Interleukin (IL)-6 directs the differentiation of IL-4-producing CD4(+) T cells

Interleukin (IL)-4 is the most potent factor that causes naive CD4(+) T cells to differentiate to the T helper cell (Th) 2 phenotype, while IL-12 and interferon gamma trigger the differentiation of Th1 cells. However, the source of the initial polarizing IL-4 remains unclear. Here, we show that IL-6, probably secreted by antigen-presenting cells, is able to polarize naive CD4(+) T cells to effector Th2 cells by inducing the initial production of IL-4 in CD4(+) T cells. These results show that the nature of the cytokine (IL-12 or IL-6), which is produced by antigen-presenting cells in response to a particular pathogen, is a key factor in determining the nature of the immune response.