INFLAMMATION FUNDAMENTAL MECHANISMS Fundamental Mechanisms Study Guide Download
INFLAMMATION FUNDAMENTAL MECHANISMS Fundamental Mechanisms Study Guide Download
Fundamental Mechanisms
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Contents
Chapter 2
Complement as a Mediator of Inflammation 51
B. Paul Morgan
1. Introduction to the complement system 51
1.1. What is complement? 51
1.2. Initiation of complement activation 52
1.3. Amplification in the activation pathways 52
1.4. The amplification loop of the alternative pathway 54
1.5. Amplification at the stage of C5 cleavage 54
1.6. Assembly of the membrane attack complex 55
1.7. Active products of complement activation 55
1.8. Complement regulation 57
1.9. Complement receptors 57
2. Complement roles in health 58
2.1. Protection against infection 58
2.2. Immune complex solubilisation 58
2.3. Priming adaptive immunity 59
2.4. Regulating lipid metabolism 59
3. Complement roles in disease 60
3.1. Complement and autoimmunity 60
3.2. Complement deficiencies 61
3.3. Complement mutations and polymorphisms 63
Contents vii
Chapter 3
Lipids and Inflammation 79
alerie B. O’Donnell, Robert C. Murphy
V
and Garret A. FitzGerald
1.
Introduction 79
2.
Lipids and inflammation in obesity 80
3.
Circulating plasma lipids and inflammation 82
4.
Specific lipid classes in inflammation 84
4.1. Eicosanoids and related lipids 84
4.1.1. COX enzymes, products, and their receptors 84
4.1.2. Inhibition of COXs 87
4.1.3. COX metabolites in inflammation 87
4.1.4. LOX enzymes, products, and their receptors 89
4.1.5. LOX metabolites in inflammation 91
4.1.6. Transcellular generation of eicosanoids 92
4.1.7. Endocannabinoids and inflammation 94
4.1.8. Isoprostanes and inflammation 96
4.2. Phospholipids in inflammation 96
4.2.1. Aminophospholipid translocation
in inflammation 97
4.2.2. Oxidized phospholipids in inflammation 97
Contents ix
Contents xi
Chapter 7 Sepsis277
J amison J. Grailer, Matthew J. Delano
and Peter A. Ward
1. Introduction 277
1.1. Epidemiology of sepsis 277
1.2. History of experimental and clinical sepsis studies 278
2. Brief overview of pathophysiology 278
2.1. Hyperinflammation 278
2.2. Immunosuppression 279
2.3. Long-term defects associated with sepsis 280
3. Cellular and molecular consequences of sepsis 280
3.1. Redox imbalance 280
3.2. Defective Ca2+ homeostasis 281
3.3. PARP1, PARP2 activation 281
3.4. Mitochondrial dysfunction 282
3.5. Apoptosis of lymphoid cells and immunosuppression 282
3.6. Extracellular histones 283
4. Role of complement in sepsis 283
4.1. Complement activation in sepsis 283
4.2. Role of C5a and its receptors in experimental sepsis 284
4.3. Role of complement and extracellular histones
in sepsis 285
5. Current concepts, problems, and controversies
in animal sepsis models 286
5.1. Heterogeneity of animal models of sepsis 287
5.2. Endotoxemia studies 289
5.3. Use of rodents versus larger animals 289
Granulomatous Inflammation
Chapter 8 303
Marc Hilhorst, Gene Hunder, Jörg Goronzy
and Cornelia Weyand
1. Introduction 303
1.1. Architecture of the granuloma 305
1.2. Basic principles of the granulomatous inflammation 306
2. Granulomatous inflammation of infectious origin 309
2.1. Bacterial triggers 309
2.1.1. Tuberculosis 309
2.1.2. Leprosy 312
2.2. Other bacterial triggers 313
2.3. Fungal triggers 313
2.3.1. Histoplasmosis 313
2.3.2. Other fungal pathogens 314
2.4. Viral triggers 314
2.4.1. Hepatitis viruses 314
2.4.2. Other viruses that can cause
granulomatous inflammation 315
Contents xiii
Index357
Chapter 1
TNF Superfamily
in Inflammation
Marisol Veny*, Richard Virgen-Slane*
and Carl F. Ware*
1. Introduction
1.1. Discovery of TNF and lymphotoxin
Studies of the tumor necrosis factor superfamily (TNFSF) can be
traced back to the 1800s, when it was found that acute inflammation
induced by bacterial extracts could trigger necrosis of tumors. Nearly
two centuries later, activated lymphocytes in culture were shown to
produce a cytotoxic factor for tumor cells,1 named Lymphotoxin
(LT)2 and macrophages secreted a cytotoxin that caused hemorrhagic
necrosis of tumors, named Tumor Necrosis Factor (TNF).1–3
Although these host-derived anti-tumor factors were greeted with
great enthusiasm, knowledge of their true physiologic functions
awaited advances in protein chemistry and molecular biology.
The cloning of the genes for LT4–6 and TNF7–10 revealed signifi-
cant shared sequence homology.4,11,9 Additionally, the recombinant
proteins displayed similar biological activities4,9 and bound the same
two cell surface receptors, now referred to as TNFR1 and TNFR2.12–17
Thus, LT and TNF were recognized as the founding members of a
superfamily of homologous ligands, and their specific cell surface
receptors forming the TNF receptor superfamily. The similarities in
TNF and LT and their receptors suggested redundancy of function.18
This outlook changed with the discovery of two important differ-
ences in the properties of TNF and LT. The first key difference,
which prompted the renaming of LT (also called TNFb) to LTa, was
its interaction to form a novel ligand with lymphotoxin-b (LTb)
forming a heterotrimeric complex LTa1b2.1,9 Later, a receptor spe-
cific for LTa1b2, but not TNF, was discovered and named the LTb
receptor (LTbR).20 The second major finding was that mice deficient
in either one of the genes LTa, LTb, or LTbR fail to develop lymph
nodes and other secondary lymphoid organs.21–23
Several more receptors (Table 1) and ligands (Table 2) were dis-
covered as members of these superfamilies, revealing the scope of
these ligand–receptors in animal physiology. Among the receptors
critical for immune responses include CD27,24 CD40,25 CD30,26
OX40,27 4-1BB,28 and Fas.29 Members of the TNFRSF also play
important roles in the physiology of skin, bone, and nervous system,
and orthologous genes were found in the genomes of large DNA
viruses including poxvirus30 and herpesviruses.
Chromosomal location
TNF Superfamily
Chromosomal location