Leukocyte Recruitment Mechanisms
42 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the role of laminar flow in leukocyte recruitment?

  • Laminar flow is not directly involved in leukocyte recruitment.
  • Laminar flow causes leukocytes to slow down, allowing for increased interaction with the endothelium.
  • Laminar flow pushes leukocytes towards the center of the blood vessel, where they flow faster.
  • Laminar flow creates friction against the vessel wall, pushing leukocytes towards the periphery. (correct)
  • Which of the following is NOT a factor that accelerates contact between leukocytes and endothelial cells?

  • Stasis
  • Chemotaxis (correct)
  • Laminar flow
  • Relative speed
  • How do integrins contribute to leukocyte recruitment?

  • Integrins are receptors on the leukocyte surface that bind to ligands on the endothelium, causing firm adhesion. (correct)
  • Integrins are enzymes that break down the endothelial cell wall, allowing leukocytes to enter the tissue.
  • Integrins are receptors on the leukocyte surface that bind to selectins on the endothelium, initiating rolling.
  • Integrins are receptors on the endothelial surface that bind to selectins on the leukocyte, initiating rolling.
  • What is the function of selectins in leukocyte recruitment?

    <p>Selectins are receptors on leukocytes and endothelium that bind to sugars, facilitating rolling. (D)</p> Signup and view all the answers

    What is the significance of relative speed in leukocyte recruitment?

    <p>Smaller RBC move faster than larger white cells, pushing leukocytes away from the center of the blood vessel. (D)</p> Signup and view all the answers

    Which of the following is the correct order of events in leukocyte recruitment?

    <p>Rolling, Integrin activation &amp; Adhesion, Diapedesis, Chemotaxis (C)</p> Signup and view all the answers

    Which of the following molecules is NOT a primary mediator of vascular permeability?

    <p>Complement C3a (C)</p> Signup and view all the answers

    What is the main function of the inflammasome in the inflammatory response?

    <p>Maturation and secretion of pro-inflammatory cytokines (A)</p> Signup and view all the answers

    What is a potential therapeutic strategy based on the mechanisms of leukocyte recruitment?

    <p>Administering drugs that block integrin activity, inhibiting firm adhesion. (B)</p> Signup and view all the answers

    How does stasis contribute to leukocyte recruitment?

    <p>Stasis slows down blood flow, increasing leukocyte interaction with the endothelium. (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of cytokines?

    <p>They can be directly activated by toxins (A)</p> Signup and view all the answers

    What is the primary function of the kinin cascade in inflammation?

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

    What is the most likely outcome of increased vascular permeability during inflammation?

    <p>Increased fluid leakage from blood vessels and accumulation at the site of injury (C)</p> Signup and view all the answers

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

    <p>Migration to the site of injury and phagocytosis of pathogens (C)</p> Signup and view all the answers

    What is the difference between the immediate transient response and the slower, prolonged retraction of endothelial cells in inflammation?

    <p>The immediate transient response is short-lived and involves intercellular gaps, while the slower, prolonged retraction involves changes in the cytoskeleton. (D)</p> Signup and view all the answers

    What is the role of Hageman factor in the inflammatory response?

    <p>Activation of the kinin cascade (A)</p> Signup and view all the answers

    Which of the following is NOT a major component of acute inflammation?

    <p>Activation of regulatory T cells (D)</p> Signup and view all the answers

    What is the primary function of complement proteins in inflammation?

    <p>Increase in vascular permeability, vasodilation, leukocyte activation, and opsonization (C)</p> Signup and view all the answers

    Which of the following cytokines promote the expression of selectins and integrin ligands on endothelium?

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

    Which type of tissue is capable of regenerating after injury due to its quiescent state and potential for proliferation?

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

    What is the primary component of fibrous connective tissue that builds up in the process of fibrosis?

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

    Which of the following signaling pathways involves communication between cells in a local area, affecting cells in close proximity?

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

    What is the primary function of Extracellular Matrix (ECM) in wound healing?

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

    What is the main function of the acute phase response in the context of inflammation?

    <p>To initiate a systemic response to injury or infection (D)</p> Signup and view all the answers

    Which of the following is NOT a function of Extracellular Matrix (ECM)?

    <p>Directly initiating the inflammatory response (D)</p> Signup and view all the answers

    What is the term for the process where pathogens are marked for destruction by phagocytes?

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

    Which of the following accurately describes Disseminated Intravascular Coagulation (DIC)?

    <p>The uncontrolled formation of blood clots throughout the body, blocking small blood vessels (D)</p> Signup and view all the answers

    Which of the following tissues is considered Permanent tissue, incapable of regeneration?

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

    What is the primary role of C-reactive protein (CRP) in the immune response?

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

    What is the difference between regeneration and resolution in tissue repair?

    <p>Regeneration involves the complete restoration of the original tissue, while resolution involves replacement of damaged cells with scar tissue (B)</p> Signup and view all the answers

    Which of the following is NOT a factor that influences tissue repair?

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

    Which of these would NOT be considered a systemic effect of inflammation?

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

    Which of these mediators is primarily responsible for killing microbes?

    <p>Reactive Oxygen Species (ROS) (C)</p> Signup and view all the answers

    Which mediator is known for its potent vasodilation and increased vascular permeability, even exceeding the potency of histamine?

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

    Which of the following is NOT a direct action of Nitric Oxide?

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

    What is the primary source of cytokines in the inflammatory process?

    <p>All of the above (D)</p> Signup and view all the answers

    Which type of cytokine is primarily involved in activating endothelial cells, leading to leukocyte adhesion?

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

    Which of these is NOT a characteristic of the inflammasome?

    <p>It is directly involved in the production of prostaglandins. (A)</p> Signup and view all the answers

    Which of the following mediator is known for being a derivative of arachidonic acid?

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

    Which of the following mediators is NOT a polypeptide or small protein?

    <p>Reactive Oxygen Species (ROS) (C)</p> Signup and view all the answers

    How does the inflammasome activate inflammatory responses?

    <p>By activating enzymes that produce inflammatory mediators. (D)</p> Signup and view all the answers

    Which of the following mediators is responsible for killing microbes by reducing oxidative burst?

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

    Flashcards

    Serotonin

    A vasoactive amine released in inflammation.

    Prostaglandins

    Mediators from mast cells and leukocytes causing vasodilation, pain, and fever.

    Leukotrienes

    Mediators that increase vascular permeability and help in leukocyte functions.

    Platelet-Activating Factor (PAF)

    A potent mediator from leukocytes and endothelial cells, inducing vasodilation and leukocyte activity.

    Signup and view all the flashcards

    Reactive Oxygen Species (ROS)

    Mediators that kill microbes and amplify the inflammatory response.

    Signup and view all the flashcards

    Nitric Oxide

    A mediator from endothelium and macrophages that causes vasodilation and kills microbes.

    Signup and view all the flashcards

    Cytokines

    Signaling proteins made by immune cells for cell communication during inflammation.

    Signup and view all the flashcards

    Lymphokines

    Cytokines produced by lymphocytes.

    Signup and view all the flashcards

    Inflammasome

    A multi-protein complex that activates inflammatory responses.

    Signup and view all the flashcards

    Cytokine Network

    Interconnected system of cytokines aiding in inflammation and immune response.

    Signup and view all the flashcards

    Laminar Flow

    Smooth flow of liquid in parallel layers, with highest velocity at the center of the vessel.

    Signup and view all the flashcards

    Relative Speed

    Smaller red blood cells (RBC) move faster than larger white blood cells, affecting leukocyte positioning.

    Signup and view all the flashcards

    Stasis

    A condition where movement of all cells is slowed down, aiding leukocyte adhesion.

    Signup and view all the flashcards

    Integrins

    Transmembrane glycoproteins on leukocytes that interact with endothelial cell ligands for adhesion.

    Signup and view all the flashcards

    Selectins

    Receptors on leukocytes and endothelium that bind sugars for initial cell adhesion.

    Signup and view all the flashcards

    Diapedesis

    The process by which leukocytes move through the endothelium to tissues.

    Signup and view all the flashcards

    Rolling

    Initial interaction of leukocytes with the endothelium, where they roll along the vessel wall before adhesion.

    Signup and view all the flashcards

    Chemotaxis

    Movement of leukocytes towards chemical signals released at the site of infection or injury.

    Signup and view all the flashcards

    Pro-inflammatory cytokines

    Cytokines like IL-1 and IL-18 that promote inflammation and the immune response.

    Signup and view all the flashcards

    Pleiotropy of cytokines

    A single cytokine can act on multiple different target cells.

    Signup and view all the flashcards

    Cytokine redundancy

    Different cytokines can perform the same functions in the immune response.

    Signup and view all the flashcards

    Inflammatory exudate

    Protein-rich fluid that leaks from blood vessels during inflammation due to increased vascular permeability.

    Signup and view all the flashcards

    Vascular permeability

    The ability of blood vessels to allow fluid and proteins to pass through their walls, increasing during inflammation.

    Signup and view all the flashcards

    Leukocyte emigration

    The process by which white blood cells exit the bloodstream and accumulate at the injury site.

    Signup and view all the flashcards

    Complement system

    A group of proteins that enhance the ability of antibodies and phagocytes to clear microbes and damaged cells.

    Signup and view all the flashcards

    Kinin cascade

    A series of enzymatic reactions that increase vascular permeability and induce pain during inflammation.

    Signup and view all the flashcards

    Endothelial cell contraction

    The mechanism that increases vascular permeability by creating intercellular gaps in blood vessels.

    Signup and view all the flashcards

    Cell Proliferation

    The process by which cells divide and reproduce in tissues.

    Signup and view all the flashcards

    Labile Tissues

    Tissues that continuously divide and replace lost cells, such as hematopoietic cells and epithelia.

    Signup and view all the flashcards

    Stable Tissues

    Tissues that are mostly inactive but can proliferate in response to injury, like liver and pancreas cells.

    Signup and view all the flashcards

    Permanent Tissues

    Tissues that are terminally differentiated and do not typically divide, like neurons and cardiac muscle cells.

    Signup and view all the flashcards

    Extracellular Matrix (ECM)

    A dynamic structure that supports and regulates cell behavior, aids in tissue repair, and acts as a reservoir for growth factors.

    Signup and view all the flashcards

    Leukocyte Recruitment

    The process by which white blood cells move from blood to tissue at sites of infection or damage.

    Signup and view all the flashcards

    Firm Attachment

    The stabilized binding of leukocytes to the endothelium after rolling, allowing for migration into tissue.

    Signup and view all the flashcards

    Chemokines

    Molecules that promote directed movement of leukocytes toward the site of infection or damage.

    Signup and view all the flashcards

    Phagocytosis

    The process by which leukocytes engulf and digest pathogens or particles.

    Signup and view all the flashcards

    Acute Inflammation

    A short-term inflammatory response characterized by edema and the presence of neutrophils for quick repair.

    Signup and view all the flashcards

    Chronic Inflammation

    Long-term inflammation often resulting in tissue destruction and processes like fibrosis and angiogenesis.

    Signup and view all the flashcards

    Fibrosis

    Development of fibrous connective tissue as a response to injury.

    Signup and view all the flashcards

    Acute Phase Response

    Systemic response to inflammation leading to various symptoms.

    Signup and view all the flashcards

    Acute Phase Proteins (APPs)

    Proteins whose levels change in response to tissue injury or inflammation.

    Signup and view all the flashcards

    C-reactive protein (CRP)

    A protein that rises in blood during inflammation, secreted by liver.

    Signup and view all the flashcards

    Regeneration

    Complete replacement of damaged tissue components.

    Signup and view all the flashcards

    Healing with Scar Formation

    Repair process when complete restoration isn't possible, leading to scarring.

    Signup and view all the flashcards

    Tissue Repair Factors

    Factors crucial for tissue repair, including cell proliferation and growth factors.

    Signup and view all the flashcards

    Study Notes

    Inflammation Overview

    • Inflammation is a Latin word, "inflammatio", meaning "setting on fire"
    • It is a protective response to eliminate the cause of injury or necrotic cells
    • The process neutralizes harmful agents and initiates healing
    • Inflammation can be acute or chronic

    Learning Objectives

    • Describe the general features and mechanisms of inflammation
    • Describe the role of principal mediators in inflammation
    • Describe vascular and cellular events associated with inflammation
    • Distinguish between acute and chronic inflammation

    Hallmarks of Acute Inflammation

    • Redness
    • Heat (increased temperature)
    • Swelling (edema)
    • Pain
    • Loss of function

    The Pillars of Inflammation

    • Described by Aulus Cornelius Celsus (over 2000 years ago)
    • Include: redness, swelling, heat, pain, loss of function

    Inflammation: Friend or Foe?

    • Inflammation is a protective response to injury and/or necrotic cells
    • Inflammation can cause harm to healthy tissue

    Mediators of Inflammation

    • Produced locally or circulating in plasma as inactive precursors activated at the site of inflammation
    • Induce effects by binding target cells (except ROS and some proteases)
    • Prime targets for anti-inflammatory drugs

    Major Players in Inflammation

    • Mast cells
    • Macrophages
    • Platelets
    • Lymphocytes
    • Monocytes
    • Polymorphonuclear leukocytes
    • Plasma proteins
    • Fibroblasts
    • Complement
    • Clotting factors/kininogens

    Chemical Mediators of Inflammation

    • Produced locally within cells at the site of inflammation, or within the plasma
    • May include histamine, serotonin, prostaglandins, leukotrienes, platelet-activating factor (PAF), reactive oxygen species(ROS), nitric oxide, and Cytokines

    Mediator Summaries

    • Histamine: increased vascular permeability, vasodilation
    • Serotonin: increased vascular permeability, vasodilation
    • Prostaglandins: vasodilation, pain, fever
    • Leukotrienes: increased vascular permeability, chemotaxis, leukocyte adhesion/activation
    • Platelet-activating factor(PAF): vasodilation, increased vascular permeability, leukocyte activation, etc.
    • Reactive oxygen species (ROS): killing of microbes
    • Nitric oxide: vasodilation, reduced leukocyte adhesion
    • Cytokines: Local endothelial activation, chemotaxis, leukocyte activation, systemic effects.

    Cytokines

    • Polypeptides/small proteins released from cells to interact with and communicate with each other
    • Types of cytokines includes lymphokines(lymphocyte produced), monokines (monocyte produced), chemokines (chemotactic activities), interleukins, and interferons.
    • Cytokines involved in systemic inflammation are tumor necrosis factors.

    Cytokine Signaling

    • Autocrine: Cell signals itself
    • Paracrine: Cell signals neighboring cell
    • Endocrine: Cell signals distant cell through blood circulation

    Inflammasome

    • Cytosolic multiprotein complex
    • Activates inflammatory responses
    • Promotes maturation and secretion of pro-inflammatory cytokines (IL-1 and IL-18)

    T-Helper Cells and Regulation

    • Pro-inflammatory cytokines (e.g., IL-1β, IL-6, IL-23, TNF-α by Th17) mediate inflammation
    • Regulated by anti-inflammatory cytokines produced by regulatory T cells (e.g., IL-10, TGF-β).

    Acute Phase Response

    • Non-specific indicators of inflammation
    • Systemic effects of inflammation
    • Production of acute-phase proteins (e.g., fibrinogen and CRP), etc.
    • Symptoms include fever, anorexia, malaise, somnolence, and leukocytosis.
    • Includes factors that cause shock such as high TNF & IL-1, DIC (disseminated intravascular coagulation)
    • Results in high levels of acute-phase proteins (like CRP) and increased production of leukocytes in the bone marrow

    Acute Phase Proteins (APPs)

    • Large group of biochemically and functionally unrelated proteins
    • Plasma concentrations increase or decrease in response to tissue injury, acute infections, burns or chronic inflammation
    • Examples include CRP, serum amyloid protein

    Wound Healing and Tissue Repair

    • Tissue repair = regeneration (complete functional replacement) or resolution
    • Tissue repair depends on cell proliferation, extracellular growth factors and ECM (extracellular matrix)`

    Cell Proliferation

    • Labile tissues – continuously dividing (e.g., hematopoietic cells, GI tract epithelia)
    • Stable tissues – quiescent but can proliferate (e.g. liver, pancreas)
    • Permanent tissues – terminally differentiated and non-proliferative (e.g. neurons, cardiac muscle cells)

    Extracellular Growth Factors

    • Signaling molecules that stimulate cell proliferation, movement, and differentiation
    • Types of growth factors include platelet-derived growth factor (PDGF), transforming growth factor-beta (TGF-B).

    Extracellular Matrix (ECM)

    • Complex network that surrounds cells
    • ECM sequesters water, provides mechanical stability, a substrate for cell adhesion.
    • Provides a scaffolding structure for tissue renewal
    • Acts as a reservoir of growth factors

    Tissue Repair: Wound Healing

    • Healing can occur via first intention or second intention
    • In first-intention healing, there is only minimal injury or damage
    • Second-intention healing occurs when there is more extensive damage

    Granulation Tissue

    • Composed of inflammatory cells and fibroblasts
    • Granulation tissue forms during wound healing, and is composed of blood vessels

    Chronic Inflammation

    • Lasting weeks, months or years
    • Characterized by tissue damage
    • Involves continuous activation of macrophages, angiogenesis, and fibrosis

    Systemic effects of inflammation

    • Describes fever, malaise, or other non-specific indicators that might indicate inflammation
    • Non-specific markers of inflammation include ESR (Erythrocyte Sedimentation Rate).

    Leukocyte-induced tissue injury

    • Caused by ROS, RNS, enzymes that act on surrounding tissues not just solely on the original invaders
    • Occurs in autoimmune diseases, allergic reaction, and other conditions.

    Clinical examples of inflammation

    • Includes respiratory, transplant, glomerulonephritis、septic sock, and vasculitis; arthritis, atherosclerosis, transplant rejection, and pulmonary fibrosis; acute and chronic inflammation

    Fibrosis

    • Excessive scarring exceeding typical wound healing
    • Can also be a normal healing response (such as with a wound) or occur as a pathologic response (disease)

    Inflamed Capillary Bed

    • Shows increased blood flow within capillaries
    • Shows leakage of plasma proteins as edema occurs
    • Shows migration and accumulation of leukocytes at the site of the injury

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Inflammation Handout PDF

    Description

    Test your knowledge on the mechanisms involved in leukocyte recruitment, including the roles of laminar flow, selectins, and integrins. This quiz explores key factors that influence leukocyte movement and their interactions with endothelial cells during inflammation. Understand the significance of these processes in immune responses and potential therapeutic strategies.

    More Like This

    Inflammation 2: Leukocyte Recruitment
    32 questions
    Acute Inflammation Pathogenesis
    30 questions
    Acute Inflammation Pathogenesis
    20 questions
    Use Quizgecko on...
    Browser
    Browser