Cytokines as Messenger System Flashcards
slide 11: cytokines regulate host responses to?
infection, immune responses, inflammation, and trauma
All pro-inflammatory cytokines
IL-1, 6, 8, 11, 12, 15, 18 and TNF-alpha
Pro-inflammatory cytokines are dependent on what transcription?
NF-kB
Anti-inflammatory cytokines?
IL-10, TGF-Beta
major pro-inflammatory cytokines?
TNF, IL-1, IL-6
Blocking TNF and IL-1 have been successful in patients with?
RA, IBS, or graft vs. host disease
TNF and IL-1 reduced by what 3 strategies?
neutralizing antibodies, soluble receptors, receptor antagonist
Blocking of TNF and IL-1 has not been successful in patients with..?
sepsis
administration of TNF and IL1 will produce..?
fever, systemic inflammation, shock and death
TNF/IL-1 effects on fibroblasts
proliferation, increased collagen synthesis; leads to repair
Systemic effects of IL-1, TNF?
Fever, WBC, increase acute phase proteins, decreased appetite, increased sleep-> systemic inflammation
TNF/IL-1 effect on vascular endothelium?
increase expression of leukocyte adhesion molecules, production of IL-1 and chemokines, increase procoagulant and decreased anticoagulant activity
TNF/IL-1 effects on leukocytes?
activation, production of cytokines
TNF is primarily produced by?
macrophages (alpha) and lymphocytes (beta), neutrophils, and NK cells
Most potent inducer of TNF?
endotoxin
Primary mediator of septic shock?
TNF
TNF induces endothelial cells to produce which adhesion molecules?
ICAM 1, VCAM 1, and E-selectin
What effect does TNF have on neutrophils?
activator, mediates adherence, chemotaxis, degranulation, and the respiratory burst
2 receptors TNF binds to?
TNFR p75 (receptor I) and TNFR p55 (receptor II)
What effect does TNF have on cancerous cells?
antitumor immunity through direct cytotoxic effects (apoptosis)
IL-1 is produced by which cells?
2 main: macrophages and monocytes; neutrophils, endothelial cells, keratinocytes, and others
IL-1 upregulates expression of which adhesion molecules?
ICAM-1, VCAM-1, and E-selectin
IL-1 interacts with CNS to produce…?
fever, lethargy, sleep, and anorexia
IL-1 stimulates synthesis of..?
acute-phase proteins
IL-1 can be neutralized by?
IL-receptor antagonist (IL-1ra)
Although IL-1 shares many activities with TNF, only IL-1 can produce?
IL-2 by proliferation of CD4 T lymphocytes
IL-6 is produced by..?
mononuclear phagocytic cells
IL-6 is most important inducer of?
acute phase proteins
IL-6 shares activity with IL-1, inducing fever (pyrexia), but which is more important for induction of fever?
IL-1
IL-6 stimulates differentiation of B cells into?
mature plasma cells, producing Abs
Which cytokine has primary role in Th17 immune deviation?
IL-6
IL-8 is primarily produced by… in response to?
macrophages in response to inflammatory stimulus
IL-8 is involved in activation of?
neutrophils
IL-8 is not a chemotactic for?
monocytes, but is to neutrophils