For instance, interferon ␣ (IFN-␣), which is transiently released during the first wave of innate immunity in response to bacteria and viruses, 2-10 has been reported to suppress interleukin-12 (IL-12) production of monocytes and DCs. [11][12][13][14] The superfamily of type I IFNs comprises at least 12 IFN-␣ species and a single IFN- that differentially bind to a common receptor. 15 Alpha IFNs are produced in modest amounts by monocytes, macrophages, and B lymphocytes 9 and in much larger quantities by the precursors of lymphoid DCs (pDC2), 9,16,17 whereas IFN- is mainly produced by fibroblasts. 18 Despite their established protective role in innate immunity because of their antibacterial and antiviral activity, 2,10,[19][20][21] there is increasing evidence that type I IFNs might also act negatively on immunity not only by abrogating IL-12 production but also by impairing DC differentiation 22 and reducing the phagocytic and oxidative activity of monocytes. 23 Other studies showed that lipopolysaccharide (LPS) has suppressive effects on monocytes and monocyte-derived DCs, 4,10 possibly in part mediated by LPS-triggered type I IFN production. A transient presence of endotoxin during the differentiation of monocyte-derived DCs abrogates IL-12 production of the resulting immature DCs on a second stimulation with LPS. 24 If permanently present during DC differentiation, it completely desensitizes the cells to all further LPS-mediated maturation signals. 25 Monocytes from septic patients were found to be hyporesponsive to LPS stimulation ex vivo, and this hyporesponsiveness was reversed during IFN-␥ treatment that also lead to clearance of sepsis, 26 suggesting that monocyte deactivation might be a major mechanism of immunosuppression. Despite these data it is unclear how DCs respond to a combination of type I IFNs and bacterial products. With the use of the culture of monocyte-derived DCs, our study revealed a strong synergistic effect between type I IFNs and products from gramnegative as well as gram-positive bacteria for the induction of apoptosis. This effect occurs if both stimuli are present together during the whole culture but also when the bacterial stimulus is added later to immature DCs generated in the presence of type I IFNs.
Materials and methods
Monocyte isolation and DC cultureHuman mononuclear cells were obtained from blood containing citrate as anticoagulant from healthy donors by density gradient centrifugation using