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Page 1: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines

Page 2: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines

• small secreted proteins

• they mediate and regulate

immunity, inflammation, and

hematopoiesis.

Page 3: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines

• Cytokines - heterogenous group of

polypeptides → acting on distinct cell

populations → coordination and

amplification of immune responses

• many cytokines exhibit many functions

• activity of some cytokines is overlapping

(IL-4 a IL-13)

Page 4: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

cytokines act

• autocrine (IL-2)

• paracrine (IL-4, IFN-γ, IL-10, TGF-β)

• endocrine (IL-1, IL-6, TNF-α)

Page 5: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

pleiotropy of cytokines

• one cytokine exerts multiple actions

• one cytokine interacts with several receptors (chemokines)

• affects the activity of multiple cell types

Page 6: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

cytokines and their receptors -

high redundancy

• shared biological actions

• many cytokines interact with single receptors

• many receptor forms can exist for a single cytokine

• promiscuity of receptors

Page 7: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Synergy and antagonism

Page 8: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines

• activation and inhibition (IFN-γ, IL-10, IL-4, TGF-β)

• stimulation of proliferation (IL-2, IL-7, GM-CSF)

• induction of differentiation (IL-3, IL-4, IL-5, IL-6, RANK-L)

• enhance resistance to viruses (IFN-I)

• antitumor effect (oncostatin, TNF-β)

• co-stimulation (B7.1, B7.2, 4-1BB, OX40, BAFF, APRIL)

• endothelial cell activation (TNF-α, TNF-β, IL-17)

Page 9: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines - classification

1. lymphokine (cytokines made by lymphocytes)

2. monokine (cytokines made by monocytes)

3. interleukin (cytokines made by one leukocyte

and acting on other leukocytes)

4. chemokine (cytokines with chemotactic

activities)

Page 10: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Receptor-based cytokine classification

• Class I cytokines

• (IL-2, IL-15, IL-4, IL-13, IL-7, IL-9, IL-21; IL-3, IL-5,

GM-CSF; IL-6, IL-11, IL-27, OSM, LIF; Epo, G-CSF;

IL-1, IL-18, IL-33; IL-12, IL-23, IL-27; IL-16)

• Class II cytokines

• Interferons (IFN-I, IFN-γ)

• IL-10 (IL-10, IL-22, IL-28)

• Imunoglobulin family (B7.1, B7.2)

• TNF family (TNF-α, TNF-β, CD40L, FasL, CD27L,

CD30L, 4-1BBL, OX40L, RANKL, APRIL, BAFF)

• IL-17 family (IL-17, IL-25)

Page 11: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cells producing

cytokines

Innate immunity Macrophages

Endothelial cells

Epithelial cells

Fibroblasts

Specific immunity T, B lymfocytes

Macrophages

NK cells

Page 12: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Hematopoesis

SCF (Stem cell factor)

GM-CSF (Granulocyte-macrophage colony-stimulating factor)

IL-3

IL-5

IL-7

Page 13: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Th1 – Th2

subsets

Th1 immune response: IL-2, IL-12, IFN

gamma a TNF

Th2 immune response: IL-4, IL-5, IL-13

Page 14: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Sakaguchi et al Cell 2008

Tregs

Page 15: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Distinct function of interferons

•IFN-β

•regulation of nonspecific humoral responses and responses to

viral infections and tumor development

•induces negative immune regulating molecules IL-10, PD-L1

which suppress T cell responses

•IFN-α

•antiviral, antiparasitic, and antiproliferative activities

•IFN-γ

•inhibits growth of B-cells induced by IL-4

•growth-promoting factor for T cells

•induces secretion of TNF-α in monocytes and MФ

•in MФ stimulates release of ROS, antiviral and antiparasitic activities

•inhibits proliferation of normal and transformed cells

Page 16: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

The molecular basis of interferon action

Inhibition of virus RNA

replication

Inhibition of expression of

virus receptors

Induction of lytic activity of

NK cells

Page 17: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not
Page 18: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines are sensed by receptors

Page 19: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines are sensed by receptors

Page 20: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Receptors -signaling

Page 21: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Viral mimics of cytokines and receptors

Page 22: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Chemokines

Page 23: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Chemokines

• a group of molecules which function in

the recruitment and activation of

leukocytes and other cells at sites of

inflammation, possess the properties of

both chemo attractants and cytokines

• other functions (tissue remodeling,

mucin production etc.)

Page 24: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Many functions of chemokines

Li, 2004, 1(2) Cellular & Molecular Immunology

Page 25: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Chemotaxis

Page 26: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Chemokines • chemokines small proteins (8 – 15 kDa)

• families CCL, CXCL, CX3CL, XCL and number (CCL1, CXCL1, CX3CL1,

XCL1), in the text CXC chemokines

• receptors are designated as CCR, CXCR, CX3CR, XCR and number (CCR1,

CXCR1, CX3CR1, XCR1)

• CC chemokines → 28 members

• CXC chemokines → 16 members

• CX3C chemokin → 1 member

• XC chemokines → 2 members

• receptors → 20 members

Page 27: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Chemokine receptors and ligands

Page 28: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Expression on all cells

Page 29: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Interaction of chemokine - receptor

Ono et al, 2003, 111 J Allergy Clin Immunol

chemokine

receptor

Page 30: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Signalization of chemokines

• GPCR – G-protein-coupled receptor

Page 31: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Endothel-fixed chemokines activate

leukocytes transmigration

Ransohoff, 2009, 31 Immunity

By acting of membrane bound chemokines integrins

are activates → enhanced affinity and avidity →

extravasation

Page 32: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Neutrophiles change their morphology after exposing to

chemoattractant (EM)

Baggiolini, 1998 392(9) Nature

Page 33: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Other chemotactic molecules • C3a, C5a complement components

• leukotrien B4

• PAF (platelet-activating factor)

• expressed by platelets, endothelial cells, neutrophils,

monocytes, and macrophages

• platelets aggregation

• inflammation

• anaphylaxis

• activates β2 integrin

• bacterial factors

Page 34: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not
Page 35: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Von Adrian et al, 2003, 3 Nature reviews Immunology

Page 36: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Regulatory role of chemokin-like molecules

• DARC (Duffy antigen receptor for chemokines), D6, CCXCKR,

CCRL2, CXCR7

• are not GPCR, do not induce changes in intracellular Ca+

• internalize extravasal chemokines to be presented on luminal part

of endothelium

• on erythrocytes surface DARC allow entrapment of surrounding

chemokines and thus regulate their activity

• effect detectable after blood transfusion → loss of DARC’s

scavenging activity on banked erythrocytes → posttransplantation

pneumonia

Page 37: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Ransohoff, 2009, 31 Immunity

Regulatory role of chemokine receptor-like molecules (D6)

Page 38: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Chemokines in therapy

• Allosteric antagonist of CCR5 (Maraviroc)

• inhibition of HIV-1 infection

• CXCR4 partial agonist (Mozobil, AMD3100)

• originally for HIV-1 infection

• approved for hematopoietic stem cell mobilization

• Antagonist of CCR9 (CCX-282, Traficet-EN)

• IBD, Crohn diseas, celiac disease therapy ???????

Page 39: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Adhesion

molecules

Page 40: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Adhesion molecules

Page 41: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

• adhesion molecules are involved in cell-to-cell and cell-

to-matrix interactions

• immunologically competent cells use:

• during all intercellular contacts – activation,

inhibition, survival

• for targeted migration across endothelial layer

• for targeted migration to and resting in individual

immunologically important sites

• some microorganisms utilize for adhesion to target cells

(HIV utilizes α4β7 on T cells for transport to lamina

propria mucosae)

Adhesion molecules

Page 42: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

1. addressins → glycan components O- and N-linked to

protein backbone, recognized by selectins

2. selectins → bind glycan moiety of extracellular matrix

or membrane glycoproteins (addressins)

3. integrins → bind CAM, extracellular matrix, fibrinogen

4. immunoglobulin molecules ICAM → ligands for β2, β4,

and some β1 integrins, glycan moiety of CAMs serve

as some addressins

Adhesion molecules - four classes

Page 43: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Leukocyte migration

Page 44: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Lymphocyte migration to LN

Page 45: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Lymphocyte migration to LN

Von Adrian et al, 2003, 3 Nature reviews Immunology

Page 46: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Neutrophils migration to inflammed tissues

Page 47: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Addressins

Lewis – terminal oligosaccharides Symbol Structure Note

Lea Galβ1-3(Fucα1-4)GlcNAc-R blood group antigen

organogenesis

Leb Fucα1-2Galβ1-3(Fucα1-4)GlcNAc-R blood group antigen

organogenesis

Sialyl-Lea NeuAcα2-3Galβ1-3(Fucα1-4)GlcNAc-R binds E-selectin

Lex Galβ1-4(Fucα1-3)GlcNAc-R blood group antigen

organogenesis

Ley Fucα1-2Galβ1-4(Fucα1-3)GlcNAc-R blood group antigen

organogenesis

Sialyl-Lex NeuAcα2-3Galβ1-4(Fucα1-3)GlcNAc-R binds L- E-selectin

Sulfo sialyl-Lex high affinity binding

to E-selektin

Page 48: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Selectins

Page 49: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Naive T cell migration to LN

Page 50: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Mature T cell – cell interaction

Page 51: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

integrin old names expressed on ligand functions

α1β1 VLA-1,

CD49a/CD29 activated T cells

collagen, laminin

contact with extracellular

matrix

α2β1 VLA-2, GPIa

CD49b/CD29

B cells, platelets

monocytes, collagen, laminin

contact with extracellular

matrix

α3β1 VLA-3,

CD49c/CD29

B ly,

adherent cells

collagen, laminin,

entaktin, invazin

contact with extracellular

matrix

α4β1 VLA-4,

CD49d/CD29

B ly, thymocytes,

monocytes,

granulocytes, DC

fibronectin

MAdCAM-1,

VCAM-1

contact with extracellular

matrix,

nosal mucosa

αLβ2 LFA-1 leukocytes ICAM-1, 2, 3 leukocyte integrins

αMβ2 CR3, MAC-1

CD11b/CD18

myeloid cells

NK

ICAM-1, 2, 3

iC3b, fibrinogen

LPS, β-glucans

leukocyte integrins

αXβ2 CR4, p150

CD11c/CD18

myeloid cells

DC

ICAM-1,

fibrinogen leukocyte integrins

αIIβ3 gp IIb/IIa

CD41/CD61 platelets

fibrinogen,

fibronectin

platelets entrapment in the

site of injury

αVβ3 vintronectin

CD51/CD61

endotelie,

platelets,

fibroblasty

fibrinogen,

fibronectin

platelets entrapment in the

site of injury

α4β7 LPAM-1 T cells VCAM-1

MAdCAM-1

homing to mucosal tissue

of GIT, respiratory tract

αEβ7 HML-1 interstic. T cells E-cadherin targeting to epithelia

Integrins

Page 52: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Immunoglobulin superfamily CAM

Page 53: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Various differentiation stages are

associated with different AM

expression

Page 54: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

APC - T cells interaction

Page 55: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

APC - T cells interaction

Page 56: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Targeted anti-cytokine therapy

Mechanismus:

1) Antigonists of cytokine

receptors (IL-1 receptor

antagonist IL-1Ra)

2) Soluble cytokine receptors

3) Anti-cytokine antibodies

Page 57: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

anti-TNF antibodies

(Infliximab-antibody,

Etanercept-circulating receptor)

•reumatoid arthritis

•Crohn disease

•sarcoidosis

•autoimune and inflammatory diseases

Page 58: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Reumatoid arthritis

Increased

inflammation

Increased production

of MMP

Increased cytokine

production (IL-1, IL-6)

Increased adhesion

molecules

Cell migration

into joints

Tissue

remodeling

B cell

Macrophage

T cell

Synoviocyte

Cytokines

Page 59: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

TNFa

RF

Autoantibodies

Activates

Activates Activates Inflammation

Joint damage

B B

T

T T

T

FLS

PC

PC

FLS

MΦ MΦ

T T

APC/DC

Mechanismus of Etanercept

action

Etanercept

X

Page 60: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not
Page 61: Cytokines - new.imunologie.upol.cz · Regulatory role of chemokin-like molecules • DARC (Duffy antigen receptor for chemokines), D6, CCXCKR, CCRL2, CXCR7 • are not GPCR, do not

Cytokines

Cell – cell communication

Stimulus - Cytokin – Receptor - binding – effect

Promiscuity, redundancy, synergy, networks

In health and disease

Targeted biological therapy