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Untitled - D Ank Unlimited

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interleukin-1 Ra 400 interleukin-2 receptor (IL2R)<br />

infections are increased in affected children who have inherited<br />

the condition as an autosomal-recessive trait.<br />

interleukin-1 Ra<br />

IL1 receptor antagonist is a soluble protein that interacts<br />

with IL1R leading to prevention of signal transduction and<br />

prevention of inflammation. Counteracts endotoxic shock.<br />

interleukin-1 receptor antagonist (IL1ra)<br />

An IL1 inhibitor that is structurally homologous to IL1 and<br />

is synthesized by mononuclear phagocytes. This biologically<br />

inactive molecule blocks IL1 activity by binding to its<br />

receptor. Plays a central role in acute and chronic inflammation,<br />

both locally and systemically. It is produced primarily<br />

by monocytes and macrophages and is synthesized<br />

as a precursor that is cleaved by IL1β–converting enzyme<br />

(ICE) to mature IL1β plus a prosegment. Some combination<br />

of mature IL1β, IL1β precursor, and the prosegment is<br />

released by cells.<br />

Cys58<br />

Cys 105<br />

C<br />

D<br />

B<br />

interleukin-2 (IL2)<br />

A 15.5-kDa glycoprotein synthesized by CD4 + T helper<br />

lymphocytes; it was formerly called T cell growth factor.<br />

Critical to the body’s natural defense against microbial<br />

infection and discrimination between self and nonself,<br />

IL2 is a member of a cytokine family that includes IL4,<br />

IL7, IL9, IL15, and IL21. It interacts with a specific IL2<br />

receptor α (CD25), IL2 receptor β (CD122), and a common<br />

γ chain (γc) possessed by λ members of this family of<br />

cytokines. IL2 binding activates the Ras/MAPK, JAK/Stat<br />

and PI 3-kinase/Akt signaling molecules. IL2 is synthesized<br />

during an immune response. Antigens binding to the<br />

T cell receptor activate IL2 secretion and expression of<br />

IL2 receptors (IL2Rs). The binding of IL2 to its receptor<br />

activates growth, differentiation, and survival of antigen-<br />

B<br />

E<br />

COOH<br />

F<br />

A<br />

NH 2<br />

Schematic representation of interleukin-2 (IL-2).<br />

selected cytotoxic T cells through the activation of specific<br />

genes. IL2 is needed for the development of T cell immunologic<br />

memory. It exerts an autocrine effect, acting on the<br />

CD4 + T cells that produce it. Although mainly produced<br />

by CD4 + T cells, a small amount is produced by CD8 + T<br />

cells. Physiologic amounts of IL2 do not have endocrine<br />

effects; it acts on the cells producing it or on those nearby<br />

acting as a paracrine growth factor. The main effects of<br />

IL2 are on lymphocytes. The amount of IL2 that CD4 + T<br />

lymphocytes synthesize is a principal factor in determining<br />

the strength of an immune response. It also facilitates<br />

formation of other cytokines produced by T lymphocytes,<br />

including interferon γ and lymphotoxins. Inadequate<br />

IL2 synthesis can lead to antigen-specific T lymphocyte<br />

anergy. IL2 interacts with T lymphocytes by reacting with<br />

IL2 receptors and also promotes natural killer (NK) cell<br />

growth and potentiates the cytolytic action of NK cells<br />

through generation of lymphokine-activated killer (LAK)<br />

cells. Although NK cells do not have the p55 lower affinity<br />

receptor, they do express the high-affinity p70 receptor and<br />

thus require high IL2 concentrations for their activation.<br />

IL2 is a human B cell growth factor and promotes synthesis<br />

of antibody by these cells. However, it does not induce<br />

isotype switching. IL2 promotes the improved responsiveness<br />

of immature bone marrow cells to other cytokines.<br />

In the thymus, it is also necessary for T cell development<br />

for the maturation of a unique subset of T cells critical to<br />

immunoregulation and called regulatory T cells (T-regs).<br />

T-reg cells leaving the thymus inhibit other T cells from<br />

recognizing and reacting against self antigens that may lead<br />

to autoimmunity. They accomplish this by preventing the<br />

responding cells from synthesizing IL2, which is necessary<br />

to differentiate between self and nonself. Both IL2 and IL15<br />

aid the synthesis of immunoglobulins by B cells and induce<br />

differentiation and proliferation of natural killer cells.<br />

The main difference between IL2 and IL15 is in adaptive<br />

immune responses. Whereas T-regs prevent self reactivity<br />

by T cells, IL15 is requisite for maintaining specific T cell<br />

responses through supporting survival of CD8 + memory T<br />

cells. The IL2 gene is located on chromosome 4 in humans.<br />

Corticosteroids, cyclosporin A, and prostaglandins inhibit<br />

IL2 synthesis and secretions. Proleukin ® is a commercially<br />

available recombinant form of IL2 approved by the FDA<br />

to treat tumors such as malignant melanoma and renal cell<br />

carcinoma. A number of immunosuppressive drugs used in<br />

prevention of organ transplant rejection, such as cyclosporin<br />

and tacrolimus, or corticosteroids used in the treatment of<br />

autoimmune diseases inhibit IL2 synthesis by antigen-activated<br />

T cells. Rapamycin inhibits IL2R signaling.<br />

interleukin-2 receptor (IL2R)<br />

Also known as CD25. IL2R is a structure on the surfaces<br />

of T lymphocytes, natural killer cells, and B lymphocytes<br />

characterized by the presence of a 55-kDa polypeptide (p55)<br />

and a 70-kDa polypeptide (p70) that interact with IL2 molecules<br />

at cell surfaces. The p55 polypeptide chain is referred<br />

to as Tac antigen, an abbreviation for T activation. The<br />

expression of both p55 and p70 permits a cell to bind IL2<br />

securely with a K d of about 10 –8 . p55, the low affinity receptor,<br />

apparently complexes with p70, the high affinity receptor,<br />

to accentuate the affinity of p70 receptor for IL2. This<br />

permits increased binding in cells expressing both receptors.<br />

In addition, lesser quantities of IL2 than would otherwise be

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