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Blood, 1 September 2006, Vol. 108, No. 5, pp. 1595-1601.
Prepublished online as a Blood First Edition Paper on May 2, 2006; DOI 10.1182/blood-2006-04-015016.
Previous Article | Next Article 
Submitted April 4, 2006
Accepted April 20, 2006
T-bet is a Critical Determinant in the Instability of
the IL-17-Secreting T-helper Phenotype
Anubhav N Mathur, Hua-Chen Chang, Dimitrios G Zisoulis, Reuben Kapur, Maria Laura Belladonna, Geoffrey S Kansas, and Mark H Kaplan*
Department of Microbiology and Immunology and the Walther Oncology Center, Indiana University
Department of Microbiology-Immunology, Northwestern University
Department of Biochemistry, Indiana University
Department of Experimental Medicine, University of Perugia
* Corresponding author; email: mkaplan2{at}iupui.edu.
IL-23, an IL-12 related cytokine, induces an IL-17-
secreting T-helper phenotype that is involved in
autoimmune diseases and host defense against certain
pathogens. While the transcription factors required for
development of IL-23 stimulated cells are unknown, we
show that T-bet is a critical negative regulator of the
IL-23 primed T-cell phenotype, which we term Th1 .
Th1 or Th1 Tbx21-/- cultures secrete higher than
WT levels of IL-17 in response to TCR or IL-23+IL-18
stimulation. Ectopic T-bet expression in Th1
cells promotes IFN- secretion but decreases IL-
17 production. Although antigen-receptor stimulation of
Th1 cells stimulates IL-17 production, it also
induces the IFN- independent expression of T-bet
and progression to a Th1 cytokine secretion pattern. T-
bet is required for the progression to the Th1 phenotype
as Tbx21-/- Th1 cultures maintain the IL-17 secreting
phenotype after two weeks of culture. Addition of IFN- to Tbx21-/- Th1 cultures cannot recover
the progression to the Th1 phenotype suggesting T-bet,
rather than IFN- , mediates Th1 to Th1
progression. The transient nature of the Th1
phenotype suggests that these cells are a component of
type I immunity and that T-bet expression is a critical
determinant of Th1 versus Th1 cell fate.

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