Cytokines are small protein molecules that are secreted by immune cells and other cells to regulate the immune system and inflammatory response. There are over 200 identified cytokines including interleukins, interferons, tumor necrosis factors, and colony stimulating factors. Cytokines act in autocrine, paracrine, or endocrine fashion through cell surface receptors. They have pleiotropic, redundant, synergistic, and antagonistic properties and can induce cytokine cascades. The major histocompatibility complex proteins present antigen peptides and help the immune system distinguish self from non-self. Diseases have been associated with alleles of these histocompatibility genes.