With a murine model of invasive aspergillosis we investigated cytokine
production by CD4(+) T helper cells and the effects of cytokine admin
istration or neutralization on the course and outcome of infection. Pa
tterns of susceptibility and resistance to infection were obtained wit
h different strains of mice injected with different inocula of Aspergi
llus fumigatus conidia. Mice surviving the primary infection also resi
sted a subsequent lethal infection that was associated with production
of gamma interferon by CD4(+) T splenocytes. Impaired neutrophil anti
fungal activity, observed in susceptible mice, was concomitant with a
predominant production of interleukin-4 (IL-4) by CD4(+) splenocytes.
In these mice, exogenous administration of IL-12 failed to induce resi
stance to infection; in contrast, treatment with soluble IL-4 receptor
cured more than 70% of the mice from primary infection and resulted i
n the onset of acquired resistance to a subsequent lethal infection. T
hese findings indicate that in murine invasive aspergillosis, producti
on of IL-4 by CD4(+) T cells may be one major factor discriminating su
sceptibility and resistance to infection.