Indoleamine 2,3 dioxygenase (IDO) has emerged as an important mediator of immune tolerance via inhibition of Th1 responses. However, the role of IDO in antigen-induced tolerance or allergic inflammation in the airways that is regulated by Th2 responses has not been elucidated. By using IDO ؊/؊ mice, we found no impairment of airway tolerance, but, surprisingly, absence of IDO provided significant relief from establishment of allergic airways disease, as evident from attenuated Th2 cytokine production, airway inflammation, mucus secretion, airway hyperresponsiveness, and serum ovalbumin-specific IgE. Myeloid dendritic cells isolated from lung-draining lymph nodes of mice immunized for either Th1 or Th2 response revealed fewer mature dendritic cells in the lymph nodes of IDO ؊/؊ mice. However, the net functional impact of IDO deficiency on antigen-induced responses was more remarkable in the Th2 model than in the Th1 model. Collectively, these data suggest that IDO is not required for the induction of immune tolerance in the airways but plays a role in promoting Th2-mediated allergic airway inflammation via unique effects on lung dendritic cells.tryptophan ͉ DC ͉ airways ͉ asthma I ndoleamine 2,3 dioxygenase (IDO) is an enzyme that mediates tryptophan catabolism into its metabolites including kynurenine or quinolinic acid (1-3). IDO protein is widely expressed in a variety of cell types including B cells, macrophages, eosinophils, dendritic cells (DCs), endothelial cells, and many types of tumor cells (2, 4-9). Because products of tryptophan metabolism are required for normal cell growth, depletion of IDO adversely impacts cell function (10). In the last decade, IDO has emerged as an important negative regulator in the immune system primarily because of its function in DCs, which play a quintessential role in antigen presentation to T cells (11). Several studies have implicated IDO in tumor-associated immune tolerance, and IDO has been associated with inhibition of Th1-mediated disease states (7,(11)(12)(13)(14)(15). Although IDO has been generally associated with Th1 inhibition, Trp metabolites were shown to induce Th2-like regulatory cells that suppressed Th1 pathology in experimental autoimmune encephalomyelitis, an experimental model for multiple sclerosis (14). Despite suggestion of differential effects of IDO on Th1 versus Th2 cells in these reports, no study has sufficiently explored this concept.There is little doubt that IDO plays a role in immune suppression and induction of T cell anergy. However, it has not been fully evaluated whether IDO-mediated immune suppression is pervasive under all circumstances. We investigated the role of IDO in established models of antigen-induced airway tolerance and inflammation by using IDO-deficient mice. We found that lack of IDO does not impair induction of immune tolerance induced by repeated antigen inhalation. On the contrary, IDO deficiency significantly attenuated the Th2 phenotype in the lungs in response to allergen provocation. When WT and IDO Ϫ/Ϫ mice were im...