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The Journal of Immunology, 1998, 161: 6368-6374.
Copyright © 1998 by The American Association of Immunologists

Neutralizing Antibodies to IFN-{gamma}-Inducing Factor Prevent Experimental Autoimmune Encephalomyelitis1

Gizi Wildbaum*, Sawsan Youssef*, Nir Grabie* and Nathan Karin2,*,{dagger}

* Department of Immunology and {dagger} Rappaport Family Institute for Research in the Medical Sciences and Bruce Rappaport Faculty of Medicine, Haifa, Israel


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Specific oligonucleotide primers were used to identify and isolate IFN-{gamma}-inducing factor (IGIF) from the brain of rats with developing experimental autoimmune encephalomyelitis (EAE), a T cell-mediated autoimmune disease of the central nervous system that serves as a model for multiple sclerosis. IGIF was highly transcribed in the brain at the onset and during the course of active EAE. PCR products encoding rat IGIF were used to generate the recombinant protein that was used to induce anti-IGIF neutralizing Abs. These Abs significantly reduced the production of IFN-{gamma} by primed T cells proliferating in response to their target myelin basic protein epitope and by Con A-activated T cells from naive donors. When administered to rats during the development of either active or transferred EAE, these Abs significantly blocked the development of disease. Splenic T cells from protected rats were cultured with the encephalitogenic myelin basic protein epitope and evaluated for production of IL-4 and IFN-{gamma}. These cells, which proliferated, exhibited a profound increase in IL-4 production that was accompanied by a significant decrease in IFN-{gamma} and TNF-{alpha} production. Thus, we suggest that perturbation of the Th1/Th2 balance toward Th2 cells is the mechanism underlying EAE blockade by anti-IGIF immunotherapy.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Based on their cytokine profile, CD4+ T cells can be divided into Th1 cells that produce large amounts of IFN-{gamma} and TNF-{alpha} and, to a much lesser extent, IL-4 and IL-10; Th2 cells that produce IL-4, IL-10, and IL-13 and, to a much lesser extent, IFN-{gamma} and TNF-{alpha} (1, 2, 3, 4, 5, 6, 7, 8, 9, 10); and the newly defined Th3 cells that produce significant amounts of TGF-ß and have been associated with oral tolerance (11). Th1 cells, which are selected in response to various autoantigens, transfer T cell-mediated autoimmune diseases; IL-4-secreting Th2 cells, which are selected in response to these same Ags, either inhibit the inflammatory process or exert no profound effect (5, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24). High levels of IFN-{gamma} and low levels of IL-4 positively select for Th1 cells, whereas low levels of IFN-{gamma} together with high levels of IL-4 mediate Th2 selection (1, 2, 3, 4, 5, 6).

IFN-{gamma}-inducing factor (IGIF)3 (IL-18) is a recently described cytokine (25) that shares structural features with the IL-1 family of proteins (26). The activation of IGIF is mediated by IL-1ß-converting enzyme (27, 28). Like IL-12, IGIF is a potent inducer of the production of IFN-{gamma} by Th1 and NK cells and acts on Th1 cells together with IL-12 in a synergistic manner (25, 29, 30, 31, 32).

Experimental autoimmune encephalomyelitis (EAE) is a T cell-mediated autoimmune disease of the central nervous system that serves as a model for human multiple sclerosis (33, 34). Ag-specific T cells are thought to play a pivotal role in the manifestation of both diseases (35, 36, 37).

The role of Th1 cells in the manifestation of EAE has been widely studied. Th1 but not Th2 cells transfer the disease to normal naive recipients (18). Shifting the Th1/Th2 balance toward Th2 cells by the in vivo administration of IL-4 (12), by Abs to B7-1 (14), by soluble peptide therapy (38), or by the administration of neutralizing Abs to IL-12 (15) markedly suppressed EAE. It has been shown recently that IGIF is a more potent inducer of IFN-{gamma}-producing Th1 cells than is IL-12 and consequently plays an important role in Th1 responses (25). However, the possible role of anti-IGIF immunotherapy in the regulation of T cell-mediated autoimmunity has never been evaluated.

The current study demonstrates, for the first time, that neutralizing Abs to IGIF ameliorate EAE by shifting the Th1/Th2 balance toward Ag-specific Th2 cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Rats

Female Lewis rats (6 wk old) were purchased from Harlan (Jerusalem, Israel) and maintained under specific pathogen-free conditions in our animal facility.

Peptide Ags

Myelin basic protein (MBP) p68–86 (Y G S L P Q K S Q R S Q D E N P V) was synthesized on a Milligen 9050 peptide synthesizer (Burlington, MA) by standard 9-fluorenylmethoxycarbonyl chemistry. Peptides were purified by HPLC. Structure was confirmed by amino acid analysis and mass spectroscopy. Only peptides that were >95% pure were used in our study.

Immunizations and induction of active disease

Rats were immunized s.c. in the hind footpads with 0.1 ml of MBP epitope 68–86 (p68–86) dissolved in PBS (1.5 mg/ml) and emulsified with an equal volume of CFA (IFA supplemented with 4 mg/ml heat-killed Mycobacterium tuberculosis H37Ra in oil (Difco, Detroit, MI)). Rats were then monitored daily for clinical signs by an observer who was blind to the treatment protocol. EAE was scored as follows: 0, clinically normal; 1, flaccid tail; 2, hind limb paralysis; and 3, front and hind limb paralysis.

Induction of transferred EAE

EAE was induced by immunizing Lewis rats i.p. with 108 activated spleen cells from EAE donors. Cells were obtained as follows: At 9 days after the induction of active EAE, splenic cells were cultured (12 x 106/ml) at 37°C in humidified air containing 7.5% CO2 for 2 days in stimulation medium that included DMEM (Life Technologies, Gaithersburg, MD) supplemented with 2-ME (5 x 10-5 M), L-glutamine (2 mM), sodium pyruvate (1 mM), penicillin (100 µ/ml), streptomycin (100 µg/ml), 1% syngeneic serum, and 20–30 µg/ml of the immunizing epitope. Next, cells were separated on a Ficoll gradient (Sigma, St. Louis, MO), resuspended in PBS, and injected into naive recipients.

Ag-specific T cell proliferation assays

Lewis rats were immunized with MBP p68–86/CFA as described above. After 9–10 days, spleen cells were suspended in stimulation medium and cultured in U-shaped 96-well microculture plates (2 x 105 cells/well) for 72 h at 37°C in humidified air containing 7.5% CO2. Each well was pulsed with 2 µCi of [3H]thymidine (specific activity of 10 Ci/mmol) for the final 6 h. The cultures were then harvested on fiberglass filters, and the proliferative response was expressed as cpm ± SD or as stimulation index (SI) (mean cpm of test cultures divided by mean cpm of control cultures).

RT-PCR analysis

RT-PCR analysis, verified by Southern blotting, was used on brain samples according to the protocol we described elsewhere with some modifications (39). Rats were euthanized by CO2 narcosis. Brain samples containing mainly the midbrain and brain stem were obtained after perfusion of the rat with 160–180 ml of ice-cold PBS injected into the left ventricle following an incision in the right atrium. Each sample was homogenized. Total RNA was extracted using the Tri-Zol procedure (Life Technologies) according to the manufacturer’s protocol. mRNA was then isolated using an mRNA isolation kit (No. 1741985, Boheringer Mannheim, Mannheim, Germany) and was reverse transcribed into first-strand cDNA as we have described in detail elsewhere (39). First-strand cDNA was then subjected to 35 cycles of PCR amplification using specific oligonucleotide primers to rat IGIF and IFN-{gamma} that we designed based on the published sequence of each cytokine (National Center for Biotechnology Information accession numbers for rat IGIF U77777 and rat IFN-{gamma} M29315) as follows: rat IGIF sense, 5'-ATGGCTGCCATGTCAGAAGAAG-3'; rat IGIF antisense, 5'-CTAACTTTGATGTAAGTTAGTAAGA-3'; rat IFN-{gamma} sense, 5'-TACTGCCAAGGCACACTCATTGAA-3'; rat IFN-{gamma} antisense, 5'-CGCTTCCTTAGGCTAGATTCTGG-3'; rat ß-actin sense, 5'-CATCGTGGGCCGCTCTAGGCA-3' (39); and rat ß-actin antisense, 5'-CCGGCCAGCCAAGTCCAGACG-3' (39).

Experimental conditions were calibrated so that RT-PCR amplifications fell on the linear part of the titration curve. The cycle profile was denaturation at 95°C for 60 s, annealing at 55°C for 60 s, and elongation at 72°C for 60 s. Amplified products were subjected to electrophoresis, transferred to a nylon membranes (MagnaGraph nylon transfer membrane, Micron Separations, Westborough, MA), fixed with UV light (120 mjoules), and hybridized with 106 cpm/ml of {alpha}-32P-labeled DNA fragments encoding the full-length PCR product of IGIF and ß-actin (random priming: Amersham, Arlington Heights, IL). PCR products were used as probes only after each PCR product was cloned; the sequence of each PCR product was verified as described below. Southern blot images were objectively assessed using a FujiFilm Thermal System FTI-500 (FujiFilm, Tokyo, Japan).

Cloning and sequencing of PCR products

Each of the amplified PCR products described above was cloned into a pUC57/T vector (T-cloning kit No. K1212, MBI Fermentas, Vilnius, Lithuania) and transformed to Escherichia coli according to the manufacturer’s protocol. Each clone was then sequenced (Sequenase version 2, United States Biochemical, Cleveland, Ohio) according to the manufacturer’s protocol.

Production and purification of recombinant proteins

After sequence verification, PCR products were recloned into a pQE expression vector (pQE-30, pQE-31, or pQE-32 according the correct open reading frame) and expressed in E. coli (Qiagen, Hilden, Germany) and purified by an Ni-nitrilotriacetic acid super flow affinity purification of 6xHis proteins (Qiagen). Each recombinant protein sequence has been verified (N terminus) by our sequencing services unit.

Production and purification of rabbit anti-rat IGIF IgG

Rabbit anti-rat IGIF Abs were generated as described previously (40); the IgG fraction was purified using a HiTrap protein G kit (No. 17-040-01, Pharmacia, Piscataway, NJ). Ab titer was determined by direct ELISA: ELISA plates (Nunc, Roskilde, Denmark) were coated with rat rIGIF (50 ng/well). Rabbit anti-rat IGIF (IgG fraction) was added in serial dilutions from 28 to 230. Goat anti-rabbit IgG alkaline phosphatase (AP)-conjugated Abs (Sigma) were used as a labeled Ab. p-nitrophenyl phosphate (Sigma) was used as a soluble AP substrate. The results of triplicate cultures were calculated as log2 Ab titer ± SE. Our purified anti-rat IGIF IgG titer was 18 ± 0.4.

Cytokine determination

Spleen cells from EAE donors were stimulated in vitro (107 cells/ml) in 24-well plates (Nunc) with 100 µM of p68–86. Spleen cells from naive donors were cultured (107 cells/ml, 24-well plates) with 2 µg/ml Con A (Sigma). After 72 h of stimulation, supernatants were assayed using semiELISA kits that included Ab pairs and recombinant rat cytokines as follows: for IFN-{gamma}, rabbit anti-rat IFN-{gamma} polyclonal Ab (CY-048, Innogenetics, Zwijnaarde, Belgium) was used as a capture Ab, biotinylated mouse anti-rat mAb (CY-106 clone BD-1, Innogenetics) was used as a detection Ab, and AP-streptavidin (catalog No. 43-4322, Zymed, San Francisco, CA) with rat rIFN-{gamma} was used as a standard (catalog No. 3281SA, Life Technologies); for TNF-{alpha}, a commercial semiELISA kit was used for the detection of rat TNF-{alpha} (catalog No. 80-3807-00, Genzyme, Cambridge, MA); for IL-4, mouse anti-rat IL-4 mAb (24050D OX-81, PharMingen, San Diego, CA) was used as a capture Ab and rabbit anti-rat IL-4 biotin-conjugated polyclonal Ab (2411-2D, PharMingen) as second Ab. Rat rIL-4 that was purchased from R&D Systems (Minneapolis, MN) (504-RL) was used as a standard.

Statistical analysis

The significance of differences was examined using the Student t test. The Mann-Whitney sum of ranks test was used to evaluate the significance of differences in the mean of the maximal clinical score (see Fig. 3Go). A p value of <0.05 was considered significant.



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FIGURE 3. Neutralizing Abs to rat rIGIF block the development of both active and transferred EAE. A, Lewis rats were immunized with p68–86/CFA to induce active EAE and then separated into three groups of six rats each. At 8, 10, and 11 days after the induction of disease, these groups were injected i.v. with rabbit anti-rat IGIF (IgG fraction was 100 µg/rat), with IgG fraction purified from nonimmunized rabbits (control IgG), or with PBS. The rats were then monitored daily for clinical signs of EAE by an observer who was blind to the treatment protocol. Results are presented as mean clinical score ± SE. B, Transferred EAE was induced as described above (Fig. 1GoA). Recipients were then separated into three groups of six rats each. At 3, 5, and 7 days after the induction of disease, these groups were injected as described above (A) and monitored daily for clinical signs of EAE by an observer who was blind to the treatment protocol. Results are presented as mean clinical score ± SE.

 

    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IGIF mRNA is transcribed in the inflamed EAE brain

Midbrain-brain stem samples were obtained from rats with developing transferred EAE (Fig. 1GoA) before adoptive transfer of disease (day 0), before the onset of disease (day 3), at the day of onset (day 5), at the peak of disease (day 7), following recovery (day 10), and at 10 days postrecovery (day 20). From each timepoint, samples from six different brains were subjected to RT-PCR analysis using specific oligonucleotide primers that we constructed to IGIF and IFN-{gamma}. Each amplification was calibrated to ß-actin and verified by Southern blotting analysis, which enabled semiquantitative analysis of the dynamics of mRNA transcription of IGIF and IFN-{gamma} at the site of inflammation. Fig. 1Go, C and E show representative results from each timepoint of the experiment. A substantial increase in the transcription of both IGIF and IFN-{gamma} mRNA in EAE brains was observed at the peak of disease (day 7). The augmented transcription of IFN-{gamma} mRNA reverted to background during recovery. Unexpectedly, a notable transcription of IGIF mRNA could be observed even at 10 days postrecovery (Fig. 1GoC).



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FIGURE 1. IGIF mRNA in the inflamed EAE brain. A, Rats were injected with 107 cells from L68–86 immunized rats to allow for the development of transferred EAE. Mid-brain and brain stem samples from six different rats at each timepoint were examined before adoptive transfer of disease (day 0) and also at various timepoints before the onset of disease (day 3), at the day of onset (day 5), at the peak of disease (day 7), following recovery (day 10), and at 10 days postrecovery (day 20). mRNA was isolated from each sample and subjected to RT-PCR analysis using specific oligonucleotide primers constructed for IGIF (C) and IFN-{gamma} (E). Each amplification was calibrated to ß-actin (G) and verified by Southern Blot analysis. Southern blot images were objectively assessed using a FujiFilm Thermal System. B, Rats were immunized with p68–86/CFA and developed active EAE. As described above, mid-brain and brain stem samples from six different rats at each timepoint were examined for mRNA transcription for IGIF (D) and IFN-{gamma} (F) before the induction of disease (day 0) as well as before the onset of disease (day 8), at the peak of disease (day 13), and following recovery (day 21).

 
Rats with developing active disease manifested mRNA transcription characteristics that were similar to those seen in rats with developing transferred disease. That is, a substantial increase in the transcription of both IGIF and IFN-{gamma} mRNA in EAE brains was observed at the peak of disease (day 13). The augmented transcription of IFN-{gamma}, but not of IGIF mRNA, regressed to background during recovery (Fig. 1Go, D and F). A substantial increase in the level of IGIF transcription at the site of inflammation in the central nervous system during the course of disease may suggest involvement in disease regulation. To evaluate this point, the role of IGIF in the regulation of EAE was investigated.

Rat rIGIF and its neutralizing Abs affect IFN-{gamma} production by activated T cells from naive donors more significantly than by Ag-specific-primed T cells

PCR products encoding rat IGIF were used to generate the recombinant protein that was used to produce anti-IGIF neutralizing Abs. These Abs significantly reduced the production of IFN-{gamma} in the primed T cells proliferating in response to their specific MBP epitope (Fig. 2GoC, 3.2 ± 0.25 vs 1.8 ± 0.11 ng/ml with backgrounds of 0.2 ± 0.1 and 0.25 ± 0.1; p < 0.01) and entirely blocked IFN-{gamma} production in Con A-activated T cells from naive donors (Fig. 2GoA, 5.1 ± 0.4 vs 0.42 ± 0.1 ng/ml with backgrounds of 0.4 ± 0.1 and 0.36; p < 0.001). Control IgG from normal rabbit serum did not exert a notable effect on IFN-{gamma} production by either Con A-activated naive spleen cells or MBP p68–86-primed spleen cells (data not shown). Rat rIGIF elicited IFN-{gamma} production in Con A-activated splenic T cells from naive donors (Fig. 2GoB, 15.8 ± 0.8 ng/ml vs 5.1 ± 0.3 with backgrounds of 0.3 ± 0.1 and 0.4 ± 0.15; p < 0.001) and significantly although again less profoundly influenced the response of primed spleen T cells to their target MBP Ag (Fig. 2GoD, 4.97 ± 0.15 ng/ml vs 3.2 ± 0.25 with backgrounds of 0.3 ± 0.15 and 0.25 ± 0.1; p < 0.001). Thus, both the inhibitory effect of IGIF-neutralizing Abs and the augmentation by IGIF of IFN-{gamma} production are more profound on activated T cells from a naive donor than on primed T cells responding to their target epitope. It has recently been suggested that IGIF primarily affects IFN-{gamma} production by Th1 rather than Th2 cells (29). It is possible that immunization with p68–86/CFA induces a substantial selection of Ag-specific Th2 cells, albeit not enough to inhibit the subsequent development of a Th1-mediated autoimmune disease.



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FIGURE 2. Neutralizing Abs to rat rIGIF block IFN-{gamma} production in cultured T cells. Spleen cells from naive (A and B) or p68–86/CFA-primed (day 9) (C and D) Lewis rats were cultured in vitro with either Con A (A and B), 100 µM of MBP p68–86 (C and D) with or without the addition of 100 ng/ml rabbit anti-rat IGIF (IgG) neutralizing Abs (A and C), or IgG from nonimmunized rabbits (data not shown) with or without the addition of 400 ng/ml rat rIGIF (B and D). After 72 h of stimulation, IFN-{gamma} levels were determined in the culture supernatants by ELISA. Results are the mean ± SE of triplicate cultures. In addition, the proliferative response of each group of primed T cells to 100 µM of MBP p68–86 was determined. Results are given in the text.

 
The in vitro addition of either anti-IGIF Abs or rIGIF did not affect the Ag-specific proliferative response that developed in primed splenic T cells responding to MBP p68–86 (SI = 4.2 ± 0.3, 3.6 ± 0.4, and 3.9 ± 0.3 in control spleen T cells vs cultured spleen cells supplemented with either anti-IGIF Abs or rIGIF).

Neutralizing Abs to rat rIGIF block the development of both active and transferred EAE

The role of anti-IGIF Abs in the regulation of T cell-mediated autoimmune diseases has never been explored. We have evaluated the competence of the anti-IGIF neutralizing Abs with regard to the inhibition of active (Fig. 3GoA) and transferred (Fig. 3GoB) EAE. Lewis rats were immunized with p68–86/CFA to develop active EAE. Just before the onset of disease (days 8 and 10) and at the onset of disease (day 11), these rats were injected with either rabbit anti-rat IGIF (IgG fraction), IgG fraction purified from nonimmunized rabbits (control IgG), or PBS and monitored for clinical signs of EAE. Control PBS-treated rats and rats treated with control IgG all (six of six rats in each group) developed severe EAE (mean maximal clinical scores were 3.3 ± 0.43 and 2.66 ± 0.26, respectively). In contrast, rats treated with anti-IGIF Abs developed a markedly reduced disease (Fig. 3GoA, incidence was in five of six rats, mean maximal clinical score of 1.2 ± 0.2; p < 0.01). We have further evaluated the competence of anti-IGIF Abs in the inhibition of transferred EAE (Fig. 3GoB). At 3, 5, and 7 days after adoptive transfer of disease, rats were injected as described above and monitored for clinical signs of EAE. Although control PBS-treated rats and rats treated with control IgG all (six of six rats in each group) developed EAE (mean maximal clinical score was 1 ± 0 in each group), the rats that were administered anti-IGIF Abs were highly protected (Fig. 3GoB, incidence was in one of six rats, mean maximal clinical score was 0.2 ± 0.1; p < 0.01). Thus, immunotherapy with anti-IGIF may serve as a powerful tool to block the development of actively induced or transferred EAE.

Alteration of IFN-{gamma} and IL-4 production in EAE rats injected with anti-IGIF neutralizing Abs suggests that perturbation of the Th2/Th1 balance contributes to disease blockade

The possible involvement of a Th2/Th1 switch in EAE inhibition by anti-IGIF immunotherapy has been evaluated (Fig. 4Go). Lewis rats were immunized with p68–86/CFA to develop active EAE. After 5 and 7 days, these rats were injected with either PBS, control rabbit IgG, or rabbit anti-rat IGIF (IgG fraction). At 2 days after the last treatment, splenic T cells were cultured with MBP p68–86 in stimulation medium that was (Fig. 4Go, C and D) or was not (Fig. 4Go, A and B) supplemented with rat rIL-4. In spleen cells cultured from MBP 68–86-primed donors, IFN-{gamma} was produced only when the priming Ag was added to the culture (Fig. 4GoA, 0.3 ± 0.1 ng/ml without the addition of MBP 68–86 vs 13.5 ± 0.7 in cells proliferating to p68–86). The addition of rIL-4 led to a significant decrease in IFN-{gamma} that was still dependent upon antigenic stimulation (Fig. 4Go, A and C, 0.19 ± 0.08 ng/ml without the addition of MBP 68–86 vs 2.37 ± 0.8 in cells proliferating to p68–86; a 12-fold increase). Spleen T cells from anti-IGIF-treated rats produced markedly reduced levels of IFN-{gamma} in response to antigenic stimulation in cultures that were or were not supplemented with IL-4 (Fig. 4GoA, 4.7 ± 0.4 ng/ml in spleen cells from anti-IGIF-treated rats vs 9.7 ± 0.8 in spleen cells from rats treated with normal rabbit IgG and 13.5 ± 0.7 in PBS-treated rats with backgrounds of 0.4, 0.8, and 0.7; p < 0.001 when comparing anti-IGIF treatment with each control group). However, IL-4 production markedly increased in splenic T cells from anti-IGIF-treated rats regardless of in vitro stimulation (Fig. 4GoB, 62.3 ± 4.2 pg/ml in spleen cells from anti-IGIF-treated rats vs 15.3 ± 0.4 in spleen cells from rats treated with normal rabbit IgG and 15.6 ± 0.6 in PBS-treated rats; p < 0.001 when comparing anti-IGIF treatment with each control group) unless cultures were supplemented with IL-4 (Fig. 4GoD, 1860 ± 120 pg/ml in spleen cells from anti-IGIF-treated rats vs 570 ± 30 in spleen cells from rats treated with normal rabbit IgG and 450 ± 35 in PBS-treated rats with backgrounds of 85, 42, and 34; p < 0.0001 when comparing anti-IGIF treatment with each control group). The addition of IL-4 to cultured spleen T cells (Fig. 4Go, C–D) did not exhibit a notable effect on the Ag-specific proliferative response of these cells (data not shown).



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FIGURE 4. Alteration in IFN-{gamma} and IL-4 production in EAE rats injected with anti-IGIF neutralizing Abs. Lewis rats were immunized with p68–86/CFA to induce active EAE and separated into three groups. At 5 and 7 days after disease induction, these groups were injected i.v. with either rabbit anti-rat IGIF (IgG fraction was 100 µg/rat), purified IgG from nonimmunized rabbits, or PBS. Before the onset of disease (day 9), splenic T cells from three rats in each group were cultured with 100 µM of MBP p68–86 for 72 h in stimulation medium that was (C and D) or was not (A and B) supplemented with rat rIL-4 (5 ng/ml). After 72 h of stimulation, IFN-{gamma} levels were determined in culture supernatants by ELISA. Results are expressed as the mean ± SE of triplicate cultures. In addition, the proliferative response of each group of primed T cells to 100 µM of MBP p68–86 was determined. Results are given in the text.

 
TNF-{alpha} production was then evaluated in spleen cells from the above groups. The above spleen cells from anti-IGIF-treated rats produced markedly reduced levels of TNF-{alpha} in response to antigenic stimulation (Fig. 5Go, 850 ± 45 pg/ml in spleen cells from anti-IGIF-treated rats vs 1975 ± 80 in spleen cells from rats treated with normal rabbit IgG and 2100 ± 110 in PBS-treated rats with backgrounds of 230, 210, and 270, reciprocally; p < 0.001 when comparing anti-IGIF treatment with each control group). Thus, perturbation of the Th1/Th2 balance in anti-IGIF-treated rats is associated with a marked reduction in TNF-{alpha} production.



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FIGURE 5. Alteration in TNF-{alpha} production in EAE rats injected with anti-IGIF neutralizing Abs. Levels of TNF-{alpha} were determined in supernatants obtained in the experiment described in Fig. 4Go, A and B, by ELISA. Results are expressed as the mean ± SE of triplicate cultures.

 
Finally, the proliferative response of each group of cultured spleen cells to p68–86 was evaluated in a proliferation assay (SI = 4.2 ± 0.3, 3.6 ± 0.4, and 3.96 ± 0.5 in spleen cells from rats treated with either anti-IGIF, normal rabbit IgG, or PBS, respectively). Thus, anti-IGIF immunotherapy alters Th2/Th1 balance without a notable effect on Ag-specific proliferative responsiveness.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In autoimmune conditions, T cells that are reactive to self Ags escape elimination in the thymus and are activated in the periphery, where they can provoke damage to specific cells and organs. Perturbation of the balance between self-reactive T cells with different cytokine profiles may serve as an effective means of restraining the harmful effect of autoimmune T cells (12, 14, 15, 16, 20, 21, 22, 38, 41, 42, 43). The cytokines present at the initiation of CD4+ T cell responses determine whether a Th1 or a Th2 response will predominate (1, 2, 3, 4, 5, 6). Thus, the administration of IL-4 or Abs to IL-12 preferentially favors Th2 selection in vivo and serves as a powerful means of inhibiting two different T cell-mediated autoimmune diseases: EAE and insulin-dependent diabetes mellitus (12, 15, 22). It is well known that high levels of IFN-{gamma} positively select for TNF-{alpha}-secreting Th1 cells (6). A previous study showed that the administration of anti-IL-12 neutralizing Abs blocks EAE while inducing a marked reduction of both IFN-{gamma} and TNF-{alpha} production (15). IFN-{gamma} and TNF-{alpha} in combination subsequently exhibit a synergistic effect on the enhancement of expression of adhesion molecules on endothelial cells (44) and on the elicitation of the inflammatory process, which can be reversed by either antiadhesion molecule immunotherapy (45, 46) or by blocking TNF-{alpha} (44, 47, 48, 49, 50). We have demonstrated previously that the EAE resistance acquired by soluble Ag therapy can be reversed by anti-IL-4 neutralizing Abs (38). This finding further demonstrated the pivotal role of the Th1/Th2 balance in the regulation of T cell-mediated autoimmunity (38).

IGIF is a recently described cytokine (25) that shares structural features with the IL-1 family of proteins (26). The activation of IGIF is mediated by IL-1ß-converting enzyme (27, 28). Like IL-12, IGIF is a potent inducer of IFN-{gamma} from Th1 and NK cells and acts on Th1 cells together with IL-12 in a synergistic manner (25, 29, 30, 31, 32). IGIF actually has more potent IFN-{gamma}-inducing capabilities than IL-12 and apparently uses a distinct signal transduction pathway for its elicitation (25, 31, 32, 51). Little is known about the role of IGIF in T cell-mediated autoimmune disease. A recent study used RT-PCR to demonstrate that the active stage of autoimmune diabetes in nonobese diabetic mice is associated with the expression of IGIF (52). Our present study demonstrates for the first time an elevated expression of IGIF (Fig. 1Go) at the time when the secondary influx of autoimmune cells is apparent at the site of inflammation in the EAE brain (38, 39, 46, 53); our study also used neutralizing Abs (Fig. 2Go), which we generated against the IGIF cloned from this site of inflammation, to block the disease (Fig. 3Go) by altering the in vivo Th1/Th2 balance in favor of Th2 selection. This alteration included a marked reduction in the production of IFN-{gamma} and, most importantly, TNF-{alpha}, a proinflammatory cytokine that plays a critical role in T cell-mediated autoimmunity (44, 47, 48, 49, 50).

An interesting observation of the current study is that both the inhibitory effect of IGIF-neutralizing Abs and the augmentation by IGIF of IFN-{gamma} production are more profound on activated T cells from a naive donor than on primed T cells responding to their target epitope (Fig. 2Go). The idea of adding rat rIL-4 to cultured T cells (Fig. 4Go) came from a recent study of Lederer et al., who used the same strategy to demonstrate that IL-4 acts on proliferating Th2 cells in an autocrinic manner (4). It is not clear which observation contributes more to the understanding of the in vivo changes that occur following the administration of IGIF-neutralizing Abs: the elevated levels of IL-4 produced by spleen T cells, even though the encephalitogenic determinant was not added to the culture medium (Fig. 4GoB), or the acceleration in IL-4 production in cultured spleen cells in response to the encephalitogenic determinant in the presence of IL-4. Nevertheless, both observations taken together suggest a perturbation of the Th1/Th2 balance toward IL-4-secreting T cells in EAE rats that were administered IGIF-neutralizing Abs.

The direct role of IFN-{gamma} in EAE is enigmatic. Grewal et al. used CD40 ligand-deficient mice that carry a transgenic TCR specific for MBP to demonstrate that EAE induction is IFN-{gamma}-dependent (54). Alternatively, not only were mice lacking IFN-{gamma} susceptible to the induction of active EAE (55) but Abs to IFN-{gamma} were also found to be capable of enhancing this disease (56, 57). A recent study demonstrated that IL-12 is directly involved in the generation of autoreactive Th1 cells that induce EAE, both in the presence and absence of IFN-{gamma} (58). However, it could well be that alteration the Th1/Th2 balance toward IL-4-secreting Th2 cells confers EAE resistance not because it leads to a reduced production of IFN-{gamma} (Fig. 4Go), but rather because it results in a reduced production of TNF-{alpha} (Fig. 5Go) accompanied by a marked increase in IL-4 production (Fig. 4Go).

It has been suggested recently that IGIF primarily affects IFN-{gamma} production by Th1 but not Th2 cells (29). It is possible that immunization with p68–86/CFA induces a substantial selection of Ag-specific Th2 cells, albeit not enough to inhibit the subsequent development of a Th1-mediated autoimmune disease. Hence, as shown in our study, the in vivo administration of anti-IGIF neutralizing Abs notably shifts the Th1/Th2 balance in Ag-specific proliferating T cells toward a Th2 response (Fig. 4Go), thus providing the immune system with a mechanism by which it restrains its harmful activity.


    Acknowledgments
 
We thank Dr. H. Gershon for creative discussion and for critically reviewing the manuscript.


    Footnotes
 
1 This study was supported by the Israel Cancer Research Foundation, Israel Science Foundation, Israel Ministry of Science and Arts, Israel Ministry of Health, and the Dankner Foundation. N.K. is a member of the Rappaport Family Institute for Research in the Medical Sciences. Back

2 Address correspondence and reprint requests to Dr. Nathan Karin, Rappaport Family Institute for Research in the Medical Sciences and Bruce Rappaport Faculty of Medicine, Technion, P.O.B. 9697, Haifa 31096, Israel. E-mail address: Back

3 Abbreviations used in this paper: IGIF, IFN-{gamma}-inducing factor; EAE, experimental autoimmune encephalomyelitis; MBP, myelin basic protein; SI, stimulation index; AP, alkaline phosphatase. Back

Received for publication April 24, 1998. Accepted for publication July 1, 1998.


    References
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. O’Garra, A., K. Murphy. 1994. Role of cytokines in determining T-lymphocyte function. Curr. Opin. Immunol. 6:458.[Medline]
  2. Abbas, A. K., K. M. Murphy, A. Sher. 1996. Functional diversity of helper T lymphocytes. Nature 383:787.[Medline]
  3. Swain, S. L., A. D. Weinberg, M. English, G. Huston. 1990. IL-4 directs the development of Th2-like helper effectors. J. Immunol. 145:3796.[Abstract]
  4. Lederer, J. A., V. L. Perez, L. DesRoches, S. M. Kim, A. K. Abbas, A. H. Lichtman. 1996. Cytokine transcriptional events during helper T cell subset differentiation. J. Exp. Med. 184:397.[Abstract/Free Full Text]
  5. Seder, R. A., R. Gazzinelli, A. Sher, W. E. Paul. 1993. IL-12 acts directly on CD4+ T cells to enhance priming for IFN-{gamma} production and diminishes IL-4 inhibition of such priming. Proc. Natl. Acad. Sci. USA 90:10188.[Abstract/Free Full Text]
  6. Seder, R. A., W. E. Paul, M. M. Davis, B. Fazekas de St. Groth.. 1992. The presence of interleukin-4 during in vitro priming determines the cytokine-producing potential of CD4+ T cells from T cell receptor transgenic mice. J. Exp. Med. 176:1091.[Abstract/Free Full Text]
  7. Fiorentino, D. F., A. Zlotnik, P. Vieira, T. R. Mosmann, M. Howard, K. W. Moore, A. O’Garra. 1991. IL-10 acts on the antigen-presenting cell to inhibit cytokine production by Th1 cells. J. Immunol. 146:3444.[Abstract]
  8. Mosmann, T. R., R. L. Coffman. 1989. Th1 and Th2 cells: different patterns of lymphokine secretion lead to different functional properties. Annu. Rev. Immunol. 9:145.
  9. Mosmann, T., K. Moor. 1989. The role of IL-10 in the cross-regulation of Th1 and Th2 responses. Immunol. Today 12:A49.-A53.
  10. Huang, H., J. Hu-Li, H. Chen, S. Z. Ben-Sasson, W. E. Paul. 1997. IL-4 and IL-13 production in differentiated Th type 2 cells is not IL-4-dependent. J. Immunol. 159:3731.[Abstract]
  11. Fukaura, H., S. C. Kent, M. J. Pietrusewicz, S. J. Khoury, H. L. Weiner, D. A. Hafler. 1996. Induction of circulating myelin basic protein and proteolipid protein-specific transforming growth factor-ß1-secreting Th3 T cells by oral administration of myelin in multiple sclerosis patients. J. Clin. Invest. 98:70.[Medline]
  12. Racke, M. K., A. Bonomo, D. E. Scott, B. Cannella, A. Levine, C. S. Raine, E. M. Shevach, M. Rocken. 1994. Cytokine-induced immune deviation as a therapy for inflammatory autoimmune disease. J. Exp. Med. 180:1961.[Abstract/Free Full Text]
  13. Cash, E., A. Minty, P. Ferrara, D. Caput, D. Fradelizi, O. Rott. 1994. Macrophage-inactivating IL-13 suppresses experimental autoimmune encephalomyelitis in rats. J. Immunol. 153:4258.[Abstract]
  14. Kuchroo, V. K., M. P. Das, J. A. Brown, A. M. Ranger, S. S. Zamvil, R. A. Sobel, H. L. Weiner, N. Nabavi, L. H. Glimcher. 1995. B7-1 and B7-2 costimulatory molecules activate differentially the Th1/Th2 developmental pathways: application to autoimmune disease therapy. Cell 80:707.[Medline]
  15. Leonard, J. P., K. E. Waldburger, S. J. Goldman. 1995. Prevention of experimental autoimmune encephalomyelitis by antibodies against interleukin 12. J. Exp. Med. 181:381.[Abstract/Free Full Text]
  16. Healey, D., P. Ozegbe, S. Arden, P. Chandler, J. Hutton, A. Cooke. 1995. In vivo activity and in vitro specificity of CD4+ Th1 and Th2 cells derived from the spleens of diabetic NOD mice. J. Clin. Invest. 95:2979.
  17. Khoruts, A., S. D. Miller, M. K. Jenkins. 1995. Neuroantigen-specific Th2 cells are inefficient suppressors of experimental autoimmune encephalomyelitis induced by effector Th1 cells. J. Immunol. 155:5011.[Abstract]
  18. Ando, D. G., J. Clayton, D. Kono, J. L. Urban, E. E. Sercarz. 1989. Encephalitogenic T cells in the B10.PL model of experimental allergic encephalomyelitis (EAE) are of the Th-1 lymphokine subtype. Cell. Immunol. 124:132.[Medline]
  19. Katz, J. D., C. Benoist, D. Mathis. 1995. T helper subsets in insulin-dependent diabetes. Science 268:1185.[Abstract/Free Full Text]
  20. Liblau, R. S., S. M. Singer, H. O. McDevitt. 1995. Th1 and Th2 CD4+ T-cells in the pathogenesis of organ-specific autoimmune diseases. Immunol. Today 16:34.[Medline]
  21. Saoudi, A., J. Kuhn, K. Huygen, Y. de Kozak, T. Velu, M. Goldman, P. Druet, B. Bellon. 1993. TH2 activated cells prevent experimental autoimmune uveoretinitis, a TH1-dependent autoimmune disease. Eur. J. Immunol. 23:3096.[Medline]
  22. Rapoport, M. J., A. Jaramillo, D. Zipris, A. Lazarus, D. V. Serreze, E. H. Leiter, P. Cyopick, J. S. Danska, T. L. Delovitch. 1993. Interleukin-4 reverses T cell proliferative unresponsiveness and prevents the onset of diabetes in nonobese diabetic mice. J. Exp. Med. 178:87.[Abstract/Free Full Text]
  23. Rott, O., B. Fleischer, E. Cash. 1994. Interleukin-10 prevents experimental allergic encephalomyelitis in rats. Eur. J. Immunol. 24:1434.[Medline]
  24. Trinchieri, G.. 1993. Interleukin-12 and its role in the generation of Th1 cells. Immunol. Today 14:335.[Medline]
  25. Okamura, H., H. Tsutsui, T. Komatsu, M. Yutsudo, A. Hakura, T. Tanimoto, K. Torigoe, T. Okura, Y. Nukada, K. Hattori, et al 1995. Cloning of a new cytokine that induces IFN-{gamma} production by T cells. Nature 378:88.[Medline]
  26. Bazan, J. F., J. C. Timas, R. A. Kastelein. 1996. A newly defined interleukin 1?. Nature 379:591.[Medline]
  27. Ghayur, T., S. Banerjee, M. Hugunin, D. Butler, L. Herzog, A. Carter, L. Quintal, L. Sekut, R. Talanian, M. Paskind, W. Wong, R. Kamen, D. Tracey, H. Allen. 1997. Caspase-1 processes IFN-{gamma}-inducing factor and regulates LPS-induced IFN-{gamma} production. Nature 386:619.[Medline]
  28. Gu, Y., K. Kuida, H. Tsutsui, G. Ku, K. Hsiao, M. A. Fleming, N. Hayashi, K. Higashino, H. Okamura, K. Nakanishi, M. Kurimoto, T. Tanimoto, R. A. Flavell, V. Sato, M. W. Harding, et al 1997. Activation of interferon-{gamma}-inducing factor mediated by interleukin-1ß-converting enzyme. Science 275:206.[Abstract/Free Full Text]
  29. Robinson, D., K. Shibuya, A. Mui, F. Zonin, E. Murphy, T. Sana, S. B. Hartley, S. Menon, R. Kastelein, F. Bazan, A. O’Garra. 1997. IGIF does not drive Th1 development but synergizes with IL-12 for interferon-{gamma} production and activates IRAK and NF-{kappa}B. Immunity 7:571.[Medline]
  30. Rothe, H., T. Hibino, Y. Itoh, H. Kolb, S. Martin. 1997. Systemic production of interferon-{gamma}-inducing factor (IGIF) versus local IFN-{gamma} expression involved in the development of Th1 insulitis in NOD mice. J. Autoimmun. 10:251.[Medline]
  31. Micallef, M. J., T. Ohtsuki, K. Kohno, F. Tanabe, S. Ushio, M. Namba, T. Tanimoto, K. Torigoe, M. Fujii, M. Ikeda, S. Fukuda, M. Kurimoto. 1996. Interferon-{gamma}-inducing factor enhances T helper 1 cytokine production by stimulated human T cells: synergism with interleukin-12 for interferon-{gamma} production. Eur. J. Immunol. 26:1647.[Medline]
  32. Ahn, H. J., S. Maruo, M. Tomura, J. Mu, T. Hamaoka, K. Nakanishi, S. Clark, M. Kurimoto, H. Okamura, H. Fujiwara. 1997. A mechanism underlying synergy between IL-12 and IFN-{gamma}-inducing factor in enhanced production of IFN-{gamma}. J. Immunol. 159:2125.[Abstract/Free Full Text]
  33. MacFarlin, D., H. MacFarland. 1983. Multiple sclerosis. N. Engl. J. Med. 307:1183.[Medline]
  34. Alvord, E. C. J., M. W. Kies, A. J. Suckling. 1984. Experimental allergic encephalomyelitis: a useful model for multiple sclerosis. E. C. J. Alvord, and M. W. Kies, and A. J. Suckling, eds. In Progress in Clinical and Biological Research Vol. 146:1.-537. Allen R. Liss, New York. [Medline]
  35. Raine, C. S.. 1991. Multiple sclerosis: a pivotal role for the T cell in lesion development. Neuropathol. Appl. Neurobiol. 17:265.[Medline]
  36. Oksenberg, J. R., M. A. Panzara, A. B. Begovich, D. Mitchell, H. A. Erlich, R. S. Murray, R. Shimonkevitz, M. Sherritt, J. Rothbard, C. C. Bernard, et al 1993. Selection for T-cell receptor V ß-D ß-J ß gene rearrangements with specificity for a myelin basic protein peptide in brain lesions of multiple sclerosis. Nature 362:68.[Medline]
  37. Ben-Nun, A., H. Wekerle, I. R. Cohen. 1981. The rapid isolation of clonable antigen-specific T lymphocyte lines capable of mediating autoimmune encephalomyelitis. Eur. J. Immunol. 11:195.[Medline]
  38. Brocke, S., K. Gijbels, M. Allegretta, I. Ferber, C. Piercy, T. Blankenstein, R. Martin, U. Utz, N. Karin, D. Mitchell, et al 1996. Treatment of experimental encephalomyelitis with a peptide analogue of myelin basic protein. Nature 379:343.[Medline]
  39. Karin, N., F. Szafer, D. Mitchell, D. P. Gold, L. Steinman. 1993. Selective and nonselective stages in homing of T lymphocytes to the central nervous system during experimental allergic encephalomyelitis. J. Immunol. 150:4116.[Abstract]
  40. Harlow, E., D. Lane. 1988. Antibodies, A Laboratory Manual Cold Spring Harbor Laboratory, New York.
  41. Waisman, A., P. J. Ruiz, D. L. Hirschberg, A. Gelman, J. R. Oksenberg, S. Brocke, F. Mor, I. R. Cohen, L. Steinman. 1996. Suppressive vaccination with DNA encoding a variable region gene of the T-cell receptor prevents autoimmune encephalomyelitis and activates Th2 immunity. Nat. Med. 2:899.[Medline]
  42. Ramierz, F., D. J. Fowell, M. Puklavec, S. Simmonds, D. Mason. 1996. Glucocorticoids promote a TH2 cytokine response by CD4+ T cells in vitro. J. Immunol. 156:2406.[Abstract]
  43. Saoudi, A., S. Simmonds, I. Huitinga, D. Mason. 1995. Prevention of experimental allergic encephalomyelitis in rats by targeting autoantigen to B cells: evidence that the protective mechanism depends on changes in the cytokine response and migratory properties of the autoantigen-specific T cells. J. Exp. Med. 182:335.[Abstract/Free Full Text]
  44. Thornhill, M. H., S. M. Wellicome, D. L. Mahiouz, J. S. Lanchbury, A. U. Kyan, D. O. Haskard. 1991. Tumor necrosis factor combines with IL-4 or IFN-{gamma} to selectively enhance endothelial cell adhesiveness for T cells: the contribution of VCAM-1-dependent and -independent binding mechanisms. J. Immunol. 146:592.[Abstract]
  45. Baron, J. L., J. A. Madri, N. H. Ruddle, G. Hashim, C. J. Janeway. 1993. Surface expression of {alpha}4 integrin by CD4 T cells is required for their entry into brain parenchyma. J. Exp. Med. 177:57.[Abstract/Free Full Text]
  46. Yednock, T. A., C. Cannon, L. C. Fritz, M. F. Sanchez, L. Steinman, N. Karin. 1992. Prevention of experimental autoimmune encephalomyelitis by antibodies against {alpha}4 ß1 integrin. Nature 356:63.[Medline]
  47. Kuroda, Y., Y. Shimamoto. 1991. Human tumor necrosis factor-{alpha} augments experimental allergic encephalomyelitis in rats. J. Neuroimmunol. 34:159.[Medline]
  48. Powell, M. B., D. Mitchell, J. Lederman, J. Buckmeier, S. S. Zamvil, M. Graham, N. H. Ruddle, L. Steinman. 1990. Lymphotoxin and tumor necrosis factor-{alpha} production by myelin basic protein-specific T cell clones correlates with encephalitogenicity. Int. Immunol. 2:539.[Abstract/Free Full Text]
  49. Ruddle, N. H., C. M. Bergman, K. M. McGrath, E. G. Lingenheld, M. L. Grunnet, S. J. Padula, R. B. Clark. 1990. An antibody to lymphotoxin and tumor necrosis factor prevents transfer of experimental allergic encephalomyelitis. J. Exp. Med. 172:1193.[Abstract/Free Full Text]
  50. Selmaj, K., C. S. Raine, A. H. Cross. 1991. Anti-tumor necrosis factor therapy abrogates autoimmune demyelination. Ann. Neurol. 30:694.[Medline]
  51. Kohno, K., J. Kataoka, T. Ohtsuki, Y. Suemoto, I. Okamoto, M. Usui, M. Ikeda, M. Kurimoto. 1997. IFN-{gamma}-inducing factor (IGIF) is a costimulatory factor on the activation of Th1 but not Th2 cells and exerts its effect independently of IL-12. J. Immunol. 158:1541.[Abstract]
  52. Rothe, H., N. A. Jenkins, N. G. Copeland, H. Kolb. 1997. Active stage of autoimmune diabetes is associated with the expression of a novel cytokine, IGIF, which is located near Idd2. J. Clin. Invest. 99:469.[Medline]
  53. Karin, N., J. D. Mitchell, S. Brocke, N. Ling, L. Steinman. 1994. Reversal of experimental autoimmune encephalomyelitis by as soluble peptide variant of a myelin basic protein epitope: T cell receptor antagonism and reduction of IFN-{gamma} and TNF-{alpha} production. J. Exp. Med. 180:2227.[Abstract/Free Full Text]
  54. Grewal, I. S., H. G. Foellmer, K. D. Grewal, J. Xu, F. Hardardottir, J. L. Baron, Jr C. A. Janeway, R. A. Flavell. 1996. Requirement for CD40 ligand in costimulation induction, T cell activation, and experimental allergic encephalomyelitis. Science 273:1864.[Abstract/Free Full Text]
  55. Krakowski, M., T. Owens. 1996. Interferon-{gamma} confers resistance to experimental allergic encephalomyelitis. Eur. J. Immunol. 26:1641.[Medline]
  56. Heremans, H., C. Dillen, M. Groenen, E. Martens, A. Billiau. 1996. Chronic relapsing experimental autoimmune encephalomyelitis (CREAE) in mice: enhancement by monoclonal antibodies against interferon-{gamma}. Eur. J. Immunol. 26:2393.[Medline]
  57. Billiau, A., H. Heremans, F. Vandekerckhove, R. Dijkmans, H. Sobis, E. Meulepas, H. Carton. 1988. Enhancement of experimental allergic encephalomyelitis in mice by antibodies against IFN-{gamma}. J. Immunol. 140:1506.[Abstract]
  58. Segal, B. M., B. K. Dwyer, E. M. Shevach. 1998. An interleukin (IL)-10/IL-12 immunoregulatory circuit controls susceptibility to autoimmune disease. J. Exp. Med. 187:537.[Abstract/Free Full Text]



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Lymphocytes from Autoimmune MRL lpr/lpr Mice Are Hyperresponsive to IL-18 and Overexpress the IL-18 Receptor Accessory Chain
J. Immunol., March 15, 2001; 166(6): 3757 - 3762.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
R. Debets, J. C. Timans, T. Churakowa, S. Zurawski, R. de Waal Malefyt, K. W. Moore, J. S. Abrams, A. O'Garra, J. F. Bazan, and R. A. Kastelein
IL-18 Receptors, Their Role in Ligand Binding and Function: Anti-IL-1RAcPL Antibody, a Potent Antagonist of IL-18
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[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
F.-D. Shi, K. Takeda, S. Akira, N. Sarvetnick, and H.-G. Ljunggren
IL-18 Directs Autoreactive T Cells and Promotes Autodestruction in the Central Nervous System Via Induction of IFN-{gamma} by NK Cells
J. Immunol., September 15, 2000; 165(6): 3099 - 3104.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
P. I. Karachunski, N. S. Ostlie, C. Monfardini, and B. M. Conti-Fine
Absence of IFN-{gamma} or IL-12 Has Different Effects on Experimental Myasthenia Gravis in C57BL/6 Mice
J. Immunol., May 15, 2000; 164(10): 5236 - 5244.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
S. Nakamura, T. Otani, Y. Ijiri, R. Motoda, M. Kurimoto, and K. Orita
IFN-{gamma}-Dependent and -Independent Mechanisms in Adverse Effects Caused by Concomitant Administration of IL-18 and IL-12
J. Immunol., March 15, 2000; 164(6): 3330 - 3336.
[Abstract] [Full Text] [PDF]


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J. Histochem. Cytochem.Home page
I. A. Schrijver, M.-J. Melief, M. van Meurs, A. R. Companjen, and J. D. Laman
Pararosaniline Fixation for Detection of Co-stimulatory Molecules, Cytokines, and Specific Antibody
J. Histochem. Cytochem., January 1, 2000; 48(1): 95 - 104.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
B. Siegmund, H.-A. Lehr, G. Fantuzzi, and C. A. Dinarello
IL-1beta -converting enzyme (caspase-1) in intestinal inflammation
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[Abstract] [Full Text] [PDF]


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