TABLE 3.
Pro- and anti-inflammatory cytokines secreted during tissue repair.
Pro-inflammatory cytokines | Cellular sources (immune system) | Effects on bone cells (bone resorption) | Reference |
---|---|---|---|
TNFα | Macrophages, T cells, NK cells, neutrophils, mast cells, B cells | → Inhibit the differentiation and bone-forming activity of osteoblasts (OB) → Promote stromal cells to express RANKL for OC differentiation → Promote OC differentiation directly | Charatcharoenwitthaya et al. (2007), Reinke et al. (2013) |
IL1, IL6 | T cells, macrophages, monocytes | Up-regulate RANKL to promote OC differentiation | Greenblatt and Shim (2013), Mori et al. (2013) |
IL17 | T cells (Th17) | → Acts on stromal cells and OB to up-regulate RANKL and OC differentiation | Lubberts et al. (2005), Tucci et al. (2013) |
IFNγ | NK cells, T cells | → Inhibit OC differentiation by down-regulating TRAF6 → Indirectly effect TNF and RANKL expression → Block OB differentiation by inhibiting induction of RUNX2, a master regulator of OB differentiation | Takayanagi et al. (2000), Mori et al. (2013) |
Anti-inflammatory cytokines | Cellular sources (immune system) | Major effect on bone cells (bone formation) | |
IL4 | T cells (Th2), mast cells, B cells, stromal cells | → Inhibit OC differentiation → Inhibition of LPS-induced pro-inflammatory cytokine synthesis → Positively influence OB migration | Zaiss et al. (2007), Greenblatt and Shim (2013), Schmidt-Bleek et al. (2015) |
IL10 | Monocytes, T cells, type 1 regulatory T cells | → Inhibit monocyte/macrophage and neutrophil cytokine production → Inhibit Th1-type lymphocyte response → Block NFκB pathway | Shouval et al. (2014) |
IL35 | Regulatory T cells, regulatory B cells | → Suppress the proliferation of conventional T cells → Inhibit the differentiation of Th17 cells | Egwuagu and Yu (2015), Sun et al. (2015) |
TGFβ | Constitutively expressed in many cell lines | → Inhibit monocyte/macrophage MHC class II expression → Suppress proinflammatory cytokine synthesis MHC class II expression → Suppress pro-inflammatory cytokine synthesis | Schmidt-Bleek et al. (2015) |