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,1
* Department of Molecular & Cellular Biology, Roswell Park Cancer Institute, and
Department of Internal Medicine, Buffalo General Hospital/Kaleida Health System, State University of New York at Buffalo, Buffalo, New York 14203
To whom requests for reprints should be addressed at 1 Department of Medicine, SUNYABBuffalo General Hospital/Kaleida Health System, 100 High St., Rm. E-320, Buffalo, NY 14203. E-mail: jlambrus{at}netscape.net
Interferon (IFN) resistance is an important factor in the pathophysiology of neoplastic disorders, certain viral infections (e.g., AIDS), and autoimmune diseases (e.g., lupus erythematosus and Wegners granulomatosis). In addition, in some of these disorders, there is also decreased ability to produce IFNs. The capacity of viruses and neoplastic processes to interfere with the IFN system are thought to represent a "virus-against-host" or "cancer-against-host" defense mechanism. Four resistance factors have been identified: 1) release of free IFN-
/ß type 1 receptors into the circulation that, at appropriate concentrations, capture and inactivate IFNs; 2) a new IFN inhibitory protein has been isolated and its chemical structure is under study; 3) prostaglandin E2, which is produced by certain tumor cells, inhibits IFN production; and 4) high levels of cAMP phosphodiesterases present, for example in certain tumor cells, reduces cAMP, an important second messenger in IFN synthesis. Studies are under way to reverse these inhibitory effects and to increase endogenous interferon production.
Key Words: interferon inhibitors
/ß type 1 interferon receptors pathophysiology of neoplastic diseases viral infections AIDS autoimmune diseases
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