Pathology Tables

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Some important tables

Endothelium WBC Chronic


P & E-selections X Sialyl-lewis Rolling
GlyCAM-1, CD34 L-selection Rolling
VCAM-1 VLS-4 Adhesion
ICAM-1 CD11/CD18 (LFA1,MAC1) Adhesion
CD31 (PECAM-1) CD31 Transmigration

Disease Defect
Leukocyte adhesion deficiency 1 CD18 unit of integrin
Leukocyte adhesion deficiency 2 Sialyl-lewis X
Neutrophil-specific granule deficiency Absent specific granules
Membrane component of NADPH
Chronic Granulomatous Disease, X-linked
oxidase
Chronic Granulomatous Disease, autosomal Cytoplasmic component of NADPH
recessive oxidase
Myeloperoxidase (MPO) deficiency Absent MPO-H2O2 system
Chediak-Higashi disease Organelle trafficking

Mediator Source Action


Mast cells, basophils, Vasodilation, increased vascular
Histamine
platelets permeability, endothelial activation
Prostaglandins Mast cells, leukocytes Vasodilation, pain, fever
Increased vascular permeability,
Leukotrienes Mast cells, leukocytes chemotaxis, leukocyte adhesion, and
activation
Local: endothelial activation
Macrophages,
Cytokines (TNF, IL- (expression of adhesion molecules).
endothelial cells,
1, IL6) Systemic: fever, metabolic
mast cells
abnormalities, hypotension (shock)
Leukocytes, activated
Chemokines Chemotaxis, leukocyte activation
macrophages
Vasodilation, increased vascular
Platelet-activating Leukocytes, mast permeability, leukocyte adhesion,
factor cells chemotaxis, degranulation, oxidative
burst
Leukocyte chemotaxis and
Plasma (produced in activation, direct target killing
Complement
liver) (membrane attack complex),
vasodilation (mast cell stimulation)
Increased vascular permeability,
Plasma (produced in
Kinins smooth muscle contraction,
liver)
vasodilation, pain
Action Eicosanoid
Prostaglandins PGI2 (prostacyclin), PGE1,
Vasodilation
PGE2, PGD2
Vasoconstriction Thromboxane A2, leukotrienes C4, D4, E4
Increased vascular permeability Leukotrienes C4, D4, E4
Chemotaxis, leukocyte adhesion Leukotrienes B4
Smooth muscle contraction Prostaglandins PGC4, PGD4, PGE4

Cytokine Principal Sources Principal Actions in Inflammation


In Acute Inflammation
Stimulates expression of endothelial
Macrophages, mast cells, T
TNF adhesion molecules and secretion of
lymphocytes
other cytokines; systemic effects
Macrophages, endothelial
IL-1 Similar to TNF; greater role in fever
cells, some epithelial cells
IL-6 Macrophages, other cells Systemic effects (acute-phase response)
Macrophages, endothelial Recruitment of leukocytes to sites of
Chemokines cells, T lymphocytes, mast inflammation; migration of cells in
cells, other cell types normal tissues
Recruitment of neutrophils and
IL-17 T lymphocytes
monocytes
In Chronic Inflammation
Dendritic cells,
IL-12 Increased production of IFN-γ
macrophages
Activation of macrophages (increased
IFN-γ T lymphocytes, NK cells
ability to kill microbes and tumor cells)
Recruitment of neutrophils and
IL-17 T lymphocytes
monocytes
Reaction of
Principal Mediators
Inflammation
Histamine
Vasodilation
Prostaglandins
Histamine
Increased vascular C3a and C5a (by liberating vasoactive amines from
permeability mast cells, other cells)
Leukotrienes C4, D4, E4
TNF, IL-1
Chemotaxis, leukocyte
Chemokines
recruitment and
C3a, C5a
activation
Leukotriene B4
IL-1, TNF
Fever
Prostaglandins
Prostaglandins
Pain
Bradykinin
Lysosomal enzymes of leukocytes
Tissue damage
Reactive oxygen species

Bacterial Mycobacterium tuberculosis


Mycobacterium Leprae
Treponema pallidum
Bartonella henslae
Parasitic Scistosomiasis
Fungal Histoplasma capsulatum
Blastomycosis
Cryptococcus neoformans
Coccidioides immitis
Inorganic metals Silicosis, Byrelliosis
Foreign body Suture, other prosthesis, keratin
Unknown Sarcoidosis

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