Programmed cell death, or apoptosis, is an essential process for
the normal development, homeostasis, and maintenance of a multicellular
organism, for its defense and for removal of individual cells without
damage to anatomic and functional structures.
1 2 3 4 Various
stimuli can induce programmed cell death. One of them is interferon
(IFN)γ, an inflammatory cytokine and a lymphocyte effector molecule
implicated in many different types of immune responses (inflammation or
graft rejection),
5 6 7 and involved in the pathogenesis of
ocular surface inflammatory diseases, such as Sjögren’s
syndrome.
8 9 10 11 12 13 IFNγ can kill cells by apoptosis as was
demonstrated in several in vitro models.
14 15 16 However,
the biological role of IFNγ-induced programmed cell death is still
not well defined, and the precise correlation between IFNγ-mediated
inflammatory changes and apoptosis has not been well
established,
17 18 probably because of the pleiotropism of
IFNγ-induced effects and the great number of signaling and effector
proteins downstream of IFNγ membrane receptor.
19 20 The
sensitivity of different cell types to IFNγ-induced apoptosis is
extremely variable, thus signing the complexity of intracellular signal
transduction pathways. In most cell studies so far, IFNγ was shown to
principally activate signal transducer and activator of transcription
(STAT) family, especially one of its members, namely
STAT1.
20 21 The dimer of activated STAT1 could bind to the
short stretches of DNA, called gamma interferon activation site (GAS),
and there could then be a rapid transcriptional induction of several
genes and their products such as ICAM-1, HLA DR, or apoptotic
proteases (caspases).
22 23 A requirement of STAT1
activation in IFNγ-induced programmed cell death is now clearly
established.
23 24 25 26 27 Other IFNγ-induced signal
transduction pathways are less known, for instance that implying
NF-κB activation.
28