Innate Immunity: Lecture 6

Inflammation

a general, non-specific response to tissue damage which can result from a variety of causes

causes include: heat, chemicals, cuts, sunburns, abrasions, and pathogens

Acute

develops quickly, short lived, and typically beneficial

eliminates cause

Chronic

causes damage

cause death to tissues and results in disease

characterized by redness (rubor), heat, swelling, and pain

dilates and increases permeability of blood vessels

helps in tissue repair

Vasodilation and Permeability

produce redness and localized heat associated with inflammation

Bradykinins

forms when the processes of blood clotting following damage to a blood vessel triggers conversion of a plasma protein into a peptide

Prostaglandins

are released by macrophages; use toll-like receptors and NOD proteins

Leukotrienes

are released by same cells that release prostaglandins

Histamines

are released by basophils, platelets, and mast cells

both leukotrienes and histamines help contribute to the edema inflammation

this helps deliver blood to the site of the injury

bradykinin and histamine cause vd of the body's smallest arteries; result in more blood going to the site of infection; brings more phagocytes, oxygen, and nutrician

prostaglandins and leukotrienes make the venules more penetrable/ permeable; leaves gaps in the wall and phagocytes can move into the damaged tissue and fight off the invaders

when permeability is high it allows delivery of more bloodborne antimicrobial chemicals to the site

fluids end up leaking from these areas and settles in the surrounded tissue giving you edema; the edema puts pressure on the nerve endings and causes pain

delivering fibrinogen causes clots to form at the infection site which helps wall off the area and prevents pathogens and toxins from spreading

a possible pus formation, made up of dead tissue cells, leukocytes, and pathogens, can push up towards the surface and erupt or it can remain isolated and the body may absorb it in a few days

pus being absorbed can cause an abscess- pimples, boils, and pustules

To treat antihistamines you have to use a blocking histamine receptor

Aspirin and ibuprofen can reduce pain because it prevents the synthesis of prostaglandins

phagocytes are attracted to the site of infection by chemotactic factors including C5a, leukotrienes, microbial components, and toxins

Once monocytes leave the blood they are called macrophages; macrophages devour pathogens and dead neutrophils; a major component of pus.

tissue repair is the final part of inflammation

Fever

when the body's temperature is over 37 degrees celcius

side effects: malaise, tiredness, body aches

results when pyrogens, chemicals, trigger the hypothalamus to increase the body's core temperature

cytoplasmic contents of bacteria are released by lysis

pyrogens released by phagocytes that have phagocytized bacteria

exact mechanism is not known

as long as the pyrogens are present the fever stays

body begins to cool down by sweating

Outcomes of fever

enhance effects of interferons

inhibits growth of some microbes

may enhance activities of phagocytes, cells of specific immunity, and process of tissue repair

if fever is too high, critical proteins denature and nerve impulses are inhibited; results in hallucinations, coma, and even death

Many doctors recommend refraining from taking fever reducing drugs unless the fever is prolonged or extremely high.

fever can be beneficial, but doctors feel the benefits are too slight