Unit 2 part 1.1 pathology notes, Exams of Pathology

Unit 2 part 1.1 pathology notes

Typology: Exams

2023/2024

Available from 06/25/2024

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Unit 2 part 1.1 pathology notes
what is inflammation? -
allows inflammatory cells, plasma proteins, and fluid to leave blood to go into the
interstitial space
what are the two types of inflammation? -
acute = neutrophils
chronic = lymphocytes
what characterizes acute inflammation? -
the presence of edema and neutrophils within inflamed tissue
what is innate immunity? -
immediate response with little specificity
where are toll like receptors found? -
present on innate immune cells like macrophages and dendritic cells
what activates TLR's? -
PAMPs = pathogen associated molecular patterns which are shared by microbes
what is CD14? -
a specific TLR on macrophages that exist to detect lipopolysaccharides, present in gram
negative bacteria
what do activated TLR's release? -
NF - kB's
what are NF - kB's? -
a nuclear transcription factor that activates immune cells
where else are TLR's present? -
can also be found in lymphocytes when they respond in chronic inflammation
where does arachidonic acid get released from? -
from phospholipid membranes by phospholipase A2
what does COX produce? -
PGI2, PGD2, and PGE2 all of which mediate vasodilation and permeability
what else can PGE2 do? -
along with VD/VP it mediates pain response and fever
What does 5-lipoxygenase produce? -
leukotrienes
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Unit 2 part 1.1 pathology notes

what is inflammation? - allows inflammatory cells, plasma proteins, and fluid to leave blood to go into the interstitial space what are the two types of inflammation? - acute = neutrophils chronic = lymphocytes what characterizes acute inflammation? - the presence of edema and neutrophils within inflamed tissue what is innate immunity? - immediate response with little specificity where are toll like receptors found? - present on innate immune cells like macrophages and dendritic cells what activates TLR's? - PAMPs = pathogen associated molecular patterns which are shared by microbes what is CD14? - a specific TLR on macrophages that exist to detect lipopolysaccharides, present in gram negative bacteria what do activated TLR's release? - NF - kB's what are NF - kB's? - a nuclear transcription factor that activates immune cells where else are TLR's present? - can also be found in lymphocytes when they respond in chronic inflammation where does arachidonic acid get released from? - from phospholipid membranes by phospholipase A what does COX produce? - PGI2, PGD2, and PGE2 all of which mediate vasodilation and permeability what else can PGE2 do? - along with VD/VP it mediates pain response and fever What does 5-lipoxygenase produce? - leukotrienes

what does LTB4 do? - chemotactic factor for neutrophils what do LTC4, LTD4, and LTE4 do? - all will mediate vasoconstriction, bronchospasm, and vascular permeability where are mast cells found? - widely distributed throughout the connective tissue what 3 specific things activate mast cells? -

  • tissue trauma
  • C' proteins C3a and C5a
  • crosslinking of cells by surface IgE antigens what happens in the mast cell immediate response? - involves the release of preformed granules - these will mediate vasodilation and permeability what happens in the mast cell delayed response? - involves the release of arachidonic acid metabolites - leukotrienes What are complementary proteins? - pro-inflammatory serum proteins that complement the immune system are complement proteins active or inactive? - they normally circulate as inactive precursors what are the 3 ways complement proteins are activated? - classic pathway = C1 binds IgG/IgM bound to antigen alternate pathway = microbial products lead to activation mannose binding lectin pathway = MBL binds mannose on pathogen and activates what are C3 and C5 convertase? - both are the result of all 3 pathways and both will mediate C3 and C5 proteins into C3a/b and C5a/b respectively what is the membrane attack complex (MAC)? - C5b complexes C6-C9 proteins to form a lethal membrane pore in the surface of microbials what do C3a and C5a do together? - trigger mast cell degranulation - will lead to histamine regulated VD/VP what does C3a do? - attracts neutrophils

bacterial pyrogens cause macrophages to release IL-1 and TNF that act on the hypothalamus bumping temp up - PGE2 will also raise temperature set point neutrophil arrival and function - step 1: migration - VD slows blood flow in post capillary venules which leads to the transition from central flow to peripheral flow by neutrophils neutrophil arrival and function - step 2: rolling - uses selectins to stop neutrophil migration what are selectins? - proteins that are upregulated by endothelial cells to catch neutrophils once migration begins What is P-selectin? - released from Weibel-Palade bodies and are mediated by histamine What is E-selectin? - induced by TNF and IL- where on neutrophils does selectin bind? - the sialyl Lewis X site neutrophil arrival and function - step 3: adhesion - mediated by cellular adhesion molecules (CAMs) what upregulates CAMs in adhesion? - TNF and IL- what upregulates integrins? - located on neutrophils - upregulated by LTB4 and C5a what does the CAM/integrin interaction result in? - neutrophil adhesion to endothelial walls what is neutrophil adhesion deficiency due to? - an autosomal recessive defect of integrins what are the 3 clinical signs of neutrophil adhesion deficiency? -

  • delayed umbilical separation
  • inc number of circulating neutrophils
  • recurrent bacterial infections with no pus formation