Inflammatory mediators Flashcards

1
Q

What does IL-1 do?

A

Causes fever and acute inflammation. Activates endothelium to express adhesion molecules. Induces chemokine secretion to recruit WBCs.

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2
Q

What does IL-2 do?

A

Stimulates growth of helper, cytotoxic and regulatory T cells, as well as NK cells.

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3
Q

What does IL-3 do?

A

Supports growth and differentiation of bone marrow stem cells. Functions like GM-CSF.

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4
Q

What does IL-4 do?

A

Induces differentiation of T cells into Th2 cells. Promotes growth of B cells. Enhances class switching to IgE and IgG.

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5
Q

What does IL-5 do?

A

Promotes growth and differentiation of B cells. Enhances class switching to IgA. Stimulates growth and differentiation of eosinophils.

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6
Q

What does IL-6 do?

A

Causes fever and stimulates to production of acute phase reactants.

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7
Q

What does IL-8 do?

A

Major chemotactic factor for neutrophils.

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8
Q

What does IL-10 do?

A

Attenuates the inflammatory response. Decreases MHC class II and Th1 cytokines. Inhibits activated macrophages and dendritic cells.

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9
Q

What does IL-12 do?

A

Induces differentiation of T cells into Th1 cells. Activates NK cells.

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10
Q

What does TNF-a do?

A

Activates endothelium. Causes WBC recruitment and vascular leak.

Per UWorld it also induces and maintains granuloma formation.

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11
Q

What does INF-gamma do?

A

Stimulates macrophages to kill phagocytosed pathogens. Inhibits differentiation of Th2 cells.

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12
Q

Which cytokines are secreted by macrophages?

A

IL-1, IL-6, IL-8, IL-12, TNF-alpha

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13
Q

Which cytokines are secreted by all T cells?

A

IL-2, IL-3

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14
Q

Which cytokines are secreted by Th2 cells?

A

IL-4, IL-5, IL-10

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15
Q

What secretes INF-gamma? In response to what?

A

Secreted by NK and Th1 cells in response to antigen or IL-12 from macrophages.

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16
Q

Which cytokines occur at supraphysiologic levels to produce the shock seen in toxic shock syndrome?

A

The elevated release of IL-1, IL-2, IL-6, IFN-γ, and TNF-α mediates many of the clinical manifestations of shock.

17
Q

What does LTB4 do?

A

Neutrophil chemotaxis and activation

18
Q

What do LTC4, LTD4 and LTE4 do?

A

They’re involved in vasoconstriction, bronchospasm, and increased vascular permeability

19
Q

What does PGI2 do?

A

Vasodilation and inhibits platelet aggregation

20
Q

What does TXA2 do?

A

Vasoconstriction and promotes platelet aggregation.

21
Q

What does bradykinin do?

A

Vasodilation, mediates pain, increases vascular permeability and stimulates smooth muscle contraction