Inflammatory Mediators Flashcards
Examples of Vasoactive Amines
Histamine, Seratonin
Sources of Vasoactive Amines
Basophils (circulating), mast cells (tissue based), platelets
Which inflammatory mediators are pre-formed in granules?
Histamine, Seratonin, lysosomal enzymes
Sources of Histamine
platelets, mast cells, basophils
Sources of Seratonin
platelets
Effects of Histamine
immediate/delayed; early smooth muscle contraction, increased vasculature permeability(early), mucous secretion, chemotaxis of white blood cells (Late-phase reaction)
Inactivation of histamine
histaminase from PMNs, liver, macrophages
causes of histamine release
IgE Fc interaction (type I/immediate hypersensitivity), tissue injury, C3a/5a interactions, IL-1, IL-8 (cytokines)
Release of seratonin: cause
platelet aggregation due to exposure to collagen, thrombin, PAF, TXA2, other substainces; released in context of platelet congregation
Effects of seratonin
similar to histamine: increase
vasculature permeability
Examples of Eicosanoids
Prostaglandins (PG), Leukotrienes (LT), Thromboxanes (TX), Lipoxins (LX)
Precursor of Eicosanoids
arachidonic acid (AA)
what kind of molecules are Eicosanoids?
lipids
sources of Eicosanoids
white cells, platelets, endothelial cells
actions of eicosanoids
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)
Platelet activating Factor
Phospholipid
Source of Platelet activating factor
platelets, neutrophils, basophils, mast cells, macrophages, endothelial cells (NOT lymphocytes)
Stimulation for Platelet activating factor formation
stimulation of cells of origin, bacterial endotoxin
Actions of Platelet activating factor
platelet activation/stimulation, vasoconstriction, low concentrations: vasodilation and vasculature permeability, chemotaxis and leukocyte activation, bronchospasm, neutrophil oxidative burst
GOAL= TO STOP BLEEDING
Reactive Oxygen Species (ROS)
NADPH oxidase system, superoxide anion, hydrogen peroxide, hyroxyl radical derived from phospholipids of cell membranes, can combine with NO to produce reactive nitrogen species
Sources of ROS
Leukocytes (e.g. macrophages, neutrophils), endothelial cells
Stimulus for release of ROS
cytokines in response to damage, damage to endothelial cells
Effects of ROS
microbe damage, host tissue collageral damage (endothelial/parenchymal cells), inactivation of antiproteases)
Inactivation of ROS
liver and local enzymes: superoxide dismutates, catalase for H2O2, glutathione peroxidase, ceruloplasmin, transferrin
Nitric Oxide
formed from nitric oxide synthase (NOS); three types: iNOS, eNOS, nNOS