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TH2 cells in systemic autoimmunity: insights
from allogeneic diseases and chemically-
induced autoimmunity
Michel Goldman, Philippe Druet
and Ernst Gleichmann
Systemic autoimmune diseases can be induced experimentally in rodents by
graft-versus-host or host-versus-graft reactions and by chemicals such as HgCl2,
gold salts and D-penicillamine. These models share several features, such as
production of anti-nuclear antibodies, immune glomerulonephritis, MHC class
H hyperexpression on B cells, hyper-lgE, increased IL-4 activity and impair-
ment of IL-2 production. This profile of cytokines suggests a central role for
TH2-type cells in their pathogenesis. Here, Michel Goldman and colleagues
review the data supporting this hypothesis and discuss the possible molecular
bases for T-cell activation in chemically-induced systemic autoimmunity.
Evidence for a functional dichotomy among mouse
CD4 + T-celt clones suggests the existence of two subsets
among fully differentiated helper T cells, namely TH1
cells which produce interleukin 2 (1L-2), gamma-
interferon (IFN-~), lymphotoxin, granulocyte-
macrophage colony-stimulating factor (GM-CSF) and
IL-3, and TH2 cells synthesizing IL-4, IL-5, IL-6, GM-
CSF and IL-3 (Refs 1,2). Although the ontogeny of these
helper T-cell subsets is largely unknown, there is already
evidence that they may play important roles in the modu-
lation of immune responses against foreign antigens in
vivo. For example, the level of infection with Leishmania
major in mice depends on the activity of distinct parasite-
specific CD4 + cells 3, and two different patterns of
lymphokine secretion corresponding to TH1 and Trt2
cells have been observed in mice during an immune
response to human collagen type IV (Ref. 4).
Since it is likely that distinct lymphokines are involved
in different autoimmune diseases, the respective roles of
Tiql and TH2 cells in the induction of autoimmune
responses should also be considered. As far as TH1-
derived cytokines are concerned, IFN-~ might favour
autoimmunity in tissues where it induces expression of
major histocompatibility complex (MHC) class II mol-
eculess, and the possible involvement of IL-2 in auto-
immune diseases has recently been reviewed in this
journal 6. Here, we will focus on the possible role of TH2
cells in the pathogenesis of systemic autoimmune diseases
that are experimentally induced by "allogeneic inter-
actions or chemicals.
© 1991, Elsevier Science Publishers Ltd, UK. 0167--4919/91/$02.00
Immunology Today 223 rot 12 No. 7 1991