Inflammation and Cytokines Quiz
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Questions and Answers

Which of the following best describes the role of pattern-recognition molecules in relation to inflammation?

  • They are exclusively located within the cell cytoplasm and are all part of the same molecular family.
  • They are found in various cellular compartments and contribute to inflammatory responses. (correct)
  • They primarily function to decrease the production of acute-phase proteins in the liver.
  • Their main function is to inhibit chemokine production, thus reducing inflammation.
  • What is a primary effect of Interleukin-6 (IL-6) on acute inflammation?

  • Direct involvement in cell-associated pattern recognition.
  • Induction of acute-phase protein production in the liver and transition to chronic inflammation. (correct)
  • Promotion of metabolic functions, such as increased albumin production.
  • Inhibition of the production of acute-phase proteins.
  • According to the content provided, what is the effect of Interleukin-6 on albumin production?

  • It results in an unknown change in albumin production.
  • It has no effect on albumin production.
  • It increases albumin production.
  • It decreases albumin production. (correct)
  • What does the text indicate about the relationship between Interleukin-6 and the progression of inflammation?

    <p>IL-6 can favor the transition from acute to chronic inflammation. (C)</p> Signup and view all the answers

    Besides the liver, what cellular component is highlighted in this content as being directly involved in inflammation responses?

    <p>Cell-associated pattern-recognition molecules (A)</p> Signup and view all the answers

    Which of the following best describes the primary location where pentraxin 3 (PTX3) is released?

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

    What are the primary inducers of pentraxin 3 (PTX3) release?

    <p>Microbial moieties and inflammatory cytokines (A)</p> Signup and view all the answers

    Which of the following roles do glucocorticoid hormones play in inflammation?

    <p>Negative regulators of inflammation (C)</p> Signup and view all the answers

    Which of these is NOT described as an anti-inflammatory cytokine?

    <p>Interleukin-6 (B)</p> Signup and view all the answers

    What is the mechanism of action of interleukin-1Ra?

    <p>It acts as an interleukin-1R antagonist. (A)</p> Signup and view all the answers

    Which tissue is mentioned as a significant source of systemic acute-phase proteins in response to pro-inflammatory stimuli?

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

    In muscle-wasting conditions, which factors contribute to the induction of acute-phase proteins in muscle cells?

    <p>Locally produced interleukin-6 and TNF (B)</p> Signup and view all the answers

    Besides macrophages, what other cell type produces tumor necrosis factor (TNF)?

    <p>The content doesn't specify what other cell types (C)</p> Signup and view all the answers

    According to Table 1, which acute-phase protein shows a decrease in inflammatory conditions related to COVID-19?

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

    Which of the following proteins is associated with an increase in levels and also linked to ICU admission and the need for mechanical ventilation in patients with COVID-19?

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

    Which acute-phase protein's increase is associated with the severity of COVID-19, according to Table 1?

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

    Which protein, according to the table provided, is associated with both death and lung lesions from COVID 19?

    <p>PTX3 (B)</p> Signup and view all the answers

    Increased levels of which protein are associated with thromboembolism and viral inhibition?

    <p>Mannose-binding lectin (A)</p> Signup and view all the answers

    According to the information provided, which protein is associated with both ICU admission, and the need for interleukin-6 inhibition?

    <p>C-reactive protein (A)</p> Signup and view all the answers

    Which protein is associated with the activation of the hypothalamus–pituitary–adrenal axis in response to inflammatory cytokines?

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

    Which of these proteins is NOT explicitly mentioned to be associated with COVID-19 pathogenesis, from the options below?

    <p>C4-binding protein (B)</p> Signup and view all the answers

    According to the table, which marker associated with tissue repair has no determined role in COVID-19?

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

    According to the table, which protein involved in iron metabolism increases in levels during inflammatory conditions related to COVID-19?

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

    Which protein shown in the table is specifically associated with thrombotic events related to COVID-19?

    <p>PTX3 (B)</p> Signup and view all the answers

    Which acute-phase protein shows a potential link to severity, MIS-C or myocarditis after SARS-CoV-2 vaccination?

    <p>Interleukin-1Ra (B)</p> Signup and view all the answers

    According to the provided table, which coagulation protein is related to thromboembolism specifically through d-dimer?

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

    Which of these proteins shows an increase in inflammatory conditions and is also associated with lung lesions in COVID-19?

    <p>PTX3 (B)</p> Signup and view all the answers

    According to the table, which general type of proteins tends to decrease during COVID-19?

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

    Which of the following is NOT a known function of pentraxins?

    <p>Directly producing complement molecules. (D)</p> Signup and view all the answers

    What is the primary factor that differentiates the timing of increased PTX3 levels compared to C-reactive protein levels during inflammation?

    <p>PTX3 is stored in neutrophil granules, while C-reactive protein is produced downstream of the cytokine cascade. (D)</p> Signup and view all the answers

    Genetic polymorphisms in PTX3 and SAP have been associated with increased susceptibility to which type of condition?

    <p>Fungal and bacterial infections (A)</p> Signup and view all the answers

    Besides complement molecules, what other substances do pentraxins interact with to enhance pathogen recognition?

    <p>Ficolins and mannose-binding lectin (D)</p> Signup and view all the answers

    What characteristic of SAA-derived AA protein leads to the formation of insoluble fibrils?

    <p>The protein's folding into extremely hydrophobic β sheets (A)</p> Signup and view all the answers

    Which of these describe the role of PTX3 transcription during an inflammatory response?

    <p>A process that occurs rapidly as an immediate early gene (B)</p> Signup and view all the answers

    What role do pentraxins play in relation to innate immunity?

    <p>Promote the disposal of apoptotic cells non-inflammatorily. (C)</p> Signup and view all the answers

    How does the role of pentraxins in binding to pathogens differ from their role in binding to apoptotic cells?

    <p>Pathogen binding initiates immune responses while apoptotic cell binding promotes non-inflammatory cell disposal. (B)</p> Signup and view all the answers

    What is the primary structural characteristic of Mannose-Binding Lectin (MBL)?

    <p>It is composed of a Ca2+-type lectin domain and a collagen-like domain. (C)</p> Signup and view all the answers

    Which of the following is the primary function of Mannose-Binding Lectin (MBL) in the immune response?

    <p>To opsonize pathogens, thereby promoting phagocytosis and activation of the complement cascade. (B)</p> Signup and view all the answers

    Where are the specific point mutations most commonly found within the gene encoding human MBL?

    <p>Primarily in exon 1, which encodes the MBL collagenous region. (D)</p> Signup and view all the answers

    What is the impact of the combination of promoter haplotypes and structural mutations in the MBL2 gene?

    <p>Leads to MBL deficiency, affecting its function and plasma concentration. (B)</p> Signup and view all the answers

    What does the Scavenger Receptor B-I (CD36) function as in the context of the inflammatory response?

    <p>An endocytic receptor for SAA, crucial in SAA-mediated immune and inflammatory functions. (A)</p> Signup and view all the answers

    How does A-SAA influence macrophage polarization?

    <p>It induces an M2-like (anti-inflammatory) skewing of macrophages. (B)</p> Signup and view all the answers

    Which long-term condition is associated with high plasma SAA concentrations and can lead to Amyloid A (AA) amyloidosis?

    <p>Tuberculosis or rheumatoid arthritis (C)</p> Signup and view all the answers

    What is a key characteristic of Amyloid A (AA) amyloidosis?

    <p>The accumulation of AA fibrils in organs disrupting their function. (C)</p> Signup and view all the answers

    Which transcription factor is NOT directly activated by interleukin-1 and interleukin-6 in the liver during acute-phase protein synthesis?

    <p>TGF-β (C)</p> Signup and view all the answers

    Besides the liver, which of these cell types are key sources of acute-phase proteins?

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

    What is the primary function of pentraxins?

    <p>To assist in pathogen and tissue-damage recognition (A)</p> Signup and view all the answers

    Which of the following is NOT considered a short pentraxin?

    <p>PTX3 (A)</p> Signup and view all the answers

    What is the role of glucocorticoids in the context of the acute-phase response?

    <p>To suppress the production of pro-inflammatory cytokines. (D)</p> Signup and view all the answers

    What is the primary role of Chemokines and CSFs in the acute phase response?

    <p>Enhancing leukocyte enrollment and survival (D)</p> Signup and view all the answers

    Which of the following processes is NOT directly associated with acute-phase protein function?

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

    Which of the following best describes the role of TNF (Tumor Necrosis Factor) and interleukin-1 in the acute-phase response?

    <p>They act as primary mediators of the acute-phase response, triggering multiple cellular activities (B)</p> Signup and view all the answers

    Which of these is a function of the complement system during humoral innate immune responses?

    <p>Activating and recruiting leukocytes to infected tissues (A)</p> Signup and view all the answers

    What is the main characteristic of acute-phase proteins derived from leukocytes or stromal cells, compared to those derived from liver cells?

    <p>They are derived from multiple cell sources, and they aid in inflammation and immune function. (C)</p> Signup and view all the answers

    How does the methylation of CpG motifs affect transcription factor binding?

    <p>It prevents the binding of transcription factors, decreasing gene expression (C)</p> Signup and view all the answers

    What is a key difference between the function of C-reactive protein (CRP) and serum amyloid P component (SAP)?

    <p>CRP recognizes pathogen and tissue damage, while SAP acts as an opsonin (D)</p> Signup and view all the answers

    According to Figure 3A, what is an important negative feedback to the cytokine cascade?

    <p>Production of ACTH and Glucocorticoids (A)</p> Signup and view all the answers

    What is the significance of 'Dysbiosis' in the context of the acute-phase response?

    <p>It is a trigger that can lead to a systemic acute-phase response (A)</p> Signup and view all the answers

    Which cellular components contribute to the amplification of innate immunity and systemic inflammation, as depicted in Figures 3A and 3B?

    <p>Monocytes and macrophages, which secrete a variety of pro-inflammatory mediators (A)</p> Signup and view all the answers

    Flashcards

    What is inflammation?

    Inflammation is a complex biological response to injury and infection. It involves a series of events that aim to protect the body from further damage, remove harmful stimuli, and promote healing.

    What are acute-phase proteins?

    Acute-phase proteins are proteins produced by the liver in response to inflammation. Their levels in the blood increase during inflammation and help regulate the immune response.

    What is Interleukin-6 (IL-6) and what does it do?

    Interleukin-6 (IL-6) is a powerful signaling molecule produced by immune cells during inflammation. It plays a key role in the body's response to inflammation, including the production of acute-phase proteins.

    What is PTX3?

    Pentraxin 3 (PTX3) is an acute-phase protein that helps regulate the immune response, particularly during the transition from acute to chronic inflammation.

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    What are chemokines?

    Chemokines are signaling molecules that attract immune cells to the site of inflammation.

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    What is IL-6?

    A potent signaling molecule that promotes the production of acute-phase proteins, particularly by liver cells.

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    What is an anti-inflammatory cytokine?

    A type of cytokine that counteracts inflammation, helping to control and resolve the inflammatory process.

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    What are glucocorticoid hormones?

    Hormones that act as negative regulators of inflammation, suppressing inflammatory signals and promoting resolution.

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    What is Interleukin-1Ra?

    A specific type of anti-inflammatory cytokine that acts as an antagonist to interleukin-1, blocking its inflammatory effects.

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    What is STING?

    A factor that triggers the production of interferon, a key antiviral and anti-inflammatory molecule.

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    What are TLRs (Toll-like Receptors)?

    A class of receptors on immune cells that recognize specific patterns on pathogens, triggering an immune response.

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    Acute-phase proteins

    A group of proteins produced by the liver in response to inflammation.

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    C1q

    A protein that binds to C-reactive protein and activates the complement pathway.

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    Mannose-binding lectin

    A protein that binds to mannose residues on the surface of pathogens and activates the complement pathway.

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    Toll-like receptors (TLRs)

    A key component of the innate immune system that recognizes patterns on pathogens and triggers an inflammatory response.

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    Interleukin-1Ra

    A protein that inhibits inflammation by blocking the activity of interleukin-1.

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    Fibrinogen

    A protein that activates the coagulation cascade, leading to blood clot formation.

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    Transferrin

    A protein that binds iron, making it unavailable to bacteria and other pathogens.

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    Ferritin

    A protein that stores iron intracellularly.

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    Hepcidin

    A protein that regulates iron absorption in the gut.

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    Albumin

    The major protein in blood plasma that maintains osmotic pressure, binds to fatty acids, and transports various substances.

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    Ceruloplasmin

    A protein that binds copper and plays a role in iron metabolism, antioxidant defense, and inflammation.

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    Apolipoproteins

    Proteins that bind to lipids and transport them throughout the bloodstream.

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    α1-Acid glycoprotein

    A protein that binds to carbohydrates and plays a role in inflammation.

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    Protease inhibitors

    Proteins that function as inhibitors of proteases, preventing them from breaking down proteins.

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    Thrombopoietin

    A protein that stimulates the production of platelets, which are essential for blood clotting.

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    What are Pentraxins?

    A family of proteins characterized by a cyclic multimeric structure and a conserved 200-amino-acid pentraxin domain. They play a crucial role in the immune response.

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    What is C-Reactive Protein (CRP)?

    A short pentraxin, also known as PTX1, that is elevated during inflammation and acts as a marker for inflammation.

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    What is Serum Amyloid P Component (SAP)?

    A short pentraxin that plays a role in inflammation and is involved in the regulation of amyloid deposition.

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    What is Pentraxin 3 (PTX3)?

    A long pentraxin involved in the immune response, particularly during the transition from acute to chronic inflammation.

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    What is Interleukin-6 (IL-6)?

    A signaling molecule produced by immune cells during inflammation. It is a powerful regulator of the inflammatory response.

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    What is Interleukin-1 (IL-1)?

    A signaling molecule mainly produced by macrophages and T cells. It plays a crucial role in the inflammatory response.

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    What is Interleukin-10 (IL-10)?

    A signaling molecule produced by immune cells that helps to suppress the immune response after an inflammatory event.

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    What are Colony-Stimulating Factors (CSFs)?

    Proteins that stimulate the production and differentiation of blood cells, particularly leukocytes.

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    What are Glucocorticoids?

    A hormone produced by the adrenal glands that acts as an anti-inflammatory agent.

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    What is Adrenocorticotropic Hormone (ACTH)?

    A peptide hormone produced by the anterior pituitary gland. It plays a key role in the stress response by stimulating the production of glucocorticoids.

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    What is Transforming Growth Factor Beta (TGF-β)?

    A signaling molecule that plays a role in the regulation of inflammation and immune responses.

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    What are Complement Molecules?

    Molecules involved in the activation of the complement system, a key part of the immune response.

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    What is Tumor Necrosis Factor (TNF)?

    An inflammatory mediator produced by cells during inflammation. It plays a role in the inflammatory response.

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    How do pentraxins interact with the complement system?

    PTX3, CRP, and SAP interact with various complement components, enhancing their ability to recognize and neutralize pathogens. This interaction amplifies the immune response.

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    What is the complement system?

    The complement system is a vital part of the innate immune system, acting as a cascade of proteins that work together to eliminate pathogens. It recognizes and destroys pathogens through various mechanisms, including attracting immune cells and directly damaging pathogens.

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    What role do pentraxins play in regulating inflammation?

    Pentraxins help control and regulate the transition from acute inflammation to chronic inflammation, potentially preventing excessive inflammation and tissue damage.

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    What is Mannose-Binding Lectin (MBL)?

    Mannose-binding lectin (MBL) is a protein found in the blood that helps the immune system fight infections. It binds to sugar molecules on the surface of bacteria and fungi, marking them for destruction by immune cells.

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    What does MBL bind to?

    MBL is a type of lectin that binds to mannose and N-acetyl glucosamine, sugars found on the surface of microbes. This binding helps trigger the immune response.

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    How does MBL activate the immune system?

    MBL activates the complement system, a part of the immune system that helps destroy microbes. This activation involves a series of protein interactions that lead to the destruction of the microbe.

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    How is the production of MBL regulated?

    MBL is encoded by the MBL2 gene, and genetic variations in this gene can lead to MBL deficiency, meaning the body does not produce enough MBL to effectively fight infections.

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    What is Serum Amyloid A (A-SAA)?

    A-SAA (Serum Amyloid A) is a protein produced by the liver in response to inflammation. Its levels increase during inflammation and play a role in the immune response.

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    How does A-SAA interact with scavenger receptors?

    A-SAA binds to scavenger receptors B-I (CD36), which are found on cells like macrophages. This binding helps clear pathogens and promote inflammation.

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    What is AA amyloidosis?

    A-SAA can also contribute to the development of amyloid A (AA) amyloidosis, a condition caused by the buildup of amyloid A protein in various organs.

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    What conditions is MBL associated with?

    MBL has been associated with various inflammatory conditions, including infections, autoimmune diseases, and cardiovascular diseases.

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    Study Notes

    Humoral Innate Immunity and Acute-Phase Proteins

    • Inflammation is a complex process encompassing tissue reactions triggered by microbial recognition and damage, and includes dysmetabolic conditions like diabetes and obesity.
    • Inflammation amplifies innate resistance and promotes tissue repair, aiming for homeostasis.
    • Systemic symptoms include fever, changes in blood cell counts, cardiovascular effects, endocrine responses, and altered metabolism, involving acute-phase proteins.
    • Acute-phase proteins are molecules rapidly produced in the liver during inflammation.
    • C-reactive protein is a prototypic acute-phase protein, initially recognized for its presence in infections and ability to recognize bacterial components.
    • Acute-phase proteins are crucial diagnostic tools in various conditions like infection, cardiovascular disease, cancer, neurodegeneration, and dysmetabolism.
    • During the COVID-19 pandemic, acute-phase proteins (e.g., C-reactive protein, fibrinogen, ferritin) were vital indicators for disease management and prognosis.
    • Acute-phase response involves decreased albumin production from liver cells, adjustments in iron metabolism, and hormonal changes. These changes are seen in both acute and chronic inflammatory situations.

    Cellular and Humoral Innate Immunity

    • Innate immunity, a first line of defense against microbial pathogens and tissue damage, comprises cellular and humoral arms.
    • Cellular innate immunity detects microbial moieties, tissue damage, and dysmetabolism through various receptors like toll-like receptors (TLRs), inflammasomes, and other pattern recognition molecules.
    • Cellular innate immunity activates cascades, resulting in cytokine production, expression of adhesion molecules, and microbial clearance through phagocytosis.
    • Humoral innate immunity includes molecules like pentraxins, collectins, and ficolins; these act like pre-antibodies (ante-antibodies) that bind and neutralize microbes and damaged cells, activating complement and regulating inflammation.

    Acute-Phase Proteins

    • Acute-phase proteins are synthesised mainly in the liver in response to inflammatory cytokines: interleukin-1, interleukin-6, and TNF.
    • Acute-phase proteins (APPs) have diverse functions including facilitating antimicrobial resistance, promoting tissue repair, and participating in coagulation.
    • Hepatocytes (liver cells) are the major source of APPs, but other cell types (e.g., endothelial cells, macrophages) also produce them locally.
    • Acute-phase includes coagulation proteins such as fibrinogen, and proteins relating to iron metabolism like ferritin, which act as indicators of disease severity through plasma measurements.
    • Pentraxins (including CRP, serum amyloid P, and PTX3) have important functions in innate host defense, complement activation pathway regulation, and promoting phagocytosis.
    • PTX3, specifically, is strongly associated with disease severity and prognosis in COVID-19.

    Clinical Significance

    • Acute-phase proteins are crucial for monitoring and managing various diseases, including COVID-19, and assessing disease severity and prognosis.
    • Specific proteins like PTX3, have demonstrated strong associations with severity, prognosis, and potential for therapeutic intervention in severe inflammatory conditions.
    • Genetic variations in acute-phase proteins may influence susceptibility to infections and development of inflammatory diseases.

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    Description

    This quiz covers key concepts related to inflammation, specifically in relation to cytokines such as Interleukin-6 and pentraxin 3. It explores their roles, effects, and mechanisms in the inflammatory response, and the cellular components involved. Test your knowledge and understanding of these crucial immunological processes.

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