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Initial contact with an antigen triggers one or other type of reaction, through a poorly understood mechanism that appears to involve the type of antigen, its size (large antigens tend to induce Th1 reactions), its concentration (low concentrations tend to induce Th2 responses), and stimulatory cofactors released by the APC (the presence of gamma interferon and/or IL-2 induces a Th1 response, while IL-4 induces a Th2 response)

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In other systems, canonical Wnt signaling synergizes with TGF signaling to enhance fibrotic responses (262, 263), and this pathway is first activated in LECs at 12 hours PLI and is found in most if not all fibrotic capsule associated cells (CACs) at 5 and 9 days PLI (261)