Lecture 5 - Inflammation Flashcards
What are the 3 categories of signaling receptors
TLR
NLR
RLR
What are the common features of PAMPs
common and not found in host tissues
What are the steps in phagocytic destruction of a bacterium
1 - recognize
2 - engulf
3 - phagolysosomal formation
4 - Destruction
what is an example of DAMPs
uric acid
what are the 5 cardinal signs of inflammation?
1 - heat
2 - redness
3 - swelling
4 - pain
5 - loss of function
What is the purpose of:
heat
increase in temperature will inhibit pathogen replication
What is the purpose of:
redness
deliver more blood to the site
What is the purpose of:
swelling
dilution of pathogens and provide wound healing mediators
What is the purpose of:
pain, loss of function
restriction allows time for repairs
Mast cells release pre-stored ____
histamine
macrophages release
pro-inflammatory cytokines, chemokines, eicosanoids
T/F: arachidonic acid cascade acts locally
True
What are the 3 major steps of acute inflammation
1 - vasodilation
2 - increased vascular permeability
3 - migration and accumulation of leukocytes
what two factors contribute to vasodilation
histamine and nitric oxide
Endothelial injury lasts _____ to injury
proportional
endothelial injury is mediated by
neutrophils
Which of the following is NOT a cardinal sign of inflammation
a. pain
b. heat
c. bruising
d. swelling
e. loss of function
c. bruising
Which of the following vasoactive mediators is IMMEDIATELY released
a. IL-1
b. C5a
c. Histamine
d. leukotriene
e. prostaglandin
c. Histamine
Which aspect of inflammation is directly responsible for redness
vasodilation
Step 1 in Leukocyte migration
Activated mast cell releases histamine, IL-1, etc.
Step 2 in Leukocyte migration
Margination - vasodilation decreases blood pressure
Step 3 in Leukocyte migration
Rolling - leukocytes loosely bind to selectins
Step 4 in Leukocyte migration
Activation - cyto/chemokines make conformational changes and slow leukocyte down
Step 5 in Leukocyte migration
Stable adhesion - high-affinity integrins bind leukocyte
Step 6 in Leukocyte migration
Transmigration into the extracellular matrix
Leukocyte adhesion deficiency lacks functional expression of
B2 integrins
What are exogenous chemoattractants
peptides and lipids
what are endogenous chemoattractants
chemokines, c components, AA metabolites
Summarize chemotaxis signaling in 4 steps
1 - chemoattractants bind G coupled protein receptors
2 - secondary messengers are activated
3 - increase in cytosolic calcium activates small GTPases and kinases
4 - induce actin polymerization
where do neutrophils go if the offense is destroyed
apoptosis and removed by macrophages/DC
where do neutrophils go if the offense remains
more recruited; chronic inflammatory response
INTEGRINS play a major role in which step of leukocyte migration
a. rolling
b. adhesion
c. imagination
d. extravasation
d. adhesion
a predominance of which leukocyte type signals an ACUTE infection
neutrophils
What laboratory findings help us ID systemic inflammation?
CBC (leukocytosis, neutrophilia, left shift)
positive acute phase proteins
What are acute phase proteins produced by
hepatocytes
C-reactive protein
P-type lectin
one face binds the pathogen and the other binds Fc receptors
Serum amyloid A
binds like TLR
carries cholesterol to liver and induces enzymes that degrade ECM
Amyloidosis
edema in kidneys
Haptoglobin is present in what kind of infection
bacterial, sequesters iron in liver
Lactoferrin is present in what kind of infection
mastitis; binds free iron
Hepcidin may lead to what
anemia of infection as it degrades ferroportin (uptake)
protease inhibitors act as
inhibits neutrophil proteases at inflammatory sites
what are negative acute phase proteins
decreases during inflammation, albumin
Systemic Inflammatory response system (SIRS)
severe trauma, uncontrollable drop in blood pressure
massive PAMPs/DAMPs, cytokine storm, etc
What causes some species to be more susceptible to septic shock
Pulmonary intravascular macrophages
Pro-inflammatory cytokines acting on which part of the body result in fever
hypothalamus
Which acute phase protein is elevated in most species
a. fibrinogen
b. haptoglobin
c. serum amyloid A
d. C-reactive protein
c. serum amyloid A