A cytokine storm is built from a positive feedback loop rather than a single excessive signal. The loop begins when innate cells such as macrophages and dendritic cells recognize a danger signal through pattern-recognition receptors. They release pro-inflammatory cytokines, principally TNF-\(\alpha\), IL-1β, IL-6, and IL-12. These cytokines act on nearby innate cells and on T cells. T cells that receive cytokine signals plus antigen recognition produce their own cytokines, including IFN-\(\gamma\), which in turn activates macrophages more strongly. Each activated macrophage releases more TNF-\(\alpha\), IL-1β, and IL-6, which recruit and activate more innate cells and more T cells. The loop is self-sustaining because the output of each round is also the input for the next.
In a normal response, this loop is bounded. Cytokines are produced for a limited time, they diffuse over short distances, and they are neutralized by soluble decoy receptors and antagonists such as IL-1 receptor antagonist. In a cytokine storm, the loop outruns those brakes: production rises faster than neutralization, and the cytokine concentration continues to climb instead of peaking and falling. The loop can be interrupted at several points: by blocking the initial danger signal, by blocking cytokine receptors, by reducing the number of responding cells, or by restoring the negative regulators that normally terminate the response.