SITOKIN -Sekresi protein yang menjembatani dan mengatur sistem imun, inflamasi dan hematopoiesis -Sitokin diproduksi sebagai respon stimulus dari proses imunitas -Sitokin biasanya bekerja dalam waktu yang singkat, jarak antar sel yg dekat, dan dalam jumlah (konsentrasi) yang sangat kecil -Sitokin bekerja dengan melekat pada membran reseptor yg spesifik, kemudian memberi signal pd sel melalui messenger kedua (sering terjadi enzim tyrosinkinase merusak kejadian tersebut) Sekresi sitokin oleh: • • • • Limfosit Monosit Sitosin yg aktif dlm khemotaktik Sebagai media antar leukosit limfokin monokin khemokin interleukin(IL) Reseptor sitokin Sitokin • Tidak seperti hormon yg tersimpan dalam kelenjar(dlm btk molekul), sitokin cepat disintesis dan disekresikan oleh sel yg berbeda setelah ada stimulus Sitokin Aktivitas sitokin • Berefek thdp sel yg mensekresinya sendiri • Berefek thdp sel didekatnya • Berefek pada sel yg sama tp berjauhan autokrin parakrin endokrin • Produser sitokin paling banyak adalah: sel –Th dan makrofag Efek sitokin • • • • • Pleiotropism Redunden Sinergik Antagonis Membentuk network sitokin Pleiotropism • Kemampuan satu sitokin untuk dapat menyebabkan multiplikasi dari tipe sel target Redunden • Multipel sitokin mempunyai efek yg sama atau overlaping Sinergik • Dua atau lebih sitokin mempunyai efek saling menguatkan Antagonisme • Kemampuan satu sitokin untuk menghambat aksi sitokin lainnya Klasifikasi sitokin Interleukin, IL Interferon , IFN Tumor necrosis factor, TNF Colony stimulating factor, CSF Chemokine Transforming growth factor Ⅰ. Interleukin (IL) • Sitokin yg disekresi oleh leukosit yg mampu memberi tanda /menjembatani aktivitas leukosit lainnya • IL-1~IL-29 Ⅱ. Interferon (IFN) A group of glycoproteins that produced by human or animal cells following the infection of virus and exposure to various inducing agents Comparison of IFN-, IFN-, IFN- _____________________________________ Types Produced cells Main functions ____________________________________ IFN- leukocyte anti-virus,immune regulation I IFN- Type fibroblast anti-tumor IFN---Type II Th1,NK ------- weaker anti-virus effect stronger immune regulation effect anti-tumor _____________________________________ Ⅲ.Tumor necrosis factor (TNF) TNFs were originally thought of as selective antitumour agents, but are now known to have a multiplicity of actions. TNF- is produced mainly by LPS activated monocytes and macrophages. TNF-(lymphotoxin, LT) is produced mainly by activated Th0 and Th1. Ⅳ. Colony-stimulating factors (CSF) Cytokines that stimulate proliferation or differentiation of pluripotent hematopoietic stem cell and different progenitors. Multi-CSF (IL-3) Granulocyte macrophage-CSF(GM-CSF) Monocyte-CSF(M-CSF) Granulocyte-CSF(G-CSF) Stem cell factor(SCF) Erythropoietin(EPO) Ⅴ. Chemokine Chemokines are cytokines which recruiting monocytes,granulocytes and lymphocytes in blood to the sites of inflammation. CXC chemokines(α subgroup):IL-8 CC chemokines(β subgroup):MCP-1 C chemokines(γ subgroup) CX3C chemokines(δ subgroup) *C: cysteine; X: any amino acid Ⅵ. Transforming growth factor Growth-factor are cytokines which stimulate the growth of their target cells. Transforming growth factor-(TGF- ) Epithelia growth factor(EGF) Vascular endothelia cell growth factor(VEGF) Fibroblastic growth factor(FGF) PartⅢ CK receptor 1. Membrane-binding cytokine receptors: The receptor consists of extra-cellular region, trans-membrane region and cytoplastic region. CK receptors can be grouped into five families according to structure and function: (1) Ig receptor superfamily:IL-1R,PDGFR,FGFR (2) Type Ⅰ CK receptor superfamily: CSFR (3) Type Ⅱ CK receptor superfamily: IFNR (4) Type Ⅲ CK receptor superfamily: TNFR (5) G-protein linked receptor superfamily: CCR5 IL-2 receptor Low affinity IL-2R Moderate affinity IL-2R High affinity IL-2R IL-2 Three forms of the IL-2 Receptor (CD25) Some cytokines use a common chain for signal transduction 2.soluble cytokine receptor PartⅣ Biological functions of cytokines 1.Take part in nonspecific immunity ------anti-bacteria, anti-virus 2. Take part in specific immunity 3. Stimulate hematopoiesis 4. Take part in inflammatory reaction PartⅤ Cytokine and disease • • • • Cytokines and diagnosis: IL-3, CSF Cytokines and treatment: Th1 and Th2 Cytokines and disease prevention: CSF, IL-2 Cytokine assay