Background: Allergic reactions occur rarely in patients with chronic helminth infections, although FceRI-bearing cells are sensitized with anti-parasite IgE and are exposed to antigen. The inhibition of allergic reactivity is due to 'blocking antibodies', predominantly lgG4. lgG4 antibodies represent 50-95% of anti-filarial IgG, and have blocking activity because they compete with cellbound IgE for allergen binding. Blocking lgG4 antibodies have also been detected in patients treated with immunotherapy, However, the molecular mechanisms of lgG4 regulation have remained unexplored, We address this issue starting with the IL-4-dependent induction of gamma 4 germline transcription, an essential step in the commitment to isotype switching. Results: gamma 4 germline transcripts were cloned and shown to contain l gamma 4 spliced to the 5' portion of C gamma 4 using the splice donor site shared by yl and gamma 3 germ line transcripts, Sequence ana lysis located the human l gamma 4 exon approximate to 0.6 kb upstream of the S gamma 4 region. Four major transcription start sites located 547-583 bp upstream of the l gamma 4 splice donor site were identified by primer extension analysis. A Hind/lll/Nael construct (-413/+466) had the highest activity in reporter assays. Transcription was induced 4.6-fold by IL-4, 2.1-fold by CD40 engagement, and 14.5-fold by a combination of the two signals. Thus CD40 crosslinking enhanced IL-4-dependent transcription by 3.1-fold showing that the two stimuli act synergistically. Conclusion: As we understand more about lgG4 regulation, our hope is to apply to allergy the lesson we learnt from helminth infections.