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Pathology · Inflammation and repair: lipoxins and resolution
Sample itemDuring the resolution of acute inflammation, a class of arachidonic acid derivatives formed by transcellular biosynthesis inhibits neutrophil chemotaxis and adhesion. What are these mediators?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Lipoxins
Lipoxins are lipoxygenase products generated through interaction of leukocytes and platelets. They act as stop signals, inhibiting neutrophil recruitment and promoting monocyte entry and clearance of debris. Leukotrienes and most prostaglandins enhance rather than limit inflammation.
Option by option
A. Thromboxane A2
Thromboxane A2 promotes platelet aggregation and vasoconstriction.
B. Leukotriene B4
Leukotriene B4 is a potent neutrophil chemoattractant.
C. Lipoxins (correct)
Correct. Lipoxins are anti-inflammatory and halt neutrophil recruitment.
D. Prostaglandin E2
Prostaglandin E2 causes vasodilation, pain and fever and does not act as the stop signal.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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