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Questions and Answers
What is one of the common routes of administration for interferon and aldesleukin?
Which side effect is specifically associated with aldesleukin?
Which type of T cell mainly recognizes and kills infected cells?
Which of the following cytokines is produced by Th1 cells to activate macrophages?
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What is a common symptom associated with the side effects of interferon treatment?
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What is the function of CD4+ T cells in immune responses?
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Which subset of T cells is primarily involved in mucosal immunity?
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What are the possible consequences of a drop in blood cell count due to interferon treatment?
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Which of the following is NOT a side effect of interferon and aldesleukin?
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Which receptor is associated with Th1 and Th2 cells for their movement within tissues?
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What is a common application of small molecule JAK antagonists?
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Which signaling pathways are involved with type I and type II cytokine receptors?
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What is the role of IL-2 in T cell proliferation?
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Which type of cancer is most commonly treated with Aldesleukin (IL-2)?
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Which of the following best describes the action of interferon in cancer treatment?
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How is interferon typically administered for cancer treatment?
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What general characteristic do groups of cytokine receptors share?
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Which of the following describes the signaling pathway associated with the TNF receptor?
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In which way can cytokines like IL-2 act?
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What aspect makes Janus kinases (JAKs) significant in cytokine signaling?
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What is the primary effect of IFN-γ on CD4+ T cell differentiation?
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Which cytokine is produced by Th1 cells that primarily suppresses activation of other immune cells?
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How does IFN-γ influence antibody production in B cells?
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What role does TNF produced by Th1 cells play in immune response?
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What is the sufficiency of IFN-γ in T cell activation?
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What is a primary characteristic of Th1 cells compared to Th2 cells?
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Which statement about Th2 cells is true?
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In the context of T cell responses, what does the term 'exhaustion' refer to?
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Which of the following is NOT a function of IL-10 produced by Th1 cells?
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What is one consequence of IFN-γ not being produced during immune responses?
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Study Notes
Cytokine Receptor Structure
- Groups of cytokine receptors share identical or highly homologous subunit chains.
TNF Receptor Signaling
- TNF receptors engage signal transduction pathways involving non-receptor tyrosine kinases called Janus kinases (JAKs) and transcription factors called signal transducers and activators of transcription (STATs).
JAK-STAT Signaling
- Cytokine receptors of the type I and type II receptor families activate JAK-STAT signaling.
- Small molecule JAK antagonists are approved for the treatment of acute myeloid leukemia, and chronic inflammatory diseases, including rheumatoid arthritis and psoriasis.
- T cell proliferation triggered by cytokines such as IL-2 is targeted by some immunosuppressive small molecules, like rapamycin (mTOR inhibitor).
IL-2 Receptor Expression
- IL-2 Receptor expression is regulated by activation and differentiation of T cells.
- IL-2 receptor consists of three polypeptide chains: α, β, and γ.
IL-2 Biologic Actions
- IL-2 can act on cells via autocrine, paracrine, and endocrine mechanisms.
Interferon
- Interferon (interferon alfa or Intron A) is used to treat different types of cancer like:
- kidney cancer (renal cell cancer)
- melanoma
- multiple myeloma
- some types of leukemia
- Interferon is typically administered subcutaneously or through an intravenous infusion.
Aldesleukin
- Aldesleukin (Interleukin 2, IL2 or Proleukin) is primarily used to treat kidney cancer.
- It is also being explored in clinical trials for other cancers.
Aldesleukin Side Effects
- Aldesleukin can cause a drop in blood cells, leading to an increased risk of infection, bleeding problems, tiredness, and breathlessness.
- It can also induce flu-like symptoms, diarrhea, fatigue, nausea, loss of appetite, and low blood pressure.
T Cell Role in Infection Eradication
- CD4+ T cells recognize antigens of phagocytosed and extracellular microbes, producing cytokines that recruit and activate phagocytes to kill microbes.
- CD8+ T cells can also secrete cytokines and participate in the killing of microbes.
- CD8+ cytotoxic T lymphocytes (CTLs) recognize antigens of microbes inside infected cells and kill those cells.
CD4+ T Cell Mediated Immune Responses
- CD4+ T cells help activate B cells and macrophages for adaptive immunity.
- They can also directly kill infected cells.
CD4+ Effector T Cell Subsets
- CD4+ T cells differentiate into different effector subsets depending on the microenvironment and stimulating cytokines.
- Th1 Cells: Produce IFN-γ, TNF, IL-2, and IL-10.
- Th2 Cells: Produce IL-4, IL5, IL-10, IL-13, and IL-25.
- Th17 Cells: Produce IL-17A, IL-17F, IL-21, IL-22, and IL-26.
Th1 Cell Functions
- IFN-γ activates macrophages to kill microbes.
- IFN-γ promotes Th1 cell differentiation and inhibits Th2 and Th17 cell development.
- IFN-γ enhances antigen presentation and T cell activation.
- IFN-γ promotes IgG subclass switching in B cells and inhibits IgE switching.
- Th1 cells produce TNF and chemokines, contributing to leukocyte recruitment and inflammation.
- Th1 cells produce IL-10 to suppress Th1 activation.
Macrophage Activation by Th1 Cells
- Th1 cells activate macrophages via IFN-γ and TNF.
- Macrophages kill intracellular microbes and produce inflammatory mediators.
Th2 Cell Functions
- Th2 cells mediate allergic reactions, parasite defense, and tissue repair.
Classical and Alternative Macrophage Activation
- Classical macrophage activation occurs via IFN-γ.
- Alternative macrophage activation occurs via IL-4 or IL-13.
Th17 Cell Functions
- Th17 cells defend against extracellular bacteria and fungi.
- They contribute to autoimmune diseases.
CD8+ T Cell Responses
- CD8+ T cell responses involve antigen recognition, clonal expansion, and differentiation into effector cytotoxic T lymphocytes (CTLs).
- CD8+ T cells can also produce cytokines and participate in the killing of microbes.
Helper T Cell Role in CD8+ T Lymphocyte Differentiation
- CD4+ helper T cells stimulate differentiation of CD8+ T cells into effector CTLs.
CD8+ T Cell Response Inhibition: T Cell Exhaustion
- During chronic infections, CD8+ T cells can become exhausted and lose their ability to kill infected cells.
CTL-mediated Lysis of Target Cells
- CTL-mediated lysis involves a multi-step process leading to target cell death via apoptosis.
CTL-mediated Killing Mechanisms
- CTLs use: - Perforin and granzyme to induce apoptosis in target cells. - FAS/FAS-L interaction to trigger target cell apoptosis. - TNF-α to induce target cell death.
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Description
Explore the structures and functions of cytokine receptors, including TNF receptor signaling pathways and the JAK-STAT signaling mechanism. Understand the role of IL-2 receptors and their significance in T cell activation and immunosuppressive therapies. This quiz will challenge your knowledge of cytokine biology and its therapeutic applications.