2. Lectures 10 (linked to 12) Cytokines and Immune Response September 17 & 24, 2004 Chris Schindler cws4@columbia.edu Reading: Janeway - as indicated Abbas - Chapter 11

3. Blood: 4-10,000 WBC per 1  L How did they get there? Where are they going? What regulates them? Think Cytokines, Growth Factors & Chemokines!!!! Lymphocytes - 10-15 % (T-, B- & NK cells) Monocytes - 0-15 % (Macs & DCs) Granulocytes - 35-80 % PMNs 35-80 % Eos 0-8 % Basos 0-2 %

4. Small (10-30 kDa) secreted peptides (usually glycosylated). They bind to specific receptors on target cells to elicit a specific biological response. Expression of cytokines and their receptors is usually tightly regulated. Other more anachronistic terms include monokines and lymphokines. What are cytokines and chemokines?

5. They direct the development, maturation, localization, interactions, activation and life span of immune cells. Thus they play an essential role in regulating immunity (adaptive and innate). What do cytokines, chemokines and growth factors do?

6. Growth Factors (e.g., CSF-1, SCF) IL-1 Family (e.g., IL-1, IL-18 & “Toll-like”) TNF Family (e.g., TNF- , CD40L, FasL, LT-  ) TGF-  Family (e.g., TGF-  ) Chemokines (e.g., CC and CXC families) Hematopoietins / a.k.a. Four Helix Bundle (e.g., IL-2, IL-4, IL-6, IL-10, IL-12, IL-13, GM- CSF, IFN- , IFN-  /  ) Also steroid hormones and prostaglandins How many flavors regulate immunity?

7. There are functional similarities within ligand families (see summary). There are important functional differences between ligand familes (see summary). These functional characteristics are determined by the class of receptors these ligands bind. These ligands function at three distinct ranges: –Autocrine* –Paracrine* –Endocrine* *Make sure you have an example of each Other important facts about Cytokines, Chemokines & Growth Factors

8. Properties of cytokines and chemokines. Pleiotropism - activate numerous types of responses, e.g., differentiation, growth, activation and chemotaxis. Redundancy - i.e., functional overlap. Synergy - between cytokines to maximize a response. *Antagonism - to regulate duration and potency of response. It is critical to maintain a delicate balance to avoid autoimmunity. Innate vs. Adpative Immunity Innate Immunity Per-wired first line of defense (more primitive) Recognizes ~10 3 pathogen derived molecules (analogous to antigens) Most important during initial minutes and hours of infection Macrophages, Granulocytes and NK cells Adaptive Immunity Second, but very potent line of defense Antigen specific response - recognizes ~10 7 antigens Constitutes immunological memory for specific antigens T-cells and B-cells Additional important concepts

9. The innate response is often quite effective The subsequent adaptive immune response is important for many viral pathogens and very important for immunization strategies Cytokines and the innate response to a viral infection

10. Innate Viral Interfering Activity is Discovered in Cultured Cells (1950s) X

11. Fractionating Viral Interfering Activity Leads to the Discovery of Interferons (IFNs) Leukocyte IFNsFibroblast IFNImmune IFN a.k.a IFN-  ’s most prevalent made by all cells > 10 members a.k.a IFN-  very potent made by all cells only one member a.k.a IFN-  critical for adaptive Immune made by T-cells & NK cells only one member Type II IFNType I IFN

12. P STAT1 P P P P P P inflammation* macrophage act.* chemokines* IRF1 (antiviral transcription factor) MIG (a chemokine) GBP (anti-viral protein) iNOS (nitric oxide synthase) CIITA (transcription factor that induces MHC) Type II IFN Signaling Paradigm Gamma-activated sequence

13. Figure 6-23

14. Figure 2-48

15. Figure 2-49

16. Identification of “High IFN Producing Cells” (HIPCs) in vivo A small subset of WBCs produce most of the circulating IFN-Is

17. Cytokines and the innate response to a skin infection

18. Figure 2-3 Wound Infection: Innate  Adaptive

19. Figure 2-5 part 1 of 2

20. Figure 2-8 part 1 of 2

21. Figure 2-39

22. Figure 2-15

24. Injection of LPS (a molecular pattern molecule found on G - bacteria) is a model system for sepsis. The host response to sepsis is often referred to as the Acute Phase Response (APR). Cytokines and the response to sepsis

25. Local vs. systemic infection

26. TLR-4 and company enable macrophages to sense and respond to LPS (to be covered in detail in a later lecture)

27. Figure 2-39

28. Serum cytokine production (from Macrophages) during Septic Shock Hours after LPS injection Serum Cytokine Level TNF-  o136 IL-1IL-12 Note, this is one of the few times you can meaningfully measure serum cytokine levels!!

29. Figure 2-46

30. IL-4 TNF-  Trimer TNF  Monmer/ Receptor Monomer Fig. 2-38 IL4/IL4 Receptor IL-4 & TNF-  and their corresponding receptors, are in two different families and have two distinct types of structures.

31. Top half of Fig. 2-47

32. V. Cytokines you need to know IL-2 (big family e.g. IL-7 & IL-15) IL-4 (small family inc. IL-13) IL-6 (large family inc. G-CSF) IL-10 (growing family) IL-12 (small family inc. IL-23) IFN-  IFN-  (large family) IL-1 IL-18 LT-  TNF-  CD40L FasL TGF-  (very large family) Chemokines (see Fig. 11.6) Inflammatory Non-inflammatory See Figs. 11.1 (p244), 11.2 (p245), 11.3 (p248) Tables 11-3 (p249), 11.4 (p264) in Abbas Innate Adaptive √√ √√ √ √√ √√ √ √√ √√ √ √√ √ √√ √√ Type I & II Cytokine Receptors (Hematopoietin R.) Toll (TLR) /IL-1 Receptors TNF Related Receptors TGF-  Receptors Chemokine Receptors