Inflammation/innate Immunity Ch. 7 Flashcards

1
Q

Key components of the immune system

A

Blood, lymph, solid organs

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2
Q

Key roles of the immune system

A

Protect against pathogens, isolate and remove foreign substances, immune surveillance

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3
Q

Innate immunity

A

Natural barriers and inflammation, present at birth, with with adaptive immunity. Ex. Skin, mucus membranes, cilia, cells and secretions

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4
Q

Inflammatory stages

A

Vascular, plasma protein, cell mediated

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5
Q

Plasma protein components (3)

A

Complement system, clotting system, Kinan system

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6
Q

Compliment cascade

A

Antibody antigen complex->complement cascade->mast cell degranulation->histamine release->leukocyte chemotaxis->opsonization-> cell lysis

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7
Q

Key roles of the clotting cascade in inflammation

A

Prevent spread to adjacent tissue, trap antigen at the site so macrophages and neutrophils can remove, stop bleeding, provide a frame for repair and healing

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8
Q

Neutrophils

A

Early responders, engulf and clean up and leave

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9
Q

Monocytes (macrophages)

A

Trigger plasma proteins response, can hang out for up to 6 months depending on how severe the invader was-long term healing and clean up

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10
Q

Natural killer

A

Not leukocytes, have granulocytes, serve similar with viruses, viral antigen and some cancers

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11
Q

Basophils

A

B cell response (antibody), allergic response

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12
Q

Eosinophils

A

Parasitic infection, allergic reaction, regular mast cell response, need to know when to turn on/off

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13
Q

Mast cells

A

Granulation: release of histamine and other vasodilators, causes itchy, swollen skin

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14
Q

Phagocytosis

A

Chemotaxis starts the process
Leukocytes use opsonization to tag invaders to engulf and infuse with lysosome granules, ROS to switch on trigger response
Lysosome are primarily responsible for this

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15
Q

Interleukins

A

Macrophages and leukocytes
Alter adhesion, molecule expression
Bring leukocytes of the area of inflammation and stimulate their production in the bone
Both pro and anti inflammatory

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16
Q

Tumor necrosis factor alpha

A

Macrophages in mast cells
Increase endothelial cell adhesion, starts with production of chemo line
Causes fever, shock, cachexia, only pro inflammatory

17
Q

Interferon/cytokines

A

Cell infected by virus
They don’t attack virus but protest tissue where the antigen is, stimulate antiviral proteins that prevent viral replication, most are anti inflammatory

18
Q

Chemokines

A

Macrophages, fibroblasts, endothelial cells. Induce Leuko chemotaxis, which is good but also involved in cancer growth, Pro inflammatory

19
Q

Acute inflammation

A

Caused by allergens, toxins, irritants, foreign bodies
S/s: fever, leukocytosis, synthesis of plasma proteins

20
Q

Cytokine storm

A

Covid 19-CAR-T, cell immune response that is over the top out of control, very hard to stop
S/s: high fever, pneumonitis (ARDS), kidney injury, liver, neuro, rash, GI, rheuma, steroids are key

21
Q

Chronic inflammation

A

Results in damaged cells and weakened immune system, associated with peritonitis, obesity, DM, Alzheimer’s, insulin resistance, frailty
Can be mediated by diet, antioxidants, fit micro biome

22
Q

Immune issues

A

Too little: deficient inflammatory response to infection
Too much: hyperactive inflammatory response causes autoimmune, allergies, alloimmunity

23
Q

Cell mediated response 2 processes

A

Cellular receptors: recognize patterns of cell damage and trigger complement
Cellular products: send messages and coordinate the inflammatory response

24
Q

4 main responders in a cell mediated response

A
  1. Neutrophils
    2 monocytes
    3 basophils
  2. Eosinophils
25
Q

Kinin cascade

A

Causes vasodilation and leukochemotaxis, bradykinin is main protein involved, short lived and localized, caused smooth muscle contraction, vascular permeability

26
Q

Key cellular products cytokines (4)

A

Interleukins, tumor necrosis factor alpha, interferon, chemokines

27
Q

Age related implications for fever

A

Kids- high hypothalamus sensitive
Elderly- low fever due to suppressed immune

28
Q

Fever is triggers by

A

IL-1 pyrogenes

29
Q

Two types of immunity

A

Adaptive and innate