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Cancer Immune Therapy Edited by G. Stuhler and P. Walden ...

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84<br />

5 Major Histocompatibility Complex Modulation <strong>and</strong> Loss<br />

Fig. 5.19 Model of the regulation of MHC class II genes <strong>by</strong><br />

IFN-g. The constitutive expression of CIITA is mediated <strong>by</strong> a proximal<br />

5' flanking sequence of the CIITA promoter III. In contrast,<br />

the induction of this promoter <strong>by</strong> IFN-g is mediated <strong>by</strong> distal upstream<br />

sequences. Binding of IFN-g to its receptor activates the<br />

JAK kinases which subsequently results in the phosphorylation of<br />

STAT1. STAT1 activation is accompanied <strong>by</strong> the activation of the<br />

CIITA promoter directly via STAT1binding to sequences in this<br />

region. In addition, STAT1activation induces the transcription of<br />

the CIITA promoter IV both <strong>by</strong> binding directly to sequences in<br />

this promoter or <strong>by</strong> inducing the transcription of IRF1which is<br />

also required for the promoter activation. CIITA then activates the<br />

transcription of MHC class II antigens, the Ii <strong>and</strong> HLA-DM genes<br />

through common sequences located in the promoter regions of<br />

these genes. (see color plates page XXIV)<br />

g-inducible CIITA promoter type IV [123], but cooperates with IRF1 for the complete<br />

activation of CIITA [123]. This promoter is used <strong>by</strong> many cell types, including fibroblasts<br />

<strong>and</strong> endothelial cells [124].<br />

5.8.1<br />

IFN-c-dependent Immunosurveillance of Tumor Growth<br />

The disruption of any step of IFN-g signaling may result in an abrogation of the host<br />

antitumor response. Recently, the involvement of IFN-g in tumor immunosurveillance<br />

has been studied in STAT1 as well as IFN-gR knockout mice using genetic or<br />

carcinogen-dependent tumorigenesis model systems [119, 120]. It has been demonstrated<br />

that the lack of IFN-g sensitivity predisposes a murine host to enhance tumor<br />

development which leads to progressive tumor growth. These data suggest that IFN-g

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