1_2 Flashcards
*3 most commonly described selectins necessary for WBC extravasation during acute inflammation
*E (endothelial)P (platelet)L (leukocyte)WBC extravasation includes1. Margination (selectins)2. Adherence (integrins)3. Diapedesis (interendothelial)
*define diapedesis
*Diapedesis = process of WBC migration inbtwn endothelial cells at the site of injury during acute inflammationInvolves both adhesive and proteolytic events
*Proinflammatory cytokines
*IL-1, 6TNF alpha (cachectin)PGPDGFTGF Chemokinesleukotriene (LTB4)FIRST SOURCE= resident/sentinel tissue macrophages
*2 vasoactive substances involved in acute inflammation
*Histamine—short half life, main source from mast cells, work @ H1 receptorsSerotonin–spp dependentF(x): vasodilation, increase vascular permeability
*Define cytokines
*Diverse group of small soluble proteins that act as IC messengers during physiologic processes. Can work autocrine, endocrine, paracrine. Redundant, pleiotropism
*Anti inflammatory cytokines
*IL-10Lipoxins–inhibit neutrophils/chemotaxisSource=cd4+ TH cells, monocytes, B cellsf(x): decr pro inflammatory cytokines, decrease Ag presentationexcess IL-10 can increase susceptibility to microbial infection
*Physiologic action of PGE2
*Source= many cellsF(x): hyperalgesia, pyrogenic, vasodilation
*Physiologic action of PGF2
*Source= endometrial cells F(x): uterine contraction, bronchoconstriction, vasodilation
*Physiologic action of TxA2 (thromboxane)
*Source : Platelets, macrophagesF(x): Platelet aggregation, Vasoconstriction
*Hallmarks of an acute phase reaction
*FeverLeukocytosisChange in serum acute phase protein concentration
Nitric oxide
source:endothelial (primary), neuronal, inducibleF(x): Vasodilator(potent), Decreases platelet aggregation, Decreases white blood cell adhesion (eNO), free rad production to kill microbes (iNO)both inflm and antiinflam
C reactive protein
Positive acute phase proteinF(x): Activates complement, decreases PMN, increases macrophages, promotes DIC
Complement pathway
ROLE IN OPSONIZATION, PHAGOCYTOSIS, CHEMOTAXIS, CELL LYSIS1. Alternative path (Bacteria)——–>2. Classical path (Ab)——–> Cleave C33. Lectin path (Mannose) ——–>C3a—> anaphlatoxinC3b—> phagocytosisC3b + C3convertase—> C5b+ C6789 MAC—> lysis of bacteria
reperfusion injury pathophysiology
Prolonged ischemia –> incr hypoxanthineWhen reperfused, add oxygenAllows xanthine oxidase to fx to convert hypoxanthine –> xanthine + h2o2H2o2 destabilizes into free radicles–> oxidize cell membranes–> cell death
How are reactive oxygen species counteracted?
- Antioxidant enzymes (Superoxide dismutase, catalase glutathione peroxidase)2. Antioxidant scavenger molecules (Vitamin A, C, E)