Duke PA pathology
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What are some arachidonic acid metabolites? | prostaglandins & leukotrienes
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What do prostaglandins do? | vasoconstrict or vasodilate, involved in pain and fever
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What do leuktotrienes do? | increase vasular permability, vasoconstrict, leukocyt adhesion & chemotaxis
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What is platelet activating factor synthesized by? | platelets, leukocytes, endothelium
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What are some inflammatory effects of platelet activating factor? | stimulates platelet aggregation, vasoconstriction & bronchoconstriction, vasodilation and increased venular permeability
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What are some more inflammatory effects of platelet activating factor? | increased leukocyte adhesion, chemotaxis, degranulation, and oxidative burst, increases synthesis of arachidonic acid metabolites
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Cytokines | proteins produced by many cell types (principally by activated lymphocytes and macrophages)
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What do cytokines do? | modulate the function of other cell types?
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What are the major cytokines that mediate inflammation? | Interleukin-1 (IL-1) and tumor necrosis factor (TNF)
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Chemokines | small proteins that act as chemoattractants for specific types of leukocytes (~40)
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What do chemokines do? | stimulate leukocyte recruitment in inflammation
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What else do chemokines do? | contral normal migration of cells through tissues
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What are examples of chemokines? | IL-8, eotaxin, lymphotactin
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Neuropeptides | Substance P and neurokinin A
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Where are neuropeptides produced? | central and peripheral nervous systems
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Where are substance P nerve fibers prominent? | in lung and GI tract
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What are neuropeptides mechanisms of action? | vasodilation and increased vascular permeability
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Neutrophil granules | Cationic proteins increase vascular permeability, immobilze neutrophils, chemotactic for mononuclear phagocytes, and more
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How are oxygen-derived free radicals produced? | during phagocytosis by neutrophils "respiratory burst"
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What do oxygen-derived free radicals cause? | tissue damage including endothelium
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What inflammatory mediators are involved in vasodilation? | prostaglandins & nitric oxide
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Histamine and serotonin cause what response in inflammation? | increased vascular permeability
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Complement (C3a, C5a) causes what response in inflammation? | increased vascular permeability
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Bradykinin and leukotrienes (C4, D4, E4) cause what response in inflammation? | increased vascular permeability
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PAF, nitric oxide, substance P and oxygen metabolites cause what response in inflammation? | increased vascular permeability
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Complement (C5a), leukotriene B4, chemokines and nitric oxide cause what response in inflammation? | chemotaxis, leukocyte activation
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Interleukin-1, TNF, and prostaglandins cause what response in inflammation? | fever
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Prostaglandins and bradykinin cause what response in inflammation? | pain
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neutrophil & macrophage lysosomal enzymes, O2 metabolites and nitric oxide cause what response in inflammation? | tissue damage
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Wound healing | a complex but orderly process involving many chemical mediators and other growth facotrs, as well as cell-matrix interactions
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Step 1 in wound healing | injury induces acute inflammation
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Step 2 in wound healing | parenchymal cells regenerate
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Step 3 in wound healing | both parenchymal and connective tissue cells migrate and proliferate
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Step 4 in wound healing | extracellular matrix is produced
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Step 5 in wound healing | parenchyma and connective tissue matrix remodel
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Step 6 in wound healing | increase in wound strength due to collagen deposition
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What is the "hallmark of healing"? | granulation tissue
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"Granulation tissue" term comes from what? | soft, pink, granular appearance when viewed from the surface of a wound
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Histology of granulation tissue | proliferation of small blood vessels and fibroblasts, tissue often edematous
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Summary - acute inflmmation | neutrophils are pathognomonic
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Summary - chronic inflammation | plasma cells are pathognomonic
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Granulomatous inflammation | epitheliod macrophages are pathognomonic
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