cytokines Flashcards

1
Q

what are cytokines?

A

small proteins or glycoproteins which act via specific receptors

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2
Q

what are the names of cytokines in general?

A

interleukins

except TNFa and IFNy

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3
Q

what are the characteristics of cytokines?

A

pleiotrophy
redundancy
synergy
antagonism

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4
Q

what is pleiotrophy?

A

cytokine can have multiple effects

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5
Q

what is redundancy?

A

more than one cytokine carries out the same function

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6
Q

what is synergy?

A

cytokines work together

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7
Q

what is antagonism?

A

cytokines work in opposition to each other

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8
Q

what are chemokines?

A

a subgroup of cytokines involved in cell movement

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9
Q

how do chemokines help with cell movement?

A

migration along the chemokine concentration gradient provides directional movement

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10
Q

name some inflammatory cytokines?

A

IL-1, TNFa and IL-6

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11
Q

name some anti-inflammatory cytokines?

A

IL-10, TGF-beta

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12
Q

what is acute inflammation?

A

when cytokines rapidly recruit immune cells to the site of infection

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13
Q

how are cytokines are chemokines released in acute inflammation?

A

macrophages have toll-like receptors which detect pamps. causes them to secrete cytokines and chemokines

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14
Q

what cytokines are secreted in acute inflammation?

A

TNFa

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15
Q

what chemokines are secreted in acute inflammation?

A

IL-8

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16
Q

what do chemokines do in acute inflammation?

A

activate adhesion molecules to increase binding

17
Q

describe the steps of leukocyte recruitment?

A

tethering - cytokines make lining of blood vessels more sticky
rolling and activation - chemokines activate adhesion molecules
arrest
diapedesis and migration - move into the tissues

18
Q

what does TNFa do in immune cell recruitment?

A

increases expression of adhesion molecules to make the endothelium stickier.

19
Q

which cytokines are released when T cells are activated?

A

IL2

20
Q

what does IL-10 do?

A

keeps the gut healthy

21
Q

what happens to people with mutations in their IL-10 receptor genes?

A

they have severe gut inflammation

22
Q

what does a controlled release of TNFa do?

A

fever
acute phase proteins
immune cell production
local inflammation

23
Q

what happens in sepsis?

A

overstimulation of cytokines and septic shock

24
Q

explain the feedback loop that leads to a cytokine storm

A

immune cells produce cytokines
cytokines stimulate immune cell
immune cell produces more cytokines

25
Q

what are complex inflammatory diseases?

A

chronic overproduction of cytokines

26
Q

name some complex inflammatory diseases

A

asthma, crohn’s disease, rheumatoid arthritis

27
Q

what causes type 1 hypersensitivity and how?

A
overproduction of IL4
drives th2 differentiation
makes more il4
stimulates class switching to IgE
IgE binds to granulocytes
histamine produced
28
Q

how does overproduction of th1 cytokines lead to chronic inflammation

A

chronic recruitment and activation of innate immune cells

causes tissue damage