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and IL-121

*
University of Texas Health Science Center, San Antonio, TX 78284; and
Laboratory of Host Defenses, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD 20892
An imbalance in the Th1- and Th2-type cytokine responses may allow
certain microbes to modify the host response to favor their own
persistence. We now show that infection/pulsing of human
CD34+ peripheral blood hemopoietic progenitor
cell-derived dendritic cells (DCs) with Leishmania donovani
promastigotes, Histoplasma capsulatum, and
Mycobacterium kansasii impairs the constitutive production
of IL-12 from these cells. Thus, strategies aimed at modulating a
dysregulated Th1/Th2 response to infection would be of great interest.
To both augment the host immune response and deliver potent
immunomodulatory cytokines such as IL-12 and IFN-
, our goal is to
develop a therapeutic strategy using genetically modified, microbial
Ag-pulsed DCs. Toward developing such immunotherapies, we used
retrovirus-mediated somatic gene transfer techniques to engineer human
DCs to secrete biologically active IL-12 and IFN-
. DCs pulsed with
microbial antigens (e.g., leishmania and histoplasma Ags) were capable
of inducing proliferative responses in autologous CD4+
lymphocytes. CD4+ lymphocytes cocultured with
IL-12-transduced autologous DCs had enhanced Ag-specific proliferative
responses compared with CD4+ lymphocytes cocultured with
nontransduced or IFN-
- transduced DCs. In this cell culture model
system we demonstrate that IL-12 has a negative effect on IL-4
secretion that is independent of its ability to induce IFN-
secretion. Taken together, these results indicate that IL-12-transduced
DCs may be specifically suited in inducing or down-modulating
Ag-specific Th1 or Th2 responses, respectively, and thus may be useful
as adjunctive therapy in those intracellular infections in which a
dominant Th1 response is critical for the resolution of infection.
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