Chronic inflammation Flashcards
What are the three outcomes of acute inflammation?
- Restoration of full tissue health
- Scarring/fibrosis
- Inability to clear damage/eradicate infectious agent leading chronic inflammation
What cells are key to the resolution of acute inflammation?
Macrophages
What indicates a macrophage has moved from the pro-inflammatory phenotype to the pro-healing phenotype?
Different types of cytokines are secreted
What acts as a stimulus to signal the resolution of inflammation for macrophages?
Apoptotic cells
Outline the mechanisms of fibrosis
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What are the characteristics of acute inflammation?
What are the characteristics of chronic inflammation?
- Mononuclear cells
- Tissue destruction
- Angiogenesis and fibrosis
What are the primary mediators of acute inflammation?
- IL-1
- TNF
- Vasoactive amines
- Prostaglandins
What are the primary mediators in chronic inflammation?
- IFN-γ
- T cell cytokines
- Growth factors
What are the effects of T lymphocytes secreting cytokines in a chronic inflammatory response?
- Macrophage recruitment into the area
- Production of inflammatory mediators
- Recruitment of other lymphocytes
- Destruction of target cells
What are the effector mediators of chronic inflammation?
- TGF-β
- Vascular endothelial growth factor
- Metalloproteinases
What is the role of TGF-β?
- Chemotaxis and proliferation of fibroblasts
- Stimulation of fibroblasts
- Fibrosis
- Strongly immumosuppressive
What is the role of metalloproteinases?
Remodelling of the extracellular matrix
What is granulomatous inflammation?
Inflammation caused by the aggregation of tissue macrophages
When does granulomatous inflammation occur?
In fungal infections and allergic reactions to beryllium