Chronic Inflammation Concepts
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Questions and Answers

What is a possible cause of chronic inflammation?

  • Autoimmune diseases
  • Inability to resolve acute inflammation
  • Continual damage to an organ or tissue,,
  • All of the above (correct)
  • Which of the following is NOT a disease with a chronic inflammatory component?

  • Alzheimer's disease
  • Atherosclerosis
  • Gout (correct)
  • Obesity
  • Why is visceral obesity considered a risk factor for various diseases such as diabetes and atherosclerosis?

  • Visceral obesity is associated with chronic inflammation, insulin resistance, and metabolic syndrome (correct)
  • Visceral obesity accelerates the resolution of acute inflammation
  • Visceral obesity triggers allergic reactions
  • Visceral obesity reduces the risk of developing chronic inflammatory diseases
  • What is the pathophysiologic link between chronic inflammation and insulin resistance?

    <p>Chronic inflammation exacerbates insulin resistance and vice versa, forming a vicious cycle</p> Signup and view all the answers

    What distinguishes chronic inflammation from acute inflammation?

    <p>Chronic inflammation lasts weeks to years and involves tissue injury and repair</p> Signup and view all the answers

    How does visceral obesity contribute to the development of chronic inflammatory diseases?

    <p>Visceral obesity is associated with chronic inflammation and metabolic syndrome, which are risk factors for various diseases</p> Signup and view all the answers

    What role do classically-activated macrophages play in the general processes of inflammation and repair?

    <p>They are involved in promoting inflammation and clearing pathogens or damaged cells</p> Signup and view all the answers

    What is the significance of distinguishing between classically-activated vs. alternatively activated macrophages in the general processes of inflammation and repair?

    <p>Distinguishing between these two types helps in understanding their distinct roles in promoting or resolving inflammation and tissue repair</p> Signup and view all the answers

    What can excessive lipid buildup do to the adipocyte?

    <p>Cause insulin resistance</p> Signup and view all the answers

    Which cells predominate in chronic inflammation?

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

    What replaces the parenchyma that dies during chronic inflammation?

    <p>Fibrotic tissue</p> Signup and view all the answers

    Which diseases result from immune-mediated chronic inflammation?

    <p>Autoimmune and allergic diseases</p> Signup and view all the answers

    What type of diseases are typically Th2-mediated?

    <p>Allergic diseases</p> Signup and view all the answers

    How are autoimmune diseases mostly mediated?

    <p>By the adaptive immune system</p> Signup and view all the answers

    What does prolonged exposure to toxins cause?

    <p>Chronic inflammation</p> Signup and view all the answers

    What is the main function of pro-inflammatory macrophages in chronic inflammation?

    <p>Destruction of bacteria and removal of cellular debris</p> Signup and view all the answers

    Which type of macrophages are induced by microbial products and cytokines, and are involved in increasing inflammation?

    <p>Classically-activated macrophages</p> Signup and view all the answers

    What is the predominant cell type in inflamed tissue after 48 hours to 1 week of inflammation?

    <p>Macrophages</p> Signup and view all the answers

    Which cells are part of the reticuloendothelial system and are involved in chronic inflammation?

    <p>All of the above</p> Signup and view all the answers

    What contributes to the activation of lymphocytes and stimulates cell division, deposition of connective tissue, and angiogenesis in chronic inflammation?

    <p>Secretion of growth factors</p> Signup and view all the answers

    Which type of macrophages are induced by other cytokines and play a role in tissue repair and resolution of inflammation?

    <p>Alternatively-activated macrophages</p> Signup and view all the answers

    Which factors are by secreted by pro-inflammatory macrophages?

    <p>All of the above</p> Signup and view all the answers

    What role do alternatively-activated macrophages play in chronic inflammation?

    <p>Angiogenesis</p> Signup and view all the answers

    Which type of macrophages are induced by IFN-gamma?

    <p>Classically-activated macrophages</p> Signup and view all the answers

    What do pro-inflammatory macrophages secrete to mediate the inflammatory process?

    <p>Leukotrienes and prostaglandins</p> Signup and view all the answers

    Which cell type helps in efficient and proficient phagocytosis in chronic inflammation?

    <p>Macrophages</p> Signup and view all the answers

    What type of diseases are Th-17 mediated?

    <p>Autoimmune diseases</p> Signup and view all the answers

    Which of the following signals promotes the differentiation of tissue macrophages to Alternatively activated macrophages?

    <p>IL-4</p> Signup and view all the answers

    Which of the following processes can lead to fibrosis?

    <p>All of the above</p> Signup and view all the answers

    Angiogenesis is first triggered by vasodilation

    <p>True</p> Signup and view all the answers

    Tertiary lymphoid organs are prominent sources of inflammation in autoimmune conditions such as Rheumatoid Arthritis

    <p>True</p> Signup and view all the answers

    Which of the following is the first step in the healing process?

    <p>Hemostasis</p> Signup and view all the answers

    When during the healing process is type 3 collagen laid down?

    <p>Proliferation</p> Signup and view all the answers

    Type 3 collagen is converted to the stronger Type 1 collagen during the _________ phase of the healing process

    <p>Maturation</p> Signup and view all the answers

    Which of the following are considered granuloma causing diseases?

    <p>All of the above</p> Signup and view all the answers

    The pathological hallmark of tuberculosis is the caseating _________

    <p>granuloma</p> Signup and view all the answers

    A granuloma consists of the aggregation of ___________ that are transformed into epithelium-like cells

    <p>Macrophages</p> Signup and view all the answers

    Study Notes

    Chronic Inflammation

    • Chronic inflammation can be caused by prolonged exposure to irritants, infections, or autoimmune responses.
    • Diseases like diabetes and atherosclerosis are often linked to visceral obesity due to its inflammatory effects on metabolic health.

    Distinction from Acute Inflammation

    • Chronic inflammation is characterized by prolonged persistence, immune cell infiltration, and tissue damage, contrasting with acute inflammation’s short-term and rapid response to injury.

    Role of Macrophages

    • Classically-activated (M1) macrophages increase inflammation and participate in immune response, while alternatively activated (M2) macrophages aid in tissue repair and resolution of inflammation.
    • Pro-inflammatory macrophages secrete cytokines that amplify the inflammatory process, and they are critical for effective phagocytosis in chronic conditions.

    Visceral Obesity and Chronic Inflammation

    • Visceral obesity leads to excessive lipid accumulation in adipocytes, causing cellular stress and inflammation.
    • Inflammation from excess adiposity contributes to the activation of lymphocytes, cell division, connective tissue deposition, and angiogenesis.

    Immune Response and Diseases

    • Chronic inflammation is linked with various autoimmune diseases, often mediated by different immune responses (Th2 for allergies and Th17 for inflammatory diseases).
    • Autoimmune diseases are primarily mediated by a mix of inflammatory and adaptive immune responses.

    Healing Process

    • The healing process begins with inflammation, followed by angiogenesis and tissue repair.
    • Type 3 collagen is laid down during early healing phases, transforming to the stronger Type 1 collagen in later stages.

    Granulomas

    • Granulomas consist of aggregated macrophages that have transformed into epithelium-like cells, a hallmark of diseases such as tuberculosis, which features caseating necrosis.

    Miscellaneous

    • Prolonged toxin exposure can lead to chronic inflammation and tissue damage.
    • Tertiary lymphoid organs are significant in the inflammation process of autoimmune diseases like Rheumatoid Arthritis.

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    Description

    Test your knowledge about the concepts of chronic inflammation in the immune system with this quiz. Explore the pathophysiologic processes, histologic characteristics, and the link between chronic inflammation and insulin resistance. Identify the categories of conditions associated with chronic inflammation and understand the involvement of classically-activated versus alternatively-activated macrophages.

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