Inflammation and Its Cellular Components
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Questions and Answers

What is one primary purpose of inflammation?

  • Create a permanent barrier against any damage
  • Eliminate all pathogens from the body
  • Increase blood flow to the site of injury (correct)
  • Reduce blood flow as a response to stress

Which type of cell is primarily involved in the inflammatory response?

  • Endothelial cells
  • Leukocytes (correct)
  • Epithelial cells
  • Muscle cells

Which of the following is NOT one of the five cardinal signs of inflammation?

  • Redness
  • Swelling
  • Loss of coordination (correct)
  • Heat

Which cells release histamine, TNF-a, and IL-16 during an inflammatory response?

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

What role do endothelial cells play in inflammation?

<p>Regulate leukocyte extravasation (C)</p> Signup and view all the answers

Which leukocyte is mainly responsible for combating parasitic infections?

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

What is the function of platelets during inflammation?

<p>Stop bleeding and release adhesion molecules (D)</p> Signup and view all the answers

What are plasma-derived mediators primarily responsible for?

<p>Regulating blood flow (D)</p> Signup and view all the answers

What role does C-Reactive Protein (CRP) play in the body?

<p>It acts as a marker for generalized inflammation. (C)</p> Signup and view all the answers

Which complement protein is the most abundant?

<p>C3 (C)</p> Signup and view all the answers

What is the primary function of bradykinin in the kinin system?

<p>To increase pain sensitivity and vascular dilation. (D)</p> Signup and view all the answers

Which type of inflammation is characterized as an early and immediate reaction to injury?

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

What effect do corticosteroids have on inflammatory mediators?

<p>They block the formation of arachidonic acid. (A)</p> Signup and view all the answers

What is an example of a pre-formed cell-derived mediator?

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

Which of the following eicosanoids is associated with the inflammatory response in asthma and anaphylaxis?

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

What is the primary substance that forms the fibrous meshwork in the coagulation system?

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

Flashcards

Purpose of inflammation

Inflammation is a complex biological response to harmful stimuli, such as pathogens, damaged cells, or irritants. It aims to eliminate the initial cause of cell injury, clear out damaged cells and tissues, and initiate the process of tissue repair.

Endothelial cells & inflammation

Endothelial cells line blood vessels and act as a selective barrier. They regulate blood flow, trigger the extravasation of leukocytes (white blood cells) to the site of injury, and produce mediators that regulate inflammation and immune cell activity, as well as contribute to the repair process.

Leukocytes (WBC) in inflammation

Leukocytes are the main cellular players in inflammation. Different types (like neutrophils, eosinophils, basophils, mast cells, lymphocytes, and monocytes/macrophages) have specific roles in the immune response, targeting and destroying pathogens, or aiding in tissue repair.

5 cardinal signs of inflammation

The common observable signs of acute inflammation are redness, swelling, heat, pain, and loss of function. These are caused by increased blood flow, fluid leakage, and the immune system's active responses at the site of damage.

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Plasma-derived mediators

Plasma-derived mediators are proteins produced by the liver and are part of the innate immune system. These mediators assist in the inflammatory response (ex: complement system and clotting proteins) by enhancing inflammation; promoting cell clearance; and assisting with tissue repair.

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Cell-derived mediators

Cell-derived mediators are produced by various immune cells at the inflammatory site. They regulate and amplify the inflammatory response, and initiate interactions between various cell types involved in the repair process. (Ex: cytokines and chemokines).

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Neutrophils in inflammation

Neutrophils are the most abundant type of white blood cell. Quickly arriving on the scene in large numbers, they are the first responders in the acute inflammatory response. Their job is to engulf and destroy pathogens.

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Monocytes and inflammation

Monocytes are a type of white blood cell that transform into macrophages at the injury site and eliminate pathogens, cellular debris, and other harmful substances. These cells are crucial for cleaning up the battlefield of inflammation and are heavily involved in the transition to tissue healing.

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Acute Inflammation

The immediate, early response of local tissue to remove harmful agents and limit damage.

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C-Reactive Protein (CRP)

A blood marker indicating inflammation and infection. Higher levels mean more inflammation.

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Complement System

A group of proteins that destroy pathogens directly. C3 is a key protein.

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Vasodilation

Widening of blood vessels, causing redness and warmth at the site of injury.

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Vascular Stage

The first stage of acute inflammation, involving changes in blood vessels.

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Eicosanoids (Prostaglandins, Leukotrienes)

Fatty acid-derived mediators with roles in inflammation and pain. Affected by NSAIDs and corticosteroids

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Study Notes

Purpose of Inflammation

  • Removes injured tissue, preparing the site for healing
  • Establishes a physical barrier against infection and further damage
  • Alerts healing products to attend the injury site
  • Increases blood flow to the injury site
  • Interacts with the adaptive immune system

Cellular Components of Inflammation

Endothelial Cells

  • Line blood vessels, creating a selectively permeable barrier
  • Produce vasodilators/vasoconstrictors to regulate blood flow
  • Regulate leukocyte extravasation (movement out of blood vessels)
  • Synthesize/release inflammatory mediators, regulating immune cell proliferation
  • Contribute to repair processes through growth factor production
  • Stimulate angiogenesis (new blood vessel formation) and extracellular matrix formation

Leukocytes (White Blood Cells)

  • Major cellular component of the inflammatory response
  • Granulocytes: Multi-lobed nucleus
    • Neutrophils: 60-70% of WBCs, crucial in early response; first responders
    • Eosinophils: 2-3% WBCs, involved in allergic reactions and parasitic infections
    • Basophils: <1% WBCs, key role in allergic responses (release histamine)
    • Mast cells: Release histamine, TNF-α, IL-1β, growth factors, also involved in allergic reactions
  • Agranulocytes: Single nucleus
    • Monocytes: Develop into macrophages; phagocytosis, antigen presentation
    • Lymphocytes: T cells and B cells; crucial in adaptive immunity
    • T lymphocytes: cell-mediated immunity
    • B lymphocytes: antibody-mediated immunity

Platelets

  • Help stop bleeding
  • Inflammatory stimuli activate platelets, releasing adhesion molecules

5 Cardinal Signs of Acute Inflammation

  • Redness: Vasodilation (increased blood flow)
  • Swelling: Increased vascular permeability, allowing fluid to leak into tissues
  • Heat: Increased blood flow
  • Pain: Release of inflammatory mediators, pressure on nerve endings
  • Loss of function: Swelling impedes tissue/organ function

Inflammatory Mediators

Plasma-Derived Mediators (Liver-Synthesized)

  • Acute-phase proteins: Increased during inflammation
    • C-reactive protein (CRP): Marker for inflammation and infection
  • Complement system: Proteins that destroy pathogens directly
    • Classical, Lectin, Alternative pathways
  • Coagulation system: Forms fibrous meshwork for wound repair
    • Fibrin (primary substance)
  • Kinin system: Causes pain and blood vessel dilation
    • Bradykinin (primary kinin)

Cell-Derived Mediators (From Cells at Inflammation Site)

  • Pre-formed: Already present in cells
    • Mast cells: Histamine
    • Platelets: Serotonin
  • Newly synthesized: Produced in response to stimuli
    • Leukocytes: Prostaglandins (ASA/NSAIDs block), leukotrienes (Asthma/anaphylaxis mediator), PAF
    • Macrophages/Lymphocytes/Endothelial cells: Cytokines (e.g., TNF-α, IL-1), Chemokines, Nitric Oxide (NO), Reactive Oxygen Species (ROS)

Acute vs. Chronic Inflammation

  • Acute: Initial, immediate reaction to remove injury, limit damage
  • Chronic: Persistent inflammation, lasting longer, often due to persistent injury/infection

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Description

This quiz covers the purpose of inflammation and the various cellular components involved in the inflammatory response. It highlights the roles of endothelial cells and leukocytes in healing and immune regulation. Test your knowledge on how these cells contribute to the inflammation process.

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