Immunology: Cytokine Classification Quiz
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Questions and Answers

Which of the following cytokines is NOT classified as belonging to the Class 1 (hematopoietin) cytokine family?

  • IL-10 (correct)
  • G-CSF
  • IL-6
  • IL-4

What is a primary function of members of the interleukin-17 family?

  • Inducing apoptosis in tumor cells
  • Mediating antiviral responses
  • Promoting cytotoxic T-cell activity
  • Supporting neutrophil accumulation and activation (correct)

Which of the following statements about tumor necrosis factor (TNF) family members is correct?

  • They are always membrane-bound.
  • They share the same function as chemokines.
  • They are all soluble proteins.
  • They can be either soluble or membrane-bound. (correct)

Which of the following cytokines is classified under the Class 2 (interferon) cytokine family?

<p>IFN-γ (B)</p> Signup and view all the answers

What role do chemokines typically play in the immune response?

<p>Chemoattraction of immune cells (D)</p> Signup and view all the answers

What is the primary function of IL-1 in immune responses?

<p>Promotes inflammation and recruits leukocytes (D)</p> Signup and view all the answers

Which cytokines are associated with the common gamma chain (γc) receptor?

<p>IL-2, IL-4, IL-15 (D)</p> Signup and view all the answers

Which of the following statements about type I interferons is correct?

<p>They induce synthesis of ribonucleases and inhibit protein synthesis (D)</p> Signup and view all the answers

What role does TNF-α play in the immune system?

<p>It is proinflammatory and produced by activated macrophages (C)</p> Signup and view all the answers

What is the common receptor subunit for the cytokines IL-6, IL-11, and IL-27?

<p>gp130 (D)</p> Signup and view all the answers

Which of the following cytokines is classified as a type II interferon?

<p>IFN-γ (B)</p> Signup and view all the answers

How do Class I cytokines differ from others in terms of structure?

<p>They generally consist of a single protein or multiple subunits (C)</p> Signup and view all the answers

Which of the following cytokines is primarily secreted by activated macrophages and dendritic cells?

<p>TNF-α (D)</p> Signup and view all the answers

What is the primary role of C-type lectin receptors (CLR)?

<p>Phagocytosis and inflammation (A)</p> Signup and view all the answers

What type of signaling action do cytokines exhibit when they affect nearby cells?

<p>Paracrine action (B)</p> Signup and view all the answers

Which receptor type is primarily associated with detecting viral RNA?

<p>Retinoic acid inducible gene-I-like receptor (B)</p> Signup and view all the answers

What is a primary effect of signaling through cytokine-receptor binding?

<p>Change in cellular metabolic state (A)</p> Signup and view all the answers

Which of the following describes a pleiotropic effect of cytokines?

<p>Induces different biological effects based on target cell (D)</p> Signup and view all the answers

What family of cytokines includes IL-1α and IL-1β?

<p>Interleukin-1 family (A)</p> Signup and view all the answers

What mechanism describes the combined effect of two cytokines leading to a result greater than the sum of their individual effects?

<p>Synergistic effect (C)</p> Signup and view all the answers

What is the function of the Absent-in-melanoma-like receptors?

<p>Recognize viral and bacterial DNAs (B)</p> Signup and view all the answers

Which statement is true regarding cytokine signals?

<p>Cytokine signals can instruct cells to change their state. (D)</p> Signup and view all the answers

Which type of action describes a cytokine that affects the cell that released it?

<p>Autocrine action (B)</p> Signup and view all the answers

Which cytokine family is primarily involved in proinflammatory responses?

<p>IL-17 family (A)</p> Signup and view all the answers

What is the primary function of BAFF and APRIL in the immune system?

<p>Facilitating B-cell development (D)</p> Signup and view all the answers

What is the primary function of the cytokines produced by macrophages and neutrophils?

<p>Pathogen destruction (B)</p> Signup and view all the answers

What type of receptors do chemokines interact with to facilitate leukocyte migration?

<p>G-protein-coupled receptors (D)</p> Signup and view all the answers

What signaling event often results from the binding of a ligand to its receptor?

<p>Transcriptional activation (D)</p> Signup and view all the answers

What do dendritic cells enhance in the immune response?

<p>Antigen presentation (D)</p> Signup and view all the answers

Which receptor structure is characteristic of B-cells?

<p>B-cell receptor similar to antibody (B)</p> Signup and view all the answers

Which of the following is regarded as an effector of programmed cell death in immune responses?

<p>Fas Ligand (D)</p> Signup and view all the answers

Which accessory proteins are associated with B-cell receptors?

<p>CD19, CD21, and CD81 (B)</p> Signup and view all the answers

What is a significant result of tyrosine phosphorylation of ITAMs?

<p>Transmission of T-cell differentiation signals (B)</p> Signup and view all the answers

How do chemokines usually dictate their structural categories?

<p>By the number of disulfide bonds (D)</p> Signup and view all the answers

What is a requirement for Naïve T-cells to become activated?

<p>CD28 co-stimulation (C)</p> Signup and view all the answers

What type of ligands do T-cells primarily bind?

<p>MHC class I and II molecules (B)</p> Signup and view all the answers

What general feature do all IL-17 family cytokines share?

<p>They exist as dimers (D)</p> Signup and view all the answers

The cytoplasmic tails of which complex contain ITAMs for signal transduction in T-cells?

<p>CD3 complex (A)</p> Signup and view all the answers

Which co-receptors are primarily associated with T-cells?

<p>CD4 and CD8 (C)</p> Signup and view all the answers

What initiates the activation of Ras?

<p>Exchange of GDP for GTP by GEFs (B)</p> Signup and view all the answers

Which step involves the breakdown of phosphatidyl inositol bisphosphate (PIP2)?

<p>Step 03 (B)</p> Signup and view all the answers

What is the role of phosphokinase C (PKC) in the signaling pathway?

<p>Phosphorylates IκB. (A)</p> Signup and view all the answers

What is the combination of phosphorylated Jun and phosphorylated Fos known as?

<p>Transcription factor AP-1 (C)</p> Signup and view all the answers

Which of the following molecules is responsible for binding calcium ions?

<p>Calmodulin (C)</p> Signup and view all the answers

What happens to IκB when it gets phosphorylated by PKC?

<p>It is targeted for degradation. (B)</p> Signup and view all the answers

Which immune cells exhibit antigen peptides on MHC class I and class II?

<p>Dendritic cells (D)</p> Signup and view all the answers

What is the primary effect of activated NF-κB in the nucleus?

<p>Enhances transcription of immune-specific genes. (B)</p> Signup and view all the answers

Flashcards

Cytokine Family

A large family of small signaling molecules (cytokines) that play crucial roles in immune responses, inflammation, and cell development.

Class 1 (hematopoietin) cytokine family

This class of cytokines encompasses molecules like IL-2, IL-3, and growth hormone, all of which are important in the regulation of immune cells and hematopoiesis (blood cell production).

Class 2 (interferon) cytokine family

This class is largely involved in antiviral responses and modulating the immune system. Key members include IFN-α, IFN-β, and IFN-γ.

Tumor necrosis factor family

This family plays a crucial role in immune system development, effector functions, and homeostasis. Notable members include TNF-α, TNF-β, and Fas (CD95).

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Interleukin-17 family

A more recently discovered family of cytokines with key members like IL-17A and IL-17F. They are primarily involved in neutrophil activation and inflammation.

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CLR (C-type lectin receptor)

A type of pattern recognition receptor (PRR) that recognizes carbohydrate components of fungi, mycobacteria, viruses, parasites, and some allergens. They are found on the plasma membrane and play a role in phagocytosis, production of antimicrobials and cytokines, and inflammation.

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RLR (RIG-I-like receptor)

A type of pattern recognition receptor (PRR) that recognizes viral RNA in the cytosol. They trigger the production of interferons and other cytokines, which are crucial for antiviral defense.

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NLR (NOD-like receptor)

A type of pattern recognition receptor (PRR) that detects fragments of bacterial cell wall peptidoglycans in the cytosol. They induce the production of antimicrobial substances and pro-inflammatory cytokines.

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ALR (Absent-in-melanoma-like receptor)

A type of pattern recognition receptor (PRR) that recognizes viral and bacterial DNAs in both the cytosol and nucleus. They initiate the production of interferons and other cytokines, contributing to antiviral and antibacterial defense.

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Cytokine signal

A signal that instructs a cell to alter its metabolic or proliferative state. It's often triggered by the binding of a ligand to a complementary cell-bound receptor.

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Cytokines

Proteins that mediate the effector functions of the immune system. They act as messengers, communicating between cells to coordinate immune responses.

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Pleiotropic activity

The ability of a single cytokine to induce different biological effects depending on the target cell.

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Redundant activity

The ability of two or more cytokines to mediate similar effects on a target cell.

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Synergy

The combined effect of two cytokines is greater than the sum of their individual effects.

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Antagonistic activity

The effect of one cytokine inhibits the effect of another cytokine on a target cell.

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IL-1 family

A family of cytokines that promote inflammation. They are secreted early in immune responses by macrophages and dendritic cells, acting locally to attract leukocytes and systemically to induce acute phase protein production in the liver. They can also activate adaptive immune responses.

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Class 1 Cytokines (γc family)

A group of cytokines that include IL-2, IL-4, IL-7, IL-9, IL-15, IL-12. They share a common receptor subunit called γc, which allows them to bind and signal to various immune cells.

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Class 1 Cytokines

A group of cytokines with diverse functions and cell targets. They are structurally characterized by being single proteins, but most are composed of multiple subunits.

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Type I Interferons (IFN-α and IFN-β)

A family of interferons (IFNs) with antiviral effects. They are produced by activated macrophages and dendritic cells, inducing ribonucleases and inhibiting protein synthesis.

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Type II Interferon (IFN-γ)

A type of interferon produced by activated T and NK cells. It's a potent modulator of adaptive immunity, influencing the specific immune response to a pathogen.

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Type III Interferons (IFN-λ)

A family of interferons secreted by plasmacytoid dendritic cells. They upregulate genes that control viral replication and host cell proliferation.

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Tumor Necrosis Factor (TNF)

A cytokine that regulates the development, function, and homeostasis of cells in the skeletal, neuronal, and immune systems. It can be either soluble or membrane-bound, with TNF-α being pro-inflammatory and TNF-β (lymphotoxin-α) mediating signals between leukocytes and endothelial cells.

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Lymphotoxin-α (TNF-β)

A type of TNF produced by activated lymphocytes that delivers signals to leukocytes and endothelial cells. It is crucial for lymphoid organ development and immune responses.

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Adaptor Proteins

A group of proteins that act as intermediaries in cell signaling, helping connect the initial signal to downstream pathways.

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Receptor

A type of cell membrane protein that binds to specific ligands, triggering intracellular signaling pathways.

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Receptor Dimerization/Multimerization

The process where a receptor protein undergoes a change in shape upon binding to a ligand, often leading to the activation of downstream signaling pathways.

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Lipid Rafts

Specific regions of the cell membrane enriched with lipids, cholesterol, and signaling proteins, facilitating signal transduction.

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Ras

A small GTPase protein that acts as a molecular switch in signaling pathways, activating downstream cascades when in its GTP-bound form.

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GEFs

A family of enzymes that regulate the activation of Ras by promoting the exchange of GDP for GTP.

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GAPs

A family of enzymes that regulate the inactivation of Ras by stimulating the breakdown of GTP to GDP.

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AP-1

A key transcription factor that is activated by the Ras/MAP kinase cascade, playing a role in immune gene expression.

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What role does TNF play in the immune system?

Tumor necrosis factor (TNF) is a cytokine involved in inflammation and cell death. One of its functions is to induce lymphocyte differentiation, meaning it helps lymphocytes develop into specialized immune cells.

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What is the role of BAFF and APRIL in the immune system?

B-cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL) are cytokines essential for the development and maintenance of B cells. They play a critical role in the production of antibodies by ensuring the survival and differentiation of B cells.

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How does CD40L contribute to T cell-B cell communication?

CD40 ligand (CD40L) is a key molecule in the interaction between T cells and B cells. It acts as a signal from T cells, instructing B cells to differentiate and produce antibodies effectively. This interaction is fundamental for adaptive immune responses.

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What is the role of FasL in the immune system?

Fas ligand (FasL) is a molecule that triggers programmed cell death, also known as apoptosis. When FasL binds to its receptor (Fas), it initiates a cascade of events leading to the cell dismantling itself. This is important for eliminating unwanted or damaged cells.

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What are chemokines and what is their function?

Chemokines are small proteins that act as chemical messengers, directing the movement of leukocytes (immune cells). They play a crucial role in inflammation, immune responses, and maintaining tissue homeostasis.

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How do chemokine receptors contribute to immune cell trafficking?

Chemokine receptors are transmembrane proteins found on the surface of leukocytes. They bind to chemokines, triggering intracellular signals that lead to the movement of cells towards the source of the chemokine signal. They help direct immune cell trafficking and orchestrate immune responses.

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What is a cellular signal?

A cellular signal is an event that triggers a change in a cell's activity, such as its metabolism or proliferation. These signals are often initiated by the binding of a ligand (signaling molecule) to a complementary receptor on the cell surface.

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How can a cell's sensitivity to a signal be regulated?

The responsiveness of a cell to a particular signal can be regulated by altering the number of receptors on the cell surface. Increased receptor expression makes the cell more sensitive, while decreased expression makes it less sensitive.

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What do M∅ and neutrophils do?

Macrophages (M∅) and neutrophils are first responders. They engulf and destroy pathogens. They also release chemokines and cytokines to activate adaptive immunity and alert dendritic cells.

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What is the role of dendritic cells?

Dendritic cells, specialized antigen presenting cells, process and present antigens to T cells. They also produce chemokines and cytokines to further activate other immune cells.

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What happens to B and T cells in an immune response?

B and T cells are activated and proliferate. They differentiate into effector cells, such as plasma cells and cytotoxic T cells. They produce cytokines to fine-tune the immune response.

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What does a B cell receptor recognize?

The B cell receptor (BCR) is similar in structure to an antibody. It recognizes antigens directly, sometimes even those bound to complement components like C3d.

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What does a T cell receptor recognize?

The T cell receptor (TCR) is a heterodimer. The most common type (αβ TCR) recognizes antigens presented by MHC molecules. The less common type (γδ TCR) can recognize a wider range of ligands, including some directly.

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What are the roles of CD4 and CD8 co-receptors?

CD4 and CD8 are co-receptors that bind to specific regions of MHC molecules, enhancing the interaction between T cells and MHC-bound antigens. They are crucial for T cell activation and function.

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What is the role of CD28?

CD28 is also a co-receptor. It provides an additional signal that is essential for naïve T cell activation. CD4 and CD8 alone are not sufficient for full activation.

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What are ITAMs and what is their function?

ITAMs (immunoreceptor tyrosine-based activation motifs) are present in the cytoplasmic tails of signaling molecules. They are phosphorylated upon receptor activation, triggering downstream signaling pathways.

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Study Notes

Introduction to Sensations: Receptors and Signaling

  • The presentation discusses sensations, receptors, and signaling pathways.
  • It also details supporting literature, research, and specific questions for discussion.
  • The content covers various aspects of the immune response to internal and external cues.

Supporting Literature

  • Kuby Chapters (Chapter 3): This section refers to a textbook chapter.
  • AP-1, NF-kB, NFAT Pathways: These pathways are essential signaling pathways in cells.
  • Innate Lymphoid Cells: These cells play a crucial role in the innate immune system.
  • CXC44 and HIV: This refers to a protein and a virus.
  • HIV-membrane Fusion, CXCR4-HIV: These terms relate to how HIV enters cells.
  • TCR/TLR: These are receptors involved in immune responses.
  • Overview of TCR, TLR Minireview: A review on these T-cell receptors and Toll-like receptors.

Discussion Points

  • Cytoplasmic Signaling Molecules: What are the cytoplasmic signaling molecules and their function?
  • Principal Functions of TNF: What are the primary functions of Tumor Necrosis Factor (TNF)?
  • Transcription Factors in T-cell Activation: What are the three primary transcription factors involved in antigen-dependent T-cell activation, and how do they work?

Session 2

  • A quote by Anne Morrow Lindbergh emphasizes the importance of communication in her work.

Ligand-Receptor Interactions

  • Non-covalency: Cell-to-cell communication in immunology relies on non-covalent receptor-ligand interactions.
  • Affinity: The strength of individual noncovalent bonds tends to be weak.
  • Avidity: Multiple bonds creating a strong cumulative interaction.
  • Valency: Increasing the number of binding sites on receptors.

Univalent vs Bivalent Interactions

  • Univalent interactions involve a single binding site.
  • Bivalent interactions involve two or more binding sites, resulting in greater avidity.

Receptor Expression Changes

  • Space: Receptor expression can dynamically change its structure in response to external stimuli.
  • Time: Receptor expression can change over time during an infection process.

Receptor-Ligand Interactions

  • Conformational Change: When a ligand binds to a receptor, it induces a conformational change.
  • Dimerization/Clustering: Receptor binding often leads to dimerization or clustering.
  • Membrane Location Changes: The receptor's location within the membrane can change.
  • Covalent Modifications: Covalent modifications of the receptor can occur as a result of the ligand-receptor interaction.

Benefits of Receptor Multimerization

  • Cell-cell Interactions: Cell-cell interactions often rely on long-duration contacts with high-affinity binding.
  • Cytokine Signal Exchange: Extended contacts facilitate signal transduction, optimizing the exchange of cytokine signals.

Adaptive Immune Receptors

  • Immunoglobulin (Ig) Domains: Immune receptors possess immunoglobulin domains.
  • B-cell Receptor (BCR): The BCR binds foreign antigens. (Antibody).
  • T-cell Receptor (TCR): The TCR recognizes foreign or self-peptides presented on MHC molecules.
  • CD4/CD8 Co-receptors: These receptors help define T-cell subsets.

Co-receptors and Their Role

  • Enhanced Interactions: Antigen-immune receptor interactions are enhanced via co-receptor binding.
  • Separate Receptor Interactions: Co-receptors are separate receptor-ligand interactions.
  • Insufficient Single Interaction: A single receptor-ligand interaction often isn't sufficient, emphasizing the need for co-receptors.

Immunoglobulin Structure

  • Two Heavy Chains, Two Light Chains: Immunoglobulins are composed of two heavy chains and two light chains.
  • Covalent Disulfide Bonds: These chains are held together by intra- and interchain disulfide bonds.
  • Variable and Constant Regions: Heavy and light chains have variable regions and constant regions.

Antibody Structural Differences

  • Five Major Isotypes: Secreted antibodies are categorized into five major isotypes (classes).
  • Different Functions: Each isotype performs different functions within the immune response.
  • Kappa and Lambda Light Chains: Common light chain types are kappa (κ) and lambda (λ).

Immunoglobulin (BCR) Details

  • Antigen Binding Domains: Each antibody can bind two antigens.
  • Hinge Region: The hinge region extends the "arms" of the antibody.
  • Glycosylation: Glycosylation helps spread heavy-chain domains apart, playing a functional role.
  • Hydrophobic Tail: Membrane-bound antibodies often have a hydrophobic tail.
  • Alternative RNA Splicing: Secretion of antibodies is frequently processed via alternative RNA splicing.

T-cell Receptor (TCR) Details

  • Immunoglobulin Domains: Similar to BCRs, TCRs possess immunoglobulin domains.
  • Subunits alpha and beta: TCRs contain subunits alpha and beta.
  • CDRs (Complementarity Determining Regions): Three CDRs in the variable regions enable peptide-specific binding.
  • Transmembrane Regions: Constant regions contain transmembrane regions.
  • Types: Common are alpha-beta (αβ) and gamma-delta (γδ), exhibiting diverse antigen-binding characteristics.

Signal Transduction Pathways (TCR and BCR)

  • CD3 Complex and ITAMs: In T-cells, the CD3 complex is involved in signal transduction, relying on immunoreceptor tyrosine-based activation motifs (ITAMs).
  • Iga/Igb and ITAMs: In B-cells, Iga/Igb proteins initiate signal transduction through ITAMs.

Innate Immune Receptors

  • Pattern Recognition Receptors (PRRs): PAMPs (Pathogen-Associated Molecular Patterns) trigger PRRs, which broadly recognize many pathogens.
  • Uniform Recognition of PAMPs: The same PRR can recognize large numbers of pathogens that share the same PAMPs.
  • Equal Expression on Cells: PRRs are expressed equally across the same cell types, unlike unique receptors on adaptive immune cells.

Human PRRs (Toll-like, C-type lectin, RIG-I-like, NOD-like, AIM-like)

  • Cellular Locations and Ligands: These receptors differ in their location within the cell and the types of ligands they recognize.
  • Cellular Functions: These receptors perform various functions like producing antimicrobial compounds, cytokines, etc.

Cytokine Signaling Molecules

  • Cytokine Signals: These signals are generated when ligands bind to their complementary cell-bound receptors.
  • Generally High Affinity (Non-covalent): The binding is typically of high, non-covalent affinity.
  • Cytokine-receptor Signal Outcomes: These interactions result in changes to the target cell's transcriptional program (e.g., metabolic or proliferative changes).

Cytokine Action Mechanisms

  • Endocrine: Cytokines released into the bloodstream act on distant cells.
  • Paracrine: Cytokines act on nearby cells.
  • Autocrine: Cytokines act on the cell that produced them.

Cytokine Action Patterns

  • Pleiotropic: A single cytokine can have multiple effects.
  • Redundant: Multiple cytokines can produce similar effects.
  • Synergistic: The combination of cytokines can produce a greater effect.
  • Antagonistic: One cytokine can inhibit the effect of another.
  • Cascading: One cytokine can induce the production of additional cytokines.

Practical Examples of Cytokine Action

  • Immune Cell Activation, Proliferation and Differentiation: Activated T cells can stimulate the proliferation, differentiation, and activation of other immune cells in response to specific stimuli and signals.

The Six Cytokine Families (Interleukin, Interferon, Tumor Necrosis Factor, Interleukin-17, Chemokines)

  • Representative Members: Specific cytokines provide examples of each type of cytokine family.
  • Common Features: General features (e.g., functions or actions) of each cytokine family are listed.

IL-1 Family

  • Inflammation: This family of cytokines promotes inflammation.
  • Early Immune Response: Secreted early in immune responses, acted on by macrophages and dendritic cells.
  • Actions: Acts on capillary permeability and pulls leukocytes to infected sites.
  • Acute Phase Proteins: Systemic signalling promotes acute phase protein production.

Class 1 Cytokine Family

  • Diverse Function: Class 1 cytokines are diverse in actions and targets.
  • Single Protein Family: Structurally, class 1 cytokines are typically single proteins (but may have multiple subunits).
  • Common Subunits: Multiple cytokine types can use common cytokine receptor subunits, leading to functional similarities.

Interferon (IFN) Family

  • Antiviral Effects: Type I interferons have antiviral effects.
  • Immunomodulation: Type II (IFN-γ) interferons are important modulators of adaptive immunity.
  • Viral Replication Control: Type III interferons regulate genes controlling viral replication and host cell proliferation.

Tumor Necrosis Factor (TNF) Family

  • Development and Homeostasis: TNF affects development, effector function, and homeostasis in skeletal, neuronal, and immune systems.
  • Soluble / Membrane-Bound: TNF cytokines can be membrane-bound or soluble.

IL-17 Family

  • Proinflammatory: IL-17 family cytokines are proinflammatory.
  • Cellular Targets: Receptors are found on cells important for immune interactions (i.e., neutrophils).
  • Homodimers: The family members tend to exist as homodimers.

Chemokines

  • Leukocyte Migration: They are small proteins driving the migration of leukocytes.
  • Disulfide Bonds: Conserved disulfide bonds dictate the structure of each type.

Chemokine Receptors

  • G-protein-Coupled Receptors: These are transmembrane proteins coupled to G-proteins.
  • Signal Transduction: Signal transduction follows binding to their G-proteins.
  • Chemokine Recognition: One receptor can sometimes bind more than one chemokine. Conversely, more than one chemokine can sometimes bind the same receptor.

Cellular Signaling Summary

  • Ligand-Receptor Binding: Cellular signals are frequently triggered by ligand binding to receptor proteins.
  • Programmed Changes: Signaling mechanisms frequently induce changes (in the cell's metabolic or proliferative state).
  • Ligand Expression: A cell's responsiveness to a signal can change through regulation of receptor expression for that ligand.

Multiple Signals and Cellular Response

  • Transcription Program Changes: Cell signaling frequently results in changes to the cell's transcriptional program.
  • Integration and Outcomes: Various signaling pathways, potentially involving multiple receptors, frequently work together (integrate) to produce overall outcomes within a recipient cell.

Summary of Immune Responses and Signaling

  • The steps of immune cell involvement in antigen response.
  • The critical role of immune cells in antigen presentation.

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Test your knowledge on the classification and functions of various cytokines in the immune system. This quiz covers topics including Class 1 (hematopoietin) and Class 2 (interferon) cytokines, their functions, and key receptors. Challenge yourself with questions about IL-1, TNF-α, and more.

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