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* Division of Infection, Inflammation, and Repair, University of Southampton School of Medicine, Southampton General Hospital, Southampton, United Kingdom;
Department of Pediatrics and European Laboratory for the Investigation of Food-Induced Diseases, University Federico II, Naples, Italy; and
Department of Adult and Paediatric Gastroenterology, St. Bartholomews and Royal London School of Medicine, St. Bartholomews Hospital, London, United Kingdom
T cells in the Peyers patches (PP) of the human ileum are exposed
to a myriad of dietary and bacterial Ags from the gut lumen. Recall
proliferative responses to common dietary Ags are readily demonstrable
by PP T cells from healthy individuals, and the cytokine response is
dominated by IFN-
. Consistent with Th1 skewing, PP cells
spontaneously secrete IL-12p70, and IL-12p40 protein can be visualized
underneath the PP dome epithelium. In this study, we have analyzed
IL-12 signaling in PP and investigated whether IL-12 plays a functional
role. CD3+ T lymphocytes isolated from PP and adjacent
ileal mucosa spontaneously secrete IFN-
with negligible IL-4 or
IL-5. RNA transcripts for IL-12R
2, the signaling component of the
IL-12R, are present in purified CD4+ and CD8+ T
PP lymphocytes. Active STAT4, a transcription factor essential for
IL-12-mediated Th1 differentiation, is readily detectable in biopsies
from PP and ileal mucosa and STAT4-DNA binding activity is demonstrable
by EMSA. Nuclear proteins from CD3+ T PP lymphocytes
contain STAT4 and T-bet, a transcription factor selectively expressed
in Th1 cells. Stimulation of freshly isolated PP cells with
staphylococcal enterotoxin B dramatically enhanced the production of
IFN-
, an effect which was largely inhibited by neutralizing
anti-IL-12 Ab. These data show that IL-12 in human PP is likely to
be responsible for the Th1-dominated cytokine response of the human
mucosal immune system.
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