T helper cells are critical for the development of immunity to infections and inflammatory disease. The acquisition of specific cytokine-secreting profiles, primed by the cytokine microenvironment, is required for effector function of Th cells. The most recent addition to the growing list of effector subsets are Th9 cells that secrete IL-9. In this article we propose a model for the transcriptional regulation of the Il9 gene in IL-9-expressing T cells and the relatedness of this subset to other Th phenotypes. We suggest that transcription factors restricted to certain Th subsets, and common among several subsets, may play a role in the plasticity of Th9 cells.
Differentiation of Th subsetsThe effector function of T helper subsets relies upon the production of particular cytokines. The cytokine-secreting potential of effector T helper subsets requires the activation and expression of transcription factors that promote the development of each subset. Differentiation is stimulated by the cytokine microenvironment and the activation of Signal Transducer and Activator of Transcription (STAT) proteins that initiate specific genetic programs (Fig. 1A). The subset-specific genetic programs include transcription factors required for the expression of cytokines and other genes that contribute to the effector function of each subset (Fig. 1A). While a single transcription factor is often called a "master regulator", the appropriate development and function of Th subsets requires the coordinated activity of numerous transcription factors, some that are specific to a particular Th subset, and some that are shared among several subsets. The most recent addition to a growing continuum of Th subsets is the Th9 phenotype. These cells that develop in vitro in the presence of IL-4 and TGF-β, secrete high levels of IL-9, as well as IL-10, CCL17 and CCL22 [1][2][3][4]. However, the transcription factors regulating the hallmark cytokine IL-9 are not well defined. In this article we discuss factors that are specific to Th9 cells, or common among Th9 and other Th subsets, each of which may contribute to the expression of the Il9 gene and the plasticity of phenotype between Th9 and other Th subsets.