Acute Inflammation - Cells Flashcards

(53 cards)

1
Q

Cells of Inflammation:

Granulocytes

A

Neutrophils

Eosinophils

Basophils

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2
Q

Cells of Inflammation:

Mononuclear Cells

A

Monocytes / Macrophages

Lymphocyters / Plasma Cells

Mast Cells

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3
Q

Neutrophils:
Morphology

A
  • 10-15 micron diameter
  • Segmented, multi-lobular nucleus
  • Cytoplasmic Granules
    • primary (azurophilic) granules
    • Secondary (Specific) granules
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4
Q

Neutrophils:

Primary Granule Content

A

Myeloperoxidase

Lysozyme

Acid Hydrolases

Elastase

Cathepsin G

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5
Q

Neutrophils

Secondary Granule Content

A

Lysozyme

Collagenase

Gelatinase

Lactoferrin

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6
Q

Neutrphils:

Characteristics

A
  • They are highly differentiated
  • THey are no longer able to divide
  • Cellular respiration can be mainly anaerobic
    • contain abundant glycogen stores
    • Can function in low oxygen environments
      • Hypoxia-inducible Factor-1 (HIF-1a)
  • They metabolize large amounts of oxygen in response to activation
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7
Q

Neutrophils:

Kinetics

A
  • Produced in the bone marrow, where they remain for 1.5 days after maturation in a storage pool
    • pool is 5x the circulating concentration
  • Once they enter the blood, they circulate for 5-12 hours
    • Approximately half of the intravascular neutrophils are marginated
  • Once they emigrate the can live 1-4 days in tissues; depending on the situation
    • Apoptosis occurs following withdrawal of growth factors and other stimuli
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8
Q

Neutrophils:

Major Inflammatory Functions:

Phagocytosis and Killing

A
  • Oxygen-independent Killing
    • Phagolysosome formation allows granule content to act upon the inflammatory stimulus
  • Oxygen-dependent Pathways are prominent in neutrophils
    • NADPH - assocaited oxygen radicals
    • Myeloperoxidase dependent killing can occur, making neutrophils the most potent killers of all phagocytes
  • Nitric Oxide Pathways are also present
    • Formulation of highly reactive peroxynitrite
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9
Q

Neutrophils:

Major Inflammatory Functions:

Secretion of Inflammatory Products

A
  • Lysosomal enzymes and oxygen metabolites can be released into the extracellular space
    • can kill extracellular pathogens, but also destroy ECM
  • Cytokines
    • IL-8
  • Products of arachidonic Acid Metabolism
    • LTB4, PGE2, TXA2, PAF
  • Anitmicrobial peptides
  • Neutrophil extracellular traps
    • products of dead neutrophils that trap and possibly kill bacteria
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10
Q

Neutrophil Extracellular Traps

A
  • Web-like matrix of DNA/proteins/ and neutrophil granule products secreted by neutrophils that trap and kill pathogens
    • NETs contain concentrated myeloperoxidase, elastase, cathepsin G, amond others
  • NETs may also be involved in autoimmunity and thrombosis
    • Intracellular products within NETs may stimulate an immune response
    • Platelets regulate and interact with intravascular NETs
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11
Q

Eosinophils:

Morphology

A
  • 15-20 micron diameter
  • Segmented, bilobed nucleus
  • Four types of cytoplasmic granules
    • specific granules have characteristic crystalloid core
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12
Q

Eosinophil:

Granule Content

A

Major Basic Protein (MBP)

Eosinophil cationic protein

Arylsulfatase B

Histaminase

Phospholipase D

Peroxidase

Hydrolytic Enzymes

Collagenase

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13
Q

Eosinophil:
Characteristics

A
  • Not as well understood as neutrophils
    • Phagocytic, but much less so than neutrophils
  • Prominent at sites of allergic reactions or parasitic infections
  • Often occur in association wiht mast cells
    • Respond to eosinophil chemotactic factor and histamine
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14
Q

Eosinophil:

Kinetics

A

Have a 30 minute half life in the blood

Have a 12 day half-life in tissue

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15
Q

Eosinophils:

Major Inflammatory Functions:

Secretion of lysosomal Enzymes

A
  • Damage microbe membranes, but also the ECM
  • Degradation of certain Pro-inflammatory products
    • histaminase and histamine
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16
Q

Eosinophil:

Major Inflammatory Functions:

Secretion of other mediators

A
  • Cytokines
    • Interleukins (1,6,8,12 among others)
    • Transforming Growth Factor (TGF) a and B
  • Chemokines
    • Eotaxin
  • Arachidonic Acid Metabolites
    • LTC4, LTD4, LTE4
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17
Q

Basophil:

Morphology

A
  • 8-12 micron Diameter
  • Multilobed nucleus
  • Cytoplasmic Gramules
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18
Q

Basophil:

Granule Content

A

Histamine

Proteoglycans

Chondrotin

Heparin

Proteases

Elastase

Tryptase

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19
Q

Basophil:

Characteristics:

A
  • Not well understood
  • Associated with sites of IgE-dependent allergic reactions or parasitic infections
    • receptors for IgE and Eotaxin
  • Poorly Phagocytic, and sluggishly motile
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20
Q

Basophil:

Kinetics

A
  • Not well defined
  • Probably similar to neutrophils
    • Recruited into tissue from blood
      • Have a life span of several days once in the tissue
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21
Q

Basophil:

Major Inflammatory Functions:

Secretion of lysosomal Enzymes

A
  • Effects include bronchoconstriction, vasodilation, and ECM degradation
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22
Q

Basophil:

Major Inflammatory Functions:

Secretion of Other Mediators

A
  • Cytokines
    • IL-4, IL-13
      • IL-4 is critical in the IgE response to allergens
  • Arachidonic Acid Metobolites
    • LTD4
  • Chemokines
23
Q

Mast Cell:

Morphology

A
  • 10-15 micron diameter
  • Oval to round nucleus
    • Metachromatic Cytoplasmic granules
24
Q

Mast Cells:

Granule Content

A

Histamines

Serotonin

Proteoglycans

Chondrotin

Heparin

Proteases

Elastase

Tryptase

25
Mast Cell: Characteristics:
Two types: 1. Connective tissue 2. Mucosal * Prominent at sites of allergic reactions or parasitic infections * possess membrane receptors for IgE * Functionally very similar to basophils * mst cells produce greater numners / varieties of mediators * Often Present in conjunction with eosinophils
26
Mast Cells: Kinetics
4-12 week lifespan depending on location and situation residents in the tissue
27
Mast CellL Major Inflammatory Functions: Secretion of Lysosomal Enzymes
Effects include bronchoconstriction, vasodilation, and ECM degradation
28
Mast Cell: Major Inflammatory Functions: Secretion of other Mediators
* Chemotactic Factors * Eosinophils, neutrophils, and macrophages * Arachidonic Acid Metabolites * LTC4, PGD2, TXA2, and PAF * Cytokines * TNFa * Chemokines
29
Mononuclear Phagocytes
* A group of cells that compose the mononuclear phagocytic system * This group of cells consists of both circulating and fixed populations * Circulating component: * monocyte * Emigrated monocyte: * Macrophage * Fixed macrophage components include: * Dendritic cells * Sinusoidal macrophages of bone marrow and lymphoid * Kupffer cells of the liver * Alveolar macrophages * Microglia of hte CNS * Medangial macrophages of renal glomeruli * Peritoneal macrophages
30
Monocyte: Morphology:
* 12-15 micron diameter * round to oval, slightly indented nucleus * Cytoplasmic granules * Abundant cellular organelles
31
Monocytes: Characteristics:
* Source of macrophges and dendritic cells * replenich resident tissue macrophages and dendritic cells * physiologic * Subsets fo monocytes or certain types of stimuli will drive differentiation into dendritic cells * Emigrate in response to inflammatory stimuli
32
Monocytes: Kinetics
* Circulate for approximately 1-3 days in blood * Approximately half of the circulating monocytes are sequestered in the spleen * Slower to emigrate than neutorphils * Emigrate mainly after 24-48 hours
33
Fixed Macrophages: Characteristics
* Derived form monocytes * These emigrate in response to physiologic cytokines * They also replicate locally wihtin the tissues to maintain the fixed population * Form the nononuclear-phagocyte system * located at sites where microbial invasion is most likely * Often the first inflammatory cell to recognize invasion by a microbe or foreign material * Contribute to both inflammation and immunity * Innate: * monokines and otehr macrophage products contribute to innate immunity and inflammation * Acquired: * macrophages and dendritic cells are important antigen presenting cells in immunity
34
Dendritic Cells: Characteristics
* Process and present antigen to T-lymphocytes * Capture antigen and migrate to areas with T-lymphocytes * Express MHC-2 class molecules and T-lymphocyte receptors * Non-phagocytic * Several Different phenotypes have been described
35
Dendritic Cells: Kinetics
* Derived form and maintained by blood monocytes * emigrates in response to physiological stimuli
36
Macrophages: Morphology
* 20-50 micron diameter * Round to oval, slightly indented nucleus * Cytoplasmic granules * Abundant cellular organelles * Much more pleomorphic than monocytes
37
Macrophages: Characteristics
* They are highly sophisticated and multifunctional cells * Cellular respiration is mainly aerobic * contain abundant mitochondria and endoplasmic reticulum * They are important for both inflammatory and immunologic events * THey are critical components of chonic inflammation and healing * Various subtypes exist: * inflammatory * anti-inflammatory * Regulatory * Healing * Differentiation is dietermined by the local environment
38
Macrophages: Kinetics
* Derived from monocytes: * the bone marrow reserve pool is much smaller than that for neutrophils * Monocytes circulate for 1-3 days * Macrophages have life span of a week to possibly several months * highly dependent on the local cytokine environment * Can be divide locally at an inflammatory site
39
Macrophages: Major Inflammatory Functions: Phagocytosis
* These are considered the second line of defense after neutrophils * generally incease in number the longer the inflammatory stimulus persists * More efficient and multipurposed phagocytes than neutrophils * play more of a scavenger role
40
Macrophages: Major Inflammatory Function: Products and Secretion
* Lysosomal enzymes * similar components as neutrophils but lack myeloperoxidase * Oxygen metabolites * Complement compounds * Arachidonic Acid metabolites * Monokines * regulatory and inflammatory * Inflammatory inhibitors * Coagulation Factors
41
Macrophage: Major Inflammatory Function: Chronic Inflammation
* They play a prominent role when inflammation becomes chronic
42
Macrophages: Major Inflammatory Functions: Immunity
* they contribute to both inate and acquired immunity * necessary for antigen processing and presentation to lymphocytes * express MHC-2 * Monokines have immunoregulatory functions * Macrophages can be cytotoxic and have antiviral and antitumor activity * They are important components fo cell-mediated immunity
43
Lymphocytes: Morphology
* 7-10 micron diameter * Prominent, round nucleus * Cytoplasm is sparse
44
Lymphocytes: Characteristics
* There are three major types * B-lymphocytes * T-lymphocytes * Natural killer cells * Responsible for immunity * NK cells - innate * T - acquired * B - acquired * They are present in the circulation, and present in large numbers in lymphoid tissues
45
Natural Killer Cells: Characteristics
* cytotoxic cells of innate immunity * respond to altered MHC-1 molecules or stress associated proteins on target cells * Prior sensitization is not necessary * Similar function as cytotoxic t-lymphocytes of the acquired response * Lysis of target cells is mediated by perforins and granzyme * Early responder to virus-infected or tumor cells
46
T-lymphocytes: Characteristics and Function
* Defined by expression of the antigen binding T-cell receptor * Classified mainly by expression of either CD4 or CD8 molecues * CD4+ helper T-lymphocytes * recognize antigen bound to MHC-2 molecules * Produce lymphokines to promote either cell-mediated antibody or immunosuppressive responses * CD8+ cytotoxic T-lymphocytes * recognize antigen bound to MHC-1 molecules * Bind and lyse altered cells
47
B-lymphocytes: Characteristics and Functions
* Responsible for humoral immunity * Defined by membrane-bound immunoglobulin which binds antigen * immunoglobulin is antigen-specific * Immunoglobulin interacts with soluble antigens * Differentiate into antibody-producing plasma cells following stimulation
48
Lymphocytes: Kinetics
* Circulate throughout the body and localize in tissues to “scan” the host environment for invaders, non-self antigens, or altered self antigen * Emigrate later than neutrophils or macrophages * often 48 hours or more after the initial stimuli
49
Lymphocytes: Major Inflammatory Function: Immune Reactions
* Production of immunoglobulins * important opsonins * Produced by plasma cells * Production of lymphokines * regulate many inflammatory events * cell growth and differentiation * chemotaxis * Macrophage function * Innate responses * NK cells
50
Lymphocytes: Major Inflammatory Functions: Destruction of Altered cells or Intracellular pathogens
* Cytotoxic T-lymphocytes
51
Lymphocytes: Major Inflammatory Function: Role in Chronic Inflammation
Interactions with macrophages
52
Platelets:
* Primary role in hemostasis * Inflammatory roles include: * secretion of granule content * histamine and serotonin * Platelet factor 4 * Hydrolytic and proteolytic enzymes * weakly phagocytic
53
Endothelium
* Forms blood vessels and drives hemostasis * Inflammatory Functions include * retraction to initiate increased vascular permeability * Receptor-mediated adhesion to leukocytes * E-selectin, PECAM-1, ICAM-1, VCAM-1 * Production of inflammatory mediators * Arachidonic metabolites * PGI2, TXA2 * Coagulation factors * TF, Von Willebrands factor * Plasminogen activator * Interleukins * IL-1