Interleukin‐25 initiates Th2 differentiation of human CD4+ T cells and influences expression of its own receptor

Abstract Human CRTh2+ Th2 cells express IL‐25 receptor (IL‐25R) and IL‐25 has been shown to potentiate production of Th2 cytokines. However, regulation of IL‐25R and whether it participates in Th2 differentiation of human cells have not been examined. We sought to characterize IL‐25R expression on CD4+ T cells and determine whether IL‐25 plays a role in Th2 differentiation. Naïve human CD4+ T cells were activated in the presence of IL‐25, IL‐4 (Th2 conditions) or both cytokines to assess their relative influence on Th2 differentiation. For experiments with differentiated Th2 cells, CRTh2‐expressing cells were isolated from differentiating cultures. IL‐25R, GATA3, CRTh2 and Th2 cytokine expression were assessed by flow cytometry, qRT‐PCR and ELISA. Expression of surface IL‐25R was induced early during Th2 differentiation (2 days). Addition of IL‐25 to naïve CD4+ T cells revealed that it induces expression of its own receptor, more strongly than IL‐4. IL‐25 also increased the proportions of IL‐4‐, GATA3‐ and CRTh2‐expressing cells and expression of IL‐5 and IL‐13. Activation of differentiated CRTh2+ Th2 cells through the TCR or by CRTh2 agonist increased surface expression of IL‐25R, though re‐expression of CRTh2 following TCR downregulation was impeded by IL‐25. These data suggest that IL‐25 may play various roles in Th2 mediated immunity. We establish here it regulates expression of its own receptor and can initiate Th2 differentiation, though not as strongly as IL‐4.


Introduction
TSLP, IL-33 and IL-25, produced by airway epithelium in response to a wide variety of environmental stimuli, are now considered important links between innate immune responses and development of Th2 immunity (reviewed in [1]). TSLP-activated dendritic cells promote Th2 cell infiltration to the airways [2] and maintenance of the Th2 phenotype through the OX40-OX40L pathway [3]. IL-33 and IL-25 support dendritic cells in mediating Th2 cell responses [4,5] and have also been shown to drive the group 2 innate lymphoid cells (ILC2) to produce IL-4, IL-5 and IL-13 [6][7][8].
However, whether these epithelial cytokines can initiate Th2 differentiation is not clear. Hurst et. al. showed that the production of IL-5 and IL-13, eosinophilia, mucous production and airway hyper-responsiveness (AHR) induced by administration of IL-25 to the airways was independent of T cells and IL-4 [9], while Sharkhuu and colleagues reported that IL-25 induced IL-4 as well as IL-5 and IL-13 from na€ve murine T cells [10]. Since, RSV-induced Th2 inflammation and airway responses were severely impaired in animals deficient in IL-25 receptor (R) [11], IL-25 may be a link between viral infections and development of asthma. In humans, expression of IL-25 and its receptor are higher in bronchial biopsies from asthmatics than normal controls and skin from patients with atopic dermatitis compared to control skin [5,12]. As such, studying how IL-25 influences human Th2 responses is an important step toward understanding the role of IL-25-inducing environmental stimuli in the development of allergic disease.
IL-4 is considered imperative for driving Th2 differentiation and which cell types provide 'early' IL-4 has been a longstanding question [13][14][15][16][17]. However, the necessity of paracrine sources of IL-4 is controversial [18], as various groups have shown that T cells can produce enough IL-4 to support Th2 differentiation (reviewed in [19]). Indeed, initiation of Th2 differentiation commences when na€ve CD4 þ T cells are activated by antigen induced T cell receptor (TCR) crosslinking. This results in low level IL-4 expression mediated by transcription factors such as NFAT/AP-1 [20] and NF-kB [21]. During the reinforcement stage IL-4R and TCR signaling, through STAT6 and NFkB, work together to upregulate GATA3 [22,23], which significantly increases IL-4 production [24]. Other transcription factors, such as cMAF, JunB and STAT5 also enhance IL-4 expression during differentiation [25][26][27]. Maintenance of the Th2 phenotype is mediated by chromatin remodelling of Th2 loci resulting in differential accessibility of regulatory regions, ultimately releasing Th2 cells from their dependence on continued stimulation with IL-4 (reviewed in [28]). These cells express CRTh2, which has been shown to mark the differentiated Th2 phenotype [29]. Though relatively little is known regarding regulation of CRTh2, GATA3 can induce its expression on na€ve human T cells [30] and also activate the CRTh2 promoter [31]. As such, mediators acting on na€ve CD4 þ T cells to enhance expression of IL-4 or other Th2 factors may influence Th2 lineage commitment and CRTh2 expression.
CRTh2 is a receptor for PGD 2 [32,33], a lipid mediator released by activated mast cells (reviewed in [34]). PGD 2 activation of CRTh2 þ Th2 cells mediates chemotaxis and influx of CRTh2 þ cells into the tissue [35] and also induces expression of the Th2 cytokines [36]. CRTh2 þ Th2 cells are CD62L þ memory cells that circulate between the periphery and lymph nodes [3]. Activation through CRTh2 has been shown to mediate movement of memory CD4 þ T cells through lymphatic vascular endothelial cells [37], an in vitro model of T cell egress from the periphery. Therefore, the PGD 2 -CRTh2 pathway is considered to potentiate infiltration of cells to inflammatory sites as well as exit during the resolution phase.
Stimulation of na€ve murine CD4 þ T cells with IL-25 has been shown to induce IL-4 and GATA3 [38], indicating it may play a role in Th2 differentiation. However, numerous species differences have been observed between the murine and human immune system. For instance, the importance of certain molecules for TCR signaling, mechanisms regulating intracellular calcium, leukocyte transit times and the role of various chemokine families appear to differ between humans and mice (reviewed in [39]). In the case of Th2 cells, CRTh2 is considered a marker of human [40], but not mouse Th2 cells [41] and De Fanis et al. have shown that in humans only the CRTh2 þ Th2 cell population exhibits levels of GATA3 significantly higher than Th1 cells [42]. Collectively, these studies highlight the importance of specifically examining Th2 differentiation of human cells. Regulation of IL-25R expression and characterization of when it appears during Th2 differentiation have not been studied. Though IL-25 has been shown to enhance Th2 cytokine expression from memory Th2 cells, particularly in the presence of dendritic cell co-culture [5], whether IL-25 plays a role in Th2 differentiation of human T cells is not known.
In this study, we sought to determine the effect of IL-25 on human CD4 þ T cells. We assessed its influence on expression of the IL-25R, Th2 differentiation and ability to induce soluble mediator expression. We demonstrate that IL-25 is able to act directly on na€ve CD4 þ T cells to initiate Th2 differentiation, though not as strongly as IL-4. Furthermore, on differentiated Th2 cells IL-25 lowered CRTh2 expression, indicating it may influence Th2 cell emigration out of tissues and resolution of inflammation.

Quantitative reverse transcription (qRT-PCR)
To perform qRT-PCR, RNA was extracted using RNAeasy extraction kit (Cat. #74101, ON, Canada) and eluted with 30 ml of RNase/DNase free water. Complementary DNA (cDNA) was synthesized from 1 mg of RNA using the Superscript II Reverse Transcriptase according to manufacturer's instructions (Cat #18964-014, Invitrogen, Burlington, ON, Canada). qRT-PCR TaqMan gene expression assays for CRTh2 (Hs00173717_m1), IL-25R (Hs00218889_1) and IL-4 (Hs00174122_m1) were purchased from Applied Biosystems (Burlington, On, Canada). The PCR program was 2 min at 508C, 10 min at 958C, 40 cycles of 15 sec at 958C, 1 min at 608C (Eppendorf RealPlex 4, Mississauga, ON). Data were analyzed using the DDCycle threshold (Ct) compared to GAPDH method. Amplification of GAPDH was performed using a custom 6FAM-labeled TAMRA probe (5 0 -AAA TCC CAT CAC CAT CTT CCA GGA GCG A-3 0 ; Applied Biosystems) with a forward primer primer (5 0 -CTG AGA ACG GGA AGC TTG TCA-3 0 ) and reverse primer (5 0 -GCA AAT GAG CCC CAG CCT T-3 0 ). Briefly DCt was determined by subtracting the Ct of the housekeeping gene from the Ct of the test gene. The DCt from the control condition was subtracted from experimental condition to determine the DDCt. The fold increase was then calculated by using the DDCt as a negative exponent to the base of 2 (2 ÀDDCt ).

Measurement of Th2 cytokine production
Supernatants were examined for cytokine production after aCD3/aCD28 activation. For experiments from differentiating Th2 cells, supernatants (days 3 and 10) were examined for cytokine expression using a laser multiplex bead array (Eve Technologies, Calgary, AB: limit of detection: 0.64 pg/mL). For experiments examining the longterm effect of adding IL-25 to Th2 conditions, ELISA for IL-5 (Cat. #S5000B, R&D Systems, Minneapolis, MN, limit of detection: 3.9 pg/mL) and IL-13 (Cat. #851 630 005, Diaclone Besancon Cedex, France, limit of detection: 1.5 pg/mL) were performed as described by the manufacturer. Briefly, plates were coated with capture antibody (48C, overnight), samples were blocked with isotype (2 h, RT) and then loaded into wells and incubated (2 h, RT). Enzyme-conjugated antibodies were added and quantity was assayed by color change following substrate addition. Samples were tested in duplicate. ELISA plates were read in a Powerwave XS Microplate Reader (Bio-Tek, Winooski, VT).

Statistics
All data are expressed as the mean AE standard error of the mean (SEM), except for some IL-5 time points (n ¼ 2), where standard deviation (SD) was used. Differences between conditions were determined by paired t test, repeated measures ANOVA with Dunnett's or one-way ANOVA with Tukey's method for multiple comparison. Significance was assumed at P < 0.05. All analyses were conducted with SigmaPlot (v12.3, Systat Software, Inc., San Jose, CA, USA).

IL-25R is expressed by CRTh2 þ Th2 cells differentiated in vitro
Human memory CRTh2 þ Th2 cells isolated from peripheral blood have been shown to express the IL-25R [5]. To investigate whether in vitro differentiated cells also express this receptor, na€ve CD4 þ T cells were cultured in the presence of Th2 polarizing conditions, the CRTh2-expressing cells isolated (day 14) and then maintained on weekly cycles of activation (3 days) and rest (4 days) in the presence of IL-2. This protocol generated Th2 cell lines highly positive for CRTh2 (day 42; Fig. 1A) and showed a Th2 polarized cytokine profile (Fig. 1B). These cells also exhibited a significantly higher level of IL-25R mRNA than non-polarized CD4 þ T cells (Fig. 1C, 61-fold; P < 0.05) and robust surface expression IL-25R (Fig. 1D). Kinetics of IL-25R expression was also assessed and showed that expression of IL-25R was low after resting conditions and induced by activation, with maximum expression after 24 h (Fig. 1E).

IL-25R is expressed early during Th2 differentiation
To further characterize IL-25R, we next examined the kinetics of its expression by na€ve CD4 þ T cells undergoing Th2 differentiation. Figure 2A shows that surface IL-25R was not expressed by freshly isolated na€ve CD4 þ T cells (0.30 AE 0.3%), but a low level was observed as early as 2 days of Th2 differentiating conditions (2.3 AE 0.5%). This expression was substantially upregulated by day 17 (18.6 AE 1.7%), which was after 3 days of activation during a 3rd round of polarization (Fig. 2B).

IL-25 initiates acquisition of the Th2 phenotype
Since we observed that IL-25R is expressed early following exposure to Th2 conditions, we asked whether IL-25 could influence Th2 differentiation. To examine this, cells were cultured in non-polarizing (NP) control conditions (IL-2, aIFNg, aIL-12) or NP along with IL-4, IL-25 or both cytokines to test their relative and synergistic capacity for Th2 differentiation. Therefore, data are reported as (i) NP, (ii) IL-4 (NP þ IL-4, typical Th2 conditions), (iii) IL-25 (NP þ IL-25) and (iv) IL-4 þ IL-25 (NP þ IL-4 and IL-25). IL-25 induced expression of IL-25R mRNA (10-fold over NP), significantly more than IL-4 (6-fold, P < 0.05), but the highest levels were observed when cells were cultured in both IL-4 and IL-25 (22fold, P < 0.05; Fig. 3A). As expected, exogenous IL-4 increased the proportion of IL-4-expressing cells (11.2% AE 1.4 vs. 6.9% AE 1.0 for NP, P < 0.05; Fig. 3B). However, we found that addition of IL-25 also increased the proportion of IL-4 þ cells (11.5% AE 1.3, P < 0.05), though the effect of adding both IL-25 and IL-4 appeared similar to either cytokine alone (14.2 AE 1.4%; Fig. 3B). There was also no difference in expression of IL-4 message in cells cultured with exogenous IL-4 (14.1-fold) compared to IL-25 (9.4-fold; Fig. 3C). The proportion of GATA3 þ cells was significantly higher when IL-4 was added (19.4 AE 4.2% vs. 3.8 AE 0.8% for NP, P < 0.05) as well as when IL-25 was added (7.7 AE 1.2% vs. NP, P < 0.05). In the presence of both IL-25 and IL-4, the % of GATA3 þ cells was similar to that of IL-4 alone (22.3 AE 3.4%; Fig. 3D). We also found that IL-25 increased the proportion of CRTh2 þ cells (2.9 AE 0.7% vs. 0.8 AE 0.3% for NP, P < 0.05), though the effect was lower than when IL-4 was added (12.5 AE 3.2%, Fig. 3E). Addition of both IL-4 and IL-25 did not result in a significantly higher proportion of CRTh2 þ cells (15.7 AE 3.8%) than IL-4 alone (12.5 AE 3.2%). These data show that IL-25 treatment induces IL-4 expression from na€ve CD4 þ T cells to a similar extent as exogenous IL-4. Furthermore, they show that the proportions of GATA3 þ and CRTh2 þ cells were significantly higher than control conditions, indicating IL-25 can initiate Th2 differentiation, though not as well as IL-4. We also assessed the influence of these conditions on cell growth. Figure 3F shows there were no effects of IL-25 on cell growth at any time point, though cells cultured in both IL-4 and IL-25 showed a significant difference in absolute cell number at day 14. These data indicate that the Th2 differentiating effect of IL-25 is likely not due to its influence on cell growth.

The effect of IL-25 on human Th2 cell differentiation is dependent on the IL-4 pathway
The effect of IL-25 on Th2 differentiation of mouse CD4 þ T cells has been reported to be through its ability to induce endogenous IL-4 (38). To investigate whether this is also true in human T cells, we performed another set of differentiation experiments in the presence or absence of neutralizing antibody. These experiments replicated our previous finding (Fig. 3B), showing that IL-25 induced a similar proportion of IL-4 þ cells (12.7 AE 2.9) compared to those treated with IL-4 (12.6 AE 3.5, Fig. 4A). However, cells differentiated in IL-4 conditions exhibited loss of % IL-4 þ cells in the presence of the IL-4 neutralizing antibody (8.1 AE 2.9), while cells cultured with IL-25 showed no drop in % IL-4 þ cells (16.7 AE 4.1%; Fig. 4A). We again found that the % GATA3 þ cells were increased more by IL-4 (22.6 AE 3.4) than by IL-25 (9.52 AE 1.1%; Fig. 4B). The IL-25 effect was significantly higher than NP (5.7 AE 1.0, P < 0.05; Fig. 4C) and this effect was lost in the presence of neutralizing IL-4 antibody (7.2 AE 1.8, P > 0.05; Fig. 4B and C). These findings indicate that the influence of IL-25 on na€ve T cells involves activation of IL-4 expression and that its effect on GATA3 appears to involve IL-4.

IL-25 increases expression of IL-5 and IL-13 during Th2 differentiation
IL-25 has been shown to enhance expression of Th2 effector cytokines from both human memory Th2 cells [5] and ILC2 [6,7]. Here we investigated whether IL-25 could induce expression of IL-5 and IL-13 from na€ve CD4 þ T cells during Th2 differentiation. Figure 5A shows that when cells were examined after 3 days of differentiation there was no difference in IL-5 levels across the various conditions (NP, 239.8 AE 119.7 pg/mL; IL-4, 290.3 AE 139.6;  Table 1), though no effect of IL-25 on IL-5 expression was observed at these time points. Interestingly, the level of both IL-5 and IL-13 increased over the course of culture ( Table 1).

IL-25 slows re-expression of CRTh2 following TCR activation
Since we observed that IL-25 could induce CRTh2 expression by na€ve T cells (Fig. 3), we investigated whether it enhances expression by differentiated CRTh2 þ Th2 cells. Interestingly, while expression of the IL-25R is highest after activation (Fig. 1E), CRTh2 expression is lowered by activation [3]. Indeed, we observed a time dependent loss of surface CRTh2 expression following TCR crosslinking (Fig. 7A). To overcome this issue, cells were activated for 24 h (aCD3/aCD28 þ IL-2) to induce IL-25R expression and then taken off stimulus and replated with IL-2 or IL-2 þ IL-25 for another 24 h. Fig. 7B shows that CRTh2 expression recovers somewhat in IL-2 conditions (45.3 AE 10.7%) and is higher than cells treated with IL-2 þ IL-25 (36.3 AE 8.8%, P < 0.05). Abundance of CRTh2 on a per cell basis, as determined by mean fluorescence intensity (MFI), was also lower when cells were cultured in IL-2 þ IL-25 (1204 AE 257, vs. 1520 AE 268 for IL-2, P < 0.05; Fig. 7C). IL-25 did not, however, change expression of the central memory T cell marker, CD62L (94.6 AE 0.5% vs. 95.2 AE 0.5%, Fig. 7D/E) or the chemokine receptor CCR4 (82.3 AE 3.5% vs. 81.5 AE 3.2%; Fig. 7F/G). These data indicate that IL-25 treatment has a negative impact on re-expression of CRTh2 by differentiated Th2 cells when activated through the TCR.

Discussion
A diverse range of environmental exposures can trigger innate immune responses that shape an individual's propensity for Th2 immunity (reviewed in [1,43]). Viruses  [11,44] and allergens can induce production of IL-25 from airway epithelium and other inflammatory cells [5,45]. IL-25 has been shown to promote Th2 cytokine expression from memory Th2 cells co-stimulated with TSLP-treated dendritic cells [5] as well as from ILC2 [6,7]. Here we show that IL-25 can act directly on na€ve CD4 þ T cells to initiate Th2 differentiation by inducing their expression of IL-4, GATA3 and CRTh2. We also found that IL-25 slows recovery of CRTh2 expression after T cell activation, indicating it may influence the resolution phase of inflammation. A central tenet of Th2 differentiation is that IL-4 promotes its own expression and responsiveness, as IL-4 signaling induces IL-4 receptor expression [46]. We observed that IL-25 also mediated expression of its own receptor from na€ve CD4 þ T cells, more potently than IL-4, indicating that it exerts positive feedback during Th2 differentiation. Since IL-4 induced surface IL-25R, this strongly suggests that IL-25 does as well, though we did not detect a difference in the level of surface IL-25R across in the various culture conditions (NP vs. IL-25, NP vs. IL-4 or NP vs. IL-4þIL-25; data not shown). This was likely due to the staining being performed after resting (day 7 and 14), in an effort to compare expression with CRTh2 (which is downregulated by activation), rather than a time point designed to capture maximal IL-25R expression (i.e. after activation). On the other hand, IL-25 did not increase IL-25R expression on fully differentiated CRTh2 þ Th2 cells. In fact, we found that surface levels of IL-25R were reduced after 24 h of IL-25 treatment, though mRNA was lower only after 3 days. As such, IL-25 binding to IL-25R may result in receptor internalization and/or interfere with the epitope for the anti-IL-25R antibody. This issue may have also contributed to the difficulty in detecting surface IL-25R in the IL-25 differentiating cultures. IL-25 did not appear to influence cell growth suggesting the early loss of surface expression may be due to receptor internalization. The ability of IL-25 to increase IL-25R expression during differentiation could indicate the presence of this cytokine influences an individual's Th2 cell responsiveness to future exposures that induce IL-25. For instance, the IL-25R mediates RSV-induced Th2 inflammation and airway responses in mouse models [8] and so the level of IL-25R may play a role in sensitivity to RSV, a risk factor for developing allergic asthma [47]. Support for IL-25 linking viral infection with allergic disease also comes from a study showing that airway levels of IL-25 were elevated in asthmatics experimentally infected with rhinovirus [48]. A recent report indicates that these exposures may contribute to asthma symptomatology, since IL-25 levels were associated with low lung function, high serum IgE, sputum eosinophils and responsive to corticosteroid response [49].
Head-to-head comparison revealed that treatment with IL-25 induced a similar proportion of IL-4 þ cells and level of IL-4 mRNA as exogenous IL-4, demonstrating that IL-25 drives acquisition of IL-4 expression. However, the fact that neutralizing antibody against IL-4 reduced the proportion of IL-4-, but not IL-25-, induced cells indicates the IL-25 effect is IL-4-independent, unlike in mice [38]. Though IL-25R signaling is not yet fully described, it activates NFkB [50,51], a transcription factor that can upregulate IL-4 [21], and recently was shown to also signal through STAT5 [52]. STAT5 mediates IL-2R signaling [27] and binds hypersensitive sites within the IL-4 locus [53]. Like the canonical Th2 transcription factor STAT6, STAT5 may also contribute to chromatin remodeling during Th2 differentiation and has been shown to be indispensable in the absence of STAT6 [54]. The fact that, exogenous IL-4 induced more GATA3 than IL-25, likely reflects a superior ability of the IL-4-STAT6 pathway to induce GATA3 [22,55]. The IL-25 effect on IL-4 could also be due to its ability to induce expression of other Th2 transcription factors such as NFAT, JunB and cMAF [5,38]. IL-4 À/À mice still develop some Th2 cells [56] and so a role for factors other than IL-4 driving Th2 differentiation is considered likely. Our data suggest that, if present, IL-25 could serve as a Th2 polarizing cytokine, albeit less potent than IL-4. These findings are contrary to a recent report by Mearns et. al. who argue that IL-25 is not a Th2 polarizing cytokine [57]. This difference may be due to experimental design, as they used IL-4 reporter mice which have a genomic insertion of GFP that disrupts an important IL-4 regulatory element in the first intron. Therefore, if IL-25  uses this locus or any others also perturbed by the insertion, the influence on IL-4 production would not be observed. The proportion of cells expressing GATA3 was higher in cells treated with IL-25 compared to control and this effect was blocked by adding anti-IL-4. This suggests that a main influence of IL-25 on Th2 differentiation is likely at the initiation phase, inducing IL-4 that leads to the IL-25mediated effects on GATA3 and CRTh2 expression. However, the reduction in % GATA3 þ cells in the presence of antibody neutralizing IL-4, but not a reduction in the % IL-4 þ cells, suggests that IL-25 may also influence other aspects of the IL-4 pathway. STAT5 mediates the IL-2 increase in IL-4Ra expression [53], in addition to influencing IL-4 expression. Therefore, IL-25R activation of STAT5 [52] may enhance responsiveness of differentiating Th2 cells to IL-4 by increasing expression of IL-4Ra, thereby also participating in the reinforcement stage of Th2 differentiation [28].
The ability of IL-25 to induce Th2 differentiation in the absence of a paracrine source of IL-4 indicates its direct effect on CD4 þ T cells may be another mechanism linking innate responses and development of Th2 immunity. Though differentiation is an event primarily considered to occur within the lymph nodes following dendritic cell migration, na€ve CD4 þ T cells are present at peripheral sites such as the lung [58] and therefore IL-25 from epithelial cells [12] and/ or eosinophils and basophils [5] could trigger local Th2 differentiation. However, TSLP-treated dendritic cells can induce IL-25R on Th2 memory cells [5] and IL-25 has been shown to upregulate dendritic cell expression of Jagged 1 [8], a Notch ligand and Th2 polarizing co-stimulatory molecule [59]. Thus, whether within the periphery or lymph nodes, the ability of IL-25 to initiate Th2 differentiation through direct action on CD4 þ T cells is likely enhanced in vivo by its ability to induce a Th2 favouring dendritic cell phenotype.
A caveat is that a small percentage of the starter cultures may have been memory T cells, since our staining showed they were only 93-95% CD45RA þ . However, it is unlikely that our results were substantially influenced by inclusion of in vivo differentiated Th2 memory cells, as the proportion would be represented similarly in all experimental conditions and readily expanded in the non-polarizing conditions (NP, containing aCD3/aCD28 and IL-2). On the contrary, we observed only a low percentage of CRTh2 þ cells, a marker of memory Th2 cells [3], in the NP condition (Fig. 3E, 0.8 AE 0.3%). As such, our data most likely reflect the influence of IL-25 on Th2 differentiation, though we cannot rule out that some of the signal may be due to enhancing Th2 polarization of memory cells present at the start of culture.
Although IL-25 did not increase IL-25R on differentiated Th2 cells, activation through the TCR and stimulation with a CRTh2 agonist resulted in higher proportions of cells expressing IL-25R. These data indicate Th2 cell responsiveness to IL-25 is increased when cells encounter antigen and/or CRTh2 activation. Interestingly, IL-25 slowed reexpression of CRTh2 on differentiated Th2 cells following TCR activation, though we did not observe a change in surface expression of the memory T cell marker CD62L or CCR4, a chemokine receptor also considered a marker of the Th2 cell phenotype [60]. Activation through CRTh2 has been shown to mediate movement of memory CD4 þ T cell across lymphatic vessel endothelial cells in vitro, a model used to study how cells exit the periphery to recirculate back to the lymph nodes during the resolution phase [37]. Therefore our findings suggest that, in addition to mediating Th2 effector cytokine production, IL-25 may also play a role in retaining Th2 cells within tissues, interfering with clearance of inflammation.
In summary, IL-25 has been shown to play a role in Th2 responses and models of allergic asthma [10,61,62]. We demonstrate here that these effects may, at least partially, be through direct action of IL-25 on CD4 þ T cells and differentiated CRTh2 þ Th2 cells. IL-25 also induced expression of its own receptor, indicating it may enhance sensitivity to environmental stimuli that trigger IL-25 production. well as critical review by Dr. Troy Baldwin (UA). The study was funded through operating grants awarded to Lisa Cameron from the Canadian Institutes for Health Research (CIHR) and Alberta Innovates Health Solutions (AIHS) as well as a salary award from AIHS and a GlaxoSmithKline-CIHR Rx&D Chair in Airway Inflammation.