Several factors may inhibit the activity of IFNs. Some of these occur
naturally, others are therapy-induced or artificial. Naturally occurri
ng antibodies appear to have a much broader reactivity than therapy-in
duced antibodies. Naturally induced antibodies are reported in patient
s suffering from chronic graft-versus-host disease after bone marrow t
ransplantation. Differences in the reported immunogenicity between int
erferons may not be due to the minor variation in amino acid sequence.
The clinical significance of therapy-induced antibodies has been uncl
ear. In patients treated for chronic hepatitis C, antibody formation i
s closely related to relapse. In animal studies the efficacy of treatm
ents targeting the IFN receptor interaction has been shown. Soluble IF
N-gamma receptor inhibits the development of autoimmune diseases in mi
ce. Monoclonal antibodies to the IFN-alpha receptor protects against a
llograft rejections in monkeys. Two naturally occurring inhibitors of
IFN action were reported. The clinical significance and structure of t
hese inhibitors remain elusive.