innate immunity final - Sheet1 Flashcards

1
Q

What are plasma protein systems?

A

Plasma protein systems are distinct protein systems that work together to protect against pathogens. They include the complement, clotting, and kinin systems.

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2
Q

How are plasma protein systems activated?

A

Plasma protein systems contain inactive enzymes (proenzymes) that are sequentially activated. The activation of the first component leads to the activation of subsequent components.

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3
Q

What is the role of the complement system?

A

The complement system defends against bacterial infections. It can destroy pathogens directly and activates or collaborates with other components of the immune system.

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4
Q

How is the complement system activated?

A

The complement system can be activated via three pathways: classical (antibody-antigen binding), lectin (bacterial carbohydrates), and alternative (bacterial/fungal cell wall polysaccharides).

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5
Q

What are the functions of the complement system?

A

Functions include anaphylatoxic activity (mast cell degranulation), leukocyte chemotaxis (WBC recruitment), opsonization (marking pathogens for phagocytosis), and cell lysis.

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6
Q

What is the role of the coagulation system?

A

The coagulation system forms a fibrinous mesh to stop bleeding, prevent infection spread, and create a framework for tissue repair.

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7
Q

How is the coagulation system activated?

A

It has two pathways: extrinsic (triggered by tissue factor outside the vascular space) and intrinsic (triggered by vascular wall damage).

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8
Q

What is the primary role of the kinin system?

A

The primary role is to activate and assist inflammatory cells. It also works with the coagulation system to compartmentalize and trap pathogens.

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9
Q

What does the kinin system produce?

A

The primary kinin produced is bradykinin, which causes blood vessel dilation, pain, smooth muscle contraction, vascular permeability, and leukocyte chemotaxis.

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10
Q

What is leukocyte chemotaxis?

A

Leukocyte chemotaxis is the recruitment of neutrophils and macrophages to the site of injury or infection.

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11
Q

How are kinins regulated?

A

Kinins are broken down by kininases in plasma and tissues to regulate their effects.

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12
Q

How are the plasma protein systems regulated?

A

The interactions between the complement, coagulation, and kinin systems are finely regulated to prevent damage to healthy tissue.

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13
Q

What are some inhibitors of plasma protein systems?

A

Examples of inhibitors include carboxypeptidase (inhibits C3a and C5a), histaminase and arylsulfatase (inhibit histamine), kinase (inhibits kinins), and C1-esterase inhibitor (inhibits complement).

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14
Q

What are the local manifestations of inflammation?

A

Heat, redness, swelling, pain, and loss of function.

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15
Q

What causes heat and redness in inflammation?

A

Vasodilation and increased blood flow.

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16
Q

What causes swelling in inflammation?

A

Exudate accumulation and fluid leakage due to increased capillary permeability.

17
Q

What causes pain in inflammation?

A

Pressure exerted by exudate accumulation, prostaglandins, and bradykinins.

18
Q

What are the functions of inflammation?

A

Dilutes toxins, carries plasma proteins and leukocytes to the injury site, removes bacterial toxins and debris.

19
Q

What is serous exudate?

A

Watery exudate, typically indicates early inflammation.

20
Q

What is purulent (supportive) exudate?

A

Pus, indicating a bacterial infection.

21
Q

What is hemorrhagic exudate?

A

Exudate containing blood, indicating bleeding.

22
Q

What is fibrinous exudate?

A

Thick, clotted exudate, indicating more advanced inflammation.

23
Q

What are the systemic manifestations of inflammation?

A

Fever, leukocytosis, and increased plasma protein synthesis (acute-phase reactants).

24
Q

What causes fever in inflammation?

A

Exogenous and endogenous pyrogens (e.g., IL-1) act on the hypothalamus to raise body temperature.

25
Q

What is leukocytosis?

A

Increased number of circulating leukocytes.

26
Q

What is left shift (bandemia)?

A

An increase in immature cells (bands) in the bloodstream, often seen in infection.

27
Q

What are acute-phase reactants?

A

Proteins like C-reactive protein and fibrinogen, produced by the liver during inflammation.

28
Q

What is chronic inflammation?

A

Inflammation lasting 2 weeks or longer, often due to an unsuccessful acute response.

29
Q

What causes chronic inflammation?

A

High lipid content in microorganisms, ability to survive inside macrophages, toxins, chemicals, particulate matter, or physical irritants.