Inflammatory Response

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Questions and Answers

What is a key characteristic that distinguishes chronic inflammation from acute inflammation?

  • Vasodilation and leukocyte recruitment
  • Immediate response to injury
  • Pathogen clearance
  • Persistence of immune response (correct)

Which risk factor is associated with chronic inflammation?

  • Tissue injury
  • Autoimmune diseases (correct)
  • Acute infections
  • Burns

How does hormonal difference in sex potentially impact inflammation response?

  • Men have higher risk due to testosterone
  • Estrogen can inhibit all immune functions
  • Estrogen influences immune function (correct)
  • Women experience increased immune tolerance

Which of the following correctly identifies a cause of chronic inflammation?

<p>Infection leading to granuloma formation (C)</p> Signup and view all the answers

What type of transmission is associated with both acute and chronic inflammation?

<p>Not transmissible except in infectious diseases (B)</p> Signup and view all the answers

What is the primary function of Neutrophil Extracellular Traps (NETs)?

<p>To trap and kill pathogens (B)</p> Signup and view all the answers

Which cells are primarily responsible for the clearance of debris and dead cells after a pathogen is neutralized?

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

What is a characteristic of chronic inflammation compared to acute inflammation?

<p>It is typically driven by ongoing irritants or infections (C)</p> Signup and view all the answers

Which of the following describes a granuloma?

<p>A collection of immune cells walling off an infection (C)</p> Signup and view all the answers

Which of the following factors is NOT a modifiable risk factor for chronic inflammation?

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

Which condition is linked to obesity through its release of pro-inflammatory cytokines?

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

What is often a consequence of persistent immune activation during chronic inflammation?

<p>Excess collagen deposition (B)</p> Signup and view all the answers

Chronic inflammation is associated with which of the following diseases as a communicable condition?

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

What initiates the acute inflammatory response?

<p>Injury or infection of tissue (B)</p> Signup and view all the answers

Which cells play a key role in recognizing damage-associated molecular patterns (DAMPs)?

<p>Mast cells, macrophages, and dendritic cells (B)</p> Signup and view all the answers

What is a characteristic feature of the vascular changes during acute inflammation?

<p>Increased permeability of blood vessels (B)</p> Signup and view all the answers

What can lead to chronic inflammation?

<p>Unresolved acute inflammation (C)</p> Signup and view all the answers

Which of the following can contribute to granuloma formation?

<p>Persistent infections like Mycobacterium tuberculosis (B)</p> Signup and view all the answers

What is the role of neutrophils during the acute inflammatory response?

<p>To perform phagocytosis and release reactive oxygen species (ROS) (D)</p> Signup and view all the answers

Which of the following is NOT a cause of chronic inflammation?

<p>Short acute infections (A)</p> Signup and view all the answers

What is the significance of bradykinin and prostaglandins during the inflammatory response?

<p>They promote pain sensation by sensitizing nerve fibers. (A)</p> Signup and view all the answers

Flashcards

Acute Inflammation

The initial response to injury or infection, characterized by rapid and localized events like redness, swelling, heat, and pain.

Chronic Inflammation

A long-lasting inflammatory response that persists for weeks, months, or even years. Often associated with unresolved acute inflammation, persistent infections, or autoimmune conditions.

Damage-Associated Molecular Patterns (DAMPs)

Molecules released by necrotic cells that activate the immune system, essentially signaling danger.

Pathogen-Associated Molecular Patterns (PAMPs)

Molecules found on pathogens, such as bacteria, viruses, and fungi, that are recognized by immune cells as foreign invaders.

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Pattern Recognition Receptors (PRRs)

Receptors on immune cells that recognize and bind to DAMPs or PAMPs, triggering the inflammatory response.

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Vasodilation

The widening of blood vessels during an inflammatory response, which increases blood flow to the injured area. This leads to redness and warmth.

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Increased vascular permeability

The process where blood vessels become leaky in inflammation, allowing fluids, plasma proteins, and immune cells to escape into the surrounding tissues. This leads to swelling.

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Neutrophils

The first responders of the immune system, are white blood cells designed to engulf and destroy pathogens. They are a key component in the response.

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Autoimmune diseases

A process where the body's immune system overreacts to its own tissues, leading to chronic inflammation.

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Sex: Women may have different inflammatory responses...

Hormones, particularly estrogen, can influence the immune system's responses, potentially contributing to a different inflammatory response in women.

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Granuloma formation

The formation of a protective wall of immune cells around an irritant, often seen in chronic inflammation.

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Fibrosis

Excessive scar tissue formation, often a consequence of chronic inflammation, leading to tissue damage and dysfunction.

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Irritant exposure

Persistent exposure to irritants (like smoke or pollutants) can trigger and sustain chronic inflammation.

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What are Neutrophil Extracellular Traps (NETs)?

A process where neutrophils release their DNA to trap and kill pathogens. This net-like structure helps contain infection and prevents spread.

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What is Resolution in Inflammation?

The body's way of cleaning up after an inflammatory response. Macrophages remove debris and dead cells, restoring balance to the affected area.

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What is Tissue Repair in Inflammation?

The process of rebuilding and repairing tissues damaged by inflammation. Fibroblasts and growth factors like VEGF promote tissue regeneration.

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What is Chronic Inflammation?

A prolonged and often persistent inflammatory response, often caused by ongoing irritants or infections. It can lead to tissue damage and fibrosis.

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What are Granulomas?

Organized collections of immune cells that form around a persistent infection. Macrophages fuse into giant cells surrounded by lymphocytes, effectively walling off the infection.

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Is Inflammation Transmissible?

Inflammation is a biological process, not a contagious disease. However, infections that trigger inflammation, like tuberculosis, can be transmitted.

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What are Modifiable Risk Factors for Inflammation?

Factors that increase the risk of developing inflammation. These include smoking, obesity, diet, chemical exposure, and infections.

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What are Non-Modifiable Risk Factors for Inflammation?

Factors that cannot be changed, such as age. Older individuals experience a phenomenon called inflammaging, characterized by low-grade chronic inflammation.

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Study Notes

Tissue Responses to Injury and Infection - Inflammatory Response

  • Acute Inflammatory Response:
    • Triggered by tissue injury (cuts, bruises, burns) or pathogen invasion (bacteria, viruses, fungi).
    • Necrotic cells release damage-associated molecular patterns (DAMPs) activating the immune system.
    • Microbial products (e.g., LPS from Gram-negative bacteria) activate pattern recognition receptors (PRRs, like TLRs).
  • Chronic Inflammatory Response:
    • Unresolved acute inflammation can become chronic.
    • Persistent infections (e.g., Mycobacterium tuberculosis) lead to chronic inflammation.
    • Long-term exposure to irritants (e.g., pollutants, tobacco smoke).
    • Autoimmune conditions trigger chronic immune responses against self-tissues.

Pathophysiology

  • Acute Inflammation:
    • Recognition of DAMPs or pathogen-associated molecular patterns (PAMPs) by immune cells (mast cells, macrophages, dendritic cells).
    • Vascular changes:
      • Vasodilation increases blood flow (redness, warmth).
      • Increased permeability allows immune cells and fluid to enter tissues (swelling).
      • Pain from nerve pressure and bradykinin/prostaglandins.
    • Cellular events:
      • Mast cells release histamine, increasing vessel permeability.
      • Neutrophils (first responders) perform phagocytosis and release reactive oxygen species (ROS).
      • Formation of neutrophil extracellular traps (NETs) to capture and kill pathogens.
  • Chronic Inflammation
    • Persistent immune response.
    • Granuloma formation (organized collection of immune cells to contain infection).
    • Tissue damage (fibrosis: excess collagen deposition, scarring) due to prolonged immune activity.

Transmission and Risk Factors

  • Transmission:
    • Inflammation is a biological process, not a communicable disease.
    • However, some infectious diseases triggering inflammation are transmissible.
  • Modifiable Risk Factors:
    • Infections (bacteria, viruses, fungi).
    • Smoking.
    • Obesity (adipose tissue releases pro-inflammatory cytokines).
    • Diet (high in saturated fats, refined sugars).
    • Chemical exposures.
  • Non-Modifiable Risk Factors:
    • Age (inflammaging - low-grade chronic inflammation).
    • Genetics (predisposition to autoimmune diseases).
    • Sex (differences in inflammatory response, influenced by hormones like estrogen).

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