Cytokine Messenger Systems Flashcards

1
Q

Pathway of Cytokine Signaling

A

Cytokines bind to homodimeric or heterodimeric receptors which are constitutively bound to JAKs.
Conformational change in the receptor allows trans- and/or auto-phosphorylation of the two bound JAKs.
These in turn phosphorylate the cytokine receptors.
STAT proteins bind to phosphorylated chains allowing JAKS to phosphorylate the STATs.
Phosphorylated STATs form dimers and translocate to nucleus, regulating gene expression.

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2
Q

Cytokines play a critical role in:

A

Inflammatory reactions, linking of innate and adaptive immunity, activation of T cells (Th1/Th2 polarization), activation of B cells and Ab production (isotype switching), and important control of hematopoiesis.

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3
Q

Cytokines are pleiotropic, which means:

A

exhibit multiple effects on growth and differentiation of a variety of cell types

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4
Q

Properties of Cytokines: Redundancy

A

Activated Th cells –> IL-2, IL-4, IL-5 –> B cell proliferation

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5
Q

Properties of Cytokines: Synergy

A

Activated Th Cells –> IL-4 + IL-5 –> B cell induced class switch to IgE

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6
Q

Properties of Cytokines: Antagonism

A

Activated Th cells: IFN-y blocks B cell class switch to IgE induced by IL-4

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7
Q

Properties of Cytokines: Cascade

A

Activated Th cells –> IFN-y –> Macrophage –> IL-12 –> Activated Th cells –> IL-2, IFN-y, TNF-B, and others

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8
Q

TNF

A

Principle Cell Source: Macrophages and T cells

Targets and Biologic Effects: Endothelial cells: activation (inflammation, coagulation), Neutrophils: activation, Hypothalamus: fever, Liver: synthesis of acute phase proteins, Muscle and fat: catabolism, many cell types: apoptosis.

Endotoxin (LPS) is most potent inducer of TNF.
TNF is primary mediator of septic shock.
Potent activator of neutrophils.
Binds to TNF receptor I and TNF receptor II.
TNF induces antitumor immunity through direct cytotoxic effects (apoptosis) of cancerous cells.

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9
Q

IL-1

A

Principle cell source: Macrophages, endothelial cells, some epithelial cells.

Targets and effects: Endothelial cells: activation (inflammation and coagulation), Hypothalamus: fever, Liver: synthesis of acute phase proteins.

Interacts w/ CNS to produce fever, lethargy, sleep, and anorexia.
Stimulates ICAM-1, VCAM-1, and E-selectin on endothelial cells, but is SECOND IN LINE after TNF-a.
Shares activities with TNF.
Only IL-1 induces production of IL-2 by, and proliferation of, CD4 T lymph.
Can be neutralized by IL-1ra.

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10
Q

Chemokines

A

Principle Cell source: Macrophages, endothelial cells, T lymph, fibroblasts, and platelets

Targets and Effects: Leukocytes (chemotaxis and activation)

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11
Q

IL-12

A

Principle Cell Source: Macrophages and DCs

Targets and Effects: NK cells and T cells: IFN-y synthesis, increased cytolytic activity, T cells: Th1 differentiation.

Heterodimer that consists of IL-12p40 and IL-12p35.
Controls cell-mediated immunity via activation of Th1 cells.
Stimulates IFN-y production and induces proliferation, cytotoxicity, and cytokine production of NK cells.
Synergizes with IL-18 for IFN-y release.

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12
Q

IFN-y

A

Principle Cell Source: NK cells and T lymph

Targets and Effects: Activation of macrophages, stimulation of some Ab responses

Critical for innate and adaptive immunity.
Most important cytokine for cell-mediated immunity.
Major activator of intracellular killing of pathogens by Macrophage by stimulating phagocytosis, secretion, respiratory burst, and NO production.

Stimulates killing by NK cells and neutrophils.
Stimulates expression of MHC class I and II.
Stimulates Ag presentation by APCs.
Stimulates cytokine production by APCs.
Stimulates expression of ICAM-1.
Inhibits allergic responses by suppressing many IL-4 mediated effects.
Has modest antiviral activity unlike type I interferons IFN-a and IFN-B.

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13
Q

IFN-a, IFN-B

A

Principle Cell Source: IFN-a: Macrophages, IFN-B: Fibroblasts

Targets and Effects: All cells: antiviral state, increased class I MHC expression, NK cells: activation

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14
Q

IL-10

A

Principle Cell Source: Macrophages and T cells (mainly Th2)

Targets and Effects: Macrophages: inhibition of IL-12 production, reduced expression of costimulators and class II MHC molecules.

Important immuno-regulatory cytokine.
Inhibits production of IL-1B, IL-6, IL-8, IL-12, and TNF-a.
Inhibits class II MHC expression by APCs.
Inhibits co-stim molecules CD80 and CD86 by APCs.
Inhibits production of IFN-y and TNF-B by Th1 lymph.
Inhibits production of IL-4 and IL-5 by Th2 lymph.
Controls tolerance to environmental allergens.

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15
Q

IL-6

A

Source: Macrophages, endothelial cells, T cells

Targets and effects: Liver: synthesis of acute phase proteins, B cells: proliferation of Ab-producing cells.

Most important inducer of acute-phase proteins.
Shares activities w/ IL-1 such as pyrexia (fever) but IL-1 is more important.
IL-6 stimulates differentiation of B lymph to mature plasma cells producing Abs.
Primary role in Th17 immune regulation.

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16
Q

IL-15

A

Source: Macrophages and others

Targets and effects: NK cells and T cells: proliferation

Most important activity is activation of NK cells.
T-cell growth factor.
Chemotactic for T lymph.
Very important for survival of CD8 memory T cells.

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17
Q

IL-18

A

Source: Macrophages

Targets and Effects: NK cells and T cells: IFN-y synthesis

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18
Q

Pro-inflammatory cytokines

A

IL-1, TNF-a, IL-6, IL-8, IL-11, IL-12, IL-15, and IL-18

NF-Kappa B-dependent

19
Q

Anti-inflammatory cytokines

A

IL-10 and TGF-B

NF-kappa B-independent

IL-1ra also inhibits pro-inflammatory response.

Act in concert with other inhibitors.

20
Q

TNF and IL-1

A

Prototypic pro-inflammatory cytokines.
Reducing their activity by neutralizing Abs, soluble receptors, and receptor antagonists has been highly successful in patients with rheumatoid arthritis, inflammatory bowel, disease, and graft vs host disease.
Not successful in sepsis.

21
Q

Inflammatory Effects of TNF/IL-1

A

Local Effects:
Vascular endothelium - Increased expression of leukocyte adhesion molecules, production of IL-1 and chemokines, Increased procoagulant and decreased anticoagulant activity = INFLAMMATION
Leukocytes - activation, production of cytokines = INFLAMMATION
Fibroblasts - proliferation, increased collagen synthesis = REPAIR

Systemic Effects: Fever, leukocytosis, increased acute-phase proteins, decreased appetite, increased sleep

22
Q

IL-8

A

Produced by macrophages in response to inflammatory stimulus.
On the onset of inflammation, mast cells release IL-8 from their granules.
Chemotactic factor for neutrophils.
Involved in neutrophil activation.

23
Q

TGF-B

A

Most pleiotropic of the cytokines.
Both stimulatory and inhibitory effects.
Produced by macrophages and T regulatory cells.
Stimulates fibrosis promoting wound healing and scar formation.
Inhibits proliferation of B cells and CD8 T lymph.
Inhibits macrophages and NK cells.
Induces apoptosis in B cells and CD8 T lymph.
Regulates the differentiation of Th17 lymph.

24
Q

M1 Macrophage

A

Classically activated.
Activated by TLR-ligands and IFN-y.
Inhibited by IL-13 and IL-4.
Releases ROS, NO, lysosomal enzymes which lead to microbicidal actions: phagocytosis and killing of bacteria and fungi.
Releases IL-1, IL-12, IL-23 chemokines which leads to inflammation.

25
Q

M2 Macrophage

A

Alternatively activated.
Activated by IL-13 and IL-4.
Inhibited by IFN-y and microbial TLR-ligands.
Produce IL-10 and TGF-B which are anti-inflammatory.
Produce Proline polyamines and TGF-B which aid in wound repair and fibrosis.

26
Q

IL-2

A

Source: CD4 and CD8 T cells

Action: Survival, proliferation and differentiation of effector and regulatory T cells.

27
Q

IL-4

A

Source: CD4 T cells and mast cells

Action: B cell switching to IgE

28
Q

IL-5

A

Source: CD4 T cells and mast cells

Action: Activation of eosinophils

29
Q

IL-17

A

Source: CD4 T cells and others

Action: Stimulation of acute inflammation

30
Q

T-bet transcriptional factors

A

Unique to Th1 cells

31
Q

GATA-3 transcriptional factors

A

Unique to Th2 cells.

32
Q

RORyT transcriptional factors

A

Unique for Th17 cells

33
Q

FOXP3 transcriptional factors

A

Unique for T regulatory cells

34
Q

Th1 cell

A

Signature cytokines: IFN-y

Immune Reactions: Macrophage activation; IgG Production

Host defense: Intracellular microbes, stimulates production of Abs.

Roles in diseases: Autoimmune diseases; tissue damage associated with chronic infections

Transcriptional factor: T-bet

35
Q

Th2 cells

A

Signature Cytokines: IL-4, IL-5, IL-13

Immune reactions: Mast cell, eosinophil activation, IgE production, alternative macrophage activation, M2 type macrophages.

Host defense: Helminthic parasites

Role in diseases: Allergic diseases

Transcriptional factor: GATA-3

36
Q

Th17 cells

A

Signature cytokines: IL-17A, IL-17F, IL-22

Immune reactions: Neutrophilic, monocytic inflammation

Host defense: Extracellular bacteria and fungi

Role in diseases: Autoimmune and inflammatory diseases

Transcriptional factor: RORyT

37
Q

Proliferation of T cells

A

IL-2 stimulates proliferation of T-cells by stimulating the expression of IL-2R which is not present on naive T cells, but synthesized a few hours after activation.
IL-2 acts only on cells which express high-affinity IL-2R.
IL-2 increases the number of IL-2R on the cells.
When Ag is cleared, IL-2R numbers decline.
TGF-B blocks IL-2-induced proliferation.

38
Q

Cytokines control the Th1/Th2 differentiation

A

IL-12 induces Th0 to Th1.
Th1 cells secrete IL-2, IFN-y and TNF-B and promote cell-mediated immunity.
IL-4 induces Th0 to Th2 which secrete IL-4, IL-5, IL-6, IL-10 and IL-13.
Th2 cells activate B-lymphocytes resulting in up-regulation of antibody production.
Th1 and Th2 have mutually inhibitory effects on each other.
IFN-y inhibits Th2 cell proliferation.
IL-10/IL-4 inhibit Th1 cell proliferation.

39
Q

IgM

A

Complement Activation

40
Q

IgG subclasses (IgG1, IgG3)

A

Isotype switching by IFN-y

Fc recptor-dependent phagocyte responses; complement activation; neonatal immunity.

41
Q

IgE

A

Isotype switching by IL-4

Immunity against helminths
Mast cell degranulation (immediate hypersensitivity).

42
Q

IgA

A

Isotype switching by cytokines produced in musosal tissues (TGF-B, BAFF, others).

Mucosal immunity.

43
Q

General Properties of Cytokines

A

Cell growth, inflammation, differentiation, migration, and repair.
Act locally in a paracrine or autocrine fashion.
Have high-affinity cell surface receptors.
Use either JAK-STAT or Ras-MAP kinase pathways.