Arthritis Treatment Cytokines and How They Work By Carol Eustice Carol Eustice Facebook Carol Eustice is a writer covering arthritis and chronic illness, who herself has been diagnosed with both rheumatoid arthritis and osteoarthritis. Learn about our editorial process Medically reviewed by David Ozeri, MD Medically reviewed by David Ozeri, MD on September 23, 2020 LinkedIn David Ozeri, MD, is a board-certified rheumatologist from Tel Aviv, Israel specializing in arthritis, autoimmune diseases, and biologic therapies. Learn about our Medical Review Board on September 23, 2020 Print Table of Contents View All Table of Contents Types of Cytokines How Cytokines Work Cytokine Overproduction Biologic Cytokine Inhibitors Cytokines are proteins produced by cells, and they serve as molecular messengers between cells. In arthritis, cytokines regulate various inflammatory responses. As part of the immune system, cytokines regulate the body's response to disease and infection, as well as mediate normal cellular processes in your body. Terry Vine / Getty Images Types of Cytokines Cytokines are diverse and serve a number of functions in the body. They: Stimulate the production of blood cellsAid in the development, maintenance, and repair of tissuesRegulate the immune systemDrive inflammation through interferons, interleukins, and tumor necrosis factor-alpha (TNF-α) While "cytokine" is an umbrella term that includes many types of protein messengers, more specific names are given to cytokines based on either the type of cell that makes them or the action they have in the body: Lymphokines, made by lymphocytes, attract immune cells such as macrophages Monokines, made by monocytes, attract neutrophils Chemokines are associated with chemotactic actions Interleukins are made by one leukocyte but act on other leukocytes, mediating communication between cells. Specific interleukins can have a major impact on cell-cell communication. How Cytokines Work The imune system is complex—different types of immune cells and proteins do different jobs. Cytokines are among those proteins. To understand inflammation, you must understand the role cytokines play. Cells release cytokines into your blood circulation or directly into tissues. The cytokines locate the immune cells they're designed to target and bind to the cell's receptors. This interaction triggers or stimulates specific responses by the target cells. Cytokine Overproduction Overproduction or inappropriate production of certain cytokines by the body can result in disease. For example, interleukin-1 (IL-1), interleukin-6 (IL-6), and TNF-α are produced in excess in rheumatoid arthritis, where they're involved in inflammation and tissue destruction. What Is Tumor Necrosis Factor? Biologic Cytokine Inhibitors Some biologic drugs inhibit IL-1 or TNF-α. Some biologic drugs, such as enbrel and Kineret (anakinra), bind to cytokine receptors, thereby blocking the cytokine from binding to its receptor and inhibiting cytokine response. Actemra (tocilizumab) and Kevzara (sarilumab) work similarly but bind IL-6. Other biologic drugs bind cytokines, preventing them from binding to their designated receptors. For example, TNF-α inhibitors (also called TNF blockers) bind to TNF and prevent it from attaching to cell-surface receptors. The TNF-α inhibitors on the market are: Enbrel (etanercept) Remicade (infliximab) Humira (adalimumab) Simponi (golimumab) Cimzia (certolizumab pegol) Cytokine Basics Pro-inflammatory cytokines play a role in the development of inflammatory and neuropathic pain.Anti-inflammatory cytokines are actually inflammatory cytokine antagonists.Evidence suggests that chemokines are involved in initiating pain and the persistence of pain. Was this page helpful? Thanks for your feedback! Dealing with chronic inflammation? An anti-inflammatory diet can help. Our free recipe guide shows you the best foods to fight inflammation. Get yours today! Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 3 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ferreira VL, Borba HH, Bonetti ADF, Leonart LP, Pontarolo R. Cytokines and Interferons: Types and Functions. Autoantibodies and Cytokines. 2019. doi:10.5772/intechopen.74550 Tisoncik JR, Korth MJ, Simmons CP, Farrar J, Martin TR, Katze MG. Into the eye of the cytokine storm. Microbiol Mol Biol Rev. 2012;76(1):16–32. doi:10.1128/MMBR.05015-11 Zhang JM, An J. Cytokines, inflammation, and pain. Int Anesthesiol Clin. 2007;45(2):27–37. doi:10.1097/AIA.0b013e318034194e Additional Reading Cytokines. BioBasics. McInnes I. and Schett G. Cytokines in the pathogenesis of rheumatoid arthritis. Nature Immunology. Regeneron and Sanofi Present Results from Pivotal Phase 3 Study of Sarilumab at American College of Rheumatology Annual Meeting. Regeneron. Zhang, J-M et al. Cytokines, Inflammation and Pain. International Anesthesiology Clinics. Growth Factors and Cytokines. Primer on the Rheumatic Diseases. Edition 12. Published by the Arthritis Foundation.