General principles Flashcards
What are the two Extrinsic Apoptotic pathways?
Fas ligand
CD8 release Granzyme & Perforin
What are reversible signs of cell injury?
Dec ATP= Swelling from dec ATPase action
Nuclear chromatin clumping
Fatty change
Ribosomal detachment
What are Irreversible signs of cell injury?
Nuclear pyknosis, karyolysis, karyorrhexis Ca influx= Caspase activation Plasma membrane damage Lysosomal rupture Mitochondrial permeability
What inflammatory mediators are PMN chemotactic?
IL8
LTB4
C5a
What inflammatory mediators cause FEVER?
TNF
IL-1
PGE2
What are involved in PMN rolling?
Vasculature= E/P selectins PMNs= Sialyl-Lewisx
What factors are involved in PMN Binding?
Vasculature= ICAM-1 PMN= LFA-1 or "INTEGRIN"
PMN diapedesis?
PECAM-1
What do PMNs use to roll->bind->get out of BV?
Sialyl-lewisx -> INTEGRIN -> PECAM
What are some examples of injury causes by Free radicals?
Retinopathy of prematurity (too much O2 given to baby) Bronhopulmonary dysplasia Carbon tetrachloride Acetaminophen Iron overload Reperfusion
What cytokines are important for making and maintaing granulomas?
Macs –> IL-12 –> Th1 –> IFN gamma
Macs secrete TNF to Maintain granuloma
Anti-TNF will cause breakdown of granuloma and thus disseminated TB
What causes: Primary amyloidosis (AL)? Secondary (AA)? Dialysis related? Heritable? Senile? Organ specific?
AL= Ig Light chains seen in MM AA= Amyloid A from Chronic Inflammatory dz (RA, IBD) Dialysis = Beta2 microglobulin (carpal tunnel, join pain) Heritable = Transthyretin (prealbumin) Senile= TTR in heart/ tissue slowly Organ = Amyloid Beta protein from APP (Alzh dz)
What is HER2/neu (erbB2)?
Tyrosine Kinase
Breast & ovarian cancer
What is ras?
GTPase oncogene
Colon cancer
L-myc & N-myc are?
Transcription factors
N=neuroblastoma/ L=lung