Human Immunology Overview
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Questions and Answers

What is the primary function of red blood cells (RBCs)?

  • Transporting oxygen and removing carbon dioxide (correct)
  • Initiating the inflammatory response
  • Releasing growth factors for tissue repair
  • Transporting antibodies to fight infections

Which type of white blood cell (WBC) is the most abundant in the immune response?

  • Neutrophils (correct)
  • Basophils
  • Monocytes
  • Eosinophils

What characterizes acute inflammation?

  • It only occurs in response to chronic illnesses.
  • It is the body's immediate response to injury or infection. (correct)
  • It occurs over a prolonged period.
  • It leads to chronic tissue damage.

What role do platelets play in inflammation?

<p>They release growth factors and cytokines. (C)</p> Signup and view all the answers

Which condition is an example of chronic inflammation?

<p>Hepatitis B infection (A)</p> Signup and view all the answers

Which white blood cell type is primarily involved in allergic responses and combating parasitic infections?

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

What does the suffix '-itis' indicate in medical terminology?

<p>Inflammation of a specific organ or tissue (C)</p> Signup and view all the answers

What is the role of monocytes in the immune response?

<p>Differentiating into macrophages or dendritic cells (A)</p> Signup and view all the answers

What differentiates colonization from contamination?

<p>Colonization is part of normal flora without causing disease. (D)</p> Signup and view all the answers

Which of the following best describes chronic inflammation?

<p>A prolonged response leading to tissue damage. (C)</p> Signup and view all the answers

Basophils contribute to inflammation by releasing which of the following?

<p>Histamine, heparin, and serotonin (A)</p> Signup and view all the answers

What is an infection characterized by?

<p>The invasion and multiplication of pathogenic microorganisms. (C)</p> Signup and view all the answers

Which leukocyte is essential for the adaptive immune response?

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

What process do neutrophils primarily perform during an inflammatory response?

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

Which scenario would typically NOT result in inflammation?

<p>A healthy individual with skin colonization by normal flora. (B)</p> Signup and view all the answers

What role does the coagulation cascade play in the body?

<p>It plays a crucial role in hemostasis. (A)</p> Signup and view all the answers

What causes the redness (Rubor) observed during inflammation?

<p>Vasodilation of blood vessels leading to increased blood flow (A)</p> Signup and view all the answers

Which chemical mediators are primarily responsible for stimulating pain (Dolor) during inflammation?

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

What mechanism primarily leads to the swelling (Tumor) associated with inflammation?

<p>Accumulation of exudate in tissue spaces (A)</p> Signup and view all the answers

What is diapedesis in the context of inflammation?

<p>The movement of leukocytes from the bloodstream into inflamed tissue (A)</p> Signup and view all the answers

What term describes the loss of function (Functio Laesa) due to inflammation?

<p>Pain, swelling, and tissue damage (B)</p> Signup and view all the answers

Which feature distinguishes acute inflammation from chronic inflammation?

<p>Duration of the inflammation process (D)</p> Signup and view all the answers

What role does increased vascular permeability play during inflammation?

<p>Allows entry of proteins and leukocytes into tissues (B)</p> Signup and view all the answers

How does calor (heat) develop in inflamed tissues?

<p>From metabolic activity and increased blood flow (B)</p> Signup and view all the answers

What occurs when acute inflammation does not resolve the cause of injury?

<p>Chronic inflammation develops (B)</p> Signup and view all the answers

Which immune cells are primarily involved in chronic inflammation?

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

Which mediator is responsible for causing vasodilation and increased vascular permeability?

<p>Histamine (D)</p> Signup and view all the answers

What does the cyclooxygenase pathway produce?

<p>Prostaglandins (D)</p> Signup and view all the answers

What is the role of cytokines in inflammation?

<p>Regulate the immune response (C)</p> Signup and view all the answers

Which process leads to the production of leukotrienes?

<p>Arachidonic Acid Pathway (D)</p> Signup and view all the answers

What is the primary function of Platelet-Activating Factor (PAF)?

<p>Increase vascular permeability (D)</p> Signup and view all the answers

Which growth factor is known for promoting cell proliferation and angiogenesis?

<p>Fibroblast growth factor (FGF) (D)</p> Signup and view all the answers

What is the primary function of Nitric Oxide (NO) in the body?

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

Which process initiates the intrinsic pathway of the coagulation cascade?

<p>Damage to the blood vessel (C)</p> Signup and view all the answers

What role does thrombin play in the coagulation process?

<p>It converts fibrinogen to fibrin (C)</p> Signup and view all the answers

Which pathway forms a stable clot during coagulation?

<p>Coagulation cascade (D)</p> Signup and view all the answers

During which phase is the temporary platelet plug formed?

<p>Platelet plug formation (C)</p> Signup and view all the answers

What is the primary purpose of fibrinolysis?

<p>To dissolve clots after healing (D)</p> Signup and view all the answers

Which factor is crucial for both the intrinsic pathway and the common pathway of coagulation?

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

Which of the following substances has antimicrobial properties?

<p>Nitric Oxide (NO) (B)</p> Signup and view all the answers

Which cell type is the first responder to an acute inflammatory event?

<p>Neutrophils (D)</p> Signup and view all the answers

What role does histamine play in the inflammatory response?

<p>Increases vascular permeability and causes vasodilation (C)</p> Signup and view all the answers

Which plasma mediator is produced via the cyclooxygenase pathway from arachidonic acid?

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

Which factor initiates the extrinsic pathway of the coagulation cascade?

<p>Tissue factor (Factor III) (C)</p> Signup and view all the answers

What is a potential complication if acute appendicitis inflammation is not resolved?

<p>Perforation leading to peritonitis (D)</p> Signup and view all the answers

In the context of deep vein thrombosis (DVT), how can inflammation exacerbate the condition?

<p>By increasing blood viscosity and promoting clot formation (D)</p> Signup and view all the answers

What is a hallmark feature of the inflammatory response in acute appendicitis?

<p>Infiltration of neutrophils (A)</p> Signup and view all the answers

Flashcards

Acute Inflammation

The body's immediate response to injury or infection, characterized by rapid onset and usually resolving within a few days.

Chronic Inflammation

A prolonged inflammatory response lasting weeks, months, or years, occurring when the initial acute response fails to remove the cause of injury.

Colonization

The presence of bacteria on a body surface without causing disease or an inflammatory response. The body coexists with these microorganisms as part of its normal flora.

Contamination

The presence of microorganisms on a body surface or object, usually transient, without causing infection or an inflammatory response.

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Inflammation

The body's response to harmful stimuli, characterized by immune cell activation, increased blood flow, and chemical mediator release to remove the cause of injury and initiate healing.

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Infection

The invasion and multiplication of pathogenic microorganisms within the body, leading to an inflammatory response. Infection is often associated with clinical symptoms such as fever, pus formation, and tissue damage.

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Suffix -itis

The suffix '-itis' indicates inflammation of a specific organ or tissue.

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Inflammation Terminology

A common way to denote inflammation in medical terminology.

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Rubor (Redness)

Increased blood flow to the inflamed area due to vasodilation of blood vessels.

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Calor (Heat)

Caused by increased blood flow and metabolic activity of inflammatory cells at the site of injury.

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Tumor (Swelling)

Accumulation of exudate (fluid) in the tissue spaces due to increased vascular permeability.

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Dolor (Pain)

Caused by the release of chemicals like prostaglandins and bradykinin, which stimulate nerve endings.

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Functio Laesa (Dysfunction)

Loss of function due to pain, swelling, and tissue damage. This can cause limitations in movement or other specific functions.

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Red Blood Cells (RBCs) or Erythrocytes

Red blood cells, responsible for oxygen transport and carbon dioxide removal. They are present in inflamed tissues but don't directly participate in inflammation.

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Platelets or Thrombocytes

Platelets are key for blood clotting and wound healing, releasing factors that contribute to inflammation and tissue repair.

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Diapedesis

The movement of leukocytes (white blood cells) from the bloodstream into the inflamed tissue.

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White Blood Cells (WBCs) or Leukocytes

White blood cells, the frontlines of the immune response and inflammation. They are vital for fighting infection and initiating healing.

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Oedema

Fluid buildup in the tissue spaces, primarily due to increased vascular permeability during inflammation.

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Neutrophils

The most abundant type of WBCs, acting as first responders to infection and injury. They engulf and destroy invaders, playing a key role in battling infection.

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Eosinophils

A type of WBC, mainly responsible for fighting parasites and modulating allergic reactions. They release enzymes to manage inflammatory responses.

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Basophils

The least common type of granulocytes, these cells release histamine and other substances that contribute to both inflammation and allergic reactions.

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Lymphocytes

Crucial for the adaptive immune response, lymphocytes include B cells that produce antibodies and T cells that help fight infection.

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Monocytes

These cells circulate in the blood, transforming into macrophages or dendritic cells, which are involved in engulfing invaders and presenting threats to other immune cells.

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What is chronic inflammation?

A prolonged inflammatory response caused by the body's inability to eliminate the initial trigger of injury.

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What are plasma mediators of inflammation?

They amplify the immune response and facilitate healing by acting as messengers in the bloodstream.

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What is Histamine?

A chemical released by various cells that causes vasodilation and increased vascular permeability, contributing to the redness, heat, and swelling of inflammation.

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What is Serotonin?

A chemical released by platelets, similar in function to histamine, causing vasodilation and increased vascular permeability.

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Describe the Arachidonic Acid Pathway.

A process involving the release of arachidonic acid from cell membranes, which is then processed through two main pathways.

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What are Growth factors?

A group of proteins that play a crucial role in tissue repair by promoting cell proliferation, differentiation, and angiogenesis.

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What are cytokines?

Signaling proteins that regulate the immune response by promoting inflammation, cell recruitment, and activation.

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What is Platelet-Activating Factor (PAF)?

A chemical mediator produced by various cells that enhances leukocyte adhesion to the endothelium, increases vascular permeability, and stimulates the release of other inflammatory mediators.

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What is Nitric Oxide (NO) and what are its roles?

Nitric oxide (NO) is a molecule produced by endothelial cells and macrophages, primarily known for its role in vasodilation, increasing blood flow during inflammation. It also helps fight infections by directly attacking microorganisms.

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What is vascular spasm and what is its purpose?

The immediate response to injury is vascular spasm, causing blood vessel constriction to reduce blood flow to the injured area. This helps limit blood loss and allows for the healing process to begin.

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What is platelet plug formation and how does it work?

Platelet plug formation occurs when platelets stick to exposed collagen at the wound site, forming a temporary, sticky plug to prevent further leakage. This is a crucial step in stopping minor bleeding.

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What happens during the coagulation cascade?

The coagulation cascade is a complex series of reactions that convert fibrinogen to fibrin, forming a stable blood clot. Think of it as a series of dominoes, each reaction activating the next, to form a strong clot.

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Explain the intrinsic pathway of coagulation.

The intrinsic pathway of coagulation is triggered by damage within the blood vessel itself. It starts with Factor XII (Hageman factor) and works its way through several steps to finally activate Factor X.

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Explain the extrinsic pathway of coagulation.

The extrinsic pathway is activated by external trauma, specifically the release of tissue factor (Factor III) from damaged tissues. This factor activates Factor VII, starting the chain reaction.

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What happens in the common pathway of coagulation?

Both the intrinsic and extrinsic pathways converge at the activation of Factor X. This activates prothrombin (Factor II) into thrombin, which then converts fibrinogen to fibrin, creating the clot.

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How are coagulation and inflammation connected?

The coagulation system and inflammation are closely linked. Thrombin, a key enzyme in coagulation, also triggers inflammation by increasing vascular permeability and attracting leukocytes to the wound site.

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What is the first responder cell in acute inflammation?

Neutrophils are the first white blood cells to arrive at the site of inflammation. They are phagocytic and engulf and destroy pathogens.

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What role does histamine play in inflammation?

Histamine causes blood vessels to dilate, increasing blood flow to the area. It also makes the blood vessels leaky, allowing fluid and immune cells to move into the tissue.

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What is diapedesis?

Diapedesis is the process of white blood cells squeezing through the walls of blood vessels to reach the site of inflammation.

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What is a plasma mediator produced via the cyclooxygenase pathway?

Prostaglandins are a group of chemicals produced from arachidonic acid. They are involved in causing pain, fever, and swelling.

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What initiates the extrinsic pathway of blood clotting?

Tissue factor (Factor III) is a protein that initiates the extrinsic pathway of blood clotting, leading to a cascade of events that ultimately form a clot to stop bleeding.

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Explain the inflammation in acute appendicitis.

Acute appendicitis is an inflammation of the appendix. It's characterized by neutrophil infiltration, increased vascular permeability, and tissue swelling. If left untreated, it can lead to serious complications like perforation, abscess formation, and peritonitis.

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How does the coagulation cascade contribute to DVT and inflammation?

Deep vein thrombosis (DVT) is a blood clot in a deep vein, often in the legs. The coagulation cascade plays a crucial role in its formation. Inflammation can worsen DVT by further increasing blood clotting and damaging blood vessel walls.

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What is inflammation?

Inflammation is the body's natural response to injury or infection. It involves a cascade of events, including immune cell activation, increased blood flow, and chemical mediator release, all designed to fight off the harmful stimuli and initiate healing.

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Study Notes

Inflammation, Immunology, and Coagulation

  • Inflammation, immunology, and coagulation are interconnected defence mechanisms
  • This unit covers key concepts, terminology, and physiological processes related to these mechanisms
  • Includes a detailed exploration of the coagulation cascade and its role in homeostasis

Inflammation Terminology and Concepts

Acute Inflammation

  • Definition: The body's immediate response to injury or infection, with a rapid onset and typically resolves in a few days
  • Examples: Sore throat, skin reactions, burns, insect bites, acute appendicitis

Chronic Inflammation

  • Definition: A prolonged inflammatory response lasting weeks, months, or years
  • Occurs when the initial acute response fails to eliminate the cause of injury
  • Examples: Viral infections (Hepatitis B and C), exposure to toxins (asbestos), allergies, autoimmune diseases

Inflammation Terminology

  • Colonisation: Bacteria presence on a body surface without causing disease or inflammation
  • Contamination: Microorganisms on a surface, object, or in a wound, without causing infection or inflammation
  • Inflammation: The body's response to harmful stimuli, involving immune cell activation, increased blood flow, and chemical mediator release to initiate healing
  • Infection: Pathogenic microorganisms invading and multiplying, leading to inflammation, and clinical symptoms like fever, pus, and tissue damage
  • -itis: Suffix denoting inflammation (e.g., appendicitis, dermatitis)

Key Cells Involved in Inflammation

Red Blood Cells (RBCs) or Erythrocytes

  • Function: Transport oxygen and remove carbon dioxide; not directly involved in inflammation

Platelets or Thrombocytes

  • Function: Key role in blood clotting and wound healing, releasing growth factors and cytokines that contribute to the inflammatory response and tissue repair

White Blood Cells (WBCs) or Leukocytes

  • Function: Primary cells involved in the immune response and inflammation

  • Granulocytes:

  • Neutrophils: Most abundant, first responders to infection, performing phagocytosis

  • Eosinophils: Involved in fighting parasites and allergic responses

  • Basophils: Least common, release histamine, heparin, and serotonin

  • Agranulocytes:

  • Lymphocytes: Crucial for the adaptive immune response. Including B cells producing antibodies and T cells directly killing infected cells or coordinating immune response

  • Monocytes: Circulate in blood, differentiating into macrophages or dendritic cells to perform phagocytosis, antigen presentation, and cytokine secretion

The Cardinal Signs of Inflammation

  • Rubor (Redness): Increased blood flow due to vasodilation
  • Calor (Heat): Increased blood flow and metabolic activity of inflammatory cells
  • Tumor (Swelling): Exudate accumulation due to increased vascular permeability
  • Dolor (Pain): Release of chemicals (e.g., prostaglandins, bradykinin) stimulating nerve endings
  • Functio Laesa (Dysfunction): Loss of function due to pain, swelling, and tissue damage

Injury and Inflammation Process

  • Exudate and Vascular Permeability: Chemical mediators cause vasodilation and increased permeability, allowing proteins and leukocytes to exit blood vessels and enter affected tissues.
  • Disassembly of Cell Junctions: Increased vascular permeability facilitated by endothelial cell junction disassembly
  • Diapedesis: Movement of leukocytes from bloodstream into inflamed tissue.

Plasma Mediators of Inflammation

  • Histamine: Released by basophils, mast cells, and platelets, causing vasodilation and increased vascular permeability
  • Serotonin: Released by platelets, similar to histamine in function
  • Arachidonic Acid Pathway:
  • Cyclooxygenase Pathway: Produces prostaglandins (pain, fever, inflammation)
  • Lipoxygenase Pathway: Produces leukotrienes (bronchoconstriction, increased permeability, chemotaxis)
  • Platelet-Activating Factor (PAF): Produced by various cells, enhancing leukocyte adhesion, increasing vascular permeability, and stimulating mediator release.
  • Growth Factors: Proteins (e.g., TGF-β, FGF) promoting tissue repair
  • Cytokines: Signaling proteins (e.g. IL-1, IL-6, TNF-α) regulating immune response, promoting inflammation, cell recruitment and activation
  • Nitric Oxide (NO): Vasodilator, with antimicrobial properties

Coagulation and Its Role in Inflammation

  • Processes involved in haemostasis:
  • Vascular Spasm: Immediate vasoconstriction to reduce blood flow
  • Platelet Plug Formation: Platelets adhering to exposed collagen, creating temporary plug
  • Coagulation Cascade: Enzymatic reactions converting fibrinogen to fibrin, forming stable clot (intrinsic & extrinsic pathways and common pathway)
  • Coagulation and inflammation are interlinked; e.g., thrombin has pro-inflammatory effects
  • Fibrinolysis: Process of clot dissolution (plasminogen converts to plasmin, breaking down fibrin)

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This quiz covers essential concepts in human immunology, focusing on the roles of blood cells and inflammatory responses. Test your knowledge on red and white blood cells, inflammation characteristics, and immune system functions. Perfect for students studying biology or healthcare.

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