4 Inflammation and Its Mediators Flashcards

1
Q

Responsible for elimination of pathogens in subsequent phases of infection

A

Adaptive immune system

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2
Q

Responsible for maintenance of immunological tolerance

A

Adaptive immune system

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3
Q

T/F Adaptive immunity exists only in vertebrates

A

T

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4
Q

Cells that recognize altered self

A

NK cells

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5
Q

Neutrophilic granules that contain lysozyme, elastase, and collagenase

A

Specific granules

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6
Q

Lysosomes that contain enzymes and microbicidal substances found in the cytoplasm of neutrophils

A

Azurophilic granules

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7
Q

Most prevalent cell type in the early phases of antimicrobial response

A

Neutrophils

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8
Q

Dominant effector cells in the later stages of inflammation

A

Recruited monocytes-macrophages

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9
Q

Within ___ days, neutrophils are almost completely replaced by monocytes-macrophages

A

1-2

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10
Q

T/F PAMPs are essential for microbial survival

A

T

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11
Q

PRR: Characterized by extracellular leucine-rich repeat (LRR) domain and intracellular Toll IL-1 receptor (T1R) domain

A

TLR

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12
Q

Number of TLRs identified in humans

A

13

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13
Q

TLR: Expressed at the cell surface and mainly recognize bacterial products unique to bacteria

A

TLR 1,2,4,5,6,10

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14
Q

TLR: Located almost exclusively in intracellular compartments, including endosomes and lysosomes

A

TLR 3,7,8,9,11,12,13

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15
Q

PAMP-origin-PRR-main effector function: LPS

A

G-bacteria; TLR4, CD14; macrophage activation

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16
Q

PAMP-origin-PRR-main effector function: Unmethylated CpG nucleotides

A

Bacterial DNA; TLR9; macrophage, B-cell, plasmacytoid cell activation

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17
Q

PAMP-origin-PRR-main effector function: Terminal mannose residues

A

Microbial glycoprotein and glycolipids;
1) Macrophage mannose receptor; phagocytosis
2) Plasma MBL; complement activation opsonization

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18
Q

PAMP-origin-PRR-main effector function: LPS, dsRNA

A

Bacteria, viruses; Macrophage scavenger receptor; Phagocytosis

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19
Q

PAMP-origin-PRR-main effector function: Zymosan

A

Fungi; TLR2, Dectin-1; Macrophage activation

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20
Q

PAMP-origin-PRR-main effector function: dsRNA

A

Viral; TLR3, RIG-I; IFN Type I production

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21
Q

PAMP-origin-PRR-main effector function: ssRNA

A

Viral; TLR7/8, MDA5; IFN Type I production

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22
Q

PAMP-origin-PRR-main effector function: N-formylmethionine residues

A

Bacteria; Chemokine receptors; Neutrophil and macrophage activation and migration

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23
Q

PAMP-origin-PRR-main effector function: MDP

A

G+ and G- bacteria; NOD2, NALP1; Macrophage activation

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24
Q

TLR located in both cell surface and endolysosomal compartment

A

TLR4

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25
Q

TLR-Ligand: TLR1

A

Lipopeptides

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26
Q

TLR-Ligand: TLR2

A

Zymosan, peptidoglycans, lipoteichoic acids, lipoarabinomannan, porins, envelope glycoproteins

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27
Q

TLR-Ligand: TLR3

A

dsRNA

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28
Q

TLR-Ligand: TLR4

A

LPS, lipoprotein, HSP60 (chlaymida), fusion protein (RSV)

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29
Q

TLR-Ligand: TLR5

A

Flagellin

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30
Q

TLR-Ligand: TLR6

A

Diacyl lipopeptides (mycoplasma), lipoteichoic acid (G+ bacteria)

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31
Q

TLR-Ligand: TLR7&8

A

ssRNA and short dsRNA

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32
Q

TLR-Ligand: TLR9

A

Unmethylated CpG DNA

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33
Q

TLR-Ligand: TLR10

A

Unknown

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34
Q

TLR-Ligand: TLR11

A

Profilin and flagellin (apicomplexan parasites)

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35
Q

TLR-Ligand: TLR12

A

Profilin (apicomplexan parasites)

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36
Q

TLR-Ligand: TLR13

A

Bacterial 23S rRNA (G- bacteria)

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37
Q

Key cell types expressing TLRs

A

APCs (including macrophages, DCs, and B lymphocytes)

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38
Q

Cytosolic receptors that function in pattern recognition of viral and bacterial pathogens

A

1) NLRs (NOD-like receptors)
2) RLRs (RIG-I-like receptors)

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39
Q

NLRs consists of

A

N-terminal effector region
Centrally located NOD (or NACHT)
C-terminal LRR that sense PAMPs

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40
Q

Makes up the N-terminal effector region of NLRs

A

CARD or Pyrin domain or Acidic domain or BIRs

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41
Q

NLRs containing a pyrin domain

A

NLRPs

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42
Q

Most well-characterized among NLRs

A

1) NOD family
2) NLRPs

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43
Q

NODs that are involved in sensing bacterial molecules derived from synthesis and degradation of peptidoglycan

A

NOD1 and NOD2

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44
Q

NOD that recognizes diaminopimelic acid produced primarily by G- bacteria

A

NOD1

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45
Q

NOD that recognizes muramyl dipeptide (MDP), a component of both G+ and G- bacteria

A

NOD2

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46
Q

T/F DAMPs also activate PRRs

A

T

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47
Q

Receptors on macrophage surface

A

1) PRR
2) CD40
3) Fc and complement receptors

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48
Q

DAMPs released during necrotic or inflammatory based cell death

A

Alarmins

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49
Q

Calcium-binding proteins expressed in the cytoplasm of phagocytes and secreted by activated monocytes and neutrophils

A

Calgranulins (S100A8, S100A9, and S100A12)

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50
Q

3 major downstream signaling pathways responsible for mediating TLR-induced responses

A

1) NF-κB
2) MAPKs
3) IRFs

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51
Q

Downstream signaling pathways: Play central roles in induction of a proinflammatory response

A

1) NF-κB
2) MAPKs

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52
Q

Downstream signaling pathways: Essential for stimulation of IFN production

A

IRFs

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53
Q

MAPK-activated pathways

A

p38, JNK, ERK

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54
Q

TLR signaling pathway that induces the early-phase NF-κB and MAPK activation that controls the induction of proinflammatory cytokines

A

MyD88-dependent signaling pathway

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55
Q

TLR signaling pathway that activates IRF3, which is required for induction of IFN-β and IFN-inducible genes

A

MyD88-independent signaling pathway

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56
Q

TLR signaling pathway that mediates the late-phase NF-κB and MAPK activation

A

MyD88-independent signaling pathway

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57
Q

Th1- vs Th2-related cytokines: IFN-γ

A

Th1

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58
Q

Th1- vs Th2-related cytokines: Polarize macrophages to an M1 phenotype

A

Th1

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59
Q

Th1- vs Th2-related cytokines: IL-4

A

Th2

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60
Q

Th1- vs Th2-related cytokines: IL-13

A

Th2

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61
Q

Th1- vs Th2-related cytokines: Polarize macrophages to an M2 phenotype

A

Th2

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62
Q

M1 vs M2 macrophages: Dampen inflammation

A

M2

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63
Q

M1 vs M2 macrophages: Promote tissue remodeling and repair

A

M2

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64
Q

M1 vs M2 macrophages: Help in parasite clearance

A

M2

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65
Q

M1 vs M2 macrophages: Suppress tumor immunosurveillance

A

M2

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66
Q

T/F A single macrophage can change between M1 and M2 phenotype function in response to changes in the local environment

A

T

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67
Q

Interferons are a treatable target using

A

1) Monoclonal Ab that blocks either the cyokine or receptor
2) JAKi that blocks IFNAR (Type 1 IFN receptor) signaling

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68
Q

Protein complex responsible for production of biologically active IL-1 (i.e. secretion of mature IL-1β and IL-18)

A

Inflammasome

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69
Q

NLR that has been ascribed a role in recognition of uric acid crystals

A

NLRP3

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70
Q

Components of inflammasome

A

1) Adaptor ASC
2) Procaspase-1
3) An NLR

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71
Q

Mutations in the NLRP3 and NLRC4 genes in humans are associated with disease characterized by excessive production of IL-1β and IL-18, which are called

A

Autoinflammatory diseases

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72
Q

Activated vs inactive pyrin: Phosphorylated form

A

Inactive or blocked form

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73
Q

Distinct subtype of DCs that display unique capacity to secrete large amounts of type I IFN (α/β) in response to certain viruses and other stimuli

A

pDCs aka plasmacytoid interferon producing cells

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74
Q

Trigger TLR7&9 expressed by pDCs, leading to type I IFN production

A

Viral nucleic acids
Self-nucleoproteins internalized in the form of immune complexes

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75
Q

Diseases with increased Type I IFN signaling, hence pDCs have been implicated in their pathophysiology

A

SLE, JDM

76
Q

First signals for gene expression and synthesis of inactive IL-1β and IL-18 precursors in the canonical activation of inflammasome

A

TLR ligands

77
Q

Second signals for gene expression and synthesis of inactive IL-1β and IL-18 precursors in the canonical activation of inflammasome

A

Exogenous ATP OR mitochondrial ROS

78
Q

Protein mutated in FMF (gain of function mutation) that is able to form with ASC and caspase 1 its own inflammasome

A

Pyrin (aka MEFV)

79
Q

Activates the serine-threonine kinases PKN1 and PKN2 that phsophorylate and block pyrin

A

GTPase RhoA

80
Q

Pyrin inflammasome activation inactivates ___ resulting in dephosphorylation of pyrin

A

GTPase RhoA

81
Q

2 major subsets of NK cells are identified according to

A

Level of expression of CD56: CD56dim and CD56bright

82
Q

CD56dim vs CD56bright: 90% of NK cells in peripheral blood

A

CD56dim

83
Q

CD56dim and CD56bright: Immature

A

CD56bright

84
Q

CD56dim and CD56bright: Plays a major role in cytokine production

A

CD56bright

85
Q

CD56dim and CD56bright: Better able to leave the circulation

A

CD56bright

86
Q

CD56dim and CD56bright: Constitutes majority of NK cells in lymphoid organs

A

CD56bright

87
Q

Binds with inhibitory receptor on NK cell

A

MHC I

88
Q

Leads to loss of MHC I expression of cell, thereby lack of ligand for inhibitory receptor of NK cell leading to killing of the affected cell

A

Viral infection

89
Q

Receptors on NK cell

A

Activating receptor
Inhibitory receptor
Fc receptor (FcγRIIIa)

90
Q

Potent inducer of NK cell IFN-γ secretion and cytolytic activity

A

IL-12 produced by macrophages

91
Q

Cytokine secreted by NK cell that further activates macrophages to kill phagocytosed microbes

A

IFN-γ

92
Q

Lymphoid derived cells with effector functions that parallel that of T cells but do not bear a T cell receptor and instead respond to stimuli in an innate-like fashion

A

Innate lymphoid cells (ILCs)

93
Q

Innate lymphoid cells (ILCs): Produce cytokines typically associated with Th1 T-cell responses

A

Group 1 ILCs

94
Q

Innate lymphoid cells (ILCs): Share many of the effector functions of CD4+ Th2 cells

A

Group 2 ILCs

95
Q

Innate lymphoid cells (ILCs): Have cytotoxic functions like CD8+ T cells

A

Group 1 ILCs

96
Q

Innate lymphoid cells (ILCs): Predominate in the intestinal mucosa and may contribute to IBD

A

Group 3 ILCs

97
Q

Innate lymphoid cells (ILCs): NK cells are a major component of this group

A

Group 1 ILCs

98
Q

Innate lymphoid cells (ILCs): Thought to be important in antihelminthic responses

A

Group 2 ILCs

99
Q

Innate lymphoid cells (ILCs): Express the transcription factor RORγT

A

Group 3 ILCs

100
Q

Innate lymphoid cells (ILCs): Make IL-17 and IL-22 much like Th17 cells

A

Group 3 ILCs

101
Q

Innate lymphoid cells (ILCs): Found in synovial fluid of children with JIA

A

Group 3 ILCs

102
Q

Pathway of complement activation: Activated by direct binding of C3b to microbial cells

A

Alternative pathway

103
Q

Pathway of complement activation: Activated by binding of C1 to CH2 domains of IgG or CH3 domains of IgM that have bound antigen

A

Classical pathway

104
Q

Pathway of complement activation: Activated by direct recognition of carbohydrate or acetylated PAMPs by MBL and ficolins

A

Lectin pathway

105
Q

3 pathways of complement activation converge upon this central protein

A

C3

106
Q

Type 1 vs type 2 complement receptor: CR1

A

Type 1

107
Q

Type 1 vs type 2 complement receptor: CD35

A

Type 1

108
Q

Type 1 vs type 2 complement receptor: CR2

A

Type 2

109
Q

Type 1 vs type 2 complement receptor: CD21

A

Type 2

110
Q

Type 1 vs type 2 complement receptor: Expressed by almost all blood cells

A

Type 1

111
Q

Type 1 vs type 2 complement receptor: Present on B lymphocytes and follicular DCs of LN germinal centers

A

Type 2

112
Q

Type 1 vs type 2 complement receptor: Mainly functions as co-receptor for B cell activation by antigen

A

Type 2

113
Q

Type 1 vs type 2 complement receptor: Promotes phagocytosis of C3b coated microbes

A

Type 1

114
Q

Type 1 vs type 2 complement receptor: Mainly functions to stimulate trapping of antigen-antibody complexes in germinal centers

A

Type 2

115
Q

Complement receptor expressed on RBCs that bind to immune complexes with attached C3b thereby transporting these complexes to the liver and spleen where they are removed from the erythrocyte surface and cleared

A

CR1

116
Q

Complement receptors that are members of the integrin family and are expressed by innate immune system cells

A

Type 3 and 4 complement receptors

117
Q

Complement receptors that promotes activation of innate cells resulting in phagocytosis of microbes opsonized with C3b

A

CR3 and CR4

118
Q

Complement receptor: Clearance of immune complexes

A

CR1 (CD35)

119
Q

Complement receptor: Receptor for EBV

A

CR2 (CD21)

120
Q

Complement receptor: Adhesion to endothelium via ICAM

A

CR3 (CD11b/CD18)

121
Q

Deficiency of this complement component is associated with serious pyogenic infections

A

C3

122
Q

Defects of this complement component is associated with increased risk of disseminated Neisseria infections

A

Terminal complement components C5-C9

123
Q

Deficiency of this protein, which functions to regulate the proteolytic activity of C1, the initiator of the classical pathway, causes hereditary angioedema

A

C1 inhibitor

124
Q

Characterized by excess alternative pathway activation leading to C3 consumption and glomerulonephritis

A

Deficiency of factor H

125
Q

Adhesion molecules constitutively expressed on circulating leukocytes that ensures firm adherence of leukocytes to endothelial cells

A

Integrins

126
Q

Weak adhesion of leukocytes to the endothelium

A

Rolling

127
Q

Adhesion molecule-cell distribution-ligand-main function: P-selectin

A

Activated endothelium; sialyl lewis x; initiate leukocyte-endothelium interaction

128
Q

Adhesion molecule-cell distribution-ligand-main function: E-selectin

A

Platelets; PSGL-1; -

129
Q

Adhesion molecule-cell distribution-ligand-main function: L-selectin

A

Activated endothelium & leukocytes; GlyCAM-1, CD34, MADCAM-1; -

130
Q

Adhesion molecule-cell distribution-ligand-main function: VLA4-5

A

Leukocytes; JAM-B; homing to inflamed tissue

131
Q

Adhesion molecule-cell distribution-ligand-main function: LFA-1

A

Leukocytes; ICAM-1/3, JAM-A; Leukocyte adhesion to endothelium

132
Q

Adhesion molecule-cell distribution-ligand-main function: VE-cadherin

A

Endothelium lateral junctions; VE-cadherin; cell to cell adhesion

133
Q

Adhesion molecule-cell distribution-ligand-main function: VLA-4

A

Leukocytes; VCAM-1; leukocyte adhesion to endothelium

134
Q

Cytokines are classified in these 5 main categories

A

1) Interleukins
2) Interferons
3) Pro- and anti-inflammatory cytokines
4) Chemokines
5) Growth factors

135
Q

Interleukins

A

IL-2,4,5,7,12,13,15,18,23

136
Q

Proinflammatory cytokines

A

IL-1α, IL-1β, TNF-α
IL-6,17,22

137
Q

Antiinflamatory cytokines

A

IL-10, TGF-β

138
Q

Interferons

A

Type I IFNs: IFNα, IFNβ
IFNγ

139
Q

T/F Cytokines typically act locally in autocrine or paracrine fashion

A

T

140
Q

Endocrine functions of TNF

A

1) Stimulate the hypothalamus to induce fever
2) Stimulate hepatocytes to produce acute phase reactants
3) Promote metabolic changes leading to cachexia

141
Q

Proinflammatory cytokine which plays a major role in septic shock

A

TNF

142
Q

Major source of TNF

A

Activated macrophages

143
Q

Major source of IL-1

A

Activated macrophages

144
Q

Interleukins, main biological effect: Synthesis of IFN-γ by T cells and NK cells

A

IL-12 and IL-18

145
Q

Interleukins, main biological effect: Differentiation of Th17 cells

A

IL-23

146
Q

Interleukins, main cell source: Il-12

A

Th2 cells, B cells, DC, macrophages

147
Q

Interleukins, main cell source: IL-23

A

DC

148
Q

Proinflammatory cytokines, main biological effect: Fever

A

IL-1, IL-6, TNF-α

149
Q

Proinflammatory cytokines, main biological effect: Acute phase reactants

A

IL-1, IL-6, TNF-α

150
Q

Proinflammatory cytokines, main biological effect: Cachexia

A

TNF-α

151
Q

Proinflammatory cytokines, main biological effect: Activation of endothelial cells

A

IL-1, TNF-α, IL-17

152
Q

Proinflammatory cytokines, main biological effect: B cell proliferation

A

IL-6

153
Q

Antiinflammatory cytokines, main biological function: Suppression of macrophage function

A

IL-10

154
Q

Antiinflammatory cytokines, main biological function: Inhibition of T and B cells

A

TGF-β

155
Q

Interferons, main biological function: Antiviral response

A

Type I IFN

156
Q

Interferons, main biological function: Activation of NK cells

A

IFN-α,β,γ

157
Q

Interferons, main biological function: Induction of MHC-I on somatic cells and MHC-II on APCs

A

IFN-γ

158
Q

Chemokine, main function: Angiogenesis

A

CXCL7

159
Q

Chemokine, main function: HIV coreceptor

A

CCL4

160
Q

Chemokine, main function: Allergy

A

CCL11

161
Q

Chemokine, main function: Lymphocyte homing to lymphoid organs

A

CXCL13

162
Q

Chemokine, main function: T cell migration to skin

A

CCL25 and 27

163
Q

Chemokine, main function: Brain inflammation

A

CX3CL1

164
Q

Chemokine, main function: Lymphocyte trafficking and development

A

XCL1

165
Q

IL-1 receptor: Constitutively expressed on many cell types

A

Type I

166
Q

IL-1 receptor: Mediates intracellular signal transmission through IRAK, leading to NF-κB and AP-1 transcription factors

A

Type I

167
Q

IL-1 receptor: Expressed only after cell activation

A

Type II

168
Q

IL-1 receptor: Binding with IL-1 does not result in intracellular signal transmission

A

Type II

169
Q

IL-1 receptor: Down-modulate biological action of IL-1 by acting as decoy receptor

A

Type II

170
Q

2 strategies for IL-1 down-modulation

A

1) Binding to Type II receptor
2) Binding of IL-Ra (IL-1 receptor antagonist) to IL-1 receptors but is biologically inactive

171
Q

IL closely related to IL-1β and is particularly associated with NLRC4 inflammasome

A

IL-18

172
Q

A soluble factor that binds to IL-18 and prevents its ability to ligate and activate IL-18 receptor

A

IL-18BP

173
Q

Stimulates synthesis of APRs by the liver and production and release of neutrophils from bone marrow

A

IL-6

174
Q

Cytokine that plays a pivotal role in sJIA

A

IL-6

175
Q

Chemokines produced by leukocytes and resident tissues in response to proinflammatory stimuli

A

Inflammatory chemokines

176
Q

Chemokines constitutively expressed by in the microenvironment of lymphoid tissues, skin, and mucosa involved in continuous leukocyte trafficking between circulation and lymphoid structures

A

Homing chemokines

177
Q

Responsible for the production of prostaglandins both in physiological and pathological conditions

A

COX

178
Q

COX that is constitutively expressed in most tissues

A

COX-1

179
Q

COX that is normally undetectable in normal tissues but can be rapidly induced in particular cell types

A

COX-2

180
Q

Cell types where COX-2 can be induced upon proinflammatory stimulation

A

Fibroblasts, monocytes, endothelial cells

181
Q

Most abundant COX-2 product

A

PGE2 and mast cell-derived PGD2

182
Q

Prostaglandin that plays a crucial role in the induction of fever after stimulation of specialized endothelial cells in hypothalamic tissue by endogenous pyrogens

A

PGE2

183
Q

Endogenous pyrogens

A

TNF and IL-6

184
Q

Derived from the combined actions of 5-LOX and FLAP with initial formation of 5-HPETE

A

Leukotrienes

185
Q

Main function of matrix metalloproteinases

A

Remodeling of ECM during tissue resorption