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The Journal of Immunology, 2004, 173: 1477-1482.
Copyright © 2004 by The American Association of Immunologists

Chlamydia pneumoniae Stimulates IFN-{gamma} Synthesis through MyD88-Dependent, TLR2- and TLR4-Independent Induction of IL-18 Release1

Mihai G. Netea2,*,{ddagger}, Bart Jan Kullberg*,{ddagger}, Liesbeth E. H. Jacobs*,{ddagger}, Trees J. G. Verver-Jansen*,{ddagger}, Johanna van der Ven-Jongekrijg*,{ddagger}, Jochem M. D. Galama{dagger},{ddagger}, Anton F. H. Stalenhoef*, Charles A. Dinarello§ and Jos W. M. Van der Meer*

Departments of * Medicine and {dagger} Medical Microbiology, University Medical Center Nijmegen, and {ddagger} Nijmegen University Center for Infectious Diseases, Nijmegen, The Netherlands; and § Department of Medicine, University of Colorado Health Sciences Center, Denver, CO

Recent studies suggest that inflammation plays a central role in the pathogenesis of atherosclerosis, and IFN-{gamma} is a prominent proinflammatory mediator in this context. However, it is unclear what stimuli are responsible for initial stimulation of IFN-{gamma} synthesis in the vessel wall. In the present study, we demonstrate that Chlamydia pneumoniae is an important stimulus for IFN-{gamma} synthesis, and this production depends on release of endogenous IL-18, IL-12, and IL-1, but not of TNF. The production of the proinflammatory cytokines TNF and IL-1{beta} from PBMC by sonicated C. pneumoniae was mediated through TLR2-dependent pathways. In contrast, C. pneumoniae stimulated the production of IL-18 through MyD88-dependent, TLR2-, TLR4-, and CD14-independent pathways, mediated by posttranscriptional mechanisms not involving de novo protein synthesis. In conclusion, C. pneumoniae is a potent stimulus of IFN-{gamma} production, in addition to the proinflammatory cytokines TNF and IL-1{beta}, which may contribute to its proatherogenic effects. Most interestingly, C. pneumoniae is also a potent inducer of IL-18 production through pathways independent of TLR2 and TLR4.




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