Inflammation is a reactionary response to any damage caused to the cells or organized cellular structures known as tissues. It is a mode of defense of the body of higher living organisms. This mode of response helps the body to protect itself against any injury, infection, and invasion by foreign organisms. The inflammatory response can be in any tissue or organ such as eye inflammation, throat inflammation, inflammation of the lungs, etc. The purpose of inflammation is the localization of white blood cells at the site of injury for the elimination of invading pathogens after which the process of healing starts. There are changes in the blood flow such as an increase in blood vessel permeability with increased migration of fluids involving proteins and leukocytes from circulation to the injury site.
The pathogens i.e. the external factors that can cause inflammation include microorganisms such as bacteria or viruses, or chemicals such as acids, alkalis, and oxidizing agents, that induce immunological responses. Other internal factors that can cause inflammation are autoimmunity and cell death. As the bacteria and viruses enter the body and infect the cells they give rise to inflammation. The bacteria usually release chemical substances such as endotoxins which cause the body to respond with inflammation. Physical forms of injury such as burns due to fire or radiation, frostbites, can cause extensive damage to the body and cells initiating inflammation.
Once the inflammatory response is initiated there are four signs that represent the action. These four cardinal signs are redness, heat, tumor, and pain. They are named in Latin as follows: rubor for redness, calor for heat, tumor for swelling, and dolor for pain as described in the 1st century AD. All the four signs are explained below:
Redness: Dilation of small blood vessels in the area of injury.
Heat: Increase blood flow through the area and is experienced by the skin and other peripheral parts of the body.
Fever: Rise in tempurature of the body because of chemical mediators of inflammation.
Pain: Caused by the distortion of local tissues because of selling or edema which happens because of accumulation of fluid outside the blood vessels, or by inflammatory chemical mediators like serotonin, bradykinin, and prostaglandins.
As a consequence of all these events surrounding the four signs of inflammation, loss of function of the injured/inflamed tissue can occur. It inhibits mobility in the circulation because of pain or severe edema.
An example of inflammation is eye inflammation. Generally, eye inflammation is caused by viruses or bacteria. The most common form of eye inflammation are conjunctivitis or pink eye. It is an infection of the transparent membrane (conjunctiva) lining the eyelid covering the white part of the eyeball. The inflammatory signs, in this case, include redness, itchiness, and teardrops. Usually, it heals on its own but taking treatment such as antibiotics for bacterial conjunctivitis makes the healing faster.
Throat inflammation is another example of inflammatory organs. Pharyngitis and tonsillitis are the most common forms of infection-causing throat inflammation. Although most of such infections are caused by viruses, bacteria, fungi, parasites and cigarette smoking can induce infection resulting in throat inflammation. The symptoms of inflammation include redness, swelling, heating, and pain in the infected area. The sore throat can be treated by taking more fluids, but antibiotics can be used only when necessary.
Inflammatory acne is caused by bacteria, oil, or dead skin cells depositing in the pores of the skin. Propionibacterium acnes (P. acnes) is one of the specialized bacteria that causes acne. The signs of inflammatory acne include redness, and swelling by the clogging of the pores. There is another kind of acne is the non - inflammatory acne which is not caused by bacteria.
The inflammatory response is of two types depending on the duration. The inflammation that stays for a few days is acute inflammation and the one that stays for a longer period of time is known as chronic inflammation. Both the kinds of inflammation are explained in detail below:
Acute Inflammation
Of the two types of inflammation, acute inflammation is the one that lasts for short periods. As soon as there is an injury, within an hour the white blood cells arrive at the site following a trail of chemicals released by the body cells that act as attractions. The white blood cells at the sites are the phagocytes that eat the damaged tissue and cell debris and ingest any foreign pathogens to call out more specialized white blood cells. When the injury persists mature monocytes start appearing at the local site of the injury which also usually starts appearing after 24 to 28 hours. Also, it can lead to another type of inflammation, chronic inflammation.
Following the period of acute inflammation, healing and repair and suppuration follow and are hugely dependent on the type of tissue and the amount of tissue damage depending on the cause of injury. The healing process as new cells takes place instead of the old ones. The damaged cells that are capable of proliferation, regenerate. But in the process of healing, it is important that the tissue structure is maintained especially after severe damage, otherwise, it can lead to another disease that can be fatal. One such example is liver cirrhosis. There is also pus formation in some cases, a phenomenon called suppuration. The pus formation happens because of the collection of damaged cell debris, dead and dying neutrophils, fluid leaks from blood vessels, etc. Certain bacteria of the genus Staphylococcus and Streptococcus also release fluid that adds to the pus formation. In the case of boils, the pus formation is easily removed by bursting but at other times it needs to be surgically removed. Once it is removed the regeneration of cells and tissue replaces the damaged site which also leaves a scar.
Chronic Inflammation
Prolonged inflammation is known as chronic inflammation. It may or may not be an extension of acute inflammation. Independently, chronic inflammation is caused by certain organisms like tuberculosis bacteria, fungi, protozoa, and metazoan parasites. This condition usually arises when the invading bacteria have become immune to the immune system of the body. Also, when the immune system of the body is sensitized to the cells and chemicals at the injury site, many times in case of autoimmunity diseases, chronic inflammation results. Chronic inflammation can be harmful and deadly. Proper treatment in consultation with the doctor can help control damage and maintain the health of the body.
1. What is inflammation in the context of biology?
Inflammation is the body's fundamental, protective response from the innate immune system when faced with harmful stimuli like pathogens, damaged cells, or irritants. It is not an infection but rather a complex biological process designed to eliminate the cause of injury, clear out dead cells and tissues, and initiate the repair process to restore homeostasis.
2. What are the five cardinal signs of inflammation and their physiological causes?
The five classical signs of inflammation provide a clear indication of the process occurring in the tissue. These are:
3. What are the main differences between acute and chronic inflammation?
The primary difference between acute and chronic inflammation lies in their duration, onset, and cellular makeup. Acute inflammation is a rapid-onset, short-term response (lasting hours to days) primarily involving neutrophils. Its main purpose is to heal, and it typically results in resolution and repair. In contrast, chronic inflammation is a prolonged response (lasting weeks, months, or even years) involving different immune cells like lymphocytes and macrophages. It often leads to simultaneous tissue destruction and attempts at repair, contributing to various diseases.
4. What are the primary triggers that can initiate an inflammatory response?
Inflammation is initiated by a variety of triggers that the body identifies as harmful. The main causes include:
5. How do immune cells like neutrophils and macrophages contribute to inflammation?
Neutrophils and macrophages are key cellular components of the inflammatory response. Neutrophils are typically the first responders to arrive at the site of injury. As phagocytes, their primary role is to engulf and destroy invading pathogens. Macrophages arrive later and have a more sustained role. They also perform phagocytosis but are crucial for cleaning up cellular debris, dead pathogens, and spent neutrophils. Additionally, macrophages release signalling molecules called cytokines that help orchestrate the subsequent tissue repair and healing phase.
6. What role do chemical mediators like histamine and cytokines play in the inflammatory process?
Chemical mediators are the molecules that orchestrate the entire inflammatory event. Histamine, released by mast cells, is a key early mediator that causes vasodilation (widening of blood vessels) and increases vascular permeability, leading to redness, heat, and swelling. Cytokines are a broader group of signalling proteins, like interleukins (ILs) and tumor necrosis factor (TNF), that act as messengers between immune cells. They are responsible for recruiting more immune cells to the site of inflammation and can have both pro-inflammatory and anti-inflammatory effects, thereby regulating the entire process.
7. Why is the inflammatory response often described as a 'double-edged sword'?
Inflammation is called a 'double-edged sword' because it is both essential for survival and potentially damaging. On one hand, its protective edge is vital for containing infections, removing damaged tissue, and starting the healing process. Without it, minor injuries could become fatal. On the other hand, its destructive edge emerges when the response is excessive, misdirected (as in autoimmune diseases), or becomes chronic. This unregulated inflammation can damage healthy tissues and is a root cause of many diseases, including arthritis, heart disease, and fibrosis.
8. How does the body transition from inflammation to the healing and repair phase?
The resolution of inflammation is an active, highly controlled process, not just a passive fading away. It begins with a switch in the production of chemical mediators, from pro-inflammatory ones (like prostaglandins) to anti-inflammatory ones (like lipoxins and resolvins). This shift stops the recruitment of neutrophils and triggers their apoptosis (programmed cell death). Macrophages then play a crucial role by clearing away these dead cells and debris, which signals the end of the inflammatory phase and the beginning of tissue regeneration and repair.
9. What is the relationship between the innate inflammatory response and the body's adaptive immunity?
Inflammation is a key component of the innate immune system, providing a rapid, non-specific first line of defence. However, it also plays a critical role in activating the slower, more specific adaptive immune system. During inflammation, immune cells like macrophages and dendritic cells engulf pathogens and then act as antigen-presenting cells (APCs). These APCs travel to lymph nodes, where they present fragments of the pathogen to T cells and B cells, thereby initiating the targeted adaptive response (antibody production and cytotoxic T-cell activity) required for long-term immunity and memory.