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