Molecular Classification
Cytokine, Interleukin, Chemokine, Interferon, Tumor Necrosis Factor, Growth Factor
Other Names
Immunomodulatory factors, Soluble mediators, Inflammatory mediators
Disease Roles
Autoimmune disordersInfectious diseasesCancer

Cytokines and Immune Mediators Overview

Cytokines and immune mediators are a diverse group of small, secreted proteins that act as signaling molecules to regulate the immune system. They mediate communication between cells to coordinate immunity, inflammation, tissue repair, and homeostasis. They are produced by a wide range of immune and non-immune cells and exert their effects by binding to specific cell-surface receptors, triggering intracellular signaling cascades that alter gene expression and cellular behavior. Dysregulation of cytokine production or response is implicated in numerous diseases, including autoimmune disorders, infectious diseases, and cancer. Therapeutic strategies targeting these pathways include monoclonal antibodies, recombinant cytokines, and small molecule inhibitors.

Mechanism of Action

Monoclonal antibodies neutralize cytokines or block their receptors; recombinant cytokines enhance immune responses; small molecule inhibitors block intracellular signaling pathways downstream of cytokine receptors; corticosteroids broadly suppress cytokine production.

Biological Functions

Immune response
Inflammation
Cell growth
Cell differentiation
Cell activation
Cell migration
Wound healing
Homeostasis
Signal transduction

Disease Associations

Autoimmune disorders
Infectious diseases
Cancer
Inflammation
Sepsis
Cytokine storm

Safety Considerations

  • Increased risk of infection (with immunosuppression)
  • Cytokine release syndrome
  • Exacerbation of autoimmune disorders
  • Off-target effects due to pleiotropic activity

Interacting Drugs

Monoclonal antibodies (e.g., anti-TNFα, anti-IL-6)
Recombinant cytokines (e.g., IFNα, IL-2)
Small molecule inhibitors of cytokine signaling pathways (e.g., JAK inhibitors)
Corticosteroids
Immunosuppressants (e.g., cyclosporine, tacrolimus)

Associated Biomarkers

Biomarker
Serum cytokine levels (e.g., IL-6, TNFα, IL-10)
Expression of cytokine receptors on immune cells
Cytokine gene expression profiles