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 La Flamme, A. C.
Right arrow Articles by Pearce, E. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by La Flamme, A. C.
Right arrow Articles by Pearce, E. J.
The Journal of Immunology, 2000, 164: 2419-2426.
Copyright © 2000 by The American Association of Immunologists

Role of IL-6 in Directing the Initial Immune Response to Schistosome Eggs1

Anne Camille La Flamme, Andrew S. MacDonald and Edward J. Pearce2

Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853 The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this factor.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The eggs of Schistosoma mansoni are strong inducers of a Th2 response, and previous work has shown that Ag-specific IL-6 is produced within 24 h after the injection of eggs into mice. Investigations to determine the role of IL-6 in orchestrating the early response to schistosome eggs have revealed that IL-12 is rapidly produced in lymph node cell cultures from egg-injected mice. This "early" IL-12 primes for the production of IL-6 and IFN-{gamma}, for in IL-12-/- mice egg injection fails to stimulate increased production of either of these cytokines. Furthermore, IL-6 also up-regulates IL-10 production which, together with IL-6, negatively regulates IL-12 and IFN-{gamma} production. Finally, IL-10 down-regulates the production of its inducer, IL-6. These data indicate that the anti-inflammatory role of IL-6 may be effected through negative regulation of type 1 (IFN-{gamma}) and type 1-associated (IL-12) cytokines either directly (by IL-6) or indirectly (through the induction of IL-10) and suggest that one mechanism by which eggs may support the development of Th2 responses is through the negative regulation of the type 1 response.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interleukin-6 is a multifunctional Th2 cytokine produced by many different cell types including macrophages, dendritic cells, T cells, endothelial cells, and hepatocytes (1, 2). It functions in the terminal differentiation of B cells (3), proliferation of lymphocytes (1, 4, 5) and endothelial cells (6), regulation of IL-2 receptor expression (5, 7, 8), differentiation of CTL (9), and up-regulation of acute phase proteins in the liver (1, 10). Recently, it has also been shown to be involved in Th2 differentiation by promoting IL-4 production by precursor T helper (3) cells (11).

The eggs of the parasitic worm Schistosoma mansoni induce the development of a strong Th2 response during natural infection (12) or when injected i.p. (13), i.v. (14), or s.c. (15) into a naive animal. Previous studies have shown that after injection of eggs into the footpads of naive mice a transient Th0 response develops that is characterized by increased production of IFN-{gamma} (15) and also IL-6 (5). Despite the initial increase, IFN-{gamma} is down-regulated and a strong type 2 response develops (15, 16). The factors involved that drive the development of the Th2 response to eggs are still unclear, but recent studies have shown that, although IL-6 may be involved in Th2 differentiation under certain conditions (11), its absence does not affect the development of Th2 responses to schistosome eggs (5).

In addition to its role in promoting IL-4 production by precursor T helper cells (11), current work has demonstrated a role for IL-6 in regulating Th1-associated cytokines (17, 18, 19, 20, 21). Because IL-6 is up-regulated in response to schistosome egg injection (5, 22), it may play a role not in directing Th2 development but in controlling the initial IFN-{gamma} production and associated Th0 response. To understand the role of IL-6 in the development of the response to schistosome eggs, we investigated both the factors involved in its up-regulation as well as the factors that were regulated by it. To this end, we found that egg-induced IL-12 led to the up-regulation of both IFN-{gamma} and IL-6 in response to T cell-dependent and -independent stimuli. IL-6 in turn up-regulated IL-10 production and down-regulated IL-12 and IFN-{gamma}. These studies indicate that IL-6 is playing a role in controlling type 1 responses after exposure to schistosome eggs.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals, parasites, experimental inoculations, and experimental infections

Female C57BL/6 x SV129 F1 hybrids, IL-6-/- (C57BL/6 x SV129), and IL-12-/-p35 (C57BL/6) mice (The Jackson Laboratory, Bar Harbor, ME) were bred and used at 6–12 wk of age. Female C57BL/6 mice were purchased from Taconic (Germantown, NY). S. mansoni (Puerto Rican strain NMRI) eggs were isolated from the livers of infected mice, washed extensively, resuspended at 50,000 eggs/ml in low endotoxin PBS (Sigma, St. Louis, MO), and stored at -70°C until use, as previously described (23, 24). Mice were injected with 50 µl of egg suspension or with an equal volume of PBS per hind footpad. For infection, mice were exposed percutaneously to 70 cercariae.

Abs, Ags, cytokines, and reagents

Rat anti-IL-6 mAb 20F3 (F. Finkelman, Division of Immunology, University of Cincinnati College of Medicine, Cincinnati, OH), rat anti-IFN-{gamma} mAb XMG 1.2 (PharMingen, San Diego, CA), rat anti-IL-12p 40 mAb C17.8 (kind gift of Giorgio Trinchieri, Wistar Institute, Philadelphia, PA), rat anti-IL-10 mAb JES5-2A5 (PharMingen), normal rat Ig (Accurate Chemicals, Westbury, NY), purified hamster anti-CD3 mAb (PharMingen), and purified hamster anti-CD40 ligand (anti-CD40L)3 mAb (Phar-Mingen) were used in in vitro culture. FITC-, PE-, and/or CyChrome-conjugated mAbs specific for mouse CD4, CD8, B220, IFN-{gamma}, IL-10, and IL-6 were purchased from PharMingen. Schistosome egg Ags were prepared as described (23, 24). PMA, ionomycin, and LPS were purchased from Sigma. Recombinant murine IL-6 and recombinant murine IL-10 were purchased from Intergen (Purchase, NY). Recombinant IFN-{gamma} was obtained from Genzyme (Cambridge, MA) and recombinant IL-12 was from R&D Systems (Minneapolis, MN).

Lymph node (LN) and splenocyte isolation and culture

Popliteal LN were harvested from egg-injected mice and popliteal and axillary LN were isolated from PBS-injected mice. Single-cell suspensions were prepared using sterile 70-µm cell strainers (Falcon, Franklin Lakes,NJ) as previously described (25). LN cells were resuspended at 5 x 106 cells/ml in complete T cell medium containing DMEM (Sigma), 10% FCS (HyClone, Logan, UT), 100 U/ml penicillin plus 100 µg/ml streptomycin (Life Technologies, Gaithersburg, MD), 10 mM HEPES (Life Technologies), L-glutamine (Life Technologies), and 5 x 10-5 M 2-ME (Sigma). Cells (106) were cultured in 96-well flat-bottom plates (Falcon) at 37°C and 5% CO2. Culture supernatants were harvested at 24 or 72 h for cytokine analysis. Spleens were harvested and single-cell suspensions were prepared as previously described (26). Splenocytes were resuspended to 107 cells/ml in complete T cell medium and were cultured in 96-well flat-bottom plates at 37°C and 5% CO2. Culture supernatants were harvested at 72 h for cytokine analysis.

Cytokine ELISAs

Sandwich ELISAs were used to measure IL-6, IL-10, and IFN-{gamma} as previously described (5, 27). Rat anti-IL-12p40/70 C15.6 mAb (PharMingen) was used for the IL-12 p40 capture Ab, and biotinylated rat anti-IL-12p40 mAb C17.8 (gift of Phil Scott, Department of Pathobiology, University of Pennsylvania, Philadelphia, PA) and then peroxidase-labeled streptavidin (Jackson ImmunoResearch, West Grove, PA) were used for detection. Recombinant IL-12 (R&D Systems) was used for the IL-12 ELISA standard.

Intracellular cytokine staining and flow cytometry

Cells were stained ex vivo on ice for 20 min with FITC-, PE-, or cytochrome c-conjugated Abs against surface markers. After washing twice with 1% FCS, 0.08% NaN3 (Sigma) in PBS (Sigma), cells were resuspended in fixative (1% formaldehyde (Sigma) in PBS). For intracellular cytokine staining, LN cells were cultured in vitro for 72 h before a 6-h incubation with 250 ng/ml ionomycin (Sigma), 50 ng/ml PMA (Sigma), and 1 µg/ml brefeldin A (PharMingen). After a 15-min incubation with Fc block, LN cells were incubated with FITC- or CyChrome-labeled Abs to surface markers, fixed, permeabilized, and stained with PE-conjugated anti-cytokine Abs using reagents from the Cytofix/cytoperm kit (PharMingen). All cells were analyzed using a FacsCaliber flow cytometer (Becton Dickinson, Franklin Lakes, NJ) with the CellQuest program (Becton Dickinson).

Statistical analysis

Data were analyzed using Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Early IL-12 production after schistosome egg injection primes for increased production of IL-6 and IFN-{gamma}

To determine the relationship between IL-12 and IL-6 in the initial response to schistosome eggs, we assessed cytokine production by popliteal LN cells harvested from mice 24 h after footpad injection of eggs. Popliteal LN cells from mice injected with schistosome eggs 24 h previously are primed to make IL-12 in response to anti-CD3 stimulation (Fig. 1Goa) or, more strongly, in response to LPS (Fig. 1Gob). The production of IL-12 in LN cultures stimulated with anti-CD3 is in part dependent on CD40-CD40L interactions for addition of neutralizing anti-CD40L mAb to LN cultures from egg-injected mice significantly reduced IL-12 production after anti-CD3 but not LPS stimulation (Fig. 1Go, a and b). The production of this early IL-12 is important for the initial priming of the immune response because LN cells isolated from egg-injected IL-12-/- mice made less IFN-{gamma} and IL-6 in response to LPS than did LN cells from egg-injected wild-type (WT) mice (Fig. 2Goa). Similar results were found using anti-CD3 stimulation (Fig. 2Gob). Furthermore, the addition of rIL-12 to LN cultures from PBS and egg-injected WT mice promoted IL-6 (Fig. 2Goc). CD4 T cells were found to be the source of IL-6 in in vitro cultures stimulated with anti-CD3, whereas both CD4 T cells and a nonlymphocyte, Mac-1+ population were the principle IL-6 producers after LPS stimulation (data not shown). This result further supports the idea that IL-12 is one of the stimuli promoting IL-6 production by CD4 T cells and macrophages early after egg-injection. Because T cell-dependent responses are the focus of this study, further work will primarily present data from LN cells stimulated with anti-CD3. IFN-{gamma} production was also increased after the addition of rIL-12 to anti-CD3-stimulated LN cultures from PBS and egg-injected mice, and production by both CD4 and CD8 T cells was affected (data not shown). Finally, the addition of anti-IL-12 mAb decreased IL-6 and IFN-{gamma} production after anti-CD3 stimulation (data not shown). These results indicate that IL-12 is produced after egg injection and that this IL-12 is important in priming the immune response to produce optimal levels of IL-6 and IFN-{gamma}.



View larger version (27K):
[in this window]
[in a new window]
 
FIGURE 1. T cell-dependent IL-12 production is induced after schistosome egg injection and occurs through CD40-CD40L interactions. IL-12p40 production by LN cells from PBS and egg-injected WT mice after 72-h culture with anti-CD3 (1 µg/well) (a) or LPS (5 µg/ml) (b) stimulation. Cells were isolated 1 day after PBS or egg injection and cultured at 106 cells/well in a 96-well plate. Anti-CD40L mAb was added at 10 µg/ml. IL-12p40 levels in the supernatants were determined by ELISA. The means and SEM of triplicate wells are shown. p < 0.05 between similarly marked groups.

 


View larger version (27K):
[in this window]
[in a new window]
 
FIGURE 2. IL-12 is required to prime for IL-6 and IFN-{gamma} production. IFN-{gamma} and IL-6 production by LN cells from PBS or egg-injected WT or by IL-12-/- mice after 72-h stimulation with LPS (a) or anti-CD3 (b). c, Addition of exogenous IL-12 (10 ng/ml) enhances IL-6 production by LN cells from PBS or egg-injected mice after 72-h culture with anti-CD3. Cells were isolated 1 day after PBS or egg injection and cultured at 106 cells/well in a 96-well plate. IL-6 and IFN-{gamma} levels in the supernatants were determined by ELISA. The means and SEM of duplicate or triplicate wells from one of two to three similar experiments are shown. p < 0.05 between similarly marked groups.

 
The induction of IL-6 production by IL-12 leads to the down-regulation of IL-12 and IFN-{gamma} production

In contrast to the positive effect that IL-12 has on IL-6 production, IL-6 was found to negatively regulate IL-12 production after egg injection. IL-12 production by LN cells was greater in egg-injected IL-6-/- mice stimulated with anti-CD3 or LPS compared with those stimulated with LN cells from WT mice (Fig. 3Goa). Addition of rIL-6 to IL-6-/- LN cultures or of anti-IL-6 mAb to WT LN cultures stimulated with anti-CD3 resulted in suppression or enhancement of IL-12 production, respectively (Fig. 3Gob), although in vitro treatment (anti-IL-6 or rIL-6) did not result in the levels seen with IL-6-/- or WT LN cells alone. This difference is presumably due to the additional priming that occurs in vivo. These results suggest that whereas IL-12 increases the production of IL-6 after egg injection, once IL-6 is produced the production of IL-12 is suppressed.



View larger version (24K):
[in this window]
[in a new window]
 
FIGURE 3. IL-6 down-regulates egg-induced IL-12 production. a, IL-12 is not down-regulated in cultures of LN cells from IL-6-/- mice. b, Neutralization of IL-6 (10 µg/ml anti-IL-6 mAb) in vitro resulted in increased IL-12 production by anti-CD3-stimulated LN cells from egg-injected WT mice, and addition of exogenous IL-6 (10 ng/ml) reduced IL-12 production by LN cells from egg-injected WT and IL-6-/- mice. LN cells were isolated 1 day after egg injection, cultured at 106 cells/well in a 96-well plate, and stimulated with anti-CD3 or LPS for 72 h. IL-12p40 levels were assessed by ELISA. The means and SEM of triplicate wells from one of three to six similar experiments are shown. p < 0.05 between similarly marked groups.

 
In addition to down-regulating IL-12 production, IL-6 inhibited the production of IFN-{gamma}. Addition of neutralizing anti-IL-6 mAb enhanced IFN-{gamma} production in cultures from egg-injected WT mice, and similarly the production of IFN-{gamma} was reproducibly elevated in cultures from egg-injected IL-6-/- mice compared with WT mice. In further support, IFN-{gamma} production could be specifically inhibited by the addition of rIL-6 (Fig. 4Go, a and b). Intracellular cytokine analysis revealed that CD8 T cells were the primary IFN-{gamma}-producing cells in the WT and IL-6-/- LN cultures and that rIL-6 reduced not only the level of IFN-{gamma} produced but also the number of cells producing IFN-{gamma} (Fig. 4Gob). Although CD4 T cells did not produce IFN-{gamma} in WT LN cultures, a small but significant population of IFN-{gamma}-producing CD4 T cells (evident as CD8- cells in Fig. 4Gob) was present in IL-6-/- cultures, suggesting that IL-6 may be inhibiting IFN-{gamma} production by CD4 T cells in WT LN cultures. Although IFN-{gamma} levels are higher in cultures from egg-injected vs PBS-injected mice 1 day after injection (Fig. 2Gob), levels are reduced within 3 days after egg injection (15) and more dramatically at 7 days after egg injection (see below and Fig. 9Go), further supporting the initial enhancement of IFN-{gamma} production by IL-12 and the subsequent down-regulation by IL-6. These results suggest that one of the mechanisms by which schistosome eggs could enhance Th2 differentiation may be through the induction of IL-6, which then negatively regulates both IL-12 and IFN-{gamma} production.



View larger version (53K):
[in this window]
[in a new window]
 
FIGURE 4. IL-6 inhibits IFN-{gamma} production by LN cells 1 day after egg injection. a, Neutralization of IL-6 (10 µg/ml anti-IL-6 mAb) in vitro resulted in increased IFN-{gamma} production by LN cells from egg-injected WT mice, and addition of exogenous IL-6 (10 ng/ml) reduced IFN-{gamma} production by LN cells from egg-injected IL-6-/- mice. The means and SEM of triplicate wells are shown. b, Addition of exogenous IL-6 reduced the number of IFN-{gamma}-producing cells in LN cultures from egg-injected WT or IL-6-/- mice. LN cells were isolated 1 day after egg-injection, cultured at 106 cells/well in 96-well plates, and stimulated with anti-CD3 for 72 h. IFN-{gamma} levels in culture supernatants were measured by ELISA and are expressed as mean and SEM of triplicate wells. The percentage of IFN-{gamma}-producing cells was assessed by intracellular cytokine staining with anti-murine IFN-{gamma}-specific mAb and analyzed by flow cytometry. One of two to three similar experiments is shown. p < 0.05 between similarly marked groups.

 


View larger version (43K):
[in this window]
[in a new window]
 
FIGURE 9. The absence of IL-6 leads to increased IFN-{gamma} production by LN cells isolated 7 days after egg injection (a) or splenocytes from mice infected with S. mansoni (b). a, LN cells were isolated from PBS- or egg-injected WT or IL-6-/- mice and stimulated with anti-CD3 for 72 h. Cells were surface stained with CyChrome-labeled anti-CD8 and stained intracellularly with PE-labeled anti-IFN-{gamma}. The percentage of CD8+ or CD8- cells which are "+" for IFN-{gamma} are shown in the appropriate quadrant corners. b, Splenocytes were isolated from WT and IL-6-/- mice 6 wk after infection with 70 cercariae. Cells were stimulated with anti-CD3 for 72 h, and the supernatants were assayed for IFN-{gamma} by ELISA. The means and SEM of quadruplicate wells from one of two similar experiments are shown. p < 0.05 between similarly marked groups.

 
IL-6 promotes IL-10 production which in turn also inhibits IL-12 and IFN-{gamma} production

Egg injection led to the enhanced production of IL-10 in cultures from egg-injected vs PBS-injected mice after 72 h of in vitro stimulation with anti-CD3, and this increased production was absent in cultures from IL-6-/- mice (Fig. 5Goa). Intracellular cytokine staining revealed that T cells, both CD4 and CD8, were the primary producers of IL-10 in vitro (data not shown). Macrophages, which comprised less than 5% of the LN population, and B cells did not produce significant levels of IL-10 (data not shown). Ab-mediated neutralization of IL-6 in WT cultures reduced the IL-10 to levels seen in IL-6-/- mice, and addition of exogenous IL-6 brought the levels of IL-10 in the supernatant of IL-6-/- cultures to those measured in WT cultures (Fig. 5Gob). The positive regulation of IL-10 by IL-6 suggests that the anti-inflammatory properties of IL-6 may be due in part to IL-10.



View larger version (19K):
[in this window]
[in a new window]
 
FIGURE 5. a and b, Egg-induced IL-6 promotes IL-10 production. a, In the absence of IL-6, IL-10 production by anti-CD3-stimulated LN cells is not enhanced after egg injection compared with PBS injection. b, Neutralization of IL-6 (10 µg/ml anti-IL-6 mAb) in vitro reduced IL-10 production by anti-CD3-stimulated LN cells from egg-injected WT mice to the levels seen in IL-6-/- LN cultures, and addition of exogenous IL-6 (10 ng/ml) increased IL-10 production in IL-6-/- LN cultures to the levels observed in WT LN cultures. c, Addition of neutralizing anti-IL-10 mAb enhanced IL-12 levels in WT and IL-6-/- LN cultures, and exogenous IL-10 reduced IL-12 levels in WT and IL-6-/- LN cultures. LN cells were isolated 1 day after egg injection, cultured at 106 cells/well in 96-well plates, and stimulated with anti-CD3 for 72 h. Normal rat Ig was added to control wells. IL-10 and IL-12p40 production was determined by ELISA. The means and SEM of triplicate wells from two to six similar experiments are shown. p < 0.05 between similarly marked groups.

 
To determine whether the inhibition of IL-12 production by IL-6 was through the enhancement of IL-10, a potent down-regulator of IL-12 (18, 28), IL-10 was neutralized in WT cultures and rIL-10 was added to IL-6-/- cultures. As shown in Fig. 5Goc, neutralization of IL-10 in vitro enhanced IL-12 production, whereas the addition of exogenous IL-10 substantially reduced IL-12 levels in WT and IL-6-/- LN cultures. Both IL-6 and IL-10 appear to manifest similar down-regulatory effects on IL-12 production (Figs. 3Gob and 5c). However, IL-10 can act alone in regulating IL-12 production because the addition of IL-10 in the absence of IL-6 (IL-6-/- cultures) reduced IL-12 production (Fig. 5Goc). The effect of IL-6 on IL-12 is in part independent of IL-10 because the addition of exogenous IL-6 to WT cultures treated with anti-IL-10 resulted in a reduced production of IL-12 compared with the results from anti-IL-10 treatment alone (data not shown). In addition, the neutralization of both IL-6 and IL-10 in WT cultures led to greatly increased levels of IL-12 (2875 ± 156 pg/ml) compared with either anti-IL-10 alone (1408 ± 130; Fig. 5Goc) or anti-IL-6 alone (562 ± 14; Fig. 3Gob). These results suggest that although IL-10 and IL-6 can each independently inhibit IL-12 production, part of the effect of IL-6 on IL-12 production is due to IL-6-induced IL-10 production.

IL-10 is also a strong inhibitor of IFN-{gamma} production (29, 30), and therefore the reduced IFN-{gamma} production seen after addition of exogenous IL-6 could be a result of an increase in IL-10. To determine whether this was the case, IL-6 and IL-10 were either neutralized or the exogenous cytokine was added in vitro, and the relative change in IFN-{gamma} production was measured. As with IL-12 production, both IL-6 and IL-10 were capable of reducing IFN-{gamma} production (Fig. 6Goa); the difference in the activities of the two cytokines lays in the kinetics of the inhibition. Whereas rIL-6 reduced IFN-{gamma} levels within the first 24 h of culture, IL-10 was more effective after 72 h of in vitro culture (data not shown). Additionally, neutralization of IL-6 in cultures from egg-injected WT mice was more effective than the neutralization of IL-10 at increasing IFN-{gamma} levels within the first 24 h of culture (data not shown) when IL-6 but not IL-10 levels were high (Fig. 6Gob). As with IL-12 production, neutralization of both IL-10 and IL-6 elevated IFN-{gamma} levels above those seen in cultures in which either cytokine was neutralized alone (Fig. 6Goa). The different effects of IL-6 and IL-10 on IFN-{gamma} production argue that while part of the negative effect of IL-6 may be mediated through IL-10, IL-6 also has a direct effect on IFN-{gamma} (Fig. 6Goa). Furthermore, this direct negative regulation of IFN-{gamma} may be important at very early time points after priming when IL-6 but not IL-10 has been up-regulated.



View larger version (29K):
[in this window]
[in a new window]
 
FIGURE 6. a, IL-6 and IL-10 can independently regulate IFN-{gamma} production by anti-CD3-stimulated LN cells from egg-injected WT mice. b, IL-6 levels are greater after 24- than after 72-h culture, whereas IL-10 levels are greater after 72 h of in vitro culture with anti-CD3 stimulation. LN cells were isolated 1 day after egg injection, cultured at 106 cells/well in 96-well plates, and stimulated with anti-CD3 for 72 h with treatments as indicated (+). IFN-{gamma}, IL-10, and IL-6 production were determined by ELISA. The means and SEM of triplicate wells from one to six similar experiments are shown. a, The p values between untreated WT and samples marked with * are <0.05. b, The p values between similarly marked groups are <0.05.

 
Independent of IL-6, IL-12 promotes IL-10 production

Although IL-6 is an important inducer of IL-10 (31), it is clearly not the sole agent responsible because IL-10 is produced by IL-6-/- LN cells, albeit at lower levels than those in WT cultures. To determine whether the increased production of IL-12 or IFN-{gamma} by cells from IL-6-/- mice could be promoting the production of IL-10, the effect of neutralizing IL-12 or IFN-{gamma} on IL-10 production in vitro was studied. Whereas the neutralization of IFN-{gamma} had only a marginal effect on IL-10 production by IL-6-/- LN cells from egg-injected mice (data not shown), anti-IL-12 mAb significantly reduced the levels of IL-10 detected in the cultures (Fig. 7Go). Addition of rIL-12 further increased the levels of IL-10 in IL-6-/- cultures (Fig. 7Go) to those detected in WT cultures. These results give additional evidence that IL-12 in addition to IL-6 may act to promote the resolution of an immune response through the induction of the anti-inflammatory cytokine, IL-10.



View larger version (33K):
[in this window]
[in a new window]
 
FIGURE 7. IL-12 promotes IL-10 production in the absence of IL-6. Neutralization of IL-12 in vitro with anti-murine IL-12 mAb (10 µg/ml) reduced IL-10 production in IL-6-/- but not WT mice. LN cultures were stimulated, and addition of exogenous IL-12 (10 ng/ml) enhanced IL-10 production in IL-6-/- but not WT LN cultures. LN cells were isolated 1 day after egg injection, cultured at 106 cells/well in 96-well plates, and stimulated with anti-CD3 for 72 h. IL-10 levels in culture supernatants were determined by ELISA. The means and SEM of triplicate wells from one of two similar experiments are shown. p < 0.05 between similarly marked groups.

 
IL-10 production results in the down-regulation of IL-6 production

IL-10 has been shown to be important in the resolution of the inflammatory response by its ability to down-regulate the Th1-associated cytokines IL-12 (18, 28) and IFN-{gamma} (29, 30) and also the Th2 cytokines IL-4 (32) and IL-6 (33). To understand whether IL-10 could also be important for the control of IL-6 production in our model, the effect of IL-10 on IL-6 was investigated. After the addition of neutralizing anti-IL-10 mAb, the production of IL-6 was elevated, whereas the addition of rIL-10 decreased the levels detected in LN cultures from egg-injected WT mice (Fig. 8Go). A similar pattern was seen in LN cultures from PBS-injected mice, albeit at lower levels (data not shown). Taken together these data suggest that in a manner similar to the counterregulation of IL-12 and IL-6, IL-6 promotes the production of IL-10, which in turn down-regulates the production of IL-6 and hence allows for the resolution of the innate response.



View larger version (13K):
[in this window]
[in a new window]
 
FIGURE 8. IL-10 down-regulates IL-6 production. Neutralization of IL-10 in vitro results in increased IL-6 production, and addition of exogenous IL-10 reduced IL-6 production by LN cells from egg-injected WT mice. LN cells were isolated 1 day after egg injection, cultured at 106 cells/well in 96-well plates, and stimulated with anti-CD3 for 72 h. Normal rat Ig was added to control wells. IL-6 levels in culture supernatants were determined by ELISA. The means and SEM of triplicate wells from one of three similar experiments are shown. p < 0.05 between similarly marked groups.

 
In the absence of IL-6, type 1 response development is not prevented ("down-modulated")

To discern whether the enhanced type 1 response in LN cells from egg-injected IL-6-/- mice had any effect on Th response development, cytokine production by LN cells isolated 7 days after egg injection was examined. At this time point, previous studies showed that the Ag-specific Th2 cytokine response was not abolished in the absence of IL-6 (5). Subsequent studies focusing on type 1 responses revealed that IFN-{gamma} production was not down-modulated in LN cultures from IL-6-/- mice 7 days after egg injection vs PBS injection, as was seen with WT mice (Fig. 9Goa). Furthermore, spleen cells from infected IL-6-/- mice also failed to down-regulate IFN-{gamma} production after anti-CD3 stimulation, in contrast to the marked reduction in IFN-{gamma} levels in cultures of splenocytes from infected vs uninfected WT mice (Fig. 9Gob). Taken together, these data indicate that while IL-6 is not necessary for Th2 response development, it may be responsible for controlling type 1 cytokine production (most notably IFN-{gamma} production) during schistosome infection.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The events which occur immediately after exposure to schistosome eggs direct the development of a strong Th2 response. Several groups have shown using different models that within 24 h IL-6, IL-10, IL-12, and IL-5 are produced in the LN (5, 15), lung (22), or peritoneal cavity (13, 34, 35) in response to eggs, yet the sequence of these events and the relationships between these mediators at one particular site has not been fully investigated. In this report, the interrelationships between IL-12, IL-6, IFN-{gamma}, and IL-10 in T cell-dependent responses were studied and particular emphasis was placed on the role of IL-6 in directing the early immune response. Previous studies have shown that the absence of IL-6 does not abolish the production of type 2 cytokines (IL-4 and IL-5) nor does it ultimately affect the development of Ag-specific Th2 cells (5, 36). This study extends the previous findings by demonstrating that the absence of IL-6 instead enhances the production of IL-12 and IFN-{gamma} and leads to decreased IL-10 production. These results suggest that although IL-6 does not appear to be necessary for the development of Ag-specific Th2 cells, one mechanism by which strong egg-specific Th2 effector responses may be maintained is through IL-6-mediated suppression of the type 1 response.

Exposure to eggs results in the induction of IL-6 transcripts as well as the increased production of IL-6 in anti-CD3 or LPS-stimulated in vitro LN cultures (5). Increased levels also have been found in the lungs of mice 1–3 days after the i.v. injection of eggs (22). Although these studies have shown that IL-6 is up-regulated in response to eggs, neither have identified the factor mediating IL-6 production. This study found that IL-12 is an important cytokine in mediating IL-6 up-regulation, for in the absence of IL-12, reduced IL-6 levels were detected. When exogenous IL-12 was added to the cultures, IL-6 production was enhanced. The induction of IL-6 production by IL-12 has been shown before in murine CD5+ and CD5- B cells (37); however, in this model CD4 T cells and macrophages are the principle IL-6 producers. The up-regulation of IL-6 may be a direct effect of IL-12 but also may be an indirect result of IL-12-mediated TNF-{alpha} production (17), a known inducer of IL-6 (1). In either case, these results indicate that the optimal induction of IL-6 after egg injection is ultimately the result of IL-12 up-regulation.

The finding of IL-12-producing cells in the draining LN 24 h after egg injection suggests that one of the initial events that occurs after the exposure to eggs is the induction of IL-12 production. Egg-specific induction of IL-12 transcripts in the lungs has been shown before in a study by Wynn et al. (22) in which NK-derived IFN-{gamma} played a major role in IL-12 induction in vivo. In contrast, we found that optimal IFN-{gamma} production in vitro was dependent on IL-12 production during in vivo priming. These differences may be due to different cellular compositions, for NK cells were found to be a minor population (<1%) in the popliteal LN (our unpublished observations), or due to the use of different mouse strains (C3H/HeN vs C57BL/6 and C57BL/6 x 129SV). This report shows enhanced IL-12 production after in vitro stimulation of LN cells with anti-CD3 or LPS. This production of IL-12 after T cell-dependent stimulation (anti-CD3) but not after T cell-independent stimulation (LPS) required CD40-CD40L interactions (18, 38) and therefore suggests that part of the in vivo priming that occurs after egg injection may be the induction of CD40L expression on T cells or the induction of CD40 on APC. Because macrophages and/or dendritic cells, which are the most likely cellular source of the IL-12 in LN cultures, comprise <5% of the LN population (Ref. 5 and data not shown), the moderately high levels of IL-12 detected in the LN cultures indicate that on a per-cell basis egg injection strongly primes for IL-12 production.

After IL-12-induced IL-6 production, IL-12 is negatively regulated by IL-6. The down-regulation of IL-12 by IL-6 has previously been described by Takenaka et al. (18), who focused on the independent effects of IL-4, IL-10, and IL-6 on T cell-dependent and -independent IL-12 production. Takenaka et al. (18) clearly showed that IL-6 could inhibit CD40-CD40L-dependent (T cell-dependent) IL-12 production and that IL-10 could inhibit both T cell-independent (LPS-stimulated) and -dependent IL-12 production. Our results concur with this study and indicate that after egg injection IL-6 may inhibit T-cell-dependent IL-12 production through several possible pathways. First, IL-6 may directly inhibit IL-12 production as suggested by Takenaka et al. (18). Second, IL-6 may work indirectly through the promoting IL-10 or by directly inhibiting IFN-{gamma} at early time points when IFN-{gamma} strongly enhances IL-12 production. Because the addition of rIL-10 reduces IL-12 levels in cultures from IL-6-/- mice, our results argue that IL-12 down-regulation is not solely a direct effect of IL-6. Despite that, neutralization of both IL-10 and IL-6 results in IL-12 levels greater than those found with neutralization of either cytokine alone, suggesting that IL-6 can inhibit IL-12 production independently of IL-10, possibly through inhibiting IFN-{gamma} production. Although it is well established that IL-10 is a potent inhibitor of IL-12 production (17, 18, 28), this study proposes that IL-6 may be an intermediary in that pathway as well as having a direct inhibitory effect on T cell-dependent IL-12 production.

In conjunction with the increased levels of IL-12 produced in the absence of IL-6, IFN-{gamma} levels were also greatly increased. Despite the established role for IL-10 in down-regulating IFN-{gamma} (29, 30), this study points toward a role for IL-6 in negatively affecting IFN-{gamma} production at early time points before the induction of IL-10. Several investigators using different model systems have also shown enhanced IFN-{gamma} production in the absence of IL-6 (19, 20, 21). In our studies, egg-induced IL-12 production led to an early and transient increase in IFN-{gamma} production, which is consistent with the development of the early Th0 response as has been described previously (15). Along with this increase in IFN-{gamma}, IL-12 induced IL-6, which in turn down-regulates IL-12 and IFN-{gamma}. The down-regulation of IFN-{gamma} production is most evident 7 days after egg injection and, as at 1 day, does not occur in cultures from IL-6-/- mice. Similar results were found using splenocytes from infected WT and IL-6-/- mice. Because reduced levels of IFN-{gamma} are not seen after egg injection or after natural schistosome infection in the absence of IL-6, these data suggest that type 1 responses in part may be controlled directly or indirectly through IL-6.

IL-6 has been classified as an anti-inflammatory cytokine (1, 21). The finding that IL-6 induces IL-10 production as well as its role in inhibiting IFN-{gamma} may account for some of its anti-inflammatory properties. Nishimura et al. (31) have shown that IL-6 promotes IL-10 production using a model of UV-induced skin damage, and our results expand upon that finding by showing that IL-6 can enhance IL-10 production by CD4 and CD8 T cells after injection with schistosome eggs. The enhancement of IL-10 is implicated in the down-regulation of IL-12 seen after the addition of exogenous IL-6 to LN cultures from egg-injected WT mice. In further support, in LN cultures from IL-6-/- mice, which produce significantly reduced IL-10 levels, IL-12 production is increased. Addition of exogenous IL-6 or exogenous IL-10 are equally effective in reducing IL-12 levels in the IL-6-/- cultures to those in WT cultures. Despite the evidence that IL-10 is the major negative regulator of IL-12 in this system, the possible contributions of IL-6 in reducing IFN-{gamma} and therefore IL-12 production must not discounted.

Along with the observation that IL-6 is a major inducer of IL-10 (31) is the finding that IL-12 can induce IL-10 independently of IL-6. Studies by Finkelman et al. (39) and Wynn et al. (40) have shown that during immune responses to parasitic worms or worm Ags, administration of exogenous IL-12 results in increased IL-10 mRNA in the mesenteric LN, Peyer’s patch, or lungs of mice. The induction of IL-10, specifically in T cells, by IL-12 has also been reported before but primarily in human T cells (41, 42). Our work supports these findings and additionally demonstrates that the induction of IL-10 by IL-12 is independent of IL-6, suggesting that IL-12 itself is important not only in the initial priming of the immune response to eggs but also in up-regulating factors that control the resolution of that response.

Previous work has shown that Th2 response development is not abolished in the absence of IL-6 (5, 36). Although reduced levels of IL-4 are produced by IL-6-/- CD4 T cells isolated 1 day after egg injection compared with levels produced by WT CD4 T cells, Ag-specific IL-4 and IL-5 production are equivalent by 7 days after egg injection (5). From this work we concluded that IL-6 was not essential for the development of a Th2 response. The results presented here suggest that instead of controlling Th2 responses, IL-6 appears to play a role in controlling type 1 responses. Although an egg-specific Th1 response does not develop 7 days after egg injection of IL-6-/- mice (5) or after infection of IL-6-/- mice (36), the reduced levels of IFN-{gamma} are not found when IL-6-/- cells are polyclonally stimulated (i.e., anti-CD3), suggesting that the IFN-{gamma}-producing cells are not inhibited by the presence of Ag-specific Th2 cells in the absence of IL-6. In addition to the direct effect on controlling type 1 responses, IL-6 can mediate its effects through IL-10. In support of this conclusion, we found that in the absence of IL-6, Ag-specific IL-10 production by LN cells 7 days after egg injection was reduced (5). Further studies are underway to assess the potential effect of IL-6 on Th1 and Th2 effector functions (i.e., granuloma size and fibrosis) in vivo during infection with S. mansoni. Taken together these studies implicate IL-6 directly and indirectly through IL-10 in regulating type 1 responses after exposure to schistosome eggs.

The regulation of Th2 responses by IL-12 after injection of schistosome eggs was previously investigated by Wynn et al. (22, 40, 43). In their system, the administration of exogenous IL-12 at the time of egg injection led to decreased Th2 responses in WT mice. However, in IFN-{gamma}-/- mice, Th2 responses were not reduced (40). The authors concluded from these data that IL-12 diminished Th2 responses indirectly by stimulating IFN-{gamma} production in vivo. Our results suggest that in addition to this pathway, another pathway exists whereby IL-12 can indirectly control Th2 responses after exposure to schistosome eggs. We have found that IL-12-induced IL-6 leads to IL-10 production, which in turn regulates both type 1 and Th2 responses. Therefore, although the absence of IL-6 does not lead to diminished Th2 responses despite increased IFN-{gamma} production, this finding can be explained by the significantly reduced IL-10 production without IL-6. Together, these two counterregulating pathways balance the type of immune response that develops after exposure to schistosome eggs.


    Acknowledgments
 
We thank Dr. E. A. Patton for helpful discussions.


    Footnotes
 
1 This work was supported by National Institutes of Health Grant RO1-A132573 (to E.J.P.). A.C.L. was supported by National Research Service Award AI10151. A.S.M. was supported by the Wellcome Trust. Schistosome life cycle stages for this work were supplied through National Institutes of Health-National Institute of Allergy and Infectious Diseases Contract NO1-AI-55270. Back

2 Address correspondence and reprint requests to Dr. Edward J. Pearce, Department of Microbiology and Immunology, C5-165 Veterinary Medical Center, Cornell University, Ithaca, NY 14853. E-mail address: Back

3 Abbreviations used in this paper: CD40L, CD40 ligand; LN, lymph node; WT, wild type. Back

Received for publication October 15, 1999. Accepted for publication December 22, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Akira, S., T. Taga, T. Kishimoto. 1993. Interleukin-6 in biology and medicine. Adv. Immunol. 54:1.[Medline]
  2. Silvennoinen, O., J. N. Ihne. 1996. Biology and characterization of hematopoietic cytokines. Signaling by the Hematopoietic Cytokine Receptors Chapman & Hall, New York.
  3. Hirano, T., T. Taga, N. Nakano, K. Yasukawa, S. Kashiwamura, K. Shimizu, K. Nakajima, K. H. Pyum, T. Kishimoto. 1985. Purification to homogeneity and characterization of human B cell differentiation factor. Proc. Natl. Acad. Sci. USA 85:5490.
  4. Uyttenhove, C., P. G. Coulie, J. Van Snick. 1988. T cell growth factor and differentiation induced by interleukin-HPI/IL-6, the murine hybridoma/plastocytoma growth factor. J. Exp. Med. 167:1417.[Abstract/Free Full Text]
  5. La Flamme, A. C., E. J. Pearce. 1999. The absence of IL-6 does not affect Th2 cell development in vivo, but does lead to impaired proliferation, IL-2 receptor expression, and B cell responses. J. Immunol. 162:5829.[Abstract/Free Full Text]
  6. Giraudo, E., M. Arese, C. Toniatti, M. Strasly, L. Primo, A. Mantovani, G. Ciliberto, F. Bussolino. 1996. IL-6 is an in vitro and in vivo autocrine growth factor for middle T antigen-transformed endothelial cells. J. Immunol. 157:2618.[Abstract]
  7. Noma, T., T. Mizuta, A. Rosen, T. Hirano, T. Kishimoto, T. Honjo. 1987. Enhancement of interleukin-2 receptor expression on T cells by multiple B-lymphotropic lymphokines. Immunol. Lett. 15:249.[Medline]
  8. Lorre, K., J. Van Damme, J. Verwilghen, M. L. Baroja, J. L. Ceuppens. 1990. IL-6 is an accessory signal in the alternative CD2-mediated pathway of T cell activation. J. Immunol. 144:4681.[Abstract]
  9. Takai, Y., G. G. Wong, S. C. Clark, S. J. Burakoff, S. H. Herrmann. 1988. B cell stimulatory factor-2 is involved in the differentiation of cytotoxic T lymphocytes. J. Immunol. 140:508.[Abstract]
  10. Steel, D. M., A. S. Whitehead. 1994. The major acute phase reactants. Immunol. Today 15:81.[Medline]
  11. Rincon, M., J. Anguita, T. Nakamura, E. Fikrig, R. A. Flavell. 1997. Interleukin-6 directs the differentiation of IL-4-producing CD4 T cells. J. Exp. Med. 185:461.[Abstract/Free Full Text]
  12. Grzych, J. M., E. J. Pearce, A. Cheever, A. Caulada, P. Caspar, S. Hieny, F. A. Lewis, A. Sher. 1991. Egg deposition is the major stimulus for the production of Th2 cytokines in murine Schistosoma mansoni. J. Immunol. 146:1322.[Abstract]
  13. Sabin, E. A., E. J. Pearce. 1995. Early IL-4 production by non-CD4 cells at the site of antigen deposition predicts the development of a T helper 2 cell response to Schistosoma mansoni eggs. J. Immunol. 155:4844.[Abstract]
  14. Wynn, T. A., I. Eltoum, A. W. Cheever, F. A. Lewis, W. C. Gause, A. Sher. 1993. Analysis of cytokine mRNA expression during primary granuloma formation induced by eggs of Schistosoma mansoni. J. Immunol. 151:1430.[Abstract]
  15. Vella, A. T., E. J. Pearce. 1992. CD4+ Th2 response induced by Schistosoma mansoni eggs develops rapidly, through an early, transient, Th0-like stage. J. Immunol. 148:2283.[Abstract]
  16. Pearce, E. J., P. Caspar, J. M. Grzych, F. A. Lewis, A. Sher. 1991. Downregulation of Th1 cytokine production accompanies the induction of Th2 responses by a parasitic helminth, Schistosoma mansoni. J. Exp. Med. 173:159.[Abstract/Free Full Text]
  17. Trinchieri, G.. 1998. Interleukin-12: a cytokine at the interface of inflammation and immunity. Adv. Immunol. 70:83.[Medline]
  18. Takenaka, H., S. Marou, N. Yamamoto, M. Wysocka, S. Ono, M. Kobayashi, H. Yagita, K. Okumura, T. Hamaoka, G. Trinchieri, H. Fujiwara. 1997. Regulation of T cell-dependent and -independent IL-12 production by the three Th2-type cytokines IL-10, IL-6, and IL-4. J. Leukocyte Biol. 61:80.[Abstract]
  19. Mizuhara, H., M. Uno, N. Seki, M. Yamashita, M. Yamaoka, T. Ogawa, K. Kaneda, T. Fujii, H. Senoh, H. Fujiwara. 1996. Critical involvement of interferon {gamma} in the pathogenesis of T-cell activation-associated hepatitis and regulatory mechanisms of interleukin-6 for the manifestations of hepatitis. Hepatology 23:1608.[Medline]
  20. Yamamoto, N., J. P. Zou, X. F. Li, H. Takenaka, S. Noda, T. Fujii, S. Ono, Y. Kobayashi, N. Mukaida, K. Matsushima, H. Fujiwara, T. Hamaoka. 1995. Regulatory mechanisms for the production of IFN-{gamma} and TNF by antitumor T cells or macrophages in the tumor-bearing state. J. Immunol. 154:2281.[Abstract]
  21. Xing, Z., J. Gauldie, G. Cox, H. Baumann, M. Jordana, X. Lei, M. K. Achong. 1998. IL-6 is an anti-inflammatory cytokine required for controlling local and systemic acute inflammatory responses. J. Clin. Invest. 101:311.[Medline]
  22. Wynn, T. A., I. Eltoum, I. P. Oswald, A. W. Cheever, A. Sher. 1994. Endogenous interleukin 12 (IL-12) regulates granuloma formation induced by eggs of Schistosoma mansoni and exogenous IL-12 both inhibits and prophylactically immunizes against egg pathology. J. Exp. Med. 179:1551.[Abstract/Free Full Text]
  23. Boros, D. L., K. S. Warren. 1970. Delayed hypersensitivity-type granuloma formation and dermal reaction induced and elicited by a soluble factor isolated from Schistosoma mansoni eggs. J. Exp. Med. 132:488.[Abstract]
  24. Boctor, F. N., T. E. Nash, A. W. Cheever. 1979. Isolation of a polysaccharide antigen from Schistosoma mansoni eggs. J. Immunol. 122:39.[Abstract/Free Full Text]
  25. Vella, A. T., E. J. Pearce. 1994. Schistosoma mansoni egg-primed Th0 and Th2 cells: failure to downregulate IFN-{gamma} production following in vitro culture. Scand. J. Immunol. 39:12.[Medline]
  26. Rosa-Brunet, L., F. D. Finkelman, A. W. Cheever, M. A. Kopf, E. J. Pearce. 1997. IL-4 protects against TNF-{alpha}-mediated cachexia and death during acute schistosomiasis. J. Immunol. 159:777.[Abstract]
  27. Mosmann, T. R., T. A. T. Fong. 1989. Specific assays for cytokine production by T cells. J. Immunol. Methods 116:151.[Medline]
  28. McDyer, J. F., C. Wu, R. A. Seder. 1998. The regulation of IL-12: its role in infectious, autoimmune, and allergic diseases. J. Allergy Clin. Immunol. 102:11.[Medline]
  29. Fiorentino, D. F., M. W. Bond, T. R. Mosmann. 1989. Two types of mouse T helper cell. IV. Th2 clones secrete a factor that inhibits cytokine production by Th1 clones. J. Exp. Med. 170:2081.[Abstract/Free Full Text]
  30. Hsu, D. H., K. W. Moore, H. Spits. 1992. Differential effects of IL-4 and IL-10 on interleukin-2-induced interferon-{gamma} synthesis and lymphokine-activated killer activity. Int. Immunol. 4:563.[Abstract/Free Full Text]
  31. Nishimura, N., C. Tohyama, M. Satoh, H. Nishimura, V. E. Reeve. 1999. Defective immune response and severe skin damage following UVB irradiation in interleukin-6-deficient mice. Immunology 97:77.[Medline]
  32. Wynn, T. A., R. Morawetz, T. Scharton-Kersten, S. Hieny, H. C. Morse, R. Kuhn, W. Muller, A. W. Cheever, A. Sher. 1997. Analysis of granuloma formation in double cytokine-deficient mice reveals a central role for IL-10 in polarizing both T helper cell 1- and T helper cell 2-type cytokine responses in vivo. J. Immunol. 159:5023.
  33. Fiorentino, D. F., A. Zlotnik, T. R. Mosmann, M. Howard, A. O’Garra. 1991. IL-10 inhibits cytokine production by activated macrophages. J. Immunol. 147:3815.[Abstract]
  34. Sabin, E. A., M. A. Kopf, E. J. Pearce. 1996. Schistosoma mansoni eggs-induced early IL-4 production is dependent upon IL-5 and eosinophils. J. Exp. Med. 184:1871.[Abstract/Free Full Text]
  35. Harn, D. A., P. Velupillai. 1994. LNFP-III elevates B-1 cells in the peritoneal cavity and may indirectly regulate CD4+ T cells. FASEB J. 8:A471.
  36. Blum, A. M., A. Metwali, D. Elliott, J. Li, M. Sandor, J. V. Weinstock. 1998. IL-6-deficient mice form granulomas in murine schistosomiasis that exhibit an altered B cell response. Cell. Immunol. 188:64.[Medline]
  37. Spencer, N. F., R. A. Daynes. 1997. IL-12 directly stimulates expression of IL-10 by CD5+ B cells and IL-6 by both CD5+ and CD5- B cells: possible involvement in age-associated cytokine dysregulation. Int. Immunol. 9:745.[Abstract/Free Full Text]
  38. Grewal, I. S., R. A. Flavell. 1998. CD40 and CD154 in cell-mediated immunity. Annu. Rev. Immunol. 16:111.[Medline]
  39. Finkelman, F. D., K. D. 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]
  40. 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]
  41. Gerosa, F., C. Paganin, D. Peritt, F. Paiola, M. T. Scupoli, M. Aste-Amezaga, I. Frank, G. Trinchieri. 1996. Interleukin-12 primes human CD4 and CD8 T cell clones for high production of both interferon-{gamma} and interleukin-10. J. Exp. Med. 183:2559.[Abstract/Free Full Text]
  42. Windhagen, A., D. E. Anderson, A. Carrizosa, R. E. Williams, D. A. Hafler. 1996. IL-12 induces human T cells secreting IL-10 with IFN-{gamma}. J. Immunol. 157:1127.[Abstract]
  43. Oswald, I. P., P. Caspar, D. Jankovic, T. A. Wynn, E. J. Pearce, A. Sher. 1994. IL-12 inhibits Th2 cytokine responses induced by eggs of Schistosoma mansoni. J. Immunol. 153:1707.[Abstract]



This article has been cited by other articles:


Home page
Infect. Immun.Home page
S. Wilson, F. M. Jones, J. K. Mwatha, G. Kimani, M. Booth, H. C. Kariuki, B. J. Vennervald, J. H. Ouma, E. Muchiri, and D. W. Dunne
Hepatosplenomegaly Is Associated with Low Regulatory and Th2 Responses to Schistosome Antigens in Childhood Schistosomiasis and Malaria Coinfection
Infect. Immun., May 1, 2008; 76(5): 2212 - 2218.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
K. N. Taylor, V. R. Shinde-Patil, E. Cohick, and Y. L. Colson
Induction of FoxP3+CD4+25+ Regulatory T Cells Following Hemopoietic Stem Cell Transplantation: Role of Bone Marrow-Derived Facilitating Cells
J. Immunol., August 15, 2007; 179(4): 2153 - 2162.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
B. Schieffer, T. Selle, A. Hilfiker, D. Hilfiker-Kleiner, K. Grote, U. J.F. Tietge, C. Trautwein, M. Luchtefeld, C. Schmittkamp, S. Heeneman, et al.
Impact of Interleukin-6 on Plaque Development and Morphology in Experimental Atherosclerosis
Circulation, November 30, 2004; 110(22): 3493 - 3500.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. Kourilova, K. G. Hogg, L. Kolarova, and A. P. Mountford
Cercarial Dermatitis Caused by Bird Schistosomes Comprises Both Immediate and Late Phase Cutaneous Hypersensitivity Reactions
J. Immunol., March 15, 2004; 172(6): 3766 - 3774.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
I. L. Dodge, M. W. Carr, M. Cernadas, and M. B. Brenner
IL-6 Production by Pulmonary Dendritic Cells Impedes Th1 Immune Responses
J. Immunol., May 1, 2003; 170(9): 4457 - 4464.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
L. H. Hogan, M. Wang, M. Suresh, D. O. Co, J. V. Weinstock, and M. Sandor
CD4+ TCR Repertoire Heterogeneity in Schistosoma mansoni-Induced Granulomas
J. Immunol., December 1, 2002; 169(11): 6386 - 6393.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
M. Rodriguez-Sosa, A. R. Satoskar, R. Calderon, L. Gomez-Garcia, R. Saavedra, R. Bojalil, and L. I. Terrazas
Chronic Helminth Infection Induces Alternatively Activated Macrophages Expressing High Levels of CCR5 with Low Interleukin-12 Production and Th2-Biasing Ability
Infect. Immun., July 1, 2002; 70(7): 3656 - 3664.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
R. Dudani, Y. Chapdelaine, H. van Faassen, D. K. Smith, H. Shen, L. Krishnan, and S. Sad
Preexisting Inflammation Due to Mycobacterium bovis BCG Infection Differentially Modulates T-Cell Priming against a Replicating or Nonreplicating Immunogen
Infect. Immun., April 1, 2002; 70(4): 1957 - 1964.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
D. Deon, S. Ahmed, K. Tai, N. Scaletta, C. Herrero, I.-H. Lee, A. Krause, and L. B. Ivashkiv
Cross-Talk Between IL-1 and IL-6 Signaling Pathways in Rheumatoid Arthritis Synovial Fibroblasts
J. Immunol., November 1, 2001; 167(9): 5395 - 5403.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Cell Physiol.Home page
M. W. Knoferl, D. Jarrar, M. K. Angele, A. Ayala, M. G. Schwacha, K. I. Bland, and I. H. Chaudry
17beta -Estradiol normalizes immune responses in ovariectomized females after trauma-hemorrhage
Am J Physiol Cell Physiol, October 1, 2001; 281(4): C1131 - C1138.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
R. G. Titus, G. K. DeKrey, R. V. Morris, and M. B. P. Soares
Interleukin-6 Deficiency Influences Cytokine Expression in Susceptible BALB Mice Infected with Leishmania major but Does Not Alter the Outcome of Disease
Infect. Immun., August 1, 2001; 69(8): 5189 - 5192.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
J. Liu, K. Tasaka, J. Yang, T. Itoh, M. Yamada, H. Yoshikawa, and Y. Nakajima
Identification of a Novel T-Cell Epitope in Soluble Egg Antigen of Schistosoma japonicum
Infect. Immun., June 1, 2001; 69(6): 4154 - 4158.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. T. Ahmed and L. B. Ivashkiv
Inhibition of IL-6 and IL-10 Signaling and Stat Activation by Inflammatory and Stress Pathways
J. Immunol., November 1, 2000; 165(9): 5227 - 5237.
[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 La Flamme, A. C.
Right arrow Articles by Pearce, E. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by La Flamme, A. C.
Right arrow Articles by Pearce, E. J.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS