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Prepublished online as a Blood First Edition Paper on September 22, 2003; DOI 10.1182/blood-2002-07-2322.

Submitted July 31, 2002
Accepted September 4, 2003
Interleukin-18 attracts plasmacytoid dendritic cells (DC2) and promotes Th1 induction by DC2 through IL-18 receptor expression
Arthur Kaser, Susanne Kaser, Nicole C Kaneider, Barbara Enrich, Christian J Wiedermann, and Herbert Tilg*
Department of Medicine, Division of Gastroenterology and Hepatology, University Hospital Innsbruck, Innsbruck, Austria
Department of Medicine, Division of General Internal Medicine, University Hospital Innsbruck, Innsbruck, Austria
* Corresponding author; email: Herbert.Tilg{at}uibk.ac.at.
In vivo evidence suggests that interleukin-18 (IL-18) shapes the development of adaptive immunity toward T helper cell type 1 (Th1) responses. Monocyte-derived dendritic cells 1 (DC1) preferentially induce a Th1 response, while plasmacytoid DC-derived DC2 have been linked to a Th2 response. We analyzed the role of IL-18 during the initiation phase of a Th response in vitro to elucidate the basis of the aforementioned in vivo observations. IL-18 was constitutively released from DC1, but not DC2. Neutralization of IL-18 in co-culture experiments of DC1 with allogeneic naive T lymphocytes did not alter the Th1/Th2 phenotype, while anti-IL-12 efficiently downregulated the Th1 response. Unexpectedly, IL-18R and chain were expressed on DC2 lineage. IL-18R expression was functional as IL-18 induced chemotaxis in plasmacytoid DC (pre-DC2), and enhanced the allostimulatory capacity of IL-3-differentiated DC2. Pre-DC2 exposed to IL-18 skewed the development of Th cells toward Th1 in co-culture experiments of DC2 and allogeneic naive T cells, which was inhibited by IL-12 p70 neutralization. IL-18 might have a profound role during the initiation phase of an immune response by recruiting pre-DC2 and modulating the function of DC2.

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