Inflammatory Responses and Immune System Basics
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Questions and Answers

What is the first step in inflammatory reactions?

  • Repair of damaged tissue
  • Recruitment of leukocytes
  • Recognition of microbial components (correct)
  • Removal of the injurious agent
  • Which components are primarily activated during the inflammatory response?

  • Neural pathways and cognitive functions
  • Metabolic pathways and enzymatic reactions
  • Vascular reaction and cellular response (correct)
  • Hormonal signals and endocrine responses
  • What do the five R’s of the inflammatory response include?

  • Recognition, regulation, resolution, reaction, recruitment
  • Recognition, recruitment, removal, regulation, repair (correct)
  • Removal, regulation, recognition, reaction, response
  • Recruitment, response, repair, removal, regulation
  • What type of receptors recognize extracellular microbes?

    <p>Plasma membrane receptors (C)</p> Signup and view all the answers

    What is the primary function of collectins in the immune response?

    <p>Bind to and combat microbes (B)</p> Signup and view all the answers

    How do Toll-like receptors (TLRs) contribute to immunity?

    <p>By recognizing foreign invaders (B)</p> Signup and view all the answers

    What potential negative effect can inflammation have?

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

    Which cellular compartment is NOT associated with the recognition of foreign invaders?

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

    What does the presence of streaks in the lymphatic channels indicate?

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

    What is indicated by the painful enlargement of draining lymph nodes?

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

    Which of the following substances is primarily responsible for vasodilation during acute inflammation?

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

    What effect does increased vascular permeability have on the inflammatory process?

    <p>It allows plasma proteins and leukocytes to enter tissue (B)</p> Signup and view all the answers

    Which mechanism can lead to gaps between endothelial cells?

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

    What is a likely consequence of fluid leak from blood vessels during inflammation?

    <p>Development of edema (B)</p> Signup and view all the answers

    Which condition is characterized by both redness and swelling in lymphatic vessels?

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

    What is the typical duration of the increased vascular permeability response?

    <p>Hours to days (B)</p> Signup and view all the answers

    What do larger azurophil granules contain?

    <p>Bactericidal proteins and proteases (A)</p> Signup and view all the answers

    What is the result of chromatin decondensation in activated neutrophils?

    <p>Release of chromatin and cell death (B)</p> Signup and view all the answers

    What happens to neutrophils during the formation of NETs?

    <p>They lose their nuclei and die (B)</p> Signup and view all the answers

    Which substance released in NETs may damage host cells?

    <p>Histones and associated DNA (A)</p> Signup and view all the answers

    What can result from the inappropriate reaction of individuals to their own DNA in systemic autoimmune diseases?

    <p>Leukocyte-dependent inflammation (D)</p> Signup and view all the answers

    In which context have NETs been detected?

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

    What does the release of nuclear material from neutrophils contribute to?

    <p>Amplification of injury effects in tissues (C)</p> Signup and view all the answers

    What can unchecked leukocyte infiltrate lead to in human diseases?

    <p>Leukocyte-mediated tissue injury (B)</p> Signup and view all the answers

    What is the initial effect of vasodilation in acute inflammation?

    <p>Opening of new capillary beds (D)</p> Signup and view all the answers

    What is termed when fluid, proteins, and blood cells escape from the vascular system into interstitial tissues?

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

    What causes the characteristic heat and redness associated with inflammation?

    <p>Vasodilation and increased blood flow (A)</p> Signup and view all the answers

    Which mediator primarily induces vasodilation during acute inflammation?

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

    What does stasis refer to in the context of acute inflammation?

    <p>Engorgement of small vessels with slowly moving red cells (B)</p> Signup and view all the answers

    What is the effect of increased permeability of microvasculature during inflammation?

    <p>Outpouring of protein-rich fluid into tissues (A)</p> Signup and view all the answers

    Which physiological change accompanies the escape of fluid into extravascular tissues during inflammation?

    <p>Slower blood flow and concentration of red cells (C)</p> Signup and view all the answers

    What is a distinguishing characteristic of an exudate in acute inflammation?

    <p>High protein concentration and cellular debris (D)</p> Signup and view all the answers

    What is a potential cause of delayed vascular leakage in mild injuries?

    <p>Contraction of endothelial cells (D)</p> Signup and view all the answers

    Which of the following best describes the role of lymphatic vessels in inflammation?

    <p>They filter extravascular fluids and drain excess fluid. (B)</p> Signup and view all the answers

    What is 'reactive lymphadenitis' characterized by?

    <p>Hyperplasia of lymphoid follicles and increased leukocytes. (C)</p> Signup and view all the answers

    What notable sign might indicate a bacterial infection near a skin wound?

    <p>Presence of red streaks (B)</p> Signup and view all the answers

    What happens to lymphatic vessels during inflammatory reactions?

    <p>They proliferate to handle increased load. (D)</p> Signup and view all the answers

    What is a classic example of injury that results in late vascular leakage?

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

    What effect does increased vascular permeability have during inflammation?

    <p>It promotes fluid accumulation or edema. (B)</p> Signup and view all the answers

    Which cell types increase in number during inflammatory lymphadenitis?

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

    What is the primary response of neutrophils to activating stimuli?

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

    Which of the following accurately describes the lifespan of tissue-resident macrophages?

    <p>Years in tissues (D)</p> Signup and view all the answers

    Which statement is true regarding the production of reactive oxygen species by neutrophils?

    <p>It is rapidly induced by the assembly of phagocyte oxidase. (A)</p> Signup and view all the answers

    What characterizes the response of macrophages to activating stimuli compared to neutrophils?

    <p>Prolonged and slower response (C)</p> Signup and view all the answers

    Which of the following is a major functional activity of macrophages?

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

    What is the role of nitric oxide in macrophages compared to neutrophils?

    <p>Macrophages induce it after transcriptional activation. (D)</p> Signup and view all the answers

    How do the lifespans of inflammatory macrophages compare to tissue-resident macrophages?

    <p>Tissue-resident macrophages live longer. (D)</p> Signup and view all the answers

    What distinguishes the cytokine production of neutrophils from that of macrophages?

    <p>Macrophages produce cytokines as a major response. (B)</p> Signup and view all the answers

    Which of the following actions is less prominent in macrophages compared to neutrophils?

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

    Which property is common for both neutrophils and macrophages regarding their origin?

    <p>Both originate from hematopoietic stem cells. (A)</p> Signup and view all the answers

    Flashcards

    Inflammation

    A process that helps protect multicellular organisms from microbes and cell damage. It involves a series of coordinated steps to eliminate harmful substances and initiate tissue repair.

    Recognition of Injurious Agent

    The initial step in inflammation that triggers the cascade of events. This recognition is performed by cells and receptors that bind to microbial components or substances released from damaged cells.

    Vascular and Cellular Response

    A complex response that involves changes in blood vessels and the recruitment of white blood cells to the site of injury.

    Mediators of Inflammation

    Molecules that initiate and regulate the inflammatory response. They are derived from plasma proteins and various cells.

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    Cellular Receptors

    A group of receptors found on cells that recognize specific patterns associated with microbes or cellular damage. They play a critical role in triggering inflammation.

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    Toll-like Receptors (TLRs)

    A family of receptors found on different cell types that recognize and respond to specific microbial components. TLRs can trigger a cascade of events that lead to the activation of immune cells and inflammation.

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    Removal of the Agent

    The process of removing the injurious agent from the site of inflammation. This can involve phagocytosis by immune cells or other mechanisms.

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    Regulation of Inflammation

    The process of controlling and ending the inflammatory response to prevent excessive damage. This includes mechanisms that dampen or shut down the inflammatory cascade.

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    Exudation

    The process of moving plasma proteins and leukocytes out of the bloodstream and into the site of injury or infection.

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    Exudate

    Fluid that has a high protein concentration and cellular debris, found outside of blood vessels.

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    Vasodilation

    Dilation of blood vessels, primarily arterioles, increasing blood flow to the site of inflammation.

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    Increased vascular permeability

    Increased permeability of blood vessels, allowing fluid and proteins to leak into the extravascular space.

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    Stasis

    The slowing down of blood flow due to increased viscosity and vessel diameter.

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    Hydrostatic pressure

    The force pushing fluid out of blood vessels into the tissues.

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    Colloid osmotic pressure

    The force pulling fluid back into blood vessels from the tissues.

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    Erythema

    The localized redness in inflamed tissue caused by increased blood flow.

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    Delayed Vascular Leakage

    Delayed leakage of fluid from blood vessels, lasting hours or days, often caused by endothelial damage or contraction.

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    Edema Fluid

    Fluid that leaks from blood vessels into tissues due to inflammation.

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    Lymphangitis

    The process of lymphatic vessels becoming inflamed.

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    Lymphadenitis

    Inflammation of the lymph nodes, often characterized by enlargement.

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    Increased Lymph Flow

    The increased flow of lymph during inflammation, helping to drain edema fluid and remove debris.

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    Reactive Lymphadenitis

    The collection of changes in the lymph nodes during inflammation, including hyperplasia of follicles and increased lymphocytes and macrophages.

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    Lymphatic Vessel Proliferation

    The process of lymphatic vessels growing to handle the increased load during inflammation.

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    Red Streaks

    Red streaks near a skin wound, a sign of bacterial infection.

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    Edema

    A buildup of fluid in a tissue. This can be caused by increased vascular permeability, leading to fluid leakage.

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    Neutrophil

    A type of white blood cell that quickly responds to inflammation by engulfing and destroying pathogens, dying soon after.

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    Macrophage

    A type of white blood cell that lives longer, has a more nuanced response, and helps clean up debris after inflammation.

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    Phagocytosis

    The process where a cell, like a neutrophil or macrophage, engulfs and destroys a foreign particle or pathogen.

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    Phagosome

    A membrane-bound vesicle inside a cell that contains a particle to be digested.

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    Lysosome

    A specialized organelle in cells that holds powerful enzymes for breaking down waste and harmful substances.

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    Lysosomal granule

    A type of lysosome found in white blood cells that contains enzymes specifically designed to break down pathogens and debris.

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    Degranulation

    The process of releasing the contents of a vesicle or organelle outside the cell, like when lysosomal granules release their enzymes.

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    Reactive Oxygen Species (ROS)

    A powerful chemical that helps kill bacteria and other pathogens, generated by white blood cells during inflammation.

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    Nitric Oxide (NO)

    A gas molecule produced by certain white blood cells to fight infection.

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    Neutrophil Extracellular Trap (NET)

    A process where neutrophil DNA and other cellular components are released outside the cell to trap and kill pathogens.

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    What is NETosis?

    A type of cell death that occurs in neutrophils, where they release their own DNA and proteins to form a net-like structure that traps and kills pathogens.

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    What are Neutrophil Extracellular Traps (NETs)?

    NETs are formed from the DNA and proteins released by dying neutrophils. These traps act as a physical barrier and a source of antimicrobial substances, helping to neutralize pathogens.

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    How can NETs contribute to Autoimmune Diseases?

    NETs can release substances like histones and DNA that can damage host tissues, potentially contributing to autoimmune diseases like lupus.

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    How can Leukocytes cause tissue damage?

    Leukocytes, especially neutrophils, are crucial for fighting off infections but can also harm host tissues if their inflammatory response is uncontrolled or misdirected.

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    What is the role of DNA in NETs?

    During NETosis, neutrophils release their nuclear contents, including their DNA, which becomes part of the NET structure.

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    How do NETs help fight infections?

    NETs can trap pathogens, preventing them from spreading and causing further damage.

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    How do NETs affect inflammation?

    The release of nuclear material from dying neutrophils can trigger an inflammatory response.

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    What is the importance of NETosis?

    NETosis is a crucial defense mechanism against infections, but it can also have unwanted consequences, like contributing to autoimmune diseases.

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    Study Notes

    Overview of Inflammation: Definitions and General Features

    • Inflammation is a protective response of vascularized tissues, delivering leukocytes and molecules of host defense to sites of infection or cell damage.
    • It is essential for survival, removing harmful agents like microbes or toxins, as well as the consequences of injury.
    • Inflammation involves phagocytic leukocytes, antibodies, and complement proteins that are normally in a resting state in the blood.
    • The process of inflammation quickly recruits cells and proteins from circulation to the site of infection or injury.
    • Inflammation involves a series of sequential steps to initiate the response.

    Historical Highlights

    • Clinical features of inflammation were described in ancient Egyptian texts from around 3000 B.C.
    • The Roman writer, Celsus, in the first century AD, listed the four cardinal signs of acute inflammation (redness, swelling, heat, and pain).
    • Rudolf Virchow, in the 19th century, added a fifth sign: loss of function (functio laesa).
    • John Hunter understood that inflammation itself is not a disease, but rather a response with beneficial effects for the host.
    • Elie Metchnikoff, through his observations on phagocytosis, proposed inflammation to ingest and destroy invading pathogens.
    • Sir Thomas Lewis associated histamine with the vascular changes of inflammation.

    Causes of Inflammation

    • Infections (bacterial, viral, fungal, parasitic) and microbial toxins are common and medically significant triggers for inflammation.
    • Tissue necrosis, regardless of the cause (ischemia, trauma, chemicals), leads to inflammatory responses.
    • Foreign bodies (splinters, dirt, sutures) can elicit inflammation, often because they cause trauma or carry microbes.
    • Immune reactions create an inflammation response and are implicated in autoimmune diseases and hypersensitivity reactions.

    Acute Inflammation

    • Acute inflammation consists of three major components: dilation of small vessels, increased permeability of microvasculature, and leukocyte emigration.
    • Changes in blood vessel flow and permeability are crucial for efficient inflammatory response.
    • Acute inflammation is triggered by various substances like microbes, dead cells, and cytokines.
    • The response typically occurs within minutes to days and helps to eliminate the offending agent.

    Leukocyte Recruitment to Sites of Inflammation

    • Leukocytes, primarily neutrophils and macrophages, migrate from the bloodstream to the site of injury or infection.
    • The process involves rolling, adhesion, and transmigration through vessel walls.
    • Various molecules and cytokines are involved in this process, including adhesion molecules like selectins and integrins.
    • Chemokines are chemical messengers that signal the leukocytes to move towards the site of inflammation.

    Phagocytosis and Clearance of the Offending Agent

    • Phagocytosis is the ingestion of microbes and debris by leukocytes.
    • Phagocytes express receptors that recognize microbes and initiate a sequence of steps to destroy the ingested material.
    • Microbicidal elements like reactive oxygen species (ROS) and reactive nitrogen species (RNS) destroy engulfed microbes and cell debris within lysosomal granules.
    • Lysosomal enzymes contribute to microbial killing.

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    Description

    This quiz explores the fundamental concepts of inflammatory reactions and the immune response. Key topics include components involved in inflammation, receptor recognition of pathogens, and the effects of inflammation on the body. Test your knowledge of the five R's of inflammation and more!

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