© 2001 AlphaMed Press
The Molecular Perspective: InterferonsCorrespondence: David S. Goodsell, Ph.D., The Scripps Research Institute, Department of Molecular Biology, 10550 North Torrey Pines Road, La Jolla, California 92037, USA. Telephone: 858-784-2839; Fax: 858-784-2860; e-mail: goodsell{at}scripps.edu www: http://www.scripps.edu/pub/goodsell Many of the most successful treatments for cancer are simple and direct. Surgery and radiation attack cancer cells in the most physical manner possible. Most chemotherapeutic drugs are similarly direct, attacking weak spots in cancer cells by blocking the action of a key enzyme or stopping the synthesis of a key protein. The action of interferon, however, occurs at a different level than most of the molecules used in chemotherapy. Interferon is not a toxin designed to poison a key molecule in the cell. Instead, it is a message that is read by human cells. Interferon is one of a growing class of cytokines, proteins that deliver instructions from cell to cell. Normally, interferon, and the similar interleukins, mediate a continual conversation between cells about growth and defenses.
Our cells build several different types of interferon (Fig. 1
Gamma-interferon, on the other hand, specializes in a second topic of intercellular conversation. It is made by T-lymphocytes and natural killer cells, delivering messages to other cells in the immune system and telling them to focus on cell-based defenses. Gamma-interferon coaxes cells to build more major histocompatibility complex molecules (Fig. 2
As with all aspects of the immune system, the picture is not quite as simple as this tidy description might seem. The messages carried by interferons are complex. Alpha-interferons also modify immune function and gamma-interferon plays a role in defense. Apart from these duties in controlling abnormal growth, they also play supporting roles in the day-to-day maintenance of normal cellular growth levels. The messages are subtle and have different consequences when combined with the many messages passing from cell to cell. This complicates the use of interferon in therapy. Familiar hormones like insulin have simple, direct actions, so insulin is effective in replacement therapy. The artificial messages sent by treatment with interferon, however, can be read incorrectly, leading to unwanted side effects. But in special cases, interferon can send just the right instructions, directing the immune system to destroy hairy cell leukemia cells or inhibiting the growth of blood vessels nourishing a Kaposi's sarcoma.
Bach EA, Aguet M, Schreiber RD. The IFN-gamma receptor: a paradigm for cytokine receptor signaling. Annu Rev Immunol 1997;15:563-591. Johnson HM, Bazer FW, Szente BE et al. How interferons fight disease. Sci Am 1994; 269 :68 75. Stark GR, Kerr IM, Williams BRG et al. How cells respond to interferons. Annu Rev Biochem 1998; 67: 227264.
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||