IM3: Understanding Inflammation Flashcards

1
Q

What are the 4 cardinal features of inflammation?

A
  • Heat
  • Redness
  • Swelling
  • Pain
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2
Q

What causes the cardinal feature of heat in inflammation?

A

Increased blood flow and release of inflammatory mediators

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3
Q

What causes the cardinal feature of redness in inflammation?

A

Increased vascularity of the region

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4
Q

What causes the cardinal feature of swelling in inflammation?

A

Exudation of fluid, proteins and cells into the area of tissue damage

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5
Q

What causes the cardinal feature of pain in inflammation?

A

Caused by activation of pain receptors by inflammatory mediators in inflammatory exudate

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6
Q

How may inflammation be triggered? (5)

Give an example of each of these triggers

A
  • Physical agents (heat)
  • Foreign bodies (splinter)
  • Chemicals (acid)
  • Infections (bacteria)
  • Immune mediated (immune complexes)
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7
Q

What are the main functions of inflammation? (3)

A
  • Destroy and remove pathogens or injuring foreign bodies
  • Limiting and confining the effects of pathogens and their products
  • Repairing and replacing damaged tissue
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8
Q

What is acute inflammation?

What is it characterised by?

A
  • Occurs early and consists of transient episodes (days, weeks)
  • Characterised by neutrophil infiltration
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9
Q

What is chronic inflammation?

What is it characterised by?

A
  • Long lasting inflammation (months or years)

- Characterised by lymphocytes and macrophages

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10
Q

What are PAMPs?

A

Pathogen-associated

molecular patterns

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11
Q

What are PRRs?

A

Pattern-recognition receptors

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12
Q

Explain the relationship between PAMPs and PRRs during inflammation

A

PAMPs are found on the surface of the microbe. These PAMPs are then recognised by PRRs.
A inflammatory response is then triggered by this

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13
Q

What are the 3 types of granules that are expressed by platelets?

A
  • Αlpha
  • Dense
  • Lysosomal
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14
Q

Which platelet granule reaches;

  • Chemokines
  • Coagulation factors
  • Growth factors
  • Fibrinogen
  • Fibronectin
A

Alpha granule

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15
Q

Which platelet granule reaches;

  • Ca2+
  • Mg2+
  • Nucleotides
  • Serotonin
  • Histamine
A

Dense granule

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16
Q

Which platelet granule reaches;

  • Proteases
  • Collagenase
A

Lysosomal granule

17
Q

What is the role of platelets in inflammation? (4)

A
  • Block spread on infection by clot formation
  • Induction of pro-inflammatory cytokines
  • Breakdown of microbes by lysosome granules
  • Contribute to engulfing of bacteria
18
Q

What do mast cells promote in inflammation? (3)

A
  • Vasodilation
  • Vascular constriction
  • Delivery of plasma/cells to injured area
19
Q

What is the role of neutrophils in inflammation?

A

Neutrophils kill and degrade pathogens

20
Q

What is leukocyte extravasation?

A

The movement of leukocytes out of the circulatory system and towards the site of tissue damage or infection

21
Q

What molecules aid leukocyte extravasation? (3)

A
  • Integrin
  • P-selectin
  • E-selectin
22
Q

What occurs to leukocytes and neutrophils in leukocyte adhesion deficiencies? (3)

A
  • Leukocyte unable to leave the circulatory system
  • Neutrophil unable to aggregate
  • Neutrophil counts are twice the normal level
23
Q

Explain the events of leukocyte extravasation

A
  1. Chemokines are released by immune cells at site of injury
  2. This activates endothelial cells to present adhesion molecules
  3. Receptors on the neutrophil adhere to these molecules and begin to roll along the vessel
  4. Eventually rolling stops and neutrophil exists the vessel (diapedesis)
24
Q

Explain the process of phagocytosis

A
  1. Chemotaxis and adherence of microbe the phagocyte
  2. Ingestion of microbe by phagocyte
  3. Formation of phagosome
  4. Fusion of the phagosome with a lysosome
  5. Digestion of ingested microbe by enzymes
  6. Formation of residual body containing ingestible materials
  7. Discharge of waste materials
25
Q

What is the role of M1 Macrophages? (2)

A
  • Microbicidal actions

- Pathological inflammation

26
Q

What is the role of M2 Macrophages? (2)

A
  • Anti-inflammatory effects

- Wound repair and fibrosis

27
Q

What are the local effects of IL-1? (2)

A
  • Inflammation

- Reapir

28
Q

What is the systemic effect of IL-1?

A

Systemic manifestations of inflammation

29
Q

Give 2 examples of anti-inflammatory cytokines and what do they do?

A
  • TGF-beta
  • IL-10
  • Inhibit secretion of pro-inflammatory cytokines
30
Q

What is type I hypersensitivity mechanism?

An example of when this mechanism occurs?

A
  • IgE-Mediated hypersensitivity
  • Hay fever
  • Food allergy
31
Q

What is type II hypersensitivity mechanism?

An example of when this mechanism occurs?

A
  • IgG-Mediated cytotoxic hypersensitivity
  • Hemolytic disease
  • RBC destruction
32
Q

What is type III hypersensitivity mechanism?

An example of when this mechanism occurs?

A
  • Immune complex mediated hypersensitivity

- Glomerulonephritis

33
Q

What is type IV hypersensitivity mechanism?

An example of when this mechanism occurs?

A
  • Cell-mediated hypersensitivity
  • Dermatitis
  • T1 Diabetes
  • Multiple sclerosis