Inflammation and Mediators Flashcards

1
Q

ER

A

Site where proteins are synthesized

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2
Q

Golgi

A

Site where secreted proteins are converted to their final forms and packaged for secretion

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3
Q

What is the structural basis of TLR?

A

Multiple extracellular leucine rich modules

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4
Q

What is the connection between macrophages and CRP?

A

Macrophages secrete IL-6–> induces synthesis of fibrinogen by hepatocytes–> activates Jak kinas–> increase in CRP

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5
Q

Fc receptors

A

Bind IgG and enhance phagocytosis

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6
Q

How is nitric oxide made

A

INOS catalyzes the conversion of arginine to citrulline

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7
Q

Elastase

A
  • One of the most important enzymes in neutrophils
  • Broad spectrum serine protease
  • Required for killing many types of bacteria
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8
Q

What do Natural Killer cells express?

A

CD16 (Fc receptor for IgG) and CD56

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9
Q

What types of cells do NK cells recognize?

A
  • cells coated with Fc IgG
  • Cells infected with viruses
  • cells lacking MHC class I (tumor)
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10
Q

Classical pathway

A
  • Antibody dependent
  • Plasma protein C1q detects antibodies bound to surface of microbe or another structure
  • Once C1q binds to the Fc portion, two associated serine proteases, C1r and C1s become active and initiate a proteolytic cascade
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11
Q

Alternative pathway

A
  • Not antibody mediated

- Triggered when C3 recognizes certain microbial structures such as bacterial LPS, leading to cleavage to C3b and C3a

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12
Q

Which complement components lead to increased vascular permeability?

A
  • C3a and C5a
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13
Q

Which complement component has chemotactic ability?

A
  • C5a
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14
Q

Which complement can opsonize?

A
  • C3a
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15
Q

How does the MAC complex become formed?

A
  • C5b binds C6 and C7
  • They become a high affinity receptor for C8
  • C9 binds to C5b-8 to form the fully active MAC
  • MAC forms pores in plasma membranes in cells its deposited on–> entry of water–> osmotic swelling and cell rupture
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16
Q
  • Expressed on bone marrow derived cells
  • Promotes phagocytosis of C3b and C4b opsonized particles
  • On erythrocytes, binds circulating immune complexes and transports them to liver and spleen
A
  • Type I complement receptor CR1/CD35
17
Q
  • Stimulates humoral immune response by enhancing B cell activation by antigen and promoting trapping of antigen-antibody complexes in germinal centers
A
  • Type 2 Complement receptor CR2/CD21
18
Q
  • Integrin expressed on neutrophils, mononuclear phagocytes, mast cells and Nk
  • Promotes phagocytosis
  • Also binds to ICAM1 on endothelial cells–> leukocyte migration
A

Type 3 CR

CR3/Mac-1, CD11bCD18

19
Q

Similar to Type 3

Found on DCs

A

CR4, p150, 95, CD11C, CD18

20
Q

Expressed on liver macrophages

Involved in clearance of opsonized bacteria and other blood borne pathogens

A

CRIg

21
Q

Produced by monocytes and macrophages upon stimulation with IFN g

A
  • Marker of Th1 derived immune activation
22
Q

Pentraxins

A

CRP

SAA

23
Q

IL-2

A
  • Source is T cells
  • Growth factor for antigen stimulated T cells
  • Can also lead to proliferation and activation of NK cells
24
Q

iL-4

A

Inhibition of macrophage activation

25
Q

IL-10

A
  • Inhibits production of IL12 and TNF by activated macrophages
  • Inhibits expression of co stimulators and MHC class II molecules on macrophages
26
Q

IL-12

A
  • Has both innate and adaptive functions
  • Mediator of early innate immune response to intracelluar microbes
  • Produced in response to TLR
  • Stimulates interferon gamma production by NK cells
  • Stimulates diff of CD4 helper into Th1
  • Stimulates CD8 to CTL
  • Stimulates IFNG production by T cells
27
Q

Phospholipase A2

A

Produces arachidonic acid

28
Q

What are the three major metabolites from Arachidonic acid ?

A

COX–> Prostagladins, thromboxane

LOX–> Leukotrienes

29
Q

Inhibits the action of phospholipase 2

A

Steroids

30
Q

Which COX is inducible enzyme during inflammation?

A

COX 2

31
Q

How to NSAIDs cause ulcers

A

block Cox –> decreased Prostaglandins–> increased stomach acid, decreased mucous secretion

32
Q

Mediate bronchoconstriction and vasoconstriction

A

Leukotrienes

33
Q

What induces MHC class II on macrophages

A
  • IFN gamma
34
Q

Proteolytic fragment of C2

A

Kinin