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USMLE - Chapter 2 - Immunology

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  1. Primary Lymphoid Organs to Lymph Node Structural Diagram
    7Topics
  2. Introduction to Lymphatic Drainage to Lymph Node Palpability and Right Lymphatic Duct
    6Topics
  3. Spleen Structure Overview to Thymus-Related Conditions
    6Topics
  4. Components and Mechanism of Immunity to Understanding Immune Privilege
    4Topics
  5. MHC I and II: Introduction and Loci to DQ8, DR3, DR4
    9Topics
  6. Functions of Natural Killer Cells to Major Functions of T Cells
    3Topics
  7. T Cell Development: Bone Marrow & Thymus to Regulatory T Cells and Autoimmunity
    6Topics
  8. T-cell Activation: Antigen Presentation to B-cell Activation: Co-stimulation, Class Switching, and Maturation
    4Topics
  9. Antibody Structure and Function to Antibody Diversity and Specificity
    4Topics
  10. Introduction to Immunoglobulin Isotypes to Thymus-Dependent Antigens
    7Topics
  11. Introduction to Complement System to Convergence and MAC Formation
    9Topics
  12. Early Complement Deficiencies to PNH: Hemolysis & Thrombosis
    4Topics
  13. Interleukin-1: Macrophage Secretion and Acute Response to IL-10 and IL-13: Immune Regulation and IgE Production
    7Topics
  14. Respiratory Burst Introduction to Interferons Clinical Use & Side Effects
    5Topics
  15. T Cell Surface Proteins to Examples of Passive and Active Immunity
    4Topics
  16. Live Attenuated Vaccines: Description to mRNA Vaccine
    8Topics
  17. Overview of Hypersensitivity Types to Type II: Cellular Dysfunction & Clinical Examples
    6Topics
  18. Type III Hypersensitivity: Mechanism & Examples to Type IV Hypersensitivity: Examples & Tests
    5Topics
  19. Allergic and Anaphylactic Transfusion Reactions to Delayed Hemolytic Transfusion Reaction
    5Topics
  20. Autoantibodies in Neuromuscular and Systemic Diseases to Autoantibodies in Metabolic, Hematologic, and Renal Disorders
    5Topics
  21. Bruton's Agammaglobulinemia to Chronic Mucocutaneous Candidiasis
    7Topics
  22. Severe Combined Immunodeficiency (SCID) to Chronic Granulomatous Disease
    7Topics
  23. Intro to Immunodeficiency & T-Cell Bacterial Infections to Parasitic Infections & Key Deficiency Note
    5Topics
  24. Hyperacute Transplant Rejection to Histology of Transplant Rejection
    5Topics
  25. Immunosuppressants: Definition and Risks to Sirolimus & Basiliximab: Clinical Aspects
    5Topics
  26. Azathioprine to Immunotherapy: Interleukin-2 and Interferons
    6Topics
  27. TNF-α Inhibitors: Adalimumab & Infliximab to Omalizumab & Palivizumab: Allergic & Viral
    7Topics
Lesson 13 of27
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Interleukin-1: Macrophage Secretion and Acute Response to IL-10 and IL-13: Immune Regulation and IgE Production

Content August 26, 2025

Important cytokines (IL-1, IL-6, TNF-α), then recruit (IL-8, IL-12).

Secreted by macrophages

Interleukin-1 Causes fever, acute inflammation. Activates endothelium to express adhesion molecules. Induces chemokine secretion to recruit WBCs. Also called osteoclast-activating factor. “Hot T-bone stEAK”:
IL-1: fever (hot)
IL-2: stimulates T cells.
IL-3: stimulates bone marrow.
IL-4: stimulates IgE production.
IL-5: stimulates IgA production.
IL-6: stimulates aKute-phase protein production.

Interleukin-6 Causes fever and stimulates production of acute-phase proteins. IL-6: stimulates aKute-phase protein production.
Tumor necrosis factor-α Activates endothelium. Causes WBC recruitment, vascular leak. Causes cachexia in malignancy. Maintains granulomas in TB. IL-1, IL-6, TNF-α can mediate fever and sepsis.

Interleukin-8 Major chemotactic factor for neutrophils. “Clean up on aisle 8.” Neutrophils are recruited by IL-8 to cleat infections.
Interleukin-12 Induces differentiation of T cells into Th1 cells. Activates NK cells. Facilitates granuloma formation in TB.

Secreted by T cells

Interleukin-2 Stimulates growth of helper, cytotoxic, and regulatory T cells, and NK cells. IL-2: stimulates T cells.
Interleukin-3 Supports growth and differentiation of bone marrow stem cells. Functions like GM-CSF. IL-3: stimulates bone marrow.

From Th1 cells

Interferon-γ Secreted by NK cells and T cells in response to antigen or IL-12 from macrophages; stimulates macrophages to kill phagocytosed pathogens. Inhibits differentiation of Th2 cells. Induces IgG isotype switching in B cells. Increases MHC expression and antigen presentation by all cells. Activates macrophages to induce granuloma formation.

From Th2 cells

Interleukin-4 Induces differentiation of T cells into Th (helper) 2 cells. Promotes growth of B cells. Enhances class switching to IgE and IgG. Ain’t too proud 2 BEG 4 help.
Interleukin-5 Promotes growth and differentiation of B cells. Enhances class switching to IgA. Stimulates growth and differentiation of Eosinophils. I have 5 BAEs.

Interleukin-10 Attenuates inflammatory response. Decreases expression of MHC class II and Th1 cytokines. Inhibits activated macrophages and dendritic cells. Also secreted by regulatory T cells. TGF-β and IL-10 both attenuate the immune response.
Interleukin-13 Promotes IgE production by B cells. Induces alternative macrophage activation. Interleukin thirtEEn promotes IgE.

Topics Covered:

  • Interleukin-1: Macrophage Secretion and Acute Response
  • IL-6 and TNF-alpha: Inflammation and Systemic Effects
  • IL-8 and IL-12: Neutrophil Recruitment and Th1 Differentiation
  • IL-2 and IL-3: T Cell Growth and Bone Marrow Support
  • Interferon-gamma: Th1 Response and Macrophage Activation
  • IL-4 and IL-5: Th2 Response and Antibody Production
  • IL-10 and IL-13: Immune Regulation and IgE Production