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CYTOKINES IFN-α and IFN-β: Released by phagocytes in response to TLR-3 binding viral dsRNA o Protects uninfected cells (inhibits translation of viral mRNA) o Activates NK cells (kill virus infected cells) o Increase expression of MHC class I (promote killing by Tc cells) IFN-γ: Produced by TH1 cells o Activates macrophages and NK cells o Upregulates MHC class II o Induces B cells to produce IgG3 (complement) o Inhibits formation of TH2 and TH17 cells Involved in class switching Inhibited by cyclosporine and tacrolimus Produced by NK cells (Kong’s Tumor Immunity lecture) IL-1: PROINFLAMMATORY Released by activated macrophages; released by dendritic cells in response to uptake of infectious agents o Local: activates endothelium and lymphocytes o Systemic: induces fever and stimulates IL-6 production IL-2: Growth factor for T cells (CD4, CD8) and NK cells Produced by CD4+ cells (TH1) and SOME CD8+ cells o Discrepancy between Kong and Sundick’s notes o Sundick’s response: some CD8+ T cells produce IL-2 and therefore do not need CD4 to provide it I Interaction of CD28 (T cells) and B7 (APCs) stimulates T cell and its production of IL2 o B7 interaction: Increases transcription of IL-2 mRNA Increases half-life of IL-2 mRNA Production decreased by interaction of CTLA4 and B7 Inhibited by cyclosporine and tacrolimus IL-3: Macrophage differentiation in the bone marrow (similar to GM-CSF) IL-4: Parasitic worms and allergens stimulate synthesis of IL-4, promoting formation of TH2 cells TH2 cells release IL-4 o Induces B cells to produce IgE and IgG4 (along with IL-13) o Prevents development of TH1 and TH17 cells Involved in class switching IL4 gene cluster possibly involved in genetic component of allergy Released as a preformed substance from mast cells during type I hypersensitivity Inhibited by cyclosporine and tacrolimus IL-5: Released by TH2 cells o Growth factor for eosinophils Released as a preformed substance by mast cells during type I hypersensitivity IL-6: PROINFLAMMATORY Released by activated macrophages o Local: activates lymphocytes and increases Ab production o Systemic: induces fever; induces liver to produce acute phase proteins (CRP, MBL, SPA, SPB-opsonize bacteria, activate complement) IL-7: Required for development of B cells from stem cells (along with stromal cells) Required for development of T cells in the thymus (along with contact from dendritic and epithelial cells) IL-8: Released by activated macrophages o Chemokine that attracts PMNs, basophils and T cells Released as a preformed substance in mast cell granules during Type I hypersensitivity o Chemokine that attracts PMNs IL-10: Release of IL-10 + TGF-β by Treg cells suppresses the formation of TH1, TH2 and TH17 cells Activated TH2 cells released TGF-β, IL-4 and IL-10 [discrepancy between Kong and Sundick] IL-12: Released by activated macrophages; released by dendritic cells in response to uptake of infectious agents o Activates NK cells (kill virus infected and tumor cells; cells that are deficient in MHC I) o Induces CD4+ TH0 cells to become TH1 cells Produced by NK cells (Kong’s Tumor Immunity lecture) IL-13: Released by TH2 cells o Induces B cells to produce IgE and IgG4 (along with IL-4) IL-17 + IL-22: Released by TH17 cells o Recruit and activate PMNs o Induce epithelial cells to produce proinflammatory cytokines (IL1, IL6, TNFα) IL-21: Release of IL-21 + TGF-β by dendritic cells leads to formation of TH17 cells TGF-β: Release of IL-21 + TGF-β by dendritic cells leads to formation of TH17 cells Release of TGF-β alone by dendritic cells leads to formation of Treg cells Treg cells release TGF-β + IL-10 to suppress the formation of TH1, TH2, and TH17 cells Activated TH2 cells released TGF-β, IL-4 and IL-10 [discrepancy between Kong and Sundick] Can be secreted by tumor cells in tumor-induced immunosuppression (suppress T cell function) TNF-α: PROINFLAMMATORY Released by activated macrophages; released by dendritic cells in response to uptake of infectious agents o Local: activates vascular endothelium by inducing adhesion molecules- selectins (E), ICAMs (E), integrins (L); induce permeability (promotes diapedesis) o Systemic: fever and shock Produced by NK cells (Kong’s Tumor Immunity lecture) TNF-β (Lymphotoxin): Promotes diapedesis of fresh macrophages to site of infection Released by activated TH1 cells in delayed-type hypersensitivity reaction against tissue grafts (cytotoxic to graft) GM-CSF: Released as a preformed substance by mast cells during type I hypersensitivity Macrophage differentiation in bone marrow OTHER MOLECULES: C5a: chemotactic factor for PMNs; vasoactive; activate mast cells C3a: vasoactive; activate mast cells C2b: buildup causes swelling (as seen in C1 inhibitor deficiency- hereditary angioneurotic edema) ECF: eosinophilic chemotactic factor; preformed substance in mast cells Thromboxanes/Prostaglandins: chemotactic for PMNs and eosinophils CELL MARKERS: T Cells: TCR Complex: o TCR: heterodimer Ag-specific receptor (first signal necessary to activate T cells) o CD3: pan T cell marker; signal transduction, transports TCR to cytoplasmic membrane; invariant o Zeta chains (2): signal transduction; invariant CD2: pan T cell marker; lymphocyte adherence and signaling Integrins (LFA-1 and VLA-4): adherence to APC and endothelial cell CD62L/L-Selectin: homing molecule that binds addressins on the endothelium; facilitates migration of T cell into LN ICOS: interacts with ICOSL on B cell; facilitates germinal center formation in LNs and other lymphoid tissue CD4: on Th cells; stabilizes binding and involved in signaling CD8: on Tc cells; stabilizes binding and involved in signaling CD28: binds B7 on APC (required for activation of T cell) CTLA4/CD154: upregulated in activated T cells; interaction with B7 on APC shuts down T cell Class I MHC: on all nucleated cells FasL: on CD8+ T cells; allows for killing of Fas+ cells CCL2 (MCP-1): allows for migration of TH1 cells to site of infection B Cells: BCR: Ig + Igα and Igβ (signal transduction molecules associated with the Ig H chain) B-Cell Co-Receptor: CD21: binds C3dg (cleavage product of C3b) on bacteria to increase Ag signaling 100x; also a receptor for the Epstein Barr Virus CD19 CD81 CD22: downregulate B cell activity CD32: downregulate B cell activity (bind Ag-Ab complexes) CD5: on the surface of B-1 cells B7: interacts with CD280 (stimulation) or CTLA4 (inhibition) on T cells CD40: interacts with CD40L on T cells to allow for Ab class switching FcR: receptor for Fc portion of Igs (one for each class); delivers signal to B cell Class I MHC: on all nucleated cells 3 loci (A,B,C) encode alpha chain only Alpha chain combines with invariant beta-2 microglobulin Alpha3 domain interacts with CD8 on T cells Alpha1 and 2 domains form CLOSED peptide binding groove (8-9 aa) Class II MHC: on APCs 3 loci (DP, DQ, DR) encode both alpha and beta chains Beta2 domain interacts with CD4 on T cells Alpha1 and Beta1 domains form OPEN peptide binding groove (12-20 aa) Phagocytes: Mannose-Binding Lectin Receptor: binds MBL bound to mannose on bacterial surface (increases binding affinity) Mannose Receptor: binds mannose on surface of bacteria Surfactant Protein A and D Receptors: binds SPA/SPD bound to bacteria (increases binding affinity) Scavenger Receptors: react with lipoproteins fMet-Leu-Phe (N-formylated peptides) Receptor: receptor for these peptides, which are chemotactic factors for phagocytes Toll-Like Receptors: o TLR-4: binds bacterial LPS and triggers activation of NFkB (genes transcribed to fight bacteria) o TLR-3: binds viral dsRNA triggering synthesis of IFN alpha and beta o TLR-5: bacterial flagellin o TLR-9: unmethylated CpG DNA o TLR1:TLR2 heterodimer: peptidoglycan and zymosan Leukocytes (General): Integrins: bind ICAMs on endothelium and APC (strong binding) HYPERSENSITIVITY REACTION EXAMPLES: Type I: Systemic anaphylaxis Allergic rhinitis Asthma Food allergies Type II: ABO/Rh incompatability reaction Myastenia gravis Grave’s Disease Penicillin drug allergy (can also be IgE mediated-type I) Type III: Serum sickness Arthus reaction SLE Rhematoid arthritis Type IV: Posion ivy (contact dermatitis) Tuberculin rejection Graft rejection Hashimoto’s Thyroiditis Multiple Sclerosis IDDM