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Alireza Heidari
Immunoregulatory cytokines that encourage inflammation are referred to as proinflammatory cytokines. The ultimate effect of an inflammatory response is determined by the balance of proinflammatory and antiinflammatory cytokines. Activated macrophages release proinflammatory cytokines, which are involved in the up-regulation of inflammatory reactions. Endothelial adhesion molecules are needed for leukocyte adhesion to the endothelial surface prior to emigration into tissues and are induced by IL-1 and TNF. Proinflammatory cytokines induce inflammation by releasing a cascade of gene products that are seldom released in healthy people. What triggers the expression of these genes? Though endotoxins and other inflammatory products trigger it, the proinflammatory cytokines IL-1 and TNF are effective at raising gene expression in addition, IL-1 and TNF collaborate in this step. Infection, trauma, ischemia, immuneactivated T cells, and toxins all cause IL-1 and TNF to invade the endothelium and initiate a cascade of inflammatory mediators.