Lec 30-Cytokines Flashcards

1
Q

Introduction

A
  • Cytokines are immunomodualtors that act at specific receptors on target cells
  • Hormone-like polypeptide molecules: IL, chemokine, TNF-a, interferons, colony stimulating factors (CSFs)
  • Cytokines circulate at lower levels than hormones (10-12M and active between 10-10M -10-15M and may increase by x106 during inflammation
  • Cytokines can modify cell activity through acting at several types of surface receptors -Most effects are due to changes in gene expression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do cytokines do

A
  • Growth factors
  • Differentiation factors-
  • Secretion of autocoids, production of antibodies and other proteins
  • Chemotaxis (for cell-cell interactions
  • Cytokines exhibit redundancy and are pleiotropic (many different action)
  • Cytokines e.g. TNF can activate cells that produce it (Autocrine) or other cells (paracrine)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Receptors tyrosine kinases

A
  • Receptors consist of 2 identical single-pass transmembrane protein
  • Receptors have kinase binding domains at intracellular cytoplasmic ends
  • Tyrosine kinases are recruited to a receptor following agonists binding
  • Cause activation of intracellular signalling cascades
  • One such receptor-associated tyrosine kinase in janus kinase (JAK), many of whose effects are mediated by STAT (Signal transducer and Activator of Transcription)- proteins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

JAK-STAT- SIGNALLING BY RECEPTOR ASSOCIATED WITH TYROSINE KINASE

A
  • when the cytokine binds to cytokine receptor the JAK is activated, meaning its kinase activity occurs and it phosphorylates the receptors
  • This attracts normally inactive protein STAT’s causing the stat to bind to the receptor
  • When this occurs the JAK will the place an phosphate onto the STAT
  • Once STAT is phosphorylated they release from the receptor and form dimers with another STAT molecule- this is the active form
  • These enter the nucleus to act as transcription factors to allowing protein synthesis to occur
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is JAK-STAT different to other tyrosine kinases

A
  • The JAK-STAT pathways are much shorter and simpler than the pathways triggered by RTK’s and so the response of cells to these ligands tends to be much more rapid
  • NB this pathways is also used by IL’s, CSF’s and interferons
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

TNF (tumor necrosis factor) signalling

A
  • TNF is mitogenic (causes mitosis) in normal cells but induces cell death in cancer cells
  • Excess TNF activity inflammation by enhancing expression of pro-inflammatory genes
  • The TNF-induced survival pathway is mediated by the transcription factor NF-kB
  • Activation of NF-kB occurs via phosphorylation of IkB which dissociated and is degraded
  • Active NF-kB moves into the nucleus where it alters genes and expression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

TNF-a signalling (to kill cells

A
  • TNF-a receptor is a trimer and binds to another protein called DISC
  • This causes mitochondrial perturbation and punches holes in the mitochondrial membrane
  • Causes the release of effector caspase’s -Causing apoptosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

TNF signalling-a in normal cells to promote survival

A
  • TNF-a binds to TNFRI (receptor) and activates NF-kB
  • This protein is normal inactive by being complexed with IkB (-ve regulator)
  • IkB is then phosphorylated by TNFRI and falls off NFkB
  • IkB is then sent to proteasome’s to be degraded
  • NF-kB is then able to enter the nucleus where it can interact with the kB unit on the gene and switch on transcription
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TNF-a (the other signalling pathway)

A
  • DISC is activated ]
  • This activate MAP3K
  • This activated JNK
  • Can bind to the gene
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Induction of inflammation IL2, IL4 -we can either produce T cells or B cells (the 2 different pathways)- This is T cell

A
  • Antigen is presented to T CD4+ (T cell that can develop in multiple ways)
  • If IL2 predominates then this will stimulate T cells to turn into Th0 -Then Th1
  • Th1 then increases release of interferon gamma (INFy) and more IL2
  • This process activates macrophages, NK cells -IFN will suppress the production of Th2
  • Leads to a prolonged inflammatory response (this process is associated with inflammation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Induction of inflammation; B cell pathway

A
  • Antigen is presented to T CD4+
  • If IL4 predominates
  • Th0 is produced
  • Then Th2 is produced
  • B cells are then stimulated to develop into anti-body producing plasma cells
  • IL4 and TGF-b suppress Th1 cells
  • This process is associated with anti-inflammatory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Induction of inflammation: inhibition of the pathways

A
  • INFy (created in the T cell pathway) will inhibit the B cell pathway
  • IL4 and TGFb will inhibit T cell pathway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

TNF; IL-1; IL-6

A
  • Main pro-inflammatory cytokines
  • Involved in effector phase of immune/inflammatory response -Produced by macrophages and other cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

IL-6; IL-1; TNF increase expression of COX2

A
  • Cox-2 activity is increased in inflammation
  • Leads to enhanced production of PGE2
  • In hypothalamus leads to a rise in body temperature
  • In endothelial cells leads to increase in vascular permeability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Effects of TNF, IL-1 and IL-6 (think of areas of the body)

A
  • Acts on hypothalamus to induce fever
  • Act on liver to induce production of acute-phase proteins (e.g. serum amyloid protein, CRP, complement, mannose binding protein)
  • Act on vascular endothelial cells and macrophages to induce secretion of colony stimulating factor (CSF) that subsequently act on bone marrow to increase WBC
  • Act on vascular endothelial cells to increase both vascular permeability (Leukocyte migration) and expression of cell adhesion molecules (for rolling and firm adhesion of leukocytes)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Other action of TNF action in inflammation

A
  • Stimulates tissue (e.g. cartilage) degradation by increasing expression of matrix metalloproteinases
  • Stimulates expression of pro-inflammatory genes e.g. IL-1,6 and NOS
  • Promotes fibroblast proliferation
  • Promotes tissue metric deposition
  • Leads to scarring
17
Q

Linking cytokine mediators to symptoms (think of cardinal signs)

A
  • Heat- increased body temp due to IL-1 acting to increase PGE in hypothalamus
  • Redness- increased blood flow- due to cytokine promoted NO production= vasodilation
  • Swelling- increased vascular permeability due to cytokine induced PGE2 synthesis
  • Pain- cytokine induced PGE promotes nerve ending sensitisation to bradykinin
  • Loss of function- fibrous due to TNF-a activation of fibroblast proliferation
18
Q

Chemokine and chemotaxis

A
  • Chemokines are specific class of cytokine that mediate chemotaxis between cells
  • IL-8 is the only chemokine originally named an IL
  • Act on GPCR’s; co-receptor for AIDS virus (IL-5)
  • C-X-C chemokine e.g. (IL-8) act on neutrophils and are involved in acute inflammation
  • C-C chemokine e.g.(MCP-1) act on monocytes and other cells and are involved in chronic inflammation
19
Q

Anti-inflammatory cytokines

A
  • TGF-b, IL-4 and others
  • Inhibit production of chemokines
  • Inhibit responses by Th1 cells (and stimulate responses by Th2 cells) and so switch immune system from cell-mediated to immunity to antibodies
20
Q

Interferons IFN

A
  • IFN-a and IFN-b are produced from virally infected cells
  • IFN-a is used as an anti-viral agent
  • IFN-y is immunoregulatory and is used in multiple sclerosis to reduce antibody production
21
Q

Colony stimulating factors

A
  • Produced mainly by bone marrow stroll cells, endothelial cells and fibroblasts in a constitutive fashion
  • They stimulate inflammatory cell growth
  • GM-CSF. A growth factor for many progenitors and a differentiation factor acting on granulocytes, macrophages and dendritic cells-G-CSG. Stimulates neutrophils -IL e.g.3,7 can also act on CSF
  • CSF’s are used in conditions where there is depletion of WBC’s
22
Q

Steroids also lead to serious side effects

A
  • Decreased fibroblast function less collagen- poor healing -Decreased osteoblast and increase osteoclast activity= osteoporosis
  • Decreased macrophage sensitivity to cytokines- immunosuppression

+decreased leukocyte recruitment

+decreased basctericidal activity (iNOS)

+Decreased vasodilation

23
Q

Intro to steroids

A
  • 1950 Hench- RA women who became pregnant went into remission, increase glucocorticoids
  • Synthetic glucocorticoids decreases inflammation
  • Mineralo and glucorticoids synthesised in adrenal cortex in response to ACTH
  • Glucocorticoids- homeostasis of protein and CHO metabolism, anti-inflammator , immunosuppressive -Physiological role- prevent overshoot of body defence (magnitude and duration) -exert -ve feedback via pituiatary
24
Q

Endogenous glucocorticoid metabolism

A
  • 90% hydrocortisone; 10% corticosterone
  • Circulate attached to albumin or corticosteroid binding protein (CBP) but not synthetic hormones
  • Can enter directly or via a complex bound to CBP
  • Excess corticoids leads to bushings syndrome (cataract, abdominal fat, poor wound feeling, muscle wasting, HTN)
25
Q

Mechanism of GC action

A

3000-100,000 GCRs per cell in nucleus

  • GCRs and GC bind to DNA -Attach to specific sequence present in promotors of 10-100 genes (~1% of cellular genes)= GC responsive element
  • Can increase or decrease levels of protein depending on the gene -Initiator- promotes mRNA production increase in levels of protein e.g. Lipocortin
  • Inhibitor- (1) block RNA polymerase- inhibit protein expression or (2) bind to and inhibit other transcription factors e.g. AP1- repress transcription factor controlling collagen production- reduced healing
26
Q

Targets for glucocorticoids

A

UPREGULATION -Lipocortin- endogenous inhibitor of PLA2 (15-30 min)

-This means no arachidonic acid so no: TXA’s: PG; LT’s: -This pretty much cuts of inflammation at its source

DOWNREGULATION

  • COX2 but not COX-1 -IL-1 and 6
  • iNOS
  • MMP (matrix metalloprotinase)
  • Collagen
  • Adhesion molecules
27
Q

Other inflammatory mediators reduced by steroids

A
  • Complement component
  • Histamine release
  • Phagocyte activity
  • Reduced clonal expansion of T and B cells
28
Q

Clinical effects of steroids

A
  • Inhibit inflammation arsing from all types of stimuli e.g. chemical, physical and endogenous
  • Inhibit early phase- redness, heat, pain, swelling
  • Inhibit late phase- healing repair
  • Act on endothelial and inflammatory cells and their mediator
29
Q

Kinetics

A
  • Response time 6-24 hours after injection (ie. bronchodilator also required for asthma attack
  • Half life 90 minutes
30
Q

Problems associated with steroids

A
  • Large acute doses are tolerated well
  • Chronic therapeutic corticoid - suppress production of endogenous corticoids
  • Withdrawal of treatment - adrenal insufficiency- Addison’s disease- Low BP, hypoglycaemia
31
Q

Steroids also lead to serious side effects

A
  • Decreased fibroblast function- less collagen- poor healing -Decreased osteoblast and increased osteoclast activity- osteoporosis (destroy bone and not remake it)
  • Decreased macrophage sensitivity to cytokine - immunosuppression

+decreased leukocyte recruitment

+decreased bactericidal activity (iNOS)

+Decreased vasodilation

32
Q
A