Cytokines Flashcards

1
Q

define CYTOKINES…?

A

Low molecular weight, soluble proteins Produced in response to microbes and other antigens/ Used for cellular communications

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2
Q

IFN-gamma …….NK,TH1,MQ and ……… b-cells,TH2

A

Activate/inhibit

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3
Q

They are involved in all aspects of the innate and adaptive immune response including:

A

Inflammation
• Cellular growth and differentiation
• Repair.

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4
Q

The cytokine do all the work is called…..

A

Pleiotropism

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5
Q

More than one cytokine do the same work……

A

Redundancy

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6
Q

Complete each others work…

A

Synergy

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7
Q

Stop each others work…..

A

Antagonism

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8
Q

Cytokines initiate their actions by binding to specific membrane receptors on target cells (………….,…………. or……………..)

A

autocrine, paracrine or endocrine manner

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9
Q

They may act in a………… manner

A

Cascade

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10
Q

……….is when the cell working on herself
………is when the cell working on niehboring cells
……….. is when the cell working on far organs

A

Autocrine
Paracrine
Endocrine mannar

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11
Q

There are three functional categories of cytokines

A

regulate innate IR

regulate adaptive IR→ cmir+hmir+↓of Ir

stimulate hematopoiesis(bm)

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12
Q

Regulators of innate immunity
(Proinflammatory) from innate cells

A

Tnf-a,IL-1,IL-6, IL-8
IL-12 + type 1 interferons

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13
Q

Regulators of adaptive immunity

A

CMIR→(th1)»IL-2,TNF-b, Type ll IFN
HMIR →IL-4, IL-5, IL-13
Inhibition of IR →IL-10, TGF-b

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14
Q

Stimulators of hematopoiesis(BM)

A

SCF ,CSFs, IL-3, IL-7

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15
Q

Innate Immune Responses
• Produced primarily by…………… () and…………. cells

Produced primarily in response to
PAMPs such as……
Can also be produced by..…………,………

A

MQ +dendritic/ LPS
T lymphocytes +NK cells

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16
Q

Most act on…………. and the
endothelial cells lining blood vessels in
order to promote and control the early
inflammatory response.

A

leukocytes

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17
Q

Regulators of innate immunity (TNF-α)produced by…………./………../…….

It is the principle cytokine that mediates………. inflammation

In excessive amounts it also is the principal cause of systemic complications such as the…………….

A

MQ /dendritic cell/TH1
Acute
shock cascade

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18
Q

TNF-a At low concentration

Acts on endothelial cells to stimulate……………… and……………

• Activates………….,………… and………

• Stimulates endothelial cells and MQ to produce ……

• Stimulates the…… to produce acute phase proteins.(IL-1)

Stimulates the synthesis of collagen in………..……..and.
……………..
• Interacts with the hypothalamus to induce…….. (endogenous pyrogen). (IL-1)

A

Inflammation & coagulation

Neutrophils & MQ&dendritic cells

Chemokines

Liver

wound healing+ tissue repair

Fever

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19
Q

TNF-a is………. for some tumor cells

20
Q

Interleukin-1 (IL-1)

Produced by……,……..,………..

Similar to TNF-α and works………….. with it as a mediator of the acute inflammatory response

•It stimulates activation of……lymphocytes and
………….release.
•It stimulates proliferation of…. lymphocytes.

A

MO ,MQ, dendritic cells
synergistically
T / IL-2
B

21
Q

IL-6

Produced by?……..,…….,……
Action?…………………………………………..,
Activates……………. cells and………….
• Stimulates the proliferation of…. lymphocytes.

A

TH2,MQ,endothelial cells

stimulates the liver to produce acute phase protein (strongest)
Endothelial &neutrophils
B

22
Q

Chemokines

Chemoattractant cytokines that enable the migration of…………. from the blood to the…………. at the site of inflammation.

They are key mediators of………….

Chemokines are produced by many cells including…………………………….

A

leukocytes/tissues

inflammation

macrophages, endothelial cells, some epithelial cells, T cells and fibroblasts

23
Q

Alpha-chemokines
have two adjacent cysteines separated by another amino acid (Cys-X-Cys; C-X-C). They attract:: (MNND) مندي ……………………………….. e.g IL-….and……….

Beta-chemokines:

have two adjacent
cysteines (Cys-Cys; C-C). They attract::(MM)
……………..and…………and are
produced by activated…. cells
e.g ………../………..

A

(MNND) مندي neutrophils,monocytes, dendritic cells, and NK cells

8 & eotaxins

Monocytes& macrophages / T
RANTES & MCAF

24
Q

Interleukin-12 (IL-12)

It is produced mainly by……………….and…………… cells.

• Principal mediator of early innate immune responses to…………. microbes.
• It is also a key inducer of…..

Stimulate the differentiation of ……to …..producing…..

Enhance cells cytolytic activity.

A

MQ& dendretic cells
Intracellular
CMI
TH0\IFNgamma/TH1
NK

25
Type I IFNs (virus infected cells) IFN-α (leukocyte IFN): produced by……… phagocytes. IFN-β (fibroblast IFN): produced by………….
Mononuclear fibroblasts
26
Type I IFNs Provides an early innate immune response against…………. Increases MHC class…… expression on viral infected cells helping their recognition by………….. T lymphocytes (CTLs) to kill them. Activates cells.
Viruses II Cytotoxic NK
27
Cytokines that Regulate Adaptive Immune Responses Produced primarily by… lymphocytes They function in the proliferation and differentiation of……………….,………………
T B lymphocytes and T lymphocytes
28
Th0»IL-2 /IL-4 /IFN-y→ Th1→ IL-…,…….,……. Th2→ IL-… IL-… IL-…
IL-2 /INF gamma/TNF alpha&beta IL-4 IL-6 IL-10
29
Interleukin-2 (IL-2) IL-2 is produced mainly by….. lymphocytes and to a lesser extent….lymphocytes. Action: IL-2 is a growth factor+↑ the killing ability of……. It stimulates antibody synthesis by… lymphocytes Activates……./….. cell proliferation
CD4+ /CD8+ NK B macrophages T
30
Type II Interferon (IFN-gam) Produced by……. cells,…… cells and…. cells It has…………… actions more than……….. actions. Stimulates the differentiation of TH0 into……. cells and inhibits its differentiation into…. cells.
TH1/CD8/NK immunoregulatory/antiviral TH1/TH2
31
Stimulates B cells to produce…. subclasses /promote……… and mediates……
IgG opsonization/ADCC
32
TNF-β Produced by……………… locally acting cytokine and not a mediator of systemic complications.
TH1 lymphocytes.
33
IL-4 IL-4 is produced mainly by ……..cells and……. cells. It stimulates the development of TH2 cells from TH0 and thus inhibits………. …………..macrophage activation by IFNγ. It stimulates the proliferation and differentiation of antigen-activated……. lymphocytes and the production of…...(major production )&mast cell
TH2/mast CMI inhibits B/IgE
34
IL-13 (same as IL-4) Produced primarily by…… cells. Increases the production of…….. by B lymphocytes. Increases mucus production by lung epithelial cells and may play a role in……
TH2 IgE asthma
35
IL-5 IL-5 is produced mainly by… cells. IL-5 is a growth and activating factor for…………….. as a defense against helminths
TH2 eosinophils
36
TH-17 (IL-17, 21, 22) {IL-17} Stimulate phagocyte & mucosal epithelial cells→IL-…,IL-…&neutrophil-attracting chemokines Neutrophils→------- Macrophages→--.......
IL-1 IL-6 Chemokines ↑ Chemokines+ cytokine production
37
TH-17 (IL-17, 21, 22) {IL-21} Th-17 cell………. B cells: isotype switching to all…. subclasses
Autocrine Ig
38
TH-17 (IL-17, 21, 22) {IL-22} Stimulates mucosal epithelial cells → ↑production of ……………..,…………
Defensins • Tight junction protein
39
Th-17 cytokines + recruited neutrophils=
Defend barrier tissues against bacterial & fungal infections
40
• Patients with IL-17 deficiency=
Mucocutaneous candidiasis
41
Cytokines that stimulate hematopoiesis Stimulate the growth & differentiationof immature…….. 1- stem cell factor made by ……. It makes the BM more responsive to ………/Promotes differentiation and survival of……..
leukocytes bone marrow stromal cells Various CSFs stem cells
42
Cytokines that stimulate hematopoiesis IL-7 Produced by ……… Acts on immature…………………….. and promotes expansion and maturation of T and B lymphocytes. IL-3 Made by ……… IL-3 supports the growth of………………………………
bone marrow stromal cells. lymphoid progenitors T lymphocytes multi- lineage bone marrow stem cells
43
Cytokines that stimulate hematopoiesis Colony-stimulating factors (CSF) Produced by ………………………….. It produces………,……..,…… Promotes growth and differentiation of…………. and…………… (neutrophils and macrophages). الناس اللي عندهم ليكوبينا راح نعطيهم من الفاكتور حقت النخاع العظم
T cells, macrophages,endothelial cells and bone marrow stromal cells. GM-CSF G-CSF M-CSF granulocytes myeloid cells
44
Inhibitory Cytokines IL-10 Produced by …………. Inhibit the production of……..+….. Down regulate Both the……….immunity +specific ….. Inhibit MHC class…&…….
Th2 ,Treg ,MQ IL-12 / IFN-g Innate / cmir II & antigen presenting cells
45
Inhibitory Cytokines Transforming growth factor-beta TGF-B Produced by…….. Inhibits the proliferation function of …&…………..+.. + ……… It also promotes …….production & ………
Treg MQ T&B lymphocytes / NK /MQ IgA /tissue repair