acute phase response Flashcards

1
Q

briefly summarize what happens happens in the inflammatory reaction during the acute phase

A

vasodilation of vessels, capillary wall permeability increases, transmigration of cells into target tissue, changes of bio synthetic, metabolic and catabolic profile of many organs, immune system activation

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2
Q

what can cause inflammation

A

bacteria, trauma, sepsis, burns, pancreatitis, autoimmune disorders.

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3
Q

define acute phase response

A

general term for the systemic and metabolic changes that occur within hours of an inflammatory stimulus

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4
Q

what are the local proinflammtory cytokines (main ones normally released)

A

tnf a, il6, il1,

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5
Q

name biological processes in acute phase response KEY TERMS

A

leukocytosis, complement activation, opsonisation, clotting, protease inhibition

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6
Q

In systemic response in acute phase reaction what systems /areas

A

liver, metabolic, haematoglic, neuroendocrine, biochemical

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7
Q

what inflammatory mediators cause fever

A

tnf-a and il1

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8
Q

what inflammatory mediators cause stress hormone release

A

tfna il1

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9
Q

what inflammatory mediators cause synthesis of il6 and il8

A

tnfa and il1

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10
Q

what stimulates release of acute phase reactants such as crp

A

cytokines especially il6

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11
Q

what cytokines are responsible for decreasing the inflammatory response

A

il10 and il4 anti inflammatory

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12
Q

what are acute phase proteins APP

A

large groups of biochemical and functionally unrelated proteins whose plasma conc decrease and increase in repsonse to injury, ACUTE infections, burns or chronic inflammation.

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13
Q

why are app useful in tests

A

APPs are ideal biomarkers of inflammation

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14
Q

where are the APP produced

A

in the liver

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15
Q

name the apps

A

fibrinogen, crp, serum amyloid protein, haptoglobin

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16
Q

serum amyloid a would be expected to be raised in response to infection, would it be higher in bacterial or viral

A

higher in bacterial

17
Q

what is haptoglobin

A

APP : Conserve iron by binding to free Haemoglobin

Increased in acute inflammation

18
Q

what does crp do

A

removes potentially toxic substances from damaged tissues, useful in assesing response to treatment and inflammation severity

19
Q

which apps show a fast rise in concentration and fall quickly back to normal levels

A

crp and SAA

20
Q

which apps rise more steadily and have a lower peak

A

fibronogen and haptoglobin

21
Q

what is procalcitonin PCT

A

precursor of calcitonin

22
Q

what is significance of pct with regards to septic patients

A

PCT kinetics provide important information on prognosis of sepsis patients, especially as clinical symptoms are often insufficient

23
Q

PCT kinetics in septic cases are only applicable if the septic origin is..

A

bacterial

24
Q

why is PCT more useful than crp for suspected septic patients

A

It rises faster than crp so it can indicate sepsis severity earlier on improving outcomes

25
Q

what can thrombocytopenia suggest

A

low platelet

counts seen in overt DIC