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*
Upper Respiratory Medicine, Imperial College School of Medicine at National Heart and Lung Institute, London, United Kingdom; and
Department of Allergy and Respiratory Medicine, Guys Hospital, London, United Kingdom
IL-12 suppresses proallergic Th2-type cytokine production and
induces Th1-type cytokine production by peripheral blood T cells from
subjects with allergic disease. The objective of the present study was
to examine the relevance of these findings to target organ T cell
responses in human asthma. Bronchoalveolar lavage (BAL) and PBMC were
collected from atopic asthmatics 24 h after fiberoptic allergen
challenge of a segmental bronchus. BAL T cells and PBMC were cultured
with allergen in the presence of recombinant IL-12 or IFN-
, and
cytokines were measured in culture supernatants after 6 days. IL-5
production by BAL T cells and PBMC was inhibited by IL-12 and, to a
lesser extent, by IFN-
. IL-12 also induced IFN-
production by BAL
T cells and PBMC. The effects of IL-12 nor IFN-
on IL-5 production
could not be reversed by neutralizing anti-IFN-
or
anti-IL-12 mAbs, respectively. Thus, the effect of neither IL-12
nor IFN-
appeared to be mediated through induction of the other
cytokine. In situ hybridization revealed that approximately one-third
of BAL T cells expressed mRNA transcripts encoding the IL-12R ß2
subunit following allergen challenge. Thus, human T cells obtained from
BAL during asthmatic late responses, like T cells in the peripheral
circulation, remain susceptible to immunomodulation by IL-12. These
findings raise the possibility that IL-12 may hold therapeutic
potential in allergic diseases such as asthma.
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