With the benefit of hindsight, this straightforward

categorization has proven to be exceedingly simple and a far more complex paradigm characterized by flexibility and “plasticity” is now emerging in its place (reviewed in [4]). At the initiation of an immune response, professional antigen-presenting cells (APCs) preside over the decision between attack and defense see more and represent an important checkpoint in the transition from innate to adaptive immunity. Dendritic cells (DCs) and macrophages express an array of molecules designed to sense infection and cellular distress, thus constantly interpreting a vast variety of environmental stimuli, which are often encountered simultaneously with foreign and self-derived antigens. During bacterial infections, DC activation proceeds via binding of microbial components to Toll-like receptors (TLRs) [5, 6], followed by the release of pro-inflammatory buy 5-Fluoracil cytokines and the presentation of bacteria-derived peptides, which

are recognized by T cells. In the case of autoimmunity, the necessary triggers remain elusive. Several ideas concerning these autoimmune triggers have been formulated, including viral infections (reviewed in [7]), degenerative processes, and sensing of so-called danger signals [8]. One tangible example of the latter is the excessive release of uric acid from dying cells [9], but additional stress signals such as alarmins are being identified (reviewed in [10]). Thiamet G Among the most studied APC-derived pro-inflammatory cytokines are IL-12 and IL-23. These are heterodimeric molecules sharing a profound structural similarity in which a common subunit, p40, is required for their function and receptor binding. IL-12 is comprised of p40 covalently linked to the p35 subunit [11], while IL-23 consists of the same p40 subunit linked to a unique p19 subunit [12]. All of these subunits are predominantly expressed by activated DCs in vivo, but the tight regulation of p35 and p19 expression dictates whether an activated DC or macrophage will secrete bioactive

IL-12 or IL-23 [12, 13]. The most heralded function of IL-12 is to induce the transcription factor T-bet and direct the differentiation of naïve T cells into IFN-γ-producing Th1 cells [14-17]. The apparent need for IFN-γ in Th1 development was shown to be due to its role in perpetuating IL-12Rβ2 expression on differentiating Th1 cells [18]. IL-18 also augments IFN-γ expression in Th1 cells by inducing IL-12Rβ2 expression, but is itself not sufficient for Th1 differentiation [19, 20]. In fact, expression of IL-18R is likely dependent on IL-12 signaling, placing IL-18 downstream of IL-12 signaling in the Th1 differentiation cascade [21]. However, the role of IL-18 signaling extends to APCs themselves, as mice lacking IL-18Rα show a reduced ability to secrete IL-12p40 [22].