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tel-00827710, version 1 - 29 May 2013 (ii) T cell migration and recirculation It has been shown that type I IFN are capable of modulating T and B cell recirculation by inducing the redistribution of lymphocytes throughout the body. Treatment with type I IFN triggers a transient blood lymphopenia, which occurs through the direct stimulation of lymphocytes (Kamphuis et al., 2006). Type I IFN also improve T cell priming by facilitating the encounter between antigen-presenting DCs and T cells in the draining lymph node. To accomplish this, type I IFN have been shown to induce the retention of T cells in the lymph node by downregulating the expression of sphingosine-1-phosphate (Shiow et al., 2006), increasing the probability that DCs will encounter the antigen- specific T cells. (iii) CD8 + T cell activation and differentiation Type I IFN have been described to act as a potential “signal 3” in the activation cascade needed for CD8 + T cell stimulation by antigen-presenting DCs (Curtsinger et al., 2005). While Le Bon et al. initially showed that the enhancement of CD8 + T cell cross-priming is exclusively due to a direct action of type I IFN on DCs, they further demonstrated a few years later that IFN are additionally acting at the level of the CD8 + T cell. To do this, they used a mixed BM-chimera model where the T cell population was deficient for IFNAR. In these animals, they observed an overall reduction in effective priming (Le Bon et al., 2006). These results were confirmed by another group using the transfer of antigen-specific CD8 + T cells into either WT or IFNAR -/- mice to show that the T cells are actually the direct targets of type I IFN and that these cytokines have a direct impact on both T cell clonal expansion and memory formation (Kolumam et al., 2005; Thompson et al., 2006). (iv) CD4 + T cell differentiation Type I IFN also modulate the differentiation of CD4 + T cells. They have been shown to favor Th1 differentiation, when signaling in combination with other cytokines such as IL-12. By contrast, they inhibit T cell differentiation into the Th2 or Th17 subsets, which have been implicated in allergies and inflammatory responses (Huber and Farrar, 2011). (d) Effects of type I IFN on other immune cells Type I IFN have also been implicated in the regulation of other leukocytes (Figure 12). In particular, type I IFN are known to activate NK cells by enhancing their cytolytic activity and production of IFNγ. Moreover they also induce the accumulation of proliferating NK cells via induction of the main NK-regulatory cytokine, IL-15 (Nguyen et al., 2002). Beyond lymphocytes, type I IFN is also known to boost macrophage activity (Bogdan et al., 2004). 68
tel-00827710, version 1 - 29 May 2013 5) Pleiotropic roles of type I IFN (a) Impact on the global immune response Type I IFN are currently approved for use as the treatment of several diseases, including solid and hematologic cancers, multiple sclerosis, as well as chronic viral hepatitis. In patients chronically infected with HCV, it is known that endogenous type I IFN are produced, but the infection is not cleared. However, treatment with exogenous IFNα can lead to the resolution of infection in approximately 50% of patients (Mihm et al., 2004). These data strongly suggest that there is a differential effect of endogenous versus exogenous injected IFN on viral clearance. Of note, for this treatment regimen, IFNα is stabilized by its conjugation to polyethylene glycol, which confers an increased half-life upon injection and also a lag in clearance from the patient’s system. In contrast, IFNβ is used for the treatment of multiple sclerosis patients, in order to inhibit their autoreactive immune response. These two examples of the contrasting effects of type I IFN treatments in clinical settings suggest the vast complexicity of its action. Studies examining the secondary side effects of IFNα treatment in cancer patients have demonstrated that this treatment may have further differential effects on the immune response (Gogas et al., 2006). Several autoimmune disorders induced by treatment have been described. DC-derived monocytes obtained following IFNα treatment have been shown to be fully matured, able to engulf apoptotic bodies and capable of trigerring an anti-tumor T cell response. One explanation for the development of autoimmune disorders during the course of IFNα treatment could be that DCs are stimulated and take up apoptotic bodies derived from normal host cells and present self-antigens, leading to a robust anti-self immune response (Rizza et al., 2010). Pleitropic functions of type I IFN have also been described for infectious diseases (Decker et al., 2005). Type I IFN favor infection by Listeria monocytogenes or Chlamydia muridarum, probably by sensitizing effector cells to death (Qiu et al., 2008). However, in the case of infection by Streptococcus pneumoniae or Salmonella typhimurim, type I IFN protect the host by enhancing antibody production or inducing IFNγ production, respectively. (b) Factors influencing type I IFN action The pleiotropic effects of type I IFN observed at the systemic level are not at all well understood. Nevertheless, recent studies have offered some new insight into the parameters that regulate the function(s) of type I IFN at cellular and molecular level, which may be able to explain these differential functional observations. Importantly, it has been observed that Page 69 of 256
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tel-00827710, version 1 - 29 May 2013<br />
(ii) T cell migration and recirculation<br />
It has been shown that type I IFN are capable of modulating T and B cell recirculation by<br />
inducing the redistribution of lymphocytes throughout the body. Treatment with type I IFN<br />
triggers a transient blood lymphopenia, which occurs through the direct stimulation of<br />
lymphocytes (Kamphuis <strong>et</strong> al., 2006). Type I IFN also improve T cell priming by facilitating<br />
the encounter b<strong>et</strong>ween antigen-presenting DCs and T cells in the draining lymph no<strong>de</strong>. To<br />
accomplish this, type I IFN have been shown to induce the r<strong>et</strong>ention of T cells in the lymph<br />
no<strong>de</strong> by downregulating the expression of sphingosine-1-phosphate (Shiow <strong>et</strong> al., 2006),<br />
increasing the probability that DCs will encounter the antigen- specific T cells.<br />
(iii) CD8 + T cell activation and differentiation<br />
Type I IFN have been <strong>de</strong>scribed to act as a potential “signal 3” in the activation casca<strong>de</strong><br />
nee<strong>de</strong>d for CD8 + T cell stimulation by antigen-presenting DCs (Curtsinger <strong>et</strong> al., 2005).<br />
While Le Bon <strong>et</strong> al. initially showed that the enhancement of CD8 + T cell cross-priming is<br />
exclusively due to a direct action of type I IFN on DCs, they further <strong>de</strong>monstrated a few years<br />
later that IFN are additionally acting at the level of the CD8 + T cell. To do this, they used a<br />
mixed BM-chimera mo<strong>de</strong>l where the T cell population was <strong>de</strong>ficient for IFNAR. In these<br />
animals, they observed an overall reduction in effective priming (Le Bon <strong>et</strong> al., 2006). These<br />
results were confirmed by another group using the transfer of antigen-specific CD8 + T cells<br />
into either WT or IFNAR -/- mice to show that the T cells are actually the direct targ<strong>et</strong>s of type<br />
I IFN and that these cytokines have a direct impact on both T cell clonal expansion and<br />
memory formation (Kolumam <strong>et</strong> al., 2005; Thompson <strong>et</strong> al., 2006).<br />
(iv) CD4 + T cell differentiation<br />
Type I IFN also modulate the differentiation of CD4 + T cells. They have been shown to favor<br />
Th1 differentiation, when signaling in combination with other cytokines such as IL-12. By<br />
contrast, they inhibit T cell differentiation into the Th2 or Th17 subs<strong>et</strong>s, which have been<br />
implicated in allergies and inflammatory responses (Huber and Farrar, 2011).<br />
(d) Effects of type I IFN on other immune cells<br />
Type I IFN have also been implicated in the regulation of other leukocytes (Figure 12). In<br />
particular, type I IFN are known to activate NK cells by enhancing their cytolytic activity and<br />
production of IFNγ. Moreover they also induce the accumulation of proliferating NK cells via<br />
induction of the main NK-regulatory cytokine, IL-15 (Nguyen <strong>et</strong> al., 2002). Beyond<br />
lymphocytes, type I IFN is also known to boost macrophage activity (Bogdan <strong>et</strong> al., 2004).<br />
68