Cytokines Flashcards

1
Q

What are the key characteristics of cytokines?

A

Communication between cells

Mediate their effects by binding to cell-associated receptors on target cells

Usually (not always) secreted

Secretion is brief and self-limited

Act locally within the cellular environment but can also act systemically

Cytokines influence the synthesis and action of other cytokines and immune molecules

Many are ‘interleukins’

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2
Q

What is a PRR?

A

Pattern recognition receptor

Innate immune receptor expressed on membranes of immune cells that bind specific pathogen patterns

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3
Q

What are Toll-like-receptors?

A

Type of PRR located on the cell membrane or endosome

TLR2 and TLR4 sense pathogens on cell membrane
- Bind to pathogen proteins/carbohydrates
- Leads to activation of NF-kB and MAPK signalling
- Leading to activation of proinflammatory cytokines and chemokines

TLR 3/7/8 sense pathogen invasion via the endocytic pathways
- Recognise pathogen nucleic acids
- Type 1 INFs

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4
Q

What are some examples of cytoplasmic sensors and what do they recognise?

A

Foreign nucleic acid

MDA5 - dsRNA

RIG-1 - ss viral RNA

cGAS - dsDNA

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5
Q

What are the interferon receptor signalling pathways?

A

MOST CELLS:
- Type 1 interferon
- -> ISG (interferon stimulated genes) - make the cell hostile for the virus to grow in
- Inhibits: virus entry, genome replication, translation, virus assembly, release

EPITHELIAL CELLS (and neutrophils)
- INFy type 3 -> more gentle
- -> ISG

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6
Q

What is the action of pro-inflammatory cytokines (IL-1b/IL-6/TNF-a) during infection in different organs

A

Activates vascular endothelium and increases vascular permeability (leaky)

Activates lymphocytes

Local tissue destruction

Increases access of effector cells

LIVER: acute phase proteins (CRP, MBL) -> activation of complement, opsonisation
BONE MARROW ENDOTHELIUM: neutrophil mobilisation -> phagocytosis

HYPOTHALAMUS: increased body temperature -> decreased viral and bacterial replication, increased antigen processing, increased specific immune response

FAT, MUSCLE: protein and energy mobilisation to allow increased body temperature -> decreased viral and bacterial replication, increased antigen processing, increased specific immune response

DENDRITIC MUSCLE: TNF-a stimulates migration to lymphnodes and maturation -> initiation of adaptive immune response

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7
Q

What are the issues too many cytokines can lead to?

A

Uncontrolled production -> cell damage

Promotes cellular infiltrates in tissues

High/prolonged fever - seizures

Antimicrobial proteins (e.g. CRP, complement) also cause tissue damage

Uncontrolled immune cell activation = bad

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8
Q

What are the 2 pathways of how TNF either induces cell death or cytokine production

A

TNF binding trimerises the TNFR, allowing it to bind to the adaptor TRADD

Cell death:
- TRAAD recruits FADD, resulting in caspase 8 activation -> death

Cytokine production:
- TRADD recruits RIP and TRAF2 -> activated NF-kB -> more cytokines

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9
Q

What is the role of TNF-a in a local infection with G-ve bacteria

A

Macrophages activated to secrete TNF-a in the tissue

Increased release of plasma proteins (complement and antibodies) into tissue
Phagocyte (phagocytosis) and lymphocyte migration into tissue
Increased platelet adhesion to blood vessel wall (clotting process ->limit spread)

Phagocytosis of bacteria
Local vessel occlusion
Plasma and cells drain to local lymph node

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10
Q

What is the role of TNF-a in sepsis with G-ve bacteria

A

Macrophages activated in the liver and spleen secrete TNF-a into the blood stream

Systemic oedema causing decreased blood volume, hyperproteinaemia, and neutropenia, followed by neutrophilia (lots of neutrophils)
Decreased blood volume causes collapse of vessels

Disseminated intravascular coagulation (platelets) leading to wasting and multiple organ failure

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11
Q

What is the role of IL-2 in clonal selection and proliferation

A

Once a T cell is activated IL-2 and IL-2 receptors are upregulated in that T cell

IL-2 is a growth factor and causes rapid proliferation of that specific T cell

Signalling via the TCR induces AP-1 activation and increases intracellular Ca2+ concentration

Raised intracellular Ca2+ activates calcineurin
- A phosphatase that activates NFATc family members

Activated NFATc family members migrate to the nucleus and bind to AP-1 and other partner proteins to form active transcription

Activation of specific genes including the IL-2 gene (leading to clonal expansion of the activated T cell)

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12
Q

What does IL-12 stimulate

A

Differentiation of CD4+ helper T lymphocytes into IFN-y producing Th1 cells

Enhances cytolytic functions of activated NK cells and CD8+ cytotoxic T lymphocytes (CTL)

Promotes Th1 cells development and expansion

Represses Th2 cell development

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13
Q

What does IL-4 stimulate

A

Induces Th2 development and promotes their expansion

Represses Th1 development

Also acts as B-cell growth factor

Controls class switching to IgE and IgG1 in B-cells

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