|
|
||||||||
Cutting Edge |
Induction by Gram-Negative Bacteria Based on STAT4 Activation by Type I IFN and IL-18 Signaling1

* Max-Planck-Institut für Immunbiologie, Freiburg, Germany; and
Serono Pharmaceutical Research Institute, Geneva, Switzerland
| Abstract |
|---|
|
|
|---|

is a potent immunoregulatory cytokine involved
in the defense against viral and bacterial infections. In this study,
we describe an as yet undefined IFN-
-dependent pathway of IFN-
induction in mice. This pathway is based on a synergism of IFN-
and IL-18, and is independent of IL-12 signaling yet dependent
on STAT4. In contradiction to current dogma, we show further that
IFN-
alone induces tyrosine phosphorylation of
STAT4 in murine splenocytes of different mouse strains. This pathway
participates in the induction of IFN-
by Gram-negative bacteria and
is therefore expected to play a role whenever IFN-
or IFN-
and
IL-18 are produced concomitantly during bacterial, viral, or other
infections. | Introduction |
|---|
|
|
|---|
is an important factor of the innate and adaptive immune defense
against infection. Defects of IFN-
or IFN-
receptor lead to an
enhanced susceptibility toward intracellular pathogens, including
mycobacteria and Salmonella in mice and humans
(1). The induction of IFN-
involves complex pathways.
IL-12 and IL-18 are two cytokines intimately involved in the induction
of IFN-
by bacteria and other microbial agents. Both cytokines were
shown to possess IFN-
inducing activity and/or to synergize with
each other in the induction of IFN-
(2, 3, 4, 5).
IFN-
is another cytokine involved in the induction of
IFN-
(6). IFN-
is strongly induced by viruses and
dsRNA. In mice, IFN-
(but not IFN-
) is also induced by
Gram-negative bacteria and LPS isolated from their cell wall (7, 8). The induction of IFN-
by Gram-negative bacteria, which is
due solely to the LPS component (8), proceeds only in
Toll-like receptor 4
(tlr4)4
normal LPS responder mice, while the induction of IL-12 and IL-18
proceeds also in tlr4-deficient LPS nonresponder mice
(8) (M. A. Freudenberg, C. Kalis, and C. Galanos,
unpublished data). Consequently, the IL-12 (IL-18) pathway of IFN-
induction is present in LPS nonresponder mice while that involving
IFN-
is absent. The tlr4-deficient C57BL/10ScCr (Cr) mice
(9, 10) exhibit additionally a defect of IL-12
unresponsiveness (11) resulting from a point mutation of
the IL-12rb2 gene (12). Consequently, neither
the IL-12 (IL-18) pathway of IFN-
induction nor that involving
IFN-
is functional in these mice. A role for IFN-
in the
induction of IFN-
was first reported in an earlier investigation in
which the IFN-
response of mouse splenocytes to Gram-negative
bacteria was inhibited by anti-IFN-
(13). In the
same study, splenocytes of Cr mice were found to produce IFN-
in
response to bacteria, but only if together with the bacteria IFN-
or
IFN-
was added to the cultures. This IFN-
-dependent induction of
IFN-
by Gram-negative bacteria was IL-12-independent, as shown
retrospectively in a later study in which Cr mice were shown to exhibit
an IL-12 unresponsiveness (11).
IFN-
has been reported to induce IFN-
in activated T
cells (14), macrophages (15), and activated
NK cells (16). Furthermore, the CD8 T cell IFN-
response of virus-infected mice was dependent on endogenous IFN-
and independent of IL-12 (17). Similarly, an
IFN-
-dependent and IL-12-independent IFN-
induction was found
in Chlamydia-infected murine macrophages (18).
The precise function of IFN-
in the induction of IFN-
is
hitherto unknown. It has been shown that human IFN-
alone, and
more efficiently in combination with IL-18, induces IFN-
in human T
cell blasts (19) and NK cells (20). The
induction of IFN-
by IFN-
in activated mouse NK cells could be
enhanced by TNF-
(16). Human IFN-
was shown to
phosphorylate the factor STAT4 in activated human T cells
and NK cells (21). Although IFN-
activates human
STAT4, it failed to do so in mouse Th cells, thus suggesting that the
STAT4 pathway from IFN-
to IFN-
expression is operational in
the human but not in the mouse (22). In the human model,
STAT4 was shown to be activated upon recruitment to the IFN-
receptor complex specifically via the C terminus of STAT2
(23). The inability of IFN-
to activate mouse STAT4
was explained by the identification of a minisatellite insertion into
the mouse Stat2 gene, which selectively disrupted the
capacity of murine STAT2 to activate STAT4, but not other STATs
(24). From these results, the mechanism linking innate and
adaptive immunity appeared absent in mice and the validity of using
mouse models for the study of human disease was questioned.
In this study, we present evidence for the existence of an
IL-12-independent pathway of IFN-
induction by Gram-negative
bacteria in mice, in which IFN-
and IL-18 act in synergy to induce
STAT4-dependent IFN-
production in naive and activated murine
splenocytes. We show further that in this overall synergistic effect,
IFN-
alone is responsible for tyrosine
phosphorylation of STAT4.
| Materials and Methods |
|---|
|
|
|---|
129 SvPas, BALB/c, C57BL/6, Cr, IL-12p35/p40
(IL-12-/-),
IL-12R
1-/-, and
STAT4-/- mice were bred at the
Max-Planck-Institut (Freiburg, Germany). Breeding
IL-12-/- and
IL-12R
1-/- pairs were provided by Dr. M. K.
Gately (Hoffmann-La Roche, Nutley, NJ),
STAT4-/- pairs were purchased from The Jackson
Laboratory (Bar Harbor, ME).
Materials
Salmonella typhimurium, S. abortus equi,
Escherichia coli O8, Pseudomonas aeruginosa,
Proteus mirabilis, and Klebsiella pneumoniae were
grown and killed as described (8). Murine recombinant (mr)
IFN-
was a gift from Dr. N. Moryama (Toray Industries, Tokyo,
Japan) and mrIFN-
was a gift from Dr. A. R. Adolph (Bender
MedSystems, Vienna, Austria). mrIFN-
was purchased from Life
Technologies (Karlsruhe, Germany), mrIL-12 was obtained from BD
PharMingen (San Diego, CA), and mrIL-18 was obtained from PANSYSTEMS
(Aidenbach, Germany). Human recombinant (hr) IL-18 binding protein
(IL-18BP) was produced as described (25). This protein
neutralizes the biological activity of human and murine IL-18
(26). Roferon A was from Hoffmann-LaRoche
(Grenrach-Wyhlein, Germany).
The following mAb were used: anti-mIFN-
(rat IgG1; Yamasa
Shoyu, Tokyo, Japan), anti-mIFN-
(rat IgG1; Life Technologies,
Gaithersburg, MD), anti-STAT4 (C-20; Santa Cruz Biotechnology,
Santa Cruz, CA), anti-phosphotyrosine (4G-10; Upstate
Biotechnology, Lake Placid, NY), and HRP-conjugated rabbit
anti-mouse Ab (DAKO, Glostrup, Denmark). Con A was purchased from
Pharmacia (Freiburg, Germany).
Splenocyte cultures
Naive and Con A-activated splenocytes (pooled cells of three to
six mice) were prepared as described (11, 12). Naive or
activated cells (2 x 106/0.2 ml serum-free
DMEM) were cultured in 96-well plates (Nunc, Roskilde, Denmark) in the
presence or absence of stimulating agents or inhibitors (10 µl/well)
for 24 h, unless otherwise stated. IFN-
was estimated by ELISA
(27). The IFN-
results appearing in
Figs. 14![]()
![]()
![]()
are
means of duplicate values. SDs were in all cases below 5%. Induction
of tyrosine-phosphorylated STAT4 in Con A-activated cells,
immunoprecipitation of STAT4, and Western blot analysis were conducted
as described (11).
|
|
|
|
| Results |
|---|
|
|
|---|
induction via IFN-
requires IL-18 and STAT4
Because IFN-
induced by Gram-negative bacteria results from
activation of IL-12- and IFN-
-dependent pathways, segregation of the
two should facilitate the identification of the major factors, involved
in the latter pathway. We examined total and IL-12-independent IFN-
responses using splenocytes of wild-type (wt) and
IL-12-/- mice, respectively. Both types of
cells exhibited IFN-
responses of varying degree to the different
bacteria used (Fig. 1
). The responses of
splenocytes of IL-12-/- mice were
20 to 80%
of those of wt mice. Addition of anti-IFN-
inhibited the IFN-
response of wt and IL-12-/- cells to S.
typhimurium by
30 and 50%, respectively (Fig. 2
), while addition of anti-IFN-
was without effect (not shown). Similar inhibition by anti-IFN-
was observed also in response to other Gram-negative bacteria (not
shown), indicating that a substantial part of this response is
IFN-
-dependent but independent of IL-12 signaling. Addition of
mrIFN-
to the splenocyte cultures enhanced the IFN-
responses to
S. typhimurium, an effect blocked by the inclusion of
anti-IFN-
(Fig. 2
). mrIFN-
could substitute for mrIFN-
in
the enhancement of IFN-
response (not shown).
IFN-
induction by IFN-
in splenocytes occurred only in the
presence of bacteria; neither IFN-
(Ref. 13 ; Fig. 3
a) nor IFN-
(13) alone induced IFN-
, indicating that an additional
factor(s) induced by the bacteria must participate in this induction.
One obvious candidate was IL-18. Therefore, we examined the effect of
IL-18BP (4), an inhibitor of IL-18 activity, on the
IFN-
response to S. typhimurium. rIL-18BP inhibited the
IFN-
response to S. typhimurium by 85 and 50% in wt and
IL-12-/- splenocytes, respectively (Fig. 2
).
IL-18BP also showed strong inhibition (70 and 80%) in splenocytes
treated additionally with IFN-
.
The possible requirement of STAT4 in the IFN-
-dependent
IFN-
induction was examined using splenocytes of
STAT4-/- mice. Stimulation of these cells with
S. typhimurium alone, or in combination with IFN-
(Fig. 2
) or IFN-
(not shown), induced no IFN-
. From the above results
we concluded that in mice, the IFN-
induced by Gram-negative
bacteria via the IFN-
pathway required participation of endogenous
IL-18 and was STAT4-dependent.
Because bacteria induce a spectrum of cytokines in splenocytes, we used
mrIFN-
and mrIL-18 to investigate whether these two cytokines
suffice to induce IFN-
in the absence of bacteria. Splenocytes of
IL-12-/- mice were stimulated with IFN-
or
IL-18, or both. Although neither of the two cytokines alone induced
IFN-
, the combination elicited IFN-
production in a
dose-dependent manner (Fig. 3
a). Comparable results were
obtained using splenocytes of wt mice and where IFN-
was replaced by
IFN-
(Fig. 3
b). The combination of IFN-
or IFN-
with IL-18 induced IFN-
also in splenocytes of mice of other strains
with an impaired IL-12 function (IL-12-/-
C57BL/6, IL-12R
1-/-, and Cr), and in the
respective wt (not shown). However, IFN-
and IL-18 failed to
induce IFN-
in splenocytes of STAT4-/- mice
(Fig. 3
b). In the above experiments, human IFN-
(Roferon
A) could not replace murine IFN-
(Fig. 3
b).
In the study so far, the induction of IFN-
was studied in primary
cultures of naive splenocytes. In earlier studies (14, 19, 21, 22, 28), cells or cell lines were usually pretreated with
different additives (such as T cell mitogens, IL-12, IL-2, and/or
anti-IL-4 Abs) which are known to precondition the cells to elicit
a greater response. For this reason, we compared the induction of
IFN-
by type I IFN and IL-18 in naive and Con A-activated
splenocytes from IL-12-/-,
STAT4-/-, and wt mice. Activation of
IL-12-/- and wt splenocytes with Con A enhanced
both the kinetics and the height of IFN-
response (Fig. 4
), the latter being particularly high in
the case of wt. However, despite activation,
STAT4-/- splenocytes remained unresponsive to
IFN-
and IL-18 (not shown).
IFN-
induces activation of STAT4 in murine cells
Having shown that the induction of IFN-
by IFN-
and IL-18
requires STAT4, we next determined which of the two cytokines was
responsible for STAT4 activation. Con A-activated splenocytes of wt and
IL-12-/- mice were stimulated for 15 min with
murine IFN-
, IL-18, IL-12, or human IFN-
individually or with a
combination of murine IFN-
and IL-18. Phosphorylated
STAT4 was present in cells stimulated with IL-12 (Fig. 5
a) or IFN-
, alone (Fig. 5
, a and b) or in combination with IL-18 (not
shown), and absent from cells stimulated with IL-18 (Fig. 5
, a and b) or human IFN-
(Fig. 5
a),
and from unstimulated control cells (Fig. 5
, a and
b). For the induction of tyrosine-phosphorylated
STAT4, IFN-
could be replaced by murine IFN-
(not shown). Thus,
murine IFN-
, but not human IFN-
, is capable of inducing
activation of STAT4 in mouse cells.
|
| Discussion |
|---|
|
|
|---|
induction hitherto known,
the one dependent on IFN-
is only superficially understood, and
scattered bits of information suggest that humans and mice do not share
the same pathway. The present results allow the murine pathway of
IFN-
induction to be clearly defined. We show that Gram-negative
bacteria can stimulate IFN-
induction by a pathway that is
independent of IL-12 signaling. This stimulation is based on a
synergism between IFN-
and IL-18 and requires activation of STAT4.
IFN-
could substitute for IFN-
in the IFN-
induction, which is
in accord with the fact that the two cytokines activate cells via a
common heterodimeric receptor (29). The induction of
IFN-
by IFN-
and IL-18 is expected to occur whenever the two
cytokines are induced concomitantly, especially during Gram-negative
bacterial or viral infections.
The major, new finding of the current study is that in mice, the
induction of IFN-
by IFN-
and IL-18, like in humans, proceeds
via a STAT4-dependent signaling pathway and that the activation of
STAT4 is directly linked to IFN-
. This was unexpected, because it
is currently believed that IFN-
activates human, but not murine,
STAT4 (6). In our study, murine IFN-
induced STAT4
tyrosine phosphorylation and IFN-
formation in
cultures of murine splenocytes, while human IFN-
alone, or in
combination with IL-18, was inactive. In view of the current findings,
we also propose that the minisatellite insertion identified in the
murine Stat2 gene (24), which was made
responsible for the loss of IFN-
-induced STAT4 activation, has no
influence on the capacity of STAT2 to activate STAT4 in mice.
Alternatively, there must exist other site(s) for recruitment of STAT4
to the murine IFN-
receptor. The finding that IFN-
does
activate STAT4 in mice as it does in humans invalidates current
consensus.
Activated STAT4 binds to the IFN-
promoter and increases gene
transcription (30, 31). It also participates in the
induction of the IL-18R and adapter protein MyD88, which are involved
in IL-18 signaling. These STAT4-mediated effects are essential for the
synergism of IL-12 with IL-18 in the induction of IFN-
(28). It is reasonable to assume that the same effects are
also essential in the IFN-
(IL-18)-dependent induction.
The two defined pathways of microbial IFN-
induction exhibit
several common features. The protagonists in the two pathways, IL-12,
IFN-
, and IL-18, are induced following the interaction between
evolutionarily highly conserved constituents of pathogens and pattern
recognition receptors on cells of the innate immune system (32, 33). The pathways are operational in different cell types,
including NK cells, T cells, and macrophages. NK and T cells are
responsible for the IFN-
(IL-18)-dependent IFN-
production in
primary murine splenocytes (M. A. Freudenberg and C. Galanos,
unpublished data). Finally, IL-18 and STAT4 are involved in both
pathways.
In conclusion, in mice, STAT4 occupies a key position in the pathways controlling the recognition of pathogens and the resulting inflammatory reactions, as it does in humans. Therefore, in this respect, the mechanisms linking innate and adaptive immune responses are conserved in both species, and the use of mouse models for the study of human diseases caused by infection continues to be justified.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Marina A. Freudenberg, Max-Planck-Institut für Immunbiologie, Stübeweg 51, 79108 Freiburg, Germany. E-mail address: freudenberg{at}immunbio.mpg.de ![]()
3 Current address: GeneScan Europe, Freiburg, Germany. ![]()
4 Abbreviations used in this paper: tlr4, Toll-like receptor 4; mr, murine recombinant; hr, human recombinant; IL-18BP, IL-18 binding protein; wt, wild type. ![]()
Received for publication April 10, 2002. Accepted for publication June 21, 2002.
| References |
|---|
|
|
|---|
production by antigen-presenting cells: mechanisms emerge. Trends Immunol. 22:556.[Medline]
and
as immune regulatorsa new look. Immunity 14:661.[Medline]
interferon in mice is a function of the lipopolysaccharide component. Infect. Immun. 68:1600.
2 gene underlies the IL-12 unresponsiveness of LPS-defective C57BL/10ScCr mice. J. Immunol. 167:2106.
, a cofactor in the interferon
production induced by Gram-negative bacteria in mice. J. Exp. Med. 181:953.
increases the frequency of interferon
-producing human CD4+ T cells. J. Exp. Med. 178:1655.
by NK cells. Immunol. Lett. 59:1.[Medline]
/
- and interleukin 12-mediated pathways in promoting T cell interferon
responses during viral infection. J. Exp. Med. 189:1315.
-dependent, IFN-
secretion by bone marrow-derived macrophages controls an intracellular bacterial infection. J. Immunol. 167:6453.
and IL-18 synergistically enhance IFN-
gene expression in human T cells. J. Immunol. 160:6032.
and IL-18 synergistically enhance IFN-
production in human NK cells: differential regulation of Stat4 activation and IFN-
gene expression by IFN-
and IL-12. Eur. J. Immunol. 31:2236.[Medline]
: evidence for the involvement of ligand-induced tyrosine and serine phosphorylation. J. Immunol. 157:4781.[Abstract]
/
receptor requires activated Stat2. J. Biol. Chem. 275:2693.
during infection of mice with Plasmodium chabaudi chabaudi. Immunobiology 179:353.[Medline]
-inducing signaling pathways. J. Immunol. 165:6803.
promoter in primary CD4+ T lymphocytes. J. Immunol. 160:3642.This article has been cited by other articles:
![]() |
S. F. Martin, J. C. Dudda, E. Bachtanian, A. Lembo, S. Liller, C. Durr, M. M. Heimesaat, S. Bereswill, G. Fejer, R. Vassileva, et al. Toll-like receptor and IL-12 signaling control susceptibility to contact hypersensitivity J. Exp. Med., September 1, 2008; 205(9): 2151 - 2162. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Qiu, Y. Fan, A. G. Joyee, S. Wang, X. Han, H. Bai, L. Jiao, N. Van Rooijen, and X. Yang Type I IFNs Enhance Susceptibility to Chlamydia muridarum Lung Infection by Enhancing Apoptosis of Local Macrophages J. Immunol., August 1, 2008; 181(3): 2092 - 2102. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Miyagi, M. P. Gil, X. Wang, J. Louten, W.-M. Chu, and C. A. Biron High basal STAT4 balanced by STAT1 induction to control type 1 interferon effects in natural killer cells J. Exp. Med., October 1, 2007; 204(10): 2383 - 2396. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. J. Ramos, A. M. Davis, T. C. George, and J. D. Farrar IFN-{alpha} Is Not Sufficient to Drive Th1 Development Due to Lack of Stable T-bet Expression J. Immunol., September 15, 2007; 179(6): 3792 - 3803. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. A. Byrnes, D.-Y. Li, K. Park, D. Thompson, C. Mocilnikar, P. Mohan, J. P. Molleston, M. Narkewicz, H. Zhou, S. F. Wolf, et al. Modulation of the IL-12/IFN-{gamma} axis by IFN-{alpha} therapy for hepatitis C J. Leukoc. Biol., March 1, 2007; 81(3): 825 - 834. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Romics Jr, A. Dolganiuc, A. Velayudham, K. Kodys, P. Mandrekar, D. Golenbock, E. Kurt-Jones, and G. Szabo Toll-like receptor 2 mediates inflammatory cytokine induction but not sensitization for liver injury by Propioni- bacterium acnes J. Leukoc. Biol., December 1, 2005; 78(6): 1255 - 1264. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Shirota, I. Gursel, M. Gursel, and D. M. Klinman Suppressive Oligodeoxynucleotides Protect Mice from Lethal Endotoxic Shock J. Immunol., April 15, 2005; 174(8): 4579 - 4583. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Dikopoulos, A. Bertoletti, A. Kroger, H. Hauser, R. Schirmbeck, and J. Reimann Type I IFN Negatively Regulates CD8+ T Cell Responses through IL-10-Producing CD4+ T Regulatory 1 Cells J. Immunol., January 1, 2005; 174(1): 99 - 109. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. E. Persky, K. M. Murphy, and J. D. Farrar IL-12, but Not IFN-{alpha}, Promotes STAT4 Activation and Th1 Development in Murine CD4+ T Cells Expressing a Chimeric Murine/Human Stat2 Gene J. Immunol., January 1, 2005; 174(1): 294 - 301. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Mattner, A. Wandersee-Steinhauser, A. Pahl, M. Rollinghoff, G. R. Majeau, P. S. Hochman, and C. Bogdan Protection against Progressive Leishmaniasis by IFN-{beta} J. Immunol., June 15, 2004; 172(12): 7574 - 7582. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Lund, Z. Chen, J. Scheinin, and R. Lahesmaa Early Target Genes of IL-12 and STAT4 Signaling in Th Cells J. Immunol., June 1, 2004; 172(11): 6775 - 6782. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. G. Rothfuchs, C. Trumstedt, H. Wigzell, and M. E. Rottenberg Intracellular Bacterial Infection-Induced IFN-{gamma} Is Critically but Not Solely Dependent on Toll-Like Receptor 4-Myeloid Differentiation Factor 88-IFN-{alpha}{beta}-STAT1 Signaling J. Immunol., May 15, 2004; 172(10): 6345 - 6353. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Athie-Morales, H. H. Smits, D. A. Cantrell, and C. M. U. Hilkens Sustained IL-12 Signaling Is Required for Th1 Development J. Immunol., January 1, 2004; 172(1): 61 - 69. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Freudenberg, C. Kalis, Y. Chvatchko, T. Merlin, M. Gumenscheimer, and C. Galanos Role of interferons in LPS hypersensitivity Innate Immunity, October 1, 2003; 9(5): 308 - 312. [Abstract] [PDF] |
||||
![]() |
H. Kuipers, D. Hijdra, V. C. de Vries, H. Hammad, J.-B. Prins, A. J. Coyle, H. C. Hoogsteden, and B. N. Lambrecht Lipopolysaccharide-Induced Suppression of Airway Th2 Responses Does Not Require IL-12 Production by Dendritic Cells J. Immunol., October 1, 2003; 171(7): 3645 - 3654. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Melchjorsen, L. N. Sorensen, and S. R. Paludan Expression and function of chemokines during viral infections: from molecular mechanisms to in vivo function J. Leukoc. Biol., September 1, 2003; 74(3): 331 - 343. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. B. Mailliard, Y.-I. Son, R. Redlinger, P. T. Coates, A. Giermasz, P. A. Morel, W. J. Storkus, and P. Kalinski Dendritic Cells Mediate NK Cell Help for Th1 and CTL Responses: Two-Signal Requirement for the Induction of NK Cell Helper Function J. Immunol., September 1, 2003; 171(5): 2366 - 2373. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Krug, R. Veeraswamy, A. Pekosz, O. Kanagawa, E. R. Unanue, M. Colonna, and M. Cella Interferon-producing Cells Fail to Induce Proliferation of Naive T Cells but Can Promote Expansion and T Helper 1 Differentiation of Antigen-experienced Unpolarized T Cells J. Exp. Med., April 7, 2003; 197(7): 899 - 906. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Raman, M. H. Kaplan, C. M. Hogaboam, A. Berlin, and N. W. Lukacs STAT4 Signal Pathways Regulate Inflammation and Airway Physiology Changes in Allergic Airway Inflammation Locally Via Alteration of Chemokines J. Immunol., April 1, 2003; 170(7): 3859 - 3865. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||