While CD28 is critical for expansion of naive T cells, recent evidence sugg
ests that the activation of effector T cells is largely independent of CD28
/B7. We suggest that ICOS, the third member of the CD28/CTLA-4 family, play
s an important role in production of IL-2, IL-4, IL-5, and lFN gamma from r
ecently activated T cells and contributes to T cell-dependent B help in viv
o. Inhibition of ICOS attenuates lung mucosal inflammation induced by Th2 b
ut not Th1 effector populations. Our data indicate a critical function for
the third member of the CD28 family in T cell-dependent immune responses.