Inflammation Flashcards

1
Q

What do lectins do?

A

bind sugars on pathogen surfaces

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2
Q

What are toll like receptors?

A

they recognise different pathogens, TLR signalling switches on cytokine production, play a central role in activating macrophages and neutrophils

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3
Q

What does MHC I bind to?

A

CD8

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4
Q

What does MHC II bind to?

A

CD4

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5
Q

What is inflammation?

A

response to infection, damage/ trauma

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6
Q

What is inflammation characterised by?

A

calor (heat), dollar (pain), rubor (redness), tumour (swelling)

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7
Q

What is Acute inflammation?

A

local reaction. movement of proteins and cells from blood to tissue, predominantly neutrophils -> leads to resolution

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8
Q

What is Chronic inflammation?

A

prolonged inflammation, non- resolving, leads to loss of function, due to persistent inflammatory cells and mediators

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9
Q

What regulates an inflammatory response?

A

pro inflammatory eg’s: histamine, complement (c3a and c5a)
anti inflammatory: adrenaline and noradrenaline, cAMP

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10
Q

What are PRR’s and PAMPs?

A
  • pattern recognition receptors
    -pathogen associated molecular patterns
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11
Q

Where do PRRs bind to?

A

PAMPs
PRRs on the surface of phagocyte bind to PAMPS on the surface of pathogens

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12
Q

What does the binding of PRR and PAMP do?

A

-triggers the internalisation of the pathogen in the phagosome
-NADPH oxidase becomes activated and produces reactive oxygen species
-ROS are highly toxic to pathogens

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13
Q

What is oxidative burst?

A

rapid release of reactive oxygen species, mechanism of the innate immune response

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14
Q

What happens after oxidative burst?

A

inflammation

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15
Q

What do inflammatory cytokines and chemokine do?

A

-act on blood vessels, causes fluid and proteins to come out of the blood (exudate - fluid),
-inflammatory cells migrate into tissue- cause pain

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16
Q

What are TLRS?

A

toll like receptors - also part of pre family

17
Q

What is a function of TLRs?

A

recognise wide range of PAMPs, sense infection

18
Q

Explain dimerisation of TLR-1 and TLR-2 and its function:

A

TLR-1 and 2 are joined by a lipopeptide = dimerisation (heterodimer)
This causes cell activation

19
Q

Why is TLR-4 dimerisation different?

A

TLR-4 can make a dimer with itself and is joined by LPS (homodimer)

20
Q

Describe the steps in inflammatory cytokine production:

A
  • TLR4- main receptor that detects LPS (PAMP)
    -forms TLR4/MD2 complex, CD14 binds to LPS and presents it to TLR4/MD2 complex
    -TLR4 recruits MyD88
    -MyD88 recruits IRAK4 which becomes phosphorylated and activates other signalling molecules
    -IRAK4 phosphorylates TRAF6
    -TRAF6 activates IKK which frees NF-kB from its inhibitor (IkB)
    -NF-kB enters nucleus and binds to promoter regions of specific genes that code for pro inflammatory cytokines -> triggers transcription
    -MRNA is translated into proteins -> cytokines are secreted by macrophages
  • cytokines: increase vascular permeability, recruit additional immune cells = resolution
21
Q

What does complement activation do?

A

1) recruits inflammatory cells
2) opsonises pathogens
3) kills pathogens

22
Q

Where does C3b bind to ?

A

surface components of pathogen -> opsonisation

23
Q

What is the function of C3a?

A

recruits phagocytes

24
Q

What are the main classes of PRRs?

A

1) TLRs- found on cell surface and in endosomes of immune cells
2)Nod Like Receptors NLRs- found in cytoplasm of immune cells
3)CLRs - found on surface of dendritic cells

25
What do C3a and C5a activate?
Mast cells
26
What do mast cells do?
- found in tissues and sub mucosae - release inflammatory cytokines
27
What are some examples of inflammatory mediators?
- cytokines, chemokines, complement, lipid mediators
28
What is an example of an induced innate response?
macrophages secrete cytokines such as IL-6 that activate lymphocytes, increase antibody production and induce acute phase protein production
29
What are pyrogens?
substances that induce fever by triggering body thermoregulatory centre in the hypothalamus
30
What is an example of a pyrogen?
TNF-alpha
31
What is tethering and rolling in adhesion dependant cell recruitment?
weak interactions between selectins on endothelial cells and carbohydrate ligands on leukocytes -> allows leukocytes to roll along blood vessel wall
32
What occurs after tethering and rolling?
Chemokines bind to leukocytes which activates integrins on leukocyte surface -> moves leukocytes from low affinity state to high affinity state
33
What is firm adhesion?
integrin activation mediates firm adhesion of leukocytes to endothelial cells by binding immunoglobulin superfamily (IgSF) - high affinity binding between interns and IgSF molecules = firm adhesion of leukocytes to endothelial surface -> stops rolling and anchors leukocytes at site of inflammation
34
What is Diapedesis/ Transmigration?
When leukocytes migrate across endothelial barrier to the inflamed tissue -> they are guided by chemokines and other tissue signals
35
Give some examples of integrin-IgSF binding:
1)LFA-1 and ICAM-1 MAC-1 and ICAM-2
36
What is Leukocyte Adhesion Deficiency?
1) LAD 1= lack of CD18 (integrin chain) 2) LAD 2 = poor glycosylation -> recurrent bacterial infections