Immunology Part 3 Flashcards
What is the local effects of
- NO
- Prostaglandins/leukotrienes
- histamines
?
Vasodilatation
Increased vascular permeability
Smooth muscle contraction
Pain
What are the local effects of pro-inflammatory cytokines?
Increased vascular permeability
Endothelial cell activation
What are the local effects of chemokines?
Leukocyte (neutrophil) recruitment and activation
Transendothelial migration:
What is found on the suface of neutrophils?
On surface of neutrophils
- Carbohydrates
- ligands for selectins
- integrins (LFA-1)
- receptor for ICAM-1
What does the neutrophil encounter as it rolls alon gthe endothelium?
Selectins
ICAM-1
`What happens to the neutrophil as it rolls alon the endothelium?
- weak binding ‘rolling’ to selectins
- strong binding to ICAM-1
- Stable adhesion and aggregation to ICAM-1
- Transendothelial migration
What happens to the neutrophil after transendothelial migration?
Chemotaxis to site of infection, attracted by chemokines
What is the result of increased vascular permeability in acute inflammation?
Tight junctions lost- gaps form between endothelial cells
What is the result of vasodilatation and increased blood flow in acute inflammation?
Loss of intravascular fluid and increased plasma viscocity slows flow allowing neutrophils to flow in the plasmatic zone; this is margination
This occurs only in venules…
What happens to endothelial cells at sites of acute inflammation?
Endothelial cellls become activated leading to expression of adhesion molecules
ICAM-1 and selectins
What is the process by which neutrophils squeeze between endothelial cells?
Diapedesis
What are some compounds that are chemotactic to neutrophils?
Bacterial products
Complement components
Cytokines: known as chemokines
What are the killing mechanisms of neutrophils?
Phagocytosis
Degranulation
NETs
How do neutrophils undergo phagocytosis?
Use PRRs to bind and phagocytose pathogens