Francisella tularensis causes lethal pneumonia following infection of the lungs by targeting macrophages for intracellular replication; however, macrophages stimulated with interferon gamma (IFN-␥) can resist infection in vitro. We therefore hypothesized that the protective effect of IFN-␥ against F. tularensis in vivo requires macrophages receptive to stimulation. We found that the lethality of pulmonary F. tularensis LVS infection was exacerbated under conditions of alveolar macrophage depletion and in mice with a macrophage-specific defect in IFN-␥ signaling (termed mice with macrophages insensitive to IFN-␥ [MIIG mice]). We previously found that treatment with exogenous interleukin 12 (IL-12) protects against F. tularensis infection; this protection was lost in MIIG mice. MIIG mice also exhibited reduced neutrophil recruitment to the lungs following infection. Systemic neutrophil depletion was found to render wild-type mice highly sensitive to respiratory F. tularensis infection, and depletion beginning at 3 days postinfection led to more pronounced sensitivity than depletion beginning prior to infection. Furthermore, IL-12-mediated protection required NADPH oxidase activity. These results indicate that lung macrophages serve a critical protective role in respiratory F. tularensis LVS infection. Macrophages require IFN-␥ signaling to mediate protection, which ultimately results in recruitment of neutrophils to further aid in survival from infection.KEYWORDS interferons, lung defense, lung infection, macrophages, neutrophils, tularemia T he tier 1 biothreat Francisella tularensis is a Gram-negative bacterium that is capable of replicating within phagocytes (1-3). In respiratory infection, alveolar macrophages have been reported to be the primary host cell for replication (4-6). It has been suggested that alveolar phagocytes are therefore detrimental to the host during respiratory infection, and a 2005 study reported that depletion of alveolar phagocytes following high challenge doses of LVS resulted in a modestly delayed time to death (7). The course of disease is characterized by a delayed immune response, followed by systemic dissemination and sepsis (8-10). Consequently, the prevailing opinion is that F. tularensis evades destruction by innate immunity and subverts myeloid cells, particularly macrophages, for its own benefit.Despite the proficiency of F. tularensis in subverting and exploiting host immunity, it is possible to stimulate innate immunity to successfully counter F. tularensis infection. Macrophages significantly contribute to in vitro bacterial killing if they are stimulated with interferon gamma (IFN-␥) (2,(11)(12)(13). Correspondingly, IFN-␥ is known to be required for protection in vivo (14). Treatment with exogenous interleukin 12 (IL-12) has been shown to protect mice, and mice lacking either the IL-12p35 or IL-12p40 subunit