To thwart viral infection, our cells have developed a
formidable and integrated defense network that comprise of innate and adaptive
immune responses. In an attempt to prevent viral replication, viral
dissemination or persistent viral infection of the cell, many of these
protective measures actually involve the induction of programmed cell death, or
apoptosis. Once the virus has invaded the cell, a host defense-mediated
response is triggered which involves the induction of a family of pleiotropic cytokines
known as the IFNs (Interferons) (Ref.1). These IFNs constitute a heterogeneous
group of proteins and are best known for their ability to induce cellular
resistance to virus infection. However, IFNs also affect many other cellular
functions, such as cell growth. IFNs are classified as either Type-I or
Type-II. There are many Type-I IFNs, all of which have considerable structural
homology. These include IFN-Alpha (which can be further subdivided into 13
different subtypes, IFN-Alpha1, -Alpha2, -Alpha4, -Alpha5, -Alpha6, -Alpha7,
-Alpha8, -Alpha10, -Alpha13, -Alpha14, -Alpha16, -Alpha17 and -Alpha21),
IFN-Beta, IFN-Delta, IFN-Epsilon, IFN-Kappa, IFN-Tau and IFN-Omega (Ref.2).
IFN-Alpha, IFN-Beta, IFN-Epsilon, IFN-Kappa and IFN-Omega exist in humans, whereas
IFN-Delta and IFN-Tau have been described only for pigs and cattle,
respectively, and do not have human homologues (Ref.3, 19 & 20). All Type-I
IFNs bind a common cell-surface receptor, which is known as the Type-I IFN
receptor. By contrast, there is only one Type-II IFN, IFN-Gamma (Ref.2).
IFN-Gamma binds a different cell-surface receptor, which is known as the
Type-II IFN receptor. IFN-Gamma is a markedly different cytokine than the
Type-I IFNs, but it was originally classified in the IFN family because of its
ability to ‘interfere’ with viral infections, which is consistent with the
original definition of IFNs. Recently, a new class of IFNs or IFN-like
molecules has emerged, the IFN-Lambda molecules: IFN-Lambda1, -Lambda2 and
–Lambda3, which are also known as IL-29 (Interleukin-29), IL-28A and IL-28B,
respectively (Ref.4, 13, 14 & 15). They also have antiviral properties, but
they are distinct from the Type-I and Type-II IFNs and bind a different
cell-surface receptor, which is composed of two chains, IFNLR1 (also known as
IL-28 Receptor-Alpha, IL-28RAlpha) and IL-10RBeta. IFN-Lambda molecules might
ultimately be classified and accepted as Type-III IFNs. Viral infection elicits
the production of Type-I IFNs, which upon interaction with their receptor induce
a set of IFN-stimulated genes that inhibit viral replication and increase the
lytic potential of NK (Natural Killer) cells. In addition to this role in
innate immunity, Type-I IFNs modulate the adaptive immune response by
increasing MHC-I (Major Histocompatibility Complex Class-I) expression to
promote antigen presentation, also promoting T-Cell survival and stimulating
dendritic cell maturation (Ref.1).
Both the Type-I IFN receptor and the Type-II IFN receptor
have multichain structures, which are composed of at least two distinct
subunits: IFNAR1 and IFNAR2 for the Type-I IFN receptor, and IFNGR1 and IFNGR2
for the Type-II IFN receptor. Each of these receptor subunits interacts with a
member of the JAK (Janus Activated Kinase) family. In the case of the Type-I
IFN receptor, the IFNAR1 subunit is constitutively associated with TYK2
(Tyrosine Kinase-2), whereas IFNAR2 is associated with JAK1 (Ref.5, 6 & 7).
In the case of the Type-II IFN receptor, the IFNGR1 subunit associates with
JAK1, whereas IFNGR2 is constitutively associated with JAK2 (Ref.6). The
initial step in both Type-I- and Type-II-IFN-mediated signaling is the
activation of these receptor-associated JAKs, which occurs in response to a
ligand-dependent rearrangement and dimerization of the receptor subunits,
followed by autophosphorylation and activation of the associated JAKs. The
binding of IFN-Alpha or other Type-I IFNs to the Type-I IFN receptor results in
the rapid autophosphorylation and activation of the receptor associated JAKs
TYK2 and JAK1 (Ref.8 & 4), which in turn regulate the phosphorylation and
activation of STATs. The STATs that are activated in response to Type-I IFNs
include STAT1, STAT2, STAT3 and STAT5. The activation of such STATs is a common
response to different Type-I IFNs, consistent with all of these IFNs binding
the same receptor and thereby activating a common pathway that involves the
same JAKs, TYK2 and JAK1. STAT4 and STAT6 can also be activated by IFN-Alpha,
but such activation seems to be restricted to certain cell types, such as
endothelial cells or cells of lymphoid origin (Ref.9 & 10). After
phosphorylation by JAKs, the activated STATs form homodimers or heterodimers
that translocate to the nucleus and initiate transcription by binding specific
sites in the promoters of ISGs (IFN-Stimulated Genes) (Ref.6). An important
transcriptional complex that is induced by Type-I IFNs is the ISGF3 (ISG
Factor-3) Complex. The mature ISGF3 Complex is composed of the phosphorylated
(activated) forms of STAT1 and STAT2, together with IRF9, which does not
undergo tyrosine phosphorylation (Ref.11, 13, 14 & 15). This complex is the
only complex that binds specific elements known as ISREs (IFN-Stimulated
Response Elements) that are present in the promoters of certain ISGs, thereby initiating
their transcription. Other STAT complexes that are induced by Type-I IFNs
include STAT1–STAT1, STAT3–STAT3, STAT4–STAT4, STAT5–STAT5 and STAT6–STAT6
homodimers, as well as STAT1–STAT2, STAT1–STAT3, STAT1–STAT4, STAT1–STAT5,
STAT2–STAT3 and STAT5–STAT6 heterodimers (Ref.11 & 12). Such IFN-induced
complexes bind another type of element — known as GAS (IFN-Gamma-Activated
Site) element—that is present in the promoter of ISGs (Ref.11). Of the hundreds
of known ISGs, some have only ISREs or only GAS elements in their promoters,
whereas others have both elements; therefore, combinations of different
STAT-containing complexes might be required for the optimal transcriptional
activation of a particular gene. The transcription of Type-II IFN (IFN-Gamma)-dependent
genes is regulated by GAS elements, and STAT1 is the most important
IFN-Gamma-activated transcription factor for the regulation of these
transcriptional responses. After engagement of the Type-II IFN receptor by
IFN-Gamma, JAK1 and JAK2 are activated and regulate downstream phosphorylation
of STAT1 on the tyrosine residue at position Tyr701 (Ref.11). The tyrosine
phosphorylated form of STAT1 forms homodimers that translocate to the nucleus
and bind GAS elements, which are present in the promoters of
IFN-Gamma-regulated genes. The IFN-Gamma-activated JAKs also regulate, through
as yet- unknown intermediates, activation of the catalytic subunit (p110) of
PI3K. The activation of PI3K ultimately results in downstream activation of
PKC-Delta (Protein Kinase-C-Delta), which in turn regulates phosphorylation of
STAT1 on Ser727. The phosphorylation of Serine is not essential for the
translocation of STAT1 to the nucleus or for the binding of STAT1 to DNA, but
it is required for full transcriptional activation. Phosphorylated STAT1
homodimerizes to form the GAF-AAF complex, which translocates to the nucleus
and binds to the GAS element present in most IFN-Gamma inducible genes. In
contrast to Type-I IFNs, IFN-Gamma does not induce the formation of ISGF3 complexes
and thereby cannot induce the transcription of genes that have only ISREs in
their promoter. Like IFN-Gamma, IFN-Alpha and IFN-Beta signaling can also lead
to the formation of the GAF-AAF complex and it’s binding to the GAS regulatory
element. The three newly identified IFN-Lambda proteins (also termed IL-28A,
IL-28B and IL-29) bind to a heterodimeric Class-II cytokine receptor subunit
IFN-LamdaR1 (also termed CRF2-12) and a second subunit IL-10R2 (CRF2-4), which
serves as the second chain of the IL-10R. IFN-Lambda cross-linking leads to
both STAT1 and STAT2 activation resulting in the formation of ISGF3 and GAF-AAF
complexes. These newly described cytokines are functionally similar to the
Type-I IFNs because their synthesis is induced by virus infection or
double-stranded RNA. They render cells resistant to virus infection and
activate the same intracellular signaling pathways as Type-I IFNs. The
IFN-Lambda family represents an interesting evolutionary link between the
Type-I IFNs and the IL-10 family but they are structurally more closely related
to the Type-I IFNs. IFN-Lambda also activates STAT3 and STAT5, which is more
characteristically associated with signaling by IL-10 and IL-10 related
cytokines (Ref.3).
Another signaling cascade regulated by IFNs is the MAPK
(Mitogen Activated Protein Kinase) pathway (Ref.16). IFN-activated JAKs
regulate the phosphorylation of Vav or other GEFs (Guanine-Nucleotide-Exchange
Factors), resulting in the downstream activation of Rac1 that can regulate the
signaling pathway of the p38MAPK. A MAPKKK (MAPK Kinase Kinase) is subsequently
activated and regulates downstream activation of the MAPK kinases MAPKK3 and
MAPKK6, which directly phosphorylate p38, resulting in its activation.
Activated p38 subsequently regulates activation of multiple downstream
effectors, including MAPKAPK2 (MAPK-Activated Protein Kinase-2), MAPKAPK3,
MSK1/2 (Mitogen-and Stress-Activated Kinase) and MNK1 (MAPK-Interacting Protein
Kinase-1) (Ref.17). The specific transcription factors that are regulated by
p38s include CREB (cAMP Responsive Element Binding protein) and Histone-H3.
Activated TYK2 and JAK1 regulate tyrosine phosphorylation of IRS1 and IRS2
(Insulin Receptor Substrate), which provide docking sites for the SH2 (SRC
Homology-2) domains of the regulatory subunit (p85) of PI3K
(Phosphatidylinositol 3-Kinase). PI3K is subsequently activated and regulates
downstream activation of mTOR (Mammalian Target of Rapamycin) which mediates
the initiation of mRNA translation. In turn, mTOR regulates phosphorylation
(activation) of p70S6K (p70S6 Kinase), which then phosphorylates RPS6
(Ribosomal Protein S6), resulting in the initiation of mRNA translation. mTOR
also regulates phosphorylation of the translational repressor 4EBP1 (Eukaryotic
Translation-Initiation Factor 4E (EIF4E)-Binding Protein-1). Such
phosphorylation results in its de-activation and subsequent dissociation from
EIF4E, allowing the initiation of cap-dependent mRNA translation.
The Type-I IFNs are efficacious in the treatment of
malignancies, viral infections and autoimmune diseases. IFN-Alpha plays a role
in the management of different neoplasias, particularly those of hematological
origin, i.e. of a myeloid and lymphoid etiology (Ref.17). IFN-Beta is the only
interferon that has been shown to have beneficial effects in the treatment of
MS (Multiple Sclerosis). IFN-Gamma is an absolute requirement for resistance
against acute acquired infection with Toxoplasma gondii and development of TE
(Toxoplasmic Encephalitis) during the late stage of infection (Ref.18). Thus,
this unique repertoire of biological activities of IFNs has generated
considerable interest in its potential for the treatment of viral infections,
cancers and immunological disorders. Indeed, administration of IFNs is now the
treatment of choice for some cancers, particularly Leukemias and Kaposi
Sarcoma, Rheumatoid Arthritis and viral infections such as Chronic Hepatitis-B
and C. However, many other types of cancer and viral infections are only
partially responsive to IFN therapy. The molecular mechanisms, which determine
the antiviral and antiproliferative sensitivity or resistance to IFNs, have
still to be fully elucidated.
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