FINAL TEST Flashcards

(51 cards)

1
Q

True or False. Cytokines have low-affinity cell receptors.

A

False. They have high affinity cell receptors so therefore they act at very low concentrations

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2
Q

What type of signaling do cytokines utilize?

A

JAK-STAT or Ras-MAP kinase pathways

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3
Q

How are JAKs activated?

A

conformational change in the receptor when the cytokine binds that allows trans-and/or auto-phosphorylation of the two bound JAKs

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4
Q

Explain pleiotropy

A

cytokines exhibit multiple effects on growth and differentiation of a variety of cell types

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5
Q

Explain redundancy

A

cytokines produced that have similar effects on the same cell such as fever: IL-6, IL-1 or TNF with IL-1 being the strongest

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6
Q

Explain synergy

A

sometimes cytokines have the capacity to multiply the effect of each other such as IL-4 and IL-5

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7
Q

Explain antagonism

A

IL-4 and IFN-gamma antagonize each other by IFN-gamma blocking class switching to IgE which was induced by IL-4

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8
Q

Types of Pro-inflammatory cytokines and their type of transcription

A

IL-1, TNF-alpha, IL-6, IL-8, IL-11, IL-12, IL-15, and IL-18

NF-KB dependent transcription

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9
Q

Types of Anti-inflammatory cytokines and their type of transcripton

A

IL-10 and TGF-Beta
control inflammation and promote healing
NF-KB independent transcription

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10
Q

What happens in systemic inflammation?

A

Homeostasis is overwhelmed by pro-inflammatory cytokines; if local inflammation is initiated and then spills over; the cytokines appear in circulation and cause a systemic response leading to: Severe sepsis (cardiovascular collapse and multiple organ failure)

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11
Q

Hyper inflammatory Response

A

early deaths due to overwhelming inflammation during innate period
driven by TNF-alpha, IL-1, IL-6 and IL-12

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12
Q

Systemic inflammatory response syndrome

A

in response to hyper inflammatory response the only way to compensate is to engage anti-inflammatory responses and they were so overreactive as well that it crosses the recovery line and into the immunosuppression region

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13
Q

Immunosuppression

A

late deaths due to persistent immunosuppression and recurrent infections
temperature goes below normal and the immune system has paralysis
IL-10, IL-4 and TGF-beta

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14
Q

What are the major pro-inflammatory cytokines?

A

TNF, IL-1 and IL-6

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15
Q

What are the results of administration of TNF or IL-1?

A

they produce fever, systemic inflammation, shock and death

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16
Q

Which cytokine is the primary mediator of septic shock?

A

TNF-alpha

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17
Q

What produces TNF?

A

macrophages (TNF-alpha), monocytes (TNF-alpha), T lymphocytes (TNF-beta), neutrophils and NK cells

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18
Q

What is the most potent inducer of TNF?

A

Endotoxin LPS

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19
Q

Which cytokine induces anti-tumor immunity?

A

TNF through direct apoptotic effects on cancerous cells

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20
Q

What produces IL-1?

A

PRIMARILY by macrophages and monocytes

also neutrophils, endothelial cells, keratinocytes

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21
Q

Which cytokine is the first in line to produce fever?

22
Q

Which cytokine is first in line to induce ICAM-1, VCAM-1 and E-selection on endothelial cells?

23
Q

IL-1 induces proliferation of what?

A

production of IL-2 and proliferation of CD4 T lymphocytes

24
Q

What cytokine is the first in inducing the production of acute phase proteins?

25
IL-1 can be neutralized by what?
IL-1RA
26
What produces IL-6?
PRIMARILY phagocytic cells (mononuclear) | also B and T cells, fibroblasts, endothelial cells, keratinocytes, hepatocytes, and bone marrow cells
27
Which cytokine stimulates the differentiation of B lymphocytes into plasma cells?
IL-6
28
Which cytokine has a primary role in TH17 immune regulation?
IL-6
29
What produces IL-8?
macrophages in response to an inflammatory stimulus
30
On the onset of inflammation what cytokine does mast cells release?
IL-8
31
IL-8 is a chemotactic factor for what?
Neutrophils
32
What produces IL-12?
PRIMARILY DCs and macrophages
33
Functions of IL-12
controls cell-mediated immunity via activation of TH1 T cells stimulates IFN-gamma production synergizes with IL-18
34
Function of IL-15
activation of NK cells T cell growth factor chemotactic for T lymphocytes important for the survival of CD8 memory T cells
35
IFN-gamma is made by what?
TH1 T cells and NK cells
36
IFN-Gamma Functions
link between adaptive and innate immunity most important for CELL-MEDIATED IMMUNITY major activator of macrophages by stimulating phagocytosis, secretion, respiratory burst, and nitric oxide production inhibits allergic responses by suppressing many IL-4-mediated effects
37
IL-12 and IFN-gamma synergize to activate what?
macrophages and NK cells
38
IL-10 is produced by what?
macrophages, B cells, and Tregs
39
IL-10 functions
inhibits production of pro-inflammatory cytokines inhibits expression of class II MHC by APCs inhibits expression of CD80/CD86 inhibits IFN-gamma and TNF-beta by TH1 inhibits IL-4 and IL-5 by TH2 controls tolerance to allergens
40
Which cytokine has both stimulatory and inhibitory effects?
TGF-beta
41
TGF-Beta functions
stimulates wound healing and scar formation inhibits proliferation of B cells and CD8+ T lymphocytes inhibits macrophages and NK cells induces apoptosis in B cells and CD8+ T lymphocytes regulates differentiation of TH17 lymphocytes
42
What cytokines alternatively activate M2
IL-13 and IL-4
43
Which cytokine activates eosinophils?
IL-5
44
Which cytokine is involved in B cell switching to IgE
IL-4
45
TH1 cells are defensive against what pathogens?
intracellular microbes | IFN-gamma
46
TH2 cells are defensive against what pathogens?
extracellular microbes helminthic parasites IL-4, 5, IL-13
47
What transcriptional factor goes with TH1 cells?
T-BET
48
What TF goes with TH2 cells?
GATA-3
49
What TF goes with TH17 cells?
RORgammaT
50
What TF goes with Treg cells?
FOXP3
51
What cytokine controls proliferation of T cells?
IL-2