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34 Cards in this Set

  • Front
  • Back

4 mediators that attract neutrophils

LTB4


C5A


IL-8


Bacterial products

Prostglandin for pain and fever

PGE2

Substrate for COX and LT pathway

Arachidonic acid

Receptor on Macrophage that react to PAMP

Toll like receptor

TLR binds to PAMP produces

Nf-KB

PAMP on gram (-) bacteria

LPS

LPS' receptor (TLR)

CD14

Key activators of mast cells

C3a and C5a, tissue trauma, crosslinking of antigen with IgE

Classic complement activation

C1 binds to IgG or IgM


(GM creates classic Cars)

Alternative pathway for complement activation

Microbial product activation

Mannose-binding lectin complement activation

MBL binds to mannose on organisms

Complement cascase

Opsonin for phagocytosis

C3b

Chemotactic for neutrophils

C5a

Trigger mast cell degranulation

C3a and C5a

Final product of complement cascase

Membrane attack complex (MAC)


Punches holes into the membrane causing cell death

Mediators of pain

PGE2 and bradykinin

Hageman factor

Activated by exposure to subendothelial or tissue collagen



1) activates complement


2) activates coagulation


3) kinin system

Macrophage products that cause fever

TNF and IL-1

Neutrophil peak

24 hrs

Macrophage peak

2-3 days

Phases of neutrophil recruitment

1) margination


2) rolling


3) adhesion


4) transmigration and chemotaxis


5) phagocytosis


P selectin released from

Weibel-Palade body


Mediated by histamine

E selectin induced by

TNF and IL-1

Upregulates integrins?

C5a and LTB4

Integrins upregulates by

IL-1 and TNF

Leukocyte adhesion deficiency


Cardinal manifestation

Delayed separation of umbilical cord


Defect of integrins (CD18 subunit)

Impaired phagolysosome formation

Chediak-Higashi syndrome

Induces macrophage to undergo resolution and healing after acute inflammation

IL-10 and TGF-B

Induces Macrophages to continue acute inflammation

IL-8

Interleukin, CD8+ T cell activator

IL-2

Macrophage activator

IFN-y

Interleukin functions

IL-1 fever


IL-2 activation of CD4 helper T cells (2nd signal)


IL-4 (class switch from IgG to IgE)


IL-5 (maturation of B cells to plasma cells, IgA class switching)


IL-8 Neutrophil recruitment


IL-10 inhibits TH1 phenotype


IL-12 induces TH1 subtype

Macrophage to epithelioid histiocytes mediator

IFN-y