Summary: Case 5 Macrophages And Low-Grade Inflammation

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  • 1 What are macrophages?

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  • What are M1 macrophages?

    M1 macrophages:
    • classical macrophage activation
    • activation by interferon-gamma, Th1 cells, TLR ligands
    • leads to proinflammatory and microbicidal phenotype
  • What are M2 macrophages?

    M2 macrophages:
    • alternative macrophage activation
    • activation by IL-4 and IL-13
    • leads to anti-inflammatory and tissue reparative phenotype
  • What can cause a change from M2 into M1?

    cytokines (PPAR) and dietary FA
  • What are the three categories of M2?

    M2:
    • M2A: tissue remodeling and repair
    • M2B: produces antibodies
    • M2C: immune regulatory functions
  • 1.1 Cytokine release and funtions

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  • What are the functions of macrophages?

    Macrophage functions: 
    • role in innate and adaptive immune responses
    • migrate to site of inflammation and perform phagocytosis and kill microorganisms (response to metabolic cues)
    • secrete pro- and anti-inflammatory mediators
    • present antigens to helper T cells.
  • What substances activate macrophages?

    Microbial products (e.g. endotoxin, T cell cytokines) activate macrophages. 
  • What is the function of the innate immune system?

    Innate immune system:
    • defense against external threats
    Innate immunity is protection against infection that relies on mechanisms that exist before infection.
  • Macrophage function I: Pathogen recognition: What are PAMPs?

    PAMPs are pathogen associated molecular patterns.
    Most microorganisms express repeating patterns of molecular structures.
  • Macrophage function I: Pathogen recognition: What is pathogen recognition?

    Innate immune system recognizes these repeating patterns termed pattern recognition receptors (PRRs)
  • Macrophage function II: Host defense: What are the effector functions of activated macrophages in host defense?

    • Killing microbes
    • Inflammation enhanced adaptive immunity
    • Tissue remodeling
    • Enhanced antigen presentation
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