The coordinated physiological response aimed at resolving tissue damage and returning the system to homeostasis following an inflammatory trigger. This cascade involves the precise regulation of pro-resolving mediators that actively terminate the acute inflammatory phase. In clinical endocrinology, this process is crucial for preventing chronic, low-grade inflammation that can disrupt metabolic signaling pathways. Proper functioning ensures that localized defense mechanisms subside appropriately.
Origin
The term originates from the combination of “anti-,” signifying opposition, and “inflammatory,” describing the body’s reaction to injury or infection. “Cascade” denotes the sequential, domino-like activation of biochemical pathways and cellular events necessary for resolution. This concept is foundational to understanding how the body manages tissue remodeling after an initial insult. It highlights the active termination required beyond merely stopping the initial pro-inflammatory signals.
Mechanism
This mechanism initiates when specialized pro-resolving mediators, such as lipoxins or resolvins derived from fatty acid metabolism, become dominant over pro-inflammatory cytokines. Cellular communication shifts from recruitment to clearance, involving macrophages transitioning their phenotype to phagocytose cellular debris. Effective signaling supports the restoration of normal tissue architecture and function, often influenced by baseline hormonal status. Dysregulation here can lead to persistent pathological states.
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