Inflammation Flashcards
What are the 4 features of acute inflammation?
- Rubor (redness)
- Calor (heat)
- Tumor (swelling)
- Dolor (pain)
What is inflammation a response to?
Cellular injury
What is the purpose of inflammation?
Remove cause and consequence of cellular injury
What are the 6 causes of inflammation?
- Pathogen —> infection
- Allergen —> hypersensitivity (allergic reaction)
- Auto-antigens —> auto-immunity
- Physical damage —> trauma
- Extreme temperatures
- Necrosis or necroptosis (non-apoptotic cell death)
Which 6 types of disease can cause inflammation?
- Infection
- Autoimmunity
- Hypersensitivity
- Trauma
- Fibrotic disease
- Cancer
Which cells are involved in inflammation?
- Epithelial and endothelial —> release cytokines and chemokines for immune cell recruitment
- Neutrophils —> acute
- Macrophages —> chronic
- T and B lymphocytes
- Eosinophils and mast cells —> allergy
How is an acute inflammatory response activated?
Change in blood flow at site of injury —> structural changes in microvasculature —> accumulation of immune cells and proteins
Which tissues can acute inflammation effect?
Any vascularised tissue
What does tissue damage stimulate? (3)
- Inflammatory signals
- Vasodilator release
- Vascular changes
What do inflammatory signals stimulate?
Neutrophil recruitment
What are the 2 things identified via inflammatory signals?
- Foreign material
- Non-apoptotic cell death
What are the 2 vasodilators released at sites of injury?
- Histamine
- Nitrous oxide
What 2 main vascular changes occur at sites of tissue damage?
- Inc permeability
- Plasma leakage
What is the benefit of increased vascular permeability and leakage at sites of tissue damage?
- Inc antibodies
- Inc proteins
- Inc leukocyte migration
- Inc barrier —> doesn’t reach other tissues
Which 5 mediators are regulate inflammation at sites of injury?
- Histamine
- Prostaglandins
- Cytokines
- Chemokines
- Complement proteins
Which cells release prostaglandins at sites of inflammation? (2)
- Mast cells
- Leukocytes
Which cells release cytokines at sites of inflammation? (3)
- Macrophages
- Endothelial cells
- Mast cells
Which cells release chemokines at sites of inflammation? (3)
- Leukocytes
- Activated macrophages
What releases complement proteins at sites of inflammation? (3)
Plasma
(Proteins synthesised in liver)
Which cells release histamine at sites of inflammation? (3)
- Mast cells
- Basophils
- Platelets
What are the 3 functions of histamine in inflammation stimulation?
- Vasodilation
- Inc vascular permeability
- Endothelial activation
What is the function of prostaglandins in inflammation stimulation?
Vasodilation
What is the function of cytokines in inflammation stimulation?
Endothelial activation
What are the 2 functions of chemokines in inflammation stimulation?
- Chemotaxis —> immune cell recruitment
- Leukocyte activation
What are the 4 functions of complement proteins in inflammation stimulation?
- Chemotaxis —> immune cell recruitment
- Leukocyte activation
- Vasodilation
- Opsonisation —> phagocytosis
What is exudate?
Fluids, proteins and cells that have seeped out of the blood
What are the 3 stages of inflammation occurring?
- Steady state of tissue
- Damage occurs
- Immune cells recruited
How do chemokines recruit immune cells to sites of inflammation? (3)
- Released
- Diffuse —> gradient
- Leukocytes with complementary receptors migrate to chemokine source
Which immune cells are first recruited to sites of acute inflammation and how?
Neutrophils via IL-8 (CXCL8)
Which chemokine attracts neutrophils to sites of inflammation?
IL-8 (CXCL8)