High levels of spontaneous in vitro IL 10 secretion by a subset of untreate
d chronic phase CML patients' cells are shown to be decreased in the presen
ce of IFN-alpha. However. the lower level of spontaneous IL 10 secretion by
healthy control cells are was not depressed by IFN-alpha. In contrast to i
ts effects on IL 10 production, IFN-alpha increased the low spontaneous sec
retion of IL 1 beta by patients' cells, bud did not further increase the hi
gher levels of spontaneous IL 1 beta secretion by normal cells. It had no e
ffect on secretion of TNF-alpha by patients or normals. Spontaneous secreti
on of IL-1 alpha (or IFN-gamma) by patients' cells was not observed whether
or not IFN-alpha was present. Therefore, one mechanism of action of IFN-al
pha in vivo may involve decreasing endogenous IL 10 secretion (thereby redu
cing suppressive effects on T cell reactivity) and increasing IL 1 beta sec
retion (thereby enhancing antigen presentation).