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32 Cards in this Set

  • Front
  • Back

Chronic inflammation

Prolonged non resolving


Leads to loss of function


Persistent inflammatory cells and mediators

Pattern-recognition receptors bind to

Pathogen associated molecular patterns group o

Group of lectins that recognise carbohydrates on microbial surfaces

Mannose R


Scavenger R


Glycan R

CR3 binds

iC3b + LPS

CD14 binds

LSP

What are toll-like receptors

Family of signalling receptors


Expressed by different cell types


Recognise different pathogens


Tailor innate immune responses to what and where

What switches on cytokines production

TLR signalling

Systemic effects of IL-6

Fever


Induces acute-phase protein production by hepatocytes

Local effects TNF-a

Activated vascular endothelium and increases vascular permeability, which leads to increased entry of complement and cells to tissues and increased fluid drainage to lymph nodes

Systemic effects TNF-a

Fever


Mobilisation of metabolites


Shock

Local effects of IL-1B

Activated vascular endothelium


Activated lymphocytes


Local destruction


Increases across of effector cells

Systemic effects of IL-1B

Fever


Production of IL-6

CXCL8

Chemotactic factor recruits neutrophils and basophils to site of infection

Il-12

Activated NK cells

Neutrophils

50 billion in healthy circulation


2 days

Where are a large store of mature neutrophils

Bone marrow

What attracts neutrophils to the site of infection

Products of inflammation

Are neutrophils adapted to work in oxygen

Yes

How long does it take neutrophils to die

Within hours of entering infected tissue and forms pus

What binds to blood vessels to increase vascular permeability

Anaphylatoxins

Increased vascular permeability initiates

Fluid leakage from blood vessels and extravasated blood of complement and other plasma proteins at the site of infection

Increased vascular permeability also initiates

Migration of monocytes and neutrophils from the blood into tissue is increased


Microbiocidal activates of macrophages and neutrophils is also increased

What activates mast cells

C3a + C5a

Mast cells

Resident in tissues and sub mucosa


Release of vasoactive amines


Release of cytokines


Recruits


Ab


Complement


Fluid


Cells

Inflammatory mediators

Cytokines


Chemokines


Complement


Amine


Lipid mediators

Neutrophils can recognise both

Unopsonised and opsonised pathogens





Mm


Mm


Bbmmmj


Bnnn. But. B b.

Differences between neutrophils and macrophages

Greater diversity of diet than macrophages


More antimicrobial weapons than macrophages

Azurophilic granules

Fuse with phagosome


Contains enzymes , antimicrobial, toxins

Chronic granulomatous disease

Mutations in genes for NADPH


No respiratory burst


No PH change in phagosome


Infections are not cleared and remain in localised nodulas

Effects that IL-1 and IL-6 and TNF-a have on the body

Pyrogens raise temperature


Reduce bacterial and virus growth


EnhAnce adaptive immunity

Natural killer cells

NK cells are the killers of innate immunity


Large granular lymphocytes


NK kill and make cytokines


Activity increases 20-100 times on exposure to interferons


NK provides an early response to virus infection until cytotoxic T cells are ready

NK cells can detect what changes in cell surface

Infection


Malignancy


Trauma