What are interferons?
Interferons are cytokines released by the body in response to viral infections and neoplasia.
How are interferons classified?
They are classified according to their cellular origin and the type of receptor they bind to. Interferon-alpha and interferon-beta bind to type 1 receptors, while interferon-gamma binds to type 2 receptors.
Which cells produce interferon-alpha?
Interferon-alpha is produced by leucocytes.
What are the actions and uses of interferon-alpha?
It has antiviral activity and is used in hepatitis B, hepatitis C, Kaposi’s sarcoma, metastatic renal cell cancer and hairy cell leukaemia.
What are the key adverse effects of interferon-alpha?
Flu-like symptoms and depression.
Which cells produce interferon-beta?
Interferon-beta is produced by fibroblasts.
What is the clinical use of interferon-beta?
It has antiviral activity and reduces the frequency of exacerbations in relapsing-remitting multiple sclerosis.
Which cells produce interferon-gamma?
Interferon-gamma is produced predominantly by natural killer cells and also by T helper cells.
What is the main function of interferon-gamma?
It has a weaker antiviral effect and a stronger immunomodulatory role, particularly in macrophage activation.
What conditions may benefit from interferon-gamma therapy?
Chronic granulomatous disease and osteopetrosis.