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16 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Which of the following is NOT a circulating inflammatory cell?
Basophils
Mast Cells
Eosinophils
Mast Cells- tissue based
Define the following terms:
Rubor
Tumor
Calor
Dolor
Rubor Redness
Tumor Swelling
Calor Heat
Dolor Pain
what is ment by Increased vascular caliber in the early stages of acute inflammation?
Increased blood flow
Differences between transudates and exudates
transudates: extravascular fluid accumulation due to hydrostatic forces
exudates: extracellular fluid accumulation due to pathogenic vascular permeability increase
main products of vascular smooth muscle during early phase of acute inflammatory reaction?
NO and histamine
Short term and long term agents of increased vascular permeability
Immediate transient response:
histamine bradykinin leukotrienes substance P

Delayed prolonged response:
Cytokines IL-1 TNF IFNγ
Describe the order of events of leukocytes from within vessels to the intravascular space during inflammation
Stasis --> margination of leukocytes (RBC's in center of lumen) --> rolling --> pavementing --> transmigration (diapedesis) --> migration (chemotaxis)
What substances lead to the increase in P and E selectins on endothelial cell?

what process of Leukocyte migration from blood vessels are P and E selectins involved in?
P selectin: Histamin, PAF,thrombin

E selectin: IL-1, TNF, chemokines
rolling due to binding with leukocyte sialylated oligosaccharides
causes and mechanism of leukocyte adhesion
cytokines (TNF, IL-1, chemokines) increase ICAMs and VCAMs on endothelial cells as well as high affinity integrins on leukocytes
endogenous and exogenous agents of chemotaxis
C5a, Leukotriene B4 (lipoxygenase), IL-8 (chemokines), bacterial products (terminal N-formyl- methionine lipids)
intracellular effects of chemotactic agents
activation of G-protein couples receptor --> activation of phospholipase C (PLC), phosphoinositol-3-kinase, and protein tyrosine kinases (TK's)
characteristics of leukocyte activation
inc arachidonic acid metabolites (by PLA2)
activation protein kinase C
increase in intracellular Ca
mechanism of leukocyte recognition of microbes
1)mannose receptor
2)scavenger receptor
phagolysosomal killing by oxygen- steps to get reactive oxygen species
O2 --> peroxide (O2-) by NADPH oxidase
peroxide --> H2O2
H2O2 --> hypochlorite (HOCl) by myeloperoxidase
killing by halogenation
list some oxygen independent methods of killing microbes
1)BPIP (bactericidal permeability inc protein)
2)lysosome
3)lactoferrin (binds iron)
4)major basic protein (eosinophils- good for paracites)
5)Defensins (arg-rich --> leaky)
Stoppage of Acute Inflammation
leukotriene to lipoxin switch (lipooxygenase arm of arachidonic acid metabolism)

transforming growth factor β

cholinergic inhibition of
macrophage TNF production