“…First, M have to be "primed" by IFN-␥. IFN-␥ activates signal transducing molecules (e.g., MyD88 and NF-B) (5,6,7), induces expression of certain TLRs (TLR2, TLR4, and TLR9) (5,6,8), and activates selected enzymes (9) facilitating the responsiveness to a second signal. The second signal, typically provided by bacterial derivatives or TNF-␣ (5, 10, 11), then activates the spectrum of biological responses attributable to effector M. These include secretion of NO, IL-12, IL-1, TNF-␣, M tumor cytotoxin-170 kDa, chemokines (e.g., CCL2), as well as expression of costimulatory molecules (CD40, CD80, and CD86) and cell death-inducing ligands (Fas ligand, TRAIL, and membrane-bound TNF-␣) (5,(12)(13)(14)(15)(16)(17).…”