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It has been 12 years since the first proposal was made to sub-
divide mouse CD4 I T cell clones into Th I and Th2 subsets, based
on their differences in cytokine production, and 7 years since the
first clear demonstration of a similar dichotomy among human T cell
clones. In the ensuing period, it has been realized that
inappropriate development of Th I or Th2 responses are important
features of many immunological and infectious dis- eases. Perhaps
the first group of diseases to be understood in terms of
preferential Th subset activation were allergic diseases (see
PARRONC'HI et aI. , this volume). Several of the major, co-
ordinately regulated, features of allergy, including IgE, eosino-
philia and mastocytosis, were found to be stimulated by the T-
specific cytokines I L-4 and IL-5 and inhibited by the Th I cyto-
kine, IFN-. This suggested that the presence and severity of al-
lergic responses reflected the relative numbers of Th I and Th2
cells specific for the offending allergen. Similarly, the very dif-
ferent consequences of protective Th I and nonprotective Th2
responses to a number of intracellular pathogens have been re-
cognized for some time (see TRINCHIERI and SCOTI, and COFF- MAN et
aI. , this volume).
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