Production of IL-12 by human monocyte-derived dendritic cells is optimal when the stimulus is given at the onset of maturation, and is further enhanced by IL-4

Dendritic cells produce IL-12 both in response to microbial stimuli and to T cells, and can thus skew T cell reactivity toward a Th1 pattern. We inves tigated the capacity of dendritic cells to elaborate IL-12 with special reg ard to their state of maturation, different maturation stimuli, and its reg ulation by Th1/Th2-influencing cytokines, Monocyte-derived dendritic cells were generated with GM-CSF and IL-4 for 7 days, followed by another 3 days +/- monocyte-conditioned media, yielding mature (CD83(+)/ dendritic cell-ly sosome-associated membrane glycoprotein(+)) and immature (CD83(-)/dendritic cell-lysosome-associated membrane glycoprotein(-)) dendritic cells. These dendritic cells were stimulated for another 48 h, and IL-12 p70 was measure d by ELISA, We found the following: 1) Immature dendritic cells stimulated with CD154/CD40 ligand or bacteria (both of which concurrently also induced maturation) secreted always more IL-12 than already mature dendritic cells . Mature CD154-stimulated dendritic cells still made significant levels (up to 4 ng/ml), 2) Terminally mature skin-derived dendritic cells did not mak e any IL-12 in response to these stimuli. 3) Appropriate maturation stimuli are required for IL-12 production: CD40 ligation and bacteria are sufficie nt; monocyte-conditioned media are not. 4) Unexpectedly, IL-4 markedly incr eased the amount of IL-12 produced by both immature and mature dendritic ce lls, when present during stimulation. 5) IL-10 inhibited the production of IL-12. Our results, employing a cell culture system that is now being widel y used in immunotherapy, extend prior data that IL-12 is produced most abun dantly by dendritic cells that are beginning to respond to maturation stimu li. Surprisingly, IL-12 is only elicited by select maturation stimuli, but can be markedly enhanced by the addition of the Th2 cytokine, IL-4.