The recognition of polarized T cell subsets defined by cytokine production
was followed by a search to define the factors controlling this phenomenon.
Suitable in vitro systems allowed the development of cytokine "recipes" th
at induced rapid polarization of naive T cells into Th1 or Th2 populations.
The next phase of work over the past several years has begun to define the
intracellular processes set into motion during Th1/Th2 development, partic
ularly by the strongly polarizing cytokines IL-12 and IL-4,. Although somew
hat incomplete, what has emerged is a richly detailed tapestry of signaling
and transcription, controlling an important T cell developmental switch. I
n addition several new mediators of control have emerged, including IL-18,
the intriguing Th2-selective T1/ST2 product, and heterogeneity in dendritic
cells capable of directing cytokine-independent Th development.