IAI - acute/chronic inflammation Flashcards
What type of immunity is acute inflammation associated with?
Innate immunity - acute inflammation
What type of immunity is chronic inflammation associated with?
Adaptive immunity - chronic inflammation
What is the duration of acute inflammation?
Acute inflammation starts in a few minutes, becomes maximal after several hours and then lasts for a day or two.
What is the duration of chronic inflammation?
Chronic inflammation is something that can last for weeks or months, sometimes even years or decades.
What are the inflammatory cells associated with acute inflammation?
neutrophil polymorphs
What are the inflammatory cells associated with chronic inflammation?
mononuclear cells, lymphocytes and macrophages.
What is the definition of inflammation?
The reaction of vascularised living tissue to local injury.
what are the four cardinal signs of inflammation:
RUBOR - redness
TUMOUR - swelling
CALOR - heat
DOLOR - pain
What do fibroblasts outside of the CNS produce?
collagen
What are vascular changes involved in an acute inflammatory response?
Transient vasoconstriction of arterioles
Vasodilatation and increased blood flow
Slowing of the circulation because of increased
permeability of the microvasculature.’ Stasis’
Exudation of fluid and plasma proteins (oedema)
What may acute inflammation be accompanied by?
Exudate:
- An inflammatory extravascular fluid that has a high protein
concentration, much cellular debris
Pus
- A purulent exudate rich in leucocytes (mostly neutrophils) and parenchymal cell debris
Describe the movement of cells into an acute inflammatory lesion.
- Histamine and Thrombonin factors are released
- WP (weibel-palade) bodies activated
- WP bodies release P and E selectin which are adhesion molecules expressed on the cell surface which causes neutrophils to slow down by interacting with carbohydrate receptors, this is called MARGINATION
- chemokine IL8 is released in response to stimuli such as LPS.
- chemotaxis happens, which is the unidirectional migration of cells towards chemokine
- interaction between integrin on neutrophils and endothelial adhesion molecules such as ICAM-1 makes a firm connection to permit diapedesis (movement across endothelium) and extravasation (movement of cells into tissues following the chemokine gradient)
whats the 3 main inducers of chemotactic agents for neutrophils
- Bacterial products
- Components of the complement system, particularly c5a
- Products of the lipoxygenase pathway of arachidonic acid metabolism, particularly leukotriene B4.
do keats quiz on acute/chronic inflammation
https://keats.kcl.ac.uk/mod/lesson/view.php?id=7651861
What is acute serous inflammation?
Sometimes accumulation of fluid is the dominant feature of inflammation, as observed in a friction blister or a burn.