Immunological Response in Inflammation and Injury

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Questions and Answers

Which type of cells are involved in immune-mediated inflammation and are subdivided into B and T cells?

  • Macrophages
  • Platelets
  • Neurons
  • Lymphocytes (correct)

Neurons are primarily responsible for antigen presentation in the immune system.

False (B)

What type of inflammation is caused by the release of neuropeptides from neurons?

Neurogenic inflammation

Leukotrienes, prostaglandins, and __________ are released during parasitic infections and allergic inflammation.

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

Match the inflammatory mediators to their effects:

<p>Histamine = Increased blood flow Prostaglandin E2 (PGE2) = Swelling Bradykinin = Pain Nitric oxide = Vasodilation</p> Signup and view all the answers

Which inflammatory mediator is known for increasing vascular permeability?

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

Platelets play a significant role in coagulation and release thromboxane A.

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

The cellular infiltration during inflammation is often associated with swelling, also known as __________.

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

Name two types of leukocytes involved in innate inflammation.

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

Which of the following is a mediator of pain during inflammation?

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

What are the primary types of inflammation discussed?

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

Inflammation is solely a harmful process for the body.

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

What is the primary role of neutrophils in the inflammatory response?

<p>Phagocytosis and killing opsonized bacteria</p> Signup and view all the answers

____ cells release histamine and leukotrienes during the immune response.

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

Match the following components of inflammation with their roles:

<p>Eosinophils = Kill parasitic infections Mast Cells = Release histamine Neutrophils = First responders to infection Lymphocytes = Cellular activation and memory</p> Signup and view all the answers

Which of the following best describes 'meta-inflammation'?

<p>Low-grade chronic inflammation (D)</p> Signup and view all the answers

Chronic inflammation is always harmful and leads to tissue damage.

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

What is one reason a nutritionist should be interested in inflammation?

<p>The potential for an anti-inflammatory diet to influence depressive disorders</p> Signup and view all the answers

The _____ phase of inflammation involves lymphocyte recruitment and tissue activation.

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

Which of the following mediators is involved in the wheal and flare reaction?

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

Flashcards

Macrophages

A type of white blood cell that plays a crucial role in both innate and adaptive immunity.

Innate Immunity:

  • They engulf and destroy pathogens (phagocytosis).
  • Release inflammatory mediators like cytokines (e.g., TNF-α, IL-1) to recruit other immune cells.

Adaptive Immunity:

  • Present antigens to T cells, initiating an adaptive immune response.

Lymphocytes (T and B cells)

Specialized cells in the immune system responsible for recognizing and eliminating specific pathogens. They are key players in adaptive immunity.

T lymphocytes (T cells):

  • Attack infected cells or cancer cells.
  • Help activate other immune cells.

B lymphocytes (B cells):

  • Produce antibodies that neutralize pathogens.

Neurons

Cells in the nervous system that release chemical messengers called neurotransmitters. They can contribute to inflammation by releasing these neurotransmitters, which can affect vascular permeability and immune cell activity.

Platelets

Small cell fragments involved in blood clotting. They also play a role in inflammation by releasing various mediators, including platelet activating factor (PAF) and thromboxane A.

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Histamine

An inflammatory mediator released by various cells, including mast cells, basophils, and platelets. It causes vasodilation, increased vascular permeability, smooth muscle contraction, and contributes to allergic reactions.

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Prostaglandins (PGs)

A group of inflammatory mediators derived from arachidonic acid. They have diverse effects, including vasodilation, bronchoconstriction, pain, and fever.

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Leukotrienes

Lipid mediators derived from arachidonic acid. They play a role in inflammation, particularly allergic reactions and asthma.

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Platelet Activating Factor (PAF)

A potent inflammatory mediator released by various cells. It causes vasodilation, increased vascular permeability, and plays a role in allergic reactions, asthma, and inflammation.

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Nitric oxide

A gas molecule that plays a role in inflammation. It relaxes blood vessels, contributing to vasodilation and increased blood flow.

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Bradykinin

A potent inflammatory mediator that causes pain, increased vascular permeability, and contributes to inflammation.

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Inflammation: A Beneficial Process

Inflammation is a vital bodily process aimed at protecting tissues from injury or infection. It involves a coordinated response to remove harmful substances, repair damage, and restore tissue function.

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Inflammation: A Complex Response

Inflammation is a process involving a complex interplay of cells, mediators, and signaling pathways. Its goal is to eliminate the source of injury or infection and promote healing.

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Types of Inflammation: Acute vs. Chronic

Inflammation can be broadly categorized into acute and chronic forms. Acute inflammation is usually short-lived, characterized by redness, swelling, pain, and heat, and it resolves quickly after the initial insult. Chronic inflammation, on the other hand, persists for extended periods, often leading to tissue damage and dysfunction.

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The Double-Edged Sword of Inflammation

Inflammation can be beneficial or detrimental. When it's controlled, it's a powerful tool for healing. But when inflammation becomes uncontrolled or prolonged, it can lead to tissue damage, chronic diseases, and even death.

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Inflammatory Mediators: Chemical Messengers of Inflammation

Inflammatory mediators are chemical messengers that regulate inflammatory responses. They include cytokines, chemokines, prostaglandins, leukotrienes, and others. These mediators are released by cells during inflammation and communicate with other cells, coordinating the inflammatory response.

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The Innate Immune System: First Line of Defense

The innate immune system is the body's first line of defense against pathogens. It includes cells like neutrophils, macrophages, and natural killer (NK) cells, which recognize and eliminate pathogens. This system provides rapid, but often non-specific protection.

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The Adaptive Immune System: Targeted Defense

The adaptive immune system is a more specific and targeted arm of the immune system. It includes lymphocytes, like T cells and B cells, which recognize specific antigens and mount tailored immune responses. This system provides long-lasting protection against specific pathogens.

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Leukocytes: The Warriors of Inflammation

Leukocytes, also known as white blood cells, are key players in the inflammatory response. They are specialized cells that migrate to the site of inflammation to engulf pathogens, activate other immune cells, and release cytokines. Different types of leukocytes have distinct roles in inflammation.

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The Vascular System: The Highway of Inflammation

The vascular system is the network of blood vessels that carries blood throughout the body. During inflammation, changes in blood flow and vascular permeability occur, allowing immune cells and mediators to reach the site of inflammation effectively.

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Inflammation: A Complex and Interconnected System

The body is a complex system that relies on intricate networks and cascades to regulate inflammation. These pathways involve interactions between multiple cells, mediators, and receptors, creating a robust, responsive, and adaptable system.

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Study Notes

Immunological Response in Injury, Sepsis, and Chronic Inflammatory Diseases

  • This lecture series covers the immunological response to injury, sepsis, and chronic inflammatory diseases.
  • The content is divided into three parts:
    • Part 1: The concept of physiological and pathological inflammation.
    • Part 2: Basic pathways in vascular inflammation, innate and adaptive pathways.
    • Part 3: Sepsis and chronic inflammation, and the concept of meta-inflammation (low-grade inflammation).

Inflammation

  • Inflammation is a "salutary process" (a helpful, beneficial process).
  • Key stages include "Kill," "Dilute," and "Wall-off."
  • Dysfunctional inflammation occurs when the typical inflammatory responses are inadequate or excessive in a negative way producing negative effects on body functions and causing a variety of medical conditions.
  • Primary and acquired immunodeficiencies can lead to dysfunctional inflammation as an outcome of inadequate responses.

Cardinal Signs of Inflammation

  • The cardinal signs of inflammation include heat, redness, swelling, pain, and loss of function.

Inflammatory Processes

  • Inflammation begins with a stimulus, followed by a sentinel activation phase.
  • The innate response involves vascular changes, increasing blood flow, increasing permeability, and leukocyte migration.
  • Cells migrate to the site of injury
  • Cells, include mast cells, neutrophils, eosinophils, macrophages, lymphocytes, neurons, and platelets, are involved in the cellular components of inflammation.
  • Inflammatory mediators such as histamine, 5-hydroxytryptamine (serotonin), platelet activating factor, nitric oxide, bradykinin are involved.
  • The inflammatory response can lead to resolution, chronic inflammation (or fibrosis leading to loss of organ function), progression or healing/resolution.

Why Should Nutritionists Be Interested in Inflammation?

  • Inflammation is a key factor in various diseases, including heart attacks and cancer.
  • A healthy diet can fight inflammation, which may help protect against these diseases.

Foods That Fight Inflammation

  • Fruits, vegetables, nuts, and fatty fish are examples of anti-inflammatory foods.
  • Fried foods, sodas, refined carbohydrates, and processed meats are examples of pro-inflammatory foods which should be avoided.

Robust Response

  • A robust response involves appropriate networks, redundancy, responsiveness, modular complexity, stochastic resonance, pleiotropic feedback energy, and buffering.
  • A fragile response is inadequate/non-productive.

Inflammatory Mediators

  • Various molecules act as inflammatory mediators.
  • These include histamine, bradykinin, anaphylatoxins, leukotrienes, prostaglandins, cytokines, and others.

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