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Department of Internal Medicine, Medical School and University Clinic, University of Navarra, Pamplona, Spain
Joint immunization with two recombinant adenoviruses, one
expressing hepatitis C virus (HCV) core and E1 proteins and another
expressing IL-12 (RAdIL-12), strongly potentiates cellular immune
response against HCV Ags in BALB/c mice when RAdIL-12 was used at doses
of 1 x 1051 x 107 plaque-forming
units. However, cellular immunity against HCV Ags was abolished when
higher doses (1 x 108 plaque-forming units) of
RAdIL-12 were used. This immunosuppressive effect was associated with
marked elevation of IFN-
and nitric oxide in the serum and increased
cell apoptosis in the spleen. Administration of
N-nitro-L-arginine methyl ester
(L-NAME), an inhibitor of nitric oxide synthase, to mice
that received high doses of RAdIL-12 was lethal, whereas no apparent
systemic toxicity by L-NAME was observed in those immunized
with lower doses of the adenovirus. Interestingly, in mice immunized
with recombinant adenovirus expressing core and E1 proteins of HCV in
combination with RAdIL-12 at low doses (1 x 107
plaque-forming units), L-NAME inhibited T cell
proliferation and CTL activity in response to HCV Ags and also
production of Abs against adenoviral proteins. In conclusion, gene
transfer of IL-12 can increase or abolish cell immunity against an Ag
depending of the dose of the vector expressing the cytokine. IL-12
stimulates the synthesis of NO which is needed for the
immunostimulating effects of IL-12, but apoptosis of T cells and
immunosuppression ensues when IFN-
and NO are generated at very high
concentrations.
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