A therapeutic method of modulating the immune response, by administering
to a patient an amount of IL-4 effective to promote peripheral blood
lymphocyte adhesion to microvascular endothelial cells in lymphoid
organs. The IL-4 is preferably coadministered with IL-1.beta..An improved
method of screening a cell line for the production of a binding partner
that binds with a cell adhesion molecule, by contacting the binding
partner with IL4-activated and nonactivated microvascular endothelial
cells, and selecting binding partners that bind to the IL4-activated
microvascular endothelial cells but not to the nonactivated microvascular
endothelial cells. The selected binding partners may thereafter be tested
for the ability to block lymphocyte binding to cytokine-activated
endothelial cells. The binding partners are preferably also characterized
by binding to human VCAM-1 and to IL4- or TNF.alpha.-activated bone
marrow stromal cells. A representative embodiment is mAb 6G10 produced by
hybridoma ATTC No. HB10519.A therapeutic method of modulating the immune
response in a patient, by administering to the patient an agent that
specifically binds to IL4-activated microvascular endothelial cells, in
an amount effective to impede transmigration of lymphocytes that
specifically bind to VCAM-1 from blood across postcapillary venules.