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Inflammation
Principles of Inflammation and the Immune System
36
Pharmacology
Undergraduate 4
12/01/2010

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Cards

Term
What is the response to tissue injury and infection?
Definition
Redness (rubor)
Heat (calor)
Swelling (tumor)
Pain (dolar)
Term
What is chronic inflammation?
Examples?
Definition
Longterm response to stimulus

Examples: Allergies, chronic infection, transplantation, autoimmune disease
Term
What is the goal of targeting components of the immune system?
Definition
-Suppress signaling mediators for immune process
-examples : eicosanoid pathway, histamines, and immune system
Term
What is the goal of modifying the pathological stimulus?
Definition
-Treating the cause

-Examples: Peptic ulcer disease, asthma, and gout
Term
What does the innate immune system do?
Definition
-release of histamine
-phagocytosis of bacterium
-responds to a pattern of recognition
-**general reaction**
Term
What cells are involved with the innate immune system?
Definition
-neutrophils
-basophils
-mast cells
-antigen prautry cells?
Term
What does the adaptive immune system do?
Definition
-More specific to insult
-must be able to generate specific response and recognize self
Term
What are the cells found in the bone marrow? What do they give rise to?
Definition
-Lymphoid stem cells give rise to B and T cells

-Myeloid stem cells give rise to neutrophils, eosinophils, etc.
Term
What is immunity and and what is its process?
Definition
-Defense against bacteria and parasites
*Cytotoxic proteins
*Phagocytosis
-After engulfing, fragments presented on surface
*Major Histocompatability complex (MHC)
-Release of factors that enhance respons
*cytokines
Term
What are the three granulocytes?
Definition
-Neutrophils
-Eosinophils
-Basophils
Term
What are the purposes of Nuetrophils, Eosinophils, and Basophils? (respectively)
Definition
-Phagocytic cells which destroy bacteria
-defense against parasitic infections
-circulating cells similar to mast cells bind IgE antibody and release histamine (allergic response)
Term
What are mast cells?
Definition
-Tissue resident cells similar to basophils

-Bing IgE antibody and release histamine
Term
What are antigen-presenting cells?
Definition
-Process proteins of invading agent and display on cell surface
Term
What are the two types of antigen-presenting cells, there locations, and purpose?
Definition
-Macrophages:
*Tissue resident
*Present antigenic fragments to T cells

-Dendritic cells:
*Lymphoid tissue
*initiate adaptive immune response
Term
What makes the adaptive immunity so important?
Definition
-responds to specific infecious agent

-Has memory

-Hence faster more intense response to exposure
Term
What is MHC and name its two classes?
Definition
-Major Histocompatability complex

-MHC class I
*display cystolic proteins
*display protein fragments and endocytic vessicles
Term
What are MHC Class I proteins responsible for?
Definition
-bring antigen to to membrane surface
-MHC class I has a CD8 binding site

-cytotoxic T cells express CD8
Term
What are MHC class II proteins responsible for?
Definition
-antigen presenting cells phagocytos foreign protein
-displayede on cell surface with MHC II protein which has a CD4 binding site

-*T helper cells express CD4
Term
What is hummoral immunity?
Definition
-B-cells- antigen presenting cells that synthesize and secrete antibodies

-Antibodies to extracellular infectious agents (bacteria)

-How majority of vaccines work
Term
What is cellular immunity?
Definition
-T-cells- activation and clonal expansion to recognize specific antigens
*peforins
*granzymes

-Viruses
Term
What are preforins and genzymes?
Definition
-perforins:
*pore forming protein
*protein T cells use to destroy infected cells

-Granzymes
*protease which induces apoptosis in virus infected cells
Term
What is tolerance and co-stimulation?
Definition
-Carefully regulated process to make sure cells of the immune system do not recognize self

-mutiple singles needed to initiate immune response
*way immune system limits response
Term
What is the importance of co-stimulation?
Definition
-co-stimulation is ncessary for T cell proliferation and differentiation

-APC presents antigen and costimulatory molecule B7 to T cell
Term
What if the APC does not present with both factors?
Definition
-signal from antigen binding expresses CD40L in T cell

-expression of CD40L on T cell leads to binding with CD40 on APC

-the signal leads to expression of B7 on APC and secretion of cytokines
Term
What chemical mediator is synthesized, stored, and released from mast cells and basophils?
Definition
Histamine
Term
What are the effects of histamine release?
Definition
-dialate arterioles and postcapillary venules

-constrict veins

-contract endothelial cells
Term
What are ecosonoids and what are some examples?
Definition
-some are proinflammatory and others limit

-prostaglandins and leukotrienes
Term
What are cytokines? What are some examples and their function?
Definition
-Proteins that act

-interleukin: important for acute inflammation

-chemokines: help recruit immunes cells to injured area
Term
Inflammatory response: vessel dilation
effects
Definition
-leads to increased blood flow

-redness and warmth
Term
Contraction of endothelial cells (action)
effect? symptoms?
Definition
-increase capillary permeability

-causes swelling and pain
Term
What is chemotaxis?
Definition
-recruitment of immune system cells

-examples :leukotriene B4 attracts leukocytes to the area
Term
What is Phagocytosis? What aids this?
Definition
-activated leukocytes ingest foreign subtance coated with epsonins

-epsonins: binding enhancers
Term
What is the resolution of inflammatory response?
Definition
-healing and scar formation

-occurs through angiogenesis and granulation tissue
Term
What is chronic inflammation?
Definition
state of continued and inappropriate immune system activation
Term
What are some examples of autoimmune disease?
Definition
-autoimmune hepatitis

-rheumatoid arthritis

-diabetes mellitus (type I)
Term
Pharmacologic therapies for Eicosanoids
Definition
-NSAIDS, Glucocorticoids, prostanoid mimetics
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