Cytokines are pleiotropic molecules showing a wide variety of biologic func
tions on various cells and tissues, and several different cytokines exert s
imilar and overlapping functions on certain cells. Interferons (IFNs), amon
g the first cytokines identified, play a crucial role in human disease. The
IFN cytokine family consists of type I IFNs (IFN-alpha and IFN-beta) and t
ype II IFN (IFN-gamma). In the first decades of IFN research, type I IFNs w
ere considered primarily as viral inhibitors, whereas type II IFN, also ter
med "immune IFN", was generally considered to be uniquely involved in immun
e reactions. This view has changed considerably in the last years. The impo
rtance of type I IFNs in inflammation, immunoregulation and T-cell response
s has been identified and has changed dramatically our interpretation of th
e biological relevance of type I and II IFNs, Recent data suggest that IFN-
alpha is a multifunctional immunomodulatory cytokine with profound effects
on the cytokine cascade including several anti-inflammatory properties, whe
reas IFN-gamma remains a classical proinflammatory cytokine. These differen
t effects on critical mediators of inflammation may also explain why type I
and II IFNs are clinically successful in different diseases. These newly i
dentified immunoregulatory and anti-inflammatory functions of type I IFNs m
ay be of importance in the treatment of diseases such as chronic viral hepa
titis or multiple sclerosis and help to explain some of the mechanisms of I
FNs.