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cytokine assays 209 cytokine-specific subunit<br />

belong to a family of receptors that share a gp130 signal<br />

tranducer subunit in common, which explains some of<br />

the similar functions these molecules have on various<br />

tissues. In IL2 signal transduction with respect to T cell<br />

growth, IL4, IL7, and IL15 also promote growth of T cells.<br />

IL4, IL7, and IL15 use the IL2 receptor γ chain, which<br />

accounts for the redundant functions of these cytokines as<br />

T cell growth factors. Cytokines have been named on the<br />

basis of the cell of origin or of the bioassay used to define<br />

them. This system has led to misnomers such as “tumor<br />

necrosis factor,” which is more appropriately termed<br />

an immunomodulator and pro-inflammatory cytokine.<br />

The interleukins now number 17, even through IL8 is, in<br />

fact, a member of the chemokine cytokine family. The<br />

chemokines share a minimum of 25% amino acid homology,<br />

are similar in structure, and bind to seven rhodospin<br />

superfamily transmembrane spanning receptors. The CC<br />

or γ chemokines are encoded by genes on chromosome<br />

17. CXC chemokines attract neutrophils, whereas CC<br />

chemokines attract monocytes.<br />

cytokine assays<br />

Tests based on the biological properties, immunological<br />

recognition (ELISA or radioimmunoassay), competitive<br />

binding to receptor molecule, and inference from transcription<br />

of the mRNA. Each method has advantages and disadvantages.<br />

Bioassays are quite sensitive and verify biological<br />

activity of the cytokine but are not always reproducible or<br />

specific. By contrast, immunoassays are reproducible and<br />

specific but not nearly as sensitive as bioassays.<br />

cytokine autoantibodies<br />

Autoantibodies that may inhibit cytokine functions and lead<br />

to cytokine deficiency. Autoimmune disease may occur, and<br />

the action of the cytokine may be inhibited. By contrast,<br />

these autoantibodies may serve as cytokine-specific carriers<br />

in the circulation. For example, insulin autoantibodies may<br />

prolong the release of active insulin to the tissues, leading<br />

to hypoglycemia in nondiabetics and a significant decrease<br />

in the exogenous insulin requirement in diabetic patients.<br />

AIDS patients may develop autoantibodies against IL2,<br />

and antibodies against TNFα have been used successfully<br />

to treat rheumatoid arthritis. Both normal and inflammatory<br />

disease patients may develop autoantibodies against<br />

IL1α. Cytokine activity is enhanced even in the presence<br />

of cytokine autoantibodies in vivo by a mechanism that<br />

delays rapid catabolism of cytokines from the circulation.<br />

The clinical relevance of cytokine autoantibodies in vivo<br />

remains to be determined. However, these autoantibodies<br />

portend a poor prognosis in any disease. Methods for<br />

cytokine autoantibody detection include bioassays, immunometric<br />

assays, and blotting techniques.<br />

cytokine inhibitors<br />

Prostaglandins, especially prostaglandin E2 (PGE2),<br />

synthesized by monocytes and macrophages, have been<br />

suggested to provide feedback inhibition of cytokine synthesis<br />

in vivo. Cytokine production inhibition is a possible<br />

mechanism whereby PGE exerts its anti-inflammatory<br />

effect. Treating rats with a monoclonal antibody specific<br />

for murine IL6, which mediates the acute phase response,<br />

led to increased survival in Escherichia coli shock.<br />

β-adrenergic agonists increase cAMP levels and THP-1<br />

cells and suppress synthesis of TNFα. A β-adrenergic<br />

antagonist can abolish inhibition of TNFα synthesis.<br />

Isoproterenol, a β-adrenergic agonist, inhibits TNFα<br />

synthesis. Dexamethasone and cAMP phosphodiesterase<br />

(PDE-IV) inhibitors suppress TNFα secretion by lipopolysaccharide<br />

(LPS)-activated human monocytes. IL1 receptor<br />

antagonist (ILlra) is the only known natural cytokine<br />

antagonist. It inhibits the binding of IL1α and IL1β to their<br />

cell surface receptors. Selected antibiotics such as fluoroquinolones,<br />

clarithromycin, and tetrandrine inhibit IL1 and<br />

TNFα synthesis. Some anti-inflammatory drugs also have<br />

cytokine inhibitor capacity.<br />

cytokine receptor classes<br />

Include the immunoglobulin receptor superfamily, the<br />

hematopoietic/cytokine receptor superfamily, the nerve<br />

growth factor receptor superfamily, the G protein coupled<br />

receptor superfamily and the other family, and the receptor<br />

tyrosine or serine kinases plus an unclassified group.<br />

cytokine receptor families<br />

A classification system of cytokine receptors according<br />

to conserved sequences or folding motifs. Type I receptors<br />

share a tryptophan–serine–X–tryptophan–serine (or<br />

WSXWS) sequence on the proximal extracellular domains.<br />

Type I receptors recognize cytokines with a structure of<br />

four α-helical strands, including IL2 and granulocyte<br />

colony-stimulating factor (G-CSF). Type II receptors are<br />

defined by the sequence patterns of type I and type II<br />

interferon receptors. Type III serve as receptors for tumor<br />

necrosis factor (TNF) (p55 and p75). CD40, nerve growth<br />

factor receptor, and Fas protein have sequences homologous<br />

to those of type III receptors. A fourth family of receptors<br />

has extracellular domains of the immunoglobulin (Ig)<br />

superfamily. IL1 receptors as well as some growth factors<br />

and colony-stimulating factors have Ig domains. The<br />

fifth family of receptors displays a seven-transmembrane<br />

α-helical structure. This motif is shared by many of the<br />

receptors linked to GTP-binding proteins.<br />

cytokine receptors<br />

Sites on cell surfaces where cytokines bind, thus leading to<br />

new cell activities that include growth, differentiation, and<br />

death. Cytokines bind to these high affinity cell surface<br />

receptors that share some features in common. They have a<br />

high affinity for ligand. Typically a hundred to a few thousand<br />

receptors are present per cell. Most cytokine receptors<br />

are glycosylated, integral, type I membrane proteins.<br />

Functional cytokine receptors are usually complex structures<br />

requiring the formation of homologous or heterologous<br />

associations between receptor chains. A cytokine receptor<br />

group may share chains dubbed “public subunits” and ordinarily<br />

engage in signal transduction. Unique chains termed<br />

“private subunits” usually determine binding specificity. By<br />

contrast, receptors of the chemokine family belong to the<br />

serpentine superfamily and span the membrane seven times;<br />

they do not appear to form multimeric complexes.<br />

cytokine receptors, soluble<br />

Soluble cytokine receptors include IL1, type I-R, IL1, Type<br />

II-R, IL2Rα, IL2Rβ, IL4R, IL5Rα, IL6Rα, gp130 IL6Rβ<br />

ciliary neurotrophic factor (CNF)-Rα, and growth hormone<br />

R. Most of these function by blocking ligand binding.<br />

cytokine-specific subunit<br />

A multimeric cytokine receptor polypeptide chain that<br />

interacts stereospecifically with the target cytokine. It is<br />

responsible for the specificity of a receptor for a particular<br />

cytokine.<br />

C

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