The week 1, 2, 4, and 12 samples were drawn before the weekly PegIFN injection. Two patients consented to

an additional blood draw 6 hours after the week 12 PegIFN injection. All subjects gave written informed consent under protocols approved by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) LBH589 in vitro Institutional Review Board, conforming to the ethical guidelines of the 1975 Declaration of Helsinki. Expression of STAT1, phosphorylated STAT1 (pSTAT1), and pSTAT4 were assessed either directly in vivo or after in vitro stimulation of prewarmed heparinized blood without or with 600 ng/mL

of consensus sequence IFN-α (InterMune Inc., Brisbane, CA) for 5 minutes at 37°C. Cells were fixed and erythrocytes were lysed by incubation with a 20-fold excess volume of Lyse/Fix buffer (BD Biosciences, San Jose, CA) for 10 minutes at 37°C. After centrifugation, cells were permeabilized with Perm Buffer (BD Biosciences) for 20 minutes on ice, washed twice, and resuspended in Staining Buffer (BD Biosciences). All samples were stained with anti-CD56-PE (phycoerythrin) (Beckman Coulter, Brea, CA) and anti-CD20-PerCP/Cy5.5 to identify NK cells and B cells, respectively, and with anti-CD3/fluorescein isothiocyanate or anti-CD3-APC to exclude T cells. Cells were additionally stained with anti-STAT1-Alexa647, anti-pSTAT1-Alexa488 Sotrastaurin order (which assesses tyrosine phosphorylation at Y701), or anti-pSTAT4-Alexa488 (assesses

tyrosine phosphorylation at Y693) for 20 minutes at room temperature and analyzed on an LSRII with FacsDiva next version 6.1.3 (BD Biosciences) and FlowJo version 8.8.2 (Tree Star, Ashland, OR) software. Thawed peripheral blood mononuclear cells (PBMCs) were cultured overnight at 37°C in 5% CO2 in Roswell Park Memorial Institute 1640 medium with 10% fetal calf serum (Serum Source International, Charlotte, NC), 1% penicillin/streptomycin, 2 mM of L-glutamine, and 10 mM of 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (Cellgro, Manassas, VA). The next day, PBMCs were counted and stimulated in the presence or absence of K562 cells (ATCC, Manassas, VA) to assess degranulation, as previously described,6 but in the absence of additional cytokines. Thawed PBMCs were stained with ethidium monoazide, anti-CD19-PeCy5 (BD Biosciences), anti-CD14-PeCy5 (Serotec, Raleigh, NC), anti-CD56-PeCy7, anti-CD3-AlexaFluor700 (BD Biosciences), and anti-TRAIL-PE (BD Biosciences). Thawed PBMCs were incubated with or without interleukin (IL)-12 (0.