Specialized effector activities that are required to eliminate various path
ogens involve cytokines produced by specialized CD4(+) T cells subsets, dog
matically termed Th1 and Th2 cells. Despite some oversimplifications, this
paradigm is useful for organizing the complex pathways that control forward
and backward movements along the road of T cell differentiation, Effective
immune memory relies, in part, on the maintenance of the T helper phenotyp
e. This review will address basic issues that relate to the maintenance or
reversibility of Th1/Th2 states within the CD4(+) T cell lineage.