Chronic Inflammation 1 Flashcards

1
Q

Name the four cells that are involved in chronic inflammation.

A

1) Lymphocytes
2) Macrophages
3) Plasma cells
4) Fibroblasts

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2
Q

What are lymphocytes?

A

T lymphocytes and B lymphocytes. Involved in immune response, memory and killer T cells.

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3
Q

Where do plasma cells differentiate from?

A

B cells.

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4
Q

What do plasma cells do?

A

Produce antibodies.

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5
Q

What do macrophages do?

A

Present antigens of pathogen. Clean up debris.

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6
Q

What do fibroblasts do?

A

Make structural proteins - e.g collagen.

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7
Q

What are the two major causes of chronic inflammation?

A

1) following acute inflammation

2) As a primary lesion.

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8
Q

Under what circumstances would acute inflammation lead to chronic inflammation?

A

If there is a large volume of damage.

If the debris cannot be removed.

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9
Q

Give four examples as to why chronic inflammation would arise as a Primary Lesion.

A

1) Autoimmune disorder
2) Materials resistant to digestion
3) exogenous substances
4) endogenous substances

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10
Q

What are some materials resistant to digestion?

A

Mycobacteria , viruses, brucella (a type of gram negative bacteria) , cell walls that are resistant to enzymes.

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11
Q

What are some exogenous substances?

A

Sutures, metal and plastic (could be joint replacements)

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12
Q

What are some endogenous substances?

A

Necrotic tissue, keratin, hair.

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13
Q

Do exogenous and endogenous substances produce an immune response or an inflammatory response or both?

A

Just inflammatory.

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14
Q

What are the two effects of chronic inflammation?

A

1) Granulation tissue formation

2) fibrosis and scarring

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15
Q

What is granulation tissue?

A

It is new connective tissue to ‘patch’ a wound.

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16
Q

How does fibrosis occur?

A

Fibroblasts lay down collagen.

17
Q

What are some adverse effects of tissue scarring?

A

1) adhesions between loops in bowels
2) change in appearance
3) less motility

18
Q

Is acute or chronic inflammation more long term?

A

Chronic.

19
Q

What are the clinical presentations of chronic inflammation.

A

Malaise (general feeling of illness) and weight loss. Tends to be no specific sore bit.
Loss of function.

20
Q

Give 2 example of chronic inflammation causing loss of function.

A

Leprosy - loss of function in cutaneous nerves

Crohn’s Disease.

21
Q

What is organisation?

A

The process of granulating tissue that leads to healing and repair.

22
Q

what is inflammatory exudate, and what replaces it during granulation?

A

Pus like / clear fluid that covers would. Replaced by collagen set down by fibroblasts.

23
Q

What does granulated tissue contain a lot off?

A

Fibroblasts.

24
Q

What is autoimmune disease?

A

autoantibodies directed against bodies own tissues and cells - auto antigens.

25
Q

How do T-lymphocytes work ?

A

The produce cytokines which attract and hold macrophages.
Produce intervirons (anti viral effects)
and they kill cells.

26
Q

What does an NK cell do?

A

It destroys antigens and cells.