The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Marinaro, M.
Right arrow Articles by McGhee, J. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Marinaro, M.
Right arrow Articles by McGhee, J. R.
The Journal of Immunology, 1999, 162: 114-121.
Copyright © 1999 by The American Association of Immunologists

Use of Intranasal IL-12 to Target Predominantly Th1 Responses to Nasal and Th2 Responses to Oral Vaccines Given with Cholera Toxin1

Mariarosaria Marinaro2,*, Prosper N. Boyaka2,*, Raymond J. Jackson*, Fred D. Finkelman{dagger}, Hiroshi Kiyono{ddagger}, Emilio Jirillo§ and Jerry R. McGhee3,*

* Departments of Microbiology and Oral Biology, Immunobiology Vaccine Center, University of Alabama Medical Center, Birmingham, AL 35294; {dagger} Department of Internal Medicine, Division of Immunology, University of Cincinnati College of Medicine, Cincinnati, OH 45267; {ddagger} Department of Mucosal Immunology, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan; and § Departimento di Clinica Medica, Immunologia e Malattie Infettive, Universita Degli Studi di Bari, Bari, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have investigated the effects of IL-12 and cholera toxin (CT) on the immune response to tetanus toxoid (TT) given by intranasal or oral routes. CT inhibited IL-12-induced IFN-{gamma} secretion both in vivo and in vitro. Intranasal administration of IL-12 to mice nasally immunized with the combined vaccine of TT and CT resulted in increased TT-specific IgG2a and IgG3 Abs, while IgG1 and IgE Ab responses were markedly reduced. This shift of the CT-induced immune response toward Th1 type was associated with TT-specific CD4+ T cells secreting IFN-{gamma} and reduced levels of Th2-type cytokines (i.e., IL-4, IL-5, IL-6, and IL-10). In contrast, intranasal IL-12 enhanced the CT-induced serum IgG1 and IgE Ab responses in mice given the combined vaccine orally. IFN-{gamma} secretion by TT-specific CD4+ T cells was also enhanced; however, Th2-type cytokine responses were predominant. Mucosal secretory IgA responses to oral or nasal vaccines were not affected by intranasal IL-12. Thus, intranasal IL-12 delivery influences Th cell subset development in mucosal inductive sites that are dependent on the route of vaccine delivery.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The efficacy of vaccines would be greatly enhanced if they could be made to preferentially target the appropriate cell-mediated immune or Ab responses toward intracellular pathogens or extracellular microorganisms. A promising area of study for the development of such targeted vaccines is the specific role played by CD4+ Th1-type cells in immunity against the former and by CD4+ Th2-type cells in protection against the latter (1, 2, 3). In fact, Th1-type cells support cell-mediated immune responses, and Th2-type cells are pivotal for regulation of murine IgG1 and IgE Ab responses that mediate type I hypersensitivity and that also play a role in the control of some parasitic diseases (1, 2, 3). Further support for the specificity of immunity provided by Th1 vs Th2 cells is provided by studies of their differing relation with complement. Ab isotypes and subclasses regulated by Th1-type cytokines, e.g., IgG2a and IgG3, are opsonic and participate in complement-mediated killing, while Th2-type cytokines provide help for IgG1, IgE, and mucosal IgA isotypes (4, 5), which do not activate complement by the classical pathway but are effective in neutralization of exotoxins and extracellular bacteria (6).

Since most infectious diseases occur at mucosal sites of the gastrointestinal (GI),4 respiratory, and genitourinary tracts, the development of strategies for directed induction of Th1- or Th2-type responses by mucosal vaccines is an important priority. Regulatory cytokines, i.e., IL-12 and IFN-{gamma} vs IL-4, are effective for directing immunity through Th1 or Th2 pathways, respectively (3, 7) and could be combined with mucosal adjuvants and delivery systems to elicit desired Th1- or Th2-type responses in both mucosal and systemic immune compartments. In this regard, Th2-type responses induced by the widely used mucosal adjuvant cholera toxin (CT) (4, 8, 9) were down-regulated by both parenteral and oral IL-12, while CD4+ T cell help for secretory IgA (S-IgA) Ab responses to comucosally administered protein antigens was not affected by orally administered IL-12 (5). IL-12 produced by APCs (10, 11) is a potent stimulator of IFN-{gamma} production by NK and T cells (7, 12, 13) and preferentially supports Th1-type responses. Use of IL-12 to direct Th1-type responses has important implications for therapy (14, 15, 16, 17, 18). IL-12 has also been shown to induce T cell precursors to develop into functional Th1-type cells (13, 19). However, it has also been reported that IL-12 can exacerbate rather than suppress Th2-type responses either in the absence of IFN-{gamma} (20) or when administered during ongoing Th2-type responses (21, 22).

Since IL-12 directs Th1-type and CT induces Th2-type responses to mucosal vaccines, it is important to define the mechanisms for these two major response pathways. Specifically, we studied both in vitro and in vivo effects of IL-12 on CT-mediated immune responses. Compelling evidence suggests that the nasal route is more effective for the induction of S-IgA responses in the GI, respiratory, and urogenital tracts (23, 24). Therefore, IL-12 was intranasally administered to mice given a nasal or oral vaccine with CT as mucosal adjuvant, and the results indicate that the initial stimulus in mucosal inductive sites determines whether Th1- or Th2-type responses predominate.


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

C57BL/6 mice were obtained from Charles River Breeding Laboratories (Wilmington, MA) and were maintained in the animal facility of the University of Alabama at Birmingham Immunobiology Vaccine Center. Sterile food and water were provided ad libitum, and mice were used at 8–12 wk of age. Mice were pathogen free as determined by routine Ab screening against common mouse pathogens and histological analysis of organs and tissues. To ensure animal safety and compliance, we followed the guidelines proposed by the committee for the Care of Laboratory Animal Resources, Commission of Life Sciences, National Research Council.

Immunization and treatment with recombinant murine IL-12 (rmIL-12)

For intranasal immunization, mice received 20 µg of tetanus toxoid (TT) and 1 µg of CT (in 20 µl; 10 µl per nostril) on days 0, 7, and 14. The oral immunization was performed as previously described (4, 5, 8, 25). Mice were orally given vaccine-grade TT alone (250 µg/mouse) (kindly provided by Dr. Patricia J. Freda Pietrobon, Connaught Laboratories, Swiftwater, PA) and with CT (10 µg/mouse; LIST Biologic Laboratories, Campbell, CA) on days 0, 7, and 14 (5, 6, 7). Fecal pellets and blood samples were collected at weekly intervals and processed as previously described (4, 5, 25). Specifically, fecal samples were weighed and dissolved in PBS containing 0.1% sodium azide by addition of 1 ml of PBS-sodium azide per 100 mg of fecal extract. Normalization of fecal sample was further confirmed by the analysis of protein content and total IgA levels. Vaginal washes were collected by gently flushing the vaginal canal with 150 µl of sterile PBS under anesthesia. Nasal washes were obtained by flushing the nasopharyngeal cavity with 100 µl of sterile PBS. Saliva was collected after i.p. injection of 0.1 mg of pilocarpine (Sigma, St. Louis, MO) in sterile PBS. After collection, nasal and vaginal washes and saliva samples were centrifuged for 5–10 min at 10,000 rpm, and supernatants were collected and stored at -70°C until assessed.

rmIL-12 was generously provided by Dr. Maurice K. Gately (Hoffmann-LaRoche, Nutley, NJ). The cytokine treatment was given to mice by the intranasal route on days 0, 3, 7, 10, 14, and 17, a frequency that resulted in optimal responses as determined in our preliminary experiments. The mice received the combined (TT plus CT) vaccine by either gavage or intranasal routes on days 0, 7, and 14, followed by intranasal IL-12-liposomes 10–15 min later. For in vivo treatment, 10, 100, or 1000 ng of rmIL-12 were complexed with preformed cationic liposomes (DOTAP; Boehringer Mannheim, Indianapolis, IN) as described previously (5).

Analysis of Ab isotypes and IgG subclasses

Specific Ab levels in nasal and vaginal washes, serum, and fecal extracts were determined by endpoint ELISA (4, 25). Briefly, ELISA plates (Microtest III; Becton Dickinson, Oxnard, CA) were coated with a 100-µl solution of TT (5 µg/ml; 1.25 limes flocculation units/ml), and serial twofold dilutions of serum, fecal extracts, saliva, or nasal or vaginal washes were added to individual wells. Horseradish peroxidase (HRP)-conjugated goat anti-mouse µ-, {gamma}-, or {alpha}-heavy chain-specific antisera (Southern Biotechnology Associates, Birmingham, AL) were used to detect IgM, IgG, or IgA Abs. For IgG subclass levels, biotin-conjugated, rat monoclonal anti-mouse {gamma}1 (G1-7.3; 2 µg/ml), {gamma}2a (R19-15; 1 µg/ml), {gamma}2b (R12-3; 0.5 µg/ml), or {gamma}3 (R40-82; 1 µg/ml) {gamma}-chain-specific Abs (PharMingen, San Diego, CA), followed by HRP-conjugated streptavidin (Life Technologies, Grand Island, NY), were used as described previously (4, 5). The reactions were developed with ABTS as substrate (Sigma), and the absorbance at 415 nm was determined after 15 min. Endpoint titers were determined as the last dilution exhibiting an optical density of >=0.1 when compared with negative controls.

Total IgE levels and Ag-specific IgE Abs were determined by ELISA and a passive cutaneous anaphylaxis (PCA) assay, respectively, as previously described (4, 5). For total IgE measurements, Nunc-Immuno MaxiSorp plates (Nalge Nunc International, Naperville, IL) were coated with a rat monoclonal anti-mouse IgE Ab (R35-72; PharMingen), and the IgE were detected in serum samples with a biotinylated rat monoclonal anti-mouse IgE mAb (R35-92; PharMingen) followed by HRP-conjugated streptavidin. For the PCA test, threefold dilutions of mouse sera (starting at 1:10) were s.c. injected into the shaved backs of Fisher rats (200–250 g) followed 16 h later by i.v. injection of 200 µg of TT in 1 ml of 1% Evans blue dye in PBS. The rats were killed 15–20 min later, and PCA endpoint titers were selected as the last dilution resulting in a diameter of bluing of >=5 mm in rat skin.

B cell enzyme-linked immunospot (ELISPOT) for IgA Ab-forming cells (AFC)

A previously described ELISPOT assay was used to determine numbers of AFC in different organs (5, 25). Briefly, 96-well nitrocellulose-based plates were coated with a 100-µl solution of TT (5 µg/ml) diluted in PBS. After washing, serial fivefold dilutions of cell suspensions (starting at 1 x 106 cells) were added to the wells and incubated for 6 h. Individual AFC were detected with peroxidase-labeled anti-mouse {alpha}-chain-specific Ab (1 µg/ml) (Southern Biotechnology Associates) and were visualized by adding the chromogenic substrate 3-amino-9-ethylcarbazole (Moss, Pasadena, MD). Individual AFC were counted with the aid of a stereo microscope (SZH Zoom Stereo Microscope System; Olympus, Lake Success, NY).

Assessment of Ag-specific CD4+ T cell responses

The isolation of cells from lungs, Peyer’s patches, and spleen, as well as purification of CD4+ T cells, was previously described (5, 8, 25). CD4+ T cells were restimulated in vitro according to previously described methods (4, 5, 8). Briefly, CD4+ T cells (2 x 106 cells/ml) were cultured with rIL-2 (10 U/ml, PharMingen) and T cell-depleted, irradiated spleen feeder cells from naive mice in flat-bottom 96-well (200 µl/well) or 24-well (1 ml/well) tissue culture plates (Corning Glass Works, Corning, NY) for proliferation and cytokine synthesis, respectively. To measure Ag-specific T cell proliferation, 0.5 µCi of tritiated [3H]thymidine (Amersham, Arlington Heights, IL) was added after 5 days of culture and 16 h before harvest. Approximately 10 TT-coated particles/cell were found to optimally stimulate CD4+ T cell cultures based on proliferative responses and cytokine levels produced in culture supernatants.

Cytokine measurement

Culture supernatants were harvested following 5 days of culture and stored at -70°C before the assays. Cytokine levels in culture supernatants and serum were determined by a sensitive ELISA using appropriate combinations of mAbs described in our previous studies (5). The IL-12 ELISA assay was performed with the 9A5 rat anti-mouse IL-12 heterodimer Ab as coating Ab and the HRP-conjugate 5C3 anti-mouse IL-12p40 subunit Ab, both from Hoffmann-LaRoche. Standard curves were generated using murine rIFN-{gamma}, rIL-5, rIL-6, and rIL-10 (Genzyme, Cambridge, MA); rIL-2 (PharMingen); rIL-4 (Endogen, Boston, MA); and rIL-12 (Hoffmann-LaRoche). The ELISA used in this study could detect 15 pg/ml of IFN-{gamma}; 5 pg/ml of IL-2, IL-4, and IL-5; 100 pg/ml of IL-6; 200 pg/ml of IL-10; and 25 pg/ml of IL-12.

Statistics

The results are expressed as the mean ± 1 SD. Statistical significance (p <= 0.05) was determined by Student’s t test and by ANOVA followed by the Fisher least significant difference test. For statistical analysis, cytokine levels below the detection limit were recorded as one-half the detection limit (e.g., for IFN-{gamma}, 7.5 pg/ml).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of CT on IL-12-induced IFN-{gamma} synthesis in vitro

Addition of IL-12 to splenocyte cultures resulted in high levels of IFN-{gamma}, while addition of CT did not induce IFN-{gamma} secretion (Fig. 1GoA). The combination of CT or the nontoxic B subunit of CT (CT-B) and IL-12 inhibited the IL-12-mediated IFN-{gamma} production (Fig. 1Go). Preincubation of splenocyte cultures with CT or CT-B for 24 h before addition of IL-12 almost abolished the IFN-{gamma} secretion, and CT exhibited a greater inhibitory effect than CT-B. Conversely, preincubation with IL-12 followed by CT or CT-B either slightly diminished or failed to impair the ability of IL-12 to induce IFN-{gamma} secretion (Fig. 1Go). These results, and similar data obtained with splenic CD4+ T cells and Peyer’s patches and lung-associated lymphoid tissue T cells (data not shown), show that the binding of CT to lymphocytes alters the ability of IL-12 to induce IFN-{gamma} when CT is presented either before or together with IL-12.



View larger version (18K):
[in this window]
[in a new window]
 
FIGURE 1. The inhibitory effect of CT (A) and rCT-B (B) on IL-12-induced IFN-{gamma} secretion in vitro. Splenocytes from naive C57BL/6 mice were incubated with CT (1 µg/ml), rCT-B (1 µg/ml), and/or IL-12 (10 ng/ml), and culture supernatants were collected after 48 h for measurements of secreted IFN-{gamma} by ELISA. The results are expressed as the mean ± SD of triplicate cultures and are representative of five different experiments.

 
Effects of CT on IL-12-induced IFN-{gamma} synthesis in vivo

It remained possible that the reciprocal effects of CT and IL-12 on IFN-{gamma} synthesis could be due to culture conditions and did not reflect the effects in vivo. Therefore, IL-12 was administered by parenteral or nasal routes, and subsequent serum IL-12 and IFN-{gamma} levels were evaluated. Parenteral or nasal administration of 10 ng of IL-12 did not result in detectable serum IL-12 levels (data not shown). Enhanced serum IL-12 and subsequent IFN-{gamma} levels were achieved when 100 ng of IL-12 was administered by either route, and these effects were greater with 1000 ng of IL-12 per dose (Fig. 2Go, A and B). Further, serum IL-12 levels reached after intranasal administration of 1000 ng of IL-12 were ~20% of those achieved by i.p. administration of this cytokine. Parenteral vs nasal IL-12 treatment also differed in kinetics of serum IL-12 achieved. In this regard, serum IL-12 levels peaked later after the nasal treatment than after parenteral IL-12 administration (Fig. 2Go, A and B). Both i.p. and intranasal delivery of 1000 ng of IL-12 resulted in large increases in serum IFN-{gamma} levels; however, i.p. IL-12 delivery resulted in serum IFN-{gamma} levels that were fourfold higher than those reached after intranasal administration of IL-12 (Fig. 2Go, C and D).



View larger version (24K):
[in this window]
[in a new window]
 
FIGURE 2. Kinetics of serum IL-12 (A and B) and IFN-{gamma} (C and D) following i.p. or intranasal administration of IL-12. Groups of C57BL/6 mice were given 100 ng ({circ}, {square}) or 1000 ng (•, {blacksquare}) of rmIL-12-liposomes on day 0 by either the i.p. (A and C) or intranasal (B and D) route. Mice were bled both before rmIL-12 administration and 30 min and 2, 24, 48, and 96 h thereafter, and serum IL-12 and IFN-{gamma} levels were measured by ELISA. The inhibitory effects of CT on IL-12-induced serum IFN-{gamma} production were assessed after i.p. (E) or intranasal (F) IL-12 treatment. For this purpose, mice were given 1000 ng of rmIL-12 in the presence or absence of 1 µg of CT, and serum IFN-{gamma} was measured 24 h later. The results are expressed as the mean ± SD of serum levels from six mice and are representative of three separate experiments.

 
The i.p. or intranasal administration of CT alone did not induce serum IFN-{gamma} (data not shown). Further, the increased serum IFN-{gamma} levels induced by nasal or parenteral administration of 1000 ng of IL-12 were not affected by CT administered by parenteral or nasal routes, respectively. In contrast, IL-12-induced serum IFN-{gamma} production was significantly reduced when IL-12 and CT were administered by the same route. In fact, the i.p. injection of CT and IL-12 or administration of CT 24 h before IL-12 by the same parenteral route reduced by 90–100% the levels of IL-12-induced serum IFN-{gamma} (Fig. 2GoE). Intranasal coadministration of CT and IL-12 resulted in lower inhibition (44–56% inhibition) of IL-12-induced serum IFN-{gamma} levels (Fig. 2GoF). These observations suggest that both parenteral and mucosal CT inhibit serum IFN-{gamma} responses to coadministered IL-12 and that the regulatory effects of mucosally delivered CT on IL-12 are less dramatic than those of parenteral CT.

Ab responses in mice intranasally immunized with a combined vaccine and nasally treated with IL-12-liposomes

The regulatory effects of the mucosal adjuvant CT (a Th2 inducer) and IL-12 (a Th1 inducer) were further investigated by analyzing Ab responses of mice intranasally immunized with TT and CT as adjuvant. This combined vaccine resulted in serum anti-TT Ab responses of all isotypes, including prominent IgG1 and IgG2b subclass responses (Fig. 3Go). Nasal coadministration of 10 ng of IL-12 did not affect CT-induced serum anti-TT Ab responses (data not shown). On the other hand, a 100-ng IL-12 dose induced IgG2a and inhibited IgE Ab responses (Fig. 3Go). TT-specific IgM, IgG, and IgA Ab responses were unchanged when 1000 ng of IL-12 was intranasally coadministered in mice. However, this nasal IL-12 dose significantly reduced both total and TT-specific IgE Ab responses and shifted the profile of IgG subclasses toward increased IgG2a and IgG3 and decreased IgG1 Ab responses when compared with mice given the intranasal combined vaccine only (Fig. 3Go). Titers of TT-specific S-IgA Abs in nasal and vaginal washes or saliva were not significantly affected by the IL-12 treatment (Fig. 3Go).



View larger version (39K):
[in this window]
[in a new window]
 
FIGURE 3. Serum and mucosal anti-TT Ab responses in mice given combined vaccine and rmIL-12-liposomes by the intranasal route. Groups of mice received TT plus CT alone ({square}) or TT plus CT with 100 ng () or 1000 ng () of rmIL-12-liposomes, and Ab titers were determined by ELISA on day 21 following initial immunization. A, Isotype of serum Abs. B, Serum IgG subclasses. C, TT-specific IgE Ab titers that were measured at day 14 by PCA. D, IgA Ab titers. The results are expressed as mean ± SD and are representative of three separate experiments (five mice per group).

 
Intranasal IL-12 enhances Ab responses to a combined oral vaccine

We have previously reported that oral administration of IL-12 resulted in negligible serum IL-12 that could shift Th2-type responses to vaccine co-orally administered with CT (5). Since intranasal IL-12 delivery results in significant levels of serum IL-12, we addressed the regulatory effects that intranasal IL-12 would have on the oral combined vaccine of TT and CT. Interestingly, both TT-specific serum IgG and IgA Ab responses were significantly enhanced when mice orally immunized with the combined vaccine were nasally treated with 1000 ng of IL-12 (Fig. 4GoA). The enhancing effect of intranasal IL-12 resulted in increased TT-specific serum IgG1 and IgG2b Ab levels and higher IgG2a Abs (Fig. 4GoB). Total and TT-specific IgE Ab responses were also increased by the intranasal IL-12 treatment (Fig. 4GoC), demonstrating that intranasal IL-12 can enhance systemic Th2-type responses induced by the combined oral vaccine. TT-specific IgA AFC in the intestinal lamina propria and S-IgA Abs in external secretions were not significantly affected in mice given intranasal IL-12 and oral combined vaccine (Fig. 4Go, D and E).



View larger version (25K):
[in this window]
[in a new window]
 
FIGURE 4. Serum and mucosal anti-TT Ab responses and TT-specific IgA AFC in mice given oral combined vaccine and intranasal rmIL-12-liposomes. Mice received oral TT plus CT alone ({square}) or with 100 ng () or 1000 ng ({blacksquare}) of intranasal rmIL-12-liposomes. TT-specific serum or mucosal Abs and IgA AFC were measured on day 21 by ELISA and ELISPOT, respectively. A, Isotype of serum Abs. B, Serum IgG subclasses. C, Total and TT-specific serum IgE Ab levels that were measured at peak responses (day 14) by ELISA and PCA assays, respectively. D, Mucosal IgA Abs. E, Frequency of TT-specific IgA AFC in spleen, mesenteric lymph nodes, Peyer’s patches, and intestinal lamina propria. Results are expressed as mean ± SD and are representative of three separate experiments (five mice per group).

 
The above results suggest that the CT-mediated immune response was induced in the GI tract before intranasal IL-12 reached effective levels. Therefore, we analyzed the effects of early or delayed parenteral IL-12 treatment on Ab responses of mice that received the oral vaccine with CT (on days 0, 7, and 14). For this purpose, IL-12 was given parenterally at time points excluding the time of immunization. Specifically, IL-12 treatment was performed on days -1, 4, 6, 11, 13, and 18 or 1, 4, 8, 11, 15, and 18 to test the effects of early and delayed treatment, respectively. In contrast to our previous studies in which IL-12 was given parenterally at the time of immunization (5), IL-12 given 24 h after the oral combined vaccine-enhanced serum IgA, IgG, and IgE Ab responses (Table IGo). CT-induced IgG1 and IgG2b subclasses were also up-regulated by delayed parenteral IL-12, and a lower but significant increase in IgG2a Abs was also noted (Table IGo). In contrast to the delayed parenteral IL-12 treatment, the effects of early parenteral IL-12 treatment were restricted to stimulation of IgG2a and IgG3 and inhibition of IgE Ab responses, thus suggesting an important role for the timing of IL-12 treatment on the outcome of immune responses (Table IGo).


View this table:
[in this window]
[in a new window]
 
Table I. Effect of i.p. IL-12 treatment timing on TT-specific serum Ab isotypes and subclasses in mice receiving oral TT plus CT1

 
Ag-specific CD4+ Th1- and Th2-type responses

Th cell subsets responsible for the divergent Ab responses following intranasal IL-12 administration to mice that received either intranasal or oral combined vaccines were further determined by analysis of cytokines secreted by TT-specific CD4+ T cells. While TT-specific CD4+ T cells induced by the intranasal vaccine alone produced only negligible levels of Th1-type cytokines (IFN-{gamma} and IL-2), these two cytokines were induced by intranasal administration of IL-12-liposomes (Fig. 5Go). This IL-12 treatment also significantly reduced IL-4 and IL-5 and slightly affected IL-6 and IL-10 secretion by systemic (i.e., splenic) and mucosal (i.e., lung) TT-specific CD4+ T cells (Fig. 5Go).



View larger version (31K):
[in this window]
[in a new window]
 
FIGURE 5. Th1 (IFN-{gamma} and IL-2) and Th2 (IL-4, IL-5, IL-6, and IL-10) cytokine secretion by TT-specific CD4+ T cells from mice receiving intranasal IL-12 and the combined vaccine. The lung-associated and splenic CD4+ T cells from mice given intranasal combined vaccine with () or without ({square}) intranasal IL-12 (1000 ng) were incubated with TT-coated beads and feeder cells. Cytokine levels in culture supernatants are representative of three separate experiments of five mice per group. The results are expressed as the mean of cytokine levels ± SD of triplicate cultures.

 
Enhanced Th1-type cytokine secretion was noted in TT-specific CD4+ T cells from mice orally immunized with combined vaccine and intranasally treated with IL-12 (Fig. 6Go). However, in contrast to mice given the intranasal vaccine, those receiving the combined oral vaccine showed no alteration in IL-4, IL-5, and IL-6 secretion by TT-specific CD4+ T cells from systemic (i.e., spleen) or from mucosal (i.e., Peyer’s patches) inductive sites following intranasal IL-12 administration (Fig. 6Go). Further, IL-10 levels were significantly increased in culture supernatants of TT-specific CD4+ T cells in the latter group (Fig. 6Go). Thus, while Th1-type responses were induced in all groups of mice receiving intranasal IL-12, Th2-type responses were unaltered and IL-10 was significantly increased in mice given the oral vaccine.



View larger version (25K):
[in this window]
[in a new window]
 
FIGURE 6. Th1 (IFN-{gamma} and IL-2) and Th2 (IL-4, IL-5, IL-6, and IL-10) cytokine secretion by TT-specific CD4+ T cells from mice given the oral combined vaccine and intranasal IL-12. The Peyer’s patch and splenic CD4+ T cells from mice given oral combined vaccine with ({blacksquare}) or without ({square}) intranasal IL-12-liposomes (1000 ng) were incubated with TT-coated beads and feeder cells. Cytokine levels in culture supernatants are representative of three separate studies, and the results are expressed as the mean level of cytokine ± SD of triplicate cultures.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The ability of Th1- and Th2-type cytokines to bias the development of immune responses to pathogens (1, 2) provides an interesting approach for the induction of targeted immune responses to vaccines. However, systemic administration is not an efficient way to deliver cytokines to specific inductive sites. In addition, since toxicity is often linked to high or frequent parenteral doses required to achieve effective results, alternative routes for cytokine delivery have been tested (5, 26, 27). In this regard, we have previously shown that orally administered IL-12 can alter systemic immune responses to an oral vaccine containing CT as adjuvant (5). In contrast to parenteral IL-12, oral IL-12 did not affect CT-induced S-IgA Ab responses, indicating that distinct regulatory pathways occur after parenteral or oral delivery. In this study, we show that the intranasal route of IL-12 delivery exhibits distinct features when compared with oral or parenteral routes and results in significant serum IL-12 levels. Furthermore, intranasal administration of the Th1-inducer IL-12 either shifted the intranasal CT-induced Th2-type responses toward a Th1-type or enhanced the oral CT-induced Th2-type responses.

Most IL-12 effects are mediated through IFN-{gamma} synthesis (7), and CT has been shown to exert its mucosal adjuvant effect via IL-4 and Th2-type responses (4, 9). Therefore, in an attempt to elucidate the reciprocal regulation of IL-12 (a Th1 inducer) and CT (a Th2 inducer) and to understand its role in subsequent immunity to mucosal vaccines, we began by measuring IL-12-induced IFN-{gamma} secretion in the presence or absence of CT. Addition of CT to total splenocyte or CD4+ T cell cultures inhibited the ability of IL-12 to induce IFN-{gamma}. Further, taking advantage of the efficiency of the intranasal delivery of IL-12 to achieve significant serum levels of this cytokine, we were able to show an inhibitory effect of CT on IFN-{gamma} secretion that is normally induced by IL-12. These observations clearly demonstrate the ability of CT to inhibit IL-12-induced IFN-{gamma} production both in vitro and in vivo and support the greater effectiveness of the intranasal route when compared with the oral route for the induction of mucosal immunity (23, 24).

Our in vitro studies show that the inhibitory effect of CT is dependent to a large extent on the binding of the CT-B subunit. Thus, the inhibitory effect may not primarily involve the adenylate cyclase system mediated by the A subunit of CT (28, 29). One possible mediator for the inhibitory effect of CT and CT-B on IL-12-induced IFN-{gamma} secretion is CT-induced prostaglandin E2 (PGE2) (30, 31) which can inhibit IFN-{gamma} production by T cells (32). In fact, it has been reported that PGE2 inhibited cytokine production in Th1 cells but not in Th2 cells (33) and that IFN-{gamma} production by CD4+ T cells was largely regulated by the ratio of IL-12 to PGE2 during T cell activation (33). An important finding from our in vitro studies was the inability of either CT or IL-12 to reciprocally reverse the ongoing effects of the other mediator. These observations suggest that both the timing and the route of CT and IL-12 administration, and the subsequent levels of these molecules that reach the inductive sites, are critical for the cytokine environment and the resulting differentiation of T helper subsets in vivo.

The consequences of the reciprocal regulation of intranasally administered CT and IL-12 on mucosal and systemic immune responses were further investigated in mice that received intranasal IL-12 and intranasal or oral combined vaccine (CT plus TT). We have previously shown that despite negligible serum levels of IL-12 achieved after oral administration of this cytokine, this treatment shifted systemic Th2-type responses induced by oral CT as mucosal adjuvant toward a Th1 type (5). Specifically, oral and parenteral IL-12 down-regulated IL-4 and Ag-specific IgG1 and IgE Ab responses, while IgG2a and IgG3 Abs, as well as IFN-{gamma}, were enhanced (5). However, only oral IL-12 preserved mucosal S-IgA Ab responses (5). Interestingly, intranasally delivered IL-12 affected Ab responses to an intranasal vaccine differently from the way it affected Ab responses to an oral vaccine containing CT as adjuvant. Intranasal coadministration of IL-12 and the combined vaccine shifted CT-induced systemic Th2-type responses toward a Th1 type (i.e., down-regulation of IgG1 and IgE Ab responses and enhanced IgG2a and IgG3), but preserved S-IgA Ab responses. Conversely, intranasal IL-12 enhanced Th2-type responses induced by the oral combined vaccine with CT as adjuvant and promoted IgG2a Ab responses. Thus, divergent profiles of Ab responses to either intranasal or oral combined vaccine with CT were induced by intranasal IL-12 despite induction of IFN-{gamma} (i.e., a Th1-type cytokine), which provides support for IgG2a Abs.

Another striking finding of the present study was the ability of intranasal IL-12 to enhance oral CT-induced Th2-type immune responses and to up-regulate all Ig isotype and IgG subclass Ab responses. This observation is in contrast to the known ability of IL-12 to promote the development of Th1 type and to down-regulate Th2-type responses (7, 13, 19). However, IL-12 has also been shown to exacerbate rather than to suppress Th2-type responses either in the absence of IFN-{gamma} (20) or when administered during ongoing Th2-type responses (21, 22). In our system, temporal factors related to the compartmentalized delivery of oral combined vaccine and intranasal IL-12 during the initiation of the immune response could explain both why the Th2 phenotype was not reversed and why intranasal IL-12 enhanced the oral CT-induced Th2-type responses. In this regard, the GI and respiratory tracts display distinct anatomy and physiology (34, 35, 36). Further, the central role of timing in the reciprocal regulation of CT and IL-12 was supported by the observation that delayed parenteral administration of IL-12 induced Th1-associated IgG2a and IgG3 but did not inhibit IL-4 and Th2-associated IgE and IgG1 Abs to an oral vaccine with CT as adjuvant (Table IGo).

Since divergent profiles of serum Ab responses were induced by intranasal IL-12 in mice that received combined intranasal as opposed to oral vaccine, we analyzed cytokines secreted by TT-specific CD4+ T cells to determine Th cell responses that regulate these effects. Increased Th1-type secretion (e.g., IL-2 and IFN-{gamma}) by TT-specific CD4+ T cells was induced by intranasal IL-12 in mouse groups receiving either the intranasal or the oral combined vaccine. This finding is consistent with the potential of IL-12 to stimulate IFN-{gamma} and to lead to Th1-type responses (7, 13). Interestingly, intranasal IL-12 exhibited distinct effects on Th2-type cytokine secretion by TT-specific CD4+ T cells in mice receiving the intranasal and the oral combined vaccine. In fact, Th2-type cytokines were down-regulated by intranasal IL-12 in mice given the nasal combined vaccine, while Th2-type cytokine secretion (i.e., IL-4, IL-5, and IL-6) by TT-specific CD4+ T cells either was not reduced (i.e., for IL-4, IL-5, and IL-6) or was enhanced (i.e., for IL-10) in mice given the combined vaccine by the oral route. Thus, IL-12 delivered at a distant mucosal site failed to inhibit Th2-type cells triggered by orally administered CT. In this regard, IL-12 was reported to be unable to reverse the phenotype of differentiated Th2-type cells (13, 19, 37) or to prevent Th2-type differentiation in vivo in the presence of an overwhelming IL-4/IL-10 response (38). Although IL-12 was previously reported to stimulate IFN-{gamma} and IL-10 secretion (21), our results are the first to demonstrate that mucosally administered IL-12 can both enhance mucosal CT-induced Th2-type responses and simultaneously induce Th1-type responses. Activated B cells were reported to respond to IL-12 with increased cell growth through IFN-{gamma} production (39). Further, it has been recently shown that IL-12 can act as an adjuvant for humoral immunity through IFN-{gamma}-dependent and -independent mechanisms (40). This might explain the previously reported enhanced IgE production following IL-12 treatment (22) and our results when mice were orally immunized.

We have shown that mucosal administration is an efficient way to deliver a regulatory cytokine, e.g., IL-12 to specific mucosal inductive sites. In this regard, the differential effect of oral vs intranasal administration of IL-12 on serum IL-12 and IFN-{gamma} levels provides additional ways to target desired effects on the mucosal vs systemic immune compartments. Our study provides important new evidence that mucosally administered IL-12 can shift or enhance Th2-type responses to a mucosal vaccine with CT as adjuvant. Our results clearly show that timing and mucosal route of vaccine and regulatory cytokine administration are critical factors for the dual effect of IL-12 and the subsequent induction of targeted immune responses. These observations have important implications for the optimization of mucosal vaccine regimens employing cytokines.


    Acknowledgments
 
We are grateful to Drs. Maurice K. Gately and David Presky for the generous supply of rIL-12 and for the reagents for murine IL-12 ELIS A. We also thank Dr. Michael W. Russell for the kind gift of rCT-B and Ms. Sheila Turner for typing the manuscript.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants AI 18958, DK 44240, DE 04217, AI 43197, AI 35544, and DE 09837, and Contracts NO1 AI 65298 and NO1 AI 65299, and the Ministry of Education, Science, Sports and Culture and OPSR of Japan. Back

2 M.M. and P.N.B. contributed equally to this work. Back

3 Address correspondence and reprint requests to: Dr. Jerry R. McGhee, The Immunobiology Vaccine Center, The University of Alabama, 761 BBRB, 845 19th Street South, Birmingham, AL 35294-2170. E-mail address: Back

4 Abbreviations used in this paper: GI, gastrointestinal; CT, cholera toxin; S-IgA, secretory IgA; rmIL-12, recombinant murine IL-12; TT, tetanus toxoid; HRP, horseradish peroxidase; PCA, passive cutaneous anaphylaxis; ELISPOT, enzyme-linked immunospot; AFC, Ab-forming cells; CT-B, nontoxic B subunit of CT. Back

Received for publication April 7, 1998. Accepted for publication September 4, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Mosmann, T. R., R. L. Coffman. 1989. Th1 and Th2 cells: different patterns of lymphokine secretion lead to different functional properties. Annu. Rev. Immunol. 7:145.[Medline]
  2. Finkelman, F. D., J. Holmes, I. M. Katona, J. F. Urban, M. P. Beckman, L. S. Park, K. A. Schooley, R. L. Coffman, T. R. Mosmann, W. E. Paul. 1990. Lymphokine control of in vivo immunoglobulin isotype selection. Annu. Rev. Immunol. 8:303.[Medline]
  3. Seder, R. A., W. E. Paul. 1994. Acquisition of lymphokine-producing phenotype by CD4+ T cells. Annu. Rev. Immunol. 12:635.[Medline]
  4. Marinaro, M., H. F. Staats, T. Hiroi, R. J. Jackson, M. Coste, P. N. Boyaka, N. Okahashi, M. Yamamoto, H. Kiyono, H. Bluethmann, K. Fujihashi, J. R. McGhee. 1995. Mucosal adjuvant effect of cholera toxin in mice results from induction of T helper 2 (Th2) cells and IL-4. J. Immunol. 155:4621.[Abstract]
  5. Marinaro, M., P. N. Boyaka, F. D. Finkelman, H. Kiyono, R. J. Jackson, E. Jirillo, J. R. McGhee. 1997. Oral but not parenteral interleukin (IL)-12 redirects T helper 2 (Th2)-type response to an oral vaccine without altering mucosal IgA responses. J. Exp. Med. 185:415.[Abstract/Free Full Text]
  6. Abbas, A. K., K. M. Murphy, A. Sher. 1996. Functional diversity of helper T lymphocytes. Nature 383:787.[Medline]
  7. Trinchieri, G.. 1995. Interleukin-12: a proinflammatory cytokine with immunoregulatory functions that bridge innate resistance and antigen-specific adaptive immunity. Annu. Rev. Immunol. 13:251.[Medline]
  8. Xu-Amano, J., H. Kiyono, R. J. Jackson, H. F. Staats, K. Fujihashi, P. D. Burrows, C. O. Elson, S. Pillai, J. R. McGhee. 1993. Helper T cell subsets for immunoglobulin A responses: oral immunization with tetanus toxoid and cholera toxin as adjuvant selectively induces Th2 cells in mucosa-associated tissues. J. Exp. Med. 178:1309.[Abstract/Free Full Text]
  9. Vajdy, M., M. H. Kosco-Vilbois, M. Kopf, G. Kohler, N. Lycke. 1995. Impaired mucosal immune responses in interleukin 4-targeted mice. J. Exp. Med. 181:41.[Abstract/Free Full Text]
  10. Macatonia, S. E., N. A. Hosken, M. Litton, P. Vieira, C. S. Hsieh, J. A. Culpepper, M. Wysocka, G. Trinchieri, K. M. Murphy, A. O’Garra. 1995. Dendritic cells produce IL-12 and direct the development of Th1 cells from naive CD4+ T cells. J. Immunol. 154:5071.[Abstract]
  11. D’Andrea, A., M. Rengaraju, N. M. Valiante, J. Chehimi, M. Kubin, M. Aste-Amezaga, S. H. Chan, M. Kobayashi, D. Young, E. Nickberg, R. Chizzonite, S. F. Wolf, G. Trinchieri. 1992. Production of natural killer cell stimulatory factor (NKSF/IL-12) by peripheral blood mononuclear cells. J. Exp. Med. 176:1387.[Abstract/Free Full Text]
  12. Chan, S. H., B. Perussia, J. W. Gupta, M. Kobayashi, M. Pospisil, H. A. Young, S. F. Wolf, D. Young, S. C. Clark, G. Trinchieri. 1991. Induction of IFN-{gamma} production by NK cell stimulatory factor (NKSF): characterization of the responder cells and synergy with other inducers. J. Exp. Med. 173:869.[Abstract/Free Full Text]
  13. Seder, R. A., R. Gazzinelli, A. Sher, W. E. Paul. 1993. Interleukin 12 acts directly on CD4+ T cells to enhance priming for interferon {gamma} production and diminished interleukin 4 inhibition of such priming. Proc. Natl. Acad. Sci. USA 90:10188.[Abstract/Free Full Text]
  14. Kobayashi, M., L. Fitz, M. Ryan, R. M. Hewick, S. C. Clark, S. Chan, R. Loudon, F. Sherman, B. Perussia, G. Trinchieri. 1989. Identification and purification of natural killer cell stimulatory factor (NKSF), a cytokine with multiple biologic effects on human lymphocytes. J. Exp. Med. 170:827.[Abstract/Free Full Text]
  15. Robertson, M. J., R. J. Soiffer, S. F. Wolf, T. J. Manley, C. Donahue, D. Young, S. H. Herrmann, J. Ritz. 1992. Response of human natural killer (NK) cells to NK cell stimulatory factor (NKSF): cytolytic activity and proliferation of NK cells are differentially regulated by NKSF. J. Exp. Med. 175:779.[Abstract/Free Full Text]
  16. Clerici, M., D. R. Lucey, J. A. Berzofsky, L. A. Pinto, T. A. Wynn, S. P. Blatt, M. J. Dolan, C. W. Hendrix, S. F. Wolf, G. M. S. Shearer. 1993. Restoration of HIV-specific cell-mediated immune responses by interleukin-12 in vitro. Science 262:1721.[Abstract/Free Full Text]
  17. Sypek, J. P., C. L. Chung, S. E. H. Nayor, J. M. Subramanyam, S. J. Goldman, D. S. Sieburth, S. F. Wolf, R. G. Schaub. 1993. Resolution of cutaneous leishmaniasis: interleukin 12 initiates a protective T helper type 1 immune response. J. Exp. Med. 177:1797.[Abstract/Free Full Text]
  18. Wynn, T. A., A. W. Cheever, D. Jankovic, R. W. Poindexter, P. Caspar, F. A. Lewis, A. Sher. 1995. An IL-12-based vaccination method for preventing fibrosis induced by Schistosome infection. Nature 376:594.[Medline]
  19. Hsieh, C. S., S. E. Macatonia, C. S. Tripp, S. F. Wolf, A. O’Garra, K. M. Murphy. 1993. Development of Th1 CD4+ T cells through IL-12 produced by Listeria-induced macrophages. Science 260:547.[Abstract/Free Full Text]
  20. Wynn, T. A., D. Jankovic, S. Hieny, K. Zioncheck, P. Jardieu, A. W. Cheever, A. Sher. 1995. IL-12 exacerbates rather than suppresses T helper 2-dependent pathology in the absence of endogenous IFN-{gamma}. J. Immunol. 154:3999.[Abstract]
  21. Finkelman, F. D., K. B. Madden, A. W. Cheever, I. M. Katona, S. C. Morris, M. K. Gately, B. R. Hubbard, W. C. Gause, J. F. Urban. 1994. Effects of interleukin 12 on immune responses and host protection in mice infected with intestinal nematode parasites. J. Exp. Med. 179:1563.[Abstract/Free Full Text]
  22. Germann, T., S. Guckes, M. Bongartz, H. Dlugonska, E. Schmitt, L. Kolbe, E. Kolsch, F. J. Podlaski, M. K. Gately, E. Rude. 1995. Administration of IL-12 during ongoing immune responses fails to permanently suppress and can even enhance the synthesis of antigen-specific IgE. Int. Immunol. 7:1649.[Abstract/Free Full Text]
  23. Staats, H. F., W. G. Nichols, T. J. Palker. 1996. Mucosal immunity to HIV-1: systemic and vaginal antibody responses after intranasal immunization with the HIV-1 C4/V3 peptide T1SP10 MN(A). J. Immunol. 157:462.[Abstract]
  24. Yamamoto, S., H. Kiyono, M. Yamamoto, K. Imaoka, M. Yamamoto, K. Fujihashi, F. W. van Ginkel, M. Noda, Y. Takeda, J. R. McGhee. 1997. A nontoxic mutant of cholera toxin elicits Th2-type responses for enhanced mucosal immunity. Proc. Natl. Acad. Sci. USA 94:5267.[Abstract/Free Full Text]
  25. Jackson, R. J., K. Fujihashi, J. Xu-Amano, H. Kiyono, C. O. Elson, J. R. McGhee. 1993. Induction of systemic and mucosal B-cell and antibody responses to tetanus toxoid by use of cholera toxin as an adjuvant. Infect. Immun. 61:4272.[Abstract/Free Full Text]
  26. Baqar, S., N. D. Pacheco, F. M. Rollwagen. 1993. Modulation of mucosal immunity against Campylobacter jejuni by orally administered cytokines. Antimicrob. Agents Chemother. 37:2688.[Abstract/Free Full Text]
  27. Rollwagen, F. M., S. Baqar. 1996. Oral cytokine administration. Immunol. Today 17:548.[Medline]
  28. Woogen, S. D., W. Ealding, C. O. Elson. 1987. Inhibition of murine lymphocyte proliferation by the B subunit of cholera toxin. J. Immunol. 139:3764.[Abstract]
  29. Lycke, N., A. K. Bromander, L. Ekman, U. Karlsson, J. Holmgren. 1989. Cellular basis of immunomodulation by cholera toxin in vitro with possible association to the adjuvant function in vivo. J. Immunol. 142:20.[Abstract]
  30. Miller, J. F., J. J. Mekalanos, S. Falkow. 1989. Coordinate regulation and sensory transduction in the control of bacterial virulence. Science 243:916.[Abstract/Free Full Text]
  31. Hill, S. J., J. L. Ebersole. 1991. Cholera toxin synergizes LPS- and IL-1 beta-induced PGE2 release: potential amplification systems in cholera. Lymphokine Cytokine Res. 10:449.[Medline]
  32. Betz, M., B. S. Fox. 1991. Prostaglandin E2 inhibits production of Th1 lymphokines but not of Th2 lymphokines. J. Immunol. 146:108.[Abstract]
  33. Naito, Y., H. Endo, K. Arai, R. L. Coffman, N. Arai. 1996. Signal transduction in Th clones: target of differential modulation by PGE2 may reside downstream of the PKC-dependent pathway. Cytokine 8:346.[Medline]
  34. Westermann, J., R. Pabst. 1992. Distribution of lymphocyte subsets and natural killer cells in the human body. Clin. Invest. 70:539.
  35. Scott, H., T. Halstensen, P. Brandtzaeg. 1993. The immune system of the gastrointestinal tract. Pediatr. Allergy Immunol. 4:7.
  36. Pabst, R., T. Tschernig. 1995. Lymphocytes in the lung: an often neglected cell: numbers, characterization and compartmentalization. Anat. Embryol. 192:293.[Medline]
  37. Schmitt, E., P. Hoehn, T. Germann, E. Rude. 1994. Differential effects of interleukin-12 on the development of naive mouse CD4+ T cells. Eur. J. Immunol. 24:343.[Medline]
  38. Romani, L., A. Mencacci, L. Lonnetti, R. Spaccapelo, E. Cenci, P. Puccetti, S. F. Wolf, F. Bistoni. 1994. IL-12 is both required and prognostic in vivo for T helper type 1 differentiation in murine candidiasis. J. Immunol. 153:5167.[Abstract]
  39. Li, L., D. Young, S. F. Wolf, Y. S. Choi. 1996. Interleukin-12 stimulates B cell growth by inducing IFN-gamma. Cell. Immunol. 168:133.[Medline]
  40. Metzger, D. W., R. M. McNutt, J. T. Collins, J. M. Buchanan, C. V. Van, W. A. Dunnick. 1997. Interleukin-12 acts as an adjuvant for humoral immunity through interferon-gamma-dependent and -independent mechanisms. Eur. J. Immunol. 27:1958.[Medline]



This article has been cited by other articles:


Home page
Infect. Immun.Home page
H. Yamanaka, T. Hoyt, X. Yang, S. Golden, C. M. Bosio, K. Crist, T. Becker, M. Maddaloni, and D. W. Pascual
A Nasal Interleukin-12 DNA Vaccine Coexpressing Yersinia pestis F1-V Fusion Protein Confers Protection against Pneumonic Plague
Infect. Immun., October 1, 2008; 76(10): 4564 - 4573.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
A. U. Bielinska, K. W. Janczak, J. J. Landers, P. Makidon, L. E. Sower, J. W. Peterson, and J. R. Baker Jr.
Mucosal Immunization with a Novel Nanoemulsion-Based Recombinant Anthrax Protective Antigen Vaccine Protects against Bacillus anthracis Spore Challenge
Infect. Immun., August 1, 2007; 75(8): 4020 - 4029.
[Abstract] [Full Text] [PDF]


Home page
Antimicrob. Agents Chemother.Home page
M. A. Pammit, V. N. Budhavarapu, E. K. Raulie, K. E. Klose, J. M. Teale, and B. P. Arulanandam
Intranasal Interleukin-12 Treatment Promotes Antimicrobial Clearance and Survival in Pulmonary Francisella tularensis subsp. novicida Infection
Antimicrob. Agents Chemother., December 1, 2004; 48(12): 4513 - 4519.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. N. Boyaka, M. Ohmura, K. Fujihashi, T. Koga, M. Yamamoto, M.-N. Kweon, Y. Takeda, R. J. Jackson, H. Kiyono, Y. Yuki, et al.
Chimeras of Labile Toxin One and Cholera Toxin Retain Mucosal Adjuvanticity and Direct Th Cell Subsets Via Their B Subunit
J. Immunol., January 1, 2003; 170(1): 454 - 462.
[Abstract] [Full Text] [PDF]


Home page
J. Virol.Home page
C. P. Bradney, G. D. Sempowski, H.-X. Liao, B. F. Haynes, and H. F. Staats
Cytokines as Adjuvants for the Induction of Anti-Human Immunodeficiency Virus Peptide Immunoglobulin G (IgG) and IgA Antibodies in Serum and Mucosal Secretions after Nasal Immunization
J. Virol., January 15, 2002; 76(2): 517 - 524.
[Abstract] [Full Text] [PDF]


Home page
J. Virol.Home page
C. Fromantin, B. Jamot, J. Cohen, L. Piroth, P. Pothier, and E. Kohli
Rotavirus 2/6 Virus-Like Particles Administered Intranasally in Mice, with or without the Mucosal Adjuvants Cholera Toxin and Escherichia coli Heat-Labile Toxin, Induce a Th1/Th2-Like Immune Response
J. Virol., November 15, 2001; 75(22): 11010 - 11016.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
H. F. Staats, C. P. Bradney, W. M. Gwinn, S. S. Jackson, G. D. Sempowski, H.-X. Liao, N. L. Letvin, and B. F. Haynes
Cytokine Requirements for Induction of Systemic and Mucosal CTL After Nasal Immunization
J. Immunol., November 1, 2001; 167(9): 5386 - 5394.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
H. Kato, K. Fujihashi, R. Kato, Y. Yuki, and J. R. McGhee
Oral Tolerance Revisited: Prior Oral Tolerization Abrogates Cholera Toxin-Induced Mucosal IgA Responses
J. Immunol., March 1, 2001; 166(5): 3114 - 3121.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. Tang, M. D. Inman, N. van Rooijen, P. Yang, H. Shen, K. Matsumoto, and P. M. O'Byrne
Th Type 1-Stimulating Activity of Lung Macrophages Inhibits Th2-Mediated Allergic Airway Inflammation by an IFN-{{gamma}}-Dependent Mechanism
J. Immunol., February 1, 2001; 166(3): 1471 - 1481.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
T. Koga, J. R. McGhee, H. Kato, R. Kato, H. Kiyono, and K. Fujihashi
Evidence For Early Aging in the Mucosal Immune System
J. Immunol., November 1, 2000; 165(9): 5352 - 5359.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. Skok, J. Poudrier, and D. Gray
Dendritic Cell-Derived IL-12 Promotes B Cell Induction of Th2 Differentiation: A Feedback Regulation of Th1 Development
J. Immunol., October 15, 1999; 163(8): 4284 - 4291.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. N. Boyaka, M. Marinaro, R. J. Jackson, S. Menon, H. Kiyono, E. Jirillo, and J. R. McGhee
IL-12 Is an Effective Adjuvant for Induction of Mucosal Immunity
J. Immunol., January 1, 1999; 162(1): 122 - 128.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Marinaro, M.
Right arrow Articles by McGhee, J. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Marinaro, M.
Right arrow Articles by McGhee, J. R.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS