Cytokines and the Immune System Scott K. Durum * Laboratory of Molecular Immunoregulation, National Cancer Institute, FCRDC, DBS Building, Room 31-73, Frederick, MD 21702-1201, USA *corresponding author tel: 301-846-1545, fax: 301-846-6720, e-mail: [email protected] DOI: 10.1006/rwcy.2000.02001. SUMMARY An early controversy among immunologists in the 1970s concerned the mechanism by which T cells helped B cells to produce antibody, some immunol- Cytokines are important signaling molecules in the ogistsfavoringcytokines,othersfavoringcellcontact. immune system. The immune processes controlled by Now that a number of the mechanisms are under- cytokines will be introduced in this overview, which stood at the molecular level, the distinction between covers molecules termed ‘immunomodulatory cyto- cell-bound and secreted molecules has become some- kines’ in this database as well as other cytokines and what blurred. Many of the integral membrane peptide hormones. The immune response is modu- molecules (like CD40L) are actually very similar to lated by cytokines that affect cell proliferation (IL-2, released molecules (like TNF). Moreover, many of IL-4, growth hormone, TGF(cid:12), and many others), the secreted cytokines (like chemokines, TGF(cid:12), and survival (IL-7, prolactin, FasL), differentiation (IL-4, IL-7) are probably not actually recognized in their IL-12),antigenpresentation(GM-CSF,IFN(cid:13),IL-10) soluble forms, but rather in a form attached to other andtrafficking(chemokines).Inadditiontothedirect membranes and extracellular matrix. effects of cytokines on mature cells of the immune Early immunological studies identified soluble system, the development of immune cells depends on activities made by lymphocytes or acting upon cytokines(IL-7,SCF,Flt-3L,SDF,IL-15)asdoesthe lymphocytes (the earlier term ‘lymphokine’ has been architectureoflymphoidorgans(LT,TNF).Cytokines supplanted by the broader term ‘cytokine’). The link the immune system with the inflammatory res- activitiesincludedproliferationofTcells,Bcells,and ponse(IL-1,IL-6,TNF)andwiththecentralnervous thymocytes,inductionofIgsecretion,cytotoxicTcell system (growth hormone, prolactin, IL-1). Viruses generation, cell death, macrophage activation, and a produce a number of agents that combat cytokine host of other immune and inflammatory responses. pathways (IFN, TNF, IL-1, chemokines) or suppress The ability to clone cytokines has greatly moved (IL-10) processes involved in antiviral immunity. research, and the production of knockout mice has placed each cytokine in a physiological perspective. This chapter will outline the general types of immu- BACKGROUND nological processes regulated by the cytokines, refer- ring the reader to individual chapters for in-depth The immune response to foreign antigens is based on treatments and bibliographies. the remarkable activities of a rather small number of lymphocytes that specifically recognize each antigen. LYMPHOID DEVELOPMENT Theimmuneresponseculminatesintheeliminationof these antigens using an armamentarium of immuno- globulins, cytolytic T cells, and recruited inflamma- T cell development in the thymus requires several tory cells that engulf the invaders. cytokines. IL-7 is required for pro-T cells to survive 96 Scott K. Durum andrearrangethegenesencodingsomeoftheantigen induce the switch to different isotypes. IL-4 or IL-13 receptors.TSLP,anIL-7homolog,alsohasactivities. induce switch to IgE and IgG1, IFN(cid:13) induces switch SCF and Flt-3 ligand are involved in proliferation to IgG2a and IgG3, and TGF(cid:12) induces switching to and survival of early thymocyte stages. Negative IgA. All switching requires CD40L. IL-2, IL-10, and selection of intermediate thymocyte stages is partly IL-15 also promote Ig production, whereas TGF(cid:12) mediatedbyFasL andCD30L.Bcell developmentin inhibits Ig secretion. Memory B cell development is bonemarrowdependsonthechemokineSDF.Inmice induced by CD40L. (butnothumans)Bcelldevelopmentalsodependson IL-7. TSLP appears to promote early B cell dev- elopmental stages. Large granular lymphocytes (NK ANTIGEN-PRESENTING CELLS cells) require IL-15 for development. In all these cases,otherstromalcellsurfacemolecules,inaddition to the secreted cytokines, are required. The activation of T cells is dependent on antigen- presenting cells (APCs) which in turn depend on cytokines to induce their differentiation from pre- cursorstobecomeactiveAPCs.Thedevelopmentand LYMPHOID PROLIFERATION APC function of dendritic cells has been induced by AND SURVIVAL various cocktails of cytokines that have incorporated GM-CSF, TNF, TGF(cid:12), CD40L, IL-1, and IL-4. Macrophage APC function is enhanced by IFN(cid:13) Activated T cells proliferate in response to IL-2 or to whichincreasesthe levelsofMHCand peptidetrans- the other cytokines whose receptors share the (cid:13)c porters,andBcellAPCfunctionisenhancedbyIL-4. chain(IL-4,IL-7,IL-9,andIL-15).Invivo,Tcellsdo On the other hand, IL-10 inhibits APC functions by not appear to require these cytokines for prolifera- blocking expression of integrin substrates, costimula- tion, but instead IL-2 is thought to promote cell tors, and cytokine production. death.TGF(cid:12) inhibitsTcellproliferation.FasL,acell surface molecule (but a member of the TNF family), inducesTcelldeath,eliminatingunneededTcellsafter antigenhasbeenclearedandalsoprotectssometissues ARCHITECTURE OF LYMPHOID from T cell invasion. Many other cytokines also pro- ORGANS mote or inhibit T cell proliferation; for example, interferons suppress T cell replication whereas TNF or prolactin enhance it. B lymphocyte proliferation is Several of the cytokines are required to induce promoted by various cytokines, including IL-2, IL-4, nonlymphoidcellstoshapetheorgansthatinturnare IL-6,IL-10,IL-13,BLYS,andCD40L(notactuallya requiredtosupportimmuneresponses.LT(cid:11)/(cid:12) directs secreted cytokine but a T cell membrane protein in developmentoflymphnodesandPeyer’spatchesand thefamilywiththe TNFcytokines).TGF(cid:12) inhibitsB organization of follicular dendritic cell networks in cell proliferation. thespleen.TNFisrequiredforgerminalcentersinthe spleen. LYMPHOID DIFFERENTIATION CELL TRAFFICKING The differentiation of activated CD4(cid:135) T cells to the TH1 versus TH2 lineages is dependent on cytokines. Theimmunesystemhasmanymobilecellsandpartof IL-12, produced by macrophages and dendritic cells, themechanismdeterminingtheirdestinationsisbased induces TH1 differentiation and other cytokines that on chemoattraction by chemokines. For example, also promote TH1 generation include IFN(cid:13), IFN(cid:11), T cells normally recirculate from bloodto lymphatics IL-1, and IL-18. Differentiation to the TH2 lineage and back to blood. The accumulation of T cells in depends on IL-4. Cytotoxic T cell development into certain sites in lymph node is attributed to the TC1 and TC2 lineages responds to cytokine signals chemokineSLC.IL-16(producedbyCD8(cid:135)Tcells)is that are similar to those promoting their TH1 and chemotacticforCD4(cid:135)cells.Langerhanscellstakeup TH2 counterparts and the development of cytotoxic antigens in skin, then migrate to specific sites in function is promoted by IL-2. lymph nodes (attracted by chemokines) where they B lymphocytes undergo a switch from producing present antigens to T cells. Dendritic cell APCs also IgM to producing other isotypes. Different cytokines produce chemokines that attract T cells. Cytokines and the Immune System 97 CONNECTION BETWEEN functions. For example growth hormone and pro- lactin, products of the pituitary (as well as other IMMUNE AND INFLAMMATORY peripheral sources), promote development of lym- RESPONSES phocytes, their antigen-driven proliferation, and their survival. The reverse relationship is also clear, in that A specific immune response in a tissue generally IL-1, IL-6, and a variety of cytokines produced by triggersalocalinflammatoryresponseandthereverse immune responses induce profound effects on the also occurs, a local inflammatory response promotes central nervous system, such as the fever response. a specific immune response in the tissue and in the draining lymph nodes. Cytokines mediate this inter- actionbetweentheimmuneandinflammatorysystems. VIRAL IMMUNOMODULATORS Forexample,IL-1orTNFproducedatasiteoflocal RELATED TO CYTOKINES inflammation induce nearby endothelial cells to expressbindingsitesforbloodlymphocytes,inducing Poxvirusesproduceanumberofproteinsthatcombat theirextravasation.Thereverserelationshipoccursin cytokine pathways involved in host defense. an organ allograft, in which specific T cells produce Nonsignaling homologs of TNFR, IL-1R, and of chemokines recruiting monocytes to the graft. There bothtypeIandtypeIIinterferonreceptorshavebeen are many more examples of cytokines linking the demonstrated.Thechemokinepathwaysareinhibited specific immune response to inflammatory cells, both by nonsignalingreceptor homologsand by non- hematopoiesis, and even the central nervous system. signaling ligand homologs. Viruses also produce cytokine homologs that signal through normal cellu- lar receptors. IL-10 homologs (which are immuno- CONNECTION BETWEEN THE suppressive) are found both in poxviruses and also in IMMUNE AND CENTRAL Epstein-Barr virus. Other examples of signaling NERVOUS SYSTEMS ligands are vaccinia growth factor, which uses the EGF receptor and induces cell proliferation, and VEGF homologs that induce vascularization. Peptide hormones produced by the central nervous system have been shown to promote several immune