Review Article

The Immunological Basis of Inflammatory Bowel Disease

Table 2

Main cytokines of the adaptive immune response, cells that produce them, and the principle actions.

CytokinesTypes of cellsMain functions in IBD

IL-2T cellsInducing proliferation of T and B cells and the production of IFN-γ [49]

IL-4Th2 cells
Mast cells
Promoting the differentiation of Th2 cells
Inhibiting exacerbated responses of Th1 cells [49]

IL-10Macrophages
Dendritic cells
Treg
Inhibiting exacerbated responses of Th1 cell [49]

IL-17Th17 cells
Neutrophils
Promoting inflammation by inducing the production of IL-6, IL-1, and TNF-α
Inducing the production of cytokines that increase Th1 response
Inducing chemokine expression, adhesion molecules by epithelial and endothelial cells, fibroblast proliferation, and growth factors expression, such as G-CSF and GM-CSF [68]

TGF-βT cells
Macrophages
Fibroblasts
Inhibiting Th subtypes, such as Th1, Th2, and Th17 cells [49]
Playing a key role in the differentiation of Th17 and Treg, in balance with some factors, such as IL-6 [26, 27]

IFN-γTh1 cells
TCD8+ cells
NK cells
Activation of macrophages [50]
Inducing the production of IL-12 [57, 58]