Cytokines are a group of hormone-like polypeptide mediators that play a variety of regulatory roles in both host defense and normal and abnormal homeostatic mechanisms. They may be produced by diverse cell types and exert their function on a variety of cells. Their effects (which may be suppressive or enhancing) are on cellular proliferation, differentiation, activation, and motility. In addition, cyokines can exert cytodestructive effects on infectious agents or tumor cells, either directly or by activating cells with cytodestructive potential. Any given cytokine may have many different biologic effects. However, two different cytokines may have similar or identical activities. Cytokines may be classified on the basis of their cell of origin, their spectrum of activity, the category of activity they influence, the cells that are their targets, or on specific features of their ligand-receptor interaction. The mode of action of many of the cytokines involves typical signal transduction eventsCytokines are usually thought of as potent mediators of inflammatory and immune responses, but they also mediate a variety of nonimmunologic phenomena. They are small molecular weight proteins and glycoproteins, which act at extremely low concentrations (picomolar and femtomolar levels) by binding to receptors in a hormone-like fashion. A cytokine may act in an autocrine fashion by binding to receptors on the membrane of the cell that secreted it. It may behave in a paracrine fashion by binding to receptors on a cell in the vicinity of the cell(s) that produced it; or it may act in an endocrine fashion by binding to receptors on cells that are at a distance. Cytokines control the intensity and length of the immune response by affecting the activation, proliferation, and differentiation of various cells or by regulating antibody production or the secretion of other cytokines.
1The early studies of these soluble substances involved the description of numerous soluble factors that were described on the basis of bioassays. These factors were called lymphokines when they were the product of lym- such as protein phosphorylation, and to date there is only limited understanding of the mechanisms that lead to one activity over another when a specific cytokine is involved in a specific biologic reaction. Nevertheless, elucidation of their role in other pathologic processes has provided insight into autoimmune and allergic diseases, as well as a variety of systemic disorders. Because of their broad spectrum of activity, cytokines have been used in a variety of therapeutic settings involving both infectious diseases and neoplasia. As the number of known cytokines continues to grow, it will be increasingly difficult for the non-"cytokinologist" to follow the exponentially expanding literature. Hopefully, this brief review will provide an overview that can serve as a framework for the understanding of this important area of biology and pathology.