Cytokines of Adaptive immunity (Heck) Flashcards

1
Q

Cytokines of adaptive immunity

A

IL2, IL4, IL5, IfN-gamma and TGF-b

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2
Q

IL2 function

A

mediates growth and differentiation of T lymphocytes. and stimulates NK differentiation and proliferation

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3
Q

what type of cell req IL2 for survival

A

T regulatory cells

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4
Q

How does IL2 promote T cell growth

A

Induces anti-apoptotic BCL-2 to promote survival

Promotes cell cycle through cyclin synthesis and p27 degradation

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5
Q

What cells produce IL2

A

CD4+ T cells

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6
Q

What stimulates the release of IL2 from T helper cells

A

Ags and costimulators

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7
Q

What are the functions of IL4

A

stimulates differentiation of CD4+ T cells to TH2 cells and inhibits the differentiation into TH1
stimulates the defense reactions of mast and eosinophil cells

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8
Q

IL4 has what effect on B cells

A

switch to IgE

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9
Q

What cells produce IL4

A

TH2 subset of T helper

Mast cells

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10
Q

What are they systemic activities of IgE

A

originally for parasitic infections, but now the principle mediator of hypersensitivity (allergies)

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11
Q

What IL induce fibrosis

A

IL4 via arginase and IL13 via same way

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12
Q

What stimulates B cells to proliferate and produce IgA

A

IL 5 because IgA is on mucosa and parasites usually found in GI

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13
Q

What produces IL5

A

TH2 and activated mast cells

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14
Q

What is the clinical application of IL5

A

the eosinophils kill worms and kill opsonized microbes with IgA and IgG

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15
Q

Where is IgG found

A

serum

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16
Q

cytokines found in TH2 subset

A

IL2, IL4, IL5 and IL13

17
Q

What IL has shared affects with IL4

A

IL13

18
Q

What produces IL13(rank in order of the most dominant producer of IL13)

A

CD4+ TH2 helper cells
during early phase allergic response- TH1 and NK
Basophils and Eosinophils

19
Q

What cells express R for IL13

A
B cells, mononuclear phagocytes, dendritic cells, eosinophils, basophils
Fibroblasts
Endothelial cells
Bronchial epithelial
Not T cells
20
Q

clinical application of IL13 in allergic inflammation

A

promotes fibrosis via arginase 1- induces collagen expression in macrophages & fibroblasts
Induces TGF-b to promote fibrosis
Induces mucus production- goblet cells
Induces IgE class
Induces inflammation thru recruitment of VCAM-1

21
Q

What induces production of IFNgamma

A

intracellular microbes IL12 stimulates release of IFN-gamma

22
Q

Activation of IFNgamma R induces what cascade

A

reactive oxygen and nitric oxide within lysosomes to destroy microbes

23
Q

IFN-gamma tells macrophages to do what?

A

kill what is in phagosome, if in cytosol CD*+ will bind and kill infected cell

24
Q

What does IFN-gamma promote

A

TH1 differentiation and inhibits TH2
B cell to switch to IgG and inhibits IgE
APC activity- stimulates HLA I and II

25
Q

What cells produce IFN-gamma, what stimulates this

A

NK
TH1
CD8+ T cells
stimulated by IL12

26
Q

What is the role of TGFb

A

inhibits proliferation of lymphocytes and leukocytes via counteracting cytokines on neutrophils and endothelial cells
stimulates B cells to produce IgA
stimulates healing- fibroblasts and macrophages

27
Q

What cells produce TGFb

A

Antigen stimulated T cells
LPS-activated phagocytes
Regulatory T cells

28
Q

What are the 2 specific responses of macrophages

A

classical: via APC
Alternative: persistant infection, increase arginase and fibrosis, inhibit TH1

29
Q

Acute infection vs persistant THcells

A

acute–> TH1

persistant–>TH2