3. Chemical Mediators of Inflammation. Flashcards
What are the 2 groups that chemical mediators are divided into?
Those that are derived from cells and those that are derived from plasma.
What are cellular chemical mediators?
Pre-made substances that are located in the cytoplasm of a cell.
When are cellular chemical mediators released?
Following the stimulation or lysis of that cell.
What are 4 examples of cellular chemical mediators?
Lipid Mediators.
Vasoactive amines.
Cytokines and chemokines.
Lysosomal contents from phagocytic cells.
What are plasma chemcial mediators?
Soluble factors that are found in the blood stream.
How are plasma chemcial mediators interconnected?
Via a cascade system, this means that when one subunit gets activated it then activates another and so on.
Lipid mediators are involved in what pathway?
The arachidonic acid pathway.
What enzyme is upregulated when there is damage to the PPL bilayer on cell membranes?
Phospholipase A2.
What is the function of phospholipase A2?
It breaks down the phospholipid bilayer and this forms arachidonic acid.
What happens to the arachidonic acid that is formed by the destruction of the cell membrane by phospholipase A2?
It is broken down by the cyclooxegenase pathway or the lipooxegenase pathway.
What enzymes break down arachidonic acid in the cyclooxegenase pathway ?
Cyclooxegenase-1 (COX-1).
Cyclooxegenase-2 (COX-2).
What is made by COX-1?
Thromboxanes and prostaglandins
What is made by COX-2?
Prostaglandins.
What is made by the lipooxegenase pathway?
Leukotrienes.
What is the role of COX-1 in healthy animals?
It helps with the protection of mucosal cells and renal function.
When are levels of COX-1 increased?
During inflammation.
When is COX-2 expressed?
During inflammation.
What is the role of the thrombaxanes that are upregulated during inflammation?
They produce vasoconstriction and platelet aggregation.
What are the 5 things produced by prostaglandins during inflammation?
Fever.
Pain.
Vasodilation.
Increased vascular permeability.
Leukocyte adhesion and chemotaxis.
How do NSAIDs affect inflammation?
They reduce the up regulation of COX-1 and COX-2.
This reduces the amount of thromboxane and prostaglandins.
This results in less redness, swelling, heat and pain.
What changes do we often see if we put an animal of NSAIDs for a long time and why do these changes occur?
Reduced renal function and reduced protection in mucosal areas.
As COX-1 enzymes are active in healthy animals and they are suppressed by NSAIDs.
Leukotrienes are involved in what kind of reactions?
Hypersensitivity and allergic reactions.
What are the 4 things that leukotrienes can cause in the body?
Smooth muscle contraction.
Vasodilation.
Leukocyte adhesion and chemotaxis.
Mucous secretion.
Do leukotrienes or histamine have a more potent response?
Leukotrienes are more potent but have a less rapid response.
What produces platelet activating factor following damage to the cell membrane?
Phospholipase A2.
Platelet activating factor is a lipid mediator.
What is the most potent activator of vascular permeability?
Platelet activating factor.
This means it increases the size of gap junctions in the vascular endothelium.
What are the 2 things that occur once platelet activating factor has been activated?
WBC chemotaxis and activation.
Platelet activation.
What are leukocytes?
White blood cells.
What is suppressed when an animal is given corticosteroids?
Phospholipase A2.
This causes widespread reduction of inflammation.
Do NSAIDs or corticosteroids have a better reduction of inflammation?
Corticosteroids, but they have more side effects.
What are 5 side effects of glucocorticoids?
Decreased mucosal protection.
Increased thirst and urination.
Increased blood sugar.
Panting and restlessness
Immunosuppression.
What are 3 examples of vasoactive amines?
Histamine.
Serotonin.
Nitric Oxide.