Acute Inflammation Flashcards
TLR’s
-Part of innate and adaptive immune response recognize PAMP’s.
NF-KB
-Transcription factor downstream of TLR’s turns on pro-inlammatory genes
CD-14
-TLR on macrophages that responds to LPS on gram negative bacterial cell Surfaces
Arachadonic Acid
-Cleaved by PLA2, inhibited by steroids
COX Pathway
- PGE2, PGD2, PGI2
- Causes Vasodilation at Arteriole and increased permiability at venule
- Pain and fever
5-Lipo Oxygenase Pathway
- 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
LTB4
-Attracts Neutrophils
Attract Neutrophils
- C3a, C5a
- LTB4
- IL-8
- Bacterial Products
Mast Cells
- Degranulate in response to IgE crosslinking, C3a and C5a, Trauma
- Release of Histamine
- Release of Leukotrienes (5-Lipo Oxygenase) to maintain the immune response
Histamine
-Vasodilation and Increased vascular permiability, released from mast cells
Complement
- C3 Convertase
- C5 Convertase
- MAC
Classical Pathway
-Activation upon Ag binding to IgM or IgG
Alternative Pathway
-Activated upon attachment to bacterial products
MBL Pathway
-Mannose Binding lectin binds mannose on the surface of bacteria and stabalizes comlement
C3
- C3a is proinflammatory molecule and activator of mast cells
- C3b joins to form a C5 convertase and is a powerful opsin