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The Journal of Immunology, 1999, 162: 2259-2265.
Copyright © 1999 by The American Association of Immunologists

IFN-{gamma}-Mediated Control of Coxiella burnetii Survival in Monocytes: The Role of Cell Apoptosis and TNF1

Jérôme Dellacasagrande, Christian Capo, Didier Raoult and Jean-Louis Mege2

Unité des Rickettsies, Université de la Méditerranée, Centre National de la Recherche Scientifique, Faculté de Médecine, Marseille, France

The treatment of infectious diseases caused by intracellular bacteria, such as Q fever, may benefit from cytokines acting on macrophages. Monocytic THP-1 cells were infected with Coxiella burnetii, the etiological agent of Q fever, and then treated with IFN-{gamma}. While C. burnetii multiplied in untreated monocytes, IFN-{gamma} reduced bacterial viability after 24 h of treatment and reached maximum inhibition after 96 h. IFN-{gamma} also affected the viability of infected cells. Cell death resulted from apoptosis; occurring 24 h after the addition of IFN-{gamma}, it reached a maximum after 48 h and was followed by necrosis. Reactive oxygen intermediates were not required for C. burnetii killing, since monocytes from patients with chronic granulomatous disease were microbicidal in response to IFN-{gamma}. The role of cytokines was also investigated. IFN-{gamma} elicited a moderate release of IL-1ß in infected monocytes. Moreover, the IL-1 receptor antagonist did not affect C. burnetii survival, suggesting that IL-1ß was not involved in the bacterial killing induced by IFN-{gamma}. TNF was involved in IFN-{gamma}-induced killing of C. burnetii and cell death. IFN-{gamma} induced mRNA expression and sustained secretion of TNF. Neutralizing Abs to TNF as well as Abs directed against TNF receptors I and II, significantly prevented IFN-{gamma}-dependent killing of C. burnetii and cell death. These results suggest that IFN-{gamma} promotes the killing of C. burnetii in monocytes through an apoptotic mechanism mediated in part by TNF.




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