Although previous studies demonstrated a requirement for CD40-CD40 ligand (CD40L) interaction in the development of resistance to Leishmania infection, we recently showed that mice lacking the gene for CD40L (CD40L ؊/؊ mice) can control Leishmania major infection when they are infected with reduced numbers of parasites. In this study, we examine the cytokine pattern in healing versus nonhealing CD40L ؊/؊ mice and investigated whether CD40 activation is required for resistance to reinfection. We observed that CD4؉ cells in healed CD40L؊/؊ mice produce high levels of gamma interferon compared to cells from nonhealing, highdose-inoculated mice. In addition, we observed a higher frequency of interleukin-12 (IL-12)-producing cells and a reduced number of IL-4-producing cells in mice infected with reduced numbers of parasites. Importantly, we found that healed CD40L ؊/؊ mice are highly resistant to reinfection with a large parasite inoculum. In addition, by comparing the cytokine patterns at an early and late stage of infection in nonhealing CD40L
mice, we demonstrated that nonhealing CD40L؊/؊ mice produce a weak Th1-type response during the early stage of infection, but this response wanes as a Th2-type response emerges during late stages of infection.
Anti-IL-4 antibody treatment, starting either at the beginning of infection or at week 4 postinfection enabled CD40L؊/؊ mice to control a high-dose infection. Together, these results show that CD40-CD40L interaction, although important for IL-12 production in high-dose infections, is not required for either the development or maintenance of resistance in mice infected with reduced numbers of parasites.