The inflammatory cytokine cascade is a rapid, sequential release and activation of signaling proteins, known as cytokines, by immune cells in response to tissue damage or pathogenic invasion. This biological cascade is essential for initiating a protective inflammatory response, but chronic, dysregulated activation leads to systemic low-grade inflammation. Key pro-inflammatory cytokines, such as Interleukin-6 (IL-6), Tumor Necrosis Factor-alpha (TNF-α), and Interleukin-1 beta (IL-1β), can negatively impact hormonal sensitivity and metabolic health. Uncontrolled cytokine signaling is a central feature of many age-related chronic diseases.
Origin
This concept is foundational to immunology and pathology, describing the complex molecular communication system of the innate and adaptive immune responses. The term “cascade” highlights the self-amplifying, exponential nature of the signaling process once triggered by a threat. In the context of hormonal health, its relevance stems from the established link between chronic inflammation and endocrine resistance, such as insulin or leptin resistance.
Mechanism
The cascade is initiated when pattern recognition receptors on immune cells detect danger signals, triggering the activation of transcription factors like NF-κB. Activated NF-κB then translocates to the nucleus to promote the gene expression and subsequent release of pro-inflammatory cytokines. These cytokines bind to specific receptors on target cells, leading to further inflammatory gene expression, tissue infiltration, and systemic effects. These systemic effects include the modulation of the Hypothalamic-Pituitary-Adrenal axis and direct suppression of thyroid hormone activity.
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