Writing in Nature Immunology in June 2006, Robert Coffman — who together with Timothy Mossman was one of the founding fathers of the TH1–TH2-cell hypothesis — expressed his expectation that ultimately “the understanding of immune regulation will exceed the ability of the original TH1–TH2 hypothesis to adequately organize and explain it.”

In April 1986 in the Journal of Immunology, Coffman and Mossman were the first to show at a clonal level that CD4+ T cells could be divided into two subsets on the basis of cytokine production. However, they cautioned that their research “raises the question of the total diversity of T cell phenotypes. [...] it is quite possible that other T cell types exist in vivo.” Indeed, since 2006, we have recognized TH17 cells as a third T-cell lineage, and T follicular helper cells might also be a distinct T-cell subset. Two studies in the December 2008 issue of Nature Immunology show that TH2 cells can be reprogrammed by TGFβ to become a new functional subset that produces IL-9 and IL-10. Together, these studies support the idea that CD4+ T cells have more functional plasticity than previously appreciated, an idea that is explored in the accompanying Poster, produced with support from UCB.

Nevertheless, the importance of the TH1–TH2-cell classification and the research that it inspired cannot be underestimated. Studying the regulation of TH1- versus TH2-cell differentiation led to renewed interest in innate immunity and the role of Toll-like receptors in matching the type of adaptive response to the immune challenge. The reciprocal relationship between TH1 and TH2 cells indirectly inspired research into the inhibitory properties of T cells, which led to characterization of the previously elusive concept of regulatory T cells. The contents of this Focus issue, sponsored by Schering-Plough, and modern immunology in general, owe a lot to the ideas of Coffman and Mossman.