Chronic Inflammation and Associated Diseases
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Questions and Answers

What is the primary cause of inflammation in Alzheimer's disease?

  • Protein deposits in the brain (correct)
  • Atherosclerosis
  • Beta cell destruction
  • Infiltrating immune cells secrete pro-inflammatory cytokines

Which of the following diseases is characterized by gut inflammation and inflammatory bowel disease?

  • Rheumatoid arthritis
  • Diabetes
  • Cardiovascular disease
  • Crohn's disease (correct)

What is the mechanism of immune cell evasion in cancer?

  • Destruction of synovial capsule and bone
  • Recruitment of pro-inflammatory cells
  • Release of anti-inflammatory mediators (correct)
  • Release of pro-inflammatory cytokines

Which of the following is a side effect of Disease Modifying Anti-Rheumatic Drugs (DMARDS)?

<p>Rashes (C)</p> Signup and view all the answers

What is the primary mechanism of action of immunosuppressants in Rheumatoid Arthritis?

<p>Down-regulation of lymphocyte proliferation (B)</p> Signup and view all the answers

Inflammation due to protein deposits in the brain is a characteristic of Crohn’s Disease.

<p>False (B)</p> Signup and view all the answers

Disease modifying Anti-Rheumatic Drugs (DMARDS) have a fast onset of action.

<p>False (B)</p> Signup and view all the answers

Immunosuppressants are not cytotoxic and do not cause kidney damage.

<p>False (B)</p> Signup and view all the answers

Cytokine modulators are orally active and inexpensive.

<p>False (B)</p> Signup and view all the answers

Type I Diabetes is not associated with an inflammatory origin.

<p>False (B)</p> Signup and view all the answers

Rheumatoid Arthritis is characterized by the destruction of the synovial capsule and bone around the joint.

<p>True (A)</p> Signup and view all the answers

Study Notes

Types of Chronic Inflammation

  • Alzheimer's and neurodegeneration: Inflammation due to protein deposits in the brain
  • Crohn's Disease: Gut inflammation, inflammatory bowel disease
  • Diabetes: Type I = beta cell destruction + inflammatory origin
  • Rheumatoid arthritis: Destruction of synovial capsule and bone around the joint
  • Cardiovascular disease: Atherosclerosis – risk is increased by inflammation
  • Cancer: Immune cell evasion; mask from T cells through release of anti-inflammatory mediators & recruit anti-inflammatory cells

Rheumatoid Arthritis

  • Causes: Infiltrating immune cells secrete pro-inflammatory cytokines, increase in osteoclast activity → bone resorption and increased macrophage activity
  • Disease modifying Anti Rheumatic Drugs (DMARDS):
    • Slow onset - months
    • Examples: Gold compounds (e.g. sodium aurothiomalate), Penicillamine, Sulfasalazine
    • Side effects: Rashes, gut upsets, bone marrow suppression
  • Immunosuppressants:
    • Azathioprine - cytotoxic
    • Methotrexate - folate antagonist - cytotoxic
    • Cyclosporin - ↓ lymphocyte proliferation - kidney damage
  • Cytokine modulators:
    • Biologicals mainly antibodies vs eg TNFα, IL-1 or immune cell receptors
    • Very expensive, specialist use, not orally active

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Description

Learn about the different types of chronic inflammation, including Alzheimer's, Crohn's disease, diabetes, rheumatoid arthritis, cardiovascular disease, and cancer. Understand the causes and effects of inflammation on the body.

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