Inflammation Flashcards
Excudate
High protein and fluid
Transudate
Low protein
Name the two types of immunity
Innate - Born with
Adaptive - infection / vaccination induced
Interleukin responsible for fever
Il-1
Il-6
What interleukin stimulates release of chemokines
IL-1
What type of inflammation shows a high density of neutrophils?
Acute inflammation
Whats the half life of neutrophils?
6-8 hours
If a monocyte is induced with IL-4
What happens?
Tissue repair
If a monocyte is induced by IL-10
Induces it to clean up after infection
If a monocyte is induced by IFN-G
Vigorous killing like neutrophils
What releases serotonin?
What does it cause?
Platelets
Vasodilation / Increase permeability
What releases prostaglandins?
What does these cause?
MC / Leukocytes
Vasodilation / Pain / Fever
Leukotrines increase what?
Leukocyte adhesion and chemotaxis
What type of response is chronic inflammation?
Primary and prolonged response
Name the 5 cell types found in CI
Monocytes
Macrophages
Lymphocytes
Plasma cells
Fibroblasts
The 5 characteristics found with acute inflammation are?
RCDTL
Name the 3 major components of acute inflammation
Vasodilation
Increased vascular permeability
Cellular recruitment
How is increased vascular permeability achieved?
Retraction of endothelial cells
From NO/Histamine
Haemorrhagic exudate
Large component of RBC due to ruptured blood vessels
What does fibrinous exudate contain a lot of?
Fibrinogen
Purulent exudate contains what?
Pus
During Chronic Inflammation, What occurs simultaneously?
Tissue Destruction + Repair
What is the 3 Characteristics of CI?
Infiltration of Mononuclear Cells
Proliferation of fibroblasts
Tissue Destruction
Name a persistant Chronic Inflammation microorgansims
Tuberculosis
Mycobacterium Tuberculosis
Prolonged Exposure to a toxic agent which leads to CI could be what?
Pulmonary Silicosis
Endogenous Material causing CI could be (3)
Necrotic adipose tissue
Bone
Uric Acid
Exogenous Materials causing CI could be (2)
Silica
Suture Materials
Name an interleukin which activates macrophages
IFN-G
Name the interleukin that is released by Activated Macrophages
IL-1
TNF-a
Name the 4 effects which occur from Activated Macrophages
Acute phase
Endothelial
Fibroblast
Leukocyte
Non specific CI is caused by what?
Persistent Chemotaxis
Name an example of a Nonspecific CI
Ulcerative Colitis
What is there an accumulation of in Non specific CI?
Accumulation of macrophages / leukocytes
Granulomatous CI is a protective response to what? GIve an example of a drug and a microorganism
Foreign Material (sutures)
Allopurinol
Mycobacterium Tuberculosis
What occurs in the local manifestation of inflammation
Vasodilation / Increased Permeability
What occurs in the systemic manifestation of inflammation?
Fever (IL-1)
Lymph node enlargement
Name a non infectious cause of CI
Obesity
Name a metabolic Change which can occur from Chronic Inflammation
Impaired insulin signalling
Type 2 diabetes
Where can malignant tumours develop?
At the site of Chronic Injury
Name 4 things which are similar between CI / Cancer
Cell proliferation
Angiogenesis
Change in E-Cadherins
Keratinocytes hyper proliferate
If there are fewer chemokines present, what happens to tumour growth?
Restricted tumour growth
CI of the lung leads to the destruction of what?
Destruction of the parenchyma
During Acute Inflammation, what fills the alveolar spaces?
Neutrophils
Silicosis Asthma is caused by what?
Inhaled Silica Crystalline dust
Name 4 factors which increase inflammation
Trans FA
High GI
Excessive Alcohol
Smoking
Name 4 factors which decrease inflammation
Omega 3
Low GI
Dietary Fibres
Arginine rich foods
What are the 4 outcomes of Acute Inflammation
Resolution
Repair by fibrosis
Abscess formation
CI
What causes abscess formation in acute inflammation
Progenitor bacteria
Staph. Aureus
Name 3 stimuli for acute inflammation
Trauma (blunt)
Foreign bodies (splinter)
Thermal injury
Name an acute phase reaction
Fever
Decreased sleep
Name Endothelial effects
Increased leukocyte adherence
Fibroblast effect
Increase in protease
Leukocyte effect
Il-1 /6 secretion
What growth factors released from activated macrophages
(IFN-G) which increases collagen synthesis
PDGF / FGF
=proliferation of fibroblasts
What activity is decreased which decreases collagen degradation
Activated macrophages decrease METALLOPROTEINASE
Therefore decreased collagen degradation