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Pathology Mediators Chapter 2
Robbins and Contran Pathology
22
Pathology
Graduate
08/30/2011

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Term
Histamine
Definition
-stimulates redistribution of P-selectin to the cell surface
-found predominantly in mast cells
-fragments of compliment can cause its release
-dilation of arterioles, increased permeability of venules
-principal mediator of the immediate transient phase
Term
IFN-y
Definition
-major macrophage activating cytokine
-produced by activated T cells and NK cells
Term
Substance P
Definition
-stimulate release of histamine
-transmission of pain signals
-increase vascular permeability
Term
serotonin
Definition
-found mainly in platelets, released from platelts when platelets aggregate
-aid in coagulation
Term
thromboxane (TxA2)
Definition
cause vasoconstriction
promotes platelet aggregation
Term
prostacyclin (PGI2)
Definition
produced by vascular endothelium, causes vasodilation and inhibits platelet aggregation
Term
PGE2 (prostaglandin)
Definition
hyperalgesic and involved in cytokine-induced fever
Term
PGD2 (prostaglandin)
Definition
major metabolite of cyclooxygenase in mast cells
vasodilation
increases permeability in venules and potentiates edema
Term
Leukotriene B4
Definition
chemotaxis and stimulation of neutrophils
Term
LTC4, LTD4, LTE4
Definition
intense vasoconstriction
bronchospasm
increased vascular permeability
(lipoxygenase pathway)
Term
Lipoxins A4 and B4
Definition
inhibit leukocyte recruitment and cellular components of inflammation
Term
Platelet Activating Factor
Definition
comes in a variety of different cell types
platelet stimulation
vasoconstriction and bronchoconstriction
-at very low concentrations aids in inflammation process
Term
Nitrous Oxide
Definition
VASODILATOR
reduces platelet aggregation and adhesion
reduces leukocyte recruitment
inhibits mas cell induced inflammation
limit replication of many microorganisms
Term
TNF
Definition
-suppresses appetite, promotes lipid and protein mobilization
-regulates the effects of septic shock
Term
C5a
Definition
chemotaxis and WBC adhesion
Term
Bradykinin
Definition
produced when kallikrein (from activated Hageman) cleaves HMWK
increased vascular permeability
contraction of smooth muscle
dilation of blood vessels
pain when injected into the skin
Term
kallikrein
Definition
converts HMWK to bradykinin
converts plasminogen into plasmin
Term
Hagemen Factor
Definition
kinin system, clotting system, firinolytic system (produces plasmin through kallikrein activation) and produces anaphylotoxins C3a and C5a
Term
What is the hallmark of chronic inflammation?
Definition
Tissue injury
Term
Plasma cells
Definition
terminally differentiated B cells
Term
major basic protein
Definition
within the granules of eosinophils
toxic to parasites
causes lysis of host epithelial cells (cause of tissue damage)
Term
IL-2
Definition
activates more T cells
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