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Microbiology, 2021

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698 17 • Innate Nonspecific Host Defenses<br />

Figure 17.11<br />

Interferons are cytokines released by a cell infected with a virus. Interferon-α and interferon-β signal uninfected<br />

neighboring cells to inhibit mRNA synthesis, destroy RNA, and reduce protein synthesis (top arrow). Interferon-α and interferon-β also<br />

promote apoptosis in cells infected with the virus (middle arrow). Interferon-γ alerts neighboring immune cells to an attack (bottom arrow).<br />

Although interferons do not cure the cell releasing them or other infected cells, which will soon die, their release may prevent additional<br />

cells from becoming infected, thus stemming the infection.<br />

Inflammation-Eliciting Mediators<br />

Many of the chemical mediators discussed in this section contribute in some way to inflammation and fever,<br />

which are nonspecific immune responses discussed in more detail in Inflammation and Fever. Cytokines<br />

stimulate the production of acute-phase proteins such as C-reactive protein and mannose-binding lectin in the<br />

liver. These acute-phase proteins act as opsonins, activating complement cascades through the lectin pathway.<br />

Some cytokines also bind mast cells and basophils, inducing them to release histamine, a proinflammatory<br />

compound. Histamine receptors are found on a variety of cells and mediate proinflammatory events, such as<br />

bronchoconstriction (tightening of the airways) and smooth muscle contraction.<br />

In addition to histamine, mast cells may release other chemical mediators, such as leukotrienes. Leukotrienes<br />

are lipid-based proinflammatory mediators that are produced from the metabolism of arachidonic acid in the<br />

cell membrane of leukocytes and tissue cells. Compared with the proinflammatory effects of histamine, those<br />

of leukotrienes are more potent and longer lasting. Together, these chemical mediators can induce coughing,<br />

vomiting, and diarrhea, which serve to expel pathogens from the body.<br />

Certain cytokines also stimulate the production of prostaglandins, chemical mediators that promote the<br />

inflammatory effects of kinins and histamines. Prostaglandins can also help to set the body temperature<br />

higher, leading to fever, which promotes the activities of white blood cells and slightly inhibits the growth of<br />

pathogenic microbes (see Inflammation and Fever).<br />

Another inflammatory mediator, bradykinin, contributes to edema, which occurs when fluids and leukocytes<br />

leak out of the bloodstream and into tissues. It binds to receptors on cells in the capillary walls, causing the<br />

capillaries to dilate and become more permeable to fluids.<br />

CHECK YOUR UNDERSTANDING<br />

• What do the three complement activation pathways have in common?<br />

• Explain autocrine, paracrine, and endocrine signals.<br />

• Name two important inflammation-eliciting mediators.<br />

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