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Promoter Function in Disease Due to an Intracellular Pathogen1

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,
Departments of
*
Microbiology and Immunology,
Medicine, and
Biochemistry, and
Center for Pulmonary and Infectious Disease Control, University of Texas Health Center, Tyler, TX 75708;
¶ National Institute of Aging, National Institutes of Health, Baltimore, MD 21224;
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Crippled Childrens Foundation Research Center, Le Bonheur Childrens Hospital, and Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38103;
#
Department of Internal Medicine, University of North Texas Health Sciences Center, Fort Worth, TX 76107;
**
Inflammatory Bowel Disease Research Center, Cedars-Sinai Medical Center, Los Angeles, CA 90048;

Department of Immunology and Microbiology, University of Miami School of Medicine, Miami, FL 33124; and
*
Laboratory of Experimental Immunology, National Cancer Institute at Frederick, Frederick, MD 21702
Mycobacterium tuberculosis-induced IFN-
protein
and mRNA expression have been shown to be reduced in tuberculosis
patients, compared with healthy tuberculin reactors. To determine
whether this decrease was associated with reduced activity of the
IFN-
promoter, we first studied binding of nuclear proteins to the
radiolabeled proximal IFN-
promoter (-71 to -40 bp), using EMSAs
with nuclear extracts of freshly isolated peripheral blood T cells.
Nuclear extracts of T cells from most tuberculosis patients showed
markedly reduced expression of proteins that bind to the proximal
IFN-
promoter, compared with findings in nuclear extracts of T cells
from healthy tuberculin reactors. These DNA-binding complexes contained
CREB proteins, based on competitive EMSAs, supershift assays, and
Western blotting with an anti-CREB Ab. Transient transfection of
PBLs with a luciferase reporter construct under the control of the
IFN-
promoter revealed reduced IFN-
promoter activity in
tuberculosis patients. Transient transfection of Jurkat cells with a
dominant-negative CREB repressor plasmid reduced IFN-
promoter
activity. These data suggest that reduced expression of CREB nuclear
proteins in tuberculosis patients results in decreased IFN-
promoter
activity and reduced IFN-
production.
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