Lecture 5: Inflammation and Leukocyte Migration Flashcards

1
Q

what causes the inflammatory response in general?

A

local injury or tissue trauma

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2
Q

what 4 physical things characterize the inflammatory response?

A
  1. redness (rubor)
  2. heat (calor)
  3. swelling (tumor)
  4. pain (dolor)
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3
Q

t/f the inflammatory response involves various leukocytes, and soluble and membrane-bound molecules

A

t

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4
Q

in the inflammatory response, CAMs are crucial for _____ interactions during inflammation

A

leukocyte-tissue

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5
Q

CAMs include _____ (4)

A
  1. selectins
  2. mucins
  3. integrins
  4. immunoglobulin-superfamily CAMs
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6
Q

tissue damage and bacteria cause resident sentinel cells to release ___ and ____ to trigger a local increase in ____ and ___

A

chemotractants and vasoactive factors; blood flow and capillary permeability

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7
Q

when neutrophils and phagocytes migrate to the site of inflammation, this is called _____

A

chemotaxis

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8
Q

what 2 molecules are involved in neutrophil rolling?

A

L-selectin and PSGL-1

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8
Q

what 2 molecules are involved in neutrophil rolling?

A

L-selectin and PSGL-1

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9
Q

what 2 molecules are involved in neutrophil rolling?

A

L-selectin and PSGL-1

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10
Q

what chemokines are involved in neutrophil activation?

A

IL-8 and macrophage inflammatory protein 1b (MIP-1b (akaCCL4))

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10
Q

what chemokines are involved in neutrophil activation?

A

IL-8 and macrophage inflammatory protein 1b (MIP-1b (akaCCL4))

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10
Q

what chemokines are involved in neutrophil activation?

A

IL-8 and macrophage inflammatory protein 1b (MIP-1b (akaCCL4))

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10
Q

what chemokines are involved in neutrophil activation?

A

IL-8 and macrophage inflammatory protein 1b (MIP-1b (akaCCL4))

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10
Q

what chemokines are involved in neutrophil activation?

A

IL-8 and macrophage inflammatory protein 1b (MIP-1b (akaCCL4))

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11
Q

what molcules are involved in neutrophil adhesion?

A

LFA-1 and MAC-1

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12
Q

what immune cells are typically the first to the site of inflammation?

A

neutrophils

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13
Q

what do neutrophils respond to?

A
  1. C5a
  2. bacterial peptides containing N-formyl peptides
  3. leukotrienes in inflammed tissues
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14
Q

what molecule is involved in rolling inflammatory monocytes?

A

L-selectin

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15
Q

what chemokines are involved with activation of inflammatory monocytes?

A

monocyte-chemotractant protein-1 (MCP-1, CCL-2)

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16
Q

what is the molecule involved with adhesion of inflammatory monocytes?

A

VLA-4

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17
Q

what molecules are involved in rolling naive lymphocytes?

A

L-selectin, LFA-1, VLA-4

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18
Q

what chemokines are involved in activation of naive lymphocytes?

A

CCL21, CCL19 and CXCL12 (for T cells) and CXCL13 (for B cells)

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19
Q

what molecules are involved in naive lymphocyte adhesion?

A

LFA-1 and VLA-4

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20
Q

naive lymphocytes travel across ____ to enter the lymph node

A

high-endothelial venules

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21
Q

give 3 examples of selectins

A

L, E, and P selectins

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22
Q

what are selectins?

A

glycoproteins that bind specific carbohydrate groups

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23
Q

give and example of a specific carb group selectins bind to and how they bind

A

sialyl-Lewis x via a lectin-like domain

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24
Q

what are mucins?

A

glycosylated proteins that present sialyl-Lewisx and other carb groups to selectins

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25
Q

what are integrins?

A

cell surface heterodimeric proteins that bind extracellular matric molecules (like fibronectin) and ICAMs

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26
Q

what are ICAMs?

A

immunoglobulin-superfamily glycoproteins that bind integrins

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27
Q

give an example of a mucin-like CAM

A

CD34

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28
Q

give 3 examples of Ig-superfamily CAMs

A
  1. ICAM-1,-2,-3
  2. VCAM-1
  3. MAdCAM-1
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29
Q

MAdCAM-1 has both ___ and ___ like properties

A

mucin-like and ig-superfamily

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30
Q

give 3 examples of integrins

A
  1. a4B1 (VLA-4, LPAM-2)
  2. aLB2 (LFA-1)
  3. aMB2 (CR4, p150/95)
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31
Q

chemokines control what 3 leukocyte functions?

A
  1. adhesion
  2. chemotaxis
  3. actvation
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32
Q

chemokines are ___ expressed and are also produced in response to ___

A

constitutively; inflammation

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33
Q

most chemokines belong to ____ or ___ subgroups

A

CC or CXC

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34
Q

what is the structure of chemokine receptors?

A

7-membrane spanning proteins that signal through hetrodimeric G proteins

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35
Q

t/f individual chemokine receptors are able to bind more than one chemokine

A

t

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36
Q

chemokine receptor expression is limited to certain cell types to confer ___

A

specificity to the action of given chemokines

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37
Q

what are the CXC subgroups of the CXCR1 chemokine receptors?

A

IL-8 (CXCL 8) and GCP-2 (CXCL 6)

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38
Q

what are the CXC subgroups of the CXCR2 chemokine receptor?

A

IL-8 (CXCL 8), Gro-a (CXCL 1), Gro-B (CXCL 2), gro-y (CXCL 3), NAP-2 (CXCL 7) and ENA-78 (CXCL5)

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39
Q

what are the CXC subgroups of the CXCR4 (CXCL11) chemokine receptor?

A

SDF-1 (CXCL12)

40
Q

give an example of a chemokine that binds to the CCR1 chemokine receptor

A

RANTES (CCL5)

41
Q

give an example of a chemokine that binds to the CCR2 chemokine receptor

A

MCP-1 (CCL2)

42
Q

give an example of a chemokine that binds to the CCR3 chemokine receptor

A

RANTES (CCL5)

43
Q

____ and ____ mediate the migration of leukocytes across the endothelial cell layer of blood vessels

A

chemotractants and CAM interactions

44
Q

blood-borne neutrophils and monocytes enter sites of inflammation by a process called ___

A

extravasation

45
Q

cytokines and other products of inflammation cause endothelial cells to increase ____ expression

A

CAM

46
Q

neutrophil rolling is promoted by _____ interactions

A

selectin-mucin

47
Q

chemokines such as ___ activate neutrophils

A

IL-8

48
Q

integrins on activated neutrophils assume a ____ conformation that allows neutrophil arrest and adhesion to ____

A

high affinity; immunoglobulin-superfamily CAMs

49
Q

selectins are important in what phase of neutrophil rolling and extravasation?

A

rolling

50
Q

during neutrophil extravasation, chemokines induce ____ change of neutrophils and clustering of ___

A

conformational; integrins

51
Q

during neutrophil extravasation, chemokines induce ____ change of neutrophils and clustering of ___

A

conformational; integrins

52
Q

recirculation of lymphocytes from blood to bone marrow, spleen, lymph nodes and tertiary extralymphoid tissues occurs at least once every ____

A

24 hours

53
Q

what is the point of lymphocyte recirculation?

A

ensures that the greatest number of antigen-specific lymphocytes have the opportunity to encounter and interact with antigen in lymphoid tissues

54
Q

migration of lymphocytes into lymph nodes takes place across ____

A

high endothelial venules

55
Q

lymphocyte rolling during lymphocyte extravasation is promoted by ____

A

weak interactions between lymphocyte L-selectin and endotheial cell mucin

56
Q

what is the role of chemokines constitutively expressed by endothelial cells in lymphocyte extravasation?

A

activate lymphocytes, causing integrins to assume a high affinity conformation

57
Q

what is the role of integrins in lymphocyte extravasation?

A

mediate lymphocyte arrest and adhesion to immunoglobulin-superfamily CAMs

58
Q

transendothelial migration of lymphocytes is mediated by ___ molecules

A

junctional adhesion

59
Q

what is the function of homing receptors on lymphocytes?

A

recognoze specific CAMs to mediate the differential migration of lymphocyte subsets into different tissues

60
Q

give 2 examples of chemokines involved in lymphocyte homing and trafficking and their role

A
  1. MIP-1B (attracts naive T cells)

2. RANTES (attracts memory T cells)

61
Q

naive lymphocytes do not have ____ homing, so they are trafficked to ___

A

tissue-specific; secondary lymphoid tissues

62
Q

effector lymphocytes traffic to sites of ___

A

inflammation

63
Q

effector lymphocytes traffic to sites of ___

A

inflammation

64
Q

where do memory lymphocytes home to ?

A

the tissue type where a specific antigen was first encountered

65
Q

what are 3 important lipid mediators of inflammation? What produces them?

A
  1. thromboxane
  2. prostaglandins
  3. leukotrienes
  4. tissue mast cell and macrophages
66
Q

what is the function of thromboxane?

A

vasoconstriction and platelet aggregation

67
Q

what are the functions of prostaglandins?

A

increase vascular permeability, vascular dilation and neutrophil chemotaxis

68
Q

what are the functions of leukotrienes C4, D4, and E4?

A

mediate lung inflammation

69
Q

what is the function of leukotriene B4?

A

causes neutrophil chemotaxis

70
Q

what are the functions of platelet activation factor (a lipid mediator of inflammation)

A

platelet aggregation, neutrophil activation, and eosinophil chemotaxis

71
Q

chemokines, anaphylatoxins, proinflammatory cytokines and interferon-y are all ___

A

mediators of inflammation

72
Q

what are the functions of chemokines as mediators of inflammation?

A
  1. attract leukocyte subsets to sites of inflammation

2. regulate the expression and conformation of CAMs

73
Q

what are the functions of anaphylatoxins (C3a and C5a) as inflammatory mediators?

A

trigger tissue mast cell release of histamine, leading to contraction of smooth mucle and increased vascular permeability

74
Q

what are the functions of proinflammatory mediators TNF-a, IL-1 and IL-6?

A

have multiple redundant effects including fever, acute phase protein synthesis, increased CAM expression and increased vascular permeability during acute inflammation

75
Q

what are the functions of IFN-y and TNF-a as inflammatory mediators?

A

important in chronic inflammation and can cause tissue damage

76
Q

is IL-1 pyrogenic?

A

yes

77
Q

is TNF-a pyrogenic?

A

yes

78
Q

is IL-6 pyrogenic?

A

yes

79
Q

can IL-1 trigger synthesis of acute phase proteins by teh liver?

A

yes

80
Q

can TNF-a trigger synthesis of acute phase proteins by the liver

A

yes

81
Q

can IL-6 trigger synthesis of acute phase proteins by teh liver?

A

yes

82
Q

of IL-1, TNFa and IL-6, which can increase vascular permeability?

A

all

83
Q

of IL-1, TNFa, and IL-6, which can cause increased adhesion molecules on vascular endothelium?

A

all EXCEPT IL-6

84
Q

of IL-1, TNFa and IL-6, which are capable of chemokine induction?

A

all EXCEPT IL-6

85
Q

what are lectins?

A

sugars that bind to other sugars

86
Q

are mucins mostly sugar or mostly protein?

A

mostly sugar

87
Q

selectins have what 2 domains?

A
  1. cysteine-rich and

2. lectin domain

88
Q

Ig-superfamily CAMs are recognizable by their _____ held together by ____ bonds

A

loops; disulphide (Ig domains)

89
Q

CC chemokines have 2 ___ residues with ___ in between

A

cystine; nothing

90
Q

CXC chemokines have 2 ___ domains with ___ in between

A

cysteine; amino acid

91
Q

CCL is the ___ and CCR is the ___

A

ligand; receptor

92
Q

t/f the CXCR1 is found on neutrophils

A

t

93
Q

where are CXCR2 found?

A

many innate immune cells, especially granulocytes

94
Q

CXCR4 is the ___ co-receptor

A

HIV

95
Q

CCR1 is found on most ___

A

leukocytes

96
Q

CCR2 is found on most ____, ____ and ___ cells

A

monocytes, DC, and endothelial

97
Q

CCR3 is found on ___ and ___ cells

A

eosinophils and basophils

98
Q

release of ____ through the endothelium will start the rolling process and the chemotraction of the neutrophil

A

chemokines

99
Q

activation of neutrophils allows them to have high affinity form of some ___

A

CAMs

100
Q

selectins on inflammed endothelial cells bind to ____ on neutrophils, which starts the rolling process by tethering the neutrophil

A

mucins

101
Q

the ___ and ___ ig superfamily CAMs are responsible for grabbing the neutrophils for good (neutrophol arrest)

A

VCAM and ICAM-1

102
Q

MIP-1B attracts naive T cells to the ___

A

lymph node

103
Q

RANTES attracts memmory T cells to the

A

site of infection or site where infection had been before

104
Q

t/f there are different adhesion molecules for different parts of the body

A

true