Inflammation Overview and Properties
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Questions and Answers

What is the primary purpose of inflammation?

  • To produce excess fluid in tissues
  • To prevent all cellular activities
  • To deliver leukocytes and molecules of host defense to sites of infection (correct)
  • To inhibit the immune response
  • Which component is NOT part of the inflammatory response?

  • Antibodies
  • Neurons (correct)
  • Phagocytic leucocytes
  • Complement proteins
  • What suffix is commonly used to denote inflammation?

  • –osis
  • –itis (correct)
  • –emia
  • –pathy
  • Which sequence of events is the first step in the inflammatory response?

    <p>Recognition of the noxious agent</p> Signup and view all the answers

    Which of the following is a potentially harmful consequence of inflammation?

    <p>Pain and functional impairment</p> Signup and view all the answers

    Which factor is involved in the regulation of the inflammatory response?

    <p>Inflammatory mediators</p> Signup and view all the answers

    Which type of inflammation is characterized by prolonged response and may involve tissue damage?

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

    Which of the following can induce chronic inflammation?

    <p>Hypersensitivity reactions</p> Signup and view all the answers

    What primarily induces vasodilation during a vascular reaction?

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

    What role do Toll-like receptors (TLRs) play in the inflammatory response?

    <p>They produce cytokines to recruit leukocytes.</p> Signup and view all the answers

    What consequence occurs shortly after the increase in blood flow due to vasodilation?

    <p>Increased vascular permeability</p> Signup and view all the answers

    What is the primary function of NOD-like receptors (NLRs)?

    <p>To recognize molecules released due to cell damage.</p> Signup and view all the answers

    Which mediators can cause vascular leakage through contraction of endothelial cells?

    <p>Both A and B</p> Signup and view all the answers

    Which of the following statements accurately describes exudate?

    <p>It is characterized by high protein and the presence of cellular debris.</p> Signup and view all the answers

    What is the primary function of lymphatic vessels during acute inflammation?

    <p>To filter and drain extravascular fluids</p> Signup and view all the answers

    What happens to leukocytes during the process of emigration in acute inflammation?

    <p>They accumulate at the site of injury and become activated.</p> Signup and view all the answers

    What is the main distinction between exudate and transudate?

    <p>Exudate has a higher specific gravity than transudate.</p> Signup and view all the answers

    What condition indicates inflammation of lymphatic vessels?

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

    What causes the enlargement of inflamed lymph nodes during inflammatory lymphadenitis?

    <p>Hyperplasia of lymphoid follicles</p> Signup and view all the answers

    What is the significance of opsonization in the immune response?

    <p>It enhances the ability of leukocytes to ingest microbes.</p> Signup and view all the answers

    What is a likely consequence of neutrophils adhering to endothelial cells?

    <p>Endothelial cell injury</p> Signup and view all the answers

    Which cytokine is produced as a result of inflammasome activation?

    <p>IL-1</p> Signup and view all the answers

    Plasma proteins exiting the circulation during inflammation primarily contribute to which process?

    <p>Edema formation.</p> Signup and view all the answers

    What is indicated by red streaks near a skin wound?

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

    Study Notes

    Inflammation Overview

    • A response of vascularized tissues that delivers leukocytes and host defense molecules from circulation to sites of infection and cell damage
    • Purpose: Elimination of offending agents
    • Protective response: Essential for survival
    • Mediators: Phagocytic leukocytes, antibodies, complement proteins
    • Resident cells: Immediate response
    • Circulating cells: Recruited as needed
    • Inflammation: Delivery of circulating cells and proteins to tissues and activation of resident and recruited cells and soluble molecules
    • "Itis": Denotes inflammation
    • Steps: Recognition of noxious agent, recruitment of leukocytes and plasma proteins, removal of stimulus, regulation of response, repair

    Fundamental Properties of Inflammatory Response

    • Components: Blood vessels and leukocytes
    • Harmful consequences: Protection against infections accompanied by local tissue damage (pain and functional impairment)
    • Self-limited: Inflammation resolves with little or no permanent damage
    • Disease: In many diseases, inflammation is misdirected or inadequately controlled
    • Local and systemic: Primarily local reactions but may have systemic effects causing widespread pathologies (sepsis, systemic inflammatory response syndrome)

    Fundamental Properties of Inflammatory Response

    • Mediators: Vascular and cellular reactions triggered by soluble factors produced by various cells or derived from plasma proteins
    • Mediators: Activated or generated in response to inflammatory stimulus
    • Mediators: Initiate and amplify response, determine pattern, severity, clinical and pathological manifestations
    • Acute and Chronic: Difference NOT just duration, but several features

    Causes of Inflammation

    • Infections (bacterial, fungal, viral, parasitic)
    • Tissue necrosis (ischemia, trauma, physical or chemical injury)
    • Foreign bodies (splinters, dirt, sutures)
    • Immune reactions (hypersensitivity): Autoimmune reactions to self-antigens or environmental antigens associated with chronic inflammation induced largely by cytokines produced by T lymphocytes and other cells of the immune system

    Recognition of Microbes and Damaged Cells

    • Initiating step: Cellular receptors and circulating proteins recognize the noxious agent and trigger inflammation
    • Cellular receptors for microbes: Receptors in plasma membrane, endosomes, and cytosol
    • Toll-like receptors (TLRs): Trigger production of inflammation-inducing molecules (adhesion molecules, cytokines, and mediators)

    Recognition of Microbes and Damaged Cells

    • Sensors of cell damage: Cytosolic receptors (NOD-like receptors, NLRs), recognizing various molecules released or altered due to cell damage
    • Inflammasome: A multiprotein cytosolic complex activated by receptors, inducing production of cytokine IL-1 and recruiting leukocytes leading to inflammation

    Recognition of Microbes and Damaged Cells

    • Other cellular receptors: Leukocytes express receptors for Fc tails of antibodies and complement proteins
    • Opsonization: Coating of microbes promotes ingestion and activation of the complement system
    • Collectins: Bind and combat microbes

    ACUTE INFLAMMATION

    • 3 Major components:
      • Dilation of small vessels (increased blood flow)
      • Increased permeability of microvasculature (plasma proteins and leukocytes leave the circulation)
      • Emigration of leukocytes (accumulation at the site of injury)

    Vascular Reaction

    • Exudation: Movement of proteins and leukocytes out of circulation into the site of infection or injury
    • Exudate: High protein, cellular debris, increased permeability
    • Transudate: Low protein content, no cellular material, low specific gravity, no increase in vascular permeability
    • Edema: Excess fluid in interstitial tissue or serous cavities
    • Pus: Purulent exudate (neutrophil rich)

    Vascular Reaction

    • Vasodilation: Induced by histamine action on vascular smooth muscle
    • Result: Increased blood flow
    • Increased permeability: Loss of fluid, increased vessel diameter, slower blood flow, RBCs concentrate, increasing viscosity
    • Stasis: Slow moving RBCs, vascular congestion, localized redness
    • Adhesion: Endothelial cells activated by mediators, express increased levels of adhesion molecules, leukocytes adhere to endothelium

    Vascular Leakage

    • Contraction of EC: Elicited by histamine, bradykinin, leukotrienes, and other mediators
    • Delayed prolonged leakage: 2-12 hours; due to contraction or mild EC damage
    • Endothelial injury: EC necrosis and detachment

    Principal Mechanisms of Increased Vascular Permeability

    Responses of Lymphatic Vessels and Lymph Nodes

    • Lymphatics: Participate in acute inflammation
    • Lymph nodes: Filter and police extravascular fluids
    • Increased lymph flow: Helps drain edema fluid
    • Lymphangitis: Secondary inflammation of lymphatic vessels
    • Lymphadenitis: Inflammation of draining lymph nodes

    Responses of Lymphatic Vessels and Lymph Nodes

    • Enlarged lymph nodes: Due to hyperplasia of lymphoid follicles and increased numbers of lymphocytes and macrophages
    • Reactive or inflammatory lymphadenitis: Red streaks near skin wounds are diagnostic of lymphangitis, accompanied by painful enlargement of draining lymph nodes

    Cellular Response: Leukocyte Recruitment

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    Description

    This quiz covers the basic concepts of inflammation, including its purpose, protective responses, mediators, and fundamental properties. Understand how the body responds to infection and tissue damage through the inflammatory process, recognizing its critical role in survival and healing.

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