5, Inflammatory Cytokines Flashcards

1
Q

Kinetics of Inflammation:

A

Pathogens drive immune activation and inflammation

Fast, robust response to pathogens

  • Response too small = Pathogens escape immune system
  • Response too big = Excessive inflammation fives unwanted tissue damage

Following removal of pathogen, immune system must be deactivated

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2
Q

Feedback control of inflammation:

A

No feedback = Too weak and slow to control infection

Positive feedback = Amplifies response, difficult to turn off once started

Negative feedback = Suppressive response, may turn off before all pathogens are cleared

Positive AND negative feedback: Fast and strong response to initial infection, limits max level of infection, allows deactivation of immune system once pathogen is cleared.

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3
Q

Requirements for positive AND negative feedback:

A

Ability to produce pro-inflammatory mediators AND anti-inflammatory mediators at the same time

The same signals that induce inflammation must also be able to activate pro-resolution and anti-inflammatory pathways

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4
Q

Chronic inflammation is caused by too many pro-inflammatory molecules or too few anti-inflammatory molecules?

A

BOTH

Chronic inflammation is caused by too many pro-inflammatory molecules AND too few anti-inflammatory molecules

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5
Q

Anti-inflammatory mechanisms:

A

Cell-based:

  • Immunosuppresive cells: Treg, Breg
  • Pro-resolution cells: Alternatively activated/M2b macrophages

Molecule-based:

  • Anti-inflammatory Cytokines: IL-10, IL-1ra
  • Lipid mediators: Resolvins, Prostaglandins
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6
Q

IL-10 function:

A

Inhibits production of Th1 cytokines
Suppresses T cells
Inhibits production of pro-inflammatory cytokines by macrophages and dendritic cells.
Promotes differentiation and function of Treg cells
Promotes antibody production by B cells

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7
Q

IL-10 Producing Cells:

A
CD4 T cells (Th2, Treg)
CD8 T cell
Regulatory B cells
Macrophages
Myeloid Dendritic Cells
Mast Cells

CD4 and CD8 T cells: TCR activation leads to IL-10 production

Rest: PRR activation (e.g. TLRs, Dectin-1) leads to IL-10 production

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8
Q

Regulation of IL-10 production in T cells:

A

2 steps:

  1. Polarisation of CD4 T cells into a phenotype capable of making IL-10
  2. A 2nd signal to induce IL-10 (e.g. TCR activation)
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9
Q

Regulation of IL-10 production in macrophages:

A
  1. Stimulated by TLR agonists (e.g. LPS)
  2. TLR stimulation leads to activation of ERK1/2 and p38 MAPK pathways
  3. Leads to activation of kinases MSK1 and 2, which then phosphorylate the transcription factor CREB
  4. CREB induces transcription of IL-10
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10
Q

IL-10 producing B cells:

A

Only a small subset of B cells produce IL-10, termed Breg cells (or B10 cells)

TLR stimulation of B cells is required for IL-10 production

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11
Q

IL-10 signalling:

A
  • IL-10 binds to IL10- receptor

- IL-10R is tetrameric (2x IL-10R1, 2x IL-10R2)

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12
Q

IL-10 signalling:

A
  • IL-10 binds to IL10- receptor
  • IL-10R is tetrameric (2x IL-10R1, 2x IL-10R2)
  • Tyrosine kinases Tyk2 and Jak1 are bound to IL-10R
  1. Binding of IL-10 to IL-10R activates these tyrosine kinases
  2. These tyrosine kinases phosphorylate IL-10R1
  3. This phosphorylation enables recruitment of STAT3, which is then also phosphorylated
  4. STAT3 dissociates and dimerises
  5. STAT3 dimer then translocates to nucleus and activates transcription of STAT dependent genes
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13
Q

IL-10R is expressed on BLANK, BLANK, and BLANK

A

IL-10R is expressed on macrophages, myeloid dendritic cells, and T cells

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14
Q

In macrophages and dendritic cells, IL-10 strongly promotes cytokine production
TRUE OR FALSE

A

FALSE

In macrophages and dendritic cells, IL-10 strongly SUPPRESSES cytokine production

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15
Q

IL-10 promotes Treg development and function

TRUE OR FALSE

A

TRUE

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16
Q

Has IL-10 been successful in therapeutics?

A

No.

In order to be immunosuppressive, IL-10 has to present at the correct time and location.

i.e. cellular source of IL-10 is important, injected IL-10 may never reach the correct place to be effective.

17
Q

IL-1β:
[Pro/anti-inflammatory?]
[Produced by?]
[Regulation of production?]

A

Highly inflammatory
Mainly produced by macrophages, dendritic cells, and monocytes
Production regulated at 2 key points:
1. Synthesis of pro-IL-1β
2. Inflammasome activation and cleavage of pro-IL-1β

18
Q

Functions of IL-1β:

A

Activates gene expression

Stimulates cytokine production (IL-1 strongly induces IL-6 production)

Promotes Th17 polarisation

Stimulates endothelial cells to express adhesion molecules and chemokines (promotes monocyte/neutrophil recruitment)

19
Q

IL-1β in disease:

A

Muckle-Wells Syndrome (MWS)
Familial cold autoinflammatory syndrome (FCAS)
Neonatal onset multisystem inflammatory disease (NOMID)

20
Q

IL-1ra

A

Interleukin 1 receptor antagonist:

  • Produced by TLR-activated macrophages
  • Inhibitor of IL-1 signalling
  • IL-1ra binds to IL-1, preventing dimerisation with IL-1 accessory protein and thus downstream signalling
21
Q

IL-1ra:

A

Interleukin 1 receptor antagonist:

  • Produced by TLR-activated macrophages
  • Inhibitor of IL-1 signalling
  • IL-1ra binds to IL-1, preventing dimerisation with IL-1 accessory protein and thus downstream signalling