WEEK 4 Flashcards
Describe neutrophils
Are the most common polymorphs & circulate in the blood
- they form the bulk of the early acute inflammatory response.
- infiltrate at the site of damage & generally arrive before monocytes
- in response to chemotactic agents, they adhere to the endothelium of local capillaries & venules & their pseudopodia squeeze between the endothelial cells & dissolve the basement membrane in order to move into the tissue space
Describe eosinophils.
Have a bi-lobed nucleus & lots of granules in the cytoplasm.
- are also phagocytic & involved in the control of allergy
- also have a role in the removal of fibrin deposited as part of the inflammatory response
Describe basophils.
Move into tissues during inflammation
- found in the blood
- are rich in granules that contain histamine, this is why it can be hard to identify a nucleus in a micrograph
- contain heparin for clotting prevention
What 3 types of leukocytes are granulocytes?
neutrophils
eosinophils
basophils
What are monocytes?
circulating WBCs derived from precursors in bone marrow becoming macrophages when they leave the circulation
What are macrophages?
versatile cells & act as the main scavengers for old cells & debris
What are the 3 types of phagocytic cells?
eosinophils
neutrophils
macrophages
What is chemotaxis?
The movement of a motile cell/organism, or part of one, in a direction corresponding to a gradient of increasing or decreasing concentration.
Cells “stick” to the walls of the BVs & “push” their way through the gaps between the cells
What is the differential count?
It gives the proportions of the different leukocytes in the blood
This is determined by creating a blood film from a sample of blood & counting the number of each cells
What happens during an allergic reaction?
IgE Ab binds to the Fc receptor on a mast cell & allergen can bind to the IgE Ab which causes the release of histamine & vasoactive amines
Describe the (i) humoral response (ii) cell-mediated repsonse
(i) Plasma cells (B cells) secrete Ab’s. Vaccinations stimulate the immune response
(ii) Cytotoxic (T cells) kill virally infected cells WITHOUT damaging healthy cells. They are in the blood stream
What are (i) Erythrocytes (ii) Reticuloctyes?
(i) responsible for oxygen & carbon dioxide transport
(ii) newly formed erythrocytes with a short lifespan
What is the reticulocyte count? What does an increase in this value indicate?
It gives information on the activity of bone marrow
- an increased count indicates that erythrocyte production has increased
What happens to the reticulocyte count in response to the treatment of a patient with a B12 deficiency? Why is this the case?
Reticulocyte count peaks, as a boost of activity in the bone marrow occurs
How long do reticulocytes retain RNA when in the blood? Why is this useful?
For 24-48 hours
- it can be stained by specific dyes (cresyl violet, methylene blue)
What is the (i) PCV (ii) MCV (iii) MCH (iv) MCHC
(i) PACKED CELL VOLUME - the volume of RBCs in a sample after centrifugation (haematocrit)
(ii) MEAN CORPUSCULAR VOLUME - average volume of 1 RBC
= vol. of x RBCs / x RBCs
(iii) MEAN CORPUSCULAR Hb - average amount of Hb in 1 RBC
= amount Hb in x RBCs / x RBCs
(iv) MEAN CORPUSCULAR Hb CONC - average concentration of Hb in 1 RBC
= amount Hb in x RBCs / volume x RBCs = MCH / MCV
Describing platelets, state their lifespan, where they are derived from, what they are involved in & how they are destroyed.
Lifespan = 5-9 days
Derived from megakaryocytes
Involved in clot formation (coagulation cascade)
Destroyed by phagocytosis in spleen & kupffer cells in liver
Define (i) Haemostasis (ii) Anaemia.
(i) process by which haemostasis is arrested following vascular injury. This can go wrong if it occurs at the wrong place or wrong time. A mass can be formed in the BVs due to the aggregation of platelets
(ii) Reduction in Hb or Red cell conc in the blood. Therefore a reduced supply of oxygen to tissues (tissue hypoxia). Can be due to cells not being manufactured OR loss of cells.
What are the SIGNS and SYMPTOMS of anaemia? (HINT: 4 signs, 5 symptoms)
SIGNS - pallor face - glossitis - angular stomatitis - koilonychia SYMPTOMS - fatigue - weakness - headaches - breathlessness - palpitations
What is the function of enzymes? How do they do this?
Enzymes lower the activation energy required for a chemical reaction by stabilising the transition state
What is the equation for calculating rate enhancement?
Catalysed rate / uncatalysed rate
WHY is product accumulation not linear? (HINT: there’s 4 reasons)
- Substrate concentration falls
- Product may inhibit the enzyme
- Enzyme may denature
- Reverse reaction becomes favourable
How is enzyme activity (Vo) measured?
By increasing the substrate concentration & measuring the accumulation of products over time
The maximal velocity (Vmax) is hard to achieve, how can it be calculated?
By plotting a double reciprocal of the data, creating a Lineweaver-Burke Plot
What is the Km? What is the Michaelis-Menten equation?
Km = the substrate concentration required for half the maximum velocity
Michaelis menten eqn measures the activity of an enzyme:
= Vmax * [S] / Km +[S]
What is irreversible inhibition? Give an example.
Inhibitors react with the enzyme & form a covalent adduct with the protein
E.g. ORGANOPHOSPHATES
The primary mechanism of action of diisopropyl fluorophosphate (DIPF), an organophosphate pesticide, is inhibition of AChE. AChE degrade ACh into acetic acid & choline. Organophosphates inactivate AChE by phosphorylating the serine hydroxyl group (located at active site of AChE) Once AChE has been inactivated, ACh accumulates throughout the nervous system, resulting in overstimulation of receptors
What is reversible competitive inhibition? Give an example.
Competes with the substrate for the active site of the enzyme as it has a similar structure to that of the normal substrate. The drug occupies the active site & leaves it unchanged => the activity of an enzyme is slowed down
E.g. BACTERIA cannot use readily made folic acid, but must synthesise it from 4-aminobenzoic acid. Sulphonamides are similar in structure to 4-aminobenzoic acid are are therefore effective Ab as they starve bacteria of essential folic acid.
When a competitive inhibitor is present, an increased concentration of substrate is needed to reach Vmax => increase in Km (Vmax is constant)
What is reversible allosteric inhibition? What is the difference between mixed & non-competitive inhibition? Give an example
Can bind to the enzyme at the SAME TIME as the substrate as they don’t bind to the active site. They render the enzyme substrate complex inactive because the inhibitor cannot be driven from the enzyme by increasing substrate conc.
The difference between mixed & non-competitive inhibition is that the latter affects activity ONLY, but the former affects activity & substrate binding
MIXED: Vmax dec, Km inc
NON-COMP: Vmax dec, Km unchanged
E.g. PFK catalyses the transfer of phosphate from ATP to fructose-6-P
- PFK bindds to ATP at 2 sites (active & inhib site). In increased levels of ATP, the inhibitory site is occupied & fructose-6-P binding is affected
What are the 3 causes of acute inflammation?
microbial infections
hypersensitivity
physical & chemical agents
What are the 5 key points to recognising inflammation?
- Redness (RUBOR) - dilation of BVs
- Heat (CALOR) - increase in peripheral temp due to hyperaemia
- Swelling (TUMOR) - mainly oedema
- Pain (DOLAR) - stimulation of nerve endings
- Loss of function
What are the 2 stages of acute inflammation?
- VASCULAR phase - dilation & increased permeability of local BVs
- EXUDATIVE phase - fluid & cells escape from permeable venules
What is an exudate? What are the features of an exudate?
Defined as a mass of cells & fluid that has seeped out of BVs OR an organ Features: - high protein content - increased vascular permeability - net flow OUT
What are the features of a transudate?
Low protein content
Normal vascular permeability
Net flow OUT
How does an increase in vascular permeability come about?
Produced by chemical mediators such as histamine & bradykinin & involves the stimulation of endothelial cell cytoskeleton by chemical mediators.
It is confined to post capillary venules & does NOT damage them
During inflammation, what happens to lymphatics & antigens?
Lymphatics are dilated & they drain fluid from the exudate
Antigens are carried to the lymph nodes where they are recognised by lymphocytes
What is the difference between lymphangitis & lymphadenitis?
LymphANGITIS is inflammation of lymphatic vessel
LymphADENITIS is inflammation of the local lymph nodes