Our present study provides evidence that the 4-1BB signal is critical
to CD28 co-stimulation in maintaining T cell activation when CD28 has
been down-regulated because of repeated stimulation. The 4-1BB signal
synergized with CD28 co-stimulation by lowering the threshold of anti-
CD28 required to sustain proliferation and IL-2 production. The 4-1BB
signal also modulated CD28-mediated cytokine profiles by markedly enha
ncing Th1 but suppressing Th2-type cytokine production. The 4-1BB sign
al generated Th1-type cells, as identified by intracellular IFN-gamma
production. IFN-gamma induction was detected preferentially in 4-1BB-e
xpressing cells, but not in those expressing CD30. 4-1BB and CD30 were
induced in both CD4(+) and CD8(+) cells, but the location of the two
molecules was mutually exclusive in each T cell subset. Our study sugg
ests that the 4-1BB signal regulates CD28 co-stimulation in the target
ed subset cells to favor Th1 development and maintain long-term cell g
rowth.