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*
Centre for Inflammatory Diseases, Department of Medicine Monash Medical Centre, Monash University, Clayton, Victoria, Australia; and
Fujisaki Institute, Hayashibara Biochemical Laboratories, Inc., Fujisaki, Okayama, Japan
IL-18 (formerly known as IFN-
-inducing factor) enhances Th1
responses via effects that are thought to be dependent on and
synergistic with IL-12. The potential for IL-18 to exert
IL-12-independent effects in delayed-type hypersensitivity (DTH)
responses was studied in a model of Th1-directed, DTH-mediated
crescentic glomerulonephritis induced by planting an Ag in glomeruli of
sensitized mice as well as in cutaneous DTH. Sensitized genetically
normal (IL-12+/+) mice developed proteinuria and crescentic
glomerulonephritis with a glomerular influx of DTH effectors
(CD4+ T cells, macrophages, and fibrin deposition) in
response to the planted glomerular Ag. IL-12p40-deficient
(IL-12-/-) mice showed significant reductions in crescent
formation, proteinuria, and glomerular DTH effectors. Administration of
IL-18 to IL-12-/- mice restored the development of
histological (including effectors of DTH) and functional glomerular
injury in IL-12-/- mice to levels equivalent to those in
IL-12+/+ mice. IL-18 administration to
IL-12-/- mice increased glomerular ICAM-1 protein
expression, but did not restore Ag-stimulated splenocyte IFN-
,
GM-CSF, IL-2, or TNF-
production. Sensitized IL-12+/+
mice also developed cutaneous DTH following intradermal challenge with
the nephritogenic Ag. Cutaneous DTH was inhibited in
IL-12-/- mice, but was restored by administration of
IL-18. IL-12+/+ mice given IL-18 developed augmented
injury, with enhanced glomerular and cutaneous DTH, demonstrating the
synergistic effects of IL-18 and IL-12 in DTH responses. These studies
demonstrate that even in the absence of IL-12, IL-18 can induce in vivo
DTH responses and up-regulate ICAM-1 without inducing IFN-
, GM-CSF,
or TNF-
production.
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