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28 Cards in this Set

  • Front
  • Back
what are the most likely mediators in vasodilation?
prostaglandins, nitric oxide
what are the most likely mediators in increased vascular permeability?
vasoactive amines, C3a & C5a (through liberating amines), Bradykinin, Leukotrienes C4, D4, E4, PAF
what are the most likely mediators in chemotaxis, leukocyte activation?
C5a, leukotriene B4, bacterial products, cytokines (IL-8)
what are the most likely mediators in fever?
prostaglandins, bradykinin
what are the most likely mediators in pain?
prostaglandins, bradykinin
what are the most likely mediators in tissue damage?
neutrophil and macrophage lysosomal enzymes, oxygen metabolites, nitric oxide
how are leukocytes activated?
via complicated phospholipase C cascade
what occurs after leukocyte activation?
extravasation and phagocytosis
how do leukocytes undergo extravasation and phagocytosis?
(1) margination and pavementing (2) emigrations/transmigration (3) chemotaxis (4) phagocytosis (5) cell killing and degradation
what occurs with leukocytes during normal blood flow?
leukocytes and RBC's are in central axial column with plams peripheral
what occurs to blood flow carrying leukocytes during inflammation?
slows early in inflammation
what occurs during margination?
leukocytes fall out of center axial column, tumble along endothelium, called rolling
what is margination mediated by?
selectins, which are expressed on endothelial cells, mediate rolling by loosely binding to sialylated forms of oligosaccharides bound to leukocyte cell surface glycoproteins
name some selectins involved in margination?
P-selectin, E-selectin, L-selectin
what does P-selectin do?
released from Weibel-Palade bodies (preformed) so expressed within minutes of stimulation
what does E-selectin do?
expressed 4-12 hours after stimulation and gone by 24 hours
what does L-selectin do?
expressed on leukocytes
what contributes to leukocyte pavementing/adhesion?
immunoglobulins and integrins
what immunoglobulins are involved in leukocyte adhesion?
ICAM-1 (CD54), VCAM
what integrins are involved in leukocyte adhesion?
CD11a & b/CD18 (LFA 1 & Mac-1), all leukocytes, VLA-4
where do immunoglobulins expressed which are involved in leukocyte adhesion do?
on endothelial surfaces, 'tightly' bind to integrins for emigration
what role does ICAM-1 (CD54) do in leukocyte adhesion?
expressed 4 hours after stimulation, peaks at 12 hours, lasts to 96 hours
where are integrins that affect leukocyte adhesion expressed?
on surface of activated leukocytes
what leukocytes have CD11a & b/CD18 (LFA-1 & Mac-a)?
all leukocytes
what leukocytes have VLA-4?
lymphocytes, monocytes, basophilss, eosinophils
what is deficient in leukocyte adhesion deficiency?
Beta2 integrin deficiency (LAD type I)
what animals have LAD type I?
holstein cattle and irish setters
what are the features of LAD type I?
high levels of circulating neutrophils, patients develop severe, recurring infections but not pus formed, leukocytes lack CD11a/CD18 (LFA-1) due to defect in gene encoding CD18 portion or molecule impairing Leukocyte emigration & chemotaxis impaired