Principal Mediators Flashcards
Histamine
- Mast cells, basophils, platelets
- Vasodilation, increased vascular permeability, endothelial activation
Prostaglandins
- Mast cells, leukocytes
- Vasodilation, pain, fever
Leukotrienes
- Mast cells, leukocytes
- Increased vascular permeability, chemotaxis, leukocyte adhesion, and activation
Inflammatory cytokines
- TNF, IL-1, IL-6
- Macrophages, endothelial cells, mast cells
- Local effects: endothelial activation, expression of adhesion molecules
- Systemic effects: fever, metabolic abnormalities, hypotension
Chemokines
- Leukocytes, activated macrophages
- Chemotaxis, leukocyte activation
Platelet Activating Factor
- Leukocytes, mast cells
- Vasodilation, increased vascular permeability, leukocyte adhesion, chemotaxis, degranulation, oxidative burst
Complement
- Present in plasma (source is liver)
- Effects include: leukocyte chemotaxis and activation, direct targe killing via membrane attack complexes, vasodialtion via mast cell stimulation
Kinins
- Present in plasma (source is liver)
- Effects include: increased vascular permeabitliy, smooth muscle contraction, vasodilation, pain
Cell derived mediators
Sequestered in intracellular granules and rapidly secreted by granule exocytosis (e.g. histamine in mast cell granules)
OR
Synthesized de novo in response to stimulus (prostaglandins, leukotrienes, cytokines)
Plasma derived mediators
Complement proteins
Produced by liver and circulate in plasma as inactive precursors.
Must be activated by series of proteolytic cleavages to become biologically active
Vasodilation
Mediators: histamine, prostaglandins
Increased vascular permeability
Mediators:
- histamine
- serotonin
- C3a
- C5a
- Leukotrienes C4, D4, E4
Chemotaxis
Leukocyte recruitment
Leukocyte activation
Mediators:
- TNF
- IL-1
- Chemokines
- C3a, C5a
- Leukotriene B4
Fever
Mediators:
- IL0-1
- TNF
- Prostaglandins
Pain
Mediators:
- Prostaglandins
- Bradykinin