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31 Cards in this Set
- Front
- Back
Most prevalent mediators in Vasodilation (3):
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Prostaglandins, NO, Histamine
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Most prevalent mediators in increased vascular permeability: (9)
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Vasoactive amines, C3a, C5a (through liberating amines), bradykinin, Leukotrienes C4,D4,E4, PAF, Substance P
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Most prevalent mediators in Chemotaxis, leukocyte recruitment and activation: (7)
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IL-1, TNF, C3a, C5a, Leukotriene B4, chemokines, bacterial products
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Most prevalent mediators in fever: (4)
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IL-1, IL-6, TNF, Prostaglandins
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Most prevalent mediators in pain: (2)
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Prostaglandins, bradykinin
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Most prevalent mediators in tissue damage: (4)
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neutrophil and macrophage lysosomal enzymes, oxygen metabolites, nitric oxides.
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What are the circulating plasma proteases that undergo activation to be effective?
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Complement system, Kinin system, Coagulation system (intrinsic pathway), and fibrinolytic system.
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What are pre-formed mediators of inflammation that are stored in granules?
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Vasoactive amines and WBC lysosomal proteases.
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Mediators that are produced in response to stimulation? (6)
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Arachidonic acid metabolites, oxygen-derived free radicals, PAFs, NO, cytokines, and Neuropeptides (Substance P).
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What are four main functions of complement?
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Inc. vascular permeability (via Histamine), WBC activation (via C5a), Chemotaxis (C5a), and Opsonizatio (C3b).
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What is the kinin system activated by?What are two main functions/products of the kinin system?
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1. Factor 12
Kallikreins - activate bradykinin (inc. vascular permeability and pain), Factor 12, Plasmin, and C5a. |
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What are the two most common types of histiocytic giant cells?
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Langhans giant cells - nuclei around the periphery
Foreign body giant cells - nuclei cluster together or randomly |
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What three things are the formation of granulomas dependent upon?
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1. Indigestible material
2. Inciting organism (usually TB) 3. An idiopathic process |
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What are the four cardinal signs of localized inflammation?
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Rubor, Calor, Tumor, and Dolor
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During the Adhesion process, what occurs?
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Adhesion molecules on both the WBC and endothelial cell surfaces firmly adhere.
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What is diapedesis?
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When WBCs move between the endothelial cells and cross the basement membrane to enter the interstitial space.
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What is the first monocyte to arrive?
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Neutrophils
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The engulfment process requires similar processes as chemotaxis, what process is this?
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Ligand-receptor complexes, g-protein mediated messengers, increased cytoplasmic calcium.
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The killing and degredation process of inflammation is associated with a burst of what?
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Oxygen consumption and production of oxygen radials.
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What does myeloperoxidase make?
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It is an enzyme used to convert hydrogen peroxide and chlorine to HOCl- or hypochlorous acid.
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In granulomatous inflammation what activates epithelioid cells?
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Macrophages
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Vasodilation is primary mediated by (3)?
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Prostaglandins, histamine & serotonin, NO
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Increased vascular permeability? (6)
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Vasoactive amines, C3a/C5a, Bradykinin, Leukotrienes, PAG, and Substance P
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What is leukocyte adhesion stimulated by?
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Chemotactic complement fragments (C5a), Interleikin-1
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What are some major chemotactic agents?
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N-formylated peptides (bacterial products), Complement fragments (C5a), LT B4 (leukotrienes), and Chemokinds (IL-8)
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What are three main leukocyte activators?
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TNF-alpha
C5a PAF |
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Phagocytosis is activated by what two main opsonins?
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Fc fragments of IgG and C3b and C3bi
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What are examples of the leukocyte products in the interstitium?
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Oxygen radicals and eicosanoids
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What is fever primarily mediated by?
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Cytokines, IL-1, TNF-alpha, they act on the thermoregulatory center of the hypothalamus. IL-1 stimulates prostaglandin synthesis.
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Acute phase reactants are mediated by what substance?
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The action of Il-6 on the hepatocytes and they results in an increased eythrocyte sedimentation rate.
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What are the effects of IL-1, TNF-alph?
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1. Acute phase reactions (fever, increased sleep, neutrophilia, elevated acute phase reactants)
2. Endothelial cell "activation" increased leukocyte activation 3. Fibroblast effects --> proliferation and increased collagen synthesis. |