Regulation of Inflammation Flashcards
Histamine
Vasodilation (via releasing NO)
Smooth muscle contraction
Edema
Pain
Itching
(Bronchoconstriction but WAY less than LTC4, D4, E4)
Hypersecretion of mucus
Released: mast cells, basophils, platelets
Nitric Oxide (NO)
Vasodilation
AKA endothelium-derived relaxing factor (EDRF)
Other functions: antimicrobial bc forms ROSs; can be anti-inflammatory too
Released: endothelium, macrophages
Serotonin
Similar to histamine
Released by platelets
Plasma derived mediators of inflammation
Complement cascade proteins
Kinins
Coagulation cascade (proteases)
Vasoactive amines
Histamine and serotonin
Pre-formed in granules
Vasodilation, edema, itching, smooth muscle contraction, hypersecretion
Act on endothelium
Mast cell
Releases: histamine, PAF, leukotrienes, prostaglandins
Functions: edema, vasodilation, wound repair
How does NO mediate indirect vasodilation?
Histamine and bradykinin (released from mast cells) contract smooth muscle, but also release NO from endothelial cells to give net vasodilation
True or false: NO is only inflammatory
False, it can also be anti-inflammatory
Also produces ROS
What attracts leukocytes into inflamed tissues early on (first few hours)?
(Lipid/premade mediators)
Microbial peptides
C5a
LTB4
PAF
What attracts leukocytes into inflamed tissues later on (24 hours)?
IL-8 (neutrophils; CXC)
MCP-1 (monocytes; CC)
Other chemokines
All these are slower to be produced but last longer than C5a, LTB4, PAF from early response
(Chemokines/cytokines)
Mediators for Vasodilation
NO
Bradykinin and Histamine
PAF
PGI2
PGs (PGD2, PGF2)
Mediators for Edema (Vascular Permeability)
Histamine and Bradykinin
C3a
C5a
LTC4, D4, E4
PAF
(PGs potentiate)
Also, fibrinopeptides (products of fibrin breakdown during clot lysis)
Mediators for Pain
Bradykinin and Histamine
Substance P
Serotonin
(PGEs potentiate)
Mediators for Neutrophil Chemotaxis and Adhesion
Bacterial products
PAF
LTB4
C5a
IL-8
Mediators for Fever (and general acute phase reaction: fever, neutrophilia, somnolence, loss of appetite, low BP)
IL-1
TNF-alpha
IL-6
(PGEs in the brain)