Inflammation Flashcards
(45 cards)
Cardinal signs of inflammation
rubor (redness)
calor (warmth)
tumor (swelling)
dolor (pain)
functio laesa (loss of function)
Acute Inflammation
several hours to several days
exogenous and endogenous triggers
3 phases: fluidic, cellular, reparative
failure to clear stimulus –> chronic inflammation
Acute inflamm.- fluidic phase
vasodilation- due to histamines and nitric oxide; causes hyperemia (increased blood flow–> calor and rubor)
endothelial cell activation (increased vascular permeability–> fluid, protein, fibrinogen exudation –> edema (tumor))
increased blood viscosity (slower blood flow allows leukocytes to accumulate along endothelium)
leukocyte adhesion cascade begins
fibrinogen
important plasma protein floating in blood
** in tissues= fibrin
acute inflamm.- cellular phase
margination
rolling
stable adhesion
transendothelial cell migration
margination
bridge between fluidic and cellular phases of acute inflammation
due to vasodilation (reduced flow and increased viscosity) WBCs line up along endothelial surface
rolling
transient, weak binding between endothelial cell and leukocyte
**Selectins on both endothelial cells and WBCs interact and facilitate rolling
stable adhesion
WBCs strongly bind to endothelium
cytokines (**IL-1, IL-6, IL-8, TNF), complement factors, and other inflammatory mediators activate WBCs and endothelial cells
** Integrins on WBC surface facilitate stable adhesion
Transendothelial cell migration
WBCs move across endothelial cell layer into tissue
** Facilitated by PECAM-1 (CD31)
variations of acute inflammation
serous inflammation
catarrhal inflammation
fibrinous inflammation
suppurative inflammation
serous inflammation
low plasma proteins, little or NO WBCs
thermal injury –> blister
acute allergic response–> watery eyes and runny nose
catarrhal inflammation
thick gelatinous fluid containing abundant mucus
ex. chronic inflammation of airways –> asthma
fibrinous inflammation
due to endothelial cell activation/injury leading to leakage of fibrinogen
leads to formation of fibrin
occurs in body cavities, synovial membranes of joints, and meninges
suppurative inflammation
inflammation with high plasma protein and high number of leukocytes (predominantly neutrophils)–> pus
due to pyogenic bacteria
how long do neutrophils take to respond in inflammation?
6-24 hours
predominate in acute inflammation
how long do monocytes take to respond to inflammation?
24 hours and beyond
** become macrophages in tissue
how long do lymphocytes and plasma cells take to respond to inflammation?
greater than 48 hours and beyond
part of adaptive immune response
main histologic features of acute inflammation
neutrophils (first) then macrophages
main pathologic features of acute inflammation
plasma/fluid leakage–> edema +/- fibrin
when does progression to chronic inflammation occur?
acute response is unresolved/inciting cause isn’t cleared
repeated episodes of acute inflammation with extensive injury and necrosis
establishment of an autoimmune response
histologic changes in progression to chronic inflammation
shift of cellular elements from neutrophils to lymphocytes, macrophages, and plasma cells
also eosinophils and mast cells
pathologic changes in progression to chronic inflammation
tissue destruction is one of the hallmarks of chronic inflammation
lymphocytes role in chronic inflammation
antibody and cell-mediated immune reactions
plasma cells role in chronic inflammation
develop from activated B lymphocytes, produce antibody against antigens or altered tissue components