Interleukin 7 Interleukin 7 is a protein that in humans is encoded by the IL7 gene. IL-7 is a hematopoietic growth factor secreted by stromal cells in the bone marrow and thymus . It is also produced by keratinocytes, dendritic cells , hepatocytes, neurons, and epithelial cells , but is not produced by normal lymphocytes.Structure The three-dimensional structure of IL-7 in complex with the ectodomain of IL-7 receptor has been determined using X-ray diffraction .Function Lymphocyte maturation IL-7 stimulates the differentiation of multipotent hematopoietic stem cells into lymphoid progenitor cells . It also stimulates proliferation of all cells in the lymphoid lineage. It is important for proliferation during certain stages of B-cell maturation, T and NK cell survival, development and homeostasis . IL-7 is a cytokine important for B and T cell development. This cytokine and the hepatocyte growth factor form a heterodimer that functions as a pre-pro-B cell growth-stimulating factor. This cytokine is found to be a cofactor for VJ rearrangement of the T cell receptor beta during early T cell development. This cytokine can be produced locally by intestinal epithelial and epithelial goblet cells , and may serve as a regulatory factor for intestinal mucosal lymphocytes. Knockout studies in mice suggested that this cytokine plays an essential role in lymphoid cell survival .IL-7 signaling IL-7 binds to the IL-7 receptor, a heterodimer consisting of Interleukin-7 receptor alpha and common gamma chain receptor . Binding results in a cascade of signals important for T-cell development within the thymus and survival within the periphery. Knockout mice which genetically lack IL-7 receptor exhibit thymic atrophy , arrest of T-cell development at the double positive stage, and severe lymphopenia . Administration of IL-7 to mice results in an increase in recent thymic emigrants, increases in B and T cells , and increased recovery of T cells after cyclophosphamide administration or after bone marrow transplantation .Disease Cancer IL-7 promotes hematological malignancies .Viral Infections Elevated levels of IL-7 have also been detected in the plasma of HIV-infected patients .Clinical application IL-7 as an immunotherapy agent has been examined in many pre-clinical animal studies and more recently in human clinical trials for various malignancies and during HIV infection .Cancer IL-7 has been safely administered to patients in several phase I and II clinical trials . A human study of IL-7 in patients with cancer demonstrated that administration of this cytokine can transiently disrupt the homeostasis of both CD8+ and CD4+ T cells with a commensurate decrease in the percentage of CD4+CD25+Foxp3+ T regulatory cells. No objective cancer regression was observed, however a dose limiting toxicity was not reached in this study due to the development of neutralizing antibodies against the recombinant cytokine .HIV infection Associated with antiretroviral therapy , IL-7 administration decreased local and systemic inflammations in patients that had incomplete T-cell reconstitution. These results suggest that IL-7 therapy can possibly improve the quality of life of those patients.Transplantation IL-7 could also be beneficial in improving immune recovery after allogenic stem cell transplant .
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