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25 Cards in this Set

  • Front
  • Back

What can cause inflammation

Chemical damage


Immune


Infection


Tissue damage

What is the purpose of inflammatory responde

Eliminate the stimulus


Produce healing and restore to normal physiological state

What happens if the acute inflammatory response fails to eliminate the stimulus or if the stimulus is self perpetuating

Inflammation becomes chronic


Major problem

Name some diseases associated with chronic inflammation

Asthma, RA, skin disorders, MS, neurodegeneration, LUPUS, Colitis

Whats some signs of inflammation

Heat pain, swelling, rednesss, loss of function

What do chemoattractants do

Allow white blood cells to come in

Name the pathway from stimulus to tissue repair

Stimulus- mediator release- vasodilation/cellular infiltration


Stimulus- mediator release- increased vascular permeability-tissue damage-tissue repair

What are some mediators of inflammation

Complement, Lysosomal enzymes, Kinins, histamine, superoxide,leukotrienes,thromboxane, prostaglandins, PAF, NO, cytokines

How does C3 get to cell lysis

C3to C3bto C5b-9 to cell lysis

In C3 where does histamine get released

C3 to C3a then histamine released

C3 to opsonisation

C3 to C3b to opsonisation

C3b to C5a produces what

Chemotaxis, histamine release, activates white blood cells

Cell membrane phospholipids to 12-HETE

Cell membrane phospholipids to arachadonic acid by phospholipase A2


12-lipoxegenase to 12-HETE

Cell membrane phospholipid to PGD2, PGE2, PGF2a

Cell membrane phospholipid to arachadonic acid by phospholipase a2


Through COX to cyclic endoperoxides(PGG2, PGH2)


To PGI2, TXA,


PGD2, PGE2, PGF2a

Arachadonic acid to LTB4-LTE4

Arachidonic acid through 5-lipoxygenase to 5-HPETE


Then LTB4-LTE4

what does kinins, PAF, histamine and LTD4 cause

Vascular permeability

What does C5a, PAF, LTB4 and cytokines cause

Cell migration

What does CGRP, PAF, histamine , kinins and PGs cause

Vasodilation

What does kinins, PGs and paf cause

Pain

How does stimulus get to inflammation and then get to chronic inflammation

Stimulus- mediator release- inflammation- failure to eliminate noxious stimulus

How does stimulus get to resolution

Stimulus, mediator release, inflammation, resolution


Stimulus- mediator release- lipoxins, resolvins and IL-10 to resolution

What is rheumatoid arthritis

Chronic inflammatory disease primarily affecting the joints butnwith other extra articular manifestations

What does RA effect

Joints symmetrically, may only begin with a couple of joints and most frequently attacks wrists, hands, elbows shoulders knees and ankles

What happens in the joint in normal patient compared to RA

Normal- nice space and covering of cells


RA- rubbing of cartilage(cartilage loss), inflammation, bone loss and erosion

Who can get RA? And whats the pathway

Genetic suceptibility


Enviromental stimulus(smoking?)


To get an immune response against autoantigens


Then joint inflammation


Formation of granulation tissue then erosion of bone and cartilage then joint destruction