With studies elucidating the cytokine programs associated with T-cell
activation, allograft rejection and tolerance induction, the Th1/Th2 p
aradigm has became a unifying model to explain the observed cytokine p
rofiles. The proof that these cytokines mediate allograft tolerance, h
owever, is at best indirect. More recent studies highlighting the redu
ndant and pleiotropic nature of cytokine networks suggest that the Th1
/Th2 paradigm may not be sufficient to explain fully the mechanisms un
derlying allograft tolerance.