Inflammation and Immune Response

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Questions and Answers

What is the primary purpose of inflammation in the body?

  • To create scar tissue
  • To promote infection
  • To rid the body of the initial cause of injury (correct)
  • To cause pain

Chronic inflammation is always a result of acute inflammation.

False (B)

List two macroscopic features of acute inflammation.

Erythema and Oedema

Inflammation is part of the body's innate __________.

<p>immunity</p>
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Match the following types of inflammation with their characteristics:

<p>Acute Inflammation = Scar tissue formation Chronic Inflammation = Continuation of acute inflammation</p>
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Which of the following is NOT a cause of inflammation?

<p>Healthy tissue (A)</p>
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The suffix 'itis' indicates an inflammatory condition.

<p>True (A)</p>
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Name one beneficial effect of inflammation.

<p>Delivery of immune cells</p>
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What is a characteristic feature of acute inflammation?

<p>Immediate defensive reaction to injury (D)</p>
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Chronic inflammation can result from acute inflammation.

<p>True (A)</p>
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What type of immune cells are primarily involved in acute inflammatory responses?

<p>Neutrophils</p>
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____ is characterized by prolonged inflammation and the presence of lymphocytes and macrophages.

<p>Chronic Inflammation</p>
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Match the types of inflammatory responses with their corresponding immune cells:

<p>Acute / Bacteria = Neutrophils Chronic / Viral = Lymphocytes Parasites = Eosinophils Allergy = Basophils</p>
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Which of the following is NOT a common cause of chronic inflammation?

<p>Acute injury (C)</p>
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Vasodilation is the process that leads to increased blood flow during inflammation.

<p>True (A)</p>
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What is the role of neutrophils during inflammation?

<p>Phagocytosis</p>
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During chronic inflammation, tissue destruction often occurs alongside _______ attempts.

<p>healing</p>
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Which condition is characterized by inflammation of the stomach?

<p>Gastritis (C)</p>
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Study Notes

Inflammation

  • Inflammation is the body’s response to injury.
  • Inflammation aims to rid the body of the initial injury & break down damaged cells.
  • Inflammation is part of the innate immune system & is the body's first line of defense.
  • Inflammation is not a disease.
  • Inflammation is not always caused by infection.
  • Inflammation is denoted by the suffix ‘itis’.
  • Beneficial effects of inflammation include: delivery of immune cells and proteins, dilution of toxins, elimination of substances & allowing tissue repair, stimulation of further response, and entry of drugs.
  • Inappropriate triggering of inflammation can lead to autoimmune disorders, while an excessive response can lead to sepsis.
  • An inadequate response may lead to Immunodeficiency syndromes such as AIDS.
  • Causes of inflammation include: infection, chemicals, foreign bodies, physical trauma, dead cells and allergens.
  • Acute inflammation is the immediate defensive reaction to injury, involving vascular and exudative processes.
  • Chronic inflammation is prolonged and persistent inflammation, which may be a continuation of acute inflammation or the result of insidious insult, characterized by scar tissue formation.

Macroscopic Features of Acute Inflammation

  • Erythema (redness)
  • Oedema (swelling)
  • Warmth
  • Pain
  • Loss of function

Microscopic Features of Acute Inflammation

  • Vascular changes: Vasodilation, change in caliber & wall structure, increased blood flow.
  • Exudative changes: Increased permeability, movement of fluid, proteins & cells.
  • Neutrophils emigrate, accumulate, and try to eliminate substances through phagocytosis.

Outcomes of Acute Inflammation

  • Resolution
  • Persistence
  • Chronic Inflammation

Outcomes of Inflammation

  • Healing
  • Chronic inflammation
  • Healthy tissue injury
  • Formation of pus
  • Autoimmune disease
  • Death

Chronic Inflammation

  • Prolonged duration
  • Inflammation, injury, and repair co-exist.
  • Chronic inflammation can follow acute inflammation or develop insidiously.

Causes of Chronic Inflammation

  • Persistent infection
  • Autoimmune disorders
  • Persistent foreign bodies
  • Ongoing injury
  • Ongoing trauma
  • Prolonged toxin exposure
  • Inadequate response

Microscopic Features of Chronic Inflammation

  • New immune cells: lymphocytes and macrophages
  • Tissue destruction
  • Attempts at healing
  • Involves adaptive immunity

Adaptive Immunity

  • T lymphocytes:
    • TH (helper)
    • TC (cytotoxic)
  • B lymphocytes
    • Plasma cells

Other Mediators

  • Monocytes/macrophages
  • Interleukins
  • Acute phase proteins
  • Complement

Leukocytosis

  • Leukocytosis is an elevated white blood cell count.
  • Inflammatory/Responsive Cell:
    • Acute/Bacteria: Neutrophil
    • Chronic/Viral: Lymphocytes
    • Parasites: Eosinophils
    • Allergy: Basophils

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