Module 4 L3-4 Flashcards
Vasodilation
diameter increases, fluid velocity decreases
Inflammation purpose
eliminate infection and repair damage
Local signs of acute inflammation
Heat, redness, swelling, pain, loss of function
Two major components of inflammation that contribute to acute inflammation
Vascular changes, cellular events
Vascular changes
vasodilation, increased viscosity, margination
Vasodilation
diameter increases , fluid velocity decreases
Increased viscosity
thickness from fluit loss
Vasodilation and increased viscosity lead to
margination
Margination
leukocyte sitting along inner surface of blood vessels due to slowing of blood dlow
Increased vascular permeability
transcytosis
Transycosis
Increased fluid flow through endothelial cells
Effects of vascular changes
Release transudate -small holes
Release exudate - mid holes
Results in edema
White blood cell migration
Margination, rolling, adhesion, phagocytosis
Mediates adhesion
sialyl lewis X
Opsonin
host proteins that cost microbes and target them for opsonization by lysosomal phagolysosome
Mediates firm adhesion
Integrins, ICAM-1intercellular, VCAM-1 vascular
Chemoattractant gradient consists of
Bacterial peptides, complement system components, cytokines, chemokines, leukotrienes
Most important opsonins
IgG, C3 breakdown products and plasma binding products called collectins bind to microbial cell wall sugar groups
Defensins
proteins that form holes in bacterial membranes
Nitric oxide purpose
vascular smooth muscle relaxation
Cytokines TNF and IL1 purpose
Local endothelial activation
Nitroc oxide and ROS purpose
Killing of microbes
Arachidonic acid becomes
cycloxygenase, 5-lipoxygenase, 12-lipoxygenase
Cox 1/2 inhibitors
Aspirin, ibuprofen, naproxen
cox 2 inhibitors
celebrex and vioxx
singulair is a
leukotriene receptor antagonist - reduces airway restriction and airway edema
TNF/IL-1 major effects
Endothelial, Fibroblast, Systemic, Leukocyte
Outcomes of acute inflammation
Resolution, Chronic inflammation, fibrosis
Fibrosis
loss of funtion
Chronic inflammation
long time of active inflammation (weeks to years)
Chronic inflammation distinguished by
Macrophages, lymphocytes, plasma cells
Acute inflammation distinguished by
neurophilic infiltrate