CYTOKINES - THE GOOD AND THE BAD OF THE IMMUNE SYSTEM Flashcards

1
Q

how do cytokines work (basic overview)

A

cytokines are soluble signals between cells

  • cytokine producing cell gets induced stimulus
  • produces cytokines
  • gets released
  • binds to cytokine receptor of target cell
  • signalling cascade inside cell
  • biological effects
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2
Q

what are cytokines?

which internal body systems do they regulate? (3)

A
  • small proteins or glycoproteins
  • act via specific receptors
  • some are called interleukins (IL1-IL37)
  • some are not (TNFa)
  • *- influence innate immunity, adaptive immunity and haemotopoeisis**
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3
Q

what does it mean that cytokines have following charact.?

a) pleoitropy?
b) redudancy?
c) synergy?
d) antagonism?

with regards to distance - how can they work?

A

a) pleoitropy: a cytokine can have multiple effects
b) redudancy: different cytokines can do the same job
c) synergy: cytokines act together to cause an effect
d) antagonism: cytokines can have opposing effecrs

  • can work autocrinally (self signalling), paracrinally (local siganlling) or endocrinally
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4
Q

what do the subfamily of cytokines, chemokines, involved specifically in/

A
  • *involved in cell movement:**
  • migration along a chemokine concetration gradients provide a directional movement (can be agaisnt or with gradient)
  • signal using GPCR: can bind to multiple different chemokines
  • small polypeptides
  • control adhesion, chemotaxis and activation
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5
Q

how can cytokines promote or limit immune responses?

A
  • can be inflammatory (IL-1, TNFa) or anti-inflam (IL-10, TGFb)
  • good immune response will have an appopriate balance of these
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6
Q

explain the role of cytokines in acute inflammation

A
  • damage and infection stimulates inflammation
  • resident macrophages and injured tissues initiate inflam. response
    - inflam cytokines and chemokines drive leukocyte recruitment
    -
    neutrophils and moncytes come in and fight infection
  • T and B cells come in later
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7
Q

how do cytokines drive the recruitment of immune cells (when endothelium is damaged)? (3)

what do TNFa and chemokines do specifically?

A
  1. tethering: cytokines make the lining the BV more sticky
    * *2. rolling and activation:** chemokines activated adhesion molecules and allow rolling arrest
    * *3 diapedesis & migraton:** cause cells to flow in to cells within tissues
  • *TNFa**: increaes stickiness of endothelium by increasing expression of adhesion molecules:
  • rapid release from Weibal-Palade bodies (WP) (adhesion molecules)
  • new synthesis of TNF molecules
  • *Chemokines:** activate adhesion molecules to increase binding
  • causes rearangement of adhesion molecules on surface of cell, to bind more strongly to vessel wall.
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8
Q

how do cytokines work in T cells clonal expansion

A
  • cytokine activation causes both production of IL-2 and expression of a high-affinity IL-2 receptor
  • example of autocrine cytokine signalling

- IL-2 on T-cell receptor drives cell proliferation / clonal expansion

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9
Q

how do cytokines influence differentation of CD4+ T cells ?

how do cytokines made by t cells w?

A
  1. cytokines influence niave CD4+ cell (Th0) -> Th1 (due to IL-12) or Th2 (IL-4)
  2. Helper t cells make many cytokines that affect other cells:
    - Th1 cells produce IFNy which activates macrophages (after binding with affected cell) to kill intracellular bacteria like Mycobacterium tubercolis
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10
Q

people with non-functional IFNy receptor are highly suscepitble to ?

A

mycobacterial infections

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11
Q

how do cytokines from T cells help B cells make antibodies?

A
  • *- cytokines from T cells help B cells make antibodies:**
  • provide signals from helper T cell, to make the differentation of B-cell -> Plasma cell
  • cytokines from helper T cell also influence class switching (change on antibody production) (e.g IL-4 increases IgE).
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12
Q

how does the differential production of cytokines during leprosy infection influence the type of disease that develops?

A

Lepropsy exists as a disease spectrum: same bacteria that infects, but due to different cytokines produced, determines different outcomes

  • one end = Tuberculoud leprosy, other end = Lepromatous leprosy
  • *Tuberculoud leprosy:** Th1 (IFNy)
  • macrophages activated, bacteria killed
  • but, collateral damage occurs: nerve damage and loss of sensation,
  • limb deformity
  • *Lepromatous leprosy:** Th2 (IL-4)
  • lots of antibodies; bacteria multiply
  • massive bacterial load in tissues
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13
Q

what happens if anti-inflam IL-10 doesnt work? :(

A

IL-10 knock-out get intestinal inflammation due to gut bacteria: if receptors damaged may need bone transplantation

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14
Q

describe difference between local bacterial and widespread bacterial infection with regards to no. of cytokines produced

A
  • *local bacterial infection:
  • **local, controlled: production of TNF-a, IL-1 and IL-6 is GOOD
  • causes fever, bone marrrow production of immune cells
  • limited stimulation
  • *widespread bacterial infection (sepsis)**
  • ‘overstiumulation’ and septic shock of TNFa, IL-1 and IL-6 is BAD
  • also can occur from superantigens: toxic shock syndrome
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15
Q

what is a cytokine storm?

which diseases does it occur in?

A

cytokine production becomes uncontrolled to a potentially fatal positive feedback loop:

  • *- cytokine stimulates immune cell
  • immune cell produces cytokine**

occurs in:
- ebola, SARs, bird flu, covid

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16
Q

how did TGN1412 @ Northwick park cause cytokine storm?

A

drug: TGN1412 - superagonist to CD28:

  • idea was that would enhance regulatory T cell activity
  • instead: caused massive activation of effector T cells: cytokine release and storm
17
Q

what is difference between immune reponse in normal v asthma / allergy ?

A

normal:

  • niave CD4+ T cell in presence of IL-4 = Th2 cell
  • Th2 cell produces more IL-4, which induces B cell to class swich to make IgE
    ​- IgE binds to mast cells, which, if comes into contact with antigen that induced B cells, causes degranulation

asthma:

  • overproduction of IL-4 -> drives allergies and asthma
  • its the release of the degranulation by mast cells that causes response
  • if have an allergy: subsequent exposure are rapidly released (why get really quick response)
18
Q

what causes chronic inflammation? e.g. in crohns disease?

A

chronic recruitment & activation of innate immune cells: Tissue damage

In Crohn’s disease:

  • overprodution of IL-12 & IL-23: **amplified Th1 Cell
  • causes increases ofIFNy and INFa**

= tissue damage

19
Q

whats world population of incidence of immune disorders like?

e.g. Crohns disease?

A

worldwide increase in immune disorders

due to environment:

- children of immigrants have high Crohns disease (developing countries have low incidence, but developed has high incidence of Crohns)

20
Q

what is hygiene hypothesis?

A

- David Strachan

  • *-** being more hygienic may reduce protective exposures
  • old friends, rather than pathogens may be critical
21
Q

what is difference between amish and hutterite with hygiene H

A
  • *Amish:**
  • asthma and allergy prevalence 6-8 x lower
  • altered innate immune cell populations and gene expression
  • household dust: endotoxin levels 7x higher = PROTEC (in mouse model)
  • *Hutterite:**
  • NOT ABOVE
22
Q

what are major challenges of administering cytokines in the clinic?

how are Interferon a and GM-CSF used?

A
  • short half life - hard to attain an effective dose
  • *Examples:
  • **Interferon a: (aka Roferon); used for Hep B infection
  • GM-CSF: (aka Leukine): used to stimulate production of myeloid cells after bone marrow transplantation
23
Q

cytokines in the clinic:

  1. how do IFNa and IFNb work for anti-viral action?

2 administration of agents to block cytokines in vivo (e.g. agaisnt inflam. diseases)?

A

IFNa and IFNb work for anti-viral action:

  • engagement of PRRs by viruses stimulates production of IFNs (IFNa & IFNb)
  • IFNs induce a resistant state in adjacent cells
  • Also increase MHC expression, activate NK cells etc

administration of agents to block cytokines in vivo (e.g. agaisnt inflam. diseases)

  • can use monoclonal antibodies
  • soluble receptors
  • BUT redudancy is a major challenge when targeting many cytokines
24
Q

what does anti-TNF therapy Infliximab treat?

complications with this?

A

Anti-TNFa (Infliximab therapy):

  • major impact on treatment of Crohn’s disease, RA, psoriasis
  • some patients dont respond
  • some lose response
  • potential complications with infections