Acute Inflammation Flashcards

1
Q

TLR’s

A

-Part of innate and adaptive immune response recognize PAMP’s.

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2
Q

NF-KB

A

-Transcription factor downstream of TLR’s turns on pro-inlammatory genes

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3
Q

CD-14

A

-TLR on macrophages that responds to LPS on gram negative bacterial cell Surfaces

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4
Q

Arachadonic Acid

A

-Cleaved by PLA2, inhibited by steroids

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5
Q

COX Pathway

A
  • PGE2, PGD2, PGI2
  • Causes Vasodilation at Arteriole and increased permiability at venule
  • Pain and fever
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6
Q

5-Lipo Oxygenase Pathway

A
  • C4,D4,E4 also B4
  • Constriction and spasm of smooth muscle, increased permeability but vaso and broncho constriction.
  • Generated by mast cell and responsible for maintaining acute inflammation
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7
Q

LTB4

A

-Attracts Neutrophils

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8
Q

Attract Neutrophils

A
  • C3a, C5a
  • LTB4
  • IL-8
  • Bacterial Products
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9
Q

Mast Cells

A
  • Degranulate in response to IgE crosslinking, C3a and C5a, Trauma
  • Release of Histamine
  • Release of Leukotrienes (5-Lipo Oxygenase) to maintain the immune response
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10
Q

Histamine

A

-Vasodilation and Increased vascular permiability, released from mast cells

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11
Q

Complement

A
  • C3 Convertase
  • C5 Convertase
  • MAC
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12
Q

Classical Pathway

A

-Activation upon Ag binding to IgM or IgG

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13
Q

Alternative Pathway

A

-Activated upon attachment to bacterial products

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14
Q

MBL Pathway

A

-Mannose Binding lectin binds mannose on the surface of bacteria and stabalizes comlement

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15
Q

C3

A
  • C3a is proinflammatory molecule and activator of mast cells
  • C3b joins to form a C5 convertase and is a powerful opsin
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16
Q

C5

A
  • C5a is an attractant of Neutrophils and activator of mast cells
  • C5b allows for assembly of MAC
17
Q

Hageman Factor (XII)

A
  • Activated on contact with endothelium
  • Activates clotting cascade and kinin cascade
  • Serine Protease
  • Also activated by lipid A and endotoxin
18
Q

DIC

A

Caused by Hegeman factor in Sepsis

-Activated by endotoxin and lipid A

19
Q

Kinin Cascade

A

-Hageman factor cleaves High Molecular Weight Kinin to Badykinin

20
Q

PGE2

A
  • Causes Pain by sensitizing neurons

- Causes fever by increasing hypothalamic set point

21
Q

Bradykinin

A

-Causes pain and increases vascular permeability and vasodilation

22
Q

Redness and Warmth

A

-Vasodilation from Histamine, PGE2,D2,I2 and Bradykinin

23
Q

Swelling

A

-Histamine and damage to endothelium

24
Q

Pain

A

-Bradykinin and PGE2

25
Q

Fever

A

-Release of IL-1 and TNF from macrophages causes activation of COX in perivascular cells in hypothalamus resulting in PGE2 and an increase in the hypothalamic temperature set point.