Proinflammatory cytokine

A proinflammatory cytokine is a cytokine which promotes systemic inflammation.

Examples include IL-1[1] and TNF alpha.[2] As well as other pro-inflammatory cytokines including Interleukin 1 (IL), IL 6 and IL 8, and IFNγ (interferon gamma)

Function

Due to their proinflammatory action, they tend to make a disease worse by producing fever, inflammation, tissue destruction, and in some cases, even shock and death.[1]

Clinical implications

Reducing the biological activities of proinflammatory cytokines can reduce the brunt of attack of diseases mediated by proinflammatory cytokines.[1] Blocking IL-1 or TNF has been highly successful in patients with rheumatoid arthritis, inflammatory bowel disease,[3] or graft-vs-host disease.[1] However, the strategy has not been successful in humans with sepsis.[1] The therapeutic effects of acupuncture may be related to its ability to suppress a range of proinflammatory cytokines such as tumor necrosis factor alpha, IL1B, interleukin 6, and interleukin 10.[4]

References

  1. 1 2 3 4 5 Dinarello CA (Aug 2000). "Proinflammatory cytokines". Chest 118 (2): 503–8. doi:10.1378/chest.118.2.503. PMID 10936147.
  2. Cheung CY, Poon LL, Lau AS, Luk W, Lau YL, Shortridge KF, Gordon S, Guan Y, Peiris JS (Dec 2002). "Induction of proinflammatory cytokines in human macrophages by influenza A (H5N1) viruses: a mechanism for the unusual severity of human disease?". Lancet 360 (9348): 1831–7. doi:10.1016/S0140-6736(02)11772-7. PMID 12480361.
  3. Strober W, Fuss IJ (May 2011). "Proinflammatory cytokines in the pathogenesis of inflammatory bowel diseases". Gastroenterology 140 (6): 1756–67. doi:10.1053/j.gastro.2011.02.016. PMID 21530742.
  4. Wang XM, Walitt B, Saligan L, Tiwari AF, Cheung CW, Zhang ZJ (Mar 2015). "Chemobrain: a critical review and causal hypothesis of link between cytokines and epigenetic reprogramming associated with chemotherapy". Cytokine 72 (1): 86–96. doi:10.1016/j.cyto.2014.12.006. PMID 25573802. Even acupuncture may have therapeutic potential considering its effects on suppressing proinflammatory cytokines, TNF-α, IL-1β, IL-6, and IL-10
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