Test 2 Cytokines Flashcards

1
Q

Cytokines

A
  • Soluble proteins secreted primarily by white blood cells
  • Small molecular weight proteins
  • Weakly immunogenic
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2
Q

IFNs

A
  • interferons
  • secreted by leukocytes
  • alpha, beta, gamma
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3
Q

ILs

A
  • interleukins
  • secreted by leukocytes
  • IL2 and IL11 are used therapeutically
  • IL1 can be dangerous in significant amounts
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4
Q

Growth factors

A

proteins that activate cell proliferation and differentiation

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5
Q

Chemokines

A
  • protein with chemotactic activity

- IL8; not yet used therapeutically

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6
Q

chemotactic

A

attracts neutrophils to the site

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7
Q

Pleiotropy

A

one cytokine targeting several cells / has several functions

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8
Q

Redundancy

A

multiple cytokines target the same cell and have similar function

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9
Q

autocrine

A
  • the cell that releases the cytokine can be a target for the cytokine
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10
Q

paracrine

A
  • cell releases cytokine and it acts on another cell / target
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11
Q

special handling of cytokines

A
  • do not refrigerate, heat, or shake

- must be administered IV bolus

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12
Q

IL2

A

for renal cell cancer and melanoma

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13
Q

IL11

A

for thrombocytopenia

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14
Q

How can we improve formulation and dosing of cytokines?

A
  • PEG

- Pegylation lengthens the circulatory half life and improves stability.

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15
Q

IL 2 MOA

A
  • promote growth of NK cells
  • generate lymphokine activator killer cells
  • can also induce generation / proliferation of normal T cells from hemotopoietic stem cells so we have more T cells in our body
  • sustain growth of activated T cells
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16
Q

lymphokine activator killer (LAK) cells

A
  • do not require antigen-presentation step

- not MHC restricted

17
Q

side effects of IL 2

A
  • pain
  • accumulation of fluids
  • accumulation of these cells -> transient condition of inflammation
18
Q

IL 11 MOA

A
  • stimulates
    proliferation of hematopoietic stem cells and megakaryocyte progenitor cells
  • induces maturation of megakaryocytes, increasing platelet production
19
Q

Anakinra

A
  • Interleukin-1 receptor antagonist
  • used in RA
  • binds to IL 1 beta receptor; does not allow IL-1 beta to bind and cause inflammation
20
Q

Enbrel / Entanercept

A
  • used for RA

- binds to TNF-alpha and helps reduce inflammation

21
Q

Interferons (IFNs)

A

secreted by leukocytes and several immune cells in response to infections, tumors, and other inducers

22
Q

IFN alpha

A
  • Type I interaction
  • antiviral and / or antineoplastic
  • hep C
23
Q

IFN beta

A
  • Type I interaction

- MS

24
Q

IFN gamma

A
  • Type II interaction

- reducing risk of infections associated with chronic granulomatous disease

25
Q

IFN alpha MOA

A

produce proteins that will stop proliferation of new viral particles

26
Q

IFN beta MOA

A
  • stops production of T cells
  • does not allow crossing of BBB
  • suppresses inflammation
27
Q

IFN gamma MOA

A
  • induces phagocytosis an clearance of pathogen by inducing a superoxide environment