Acute Inflammation Flashcards
What are the 4 clinical signs of inflammation?
Redness, heat, swelling, pain (loss of function)
Purpose of redness?
Delivering more blood to site
Purpose of heat?
Increasing temperature to inhibit replication of pathogens
Purpose of swelling?
Dilution of pathogens/toxins, providing wound healing, factors/mediators
Purpose of pain?
Restricting movement allowing time for repair
What do macrophage release during initiation of inflammation?
Pro-inflammatory cytokines
Chemokines
Eicosanoids
Examples of Pro-inflammatory cytokines?
TNF-a, IL1, IL6
What can mast cells release in response to IL1 and C3a and C5a?
pre-stored histamine
What are the three major steps of acute inflammation? Result of each?
Dilation of small vessels and local stasis of blood flow - redness, heat
Increased vascular permeability to permit exit of fluid, plasma proteins, leukocytes - swelling, pain
Migration and accumulation of leukocytes into the site of injury and their activation - pain, loss of function
Draw out the arachidonic acid cascade.
Two substances involved in vasodilation?
Histamine and nitric oxide
Describe increased vascular permeability?
Slides 11/12
Review the pathway of leukocyte migration on slide 16.
Discuss the components of normal laminar flow.
Slide 17
Six steps of leukocyte migration.
Activated mast cell
Margination
Rolling
Activation
Stable adhesion
Transmigration
What does margination cause?
Vasodilation and decreased axial flow
What does rolling involve?
Selectins
What does stable adhesion involve?
Integrins
ICAM-1
Components of transmigration?
PECAM-1
Integrin
Extracellular matrix
Chemokines
Watch Leukocyte Migration Movie SLIDE 21
What do animals with leukocyte adhesion deficiency lack?
Presentation?
Functional expression of B2 integrins
Severe gingivitis, tooth loss, oral ulcers, abscesses (without pus), pneumonia, diarrhea
What is chemotaxis?
Two types of chemoattractants? Function?
movement of a motile cell
Endogenous and exogenous
Bind G protein coupled receptors
Discuss steps of chemotaxis signaling on slide 24.
WATCH chemotaxis video on slide 26.
How long do neutrophils last?
only a few days
If the offense is destroyed, what happens to neutrophils (2)?
undergo apoptosis
Removed by macrophages and dendritic cells
If neutrophils are infected what happens?
Slide 27
In neutrophils are uninfected what happens?
Slide 27
If the offense remains, what happens?
More neutrophils recruited and switch to more chronic inflammatory response
Discuss systemic effects of acute inflammation.
Slide 31
3 components of systemic inflammation?
Mast cells, macrophages, dendritic cells
Discuss functions of fever.
Slide 33
What lab findings help us ID systemic inflammation? (specific components of each)
CBC (leukocytosis, neutrophilia, and left shift)
and Acute phase proteins (positive- increase during inflammation)
What are acute phase proteins primarily induced by?
IL 6
What are acute phase proteins produced by?
hepatocytes
Appearance timeline of acute phase proteins?
90 minutes
Discuss C-reactive proteins.
Slide 37
Discuss serum amyloid A.
Slide 38
What is amyloidosis?
a rare disease characterized by a buildup of abnormal amyloid deposits in the bod
Discuss iron binding molecules.
Importance?
Role in pathogenic mechanisms?
Slide 40
Role of protease inhibitors?
inhibit neutrophil proteases at inflammatory sites
Role of negative acute phase proteins? Example?
Decrease during inflammation
Albumin
Discuss Systemic Inflammatory Response Syndrome.
Slide 42
Why are certain species more sensitive to sensitive shock? Species?
PIMS
Cat, horse, sheep, pig
Species without PIMS? As a result?
dogs, rodents
less susceptible to septic shock
Three MAJOR steps of acute inflammation
Vasodilation
Vascular permeability
Migration of leukocytes to the site of inflammation
Steps of leukocyte migration?
- Margination
- Rolling
- Adhesion
- Extravasation
Vasoactive lipids are derived from what and role in vetmed?
cell membrane/drug targets
Three major acute pro-inflammatory cytokines? Act on?
IL1, IL6, TNFa
hypothalamus, liver, bone marrow
Where are acute phase proteins produced? In response to?
liver
pro-inflammatory cytokines
SIRS occurs when?
inflammatory cascades are set in motion throughout the body