CD4(+) T cells directly participate in bacterial clearance through secretion of proinflammatory
cytokines. Although viral clearance relies heavily on CD8(+) T cell functions, we sought to determine whether human CD4(+) T cells could also directly influence viral clearance through
cytokine secretion. We found that IFN-gamma and
TNF-alpha, secreted by IL-12-polarized Th1 cells, displayed potent
antiviral effects against a variety of viruses. IFN-gamma and
TNF-alpha acted directly to inhibit hepatitis C virus replication in an in vitro replicon system, and neutralization of both
cytokines was required to block the
antiviral activity that was secreted by Th1 cells. IFN-gamma and
TNF-alpha also exerted
antiviral effects against
vesicular stomatitis virus infection, but in this case, functional type I IFN receptor activity was required. Thus, in cases of
vesicular stomatitis virus infection, the combination of IFN-gamma and
TNF-alpha secreted by human Th1 cells acted indirectly through the IFN-alpha/beta receptor. These results highlight the importance of CD4(+) T cells in directly regulating
antiviral responses through proinflammatory
cytokines acting in both a direct and indirect manner.