Principal Mediators Flashcards

1
Q

Histamine

A
  • Mast cells, basophils, platelets
  • Vasodilation, increased vascular permeability, endothelial activation
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2
Q

Prostaglandins

A
  • Mast cells, leukocytes
  • Vasodilation, pain, fever
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3
Q

Leukotrienes

A
  • Mast cells, leukocytes
  • Increased vascular permeability, chemotaxis, leukocyte adhesion, and activation
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4
Q

Inflammatory cytokines

A
  • TNF, IL-1, IL-6
  • Macrophages, endothelial cells, mast cells
  • Local effects: endothelial activation, expression of adhesion molecules
  • Systemic effects: fever, metabolic abnormalities, hypotension
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5
Q

Chemokines

A
  • Leukocytes, activated macrophages
  • Chemotaxis, leukocyte activation
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6
Q

Platelet Activating Factor

A
  • Leukocytes, mast cells
  • Vasodilation, increased vascular permeability, leukocyte adhesion, chemotaxis, degranulation, oxidative burst
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7
Q

Complement

A
  • Present in plasma (source is liver)
  • Effects include: leukocyte chemotaxis and activation, direct targe killing via membrane attack complexes, vasodialtion via mast cell stimulation
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8
Q

Kinins

A
  • Present in plasma (source is liver)
  • Effects include: increased vascular permeabitliy, smooth muscle contraction, vasodilation, pain
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9
Q

Cell derived mediators

A

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)

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10
Q

Plasma derived mediators

A

Complement proteins

Produced by liver and circulate in plasma as inactive precursors.

Must be activated by series of proteolytic cleavages to become biologically active

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11
Q

Vasodilation

A

Mediators: histamine, prostaglandins

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12
Q

Increased vascular permeability

A

Mediators:

  • histamine
  • serotonin
  • C3a
  • C5a
  • Leukotrienes C4, D4, E4
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13
Q

Chemotaxis

Leukocyte recruitment

Leukocyte activation

A

Mediators:

  • TNF
  • IL-1
  • Chemokines
  • C3a, C5a
  • Leukotriene B4
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14
Q

Fever

A

Mediators:

  • IL0-1
  • TNF
  • Prostaglandins
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15
Q

Pain

A

Mediators:

  • Prostaglandins
  • Bradykinin
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16
Q

Tissue Damage

A

Mediators:

  • Lysosomal enzymes of leukocytes
  • Reactive oxygen species