The development of gene-knockout mice and the identification of gene-defici
ent humans have improved our understanding of the role of IL-12 and IFN-gam
ma in host defense. Comparison of experimental and natural infections has s
hown that animals and humans genetically deficient in immunity mediated by
IL-12 or IFN-gamma are highly susceptible to mycobacteria and salmonella. I
mpaired secretion of, or response to,IFN-gamma is the common : pathogenic m
echanism that accounts for impaired granuloma formation and uncontrolled gr
owth of bacteria within macrophages. The axis formed between IL-12 and IFN-
gamma is essential for protective immunity against mycobacteria and salmone
lla in mice and men.