Week 4 Lecture 1 Flashcards

0
Q

Give an example of physical/mechanical barrier.

A
  • Linings of the gastrointestinal tract, genitourinary and respiratory tracts.
  • Skin.
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1
Q

What are the 3 lines of defense?

A

Innate - First
Inflammation - Second
Adaptive immunity - Third

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2
Q

Give an example of biochemical barriers.

A

Synthesized and secreted, saliva, tears, earwax, sweat ad sebum.

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3
Q

What causes the second line of defense to activate?

A

Infection, mechanical damage, ischemia, nutrient deprivation, temperature extremes and radiation.

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4
Q

Give an example of a characteristic of acute inflammation.

A
  • Redness
  • Heating
  • Swelling
  • Pain
  • Loss of function
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5
Q

What is the goal of inflammation?

A
  • Remove agents/prevent spread of
  • Remove debris and damage
  • Prevent infection
  • Facilitate adaptive immunity
  • Bring about repair
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6
Q

What is the first major event in a local inflammatory response?

A

Activated macrophages and mast cells at the injury site release chemical signals that act on nearby capillaries.

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7
Q

What is the second major event in a local inflammatory response?

A

The capillaries widen and become more permeable, allowing fluid containing antimicrobial peptides to enter the tissue. Signals released by immune cells attract additional phagocytic cells.

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8
Q

What is the third major event in a local inflammatory response?

A

Phagocytic cells digest pathogens and cell debris at the site, and the tissue heals.

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9
Q

What are the 4 systems involved with plasma and cell derived mediators?

A
  • Protein system
  • Complement system
  • Coagulation system
  • Kinin system
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10
Q

What are the cell derived mediators?

A
  • Mast cells (histamine)
  • Platelets (serotonin)
  • Neutrophils and macrophages
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11
Q

What is the main role of the complement system?

A

Activated with every component of inflammatory response.

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12
Q

What is opsonization?

A

Enhancing phagocytosis of antigens?

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13
Q

What is chemotaxis?

A

Rupturing membrane of foreign cells.

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14
Q

What is agglutination?

A

Clustering and binding of pathogens together.

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15
Q

What are the 3 pathways?

A
  • Classical
  • Lectin
  • Alternative
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16
Q

What is the coagulation system and what does it do? Address 3/6 points.

A
  • Insoluble protein called fibrin.
  • Forms a fibrinous network mesh work at an injured or inflamed site.
  • Prevents spread of infection.
  • Keeps microorganisms and foreign bodies at the site of greatest inflammatory cell activity.
  • Forms a clot that stops bleeding.
  • Provides framework for repair and healing.
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17
Q

What is the main role of the Kinin system?

A

Activate and assist inflammatory cells.

18
Q

What are the components of the cellular mediators?

A
  • Granulocytes
  • Platelets
  • Monocytes
  • Lymphocytes
  • Mast cells
  • Neutrophils
19
Q

What are mast cells and how do they work?

A
  • Cellular bags of granules located in loose connective tissue close to blood vessels.
  • Activated by physical injury, chemical agents etc
  • Released via degranulation and synthesis of lipid-deprived chemical mediators.
20
Q

What is histamine and what does it do?

A

Vasoactive anime that causes temporary, rapid construction of the large blood vessels and the dilation of the postcapillary venules.

21
Q

What are leukotrienes and what do they do?

A
  • Product of arachidonic acid from mast cell membranes.

- Similar effects to histamine in later stages.

22
Q

What is the effect of prostaglandins?

A

Similar effect to leukotrienes, induce pain.

23
Q

What are neutrophils and what do they do?

A
  • Major class of white blood cell in human peripheral blood.
  • Predominate in early inflammatory response.
  • Short lived, become component of purulent exudate.
  • Kill extra cellular pathogens.
24
Q

What are the 5 steps of phagocytosis?

A
  • Opsonization, recognition and adherence.
  • Engulfment
  • Phagosome formation
  • Fusion with lysosomal granules
  • Destruction of target
25
Q

How are macrophages formed?

A

Monocytes produced in bone marrow, enter circulation and migrate to the inflammatory site, where they develop into macrophages.

26
Q

What changes occur once a macrophage activates?

A

Increase in plasma membrane area, glucose metabolism, number of lysosomes and secretory products.

27
Q

What is the role of natural killer cells?

A

Recognize and eliminate cells infected with viruses and in some cases, cancer cells.

28
Q

What happens when a platelet activates?

A

Degranulation and interaction with components of the coagulation system.

29
Q

What is the main role of interferons?

A

Protect against viral infection.

30
Q

What is the role of INF a/b?

A

Induce production of antiviral proteins.

31
Q

What is the role of INF y?

A

Increase microbialcidal activity of macrophages?

32
Q

What is serous exudate?

A

Watery exudate; indicates early inflammation.

33
Q

What is fibrinous exudate?

A

Thick, clotted exudate; indicates more advanced inflammation.

34
Q

What is purulent exudate?

A

Pus; indicates bacterial infection.

35
Q

What is hemorrhagic exudate?

A

Exudate containing blood; indicates bleeding

36
Q

What are 3 disadvantages of acute inflammation?

A
  • Excess swelling
  • Pain
  • Impaired function
  • Cell damage and death
  • Shock, if severe
37
Q

What are the 3 outcomes of acute inflammation?

A
  • Growth and repair
  • Suppuration/abscess
  • Progression to chronic inflammation
38
Q

What is Suppuration and abscess?

A
  • Inflammation persists
  • Dead white cells and damaged tissue increased.
  • Area walled off by inflammatory cells.
  • Abscess (cavity containing pus)
  • Normal tissue replaced by scar tissue.
39
Q

What are epitheloid cells?

A

Elongated cells with larger cytoplasm and vacuoles.

40
Q

What are langhans giant cells?

A

Up to 50 macrophages with nuclei in horseshoe pattern.

41
Q

What is resolution and repair?

A

Resolution - returning injured tissue to the original structure and function.

Repair - replacement of destroyed tissue with scar tissue.

42
Q

What is the reconstructive phase?

A

Healing phase of tissue.

43
Q

What is the maturation phase?

A

Scar tissue remodelled.