We previously reported that prolonged graft survival in neonatally tol
erant mice was associated with enhanced Th2/Th1 cytokines. To determin
e whether Th2 CD4 cells function in tolerance, we examined whether we
could prevent tolerance by blocking Th2 CD4 maturation, using anti-int
erleukin (IL)-4 monoclonal antibody treatment during neonatal antigen
exposure. Anti-IL-4 treatment restored the ability BALB/c of mice to r
eject A/J skin grafts and blocked the induction of tolerance through m
ultiple mechanisms. Anti-IL-4 treatment blocked the development of don
or microchimerism and recovered the ability of mice to proliferate and
to generate appropriate delayed-type hypersensitivity (DTH) and cytot
oxic T lymphocyte (CTL) responses against A/J in a dose-dependent mann
er. Low-dose anti-IL-4 recovered DTH responses and interferon (IFN)-ga
mma production, but failed to completely prevent IL-4 production or to
recover the CTL activity. No A/J-reactive IFN-gamma-producing CD8 cel
ls were detected in these mice. In contrast, mice treated with higher
doses of anti-IL-4 generated normal CTL responses against A/J, and con
tained A/J-reactive IFN-gamma-producing CD8 cells. The recovery of CTL
responses and IFN-gamma-producing CD8 cells was associated with a mor
e complete blocking of Th2 cytokine production. Therefore, the presenc
e of IL-4 may play an important role in the induction of neonatal tole
rance by shifting maturation of CD4 cells toward Th2 cells and away fr
om Th1 cells, and also by preventing maturation of alloreactive CD8 CT
L cells.