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The Journal of Immunology, 1998, 160: 299-307.
Copyright © 1998 by The American Association of Immunologists

IL-18 (IFN-{gamma}-Inducing Factor) Regulates Early Cytokine Production in, and Promotes Resolution of, Bacterial Infection in Mice1

Erwin Bohn*, Andreas Sing*, Robert Zumbihl*, Claudia Bielfeldt*, Haruki Okamura{ddagger}, Masashi Kurimoto{dagger}, Jürgen Heesemann* and Ingo B. Autenrieth2,*

* Max von Pettenkofer Institut, Ludwig-Maximilians-Universität, Munich, Germany; {dagger} Hayashibara Biochemical Laboratories, Inc., Fujisaki Institute, Okayama, Japan; and {ddagger} Department of Bacteriology, Hyogo College of Medicine, Nishinomiyya, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-12-induced IFN-{gamma} production is essential for clearance of Yersinia enterocolitica infection. Similar to IL-12, the recently described cytokine IL-18 (IFN-{gamma}-inducing factor) is produced by macrophages and induces IFN-{gamma} production in spleen cells. Therefore, we have investigated the role of IL-18 in Yersinia infection of mice. Heat-killed yersinia-triggered IL-18-promoted IFN-{gamma} production of splenocytes was predominantly dependent on endogenous IL-12 production, whereas IL-12-promoted IFN-{gamma} production was not IL-18 dependent. IL-18-induced IFN-{gamma} production was to a higher degree dependent on IFN-{gamma}R-mediated mechanisms and in synergism with IL-2 resulted in at least fivefold higher IFN-{gamma} levels as compared with the combination of IL-12 plus IL-2. Analysis of the effect of IL-18 on IL-12 production of LPS-stimulated peritoneal macrophages revealed that IL-18 decreased LPS-induced IL-12 production, indicating that IL-18 might be involved in negative regulation of IL-12 production. In vivo studies revealed that Yersinia-resistant C57BL/6 mice expressed fourfold higher IL-18 mRNA levels than did susceptible BALB/c mice. Administration of anti-IL-18 Abs caused a 100- to 1000-fold increase in bacterial counts in the spleen of infected mice but did not change IFN-{gamma} production levels. Taken together, our data demonstrate that IL-18 is involved in regulation of cytokine production during the early phase of bacterial infections as well as in clearance of Yersinia infection.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interferon-{gamma}-inducing factor (IL-18) is a recently described murine and human cytokine. The murine IL-18 gene encodes a precursor protein of 192 amino acids which is processed to a mature protein of 157 amino acids (1). Although there is no apparent similarity to sequences in protein or nucleotide databases, a structural relationship of IL-18 to the IL-1 family was described (2). As predicted by Bazan et al. precursor IL-18 is processed by IL-1ß-converting enzyme (ICE)3 and cleaved to mature IL-18 (3). As described for IL-12 (4, 5, 6), IL-18 induces IFN-{gamma} production in Th1 clones (1, 7). Likewise, high IFN-{gamma} levels are induced by IL-18 in splenic derived CD4 T cells in the presence of B cells or adherent cells (8). Furthermore, similar to IL-12 (9, 10), IL-18 stimulates T cell proliferation and NK cell activity (1). Moreover, IL-18 enhances Fas ligand-mediated cytotoxicity of Th1 T cell clones (11). Human IL-18 has been found to enhance the production of IFN-{gamma} (IFN-{gamma}) and granulocyte/macrophage CSF in Con A stimulated PBMC (12). In contrast to IL-12, IL-18 enhances IL-2 and granulocyte/macrophage CSF production in human T cells (13). Addition of IL-18 to anti-CD3 mAb-stimulated human T cells enhances proliferation of these cells. This effect could be completely inhibited by a neutralizing Ab against IL-2 (13).

Previous studies showed that IL-12-induced IFN-{gamma} production is essential for clearance of Yersinia enterocolitica infection in mice (14). Y. enterocolitica is a Gram-negative, rod-shaped, mainly extracellularly located pathogen that causes enteritis and enterocolitis in humans and rodents (15, 16, 17). Systemic infection including abscesses and granulomatous lesions in spleen and liver occur, particularly in immunocompromised individuals (18, 19). Similar to infections with intracellular pathogens T cells, particularly CD4+ Th1 cells, in cooperation with activated macrophages are involved in and required for clearance of primary Yersinia infection (20, 21), since plasmid-encoded virulence factors such as YadA and Yersinia outer proteins (Yops) enable Y. enterocolitica to evade innate host defense mechanisms including complement system and phagocytosis (16, 22, 23). Clearance of Yersinia infection is mediated by various proinflammatory cytokines. Thus, neutralization of TNF-{alpha}, IFN-{gamma} or IL-12 abrogates resistance against this pathogen suggesting that T-cell activated macrophages are important effector cells in the protective host response to yersiniae (14, 20, 24). Previous studies showed that C57BL/6 mice are resistant against Y. enterocolitica while BALB/c mice are susceptible (25). Administration of IFN-{gamma}, IL-12 or anti-IL-4 Abs rendered BALB/c mice resistant to yersiniae but did not significantly affect the course of the infection in Yersinia-resistant C57BL/6 mice. IL-12 treatment of Yersinia-infected C57BL/6 mice, however, increased bacterial numbers in the spleen and toxic effects in the liver were observed (14). Comparison of Yersinia-resistant C57BL/6 and Yersinia-susceptible BALB/c mice demonstrated that both mouse strains differ in their ability to produce IFN-{gamma} (20, 26). Hence, BALB/c mice can be characterized as IFN-{gamma} low producers and C57BL/6 mice as IFN-{gamma} high producers. IFN-{gamma} production of heat-killed yersiniae (HKY)-stimulated spleen cells derived from Yersinia-infected mice is predominantly IL-12 dependent. (15, 16, 17). The reason for the different IL-12-mediated IFN-{gamma} production in C57BL/6 and BALB/c mice, however, is not yet clear. Since there is evidence that IL-18 is involved in IFN-{gamma} production we wanted to analyze 1) the principle role of IL-18 in cytokine regulation, 2) the role of IL-18 in infection with enteropathogenic Y. enterocolitica, and 3) whether IL-18 might be involved in the different susceptibility of C57BL/6 and BALB/c mice to Y. enterocolitica infections.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

Female 6- to 8-wk-old C57BL/6 and BALB/c mice were purchased from Charles River Wiga (Sulzfeld, Germany) and kept under specific-pathogen-free conditions (positive pressure cabinet). Female 6- to 8-wk-old 129/Sv/Ev IFN-{gamma}R type II+/+, 129/Sv/Ev IFN-{gamma}R type II-/- as described by Huang et al. (27), Ola/129 IL-2+/+ and Ola/129 IL-2-/- (28), and C57BL/6 TNFR p55-/- (29) were bred under specific-pathogen-free conditions.

Infection of animals

Freshly thawed, plasmid-harboring Y. enterocolitica strain WA-314 serotype O:8 organisms suspended in 0.1 ml of sterile PBS, pH 7.4, were used for i.v. infection as described previously (20). The actual number of bacteria administered was determined by plating serial dilutions of the inoculum on Mueller-Hinton agar (Merck, Darmstadt, Germany) and counting CFU after an incubation period of 36 h at 26°C. In kinetic studies, four mice per group were killed by carbon dioxide asphyxiation on days 1, 3, and 7 after infection with 5 x 103 bacteria for both C57BL/6 and BALB/c mice if not stated otherwise. The spleens were removed aseptically, and a single-cell suspension was prepared by using 5 ml of PBS containing 0.1% BSA. Then, duplicates of 0.1 ml of serial dilutions of these preparations were plated on Mueller-Hinton agar. The limit of detectable CFU was 25 (log10 25 = 1.4). All animal experiments were reproduced at least three times and revealed comparable results.

Antibodies

The mAbs and polyclonal Abs used in this study were polyclonal goat anti-mouse IL-12 Abs (kindly provided by M. Gately, Hoffman-LaRoche Inc., Nutley, NJ), polyclonal rabbit anti-mouse IL-18 (M. Kurimoto, Hayashibara Biochemical Laboratories, Fujisaki Institute, Okayama, Japan), monoclonal rat anti-mouse IL-1 receptor (mu IL1R-M15) (Dr. J. Sims, Immunex Research Inc., Seattle, WA), anti-murine IL-1{alpha} neutralizing Abs (R&D Systems, Wiesbaden, Germany), anti-murine IL-1ß neutralizing Abs (R&D Systems), anti-murine IFN-{gamma} (R4-6A2 and AN 18.17.24), anti-murine IL-12 (C17.8 and C15.6, PharMingen, San Diego, CA), anti-murine TNF-{alpha} (G281-2626 and MP6-XT3; PharMingen), and anti-murine IL-2 mAbs (JES6-1A12 and JES6-5H4; PharMingen).

Cytokines

Recombinant IL-18 was supplied by M. Kurimoto, Hayashibara Biochemical Laboratories, Inc., Fujisaki Institute. IFN-{gamma} was supplied by G. R. Adolf, Bender Wien, Austria. IL-12 was supplied by M. Gately, Hoffman-LaRoche, Nutley, NJ. IL-1{alpha} was purchased by R&D Systems.

Stimulation of spleen cells in vitro

A part of the single-cell suspension described above was used for in vitro culture of splenocytes. Erythrocytes were lysed by a short incubation in 0.15 M NH4Cl, washed three times with HBSS, and resuspended in Click/RPMI 1640 cell culture medium (Biochrom, Berlin, Germany) supplemented with 2 mM L-glutamine (Biochrom), 10 mM HEPES (Biochrom), 5 x 10-5 M 2-ME (Biochrom), 10 µg of streptomycin (Biochrom) per ml, 100 U of penicillin (Biochrom) per ml, and 10% heat-inactivated FCS (Biochrom) at a final cell concentration of 2 x 106 per ml of Click-10% FCS.

For determination of cytokine production, 2 x 106 splenocytes were cultured in 2 ml of cell culture medium in 12-well macroculture plates (Nunc, Roskilde, Denmark) in the presence of 10 µg/ml HKY). Cytokines were modulated by incubation with polyclonal goat anti-murine IL-12 Abs at a concentration of 5 to 20 µg/ml, recombinant IL-12 (10–1,000 pg/ml; kindly provided by M. Gately), recombinant IL-18 (10–10,000 pg/ml; kindly provided by M. Kurimoto), polyclonal rabbit anti-mouse IL-18 (5–50 µg/ml; M. Kurimoto), monoclonal rat anti-mouse IL-1 receptor (3 µg/ml; mu IL1R-M15; Dr. Sims, Immunex Research Inc.), anti-murine IL-1{alpha} neutralizing Abs (10 µg/ml; R&D Systems, Wiesbaden, Germany), anti-murine IL-1 ß neutralizing Abs (10 µg per ml; R&D Systems). After 48 h, supernatants were harvested and used in the cytokine assays.

Stimulation of peritoneal macrophages in vitro

Peritoneal exudate cells were obtained from C57BL/6 mice that had received an i.p. injection of 1 ml of 10% proteose peptone (Difco Laboratories, Detroit, MI) 3 days before. Peritoneal exudate cells were washed three times and resuspended in ice-cold RPMI 1640 medium (Biochrom) supplemented with 2 mM L-glutamine (Biochrom), 10 mM HEPES (Biochrom), 100 µg of streptomycin (Biochrom) per ml, 100 U of penicillin (Biochrom) per ml, and 10% heat-inactivated FCS (Biochrom).

These cells (10 x 106 cells/well) were plated in 24-well tissue culture plates (Nunc). The cells were incubated at 37°C for 2 h, and nonadherent cells were removed by repeated washing with PBS. Macrophage monolayers were incubated with 1 µg of LPS per ml (Escherichia coli 0127:B8; Sigma, Deisenhofen, Germany) in addition of IFN-{gamma} (50 U/ml) and IL-18 (10 ng/ml). Supernatants were collected 4 h later, and levels of IL-12 and TNF-{alpha} were determined.

Stimulation of EL-4 T lymphoma cells

EL-4 6.1 cells were routinely passaged in RPMI 1640 supplemented with 5% FCS, 2 mM L-glutamine (Biochrom), 5 x 10-5 M 2-ME (Biochrom), 10 µg of streptomycin (Biochrom) per ml, 100 U of penicillin (Biochrom) per ml, and 10% heat-inactivated FCS (Biochrom). EL-4 6.1 cells were washed by centrifugation and resuspended in their respective culture medium at 106 cells/ml to which 10 ng of PMA per ml plus 1 ng of IL-1 or IL-18 per ml with or without anti-IL-1R Abs (3 µg/ml) was added. Supernatants were collected 24 h later, and IL-2 was determined by IL-2 capture ELISA.

Assays for IFN-{gamma}, IL-12, TNF-{alpha}, and IL-2

IFN-{gamma}. IFN-{gamma} levels were determined by using a capture ELISA as described recently (30). Briefly, ELISA microtiter plates (Greiner, Solingen, Germany) were coated with anti-IFN-{gamma} mAb (AN-18.17.24). After blocking of nonspecific binding sites, supernatants were added to the wells and incubated overnight. After several wash steps, biotin-labeled anti-IFN-{gamma} mAb (R4-6A2) was added. Finally, an avidin-biotin-alkaline phosphatase complex (Strept ABC-AP kit; DAKO, Glostrup, Denmark) was added. For signal development the wells were incubated with p-nitrophenyl phosphate disodium (Sigma), and the optical density was determined at wavelengths of 405 and 490 nm with an ELISA reader. The levels of IFN-{gamma} from spleen cell culture were determined from the straight-line portion of the standard curve by using recombinant murine IFN-{gamma} (20).

TNF-{alpha}. TNF-{alpha} levels were determined by a capture ELISA using rat anti-mouse TNF-{alpha} mAb (G281-2626) and biotin-labeled anti-TNF-{alpha} mAb (MP6XT3) as described above for IFN-{gamma} ELISA.

IL-12. IL-12 (p40 and p70) levels were determined by a capture ELISA using anti-IL-12 mAb (C17.8) and biotin-labeled anti-IL-12 mAb (C15.6) as described for IFN-{gamma} ELISA.

IL-2. IL-2 levels were determined by a capture ELISA using rat anti-mouse IL-2 mAb (JES6-1A12) and biotin-labeled anti-IL-2 mAb (JES6-5H4) as described for IFN-{gamma} ELISA.

In vivo administration of Abs and cytokines

In various experiments, the course of infection was modulated by i.p. administration of 1) recombinant murine IL-18 (20–4000 ng) and 2) recombinant murine IL-12 (2 ng) on day -1, 0, 1, 2, 3 postinfection (p.i.), and 3) 300 µg of polyclonal rabbit anti-mouse IL-18 Abs on day -1 p.i. Control animals were injected i.p. with the appropriate volume of PBS.

RT-PCR

As described previously, mice were killed and the liver was infused with 10 to 20 ml of PBS, pH 7.4 (4°C), removed, and homogenized in 5 ml of buffer consisting of 5 M guanidine isothiocyanate (Sigma), 25 mM sodium citrate (Serva, Heidelberg, Germany), 0.5% N-lauroylsarcosine (Sigma), and 100 mM 2-ME (Fluka, Buchs, Switzerland). The homogenates were processed for RNA isolation, as described previously (26). Briefly reverse transcription was performed by mixing 20 µg of RNA in 10 µl of diethylpyrocarbonate (Sigma)-treated distilled H2O with 2 µg of oligo(dT) (United States Biochemical Corp., Cleveland, OH). This solution was incubated for 10 min at 65°C. Then 10 µl of a solution containing 2x reverse transcriptase buffer ((100 mM Tris-HCl (pH 8.3), 150 mM KCl, 6 mM MgCl2 (Life Technologies), 40 U of RNasin (Promega Biotec, Madison, WI), 20 mM DTT (Life Technologies), and 2 mM deoxynucleoside triphosphates)) was added, and tubes were incubated for 60 min at 37°C. Finally, tubes were heated to 90°C for 5 min, and 180 µl of distilled H2O were added to the reaction mixture. Samples were stored at -20°C until further use (Life Technologies). Primer pairs specific for ß-actin (sense 5'-TGG AAT CCT GTG GCA TCC ATG AAA C-3'; antisense 5'-TAA AAC GCA GCT CAG TAA CAG TCC G-3'; PCR product, 348 bp), IL-18 (sense 5'-ACT GTA CAA CCG CAG TAA TAC GG-3'; antisense 5'-AGT GAA CAT TAC AGA TTT ATC CC-3'; PCR product, 434 bp) were designed and purchased from Roth (Karlsruhe, Germany).

Five microliters of cDNA prepared as described above were added to 20 µl of a solution consisting of 1 U of Taq DNA polymerase (Amersham, Buckinghamshire, United Kingdom), 200 µM concentrations each of deoxynucleoside triphosphates, 200 to 500 nM 5' and 3' primers and Taq polymerase buffer (50 mM KCl, 10 mM Tris-HCl (pH 8.3), and 1.5 mM MgCl2; Amersham). PCR was performed in a DNA thermal cycler (Biometra, Göttingen, Germany) with 22 to 35 cycles. The PCR products were visualized by electrophoresis of 20 µl of the reaction product. Data shown are representative of at least three experiments including three to five animals per group and time point.

To assess IL-18 mRNA expression semiquantitatively, RT-PCR was performed as described above. The PCR product was run on an agarose gel and then transferred on nylon membrane by Southern blotting as described elsewhere (30). For hybridization, ß-actin and IL-18 probes generated by RT-PCR including the primer described above were purified by Prep-A-Gene-Kit (Bio-Rad, Munich, Germany) and labeled by digoxigenin-11-dUTP (Boehringer Mannheim, Mannheim, Germany). Then the probes were purified by QIA quick-spin PCR purification kit (Qiagen, Hilden, Germany). Prehybridization and hybridization procedures were conducted according to the instructions of the manufacturer (Boehringer Mannheim). Finally, the reaction was visualized by incubation with a polyclonal sheep anti-digoxigenin Fab fragment conjugated to alkaline phosphatase followed by the addition of the chemiluminescent alkaline substrate Lumigen PPD (Boehringer Mannheim). The signal was detected by exposing the membrane to an x-ray film as well as by counting the light emission with a chemiluminometer (Hamamatsu Photonics, Herrsching, Germany).

Statistics

Differences between mean values were analyzed with Student’s t test. p < 0.05 was considered statistically significant.


    Results
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-12- and IL-18-induced IFN-{gamma} production in C57BL/6 and BALB/c mice

To compare the efficiency of IL-12- and IL-18-induced IFN-{gamma} production, naive spleen cells from C57BL/6 or BALB/c mice were stimulated with HKY in addition to various concentrations of IL-12 or IL-18, and IFN-{gamma} production was determined in cell culture supernatants. Both IL-12 and IL-18 induced significant IFN-{gamma} production in a dose-dependent manner (Fig. 1Go). However, ~10 pg of IL-12 were sufficient to induce a significant IFN-{gamma} production in splenocytes, while at least 10-fold higher concentrations of IL-18 were required to achieve comparable levels (Fig. 1Go). Comparison of C57BL/6 and BALB/c splenocytes revealed that both IL-12 and IL-18 induced IFN-{gamma} production at 10-fold lower levels in C57BL/6 splenocytes, indicating that IL-18- and IL-12-mediated IFN-{gamma} production is more efficient in C57BL/6 than in BALB/c spleen cells.



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FIGURE 1. IL-12- and IL-18-modulated IFN-{gamma} production by HKY-stimulated spleen cells from naive BALB/c and C57BL/6 mice. Splenocytes were cultured with IL-12 (1 ng/ml) or IL-18 (10 ng/ml) as indicated. IFN-{gamma} was measured in the supernatant by ELISA. Results are the means for three mice.

 
Synergistic effect of IL-12 and IL-18

Previous studies showed a higher Yersinia-triggered IFN-{gamma} mRNA expression in the liver and a higher IFN-{gamma} production in splenocytes of C57BL/6 compared with BALB/c mice, although both strains of mice produce comparable quantities of IL-12 after exposure to Y. enterocolitica (14, 26). This could be due to different IL-18 production in C57BL/6 and BALB/c mice. Therefore, possible synergistic effects of IL-12 and IL-18 were studied. For this purpose, submaximal concentrations of IL-18 plus various amounts of IL-12, and vice versa, were added to HKY-stimulated spleen cells, and IFN-{gamma} production was determined after 48 h. The results depicted in Figure 2Go indicate that there is a synergistic dose-dependent effect of IL-12 on IL-18 and vice versa for Yersinia-triggered IFN-{gamma} production.



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FIGURE 2. Synergistic effect of IL-18 and IL-12. Splenocytes of C57BL/6 mice were cultured and stimulated with HKY (10 µg/ml) in the presence or absence of IL-18 and/or IL-12 as indicated. IFN-{gamma} was measured in supernatants by ELISA. Results are the means for three mice.

 
IL-18-induced IFN-{gamma} production of spleen cells is IL-12 but not IL-1 dependent

To investigate whether IL-12 is IL-18 dependent or vice versa in its ability to induce IFN-{gamma} production, spleen cells from naive or Yersinia-infected mice were stimulated with HKY in addition to anti-IL-18 Abs plus IL-12 or anti-IL-12 Abs plus IL-18. IL-18 induced IFN-{gamma} levels were strongly reduced by the addition of anti-IL-12 Abs in spleen cell cultures, indicating that IL-18-induced IFN-{gamma} production strongly depends on IL-12 (Fig. 3Go). In contrast, IL-12-induced IFN-{gamma} levels were only slightly reduced by anti-IL-18 Abs. Comparable results were obtained for spleen cell cultures from Yersinia-infected mice (data not shown).



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FIGURE 3. Effect of Abs against IL-18, IL-12, IL-1R, and IL-1{alpha}/IL-1ß on IL-12- or IL-18-induced IFN-{gamma} production by spleen cells from C57BL/6 and BALB/c mice. Spleen cells were cultured and stimulated with HKY in the presence of IL-12 or IL-18. Abs against IL-18 (10 µg/ml), IL-12 (10 µg/ml), IL-1R (3 µg/ml) or IL-1{alpha}/IL-1ß (10 µg/ml) were added simultaneously with HKY as shown. IFN-{gamma} was determined in supernatants by ELISA. Results are the means for three mice.

 
Because of the conformational relationship of IL-18 and IL-1, we tested whether IL-18-induced IFN-{gamma} production is IL-1R dependent. The data depicted in Figure 3Go show that the addition of anti-IL-1 Abs or anti-IL-1R Abs had no impact on IL-12- or IL-18-induced IFN-{gamma} levels, indicating 1) that IL-12 or IL-18-induced IFN-{gamma} production is not IL-1 dependent and 2) that IL-18-induced effects are not mediated by IL-1R. In addition, EL-4 T cell lymphoma cells stimulated with PMA in combination with IL-1 {alpha}, but not with IL-18, produced significant IL-1R-dependent levels of IL-2 (data not shown), providing further evidence that IL-18 does not signal through IL-1R.

Regulatory effect of IL-18 on activated peritoneal macrophages

To study whether IL-18 induces IL-12 production, inflammatory peritoneal macrophages were stimulated with LPS in combination with IL-18 or IFN-{gamma}, and the production of TNF-{alpha} and IL-12 was determined in cell culture supernatants 4 h later. As depicted in Figure 4Go, IL-18 did not influence LPS-triggered TNF-{alpha} production. However, IL-18 reduced and anti-IL-18 Abs increased LPS-triggered IL-12 production in the absence of IFN-{gamma} (Fig. 4Go). The addition of IFN-{gamma}-enhanced LPS-mediated IL-12 production significantly. However, the addition of neither IL-18 nor anti-IL-18 Abs changed IL-12 production in the presence of IFN-{gamma} (Fig. 4Go). These results led to the hypothesis that after LPS stimulation IL-18 is produced and down-modulates IL-12 production by peritoneal macrophages in the absence of IFN-{gamma} while pretreatment with IFN-{gamma} bypasses this negative regulatory effect.



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FIGURE 4. Effect of IL-18 on LPS-triggered TNF-{alpha} and IL-12 production by peritoneal macrophages. Peritoneal macrophages were cultured with LPS (1 µg/ml) in the presence or absence of IL-18 (10 ng/ml), IFN-{gamma} (50 U/ml), or both IFN-{gamma} and IL-18. TNF-{alpha} and IL-12 were determined in supernatants by ELISA. Results are the means for three experiments.

 
IL-18- and IL-12-induced IFN-{gamma} production in cytokine-deficient mice

To study whether IL-2-, TNFR-, and IFN-{gamma}R-mediated mechanisms influence IL-12- or IL-18-induced IFN-{gamma} production, spleen cells from IFN-{gamma}R-, TNFR p55-, or IL-2-deficient mice were stimulated with HKY in the presence of IL-12 or IL-18. HKY-stimulated spleen cells from IFN-{gamma}R-/- mice produced lower amounts of IL-18- (~90% reduction) or IL-12- (~50% reduction) induced IFN-{gamma} compared with IFN-{gamma}R+/+ spleen cells (Fig. 5GoA). In line with the data that IL-18- induced IFN-{gamma} is IL-12 dependent, these results suggest that IFN-{gamma}R-mediated IL-12 induction seems to synergize with IL-18 for high amounts of IFN-{gamma} produced by spleen cells.



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FIGURE 5. Effect of IL-18 and IL-12 on IFN-{gamma} production by spleen cells of IL-2- (A), IFN-{gamma}R- (B), and TNFR-deficient (C) mice compared with wild-type mice. Spleen cells were cultured in the presence of HKY. Simultaneously IL-12 (1 ng/ml) or IL-18 (10 ng/ml) with or without IL-2 (10 U/ml) were added. IFN-{gamma} was determined in supernatants by ELISA. Results are the means for three mice.

 
Spleen cells from IL-2-/- mice after stimulation with HKY in the presence of IL-12 or IL-18 produced significant lower amounts of IFN-{gamma} than did IL-2+/+ spleen cells. Furthermore, the addition of 10 U of IL-2 per ml increased IL-12- and IL-18-induced IFN-{gamma} levels significantly in both IL-2+/+ and IL-2-/- mice (Fig. 5GoB), indicating that IL-2 synergizes with IL-12 and IL-18 in IFN-{gamma} production. The synergistic effect on IFN-{gamma} levels of IL-2 with IL-18 seems to be much more efficient than the combination of IL-2 plus IL-12. HKY-stimulated spleen cells from TNFR-/- and TNFR+/+ mice produced comparable IL-12- or IL-18-induced amounts of IFN-{gamma} (Fig. 5GoC).

IFN-{gamma} production is IL-12 and IL-18 dependent in yersiniosis

To assess whether IFN-{gamma} production is IL-18 dependent, spleen cells from Yersinia-infected C57BL/6 mice were stimulated with HKY in the presence of anti-IL-18 or anti-IL-12 Abs and IFN-{gamma} levels were determined in cell culture supernatants. IFN-{gamma} levels were significantly reduced by anti-IL-12 Abs (70%; p < 0.001) and anti-IL-18-Abs (30%; p < 0.01) (Fig. 6Go). These results indicate that HKY-induced IFN-{gamma} production is predominantly IL-12- but also partially IL-18-dependent.



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FIGURE 6. IFN-{gamma} production by HKY-stimulated spleen cells isolated from 3 and 7 days from C57BL/6 mice after infection with 5 x 103 modulated by the addition of anti-IL-12 (10 µg/ml) or anti-IL-18 (10 µg/ml) Abs. IFN-{gamma} was measured in supernatants by ELISA. Results are the means for three mice.

 
IL-18 mRNA expression after Yersinia infection inYersinia-resistant and -susceptible mice

To assess whether different IL-18 levels might account for different IFN-{gamma} production of Yersinia-resistant C57BL/6 and Yersinia-susceptible BALB/c mice, IL-18 mRNA levels in liver tissue were determined before and after Y. enterocolitica infection. Semiquantitative analysis of IL-18 mRNA expression levels revealed that IL-18 mRNA is constitutively expressed in liver tissue. However, a fourfold higher mRNA expression level was found in C57BL/6 than in BALB/c mice (Fig. 7Go). These data led to the hypothesis that the higher IL-18 mRNA levels could be responsible for different IFN-{gamma} levels and possibly different suceptibility of BALB/c and C57BL/6 mice for Y. enterocolitica infection.



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FIGURE 7. Semiquantitative assessment of ß-actin and IL-18 mRNA production by RT-PCR (actin, 18 cycles; IL-18, 20 cycles) and Southern blotting of amplified DNA, hybridization with digoxigenin-11-dUTP-labeled probes, and visualization by chemiluminescence substrate. Left, different dilutions of standard DNA (concentration of 1:1, 9 pg of ß-actin DNA, 1 pg of IL-18 DNA); right, liver from BALB/c (B) and C57BL/6 (C) mice before and 3 days after i.v. infection with 104 yersiniae.

 
Modulation of yersiniosis by administration of anti-IL-18 Abs

The role of IL-18 in protective host responses against Y. enterocolitica was investigated in C57BL/6 and BALB/c mice. For this purpose, mice were injected i.p. with neutralizing anti-IL-18 Abs before Y. enterocolitica infection. The data presented in Figure 8Go indicate that administration of anti-IL-18 Abs increased susceptibility against yersiniae in C57BL/6 as well as in BALB/c mice. Thus, bacterial numbers were more than 100-fold increased in anti-IL-18-Ab treated mice compared with control mice. From these data, we can conclude that IL-18 is an important mediator of the protective host response against yersiniae. In parallel experiments, spleen cells from both mouse strains were isolated and exposed to HKY in vitro, and IFN-{gamma} production was determined in the cell culture supernatants (Fig. 8Go). In line with previous studies, only spleen cells from C57BL/6 mice but not those from BALB/c mice produced significant IFN-{gamma} levels. Moreover, no significant differences in IFN-{gamma} production were observed in HKY-stimulated splenocytes derived from anti-IL-18-treated C57BL/6 mice compared with control mice. These data suggest that IL-18 mediates resistance by an IFN-{gamma}-independent mechanism.



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FIGURE 8. Bacterial numbers in the spleens and IFN-{gamma} production of spleen cells isolated 3 days p.i. from Yersinia-infected C57BL/6 and BALB/c mice treated with control or anti-IL-18 Abs. Spleen cells were stimulated with HKY (10 mg/ml medium). Results are the means and SDs for four mice. The asterisk indicates statistically significant (p < 0.05) differences compared with the control group.

 
Exogenous IL-18 has no protective effect in Yersinia-infected mice

To evaluate whether exogenous IL-18 can mediate protection against Yersinia infection, mice were infected i.v. with yersiniae and additionally treated with various amounts of IL-18 1 day before and after infection. Bacterial numbers in spleens were determined on day 6 p.i. Administration of 1 to 4 µg of IL-18 per day did not change bacterial numbers in spleens of Yersinia-infected C57BL/6 or BALB/c mice (Fig. 9Go). The same results were obtained when 20 to 100 ng of IL-18 per day or only one dose of IL-18 (3 to 16 µg) was administered 1 day before the infection (data not shown).



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FIGURE 9. Bacterial numbers in spleens of C57BL/6 and BALB/c mice 6 days p.i. with 2 x 104 or 5 x 103Y. enterocolitica, respectively, and treatment with various quantities (0, 1, 4 µg) of IL-18 per day). Results are the means and SDs for five mice.

 
To address the question of whether exogenous administered IL-18 might have a protective synergistic effect in combination with exogenous IL-12, BALB/c mice were treated with 1 µg of IL-18 plus 2 ng of IL-12 1 day before and after Y. enterocolitica infection. The results indicate that IL-18 does not improve IL-12-mediated protective effects in Yersinia-infected BALB/c mice (Fig. 10Go).



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FIGURE 10. Bacterial numbers in spleens of BALB/c mice 6 days p.i. with 5 x 103 Y. enterocolitica, and treatment with and without IL-18 (1 µg/day), IL-12 (1 ng/day) or both IL-18 plus IL-12. Results are the means and SDs for five mice. Asterisks indicate statistically significant different differences (p < 0.01) compared with the control group.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have recently shown that production of high levels of IFN-{gamma} by Yersinia-resistant C57BL/6 mice and low levels of IFN-{gamma} by Yersinia-susceptible BALB/c mice is associated with Yersinia susceptibility (20, 26). Moreover, we have demonstrated that IFN-{gamma} production is mostly IL-12 dependent in spleen cells derived from Yersinia-infected mice (14). In vivo administration of anti-IL-12 Abs or recombinant IL-12 raised the evidence that IL-12 is essential for clearance of Y. enterocolitica infection (14) and depends on IFN-{gamma}R-mediated mechanisms.4 However, although resistant C57BL/6 mice produce comparable quantities of IL-12 compared with susceptible BALB/c mice, the latter produce less IFN-{gamma} (14). The basis of the different responsiveness of both strains of mice for IL-12-induced IFN-{gamma} production in Yersinia infection is not clear. Therefore, we hypothesized that other cytokines than IL-12, e.g., IL-10 or TGF-ß, might account for the different IFN-{gamma} production of resistant and susceptible mice. However, the different IFN-{gamma} production levels in Yersinia-infected C57BL/6 and BALB/c mice can only partially be explained by immunoregulating cytokines such as IL-10 that suppress IFN-{gamma} production, because, e.g., suppression of IFN-{gamma} production by IL-10 in HKY-stimulated spleen cells derived from Yersinia-infected mice was observed only during the late phase of infection (14). Moreover, no significant differences in TGF-ß levels were observed in C57BL/6 and BALB/c mice, although in vivo studies indicate that a relative lack of TGF-ß is associated with a strong IFN-{gamma} production by C57BL/6 mice.4 On the other hand, the different responsiveness of both strains of mice for IL-12-induced IFN-{gamma} production in Yersinia infection could be due to a different regulation and expression of IL-12R ß2 chain (31). Thus, the molecular basis for the loss of the IL-12 responsiveness in T cells from Leishmania-susceptible BALB/c and maintenance of IL-12 responsiveness in T cells from Leishmania-resistant B10.D2 mice is associated with a different expression of the IL-12R ß2 subunit (31, 32).

Since IL-18 was shown to be a potent inducer of IFN-{gamma} (1, 8), we hypothesized that IL-18 might be involved in the different IFN-{gamma} levels of Yersinia-resistant and -susceptible mice and in resistance against yersiniae. Therefore, we studied whether there are different mechanisms involved in Yersinia-triggered IL-12- and IL-18-promoted IFN-{gamma} production. Moreover, we investigated whether IL-18 is involved in protection of mice against yersiniae.

IL-12- as well as IL-18-induced significant levels of IFN-{gamma} in HKY-stimulated spleen cells, although lower amounts of IL-12 were necessary compared with IL-18. Comparable with established anti-CD3 stimulated Th1 cell clones (1, 7), IL-12 and IL-18 synergistically induced IFN-{gamma} production in HKY-stimulated spleen cells. However, in contrast to established Th1 cell clones (1, 7), IL-18-induced IFN-{gamma} production in HKY-stimulated spleen cells was highly IL-12 dependent.

Comparison of IL-18- and IL-12-induced IFN-{gamma} production in IL-2-deficient and control mice revealed that IL-2 synergizes with both IL-18 and IL-12 in IFN-{gamma} production. Therefore, high amounts of IFN-{gamma} production by anti-CD3-stimulated Th1 clones could be due to a synergistic effect of IL-18 and IL-2. According to this suggestion, IL-2 led to a fivefold increase of IL-18-induced IFN-{gamma} levels, while there was only a twofold increase of IL-12-induced IFN-{gamma} production by IL-2.

In HKY-stimulated spleen cells from IFN-{gamma}R-deficient mice, IL-18-induced IFN-{gamma} production was strongly reduced, whereas IL-12-induced IFN-{gamma} production was only moderately reduced. The striking difference of IL-12- and IL-18-induced IFN-{gamma} production in IFN-{gamma}R mice compared with wild-type control mice could be due to a direct and specific consequence of missing IFN-{gamma}R or a general consequence of the immunodeficiency. Nevertheless, these data led to the suggestion that IL-12 predominantly induces IFN-{gamma} production directly and to a lesser degree by an amplification cascade involving IFN-{gamma}-induced IL-12 production. In contrast to IL-12, IL-18 seems to induce only low amounts of IFN-{gamma} which in turn activates macrophages to produce IL-12 and which may synergize with IL-18 to achieve high amounts of IFN-{gamma}.

Furthermore, studies on LPS-stimulated peritoneal macrophages showed no evidence that IL-18 induces IL-12 directly, because LPS-triggered IL-12 production was down-regulated by IL-18 and up-regulated by anti-IL-18 Abs in the absence of IFN-{gamma} by a thus far unknown mechanism. In accordance with previous observations (33), we found that the addition of IFN-{gamma} to LPS-stimulated peritoneal macrophages increases IL-12 levels. In the presence of IFN-{gamma}, however, the addition of IL-18 had no impact on IL-12 production by peritoneal macrophages. At present it is not known 1i) whether IFN-{gamma} is able to directly or indirectly suppress the inhibitory effect of IL-18 on IL-12 production and 2) whether IL-12 can modulate IL-18 production in peritoneal macrophages. The physiologic reason for this complicated mechanism remains unclear. By investigating IL-12 production of IFN-{gamma}-deficient mice after in vivo stimulation with endotoxin, Heinzel et al. provided evidence that IL-12 is produced by an IFN-{gamma}-independent mechanism (34).

On the basis of these observations, one could speculate that after interaction with bacterial products, macrophages produce IL-12 and IL-18 that synergistically induce IFN-{gamma} production. To balance uncontrolled IL-12 production in a very early phase of infection, IL-18 may negatively feed back IL-12 production directly or indirectly. After IL-12- and IL-18-induced IFN-{gamma} production by NK or CD4 T cells, additional IL-12 production is induced and leads to an amplification cascade with high levels of IFN-{gamma} production that induces optimal protective effector mechanisms.

Comparison of IL-18 mRNA expression of Yersinia-resistant and Yersinia-susceptible mice showed that IL-18 is constitutively expressed in liver tissue but on an at least fourfold higher level in C57BL/6 compared with BALB/c mice. Although activation of ICE which cleaves precursor IL-18 and processes it into mature IL-18 could be more critical for controlling amounts of biologic active IL-18 (3), the different levels of IL-18 mRNA could nevertheless indicate that after activation mature IL-18 protein levels may be higher in C57BL/6 than in BALB/c mice. This in turn may lead in cooperation with IL-12 to higher initial IFN-{gamma} levels and a more efficient amplification cascade of production of proinflammatory cytokines in C57BL/6 mice.

Administration of anti-IL-18 Abs in vivo rendered BALB/c and C57BL/6 more susceptible against Y. enterocolitica infection. These data demonstrate that IL-18 plays a protective role in clearance of bacterial infections. Previous studies demonstrated (14) that IFN-{gamma} production of HKY-stimulated splenocytes derived from anti-IL-12-treated mice was reduced compared with control mice, indicating that IL-12-mediated protection is due to induction of IFN-{gamma} production. Splenocytes derived from Yersinia-infected mice and stimulated with HKY in the presence of anti-IL-18 Abs as well as HKY-stimulated splenocytes derived from anti-IL-18 mAb-treated Yersinia-infected mice produced similar or only slightly reduced amounts of IFN-{gamma} compared with control mice. These data indicate that IL-18-mediated protective mechanisms seem to be different from induction of IFN-{gamma}-mediated effector mechanisms. Administration of rIL-18 in vivo did not improve clearance of Yersinia infection in BALB/c or C57BL/6 mice. Thus, IL-18 seems to have no theurapeutic potential in infection with Gram-negative enteropathogenic bacteria.

Taken together, we found that 1) IL-18 is involved in regulation of cytokine production in bacterial infections by interfering with IL-12 and that 2) IL-18 is involved in clearance of Yersinia infection by a rather IFN-{gamma}-independent mechanism. Whether different production of IL-18 might account for different susceptibility of mice for Y. enterocolitica infection must be established.


    Acknowledgments
 
We are grateful to M. Gately (Hoffmann-La Roche Inc.) for generously providing IL-12, J. Sims (Immunex Research Inc.) for generously providing anti-IL-1R Abs, and N. Buecheler and S. Preger for expert technical assistance.


    Footnotes
 
1 This work was supported by Deutsche Forschungsgemeinschaft Grant SFB 217. Back

2 Address correspondence and reprint requests to Dr. Ingo B. Autenrieth, Max-von-Pettenkofer-Institute, Ludwig-Maximilians-University, Pettenkoferstrasse 9a, D-80336, Munich, Germany.E-mail address: Back

3 Abbreviations used in this paper: ICE, IL-1ß-converting enzyme; HKY, heat-killed yersiniae; p.i., postinfection. Back

4 E. Bohn, E. Schmitt, C. Bielfeldt, A. Noll, R. Schulte, I. B. Autenrieth. Role of IL-12 and TGF-ß in bacterial infections: different mechanisms of protection against Yersinia enterocolitica in susceptible and resistant mouse strains. Submitted for publication. Back

Received for publication June 23, 1997. Accepted for publication September 18, 1997.


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L.-P. Ho, M. Davis, A. Denison, F. T. Wood, and A. P. Greening
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Interleukin-8 Release during Early Reperfusion Predicts Graft Function in Human Lung Transplantation
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Acute Toxoplasmosis Leads to Lethal Overproduction of Th1 Cytokines
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T. Ogura, H. Ueda, K. Hosohara, R. Tsuji, Y. Nagata, S.-i. Kashiwamura, and H. Okamura
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M. Neighbors, X. Xu, F. J. Barrat, S. R. Ruuls, T. Churakova, R. Debets, J. F. Bazan, R. A. Kastelein, J. S. Abrams, and A. O'Garra
A Critical Role for Interleukin 18 in Primary and Memory Effector Responses to Listeria monocytogenes That Extends Beyond Its Effects on Interferon {gamma} Production
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L. Del Rio, A. J. Buendia, J. Sanchez, M. C. Gallego, M. R. Caro, N. Ortega, J. Seva, F. J. Pallares, F. Cuello, and J. Salinas
Endogenous Interleukin-12 Is Not Required for Resolution of Chlamydophila abortus (Chlamydia psittaci Serotype 1) Infection in Mice
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C Hanck, T Manigold, U Bocker, M Kurimoto, C B Kolbel, M V Singer, and S Rossol
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H.-R. Jiang, X.-q. Wei, W. Niedbala, L. Lumsden, F. Y. Liew, and J. V. Forrester
IL-18 Not Required for IRBP Peptide-Induced EAU: Studies in Gene-Deficient Mice
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T. Merlin, A. Sing, P. J. Nielsen, C. Galanos, and M. A. Freudenberg
Inherited IL-12 Unresponsiveness Contributes to the High LPS Resistance of the Lpsd C57BL/10ScCr Mouse
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G. Cai, R. Kastelein, and C. A. Hunter
Interleukin-18 (IL-18) Enhances Innate IL-12-Mediated Resistance to Toxoplasma gondii
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Interleukin 18 Restores Defective Th1 Immunity to Candida albicans in Caspase 1-Deficient Mice
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W. E. Carson, J. E. Dierksheide, S. Jabbour, M. Anghelina, P. Bouchard, G. Ku, H. Yu, H. Baumann, M. H. Shah, M. A. Cooper, et al.
Coadministration of interleukin-18 and interleukin-12 induces a fatal inflammatory response in mice: critical role of natural killer cell interferon-gamma production and STAT-mediated signal transduction
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IL-18 Contributes to Host Resistance Against Infection with Cryptococcus neoformans in Mice with Defective IL-12 Synthesis Through Induction of IFN-{gamma} Production by NK Cells
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Histamine Is a Potent Inducer of IL-18 and IFN-{gamma} in Human Peripheral Blood Mononuclear Cells
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G. YAMADA, N. SHIJUBO, K. SHIGEHARA, H. OKAMURA, M. KURIMOTO, and S. ABE
Increased Levels of Circulating Interleukin-18 in Patients with Advanced Tuberculosis
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Genetically Resistant Mice Lacking IL-18 Gene Develop Th1 Response and Control Cutaneous Leishmania major Infection
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Sensitivity Difference to the Suppressive Effect of Prostaglandin E2 Among Mouse Strains: A Possible Mechanism to Polarize Th2 Type Response in BALB/c Mice
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G. Hansen, V. P. Yeung, G. Berry, D. T. Umetsu, and R. H. DeKruyff
Vaccination with Heat-Killed Listeria as Adjuvant Reverses Established Allergen-Induced Airway Hyperreactivity and Inflammation: Role of CD8+ T Cells and IL-18
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J. K. Dybing, N. Walters, and D. W. Pascual
Role of Endogenous Interleukin-18 in Resolving Wild-Type and Attenuated Salmonella typhimurium Infections
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M. C. Leite-de-Moraes, A. Hameg, A. Arnould, F. Machavoine, Y. Koezuka, E. Schneider, A. Herbelin, and M. Dy
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M. T. Brady, S. M. O'Neill, J. P. Dalton, and K. H. G. Mills
Fasciola hepatica Suppresses a Protective Th1 Response against Bordetella pertussis
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N. Rayhane, C. Fitting, and J.-M. Cavaillon
Dissociation of IFN-{gamma} from IL-12 and IL-18 production during endotoxin tolerance
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L. Kremer, L. Dupre, I. Wolowczuk, and C. Locht
In Vivo Immunomodulation Following Intradermal Injection with DNA Encoding IL-18
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X.-q. Wei, B. P. Leung, W. Niedbala, D. Piedrafita, G.-j. Feng, M. Sweet, L. Dobbie, A. J. H. Smith, and F. Y. Liew
Altered Immune Responses and Susceptibility to Leishmania major and Staphylococcus aureus Infection in IL-18-Deficient Mice
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K. Fassbender, O. Mielke, T. Bertsch, F. Muehlhauser, M. Hennerici, M. Kurimoto, and S. Rossol
Interferon-{gamma}-inducing factor (IL-18) and interferon-{gamma} in inflammatory CNS diseases
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W. Walker, M. Aste-Amezaga, R. A. Kastelein, G. Trinchieri, and C. A. Hunter
IL-18 and CD28 Use Distinct Molecular Mechanisms to Enhance NK Cell Production of IL-12-Induced IFN-{gamma}
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V. E. Garcia, K. Uyemura, P. A. Sieling, M. T. Ochoa, C. T. Morita, H. Okamura, M. Kurimoto, T. H. Rea, and R. L. Modlin
IL-18 Promotes Type 1 Cytokine Production from NK Cells and T Cells in Human Intracellular Infection
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M. A. R. C. Daemen, C. v.'t Veer, T. G. A. M. Wolfs, and W. A. Buurman
Ischemia/Reperfusion-Induced IFN-{gamma} Up-Regulation: Involvement of IL-12 and IL-18
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T. A. Fehniger, M. H. Shah, M. J. Turner, J. B. VanDeusen, S. P. Whitman, M. A. Cooper, K. Suzuki, M. Wechser, F. Goodsaid, and M. A. Caligiuri
Differential Cytokine and Chemokine Gene Expression by Human NK Cells Following Activation with IL-18 or IL-15 in Combination with IL-12: Implications for the Innate Immune Response
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H. H. Balkhy and F. P. Heinzel
Endotoxin Fails to Induce IFN-{gamma} in Endotoxin-Tolerant Mice: Deficiencies in Both IL-12 Heterodimer Production and IL-12 Responsiveness
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N. Fujioka, R. Akazawa, K. Ohashi, M. Fujii, M. Ikeda, and M. Kurimoto
Interleukin-18 Protects Mice against Acute Herpes Simplex Virus Type 1 Infection
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P. Mastroeni, S. Clare, S. Khan, J. A. Harrison, C. E. Hormaeche, H. Okamura, M. Kurimoto, and G. Dougan
Interleukin 18 Contributes to Host Resistance and Gamma Interferon Production in Mice Infected with Virulent Salmonella typhimurium
Infect. Immun., February 1, 1999; 67(2): 478 - 483.
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