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Article
Nature Immunology  5, 337 - 343 (2004)
Published online: 15 February 2004; | doi:10.1038/ni1041

Viral-induced T helper type 1 responses enhance allergic disease by effects on lung dendritic cells

Martin E Dahl1, 4, Karim Dabbagh1, 3, 4, Denny Liggitt2, Sung Kim1 & David B Lewis1

1  Department of Pediatrics and the Immunology Program, Stanford University School of Medicine, Stanford, California 94305, USA.

2  Department of Comparative Medicine, School of Medicine, University of Washington, Seattle, Washington 98195, USA.

3  Present address: Roche Palo Alto, Palo Alto, California, 94304, USA.

4  These authors contributed equally to this work.

Correspondence should be addressed to David B Lewis dblewis@stanford.edu
It is widely accepted that T helper type 1 (TH1) cytokines such as interferon-bold gamma (IFN-bold gamma) antagonize allergic diseases mediated by TH2 cytokines. The 'hygiene hypothesis' has also proposed that decreased childhood exposure to pathogen-derived TH1 cytokines may underlie the recent increased prevalence of asthma, a TH2-mediated disease. We show here that influenza A viral infection, which induces large amounts of intrapulmonary IFN-bold gamma production, unexpectedly enhanced later allergen-specific asthma and promoted dual allergen−specific TH1 and TH2 responses. Pulmonary dendritic cells obtained from the lung after viral clearance and resolution of acute inflammation conferred enhanced allergic disease and concurrent TH1 and TH2 immune responses, and these effects were dependent on IFN-bold gamma secreted during the acute viral infection. Thus, respiratory viral infection and the acute TH1 response can positively regulate TH2-dependent allergic pulmonary disease in vivo, at least in part, by altering pulmonary dendritic cell function.

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Nature Immunology
ISSN: 1529-2908
EISSN: 1529-2916
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