Table 1. | Cytokines, involved in immune response formation in apical periodontitis [1,2,6,7,10-12,17,22-27,36-43,45,52,57] |
Cytokines | Source | Primary functions |
IL-1 | MǾ, PMN, Oc, Epithelial cells | Chemotactically attracts and activates PMNs; Stimulates the production of prostaglandines, proteolytic enzymes and cytokines IL-6, IL-8; Stimulates bone resorption and inhibits bone formation |
IL-8 | MǾ, PMN, Th1 | Chemotactically attracts and activates PMNs; Stimulates osteoclast recruitment and activity |
IL-6 | MǾ, PMN, Th2, B lymphocytes, endothelial cells | Activates PMNs, T cells; Stimulates the differentiation of B lymphocytes into plasma cells; Induces bone resorption; Down-regulates the production of IL-1 |
TNFα | MǾ, Th1, PMN | Activates lymphocytes and MǾ's; Stimulates bone resorption |
GCP-2 | Endothelial cells | Chemotactically attracts PMNs |
IL-17 | Th17 | Activates IL-1, IL-6, TNFα, GCP-2 and IL-8 secretion; Stimulates bone resorption |
GM-CSF | MǾ, T lymphocytes, endothelial cells, PMN | Functionally activates MǾ and PMNs |
MCP-3 | Endothelial cells, lymphocytes, fibroblasts, plasma cells | Chemotactically attracts MǾ |
MIP-1 | Th1 | Chemotactically attracts and activates MǾ and Oc |
TGFβ | MǾ, lymphocytes, fibroblasts, Ob, Oc | Suppresses the proliferation and differentiation of T and B lymphocytes; Down regulates the production of IL-1, IL-6, TNFα and IFNγ; Blocks the production of nitric oxide by MǾ; Inhibits bone resorption; Inhibits Th17 formation and promotes Treg formation |
IFNγ | Th1 | Activates MǾ; Induces IL-1, NO and O2production |
IL-12 | MǾ, dendritic cells | Stimulates the production of IL-1 and IFNγ; Stimulates Th1 differentiation; Suppresses Th2 differentiation |
IL-10 | MǾ, dendritic cells | Suppresses the production of IL-1 and IFNγ |
IL-4 | Th2 | Inhibits bone resorption; Inhibits Th17 formation, Suppresses the production of IL-1 |
MǾ = macrophages; PMN = polymorphonuclear leucocytes; Th = T helper cells; Ob = osteoblasts; Oc = osteoclasts; NO = nitric oxide. |