Pathobiology - Topic 4 - Acute Inflammation

acute

Which type of inflammation is triggered by infections, immune reactions, blunt/penetrating trauma, physical or chemical agents, and/or tissue necrosis?

redness, swelling, heat, pain, loss of function

What are the cardinal signs of acute inflammation?

vascular

What stage of acute inflammation includes vasodilation and vascular permeability?

cellular

What stage of acute inflammation includes adhesion and margination, transmigration, chemotaxis, activation, and phagocytosis?

heat, redness

what are the signs associated with the vascular stage of acute inflammation?

arterioles, capillaries, venules

The vascular stage of acute inflammation involves the vessels of microcirculation, which are:

vasodilation

The vascular stage of acute inflammation begins with vasoconstriction, followed quickly by ____ of arterioles and venules.

vascular permeability

During the vascular stage of acute inflammation ____ increases -> protein-rich fluid enters into the tissue/extravascular spaces.

Immediate transient response

Acute inflammation - Vascular stage - Which response?:
Following minor injury, is rapid, reversible, and short duration (15-30 minutes). Affects only venules

immediate sustained response

Acute inflammation - Vascular stage - Which response?:
Follows more serious injury, continues for several days, affects all vessels of microcirculation, and is due to direct damage of the endothelium?

Delayed hemodynamic response

Acute inflammation - Vascular stage - Which response?:
Begins after a delay of 2-12 hours, lasts several hours/days. Involves venules and capillaries, is associated with radiations injuries (eg sunburn)

neutrophils

Acute inflammation - Cellular Stage: is responsible for delivery of leukocytes (mainly ____) to site of injury

margination

Acute inflammation - Cellular Stage:
Leukocyte accumulation, caused by signalling between leukocytes and vascular endothelium is known as:

Cytokines

Acute inflammation - Cellular Stage:
Cell communication molecules known as _____ are released, causing endothelial cells to express CAMs

tethering

Acute inflammation - Cellular Stage:
Cytokines cause CAMs (such as selectins) to bind to carbohydrates on the leukocytes. This is known as:

adherence

Acute inflammation - Cellular Stage:
Slowing down and stopping leads to ______ via ICAMs.

Transmigration

Acute inflammation - Cellular Stage:
When leukocytes extend pseudopodia and move through the vessel wall, this is known as:

adhesion

Acute inflammation - Cellular Stage:
The endothelial cells separate due to:

chemotaxis

Acute inflammation - Cellular Stage:
Cell movement that occurs in response to chemical stimulus is known as:

chemokines

Acute inflammation - Cellular Stage:
Proteins that direct the trafficking of leukocytes are known as:

complement

Acute inflammation - Cellular Stage:
Chemoattractant protein fragments made by the ____ system:

phagocytosis

Acute inflammation - Cellular Stage:
____ is activated by neutrophils, monocytes, and tissue macrophages.

recognition, adherence

Acute inflammation - Cellular Stage:
When specific receptors on phagocytic cells bind to a microbe to become activated, it is called:

engulfment

Acute inflammation - Cellular Stage:
When phagocytes surround and enclose the particle, this is known as:

Chemical mediators

Acute inflammation - Inflammatory Mediators:
the signs and symptoms of inflammation are caused by:

Plasma, cells

Acute inflammation - Inflammatory Mediators:
Mediators can be derived from ___ or ____.

host proteins

Acute inflammation - Inflammatory Mediators:
Production is triggered by microbes or:

short-lived

Acute inflammation - Inflammatory Mediators:
Once activated and released, mediators are:

vasoactive amines

Acute inflammation - Inflammatory Mediators:
Histamine and serotonin are both:

histamine, serotonin

Acute inflammation - Inflammatory Mediators:
Which amines are stored in mast cells and other cells, and are the first to be released?

arachidonic acid metabolites

Acute inflammation - Inflammatory Mediators:
A fatty acid found in phospholipids of the cell membranes, which is released during injury and via inflammatory mediators is known as:

cyclooxygenase

Acute inflammation - Inflammatory Mediators:
Arachidonic acid metabolites can be produced by two pathways, the _____ pathway leads to production of prostaglandins and thromboxane.

prostaglandins

Acute inflammation - Inflammatory Mediators:
____ induce vasodilation and bronchoconstriction, and inhibit inflammation.

Thromboxane

Acute inflammation - Inflammatory Mediators:
____ induces vasoconstriction and bronchoconstriction, and promote platelet function

lipoxygenase

Acute inflammation - Inflammatory Mediators:
Arachidonic acid metabolites can be produced by two pathways, the ____ pathway leads to the production of leukotrienes.

leukotrienes

Acute inflammation - Inflammatory Mediators:
____ induce smooth muscle contraction, constrict pulmonary airways, and increase microvascular permeability

corticosteroid

Acute inflammation - Inflammatory Mediators:
____ drugs block the inflammatory effects of both pathways, by blocking release of arachidonic acid

displacement

Acute inflammation - Inflammatory Mediators:
Consumption of omega-3 and alpha-linolenic acid (flax seed, canola oil, etc) effectively reduce the amount of arachidonic acid via:

platelet-activating factor

Acute inflammation - Inflammatory Mediators:
A phospholipid-derived mediator with a broad spectrum of inflammatory effects, which activates platelets and most cells of the inflammatory response is:

Plasma protein

Acute inflammation - Inflammatory Mediators:
What mediates many responses in the inflammatory system, and belongs to: clotting, complement, and kinin systems?

fibrinopeptides

Acute inflammation - Inflammatory Mediators:
Clotting system -> vascular phase via:

complement system

Acute inflammation - Inflammatory Mediators:
Which system leads to vasodilation, increases vascular permeability, and enhances activity of phagocytes?

vasoactive peptides

Acute inflammation - Inflammatory Mediators:
Kinin system -> Makes ____ from plasma proteins.

Bradykinin

Acute inflammation - Inflammatory Mediators:
Kinin system leads to ____ -> increases vascular permeability, contracts smooth muscle, dilates blood vessels, and stimulates pain receptors.

cytokines

Acute inflammation - Inflammatory Mediators:
The hormone-like proteins that change the function of other cells are known as:

INF-(alpha), IL-1

Acute inflammation - Inflammatory mediators:
Two major types of cytokines involved in inflammation are:

Chemokines

Acute inflammation - Inflammatory mediators:
Small proteins that act as chemoattractants to recruit immune and inflammatory cells are known as:

chemotactic gradient

Acute inflammation - Inflammatory mediators:
chemokines generate a _____ by binding to the surface of endothelial cell.

inflammatory, homing

Acute inflammation - Inflammatory mediators:
The two main types of chemokines are:

Nitric oxide

Acute inflammation - Inflammatory mediators:
What helps prevent inflammation by causing vasodilation and preventing leukocyte recruitment?

oxygen-derived free radicals

Acute inflammation - Inflammatory mediators:
What can be released extracellularly by leukocytes and can combine with NO?

upregulate inflammation

Acute inflammation - Inflammatory mediators:
A small amount of oxygen-derived free radicals can help:

damages surrounding cells

Acute inflammation - Inflammatory mediators:
A large amount of oxygen-derived free radicals will:

serous exudates

Acute inflammation - Local Manifestations:
Watery fluids low in protein from plasma entering tissue are called:

hemorrhagic exudates

Acute inflammation - Inflammatory mediators:
When RBCs escape from the blood and enter the tissue, these are known as:

Fibrinous exudates

Acute inflammation - Inflammatory mediators:
These contain large amounts of fibrinogen which clot inside the tissue.

Membranous or pseudomembranous exudates

Acute inflammation - Inflammatory mediators:
These exist on mucous membranes where necrotic cells become enmeshed in fibropurulent exudate

Purulent (suppurative) exudate

Acute inflammation - Inflammatory mediators:
This contains pus (degraded WBCs, proteins, and tissues)

pyogenic

Acute inflammation - Inflammatory mediators:
Term for pus forming:

abscess

Acute inflammation - Inflammatory mediators:
A localized area of inflammation containing a purulent exudate is known as a:

ulceration

Acute inflammation - Inflammatory mediators:
When an area of epithelium at an inflammation site has eroded due to necrosis, this is known as:

resolution, progression, scarring and fibrosis

Acute inflammation - Resolution:
Three possible outcomes of acute inflammation are:

resolution

Replacement of any irreversibly injured cells, return of tissues to normal structure and function, apoptosis of neutrophils, and promotion of tissue growth are part of which acute inflammation outcome?