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What are the two major classes of inflammatory mediators produced in response to tissue injury?
Vasoactive mediators; Chemotactic factors
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What are the five major vascular changes seen during an inflammatory response?
- Vasodialation
- Hyperemia (increased blood flow)
- Edema (increased hydrostatic pressure)
- Congestion (decreased circulatory speed)
- Hemodynamic changes
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What is another name for leukocytes?
White blood cells
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During transmigration of leukocytes into the extravascular tissue rolling occurs first and mediated by a group of proteins called ________; leukocytes then adhere to endothelial cells using a different group of proteins called ___________.
Selectins; integrins
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The process by which leukocytes move to the site of tissue injury along a gradient of chemical attractants released by injured cells and bacteria is called _________.
Chemotaxis
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______________ are a group of proteins secreted by macrohphages that cause endothelial cells to release cytokines, chemokines, adhesion molecules, ROS, etc.
Interleukins
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___________ are a family of small cytokines that induce chemotaxis in nearby responsive cells.
Chemokines (chemotaxis + cytokine)
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The complement system is a _______-derived mediator of inflammation; this system can be activated by the ___________ or __________ pathways and consists of a number of proteins (C1-C9) that form the ___________________ and promote lysis of microbial cells
Plasma; classical; alternative; Membrane Attack Complex (MAC)
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____________ is a plasma-derived inflammatory mediator that is crucial for inflammatory-mediated pain responses.
Bradykinin
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What are the four major products of arachidonic acid metabolism?
Prostaglandins, Thromboxane, Lipoxins, Leukotrienes
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Which product of arachidonic acid metabolism is produces the clinical symptoms associated with allergic type reactions such as asthma?
Leukotrienes
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Neutrophils (also called _______) are the major cellular participants of accute inflammation and their primary role is to attach to bacteria and cellular debris (mediated by __________) and phagocytize it.
PMNs: opsonin
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What were the main opsonins discussed in class?
IgG; C3b (formed during complement activation)
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What enzyme creates superoxide from regular oxygen for the purpose of killing bacteria?
NADPH oxidase
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What are the two primary phagocytic leukocytes? What does each use for the purpose of killing bacteria?
- Neutrophils (PMN) - oxygen radicals
- Macrophage - lysosomal enzymes
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What reactive oxygen species is formed by the enzyme myeloperoxidase?
Hypochlorite acid
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What cells release histamine during the inflammatory response? What is the effect of histamine secretion?
- Platelets, Basophils, Mast cells
- Histamine increases vascular permeability by causing venule endothelial cells to retract
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The complement system has two pathways, the classical and the alternative. What activates each of these pathways?
- Classical - antibody-antigen complexes
- Alternative - fragments of bacteria, fungi, other particulate foreign substances such as toxins and enzymes
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Complement component C5a is a _______________, while C3b is an important _______________.
Chemotactic factor; opsinon
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__________________ is derived from cell membrane phospholipids through the action of phospholipases.
Arachidonic acid
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What arachidonic acid derivative stimulates smooth muscle contraction?
Prostaglandin
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_______________ inhibit the actions of the enzyme phospholipidase thereby preventing formation of _______________
Corticosteroids; arachidonic acid
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____________ is an Arachidonic acid derivative that prevents platelet aggregation and promotes vasodialation while ____________ (another Arachidonic acid derivative) favors platelet aggregation and promotes vasoconstriction.
Prostacyclin; Thromboxane
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____________ is the slow acting substance of anaphylaxis.
Leukotriene
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The cyclooxygenase pathway of arachidonic acid metabolism produces thromboxane and prostaglandin, but is inhibited by _________ and __________
Aspirin, tylenol
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Drugs used to treat asthma inhibit the ___________ pathway of arachidonic acid metabolism preventing formation of ___________ and ______________.
Lipoxygenase; lipoxins; leukotrienes
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Thromboxane and leukotrienes promote ___________ while prostaglandins and lipoxins promote _____________.
Vasoconstriction; vasodialation
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___________ causes a rapid increase in vascular permeability while __________ causes a slower increase in vascular permeability
Histamine; bradykinin
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Which type of leukocyte is essential for defense against parasites, allergic reactions, and chronic inflammation?
Eosinophils
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Cells responsible for releasing histamine are called __________ when in the blood and __________ when in the extravascular tissue.
Basophils; mast cells
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What type of leukocyte is the most important activator of the inflammatory response?
Mast Cell
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Unlike mast cells platelets use the peptide _________ to regulate vascular permeability.
Serotonin
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The main cells of acute inflammation are ___________ & ____________, the primary cells of chronic inflammation are the _____________ and ______________; _____________ are a type of cells that are found in both acute and chronic inflammation.
Neutrophils (PMNs); platelets; lymphocytes; plasma cells; monocytes/macrophages
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Fibrosis and scarring tend to be associated with ________________ while exudation tends to be associated with _________________
Chronic inflammation; acute inflammation
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What type of inflammation has an acellular, protein-poor, serum like exudate? What are some diseases/disorders that exhibit this?
- Serous inflammation
- Herpes, pneummonia, burns, rheumatoid arthritis
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What type of inflammation results in exudates that are rich in fibrin? What is one disease that produces this type of exudate?
Fibrinous inflammation; Strep Throat
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What type of inflammation exudates pus from an abcess or empyema?
Purulent inflammation
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___________ inflammation exudates fibrin, pus, cellular debris, and mucus form peudomembrane on the surface of a ulcer. ____________ is a good example of this type of inflammation.
Pseudomembranous; diptheria
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When are granulomas formed and what types of cells are found in them?
Granulomas are formed in response to bacteria or fungi that cannot be easily removed; Lympocytes, macrophages, and multi-nucleated giant cells are found in granulomas
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Syphilis is an example of a ___________ or _________ granuloma. Sarcoidosis, on the other hand, is an example of a _________ granuloma.
Infectious; caseating, infectious
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Giant cells are always seen in what type of granuloma?
Foreign body granulomas
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