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19 Cards in this Set

  • Front
  • Back

4 characteristics of inflammation

Redness


Heat


Swelling


Pain

4 ways local inflammation combats infection

- increases local/systemic temperature


- delivers additional effector molecules to the site of infection


- provides a physical barrier to infection


- induces adaptive immunity

Addressins

Adhesion molecules that include selectins, integrins and the Ig family

Selectins

Esp. P selectin.


Expressed on activated endothelium, binds loosely to integrins on the leukocytes.

Integrins

Expressed on the leukocytes. Bind to selectins initially during rolling adhesion, then bind tightly to ICAMs

Steps in leukocyte entry to cell

Rolling adhesion


Tight binding


Diapedesis (movement of leukocytes through endothelial cell walls)


Migration

Interleukins

Cytokines produced by leukocytes

Myokines

Cytokines produced by muscle cells

Adipokines

Cytokines produced by fat cells

Chemokines

Cytokines that are chemoattractant

Sepsis

Macrophages in the liver and spleen secrete TNF-a into the bloodstream, get systemic edema causing decreased blood volume. Get disseminated intravascular coagulation, leading to multiple organ failure.

Local inflammation

Local macrophages cause TNF-a to be secreted in the area. Have increased release of plasma proteins into the tissue, increased platelet adhesion, phagocytosis of bacteria. Get removal of infection and induction of adaptive immunity.

IL-1B

Activates vascular endothelium, activates lymphocytes, increases access of effector cells


Induces fever and production of IL-6

TNF-a

Activates vascular endothelium, increases vascular endothelium, increased IgG/complement/phagocytic cells


Induces fever, shock

IL-6

Activates lymphocyes, increases antibody production, induces fever and acute-phase proteins from liver

CXCL8

Recruits neutrophils, basophils and T-cells

IL-12

Activates NK cells, induces T cell differentiations

IFN


IL-15

Direct antimicrobial activity, activation of NK cells, induced differentiation of CD4 T cells

4 steps of leukocyte entry

Adhesion


Tight binding


diapedesis


Migration