Disturbances of growth Inflammation and repair Immune response Non Adaptive Degeneration Neoplasia Dysplasia Necrosis I NFLAMMATION Definition its a body response against injury its a first line of defense ID: 630525
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Slide1
Cellular Response
Adaptive
Disturbances of growth
Inflammation and repair
Immune response
Non Adaptive
Degeneration
Neoplasia
Dysplasia
NecrosisSlide2
I
NFLAMMATIONSlide3
Definition
-it’s a body response against injury , it’s a first line of defense.
-Protective adaptive tissue response to injury. Slide4
Causes of Inflammation:
By injurious agents called irritants. It are different types:
1-Living Irritants: bacteria, virus, parasites. : 2-Non Living Irritantsa-Chemical: Acids, alkalis and poisons.
b-Physical: Heat, cold, ionizing radiation.c-Mechanical: Trauma, cut.3-Antigens: cause allergic inflammation.Slide5
Mechanism:
1. Vascular response 2.Cellular response 1. Vascular Response A-Vasodilatations of arterioles in local blood flow
redness and hotness = (hypraemia).B-Increase in capillary permeability leakage
of fluid local swelling.C-Release of mediators pain. Slide6
1- inflammatory reaction “dilated blood vessels”
The widening of blood vessels resulting from relaxation of smooth muscle cells in vessel wallsSlide7
Mechanism:
2. Cellular Response: -Margination
of WBCs. -Emigration (Diapedesis). -Chemotaxis . -
Phagocytosis.Slide8
Cellular Response
Margination: The polymorphnuclear
leucocytes leave the blood and adhesion to the margin of the endothelial lining of the capillaries. Emigration :The polymorphnuclear leucocytes pass between the endothelial cells through the vessels wall by amoeboid movement into damage tissue . Slide9
Cellular Response
Chemotaxis: Is the directed movement of the polymorph-nuclear leucocytes and macrophages in the area of inflammation.
Phagocytosis: Is the ingestion and destruction of the foreign particles by the phagocytic inflammatory cells. Slide10
2-
Margination of WBC’s:
PMN move to the peripheral B.V & adherent to endothelium B.V wall ,this process called "Margination of WBC’sSlide11
3- Emigration of WBC’s
PMN or WBCs migration from vessels lumen into area of tissue damage, this process called" Emigration of WBC’s"Slide12
Inflammation types
:
1- acute .2- chronic .3-sub-acute.Slide13
Inflammation types:
1- Acute inflammation: Sudden onset and short duration.
-Cellular response Polymorphnuclear leucocytes, pus cells and macrophages.- Vascular response
Numerous, thin walled, dilated blood vessels.Slide14
4- Acute inflammatory cells:
Mainly we see PMNL & small amount of macrophages.
PMNL= WBCs refer to
neutrophil
,cytoplasm contain fine violet granules ,several lobes
of nucleus ,
Pus
cells= dead PMN lymphocytes or dead neutrophil.
Machrophages
=usually
seen in acute & chronic
inflammationl,Function
of machrophages:1-phagocytosis &killing of bacteria. 2-phagocytosis of necrotic debris.
3-formation of giant cells.Slide15
Inflammation types:
2- Chronic Inflammation: Gradual onset and prolonged duration
( connective tissue formation). -Cellular response Lymphocytes, macrophages, plasma cells and giant cells.
- Vascular response Few, thick walled, narrow blood vessels.Slide16
Inflammation types:
3- Sub-acute Inflammation: in between the acute and the chronicSlide17
5- chronic inflammatory cells
Lymphocytes:
WBCs, distinguished by dark blue round nuclei & small amount of cytoplasm.
Plasma cells :
WBCs, it is mature B-cell ,identified by extensive basophilic
cytoplasma & small eccentric nuclei( specific seen in chronic inflammation),it is produce large antibodies
Fibroblast:
is type of cell synthesizes C.T &plays critical role in wound healing
Foreign body giant cell: is fused macrophages which are generated in response to present large foreign body, nuclei are arranged in disorganized manner.
Langhans giant cell:
is fusion of macrophages & contain arranged in horse shoe-shaped pattern in cell periphery, found in
granulomatous
& tuberculosis conditions. Slide18
6- chronic inflammatory cells
Mainly we have Plasma cell ,
lymphocytes.&Fibroblast
cells to formSlide19
7- chronic inflammatory cells:
Mainly plasma cell ,small amount of lymphocytes ,macrophages & fibroblast cells to form C.TSlide20
8- Giant cell (
langerhan’s) specific :
Atypical
langhans
giant cell formed by fusion of macrophages in tuberculosis granuloma
,contain nuclei horse shoe-shapedSlide21
9- Giant cell (foreign body) non-specific:
Giant
cell,nuclei
arranged in disorganization
pattern,fibroblast & few lymphocytes.Slide22
10-
Acluster of giant cells around (foreign body) :
A cluster of giant cells around (foreign body )&number of lymphocytes.