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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.


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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{beta}. Th1 or Th1{beta} 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{beta} cells promotes IFN-{gamma} secretion but decreases IL- 17 production. Although antigen-receptor stimulation of Th1{beta} cells stimulates IL-17 production, it also induces the IFN-{gamma} 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-{gamma} to Tbx21-/- Th1{beta} cultures cannot recover the progression to the Th1 phenotype suggesting T-bet, rather than IFN-{gamma}, mediates Th1{beta} to Th1 progression. The transient nature of the Th1{beta} 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{beta} cell fate.


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