Review Article

Inflammation and Oxidative Stress in Multiple Sclerosis: Consequences for Therapy Development

Table 2

Overview of cytokines and other immune proteins that contribute to MS pathology.

ProteinTypeEffectRole

Activin ACytokineAnti-inflammatoryAPC costimulation of T cell responses [71]
B7-1APC membrane proteinProinflammatoryAPC costimulation of T cell responses [69]
B7-2APC membrane proteinProinflammatoryAPC costimulation (inhibitory) of T cell responses [69]
CTLA4ReceptorAnti-inflammatoryT cell produced cytokine, associated with increased pathology [22, 27, 36]
IFNγCytokineProinflammatory/inflammation associatedAnti-inflammatory cytokine, produced by macrophages, Th2 cells, and regulatory T cells, promotes expression of immune-modulating Tregs [70]
IL-10CytokineAnti-inflammatoryProduced by T cells, neutrophils, and other immune cells, associated with pathogenesis [22, 27, 36]
IL-17CytokineProinflammatoryProinflammatory cytokine produced by activated macrophages/microglia [52, 64]
IL-1βCytokineProinflammatoryProduced during inflammation, proinflammatory and tissue protective functions, barrier maintenance [29]
IL-22CytokineProinflammatoryProduced by immune cells including T cells and type M2 microglia and macrophages
Pivotal role in shaping immune responses [70]
IL-4CytokineAnti-inflammatoryProduced by proinflammatory macrophages, high levels in CSF associated with greater severity of MS [52]
iNOSROS-related enzymeProinflammatoryMultifunctional cytokine involved in immune regulation, inflammation, and repair
Produced by T cells and type M2 microglia and macrophages, some role in modulation of Th17 cell differentiation [70]
TGF-βCytokineAnti-inflammatoryMultifunctional cytokine with proinflammatory and cytotoxic (soluble TNF) and beneficial (tmTNF) effects in the CNS [52]
TNFCytokineProinflammatoryAPC costimulation of T cell responses [69]