AIM To investigate the effects of activated rat hepaticstellate cells (HSCs) on rat Th1/Th2 profile in vitro .METHODS: Growth and survival of activated HSCs andCD4+ T lymphocytes cultured alone or together wasassessed after 24 or 48 h. CD4+ T lymphocytes werethen cultured with or without activated HSCs for 24 or48 h and the proportion of Th1 [interferon (IFN)-γ+]and Th2 [interleukin (IL)-4+] cells was assessedby flow cytometry. Th1 and Th2 cell apoptosis wasassessed after 24 h of co-culture using a caspase-3staining procedure. Differentiation rates of Th1 andTh2 cells from CD4+ T lymphocytes that were positivefor CD25 but did not express IFN-γ or IL-4 were alsoassessed after 48 h of co-culture with activated HSCs.Galectin-9 expression in HSCs was determined byimmunofluorescence and Western blotting. ELISA wasperformed to assess galectin-9 secretion from activatedHSCs.RESULTS: Co-culture of CD4+ T lymphocytes withactivated rat HSCs for 48 h significantly reduced theproportion of Th1 cells compared to culture-aloneconditions (-1.73% ± 0.71%; P 〈 0.05), whereas theproportion of Th2 cells was not altered; the Th1/Th2ratio was significantly decreased (-0.44 ± 0.13; P 〈0.05). In addition, the level of IFN-γ in Th1 cells was decreased (-65.71 ± 9.67; P 〈 0.01), whereas thelevel of IL-4 in Th2 cells was increased (82.79 ± 25.12;P 〈 0.05) by co-culturing, as measured by meanfluorescence intensity by flow cytometry. Apoptosisrates in Th1 (12.27% ± 0.99%; P 〈 0.01) and Th2(1.71% ± 0.185%; P 〈 0.01) cells were increased 24h after co-culturing with activated HSCs; the Th1 cellapoptosis rate was significantly higher than in Th2cells (P 〈 0.01). Galectin-9 protein expression wassignificantly decreased in HSCs only 24 h after coculturing(P 〈 0.05) but not after 48 h. Co-culture for48 h significantly increased the differentiation of Th1and Th2 cells; however, the increase in the proportionof Th2 cells was significantly higher than that of Th1cell