Inflammatory Cascade Flashcards

Review of transient vasoconstriction through phagocytosis

1
Q

List the events in the inflammatory cascade in order

A
  • Transient vasoconstriction
  • Vasodilation
  • Margination
  • Adhesion/pavementation
  • Emigration/migration via chemotaxis
  • Aggregation
  • Phagocytosis
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2
Q

What is transient vasocontriction?

A

Initial vascular response lasting a few seconds

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3
Q

Vasodilation results in increased blood flow to the damaged tissue. This serves to…

A

increase potential delivery of cells/substrates to damaged area

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4
Q

Vasodilation alone is not sufficient, what is required in addition?

A

Increase in vascular permeability

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5
Q

What are three major changes in vascular permeability observed?

A
  • Immediate-transient responses
  • Immediate-sustained responses
  • Delayed-prolonged leakage
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6
Q

Describe immediate-transient responses with an example

A

Endothelial cell of capillary receives histamine and contracts, causing leak
ie. seasonal allergy

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7
Q

Describe immediate-sustained responses with an example

A

Endothelial cell damage by direct injury
ie. cut by knife

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8
Q

Describe delayed-prolonged leakage with an example

A

Apoptosis of endothelial cell
ie. UV damage

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9
Q

What is margination?

A

Movement of WBCs toward vascular wall

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10
Q

What do selectins do during adhesion?

A

Rolling (sticking then letting go)

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11
Q

What do integrins do during adhesion?

A

Firm adhesion (can stop)

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12
Q

What do immunoglobulins do during adhesion?

A

Transmigration (through vascular wall)
Diapedesis (crawling to tissue)

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13
Q

Emigration/migration occurs via…

A

chemotaxis

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14
Q

What is chemotaxis?

A

Moving along a chemical gradient

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15
Q

What is aggregation?

A

Cells collect in the area of interest

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16
Q

Phagocytosis includes which three steps?

A
  1. Recognition
  2. Engulfment
  3. Killing
17
Q

Recognition and binding of WBCs occur via…

A

opsonization

18
Q

What are opsonins?

A

Naturally occurring proteins which coat bacterium

19
Q

Engulfment by phagocytes occurs via…

A

endocytosis

20
Q

Killing by phagocytes occurs via…

A

free radicals, lysosomal enzymes, and production of amino acid metabolites