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The Journal of Immunology, 2000, 165: 4649-4657.
Copyright © 2000 by The American Association of Immunologists

IL-18 Has IL-12-Independent Effects in Delayed-Type Hypersensitivity: Studies in Cell-Mediated Crescentic Glomerulonephritis1

A. Richard Kitching2,*, Peter G. Tipping*, Masashi Kurimoto{dagger} and Stephen R. Holdsworth*

* Centre for Inflammatory Diseases, Department of Medicine Monash Medical Centre, Monash University, Clayton, Victoria, Australia; and {dagger} Fujisaki Institute, Hayashibara Biochemical Laboratories, Inc., Fujisaki, Okayama, Japan

IL-18 (formerly known as IFN-{gamma}-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-{gamma}, GM-CSF, IL-2, or TNF-{alpha} 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-{gamma}, GM-CSF, or TNF-{alpha} production.




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