Abstract

The cytokine Interferon-γ (IFN-γ) exerts powerful immunoregulatory effects on the adaptive immune system and also enhances functions of the neutrophil (PMN). The clinical use of IFN-γ has been driven by the finding that its administration to patients with chronic granulomatous disease (CGD) results in decreased incidence and severity of infections. However, IFN-γ has no effect on the characteristic defect of CGD, the inability to convert oxygen to microbicidal metabolites including superoxide anion (O2-) during the phagocytosis associated oxidative burst. We administered varying doses of IFN-γ to adult volunteers and studied the effects on plasma drug levels and response molecules and PMNs isolated from blood drawn at intervals over a 96- hour period. Plasma concentrations of IFN-γ, IP-10 and neopterin, and stimulated release of O2- from PMNs exhibited dose- and time-dependent increases after IFN-γ administration. Gene expression in PMNs was altered for 2775 genes; changes occurred rapidly after administration and returned to baseline in 24–36 hours. Several genes involved with neutrophil host defense were upregulated including those for components of the O2- generating NADPH oxidase; innate-immune and Fc receptors; proteins involved in MHCI and II; a regulator of circulating PMN number; guanylate binding proteins; and a key enzyme in synthesis of an essential NOS cofactor. Coordinate changes were detected in protein levels of representative products from several of these genes. Lysates from isolated neutrophils also demonstrated a spike in NO following IFN-γ administration. IFN-γ appears to increase non-oxygen dependent microbicidal functions of PMNs which could provide strategies to compensate for deficiencies, explain its clinical benefit for CGD patients and expand therapeutic applications of IFN-γ to other disorders.Trial registration: Protocol registered in ClinicalTrials.gov, NCT02609932, Effect of IFN-γ on Innate Immune Cells.

Highlights

  • Named for their potent ability to interfere with viral infections, interferons (IFNs) are powerful regulators of the immune system [1, 2]

  • Neopterin is a small molecule metabolite in the Biopterin pathway that is known to be upregulated in response to IFN-γ [13]

  • Interferon-gamma and neutrophil gene expression antimicrobial phenotype of neutrophils in patients treated with IFN-γ; and we examined our gene expression data, S1 Table, to see if transcription of any GBP genes were upregulated in this study

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Summary

Introduction

Named for their potent ability to interfere with viral infections, interferons (IFNs) are powerful regulators of the immune system [1, 2]. It has been demonstrated that IFN-γ alters myeloid cell activity in diverse ways including, increased MHCII protein expression, altered cytokine and chemokine production, enhanced NADPH oxidase activity/oxidative burst, increased nitric oxide (NO) production, increased phagocytosis and cytocidal effects, increased Fc receptor expression, inhibition of chemotaxis and suppression of apoptosis [4]. Most of these changes have been documented as in vitro effects on mature neutrophils, recent studies show that more dramatic changes occur when IFN-γ interacts with maturing myeloid cells [5]. To expand our understanding of the role of IFN-γ in the functional integrity of the neutrophil, we studied its in vivo effects on neutrophils from healthy adult volunteers

Study design
Experimental procedures
Statistical methods
Results
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