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The Journal of Immunology, 2003, 171: 4750-4757.
Copyright © 2003 by The American Association of Immunologists

Innate Inhibition of Adaptive Immunity: Mycobacterium tuberculosis-Induced IL-6 Inhibits Macrophage Responses to IFN-{gamma} 1

Vijaya Nagabhushanam*, Alejandra Solache*,{dagger}, Li-Min Ting{ddagger}, Claire J. Escaron*, Jennifer Y. Zhang§ and Joel D. Ernst2,*

* Division of Infectious Diseases, University of California, and Loewenstein Laboratory for Tuberculosis Research, San Francisco General Hospital, San Francisco, CA 94110; {dagger} Trudeau Institute, Saranac Lake, NY 12983; {ddagger} Department of Medicine and Microbiology and Immunology, Albert Einstein College of Medicine, New York, NY 10461; § Department of Dermatology, Stanford University, Stanford, CA 94305; and Departments of Medicine and Microbiology, New York University School of Medicine, New York, NY 10016

In humans and in mice, control of the intracellular pathogen, Mycobacterium tuberculosis (Mtb), requires IFN-{gamma}. Although the adaptive immune response results in production of substantial amounts of IFN-{gamma} in response to Mtb, the immune response is unable to eradicate the infection in most cases. We have previously reported evidence that Mtb inhibits macrophage responses to IFN-{gamma}, suggesting that this may limit the ability of IFN-{gamma} to stimulate macrophages to kill Mtb. We have also observed that uninfected macrophages, adjacent to infected macrophages in culture, exhibit decreased responses to IFN-{gamma}. Here we report that IL-6 secreted by Mtb-infected macrophages inhibits the responses of uninfected macrophages to IFN-{gamma}. IL-6 selectively inhibits a subset of IFN-{gamma}-responsive genes at the level of transcriptional activation without inhibiting activation or function of STAT1. Inhibition of macrophage responses to IFN-{gamma} by IL-6 requires new protein synthesis, but this effect is not attributable to suppressor of cytokine signaling 1 or 3. These results reveal a novel function for IL-6 and indicate that IL-6 secreted by Mtb-infected macrophages may contribute to the inability of the cellular immune response to eradicate infection.




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