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*
Laboratoire dImmunologie, Institut de Recherches Cliniques de Montréal, Montréal, Canada;
Department of Immunology and Oncology Centro Nacional de Biotecnologia-CSIC Universidad Autonoma Campus de Cantoblanco, Madrid Spain;
Department of Biochemistry, St. Jude Childrens Research Hospital, Memphis, TN 38101; and
§
Department of Research, Novartis Pharma, Basel, Switzerland
| Abstract |
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. However, cytotoxic, and in some reports,
noncytotoxic, type 2 cells that secrete IL-4, IL-5, or IL-10 instead of
IFN-
, can be generated when CD8+ T cells are primed in
the presence of IL-4. Here, we show that IL-4 can also generate typical
CD8 type 1 responses. Indeed, while presence of TGF-ß biases the
development of CD8 T cells that, then, produce little cytolytic
activity and IFN-
, addition of IL-4 results in the recovery of
cytotoxicity and IFN-
production. The cooperative effects of TGF-ß
and IL-4 imply dual functions, not only for IL-4, but also for TGF-ß.
Indeed, depending on the presence or absence of IL-4, TGF-ß either
inhibits or induces the generation of type 1 CD8+ T cells.
Physiologically, the ratio of local IL-4/TGF-ß concentration may
therefore be a critical element in determining the outcome of T cell
responses to pathogen and autoantigens. It allows CD8 T cells to switch
from an immunotolerant state in the presence of only TGF-ß or IL-4,
to an immunocompetent proinflammatory type 1 state in the absence or
presence of both cytokines. | Introduction |
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-secreting cytotoxic T cells, whose
main function was the MHC class I-restricted lysis of infected or
altered host cells (1). Thus, most studies on cytokine
production have focused on the activity of CD4+ T cells.
These cells were usually classified in two subsets, Th type 1 and type
2, each associated with the production of characteristic patterns of
cytokines contributing to the regulation of different types of
immunity. While Th type 1 cells produce mainly IL-2, IFN-
, and TNF,
and direct cell-mediated immune responses, Th type 2 cells produce
IL-4, IL-5, and IL-10, and provide help for some B cell responses
(2, 3, 4). Abnormalities in the balance of these cytokines,
as well as deregulated secretion, have been associated with many
immunological disorders including allergy and autoimmune diseases
(5). Recently, numerous studies have shown that the
effector functions of CD8 T cells overlap those of CD4 T cells much
more than previously anticipated. Indeed, it has been reported that
CD8+ T cells can also develop in culture as polarized type
2 cells (also called Tc2). These cells can be cytotoxic or, in some
circumstances, noncytotoxic, CD8- and provide B cell
helper activity (6, 7, 8, 9, 10, 11, 12, 13). Such type 2 cells have been
isolated from the blood of patients suffering from lepromatous leprosy
(14), as well as from HIV patients (15). They
have also been recovered from the bronchial biopsies of asthmatics
(16).
The minimal cytokine requirement for the generation of CD8 subsets is
similar to that required by CD4 T cells for their differentiation
(17). Mitogen and Ag-stimulated naive CD8 cells exposed to
IL-2 alone or in combination with IL-12 develop a classical type 1
phenotype, whereas the same cells exposed to IL-4 develop a type 2
phenotype (8, 10, 12). Circumstantial evidence indicates
that IL-4 may also be necessary to enable the generation of type 1
cells. Indeed, in studies performed with parasite-infected
IL-4-deficient mice, IL-4 is needed to mount protective Th type 1
responses (18, 19). Moreover, increased IFN-
levels are
observed in IL-4-transgenic mice (20). IL-4 is capable of
both suppressing (9) or enhancing (21) CD8 T
cell cytotoxicity in different circumstances. These data imply that
other factors may modulate the differentiating effects of IL-4. TGF-ß
is another cytokine associated with similar complex regulation of T
cell effector functions. TGF-ß, which is released by a wide variety
of cell types including APCs such as macrophages and dendritic cells,
and also by some T cells named Th3 (22, 23), has either
growth-inhibitory effects (24, 25) or long-term
growth-promoting activity when added to resting CD4 and CD8 T cells
(26, 27, 28). Recent studies suggest that TGF-ß may either
inhibit the generation of Th type 1 cells, or induce type 1
differentiation when a type 2 response is expected (8, 26, 29, 30). A coregulation of T cell differentiation involving TGF-ß
and IL-4 is therefore conceivable and is the focus of this work. Here,
we provide evidence that TGF-ß and IL-4 can cooperate to regulate the
differentiation of CD8 T cells. Indeed, we find that the generation of
cytotoxic type 1 CD8 T cells is suppressed when CD8 precursors are
primed in the presence of TGF-ß or IL-4, but induced when both
TGF-ß and IL-4 are present.
As STAT6 activation has previously been associated with the IL-4-dependent development of Th type 2 cells (31), we investigated whether this activation was prevented when the role of IL-4 was modified by TGF-ß. Our findings reveal similar levels of activated STAT6 in type 2 and type 1 CD8 T cells primed by IL-4 and IL-4/TGF-ß, respectively.
| Materials and Methods |
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Mesenteric lymph nodes from mice were homogenized to yield a single cell suspension. In order to remove CD4+ cells, CD44+ memory T cells (32), B lymphocytes, and FcR+ cells by magnetic separation, the cells were stained with phycoerythrin (PE)-conjugated rat anti-mouse CD4 and CD44 Abs and further incubated with a combination of Dynabeads M-450 (Dynal, Great Neck, NY) coated with sheep anti-mouse IgG and anti-rat IgG. The remaining cells were then stained with FITC-conjugated anti-CD8 (53-6.7, PharMingen, San Diego, CA) and purified as small CD8+ T cells to more than 99% purity by FACS. CD4 expression was measured with phycoerythrin-labeled anti-CD4 (GK1.5, PharMingen).
CD8+ T cell cultures
Microcultures were established as previously described (8) in round-bottom microwells from 96-well plates, with 500 purified resting CD8+ T cells in 200 µl medium containing human rIL-2 (200 U/ml) with or without mouse rIL-4 (500 U/ml) and/or human rTGF-ß2 (10 ng/ml). The amount of TGF-ß used was optimized by titration in order to completely inhibit PMA + IL-2-stimulated CD8 T cell proliferation (data not shown). Three different conditions of activation were used: 1) CD8 T cells from BALB/c mice were stimulated by a mitogen [(PMA, 10 ng/ml) and ionomycin (250 ng/ml)]; 2) CD8 T cells from C57BL/6 mice (H-2b) were cultured in the presence of 4000 irradiated (4000 rad) allogeneic P815 mastocytoma cells (H-2d); 3) CD8 T cells derived from lymphocytic choriomeningitis virus (LCMV)3-specific TCR transgenic C57BL/6 mice were stimulated in the presence of the viral peptide (100 ng/ml) corresponding to the glycoprotein epitope 33-41 of LCMV (33), and 5000 irradiated (5000 rad) EL-4 thymoma cells as syngeneic APC. The cells were harvested from each culture after 6 days (or 12 days for the allogeneic stimulation) and their effector functions were analyzed. The Ag specificity of the response was demonstrated by the fact that no cell would grow in the absence of LCMV peptide. The precursor cells used in all experiments were considered as resting based on the fact that they could not proliferate in IL-2 alone.
Cytolytic activity and cytokine production
Cells harvested on day 6 were either incubated for 3.5 h
with 2000 51Cr-labeled P815 target cells in the presence of
anti-CD3
(25 µg/ml) (8) and the release of
51Cr measured, or recultured (105 cells/200
µl) on flat-bottom plates coated with anti-CD3
(25 µg/ml) in
the presence of IL-2 (200 U/ml) for 24 h, and the production of
cytokines determined by ELISA with Abs and standardized to commercial
cytokines (Genzyme, Cambridge, MA).
RNA preparation and Northern blot analysis
Total RNA was prepared using the guanidinium thiocyanate/acid
phenol method as described (34). Aliquots of the RNA
samples were separated on 1.2% denaturing formaldehyde-agarose gels,
followed by RNA staining and transfer to nylon membranes. Northern
blots were hybridized using random-primed 32P-labeled cDNA
with probes specific for mouse CD8
, CD8ß (both obtained from P.
Cosson, Basel Institute for Immunology, Basel, Switzerland), perforin
(35), Fas-L/CD95 (obtained from P. Krammer, DKFZ,
Heidelberg, Germany), and ß-actin (36) as described
(37).
STAT6 analysis: preparation of cell extracts, electrophoretic mobility shift assays (EMSA) and supershift analysis
Whole cell extracts were prepared from CD8 type 1 and type 2
cell populations by suspension of cell pellets in a buffer containing
400 mM NaCl, 50 mM KCl, 20 mM HEPES (pH 7.9), 1 mM EDTA, 20% glycerol,
1 mM DTT, and the following protease inhibitors: 0.2 mM PMSF, 5 µg/ml
leupeptin, 5 µg/ml aprotinin, 100 µM of sodium orthovanadate, and
20 µM phenyl arsine oxide. After freeze-thawing three times, lysates
were centrifuged for 15 min at 4°C and 20,800 x g.
The supernatants were recovered for bandshift experiments. The protocol
for the bandshift assays has been described elsewhere
(38). In the bandshift experiments, the following high
affinity STAT6-binding site was used: 5'-
TCAACTTCCCAAGAACAGAA-3'
from the Ig
heavy chain germ-line
-promoter (I
) (39, 40). The STAT probe was endlabeled with polynucleotide kinase to
a specific activity of 8000 cpm/fmol. Equal amounts of proteins from
whole cell extracts were introduced into bandshift assays. Proteins
were measured at a wave length of 595 nm with the Bradford Protein
assay kit (Bio-Rad, Richmond, CA) according to the manufacturers
instructions. The bandshift signals were quantitated with a
PhosphorImager (BIO-IMAGER BAS 2000; Fuji). Three individual
experiments were carried out. For supershift analysis, the following Ab
was used: polyclonal chicken antiserum directed against the
carboxyl-terminal domain of STAT6 (41). The antiserum used
for supershift experiments recognize the STAT6 protein only and is not
cross-reactive to any other STAT family member as examined with
recombinant STAT expressed in COS-7 cells followed by EMSA and
supershift assays. Supershifting of STAT6-containing complexes was
achieved by adding 5 to 10 µl of antiserum against STAT6 to the whole
cell extracts 10 min prior to the start of the binding reaction.
| Results |
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To study the effects of TGF-ß and IL-4 on the differentiation of
CD8+ T cell precursors, we used a culture system that
limits T cell activation resulting from endogenously produced
lymphokines and accessory cell contacts. Such a system facilitates the
analysis of both the activation requirements of the CD8 T cells and the
identification of accessory signals that do not act through the TCR.
With this culture system, a very high efficiency of CD8 cell activation
is observed as confirmed by limiting dilution analysis
(8). FACS-sorted small CD8+ T cells (500
cells/200 µl) were primed with PMA, ionomycin, and IL-2, in the
presence or absence of TGF-ß and/or IL-4. On day 6, the cells reached
a density of about 5 to 8 x 105 cells/ml
(corresponding to an average doubling time of 18 h for the total
cell population), regardless of the presence or absence of TGF-ß and
IL-4, suggesting that the activated cells did not represent the
outgrowth of minor subpopulations. Examples of cell recoveries under
these conditions are shown in Table I
.
|
but no IL-4, IL-5, and IL-10, upon
restimulation with anti-CD3/IL-2 (Fig.
1a). Expression of this
phenotype was compromised by the addition of TGF-ß. Indeed, presence
of TGF-ß resulted in the development of cells with a suppressed
phenotype, producing only small amounts of IFN-
and no type 2
cytokines (Fig. 1b). On the other hand, resting
CD8+ T cells primed in the presence of IL-2 and IL-4
developed a type 2 phenotype, releasing IL-4, IL-5, and IL-10, and only
low levels of IFN-
(Fig. 1c). When TGF-ß was also added
during priming, no switch to a type 2 phenotype was observed. Instead,
CD8 T cells developed a "classical" type 1 cytokine profile,
releasing very low levels of IL-4, IL-5, and IL-10, but substantial
amounts of IFN-
(Fig. 1d). In fact, these cells expressed
the same cytokine pattern as cells primed in the absence of IL-4 and
TGF-ß (Fig. 1a).
We further investigated whether IL-4 and TGF-ß could exert
similar control of phenotypic differentiation on CD8 cells activated
through allogeneic stimulation. FACS-sorted CD8+ T cells
isolated from C57BL/6 mice were stimulated by allogeneic P815
mastocytoma cells (4000 irradiated cells per 200 µl) and IL-2, in the
presence or absence of IL-4 and/or TGF-ß. The cells showed similar
behavior in response to TGF-ß/IL-4 as those primed by PMA/ionomycin:
while IL-4 in the absence of TGF-ß induced the generation of type 2
CD8 T cells that produced IL-5 and decreased levels of IFN-
, TGF-ß
generated cells producing only small amounts IFN-
and no IL-5;
addition of both TGF-ß and IL-4 induced a strong type 1 response
characterized by IFN-
secretion (Fig.
2a).
Similar results were also obtained with CD8+ T cells from
mice expressing a transgenic H-2Db-restricted TCR specific
for the glycoprotein epitope 33-41 of LCMV (33), and
primed by the viral peptide. In this system, the CD8 T cell populations
were rapidly expanding, regardless of the presence or absence of IL-4
or TGF-ß (Table I
). Cells that were generated in the absence of
TGF-ß exhibited a type 1 phenotype whereas those primed in the
presence of TGF-ß released reduced amounts of cytokines (Fig.
2b). As expected, cells primed in the presence of IL-4
developed a type 2 phenotype, whereas those primed with both IL-4 and
TGF-ß generated type 1 cells (Fig. 2b). Thus, the
differentiating effects of IL-4 and TGF-ß appeared to be independent
of the mode of stimulation, i.e., mitogenic, allogenic, or
antigenic.
The effects hereby described were obtained using TGF-ß2 but a comparable phenomenon was observed using the other members of the TGF-ß family found in mammals, i.e., TGF-ß1 and TGF-ß3 (data not shown).
The cytotoxicity of CD8 T cells can be inhibited by IL-4 or TGF-ß and induced by IL-4 and TGF-ß
The large majority of the described Ag-specific type 2 CD8 T cells were shown to be highly cytotoxic (10, 12, 13). However, we previously observed that type 2 CD8 T cells that were generated in the presence of PMA/ionomycin and IL-4 were noncytolytic (8) and resembled those found in HIV-infected individuals (15). Therefore, we wondered whether their cytotoxicity could be coregulated by TGF-ß and IL-4. Using a quantitative anti-CD3 redirected lysis assay on P815 target cells, we observed that the cytotoxicity that developed in the presence of IL-2 alone (Fig. 3a) was abolished by IL-4 (Fig. 3b) or TGF-ß (Fig. 3c), but strongly enhanced in the presence of both IL-4 and TGF-ß (Fig. 3d). The cytolytic activity reached levels observed with cells stimulated by PMA plus IL-2, in the absence of ionomycin (data not shown). Therefore TGF-ß and IL-4 together were able to overcome not only inhibitory signals of TGF-ß or IL-4, but also the one mediated by ionomycin costimulation (8).
Cytotoxicity of CD8 T cells is known to be mediated by the induction of apoptosis in target cells through the action of perforin and Fas ligand (42). Already aware of the fact that perforin mRNA is lacking in noncytotoxic CD8 type 2 cells (8), we wanted to know whether TGF-ß and IL-4 could control the transcription of genes coding for perforin and Fas-L/CD95. Northern blot analysis showed that this is most likely the case since the change in cytotoxicity mediated by the two cytokines correlated with similar change in the steady state levels of perforin and Fas-ligand mRNA (Fig. 3e).
TGF-ß inhibits IL-4-dependent down-regulation of CD8 expression
We have previously observed that, when CD8 T cell precursors are
stimulated in the presence of IL-4 by PMA/ionomycin, they switch to a
CD8- phenotype through the loss of surface CD8
/ß
heterodimer (8). We have now determined whether the
generation of this physiologically minor subset, detected in
HIV-infected individuals in the late stages of AIDS and in
hypereosinophilia (15, 43, 44, 45), could be prevented by
TGF-ß. We found that TGF-ß not only prevented the IL-4-dependent
generation of CD8- subset, but produced cells expressing
higher levels of CD8 than cells stimulated in the absence of both
TGF-ß and IL-4 (Fig. 4a). Northern blot
analysis showed that the loss of cell surface CD8 induced by IL-4
correlated with the disappearance of CD8
but not CD8ß chain mRNA
whereas the enhancing effects of TGF-ß involved increased levels of
both CD8
and CD8ß mRNA (Fig. 4b).
Type 1 CD8 T cells generated in the presence of TGF-ß/IL-4 express high steady state levels of active STAT6
IL-4 signaling through its receptor leads to tyrosine
phosphorylation, homodimerization, nuclear translocation of STAT6, and
subsequent transcriptional activation or repression of IL-4 responsive
gene (46, 47, 48). Experiments on STAT6-deficient mice
demonstrated the importance of this transcription factor for the
IL-4-dependent development of type 2 cells (31, 49). To
examine whether the IL-4-dependent generation of type 1 CD8 subset
could be due to a TGF-ß-driven inhibition of STAT6 activation, we
performed in vitro DNA-binding assays with a specific binding element
from the Ig
heavy chain germ-line
-promoter (I
), which does
not bind STAT family members other than STAT6. Whole cell extracts were
prepared from the different CD8 T cell subsets obtained after 6-day
cultures and introduced to EMSA assays.
CD8 T cells stimulated by PMA, ionomycin, and IL-2, and which developed
a type 1 phenotype (see Fig. 1a), contained trace amounts of
activated STAT6 able to form DNA complexes (Fig. 5
, lane
1), whereas no complex was observed
for cells stimulated in the presence of TGF-ß (Fig. 5
, lane
3), which produce almost no cytokine (see Fig. 1b).
Following IL-4 priming, CD8 T cells that developed a type 2 phenotype
(see Fig. 1c) contained much higher amounts of activated
STAT6 (Fig. 5
, lane 5); quantitative analysis by phosphor
imaging revealed an approximately 20-fold higher amount of DNA-bound
STAT6 compared with the CD8+ Th1 cells (lane
1). Similar amounts of activated STAT6 were found in type 1 CD8 T
cells derived from cultures in the presence of IL-4 and TGF-ß (Fig. 5
, lane 7) and which produce IFN-
and almost no type 2
cytokines (see Fig. 1d). The composition of the DNA-binding
complexes was confirmed by supershift analysis: The anti-STAT6
antiserum induced complete supershift (Fig. 5
, lanes 2,
6, and 8). These data show that STAT6 activation
during T cell priming does not necessarily correlate with type 2
differentiation. We also observed that STAT1, STAT3, STAT5a, and
STAT5b, which are known to be induced by IL-2 (48), were
activated to similar extents in cells from every culture condition,
irrespective of type 1 or type 2 CD8 differentiation (data not shown).
Neither activated STAT4, known to be expressed in type 1 cells induced
by IL-12 (50), nor activated STAT2 were detected (data not
shown).
|
| Discussion |
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|
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We still do not know how the distinct signal-transducing pathways
induced by TGF-ß and IL-4 converge or interact to modify the effects
of each cytokine taken individually. We only know that STAT6, which is
an essential transducing signal involved in the IL-4-dependent
development of type 2 cells (31, 47, 49), is still
activated during the type 1 differentiation induced by IL-4/TGF-ß.
This indicates, in particular, that STAT6, although necessary, is not
sufficient to induce a type 2 phenotype. STAT6 might, in fact, also
mediate the IL-4-dependent generation of IFN-
, since a STAT6-binding
site is localized in transcriptional regulatory elements within the
IFN-
locus (51). The conversion of IL-4 and TGF-ß
activities, when both cytokines cooperate, might be the result of a
mutual inhibition of specific genes under the control of each
individual cytokine. This would explain why similar phenotypes could be
generated in the presence or absence of both cytokines. Alternatively,
IL-4/TGF-ß might be inhibiting costimulatory signals required for the
generation of type 2 subsets. This assumption is supported by the fact
that 1) the inhibitory effect of ionomycin on the cytotoxicity of
PMA-derived CD8 T cells is abolished by TGF-ß/IL-4, and that 2)
ionomycin is a cosignal required for the shift of CD8 T cells triggered
by PMA, IL-2, and IL-4 toward Th2 (8).
Cytokines are known to display synergistic, additive, and antagonistic biological activities. Here, the combination of TGF-ß and IL-4 results in activities that differ from those displayed by each cytokine alone. This may represent a sensitive mechanism enabling the deviation of the immune responses. Indeed, secretion of TGF-ß by APCs and some regulatory T cells (22) in the microenvironment of CD8 cells could possibly redirect them from IL-4-dependent type 2 phenotype differentiation and expansion. Conversely, a competent type 1 response could also be reactivated by IL-4 under conditions in which CD8 cells are suppressed by TGF-ß. Speculation of such an escape mechanism involving also the control of immune reaction by CD4 cells can be made, supported by evidence demonstrating that TGF-ß can either inhibit or induce Th type-1 generation (26, 29, 52).
While IL-12 has often been described as the Th2 to Th1 switch
factor (53), its activity differs from that of TGF-ß.
Whereas TGF-ß prevents the IL-4-dependent development of CD4 and CD8
type 2 cells, IL-12 does not (54, 55) (F. Erard and
M. T. Wild, unpublished observation). IL-12 appears more as a
dominant factor directing the development of T cells that produce
elevated IFN-
levels (56), whereas TGF-ß only
inhibits the IL-4-mediated drop in IFN-
.
Circumstantial evidence suggests that coregulation of T cell
differentiation by TGF-ß/IL-4 is physiologically relevant. In several
infectious disease models involving CD8 T cells, IFN-
-dominated
responses have been shown to be protective while IL-4- or
TGF-ß-dominated responses lead to enhanced disease state (57, 58). However, the critical role of IL-4 in disease
susceptibility is challenged in models in which direct IL-4
administration reduced parasitemia and rendered animals resistant to
reinfection. IL-4 prevented mortality during acute
Toxoplasma infection, by enhancing IFN-
production and
thus parasite killing (18). IL-4 induced also protective
type 1 responses in IL-4-deficient mice infected by Candida
albicans (19). Furthermore, IL-4 induced tumor
rejection in syngeneic hosts, partially mediated through IFN-
induction (59). Concerning TGF-ß, its most potent
activity on lymphocytes is immunosuppression (24, 25), and
TGF-ß1-deficient animals tend to develop inflammatory disease
(60). Nevertheless, enhanced CD8 T cell responses to
infectious agents and inflammation induced by TGF-ß was observed
(61). Therefore, the phenomenon described here reveals one
fundamental mechanism by which cytokines can delicately counterbalance
protective and damaging functions. We wonder whether such dual cytokine
activities are an exceptional hallmark of TGF-ß and IL-4, or might be
a more general feature of cytokine function.
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| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to F. Erard, Laboratoire dImmunologie, Institut de Recherches Cliniques de Montréal, 110 avenue des Pins Ouest, Montréal H2W 1R7, Canada. E-mail address: ![]()
3 Abbreviations used in this paper: LCMV, lymphocytic choriomeningitis virus; EMSA, electrophoretic mobility shift assays; PE, phycoerythrin. ![]()
Received for publication June 12, 1998. Accepted for publication September 18, 1998.
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and is inhibited by transforming growth factor-ß. Eur. J. Immunol. 24:793.[Medline]
and Fc
receptor II (CD23b) genes activated via binding of an interleukin-4-induced transcription factor to a novel responsive element. Eur. J. Immunol. 23:3066.[Medline]
promoter: regulation by NF-IL-4, a C/EBP family member and NF-
B/p50. J. Exp. Med. 181:181.
ß-heterodimer on CD8(+) T lymphocytes in peripheral blood lymphocytes of human immunodeficiency virus- and human immunodeficiency virus+ individuals. Blood 92:198.
(IFN-
) production during differentiation of human T helper (Th) cells and transient IFN-
production in established Th2 cell clones. J. Exp. Med. 179:1273.
. Eur. J. Immunol. 22:1729.[Medline]
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