IntroductionProduction of interferon-␥ (IFN-␥) by T-helper1 (Th1) cells is a key feature of both protective and pathologic immune responses. Control and clearance of bacterial and viral infections strictly depend on antigen-specific IFN-␥-secreting Th cells. 1,2 It is also undisputed that Th1 cells of the effector-memory phenotype predominate in inflamed tissues in human autoimmune diseases, such as rheumatoid arthritis (RA), [3][4][5] where they compose up to 80% of the T-cell infiltrate. 6 Nonetheless, how such cells get activated at sites of chronic inflammation remains an unsolved issue. Recent reports have challenged the concept that IFN-␥ release by T cells strictly depends on T-cell receptor (TCR) ligation: in in vitro-generated murine Th1-effector cells, IFN-␥ production is inducible in a TCR-independent manner by the cytokines interleukin-12 (IL-12) and IL-18. 7 IL-12R-downstream STAT4 and IL-18R-dependent GADD45-, which activates p38 mitogen-activated protein kinase (MAPK), were identified as essential signaling components. 8,9 Although infection models suggest that such a mechanism evolved to provide an early source of IFN-␥ contributing to host protection, 10,11 it was at the same time postulated to promote inflammatory circuits in autoimmunity. 12 In contrast to murine Th1 cells, however, stimulation of human resting Th cells with IL-12 and IL-18 induces only minute amounts of IFN-␥ 13 but boosts cytokine production in synergy with TCR ligation. 14 Th cells isolated from synovial infiltrates of RA patients exhibit a differentiated effector-memory Th1 phenotype, reflected, for example, by expression of IL-12R and IL-18R. 15 Because elevated levels of several proinflammatory mediators, including IL-12 and IL-18, were found to correlate with disease severity, 16,17 we wondered whether cytokine-induced IFN-␥ production in human Th cells in the absence of antigenic stimulation is functional at all in vitro and of relevance in vivo in human autoimmunity.We demonstrate here that a subset of human resting effectormemory Th cells, characterized by ex vivo expression of IL-18R␣, IL-12R, and CCR5, can be induced to secrete IFN-␥ by cytokines present at sites of chronic inflammation. IL-2R ␥-chain (␥ c ) signaling via JAK3, in addition to IL-12R and IL-18R ligation, is essential for TCR-independent induction of IFN-␥ production. Cytokine-induced IFN-␥ ϩ Th cells are sensitive to suppression by CD25 ϩϩ T regulatory cells and specifically lack 4-1BB (CD137) expression. Applying this activation marker, we provide evidence that almost all Th cells spontaneously secreting IFN-␥ ex vivo in synovial infiltrates from RA patients are cytokine-induced, for they characteristically lack 4-1BB expression. Our results support the notion that IFN-␥ production by Th cells in chronic autoimmune inflammation may be provoked solely by the cytokine environment, independent of triggering autoantigens.
Methods
Cell isolationPeripheral blood mononuclear cells (PBMCs) were isolated from peripheral blood of healthy donors by Ficoll-Hy...