Immunity And Coagulation 2 Flashcards

1
Q

Complement system

A

part of the immune system that enhances (complements) the ability of antibodies and phagocytic cells to clear microbes and damaged cells from an organism,.
It promotes inflammation, and attacks the pathogen’s cell membrane.

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2
Q

if stimulated by

A

When stimulated by one of several triggers, protease enzymes cleave specific proteins to release cytokines which initiates a cascade of further cleavages.

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3
Q

complement activation

A

The end result of this complement activation or complement fixation cascade is stimulation of phagocytes to clear foreign and damaged material, inflammation to attract additional phagocytes, and activation of the cell-killing membrane attack complex.

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4
Q

complement system is composted of

A

Anaphylatoxins
Chemotactic factors
Opsonins (C3b) =

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5
Q

Anaphylatoxins

A

cause histamine release resulting in vasodilation and increased capillary permeability to improved access to plasma proteins

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6
Q

Chemotactic factors

A

attract phagocytes to the area

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7
Q

Opsonins (C3b) =

A

Cause coating of bacteria promoting phagocytosis

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8
Q

Kinin system

A

The kinin system interacts very closely with the clotting system.
Both can be activated by activation of Hagemans factor (XII)

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9
Q

final product of the kinin system

A

bradykinin dilates blood vessels.

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10
Q

Bradykinin also acts with

A

prostaglandin to initiate pain, smooth muscle contraction and increase vascular permeability

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11
Q

Role of cytokines

A

Cytokines are protein or lipid molecules secreted by cells as a means of communicating and affecting either pro-inflammatory or anti-inflammatory responses.

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12
Q

Some examples include of cytones

A

Interleukins (IL) –secreted by helper T cells
Interferons (IFN) - –secreted by helper T cells
Tumour necrosis factor (TNF)
C-reactive protein (CRP
Transforming growth factor (TGF)

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13
Q

Inflammation control

A

Each of the plasma protein systems when activated will initiate activation of the other systems.
Inflammation is critical for human survival and therefore activation must be guaranteed regardless of the cause of injury
Biochemicals released during inflammation are extremely potent and therefore require moderating and control to keep them localised to injured tissue.

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14
Q

Moderation of inflammation occurs

A

through the production of counter biochemicals which neutralise the effect of the inflammatory biochemical.

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15
Q

Examples of moderation

A

Plasma entering the tissues (oedema) contains enzymes that destroy inflammatory chemicals
Histaminase de-activates histamine
Thrombin activates plasminogen to form plasmin and plasmin breaks down clots

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16
Q

The clotting system activated

A

Clotting can be activated by substances released during injury eg collagen, proteinases, and plasmin as well as from endotoxins released by infective agents.

17
Q

Blood clotting can be activated by one of two pathways

A

Extrinsic/tissue activation

Intrinsic/contact activation-

18
Q

Extrinsic/tissue activation

A

mostly due to injury

19
Q

Intrinsic/contact activation-

A

abnormal vessel walls

20
Q

Initial damage to blood vessels causes

A

myogenic spam which constrict the vessel and reduces flow.

Spasm may last a few minutes to hours to allow for coagulation.

21
Q

Activation of the clotting cascade also activates

A

fibrinopeptides A and B which enhance the inflammatory response.
Fibrinopeptides (esp B) are chemotactic for neutrophils and therefore increase vascular permeability and enhance the effect of bradykinin (kinin system)