Macrophage release divers group of cytokines in response to pathogen include TNF-α, interleukin-1β, IL-6, IL-12 and IL-8. TNF-α and IL-1β and IL-6 are members of proinflammatory cytokines, which are more important in acute inflammation and have both local and distant effects. IL-12 active NK cells and drives the differentiation of CD4 T cell to TH1cells.
TNF-α, which is secreted by active macrophages, increases vascular permeability, which leads to entry of IgG and complement components to the infected tissues. It also induces necessary adhesion molecules on endothelial cells, which leads recruitment of leukocytes especially neutrophils into the site of inflammation. It is done by externalization of endothelial cell granules called Weibel-Palade bodies, which contain preformed P-selectin molecules. The other effect of TNF-α is stimulating endothelial cells to express proteins that trigger blood clotting in local small vessels, thus cutting of the blood flow. This is important in preventing the pathogen from entering the bloodstream and spreading to organs all over the body. TNF-α also has a role in stimulating the migration of dendritic cells from their sites in peripheral tissues and in their maturation into nonphagocytic but highly co-stimulatory antigen-presenting