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Paracrines and Autocrines Are Chemical Signals Distribute by Diffusion Several important groups of molecules act as paracrines. Neuromodulator are paracrines and autocrines secreted by neurons. Cytokines are regulatory peptides that usually act close to the site where they are secreted. Cytokines act as both Local and Long-Distance Signals Cytokines are the most recently identified family of communication molecules. Initially the term cytokine referred only to proteins that modulate immune response, but in the past few years it has been broadened to include a variety of regulatory peptides. All nucleated cells synthesize and secrete cytokines in response to stimuli. Cytokines control cell development, differentiation, and the immune response. In development and differentiation, cytokines function as autocrines or paracrines. In stress and inflammation, cytokines act on relatively distant targets and are transported through the circulation just as hormones are. How do cytokines differ from hormones? In general, they act on a broader spectrum of target cells. In addition, cytokines are not produced by specialized glands and are made on demand. In contrast, most protein or peptide hormones are made in advance and stored in hte endocrine cell until needed. However, the distinction between cytokines and hormones is sometimes blurry. For example, erythropoietin, the molecule that controls synthesis of red blood cells, is by tradition considered a hormone but functionally fits the definition of a cytokine.