CD4(+) T lymphocytes play an essential role in the induction and regul
ation of the immune response. The two subpopulations, Th1 and Th2, are
also able to activate various immune functions via their capacity to
synthesize various cytokine patterns. CD4(+) T lymphocytes are activat
ed by interaction of the T receptor with a bimolecular complex compose
d of a peptide derived from processing of the antigen and a major hist
ocompatibility complex class II molecule. Only a limited number of cel
ls are able to activate CD4(+) T lymphocytes. Monocytes/macrophages, d
entritic cells and B lymphocytes are usually responsible for presentat
ion of the antigen to CD4(+) T lymphocytes. The capacity of phagocytos
is, B7 molecules expression and the nature of the cytokine produced di
ffer between these various cell types. This may play an essential role
in the preferential activation of one or other of the Th1 and Th2 sub
populations. Particulate antigens were prepared by covalent binding to
synthetic microspheres in order to orient CD4(+) T lymphocyte respons
es towards Th1 polarisation. These particles were presented to T lymph
ocytes by macrophages, but not by B lymphocytes. When injected in the
presence of poly (I)-(C) or IL-12, these particulate antigens preferen
tially activated a Th1 type response.