mediators of inflammation Flashcards

1
Q

three stages of inflammatio

A

acute, subacute, chronic

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2
Q

what orchesrates inflammatory response?

A

mediators

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3
Q

pleiotropic

A

could have more than one response

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4
Q

cell derived mediatorys

A
vasoactive amines
enzymes
prostgladins
cytokines + chemokines
neuropeptides
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5
Q

plasma derived mediators

A

complement system
kinin system
coagulation (clotting) system

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6
Q

once mediatory released from the cell

A

short lived, decay quickly and inactivated or inhibited

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7
Q

vasoactive amines

preformed mediators

A

histamine- vasolidation, vascular permeabilty
(mast cells, basophils, platelts)

serotonin - vasoconctrstion
(platlets)

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8
Q

Leukocyte Lysosomal Enzymes

prefroemd mediators

A

secreted (elastase)- destroy and digest microbes

  • destroyed phagocytosed substances
  • casues tissue damage

(ex. elastase, collagenase, cathepsin)

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9
Q

newly synthesized mediators

AA

A

eicosanoids

20-carbn
cell membrane phospholipid coponets
mast cells, leukocytes endothelial cells

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10
Q

AA mechanism

A

power point

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11
Q

Newly Synthesized : PAF

A
phospholipid-derived mediator--
* aggregates platlets
vasodialtion
increased permeabilty
chemotaxis
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12
Q

PAF mechanism

A

POwerpoint

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13
Q

cytokines

A

polypeptide products of many cell types

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14
Q

abudnatly produced by what?

A

macrohphage and lymphcoytes

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15
Q

action and effects of chemokines

A

autocrine
paracrine
endocrine

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16
Q

major cytokines in acute inflammation

A

TNF, Il-1, Il-6, chemokines

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17
Q

cytokines principle role is?

A

endothelial activation

18
Q

chronic inflamation cytokines

A

Il-12 and IFN-y

19
Q

chemikines

A

chemoattractants for leukocytes

20
Q

function of chemokines

A

leukocyte recruitment
control cellular organization
activate leukocytes

21
Q

classification

cxc chemokines

A

Il-8 ==> acute

22
Q

classification cc chemokines

A

Mcp, mip rantes==>chronic

23
Q

chemokines regulate?

A

cell trafficking

24
Q

cells migrate toward during chemotaxis to?

A

toward higher concentraion of chemokines

25
neuropeptides
play a role in pain, regulate vessel tone vascular permeabilty
26
Calcitonin Gene Related Peptide
vasodialtion | transmit pain signals
27
what releases ROS
activated pmns and macrophages
28
lysosomal ros
destroy phagocytosied microbes and necrotic cellls
29
secreted ros low levels
^ chemokine, cytokine, adhesion molecule
30
secretied ros high levels
endotheial damage, ^ permeabilty | direct cell injury
31
NO endothieal
eNOS (anti-inflammatory effects) * vasoliation * reduced adhesion
32
NO macrophage
iNOS | * cytotoxic
33
plasma protein derived mediators | Hageman Factor
complement kinin coagulation
34
how is inflammation turned off
short lived endogenous anti inflammator pharmaceuticals
35
anti-inflammatory cytokines
iL-10-inhibts TNF | IL-2, IL-4 - promote repair
36
endogenous "anti" mediators
antioxidants, lipoxins, protease inhibits, resolvins
37
pharmaceuticals
nsaids (blocks cyclooxygenase (PG production steroids - block PLA2 (aa formation) Etanecceot - block action of TNF antihistamines
38
plaque biofilm reases
toxins, cytokines (LPs, TNF, IL1,8, PGE2)
39
Periodontics
ongoing inflamamtion/infection (CRP, fibrinogen, Il-6)
40
Sysremic disease with oral health disease
cardiovascular disease diabetes COPD