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Blood, 26 February 2009, Vol. 113, No. 9, pp. 1948-1956.
Prepublished online as a Blood First Edition Paper on December 22, 2008; DOI 10.1182/blood-2008-02-139147.


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Submitted February 26, 2008
Accepted November 19, 2008

Cytokine-induced human IFN{gamma} secreting effector-memory Th-cells in chronic autoimmune inflammation

Arne Sattler, Ulf Wagner, Manuela Rossol, Joachim Sieper, Peihua Wu, Andreas Krause, Wolfgang A Schmidt, Sebastian Radmer, Siegfried Kohler, Chiara Romagnani, and Andreas Thiel*

Clinical Immunology Group, German Rheumatism Research Centre, Berlin, Germany
Department of Medicine IV, University of Leipzig, Leipzig, Germany
Department of Rheumatology, Charite Campus Benjamin Franklin, Berlin, Germany
Rheumaklinik Berlin-Buch, Berlin, Germany
Immanuel Hospital, Berlin, Germany
Berlin-Brandenburg Center for Regenerative Therapies (BCRT), Regenerative Immunology and Aging, Berlin, Germany

* Corresponding author; email: thiel{at}drfz.de.

T-helper (Th)-cells activated by cytokines in the absence of T-cell receptor (TCR) ligation are suspected to participate in inflammatory processes by production of interferon gamma (IFN{gamma}). Still, the relevance of such a mechanism has not been addressed in humans. Here we demonstrate that a subset of human effector-memory Th-cells expressing functional IL-12R, IL-18R{alpha} and CCR5 ex vivo can be induced to secrete IFN{gamma} by cytokines signalling via the IL-2R common {gamma}-chain in combination with IL-12 and IL-18. Cytokine-driven IFN{gamma}-production depends on JAK3- and p38 mitogen-activated kinase-signals and is sensitive to suppression by CD25++ regulatory T-cells. Contrary to IFN{gamma}+ Th-cells induced upon antigen-specific stimulation, their cytokine-activated counterparts characteristically lack expression of costimulator 4-1BB (CD137). Strikingly, the vast majority of Th-cells infiltrating inflamed joints of Rheumatoid Arthritis patients is equipped with receptors prerequisite for cytokine-induced IFN{gamma}-secretion. Amongst these cells, we detected a substantial fraction that secretes IFN{gamma} directly ex vivo but lacks 4-1BB-expression, indicating that cytokine-induced IFN{gamma}+ Th-cells operate in autoimmune inflammation. Our data provide a rationale for how human effector-memory Th-cells can participate in perpetuating inflammatory processes in autoimmunity even in the absence of TCR ligation.


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