Review Article

Role of Interferons in the Development of Diagnostics, Vaccines, and Therapy for Tuberculosis

Table 1

Comparison of type I, type II, and type III interferons.

Type I IFNType II IFNType III IFN

Source of stimulationBacterial and viral components [13]IL-12 and IL-2 [14]Viral components [15]
Source of productionEvery cell in the body (leukocytes, fibroblasts, and endothelial cells) [17]T-cells (especially CD4+ T-cells) [17]Epithelial cells [18]
TypeIFN-α, IFN-β, IFN-κ, IFN-ε, IFN-ω, and IFN-τ [10]Only IFN-γ [11]IFN-λ1 (IL-29), IFN-λ2
(IL-28A), IFN-λ3 (IL-28B), and
IFN-λ4 [12]
ReceptorIFNAR1 and IFNAR2 [10]IFNγR1 and IFN-γR2 [11]IL10R2 (also called CRF2-4) and IFNLR1 (also called CRF2-12) [12]
Intracellular signalingJAKJAK1, TYK2 [20]JAK1, JAK2 [20]JAK1, TYK2 [21]
STATSTAT1, STAT2 [20]STAT1 [20]STAT1, STAT2 [21]
Translocation complex to nucleus(i) IFN-stimulated gene factor 3 (ISGF3) [20]
(ii) STAT1-STAT1 homodimers [20]
STAT1-STAT1 homodimers [20](i) IFN-stimulated gene factor 3 (ISGF3) [22]
(ii) STAT1-STAT1 homodimers [22]
Promoters stimulated(i) IFN-stimulated response element (ISRE) [20]
(ii) IFN-γ-activated site (GAS) [20, 23]
IFN-γ-activated site (GAS) [20](i) IFN-stimulated response element (ISRE) [22]
(ii) IFN-γ-activated site (GAS) [22]
Function in tuberculosis(i) Induce the immunosuppressive/macrophage-deactivating cytokine, IL-10 [24, 25]
(ii) Either block [24, 25] or polarize [26] Th1 immune response
(iii) Suppress host-protective cytokines such as TNF-α, IL-12, and IL-1β [24, 25]
(iv) Limit the expression of IFN-γ-induced MHC class II on APCs [29]
(v) Synergistic effect with IFN type II promoting protection against Mtb infection in mice [8]
(vi) Inhibition of alternative macrophage activation [27]
(i) Stimulate Th1 type cytokines [8]
(ii) Recruitment of T-cells [8]
(iii) Induction of expression of MHC class II molecules and augmentation of APCs [8]
(iv) Promotes cellular proliferation, cell adhesion, apoptosis, and autophagy [30]
Not essential for Mtb infection control, but may contribute to the modulation of Th1/Th2 immune responses [25]
Use in diagnosisNo reportIFN-γ release assays (IGRAs) [4355]No report
Use in therapeuticsAdjunctive therapy with IFN-α by aerosol route to treat pulmonary TB. Precaution need to be taken while treating immunodeficiency patients as it may lead to TB reactivation [26, 27, 6470]Adjunctive therapy with IFN-γ by aerosol or subcutaneous routes to treat pulmonary TB or extrapulmonary TB [5863]No report
Use in vaccineCombination of IFN-α and IFN-γ enhance production of IL-12 which induce CD4+ T-cell Th1 polarization [71](i) Use as adjuvant to induce Th1 immunity [73, 74]
(ii) Development of fusion proteins, genetic constructions, or live vectors expressing cytokines related to the induction of IFN-γ [75113]
No report