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Inflammation
Goljan's Inflammation and Repair
Question | Answer |
---|---|
List the sequence of vascular events in Acute Inflammation. | Vasoconstriction of arterioles--> Vasodilation of arterioles--> Increased permeability of venules --> Swelling of tissue --> Reduced blood flow |
Acute Inflammation : What molecules are responsible for "rolling" of neutrophils? | Selectin |
Acute Inflammation : What molecules are responsible for Neutrophil adhesion? | 1) B2-Integrins (Neutrophil Adhesion Molc), activated by C5a and LTB4 2) ICAM and VCAM (Endothelial Adhesion Molc), activated by IL-1 and TNF |
Dx : Delayed seperation of umbilical cord, severe gingivitis, peripheral blood neutrophilic leukocytosis. | Leukocyte Adhesion Deficiency -type 1 = deficiency in B2-Integrins (CD11a:CD18) -type 2 = deficiency in selectin |
Acute Inflammation : List the mediators for chemotaxis | 1) C5a 2) LTB4 3) IL-8 4) Chemokines, bacterial products |
Acute Inflammation : List examples of opsonins | 1) IgG 2) C3b |
Dx : Opsonization defect | Bruton's agammaglobulinemia |
Dx : Absent NADPH oxidase and absent respiratory burst | Chronic granulomatous disease |
Dx : Normal respiratory burst, but unable to synthesize bleach. | Myeloperoxidase deficiency |
Acute inflammation : List the chemical mediators of pain | 1) Bradykinin 2) PG E2 |
Acute inflammation : List the chemical mediators of fever | IL-1 and TNF initiate PGE2 synthesis. PGE2 produces pain. |
Chronic inflammation : What are the primary leukocytes in chronic inflammation? | Monocytes and macrophages |
Chronic inflammation : Name the key adhesion glycoprotein in ECM. | Fibronectin |
Chronic inflammation : What chemical activates macrophages? | Interferon-gamma. Activated macrophages form epitheloid cells. |
Tissue repair : List the growth factors that cause angiogenesis. | 1) Vascular endothelial cell GF (VEGF) 2) Basic fibroblas GF (BFGF) |
Tissue repair : Name the key adhesion glycoprotein in Basement Membrane | Laminin |
Tissue repair : What molecule replace type III collagen with type I collagen? And what is its cofactor? | Metalloproteinase (collagenases). Zinc is its cofactor. |
Tissue repair : What molecule cross-links points of hydroxylation on alpha chains in collagen? And what is its cofactor? | Lysyl oxidase. Copper is its cofactor. |
Tissue repair : In primary intention, when does granulation tissue formation peak? | Days 4-6 |
Tissue repair : In primary intention, when does collegenase remodeling occur? | Month 1 |
Tissue repair : In secondary intention, what is responsible for wound contraction? | Increased numbers of myofibroblasts |
Dx : Raised scars due to excess synthesis of type III collagen | Keloids |
Tissue repair : What are the key repair cells in the lung? | Type II pneumocytes |
Tissue repair : In brain injury, there is proliferation of what cells? | Astrocytes and microglial cells |
Tissue repair : In peripheral nerve transection, what cell is the key cell in reinnervation? | Schwann cell |
What is the predominant immunoglobulin in : a) Acute inflammation b) Chronic inflammation | Acute = IgM Chronic = IgG |
What are the clinical use of C-Reactive protein? | 1) Marker of necrosis 2) Monitor disease activity |