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Antimicrobial Agents and Chemotherapy, April 1999, p. 856-861, Vol. 43, No. 4
Department of Microbiology,
Received 21 May 1998/Returned for modification 22 September
1998/Accepted 3 February 1999
Imiquimod is an oral inducer of interferon (IFN) and several other
proinflammatory cytokines and has been successfully used topically as
an antiviral agent for the treatment of genital warts. We have
investigated the molecular mechanisms by which imiquimod induces the
expression of IFNs, IFN-stimulated genes (ISGs), and proinflammatory
cytokines in vivo, using mice deficient in various components of the
IFN signaling system. Mice deficient in the transcription factor
interferon regulatory factor 1 (IRF-1) or in the serine/threonine
protein kinase PKR responded normally to imiquimod, producing high
levels of circulating IFN and induction of several ISGs. On the other
hand, when mice deficient in STAT-1 were treated, a 32-fold reduction
in the level of circulating IFN was observed, together with a lack of
induction of 2-5 oligo adenylate synthetase (2-5 OAS) and IRF-1 genes.
Interestingly, there was also a lack of induction of interleukin-6
(IL-6) gene expression, although tumor necrosis factor was induced and
readily detected in serum. In mice deficient in the type I IFN
receptor, imiquimod induced levels of IFN similar to those in control
mice, but again, neither 2-5 OAS, IRF-1, nor IL-6 genes were induced in
mutant mice. Our results suggest that STAT-1 plays a critical role in
the mechanism of gene activation by imiquimod. Moreover, induction of
IL-6 gene expression appears to be dependent on components of the IFN
signaling cascade.
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
The Immune Response Modifier Imiquimod Requires
STAT-1 for induction of Interferon, Interferon-Stimulated Genes,
and Interleukin-6

*
Corresponding author. Mailing address: Ludwig Institute
for Cancer Research, Rua Prof. Antonio Prudente 109, 4o
andar, São Paulo, SP, Brazil, 01509-010. Phone: 55-11-2704922. Fax: 55-11-2707001. E-mail:lreis{at}nodel.com.br.
Present address: Laboratory of Lymphocyte Biology, Department of
Biochemistry and Immunology, ICB, UFMG, Belo Horizonte, MG, Brazil, CEP
31270-901.
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