2nd line of defense: fever Flashcards

1
Q

what is pyrogenic mean

A

fever inducing

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2
Q

what is the WBC tht secretes a range of cytokines

A

activated macrophage

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3
Q

what is the local effect of IL-1

A

activates vascular endothelium and lymphocytes. local tissue destruction. increase access of effector cells

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4
Q

what is the systemic effect of IL-1

A

fever and production of IL-6

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5
Q

what is the local effect of TNF alpha

A

activates vascular endothelium, increases vascular permeability leading to increased entry of IgG, complement, increase drainage to lymph nodes

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6
Q

what is the systemic effect of TNF alpha

A

fever, mobilization of metabolites and shock

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7
Q

what is the local effect of IL-6

A

lymphocyte activation, increase antibody production

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8
Q

what is the systemic effect of IL-6

A

fever, induce acute-phase protein production

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9
Q

what is the local effect of IL-8

A

chemotactic factor recruits neutrophils, basophil and T cells to site of infection

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10
Q

what is the local effect of IL-12

A

activate NK cells, induces the differentiation of CD4 into TH1 cells

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11
Q

define endogenous pyrogens

A

cytokines produced in response to tissue damage (eg from infection) to raise body temp

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12
Q

eg of endogenous pyrogens

A

IL-1, IL-6 and tumor necrosis factor alpha

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13
Q

define cytokines

A

chemical messengers produced by cells (eg macrophages) that regulate the inflammatory and immune responses

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14
Q

how do cytokines work

A

regulates (immune and accessory) cells such as differentiation, multiplication and activation

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15
Q

define cytokine storm

A

hypercytokinemia (too much cytokines produced)

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16
Q

adverse rxn of cytokine storm

A

drop in blood pressure (hypotension), shock, organ failure and death

17
Q

eg of cytokine storms

A

endotoxic shock syndrome cause by gram -ive bacteria/blood infections, sepsis,SARS and Pandemic influenza

18
Q

benefit of fever

A

hostile to microbes, inhibit growth, speed up body metabolism to produce more nrg, cells and proteins required to fight infection