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Inflammation/Cytokines/Lipid mediators (Agrawal)
Creighton University School of Medicine
69
Medical
Professional
01/29/2013

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Cards

Term
chemotactic factors
Definition
C5a, LTB4, PAF, IL-8, Eotaxin (endogenous substances)
Term
IL-8
Definition
attracts neutrophils
Term
MCP-1,2,3
Definition
attracts monocytes
Term
eotaxin
Definition
attracts eosinophils
Term
lymphotaxin
Definition
attracts lymphocytes
Term
RANTES
Definition
attracts basophils
Term
CD18
Definition
common beta chain of 3 beta-2 integrins that helps leukocytes migrate to site of infection -> found in LFA-1 (common on neutros), Mac-1 and p150.95 (common on macros)-> bind to ICAM-1
Term
lipoxins
Definition
molecules that balance the effects of leukotrienes
Term
endothelial cells produce?
Definition
PGI2
Term
neutrophils produce?
Definition
PAF
Term
monocytes/macrophages produce?
Definition
LTB4
Term
platelets produce?
Definition
TXA2, lipoxins
Term
eosinophils produce?
Definition
LTC4
Term
basophils produce?
Definition
LTC4
Term
mast cells produce?
Definition
LTC4, PGD2
Term
endothelial cells produce?
Definition
PGI2
Term
epithelial cells produce?
Definition
HETEs, PGE2
Term
fibroblasts produce?
Definition
LTB4
Term
PGI2 function
Definition
inhibits platelet aggregation and mast cell degranulation, relaxes smooth muscles, vasodilator
Term
TXA2 function
Definition
stimulates platelet aggregation, contracts smooth muscles
Term
PGE2 function
Definition
smooth muscle relaxation, inhibits mast cell and basophil mediator release, inhibits lymphocyte-mediated cytolysis, immunoregulatory to promote immune suppression, hyperalgesic
Term
PGD2 function
Definition
bronchoconstrictor, produces facial flushing and nasal congestion
Term
PGF2(alpha)function
Definition
stimulates airway mucus secretion, contraction in uterine, vascular, intestinal and airway smooth muscles
Term
LTB4 function
Definition
stimulates neutrophil chemotaxis, adhesion and degranulation
Term
LTC4/D4/E4 function
Definition
bronchoconstrictors, stimulate airway mucus secretion, increases microvascular permeability, immunosuppressive, stimulate LH & LHRH
Term
HETEs function
Definition
releases mediators from mast cells and basophils, neutrophil chemotaxis, stimulate function and proliferation of CD8+ T cells
Term
Lipoxins
Definition
inhibit neutrophil chemotaxis and adhesion but stimulate monocyte adhesion, inhibits NK cell toxicity, inverse relationship between the amount of lipoxin and leukotrienes formed (endogenous regulators of LT action)
Term
PAF
Definition
bronchoconstriction,leukocyte adhesion,chemotaxis, oxidative burst, degranulation, microvascular leakage
Term
Pain and fever
Definition
PGE1 and PGE2 (in response to pyrogens, which release IL-1 and TNF-alpha -> promote the synthesis and release of PGE
Term
Regulation of blood flow
Definition
vasodilation by PGE2 and PGI2 and vasoconstriction by TXA2 and PGF2alpha
Term
Thrombosis
Definition
TXA2 increases platelet aggregation and PGI2 and to some extent PGE1 decreases aggregation
Term
Patent ductus arteriosus
Definition
patency of fetal ductus arteriosus is dependent on PGE2 and PGI2
Term
Abortion
Definition
PGE2 and PGF2alpha (oxytocin-like effect) – 1st and 2nd trimester abortion
Term
Facilitation of labor
Definition
PGE2 and PGF2alpha effectively initiate and stimulate labor
Term
Dysmenorrhea
Definition
due to increased PGE2 and PGF2alpha during menstruation  uterine contraction and ischemic pain (treatment – NSAIDs)
Term
Inflammation
Definition
LTs from neutrophils and macrophages -> T cell proliferation
Term
Cell-mediated organ transplant rejection
Definition
PGE2 and PGI2 prevent T cell proliferation and rejection. Prevention of TXA2 and LTs decreases organ graft rejection
Term
Leukotriene D4 Receptor Antagonists (for asthma)
Definition
-Zafirlukast (Accolate)
-Montelukast (Singulair)
Term
5-LO Inhibitor (inhibition of leukotriene synthesis)
Definition
-A-64077 (Zileuton; Zyflo)
Term
5-LO Activating Protein (FLAP) Inhibitors
Definition
many compounds still undergoing Phase 2 clinical trials
Term
IFN-alpha & IFN-beta
Definition
-innate immunity
-cells produced by -> Macrophages (alpha), and fibroblast (beta)
-function -> anti-viral, antiproliferative, increase MHC class I expression
Term
TNF-alpha
Definition
-innate immunity
-cells produced by ->Monocytes/Macrophages
-function -> inflammation, fever, acute phase reactants, catabolism (cachexia), co-stimulator of T & B cells
Term
IL-1
Definition
-innate immunity
-cells produced by -> macrophages, ECs -function -> inflammation, fever, acute phase reactants, cachexia
Term
IL-6
Definition
-innate immunity
-cells produced by -> Macrophages, ECs, T cell
-function -> costimulator of T & B cells, growth of mature B cells, acute phase reactant
Term
IL-10
Definition
-innate immunity
-cells produced by -> Macrophages & T-reg cells
-function -> inhibition of macrophages and activation of B cells; regulation of Th1/Th2 balance
Term
IL-12
Definition
-innate immunity
-cells produced by -> Macrophages & dendritic cells
-function -> IFN-gamma synthesis from and cytolytic function of NK cell and T cell
Term
IL-15
Definition
-innate immunity
-cells produced by -> Macrophages
-function -> Proliferation of T cells and NK cells
Term
IL-18
Definition
-innate immunity
-cells produced by -> Macrophages
-function -> IFN-gamma synthesis by activating NK and T cells
Term
Chemokines
Definition
IL-8, Eotaxin, RANTES, lymphotaxin, MCP
Term
IL-2
Definition
-specific immunity
-cells produced by -> T cells
-function -> growth and cytokine production from T cells, growth of NK and B cells, Ab synthesis. IL-2 is a major autocrine growth factor for T lymphocytes.
Term
IL-4
Definition
-specific immunity
-cells produced by -> T & B cells
-function -> Isotype switching to IgE, growth and differentiation of Th2 cells, increases Fc-epsilon RII expression
Term
IL-5
Definition
-specific immunity
-cells produced by -> Tcells
-function -> growth, differentiation, and activation of eosinophils
Term
TGF-beta
Definition
-specific immunity
-cells produced by -> T cells and mononuclear phagocytes
-function -> inhibit activation of T cells and macrophages and inhibits proliferation of T cells
Term
IFN-gamma
Definition
-specific immunity
-cells produced by -> T cells and NK cells
-function -> activates NK cells, ECs and macrophages, increase expression of class I and II MHC molecules, increase antigen processing and presentation to T cells, differentiation of naïve Th0 cells to Th1 subset, inhibition of the proliferation of Th2 cells
Term
IL-13
Definition
-specific immunity
-cells produced by -> CD4+ T cells (Th2 )
-function -> inhibition of macrophage activation, antagonize the effect of IFN- , isotype switching to IgE, growth factor for B cells
Term
IL-7
Definition
-hematopoesis
-cells produced by -> fibroblasts and bone marrow stromal cells
-function -> growth and differentiation of lymphocytes
-pluripotent SC to lymphoid progenitor
Term
IL-3
Definition
-hematopoesis
-cells produced by -> T cell
-function -> growth and differentiation of all cell lines (multilineage CSF)
-pluripotent SC to myeloid progenitor
Term
IL-5
Definition
-hematopoesis
-cells produced by -> T cells
-function -> growth and differentiation of eosinophils and to activate mature eosinophils to kill helminths
Term
IL-11
Definition
-hematopoesis
-cells produced by -> stromal fibroblasts and trophoblasts
-function -> stimulates the synthesis of acute phase proteins, synergizes with IL-3 and IL-4 to shorten the Go period of early progenitor cells
-for platelets
Term
EPO
Definition
important for RBCs
Term
GM-CSF
Definition
important for granuloctye-monocyte CFU
Term
G-CSF
Definition
important for neutrophils
Term
cytokine regulation of neutrophil function
Definition
-IL-8 - Chemotactic to neutrophils
-IFN-gamma activates neutrophils, upregulating their respiratory burst
-TNF-alpha activates neutrophils during inflammation
-Lymphotoxin activates neutrophils
-IL-1, TNF-alpha, and IL-8 enhances the expression of cell adhesion molecules involved in neutrophil adhesion to endothelium.
Term
T-regulatory cells
Definition
-Natural T-regs are CD4+CD25+Foxp3+
-Regulate Th1/Th2 balance
-Principal cytokine -> IL-10
-Induced by IL-10 and TGF-β -> inducible T-regulatory cells
-May induce tolerance or anergy
Term
TH17 cells
Definition
-CD4+ IL17+ IL23R+ RORgammaT+ cells
-Developmentally distinct from Th1 and Th2 cells
-TGF-beta, IL6, and IL-23 differentiate and expand Th17 cells
-IFN-gamma and IL-4 negatively regulate Th17 differentiation
-Involved in various inflammatory and autoimmune diseases, including allergic asthma, multiple sclerosis
-May be involved in anti-microbial immunity via release of IL-22 -> stimulation of epithelial cells to produce antimicrobial proteins to clear out Candida and Staph infections
Term
TF for Th1 cells
Definition
TBET

involved in autoimmune diseases
Term
TF for Th2 cells
Definition
GATA3

involved in atopic disease
Term
TF for T-reg cells
Definition
foxp3

regulatory cells
Term
TF for Th17 cells
Definition
RORgammaT

these cells have role in autoimmune disease vs. other infectious diseases
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