or Th2 phenotype, which is thought to be controlled by genetic and stochastic variables, a host of extrinsic factors influences Th-cell differentiation through the regulation of dendriticcell function, and thereby the antigen load, and the exposure to polarizing costimulatory signals and cytokines (eg, IL-12). 2,3 Transcriptional and epigenetic mechanisms play eminent roles in the coordinate regulation of the molecular programs that bring to selective activation or repression of Th-cell-polarized genes. Specifically, T-box expressed in T cells (T-bet), also known as T-box 21 (Tbx21), plays a central role in Th1-cell development and selectively induces the expression of such Th1-restricted genes as IFN-␥ and the  subunit of the IL-12 receptor (IL-12R) (reviewed by Szabo et al 4 ). Conversely, GATA-3 has been characterized as the master switch factor for Th2 cells, because it induces, by different mechanisms, the coordinate activation of the IL-4, IL-5, and IL-13 genes. 5 At least as importantly, T-bet and GATA-3 contribute to the definition of a stable (ie, inheritable) polarized cytokine phenotype, also by promoting the irreversible silencing of type 2 and type 1 genes, respectively. [3][4][5] In line with this notion, studies of in vitro-polarized murine Th cells have consistently documented the selective transcription of the T-bet and GATA-3 genes in Th1 and Th2 cells, respectively. [6][7][8] Thus, these genes appear to be subject to tight regulation by developmental signals, particularly those delivered through the IL-12 and IL-4 receptors. Their expression pattern has rapidly become an integral part of the "Th1/Th2 paradigm" and a surrogate marker of polarization in studies of Th-cell phenotype, function, and involvement in human disease. [9][10][11][12] In this context, over the past decade much attention has focused on the possibility that Th-cell polarization might be reflected in the surface phenotype as well, a notion carrying both conceptual and practical implications. A few recent studies have identified certain chemoattractant receptors as being...