Inflammation Overview Quiz
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Questions and Answers

What characteristic defines fibrosis?

  • Replacement of all damaged cells with new cells
  • Increase in vascular tension during healing
  • Reduction of fibrous connective tissue in healing
  • Development of fibrous connective tissue as a reparative response (correct)

Which statement best describes the acute phase response in inflammation?

  • It is characterized by the formation of blood clots only in large vessels.
  • It includes increased plasma concentrations of acute phase proteins. (correct)
  • It involves a reduction in appetite due to improved metabolism.
  • It is a state of decreased sleepiness and heightened activity.

What is the role of C-reactive protein (CRP) in inflammation?

  • To inhibit the complement system activation
  • To reduce phagocytosis of pathogens
  • To bind to dying cells and activate the complement system (correct)
  • To prevent the secretion of IL6 from macrophages

Which of the following is NOT a component of tissue repair?

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

What occurs when complete restitution of damaged tissue is not possible?

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

What does the term 'anorexia' refer to in the context of systemic inflammation?

<p>Disordered eating with excessive weight loss (D)</p> Signup and view all the answers

Which of the following best describes opsonization in the context of acute phase proteins?

<p>Marking of pathogens for phagocytosis (D)</p> Signup and view all the answers

Which factor is not associated with the repair process of tissues?

<p>The presence of chronic inflammation (C)</p> Signup and view all the answers

What is the primary purpose of inflammation?

<p>To eliminate the cause of injury and initiate healing (A)</p> Signup and view all the answers

Which of the following is NOT a hallmark of acute inflammation?

<p>Accumulation of scar tissue (A)</p> Signup and view all the answers

What role do chemical mediators play in inflammation?

<p>They bind to specific receptors on target cells to induce effects. (C)</p> Signup and view all the answers

What is the effect of histamine in the inflammatory process?

<p>Vasodilation and increased vascular permeability (D)</p> Signup and view all the answers

Which type of inflammation is characterized by prolonged duration and fibrosis?

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

Which of the following substances is produced by platelets during inflammation?

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

What systemic responses can occur as part of the inflammatory process?

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

Which of the following roles do ROS (reactive oxygen species) play in inflammation?

<p>They can directly cause tissue damage to healthy cells. (A)</p> Signup and view all the answers

What can be a potential negative consequence of the inflammatory response?

<p>Injury to healthy tissues (D)</p> Signup and view all the answers

Who first described the hallmarks of acute inflammation over 2,000 years ago?

<p>Aulus Cornelius Celsus (C)</p> Signup and view all the answers

What effect does laminar flow have on leukocytes in blood vessels?

<p>Leukocytes are pushed towards the vessel wall. (D)</p> Signup and view all the answers

Which factor contributes to leukocytes being displaced from the central axis of blood flow?

<p>Higher speed of smaller red blood cells. (A)</p> Signup and view all the answers

What role do selectins play in the adhesion process of leukocytes?

<p>They bind to sugars and facilitate leukocyte rolling. (C)</p> Signup and view all the answers

Which process follows rolling in the recruitment of leukocytes?

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

What is a primary characteristic of integrins in leukocyte recruitment?

<p>They are transmembrane glycoproteins on leukocytes. (D)</p> Signup and view all the answers

Which statement best describes the effect of stasis on blood cells?

<p>It slows down the movement of all cells. (A)</p> Signup and view all the answers

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

<p>To promote attachment of leukocytes to the endothelium (C)</p> Signup and view all the answers

Which cytokines are mentioned as promoting the expression of selectins on the endothelium?

<p>TNF and IL-1 (A)</p> Signup and view all the answers

What potential therapeutic application is mentioned regarding selectins?

<p>Antibodies against selectins. (B)</p> Signup and view all the answers

What is the primary function of chemotaxis in leukocyte behavior?

<p>To guide leukocytes towards the site of infection. (D)</p> Signup and view all the answers

What characterizes chronic inflammation compared to acute inflammation?

<p>Leads to tissue destruction and repair (D)</p> Signup and view all the answers

Which of the following is primarily responsible for phagocytosis in acute inflammation?

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

What is a consequence of prolonged activation of macrophages in chronic inflammation?

<p>Production of substances leading to tissue injury (C)</p> Signup and view all the answers

Which of the following conditions is classified under acute inflammatory disorders?

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

In the context of leukocyte recruitment, what is directional migration influenced by?

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

Leukocyte-induced tissue injury can occur due to which of the following?

<p>Production of reactive oxygen and nitrogen species (D)</p> Signup and view all the answers

What is the primary function of prostaglandins in an inflammatory response?

<p>Vasodilation, pain, fever (B)</p> Signup and view all the answers

Which mediator is characterized by its potency, being up to 1000x more potent than histamine?

<p>Platelet-activating factor (PAF) (D)</p> Signup and view all the answers

What is the source of nitric oxide in the body?

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

Which statement correctly describes reactive oxygen species (ROS)?

<p>Can cause tissue injury at high levels (D)</p> Signup and view all the answers

Which type of signaling do cytokines NOT engage in?

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

What is the function of cytokines produced by macrophages and lymphocytes?

<p>Local endothelial activation and chemotaxis (B)</p> Signup and view all the answers

What type of complex is the inflammasome?

<p>A cytosolic multiprotein complex (D)</p> Signup and view all the answers

Which mediator is crucial for increased vascular permeability and leukocyte adhesion?

<p>Platelet-activating factor (PAF) (A)</p> Signup and view all the answers

Which type of cytokine specifically acts on other leukocytes?

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

What role do leukotrienes play in the inflammatory response?

<p>Increase vascular permeability and leukocyte activation (D)</p> Signup and view all the answers

What is the primary function of pro-inflammatory cytokines such as IL-1 and IL-18?

<p>To promote maturation and secretion of additional cytokines (D)</p> Signup and view all the answers

Which of the following cytokines is involved in causing endothelial cell contraction and increasing vascular permeability?

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

What condition describes the excess of watery fluid that collects in the body's tissues during inflammation?

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

Which mediator is primarily responsible for the immediate transient response of increased vascular permeability after injury?

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

What process describes the emigration of leukocytes from circulation to sites of injury during inflammation?

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

Which system is NOT one of the three interrelated systems involved in the inflammatory response?

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

What is the role of C3a and C5a in the inflammatory response?

<p>Increasing vascular permeability and leukocyte recruitment (B)</p> Signup and view all the answers

Which statement best describes cytokine redundancy?

<p>Different cytokines can stimulate the same biological function (B)</p> Signup and view all the answers

What is the primary source of plasma protein-derived mediators like complement proteins and kinins?

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

Which of the following correctly describes the process of margination?

<p>Leukocytes exit the central bloodstream and contact endothelial cells (C)</p> Signup and view all the answers

Flashcards

Vasoactive amines

These are the first mediators released in acute inflammatory reactions.

Prostaglandins

A group of lipids derived from arachidonic acid that are released by mast cells and leukocytes, causing vasodilation, pain, and fever.

Leukotrienes

A group of lipids derived from arachidonic acid that are released by mast cells and leukocytes, causing increased vascular permeability, chemotaxis, leukocyte adhesion, and activation.

Platelet-activating factor (PAF)

A potent phospholipid mediator released by leukocytes and endothelial cells, playing a significant role in inflammation by causing vasodilation, increased vascular permeability, leukocyte adhesion, chemotaxis, degranulation, and oxidative burst. It is significantly stronger than histamine.

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Reactive Oxygen Species (ROS)

Reactive oxygen species that are produced by leukocytes like neutrophils and macrophages. They are essential for killing microbes but can also cause tissue damage.

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Nitric Oxide (NO)

A gas molecule produced by endothelial cells and macrophages. It plays a vital role in vasodilation, killing microbes, and reducing leukocyte and platelet adhesion.

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Cytokines

Small proteins secreted by cells that act as signals for communication between cells. They are produced by various immune cells and play a crucial role in inflammation.

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Inflammasome

A cytosolic multiprotein complex responsible for activating inflammatory responses.

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Autocrine Signaling

A type of cytokine signaling where the cell communicates with itself.

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Paracrine Signaling

A type of cytokine signaling where the cell communicates with its immediate neighbors.

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Laminar Flow

The flow of blood in a smooth, parallel manner where the center of the vessel has the fastest flow and slows down towards the edges.

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Relative Speed

The tendency of leukocytes to be pushed away from the center of the blood vessel due to their larger size and slower movement compared to red blood cells.

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Stasis

A decrease in blood flow, allowing leukocytes more time to interact with endothelial cells in the vessel wall.

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Rolling

A process where leukocytes initially loosely attach to the endothelial cells, rolling along the vessel wall.

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Integrins

A transmembrane protein on leukocytes that interact with ligands on endothelial cells, helping leukocytes stick to the vessel wall.

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Selectins

A type of receptor found on both leukocytes and endothelial cells, responsible for initial binding and rolling.

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Diapedesis

The process where leukocytes move through the vessel wall and into the surrounding tissue.

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Chemotaxis

The movement of leukocytes towards a chemical signal, helping them reach the site of inflammation or infection.

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Fibrosis

The process of replacing damaged tissue with fibrous connective tissue, primarily collagen, in response to injury or damage.

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Tissue Repair

A process by which the body repairs damaged tissue, either by completely replacing the damaged components or by forming a scar.

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Cell Proliferation

The ability of cells and tissues to divide and multiply, enabling the body to replace damaged cells during tissue repair.

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Extracellular Growth Factors

Specialized proteins that stimulate cell growth and differentiation, crucial for tissue repair.

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Extracellular Matrix (ECM)

A complex network of proteins and molecules that provides structural support and regulates cell behavior, essential for tissue repair.

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Excessive Scarring

A state of excessive scarring that exceeds the normal wound healing response to injury.

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Acute Phase Proteins (APPs)

A group of proteins whose levels in the blood increase or decrease in response to inflammation, infections, injuries, or burns, providing clues about the body's response.

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C-reactive Protein (CRP)

A protein produced by the liver in response to inflammation, its levels increase during infection or injury, helping the body fight off infections.

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Inflammation

A protective response to eliminate the cause of injury and necrotic cells or tissues. It helps to destroy harmful agents and initiates healing.

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Hallmarks of Acute Inflammation

The process of inflammation is characterized by redness, heat, swelling, pain, and loss of function. These symptoms are caused by increased blood flow, vascular permeability, and leukocyte migration to the site of injury.

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Chemical Mediators of Inflammation

Chemical mediators of inflammation are molecules that are released during the inflammatory response. They trigger and regulate the inflammatory process by binding to specific receptors on target cells.

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Histamine

Histamine, a chemical mediator of inflammation, is stored in mast cells and is released in response to injury or infection. It causes vasodilation (widening of blood vessels), increases vascular permeability (leakage of fluid), and activates endothelial cells.

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Serotonin

Serotonin, a chemical mediator of inflammation, is stored in platelets. Like Histamine, it causes vasodilation and increased vascular permeability, helping deliver immune cells to the site of injury.

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Inflammation vs. Infection

Infection is not synonymous with inflammation. While infection is a common cause of inflammation, inflammation can also be triggered by physical agents, chemicals, or other injuries.

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Inflammation: A Double-Edged Sword

The inflammatory reaction and subsequent repair can cause considerable harm if the inflammation is uncontrolled or prolonged. The same mechanisms that protect the body can also damage healthy tissue.

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Inflammation: A Complex Process

The process of inflammation involves a complex interplay of chemical mediators, vascular changes, and cellular events. It is a critical part of the body's defense system, ensuring the removal of harmful agents and initiation of repair.

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Anti-Inflammatory Drugs

Anti-inflammatory drugs work by targeting specific mediators of the inflammatory response, helping to control the inflammatory process and reduce its harmful effects. Examples include non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids.

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What is an inflammasome?

Inflammasomes are intracellular protein complexes that activate caspase-1, which in turn cleaves pro-inflammatory cytokines like interleukin-1 beta (IL-1β) and interleukin-18 (IL-18) into their active forms.

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What activates an inflammasome?

The inflammasome is typically activated by various triggers, including pathogens, toxins, and cellular stress.

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What is the role of inflammasomes in the immune response?

Inflammasomes are important for the host's defense against infection and injury. They help to recruit immune cells to the site of inflammation and activate other immune responses.

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What are inflammatory cytokines?

Inflammatory cytokines are proteins released by immune cells that promote inflammation. They are critical for the body's response to infection and injury.

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What is the inflammatory response?

The inflammatory response is a complex process that involves a coordinated series of events. It is designed to deliver leukocytes and plasma proteins to the site of injury.

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What is the vascular response in inflammation?

The vascular response involves changes in blood vessels, such as vasodilation (widening of blood vessels) and increased vascular permeability (leakage of fluid from blood vessels), which allows fluid and cells to move to the site of injury.

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What is the cellular response in inflammation?

The cellular response involves the recruitment of leukocytes (white blood cells) from the bloodstream to the site of injury. These cells play an important role in fighting infection and clearing away debris.

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What is exudate?

Exudate is a fluid that leaks from blood vessels into surrounding tissue during inflammation. It is characterized by a high concentration of protein and cells.

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What is edema?

Edema is a condition characterized by an excess of fluid in the body's tissues or cavities. It is often associated with inflammation.

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What is increased vascular permeability?

Increased vascular permeability is a key hallmark of inflammation. It is caused by the widening of the gaps between endothelial cells that line blood vessels. This allows fluid and cells to escape from the bloodstream.

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Leukocyte Recruitment

A multi-step process involving rolling, firm attachment, and transmigration of leukocytes through the endothelium, leading to their recruitment at the site of inflammation.

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Phagocytosis

The process by which immune cells engulf and destroy foreign particles, such as microbes, cellular debris, and allergens.

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Killer Substances

The production of reactive oxygen and nitrogen species (ROS and RNS), and enzymes, by activated leukocytes to kill invading microbes and damaged tissues.

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Leucocyte-induced Tissue Injury

Damage to tissues caused by the actions of leukocytes, especially the release of their killer substances.

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Chronic Inflammation

A type of inflammation that persists for weeks, months or years, characterized by tissue destruction, repair, and angiogenesis (new blood vessel formation).

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Macrophages

Immune cells that play a key role in both innate and adaptive immunity. They are important in chronic inflammation and tissue repair.

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Products of Activated Macrophage

Substances released by activated macrophages that contribute to tissue injury and inflammation.

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Study Notes

Inflammation Overview

  • Inflammation is a Latin word "inflammatio" meaning "setting on fire".
  • It's a protective response to eliminate the cause of injury, necrotic cells, or tissues.
  • Inflammation destroys harmful agents and initiates healing.
  • Infection is not the same as inflammation.
  • Inflammatory reaction and repair can be harmful.
  • Inflammation can damage healthy tissue.

Learning Objectives

  • Understand the general features and mechanisms of inflammation.
  • Describe the role of mediators in inflammation.
  • Detail vascular and cellular events associated with inflammation.
  • Differentiate between acute and chronic inflammation.

Hallmarks of Acute Inflammation

  • The visual signs of inflammation are redness, heat, swelling, pain, and loss of function.
  • These were described by Aulus Cornelius Celsus over 2000 years ago.

The Pillars of Inflammation

  • Swelling, heat, pain, and redness were identified by Aulus Cornelius Celsus.
  • Drawing images and emojis help visualize the concept.

Mediators of Inflammation

  • Chemical mediators are produced locally by cells or are circulating in plasma as inactive precursors activated at the site.

  • Many mediators bind to specific receptors on target cells (except reactive oxygen species and some proteases).

  • Many mediators are targets for anti-inflammatory drugs.

  • Examples of chemical mediators include histamine, serotonin, prostaglandins, leukotrienes, platelet-activating factor, reactive oxygen species (ROS), nitric oxide, and cytokines.

  • Different cells provide different sources for various mediators.

  • Each mediator has a specific role and effect in inflammatory responses, such as vasodilation, vascular permeability increase, leukocyte chemotaxis or activation.

  • Cytokines are small proteins, signaling proteins crucial for cell communication.

    • Lymphokines are from lymphocytes -Monokines from monocytes -Chemokines have chemotactic activity
    • Interleukin made by one leukocyte acting on another.
    • Interferons are released in response to pathogen presence.
    • Tumor Necrosis Factors cause systemic inflammation
  • The inflammasome is a multiprotein complex that promotes the maturation and secretion of pro-inflammatory cytokines. It was discovered in 2002.

Acute Phase Response

  • Common symptoms include fever, malaise, somnolence, anorexia, leukocytosis, and shock.
  • Involves the production of acute-phase proteins like fibrinogen and CRP.
  • ESR is a nonspecific marker of inflammation.

Acute Inflammation

  • Rapid response to injury designed to deliver leukocytes and plasma proteins to the injury site.
  • Mediators initiate vascular reaction (vasodilation and increased vascular permeability) and cellular reaction (leukocyte emigration).
  • A third component is leukocyte activation.

Chronic Inflammation

  • Persistent inflammation lasting weeks, months, or years.
  • Often involves tissue destruction.
  • Chronic inflammation may involve macrophages.

Leukocyte-Induced Tissue Injury

  • Leukocytes' role isn't limited to targeting invaders.
  • Byproducts like reactive oxygen species, reactive nitrogen species, and enzymes can damage tissues, resulting in responses in autoimmune diseases, against allergens.
  • Inflammatory response pathology often surpasses the initial invader.

Wound Healing

  • Tissue repair involves either regeneration or resolution.
  • Regeneration restores lost tissues, while resolution involves the removal of dead tissues with minimal scar.
  • Cell proliferation, extracellular growth factors, and extracellular matrix (ECM) are important components for repair.
    • Cells vary in regenerative capabilities (labile/stable/permanent).
    • Extracellular growth factors signal cells.
    • ECM regulates growth.
  • ECM has scaffolding and reservoir functions that support the tissue repair process.
  • Healing by two methods, by first intention and by secondary intention.
  • Granulation tissue during repair comprises fibroblasts, blood vessels, and inflammatory cells.

Types of Cytokines

  • Structural classification: different families of cytokines based on amino acid similarity.
  • Functional classification: cytokines produced after inflammatory stimuli (such as chemokines) and those produced in tissue and cells consecutively (homing chemokines).

Additional Information about Cytokines

  • Different cells release different types of cytokines.
  • Single cytokines act on different cells (pleiotropy).
  • Same functions can be induced by multiple cytokines (redundancy).
  • One cytokine stimulates others leading to a complex cascade.

Fibrosis

  • Fibrosis is the development of fibrous connective tissue.
  • Occurs as a normal healing response or a pathological process (excessive scarring).

Plasma Protein-Derived Mediators

  • Proteins like complement, kinins and proteases are important mediators of inflammation.
  • Complement, kinins, clotting factors are plasma-derived components with various roles in inflammation.

Systemic Effects (Acute Phase Response)

  • Systemic effects including fever, malaise, anorexia, leukocytosis, and shock occur during the acute phase response to inflammation.
  • Acute-phase proteins (like fibrinogen, C-reactive protein, CRP) increase or decrease due to inflammation, infection, injury.

C-reactive protein (CRP)

  • CRP is a protein pentamer and rises in response to inflammation.
  • It's secreted by the liver in response to IL-6 released by macrophages and T cells.
  • CRP binds lysophosphatidylcholine on cells and bacteria, activating the complement system.

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This quiz covers the essential features and mechanisms of inflammation, including its role in the healing process and distinctions between acute and chronic inflammation. Test your understanding of the visual signs and mediators involved in inflammation based on historical perspectives.

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