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1 Department of Pulmonary and Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio, USA; Department of Cancer Biology, Cleveland Clinic, Cleveland, Ohio, USA
2 Department of Virology, Cleveland Clinic, Cleveland, Ohio, USA
3 Department of Cancer Biology, Cleveland Clinic, Cleveland, Ohio, USA; Department of Pulmonary and Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio, USA
* To whom correspondence should be addressed. E-mail: erzurus{at}ccf.org.
Cystic fibrosis (CF) airway epithelial cells are more susceptible to viral infection due to impairment of the innate host defense pathway of nitric oxide (NO). NO synthase 2 (NOS2) expression is absent, and signal transducer and activator of transcription (STAT) 1 activation is reduced in CF. We hypothesized that the IFN-
signaling pathway which leads to NOS2 gene induction in CF airway epithelial cells is defective. In contrast to lack of NOS2 induction, the major histocompatibility complex, class 2 (MHCII), an IFN-
regulated delayed-responsive gene is similarly induced in CF and non-CF airway epithelial cells (NL), suggesting a NOS2 specific defect in the IFN-
signaling pathway. STAT1 and activator protein 1 (AP-1), both required for NOS2 gene expression, interact
normally in CF cells. Protein inhibitor of activated STAT1 (PIAS1) is not increased in CF cells. Interferon-
induces NOS2 expression in airway epithelial cells through an autocrine mechanism involving synthesis and secretion of IFN-
-inducible mediator(s), which activates STAT1. Here, CF cells secrete IFN-
inducible factor(s) which stimulate NOS2 expression in NL cells, but not in CF cells. In contrast, IFN-
inducible factor(s)
similarly inhibit virus in CF and NL cells. Thus, autocrine activation of NOS2 is defective in CF cells, but IFN-
induction of antiviral host defense is intact.
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