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Antimicrobial Agents and Chemotherapy, April 1999, p. 856-861, Vol. 43, No. 4
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

Renata L. A. Bottrel,1,dagger Yi-Li Yang,2 David E. Levy,3 Mark Tomai,4 and Luiz F. L. Reis1,5,*

Department of Microbiology, ICB, UFMG, Belo Horizonte,1 and Laboratory of Inflammatory Response, Ludwig Institute for Cancer Research, São Paulo, SP,5 Brazil; Institute for Molecular Biology, University of Zurich, Zurich, Switzerland2; Department of Pathology, New York University School of Medicine, New York, New York3; and 3M Pharmaceuticals, St. Paul, Minnesota4

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.


* 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.

dagger Present address: Laboratory of Lymphocyte Biology, Department of Biochemistry and Immunology, ICB, UFMG, Belo Horizonte, MG, Brazil, CEP 31270-901.


Antimicrobial Agents and Chemotherapy, April 1999, p. 856-861, Vol. 43, No. 4
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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