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Inflammation

Kamilla Toewe Alemán 29 fichas

Acute phase proteins

Fichas del conjunto (29)

  1. 1NeutrophilsPrincipal function is to phagocytose bacteria (--> Opsonisation: molecular mechanism whereby molecules, microbes, or apoptotic cells are chemically modified to have stronger interactions)
    The first white blood cells to enter inflamed tissue from the blood
  2. 2GranulomaOrganised collection of macrophages
    Immune system response
    Aim; wall off foreign substances
    Caseitous and non-caseitous
    Caused by myobacteria --> leprosy and Tuberculosis
  3. 3Functions of inflammatory cells• Phagocytosis (eat and destroy microbes)
    • Antibodies
    • Killing infected host cells
    • Control of inflammatory reaction
  4. 4Control of inflammatory reaction• Chemical messengers
    • include prostaglandins, cytokines, complement, clotting factors
    • Cell-cell interactions
    • Pro-inflammatory or anti-inflammatory
  5. 5PusNeutrophils, bacteria, dead tissue, exudate
    Typical of certain bacteria: pyogenic
    = pus producing (Greek)
    Abcess: A collection of pus in the tissues
  6. 6Signs of pathological processes○ Heat
    ○ Redness
    ○ Swelling
    ○ Pain
    ○ Loss of function
  7. 7Leukocytosis• Effects of cytokines on bone marrow
    --> Increases supply of white blood cell
  8. 8Acute phase proteinsAcute phase proteins
  9. 9Cells in chronic inflammationPlasma cells, Macrophages, Lymphocytes, Eosinophils
  10. 10Systemic effects in acute inflammation- Vascular events:Vascular events: deliver plasma proteins to the damanaged/infected tissue
    1) Increased blood flow
    2) Increased permeability of endothelium
    3) Protein-rich plasma fluid (exudate) enters tissue
    4) Increased lymphatic flow
    5) Collection of oedema fluid
  11. 11Function of cellular events in acute inflammtation:Deliver white blood cells to the damaged/infected tissue
    1) Adhesion --> selectins and integrins
    2) Emigration
  12. 12Acute vs. Chronic Inflammation• Acute = rapid onset, short duration
    • timescale depends on context
    • in inflammation, typically up to about 2 weeks
    Chronic = long duration
  13. 13TNF-α and IL-1Pro-inflammatory
    • endothelial adhesion molecules
    • increase coagulation
    • stimulate fibroblasts
    • promote cytokine secretion
    • systemic effects
  14. 14IL-6Proinflammatory
    Important in systemic effects (along with TNF-α and IL-1), for example:
    • acute phase response
    • haematopoiesis
    • Pyrexia
  15. 15IL-10Anti-inflammatory
    • inhibits cytokine secretion
    • reduces antigen presentation
  16. 16TGF-βAnti-inflammatory
    • Important in immunological tolerance
    Key cytokine released by myofibroblasts in the context of fibrosis
  17. 17MacrophagesPhagocytosis*
    Co-ordination of immune response
    • cell-cell interactions
    • secretion of cytokines
    • antigen presentation
  18. 18Mast Cells• Preformed mediators (from the granules):
    • histamine, proteases, etc.
    • Newly synthesised eicosanoids:
    • prostaglandins
    • Cytokines:
    include eosinophil chemotactic factor
  19. 19What are the principal components of granulation tissue?• The two principal constituents of granulation tissue:
    • endothelial cells,
    • fibroblasts and myofibroblasts,
    • Inflammatory cells generally present also
    • Macroscopic:
    • red (very vascular)
    • granular surface (capillary sprouts)
    • Microscopic:
    • capillaries
    • (myo)fibroblasts
    macrophages
  20. 20Discuss healing by resolution and scarring• Maturation of granulation tissue --> Scarring
    • Positive:
    • Restore integrity
    • Negative
    • Lack function of normal tissue
    • Cosmetic
    Complications
  21. 21Main effects of principle inflammatory cellsB-Cells purpose is the production of antibodies
    T-cells CD4 are for "secrete and control", secrete cytocines
    CD8+ are killing abnormal cells
  22. 22Granuloma vs. granulation tissueThe function of granulation tissue is to provide the building blocks necessary for the healing of the injured tissue. The function of a granuloma, on the other hand, is to surround and (hopefully) digest foreign substances (splinters, difficult-to-kill bugs like mycobacterium tuberculosis). Granulation tissue is composed of blood vessels, fibroblasts, and loose extracellular matrix. Granulomas are composed of macrophages and (often) a collar of surrounding lymphocytes.
  23. 23BasophilsResemble mast cells, but are confined to bloodstream
  24. 24EosinophilsParticularly recruited in immune reactions mediated by IgE
    • allergies
    • parasites: major basic protein and eosinophil cationic protein
  25. 25IL 8responsible for chemotaxis
  26. 26Antigen presenting cellsMainly Dendritic cells, also B-cells and macrophages
  27. 27Plasma cellsecrete antibody, B cell produce them
  28. 28TNF-alphapromote inflammation and induce apoptosis
  29. 29InflammationLocal tissue response to trauma characterised by increased blood flow and entry of
    leucocytes into the tissues, resulting in swelling, redness, elevated temperature and pain.

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Fichas sobre Inflammation, creado por Kamilla Toewe el 03/01/2019.
Creado por
Kamilla Toewe
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