What are small soluble proteins and glycoproteins that regulate and mediate host immune responses via direct action on cells?
How many cytokines are there? How much variety?
Have significant _____ role in host defense
Do they locally or at a distance?
Rapidly _____ or ____ immune activites
Cytokines vs. Hormones/Neurotransmitters
Cell Source
Target Cell
Activities
Effect
Concentration
numerous – usually single source
many – single cell or tissue
pleiotropic and overlapping – single, defined activity
autocrine (acts on self), paracrine (acts on another cell of same type), endocrine (acts on different type of cell) – endocrine
picomolar – nanomaolar
Can cytokines cross the blood brain barrier?
What are the two ways they get into things (and explain)?
What makes cytokines in the brain?
(Cytokines - general properties)
Are they antigen specific in action?
Are they pleiotropic? What does this mean?
Can an individual cytokine be made by more than one cell type?
Can they act on many cell types?
(Cytokines - Families/Nomenclature)
4 groups
_____ - stimulators of hematopoiesis that regulate immature _____ growth and differentiation. These factors drive the ______ of hematopoietic _____. Examples?
______ - Mediators and regulators of lymphocytes and leukocytes. These factors are regulators of both ____ and ____ functions of other immune cells. This group is very ____ in structure and function. WIDE RANGE OF FUNCTIONS Examples?
______ - Mediators and regulators of antiviral and innate immunity. These factors can activate intracellular processes that inhibit _____ replication. In addition, several members are key regulators of ____ activity and tolerance of the developing _____. Examples?
_____ - Chemoattractants. These factors regulate the directed movement of immune cells from the blood into tissues. Examples?
IL-2, IL-6, IL-8, IL-10, IL-12, Tumor necrosis factor -a (TNF-a)
(CYTOKINE RECEPTORS)
In regards to structure?
(Interferons (IFN)
Why are they called interferons?
How many types?
Type IFNs are any ____ or _____
(IFN-a/b type 1)
What are the three things this type does to fight viruses?
HE JUST SAID - JUST REMEMBER - IFN-a/b are antiviral
(IFN-gamma)
Produced mainly by?
Most Potent what?
(Are viruses always endogenous?)
(HE DIDN:T TALK ABOUT THE REMAINDER OF THIS SO DON’t STUDY - just read - he just wants us to remember macrophage activation)
(It stops macrophage migration, activates pro-inflammatory cytokine gene expression, augments phagocytosis, increases anti-tumor and antibacterial processes, and upregulates MHC expression. It also influences the production of immunoglobulin isotypes and stimulates the nerutophil respiratory burst. Finally, IFN-gamma activates vascular endothelial cell adhesion molecules expression)
What animal is interferon gamma deficient at birth? What does this mean they will have trouble with?
(Colony-Stimulating Factors)
What are the four he wants us to know and what do they do?
(IL-1)
What two forms does it exist in?
What are the three funtions he wants us to remember that IL-1 (+ where they occur)?
(IL-2)
What is it produced by?
What does it do (main thing)?
(IL-6)
(IL-12)
Because IL-12 impacts the ___ vs. ___ balance, it is extremely important for determining the type of immune response that predominates
(Tumor Necrosis Factor)
DOES THE FOLLOWING
(TNF-alpha)
these are the ones to know
What is the biggest stimulus for macrophages?
(Local and System Effects of TNF)
Release of TNF induces local _____, but can cause _____ when released in ____ or _____. This _____ cytokine has numerous and powerful effects on other cells and systems.
What can too much cause?
TNF-alpha
What happens at
low quantities? (< 10^-9)
moderate
High quantities (> 10^-7)
Cytokines _____ to impact peripheral immune events, and ______ can lead to tissue injury, shock, and death
Remember that there is much overlap in cytokine activity - for example (____/____/____-alpha) (Liver - ____) - (Hypothalamus - increased ____)
Remember that cytokines are very important for ____
(Endotoxic of Septic Shock)
What causes this?
induced by products derived from ______ (___ or ___)
What is the major cytokine responsible for pathogenesis of septic shock?
Cytokines mediate intravascular coagulation during shock - what does this lead to…. (don’t memorize these very well)
(IL-4 and IL-10)
What do they do?