interferon

IRRakib 181 views 20 slides Aug 24, 2021
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About This Presentation

interferon, types, how it works, history, mechanism, benefit, side effect.


Slide Content

INTERFERON

What is INTERFERON? Interferons are groups of proteins that are part of your natural defenses. They tell your immune system that germs or cancer cells are in your body. And they trigger killer immune cells to fight those invaders. Interferons got their name because they "interfere" with viruses and keep them from multiplying. Interferons can also combat bacterial and parasitic infections,  inhibit   cell division , and promote or impede the differentiation of cells. They are produced by all vertebrate animals and possibly by some invertebrates as well.

Interferons are categorized as   cytokines , small proteins that are involved in intercellular signaling. Interferon is secreted by cells in response to stimulation by a   virus   or other foreign substance, but it does not directly inhibit the virus’s multiplication. Rather, it stimulates the infected cells and those nearby to produce proteins that prevent the virus from replicating within them. Further production of the virus is thereby  inhibited  and the infection is stemmed. Interferons also have immunoregulatory functions—they inhibit B- lymphocyte  (B-cell) activation,  enhance  T-lymphocyte (T-cell) activity, and increase the cellular-destruction capability of natural killer cells. HOW IT WORKS?

HISTORY OF INTERFERON Interferons were discovered in 1957 by British bacteriologist  Alick Isaacs and Swiss microbiologist  Jean Lindenmann . Research conducted in the 1970s revealed that these substances could not only prevent viral infection but also suppress the growth of cancers in some laboratory animals. Hopes were raised that interferon might prove to be a wonder  drug  able to cure a wide variety of diseases, but its serious side effects, which include flulike symptoms of  fever  and fatigue as well as a decrease in the production of blood cells by the  bone marrow , deflated expectations for its use against less serious diseases.

TYPES OF INTERFERON I nterferons have been classified into two types: T ype I : Type I interferons can be produced by almost any cell upon stimulation by a virus; their primary function is to induce viral resistance in cells.  T ype I includes the alpha ( α ) and beta  ( β ) forms. 2.   T ype II : Type II interferon is secreted only by natural killer cells and T lymphocytes; its main purpose is to signal the  immune system  to respond to infectious agents or cancerous growth. Type II consists of the gamma ( γ ) form. Three forms of interferon— alpha  ( α ),  beta  ( β ), and  gamma  ( γ )—have been recognized. T ype I T ype II

MECHANISM OF ACTION Cells that have been infected with viruses or other germs give off interferon-alpha and interferon-beta as a warning signal to your immune system. That triggers immune cells called white blood cells to release interferon-gamma to fight the germs. Interferons work in a few different ways. They: Alert your immune system so it can go after the virus or cancer Help your immune system recognize the virus or cancer Tell immune cells to attack Stop virus and cancer cells from growing and dividing Help healthy cells fight infection

The Overview of Interferon

Similarities between Type I and Type II Interferons

Differences between Type I and Type II Interferons

What conditions do interferons treat? Interferon-alpha treats viral infections, including: Chronic hepatitis C, hairy cell leukemia, Kaposi sarcoma caused by AIDS, chronic myelogenous leukemia (CML) Chronic hepatitis, lymphoma, and malignant melanoma Genital warts But interferons aren't used as often to treat these diseases; newer drugs have come along that work better and faster.  Inhaled interferon-beta is being studied to see if it can help treat COVID-19 infection. Interferon-beta treats different types of multiple sclerosis. It eases inflammation in your brain and spinal cord to prevent nerve damage. Interferon gamma-1b ( Actimmune ) treats chronic granulomatous disease, which affects the way your immune system works, and severe malignant osteopetrosis, which affects your bones. Certain types of interferon medications have a chemical called polyethylene glycol (PEG) added to them. PEG makes the medicine last longer in your body, so you don't need as many shots.  These are called peginterferon drugs.

How do you take interferons? You get interferon as a shot under your skin or into a muscle. A doctor can give you the shot or teach you how to give it to yourself at home. Interferon is also sometimes given through a vein in your arm (infusion). The number of shots or infusions you need depends on the condition you have. Shots are often given three times a week, but to treat cancer, you may get an infusion 5 days a week for several weeks or months.

What are the benefits? Interferons are man-made versions of proteins your body makes. These drugs work with your immune system to help it find and attack viruses and cancer. They can stop virus and cancer cells from growing and spreading , and prevent other cells from getting infected. If you have MS, they can make you less likely to have a flare-up and slow damage to your brain and spinal cord.

What are the risks? Interferons can cause some health issues, including: Heart problems:  A small number of people who are treated with interferons can have a fast or irregular heartbeat or low blood pressure. Mental health conditions:  Some people have said they feel depressed or think about suicide while taking interferon. If you have depression or another mental health disorder, your doctor might need to watch you more closely while you take one of these drugs. Eye disease : Interferons could make some eye diseases worse. Everyone should have a vision check before starting on these drugs. People with diseases like diabetic retinopathy will need to have regular eye exams while they're being treated with interferons.

Thyroid disease :  In rare cases, interferons can make the thyroid gland overactive (hyperthyroidism) or underactive (hypothyroidism). If you have thyroid disease that's not well controlled with medicine, you may not be able to take interferon. Before you start treatment, your doctor will check your thyroid hormone levels. Lung disease: Interferons can sometimes make lung problems like shortness of breath, pneumonia, and bronchitis worse. People with lung disease should be watched closely by a doctor while taking these drugs. If you have symptoms like a cough or shortness of breath, you might need to stop taking this medicine.

What are the side effects? Common side effects from interferons include: 1 .Pain, redness, and swelling where you get the shot. 2 .Flu-like symptoms. 3 .Tiredness . 4 .Fever. 5 . Chills . 6 . Muscle pain. 7 . Low back pain. 8 .Joint pain. 9 .Headache. 10 . Loss of appetite. 11 .Weight loss. 12 . Nausea, vomiting. 13 .Dizziness. 14 . Nervousness. 15 . Hair loss. 16 . Higher chances of infection Weakness. 17 . Pale skin. 18 . Bruising or bleeding more easily than usual. 19 .Shortness of breath. 20 . Diarrhea . 21 . Trouble sleeping. 22 .Rash . 23 . Depression . 24 . Confusion. Some of these side effects, including flu-like symptoms, go away within a few hours after you get the injection.

These side effects are less common: Chest pain Rash Liver problems Change in taste Belly pain Trouble getting pregnant Loss of sex drive Lack of periods Thirst Dry mouth Constipation Swollen glands Flushed skin Sweating These side effects are rare: Shaking A feeling like pins and needles

Who shouldn't take them? Interferons may not be safe for certain groups of people. Pregnant and breastfeeding women:   Interferons can harm an unborn baby. It's important that you don't get pregnant while taking this drug and for at least 6 months after you finish treatment.  Your doctor may recommend that you have a pregnancy test before you go on interferons and use protection -- like condoms -- for as long as you take it. Interferon can get into your breast milk, so don’t breastfeed while you take it. Men who are trying to get their partner pregnant : These drugs can cause birth defects if the father is taking it when their partner gets pregnant. You shouldn't father a child for at least 6 months after you finish treatment.