Inflammatory Mediators Flashcards

1
Q

Examples of Vasoactive Amines

A

Histamine, Seratonin

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2
Q

Sources of Vasoactive Amines

A

Basophils (circulating), mast cells (tissue based), platelets

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3
Q

Which inflammatory mediators are pre-formed in granules?

A

Histamine, Seratonin, lysosomal enzymes

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4
Q

Sources of Histamine

A

platelets, mast cells, basophils

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5
Q

Sources of Seratonin

A

platelets

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6
Q

Effects of Histamine

A

immediate/delayed; early smooth muscle contraction, increased vasculature permeability(early), mucous secretion, chemotaxis of white blood cells (Late-phase reaction)

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7
Q

Inactivation of histamine

A

histaminase from PMNs, liver, macrophages

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8
Q

causes of histamine release

A

IgE Fc interaction (type I/immediate hypersensitivity), tissue injury, C3a/5a interactions, IL-1, IL-8 (cytokines)

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9
Q

Release of seratonin: cause

A

platelet aggregation due to exposure to collagen, thrombin, PAF, TXA2, other substainces; released in context of platelet congregation

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10
Q

Effects of seratonin

A

similar to histamine: increase

vasculature permeability

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11
Q

Examples of Eicosanoids

A

Prostaglandins (PG), Leukotrienes (LT), Thromboxanes (TX), Lipoxins (LX)

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12
Q

Precursor of Eicosanoids

A

arachidonic acid (AA)

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13
Q

what kind of molecules are Eicosanoids?

A

lipids

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14
Q

sources of Eicosanoids

A

white cells, platelets, endothelial cells

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15
Q

actions of eicosanoids

A

vasodilator (PGI2), vasoconstrictor (TXA2), Vasculature permeability (LT), chemotaxis (LT), promote Platelet aggregation (TXA2, platelets), inhibit platelet aggregation (PGI2, endothelial cells), smooth muscle effects (bronchus, uterine contraction)

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16
Q

Platelet activating Factor

A

Phospholipid

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17
Q

Source of Platelet activating factor

A

platelets, neutrophils, basophils, mast cells, macrophages, endothelial cells (NOT lymphocytes)

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18
Q

Stimulation for Platelet activating factor formation

A

stimulation of cells of origin, bacterial endotoxin

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19
Q

Actions of Platelet activating factor

A

platelet activation/stimulation, vasoconstriction, low concentrations: vasodilation and vasculature permeability, chemotaxis and leukocyte activation, bronchospasm, neutrophil oxidative burst
GOAL= TO STOP BLEEDING

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20
Q

Reactive Oxygen Species (ROS)

A

NADPH oxidase system, superoxide anion, hydrogen peroxide, hyroxyl radical derived from phospholipids of cell membranes, can combine with NO to produce reactive nitrogen species

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21
Q

Sources of ROS

A

Leukocytes (e.g. macrophages, neutrophils), endothelial cells

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22
Q

Stimulus for release of ROS

A

cytokines in response to damage, damage to endothelial cells

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23
Q

Effects of ROS

A

microbe damage, host tissue collageral damage (endothelial/parenchymal cells), inactivation of antiproteases)

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24
Q

Inactivation of ROS

A

liver and local enzymes: superoxide dismutates, catalase for H2O2, glutathione peroxidase, ceruloplasmin, transferrin

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25
Nitric Oxide
formed from nitric oxide synthase (NOS); three types: iNOS, eNOS, nNOS
26
iNOS (Type II)
endothelium, smooth muscle, macrophages; CA INDEPENDENT
27
iNOS synthesis
induced by cytokines IL-1/TNF/Interferon, microbial endotoxin
28
eNOS (Type III)
Endothelial cells, constitutively expressed, regulated by cytplasmic Ca; upregulated by bradykinin, thrombin, stress
29
nNOS (type I)
Neural parenchyma; constitutively expressed, regulated by cytoplasmic Ca, functions in neurotransmitter release and blood flow regulation
30
Inactivation of NO
short half life, regulated by rate of synthesis
31
NO function
in inflammation (paracrine--close proximity)-- Vasodilation/blood flow regulation (i,e,n), chemotaxis (i), reduced leukocyte and platelet adhesion (e), toxic effect o nmicrobes (i), neurotransmitter release (n)
32
Cytokines
TNF, IL1, IFN; regulatory peptides/polypeptides
33
Sources of cytokines
multiple- macrophage, lymphocytes, endothelial cellsl
34
Function of cytokines
autocrine: act on cells that produce agents; paracrine: act on cell in vicinity of release; endocrine: act systematically to incite acute phase reaction
35
Source(s) of TNF
principally activated macrophages, mast cells, T lymphocytes
36
source(s) of IL-1
macrophages, endothelial cells, some epithelial cells
37
stimulus for TNF secretion
bacterial endotoxin, immune complex, tissue injury, other inflammatory stimuli/mediators
38
effects of TNF
LocalL: endothelial activation/thrombogenicity, fibroblast stimulation, activation of other inflammatory cells (e.g. PMNs), stimulate acute phase reaction (endocrine-like effects); Systemic: fever, anorexia, sleepiness, liver effects (increased synthesis of proteins like C-reactive protein, alpha 1-antitrypsin, clotting factors, complement factors, ferritin, ceruloplasmin, etc)
39
Sources of Interleukins
primarily macrophages
40
stimulus for IL secretion
bacterial endotoxin, immune complex, tissue injury, other inflammatory stimuli/mediators
41
Function of IL
similar to TNF: fever, chemotaxis, stimulate acute phase reaction, leukocyte activation, cytokine production, ?
42
IL-1 action
activate other inflammatory cells (PMNs); participate in acute phase rxn; innate immunity- reaction to stimuli that injure tissue
43
IL-2
stimulates lymphocyte multiplication
44
IL-8
(macrophages, endothelial cells): activate/attract neutrophils; synthesized in context of IL-1 and TNF, classified with "chemokines"
45
cytokines-Interferon (IFN)
glycoprotein;
46
IFN source
T lymphocytes, natural killer cells
47
Function of IFN
(mostly involved with dealing with virus); activation of inflammatory cells: macrophages/Natural killer cells, Interfere with viral replication, tumor defense role
48
cytokines - chemokines
small proteins expressed transiently or constitutively
49
source of chemokines
variable with subtype; macrophages, lymphocytes, mast cells, endothelial cells
50
function of chemokines
chemotaxis, control normalmigration of inflammatory cells in tissue
51
Subtypes of chemokines
C-X-C chemokines (one aa separating first two cysteines); C-C chemokines (adjacent cysteines); C chemokines (lack first adn third of four cysteines); CX3C chemokines (3 aa between 2 cysteines)
52
C-X-C chemokines
Ex: IL-8: macrophage/endothelial derived; neutrophil chemotaxis/activation
53
C-C chemokines
Ex: monocyte chemoattractant Protein (MCP-1), Macrophage inflammatory protein -1-alpha (MIP-1-alpha), RANTES (regulated and normal T-cell expressed and secreted); attract macrophages, basophils, lymphocytes, eosinophils--NOT neutrophils
54
C chemokines
lymphotactin - attract lymphocytes
55
CX3C chemokines
fractalkine: attract macrohpages and T lymphocytes
56
Cytokines involved in acute inflammation
TNF, IL-1, IL-6, Chemokines
57
Cytokines involved in chronic inflammation
IL-12, IFN-gamma, IL-17
58
Two most important cytokines
TNF, IL-1--systemic effects
59
Substance P
small peptide, released by nerve twigs in lung/GI
60
Functions of Substance P
PAIN signaling, vascular tone modulation, vascular permeability modulation
61
Stored Mediator Content (granules)
from neutrophils and macrophages for digestion of microbes/foreign material and chemotactic role
62
Stored mediator content constituents
huge variety of enzymes (collagenase, histaminase, elastase, proteinase, nonspecific collagenases, lysosome, etc)
63
Stored mediator content collateral damage/control
digestion of normal tissue; control - enzymes (antiproteases -- liver/local production--alpha-1-antitrypsin, A2-macroglobulin)