Immunotherapy for Infectious Diseases

Immunotherapy for Infectious Diseases Immunotherapy for Infectious Diseases

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Cytokines, Cytokine Antagonists, and Growth Factors 121 Table 1 (continued) Cytokine Source Activity IL-15 Monocytes, muscle cells, Induces proliferation of T-cells and activated endothelial cells B-cells IL-16 Eosinophils, CD8� T-cells Chemoattracts CD4� cells IL-17 CD4� T-cells Stimulates fibroblasts and endothelial cells to release IL-6, IL-8, G-CSF, PGE2; enhances ICAM-1 production IL-18 Hepatocytes activity Induces IFN-� production; enhances NK GM-CSF Fibroblasts, endothelial Stimulates proliferation of granulocyte and cells, T-cells macrophage precursors; activates mature phagocytes G-CSF Macrophages, fibroblasts, Stimulates proliferation of neutrophil endothelial cells precursors from stem cells M-CSF Macrophages, fibroblasts, Stimulates proliferation of monocytes/ endothelial cells macrophage precursors; stimulates monocytes TNF-� Macrophages, lymphocytes, Increases PMN function; causes PMN mast cells degranulation; increases production of GM-CSF; induces acute-phase proteins, cachexia, pyrexia TNF-� (lymphotoxin) Lymphyocytes Similar to TNF-� IFN-� Macrophages, lymphocytes, Increases expression of class I MHC; fibroblasts stimulates Th1 cells and production of IL-12; stimulates NK cells IFN-� Fibroblasts, epithelial cells Similar to IFN-� IFN-� T-cells, NK cells, Increases PMN and monocyte function; fibroblasts increases MHC class I and II expression; stimulates TH1 (e.g., IL-1, TNF-�) TGF-� Lymphyocytes, platelets, Opposes production of inflammatory activated macrophages cytokines (IL-1 and TNF-�); inhibits T- and B-cell proliferation; mediates extracellular matrix formation (associated with liver and kidney damage) IL-1ra T- and B-cells, macrophages Inhibits synthesis of LPS-stimulated production of IL-1�, TNF. IL-6, and GM-CSF and synthesis of IgE; blocks effect of IL-1 Abbreviations: CSF, colony-stimulating factor; G, granulocyte; GM, granulocyte/macrophage; ICAM, intercellular cell adhesion molecule; IFN, interferon; IL, interleukin; IL-1ra, IL receptor antagonist; NK, natural killer; PGE 2,prostaglandin E 2; PMN, polymorphonuclear neutrophil; TGF, transforming growth factor; TNF, tumor necrosis factor; NAP-2, nucleosome assembly protein-2; GRO, growth related oncogene-�; ENA, epithelial cell-derived neutrophil activating peptite-78; GCP-2, granulocyte chemotactic protein-2.

122 Matthews The Jak-Stat Model of Signal Transduction Several cytokine receptors lack intrinsic tyrosine kinase activity in their cytoplasmic domains but can activate a family of cytoplasmic protein tyrosine kinases, Jaks (Janus kinases). The model for the signaling mechanism that utilizes Jaks was characterized by activation studies in mutants of the IFN-�� and IFN-� receptors (15). In this model, binding of cytokine ligand to the IFN-�� or IFN-� receptors results in the dimerization of the receptor subunits. This dimerization (or oligomerization in cytokine receptors with more than two chains) increases the affinity of the dimers’ cytoplasmic domain that is proximal to the membrane to bind two Jaks. In the case of IFN-� the two chains bind Jak 1 and Tyk 2; the chains of the IFN-� receptor bind Jak 1 and Jak 2. Both the Jaks and the cytoplasmic region of the receptor chain become phosphorylated simultaneously. This phosphorylation subsequently becomes a catalyst for the binding and phosphorylation of two latent cytoplasmic transcription factors called Stats, i.e., Signal transducers and activators of transcription. Following the phosphorylation of Stats by Jaks, the Stats dimerize, and this activated Stat-Stat complex enters the nucleus, where it initiates gene transcription by binding to specific promoter sequences in cytokine response genes, resulting in the ultimate step of gene transcription. Four Jaks have been identified: Jak 1, Jak 2, Jak 3, and Tyk 2. In addition to the IFN-� receptor, Jak 2 is involved with signaling by granulocyte/macrophage (GM)- CSF, granulocyte (G)-CSF, IL-6, and IL-3. Both Jak 1 and Jak 3 are involved with signaling of the � chain subfamily of the cytokine receptor superfamily such as IL-2, IL-4, and IL-9. IL-12 activates Jak 2 and Tyk 2. The actual number of Stats is uncertain, but at least six have been characterized. The Stats have structurally conserved binding sites to phosphotyrosine and conserved sequences of their nuclear DNA binding regions. Given the number of Jaks and Stats, it is understandable that different cytokine receptors associate with different Jaks, which then catalyze the binding and phosphorylation of different Stats (16). The network of interaction between the Jaks and Stats can be quite extensive. For example, the Jak 1 and Jak 3 activated by IL-2 receptor binding activates Stat 3 and Stat 5, and the same Jaks activated by IL-4 binding activates Stat 6. To add to the complexity, Stats can be phosphorylated by kinases other than Jaks, e.g., protein tyrosine kinases of the src family. Although many receptors related to the cytokine receptor superfamily as well as receptors in some of the other families use the Jak-Stat model of signal transduction, other cytokines such as TNF-� and IL-1-� activate members of the mitogen-activated protein (MAP) kinases, with resultant transcription of nuclear protooncogenes. CHEMOKINES Chemokines are low-molecular-weight peptides that have evolved relatively recently. They share a high basic nature and can bind heparin through heparin binding domains. Chemokines are produced by nearly every cell type in response to inflammatory signals, particularly signals that activate interactions between leukocytes and endothelial cells. The first chemokine purified was platelet factor 4 (PF-4) in 1977 (17), and IL-8 was purified ten years later (18). Chemokines range between 68 to 100 amino acids in length and are defined by conserved motifs containing either two or four cysteine residues that form disulfide bonds in the protein tertiary structure.

122 Matthews<br />

The Jak-Stat Model of Signal Transduction<br />

Several cytokine receptors lack intrinsic tyrosine kinase activity in their cytoplasmic<br />

domains but can activate a family of cytoplasmic protein tyrosine kinases, Jaks (Janus<br />

kinases). The model <strong>for</strong> the signaling mechanism that utilizes Jaks was characterized by<br />

activation studies in mutants of the IFN-�� and IFN-� receptors (15). In this model, binding<br />

of cytokine ligand to the IFN-�� or IFN-� receptors results in the dimerization of<br />

the receptor subunits. This dimerization (or oligomerization in cytokine receptors with<br />

more than two chains) increases the affinity of the dimers’ cytoplasmic domain that is<br />

proximal to the membrane to bind two Jaks. In the case of IFN-� the two chains bind<br />

Jak 1 and Tyk 2; the chains of the IFN-� receptor bind Jak 1 and Jak 2. Both the Jaks<br />

and the cytoplasmic region of the receptor chain become phosphorylated simultaneously.<br />

This phosphorylation subsequently becomes a catalyst <strong>for</strong> the binding and phosphorylation<br />

of two latent cytoplasmic transcription factors called Stats, i.e., Signal transducers<br />

and activators of transcription. Following the phosphorylation of Stats by Jaks, the Stats<br />

dimerize, and this activated Stat-Stat complex enters the nucleus, where it initiates gene<br />

transcription by binding to specific promoter sequences in cytokine response genes,<br />

resulting in the ultimate step of gene transcription.<br />

Four Jaks have been identified: Jak 1, Jak 2, Jak 3, and Tyk 2. In addition to the<br />

IFN-� receptor, Jak 2 is involved with signaling by granulocyte/macrophage (GM)-<br />

CSF, granulocyte (G)-CSF, IL-6, and IL-3. Both Jak 1 and Jak 3 are involved with signaling<br />

of the � chain subfamily of the cytokine receptor superfamily such as IL-2, IL-4,<br />

and IL-9. IL-12 activates Jak 2 and Tyk 2. The actual number of Stats is uncertain, but<br />

at least six have been characterized. The Stats have structurally conserved binding sites<br />

to phosphotyrosine and conserved sequences of their nuclear DNA binding regions.<br />

Given the number of Jaks and Stats, it is understandable that different cytokine receptors<br />

associate with different Jaks, which then catalyze the binding and phosphorylation<br />

of different Stats (16). The network of interaction between the Jaks and Stats can be<br />

quite extensive. For example, the Jak 1 and Jak 3 activated by IL-2 receptor binding<br />

activates Stat 3 and Stat 5, and the same Jaks activated by IL-4 binding activates Stat<br />

6. To add to the complexity, Stats can be phosphorylated by kinases other than Jaks,<br />

e.g., protein tyrosine kinases of the src family. Although many receptors related to the<br />

cytokine receptor superfamily as well as receptors in some of the other families use the<br />

Jak-Stat model of signal transduction, other cytokines such as TNF-� and IL-1-� activate<br />

members of the mitogen-activated protein (MAP) kinases, with resultant transcription<br />

of nuclear protooncogenes.<br />

CHEMOKINES<br />

Chemokines are low-molecular-weight peptides that have evolved relatively recently.<br />

They share a high basic nature and can bind heparin through heparin binding domains.<br />

Chemokines are produced by nearly every cell type in response to inflammatory signals,<br />

particularly signals that activate interactions between leukocytes and endothelial<br />

cells. The first chemokine purified was platelet factor 4 (PF-4) in 1977 (17), and IL-8<br />

was purified ten years later (18). Chemokines range between 68 to 100 amino acids in<br />

length and are defined by conserved motifs containing either two or four cysteine<br />

residues that <strong>for</strong>m disulfide bonds in the protein tertiary structure.

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