atherosclerosis Flashcards

1
Q

what is atheroscerosis

A

disease of the arteries by the deposition of fatty material in inner walls

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2
Q

what are the 3 layers of artery

A

intima
media
adventitia

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3
Q

whats the intima

A

inner smooth protective coating endothelial cells

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4
Q

branch points

A

produce turbulent flow and eddies

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5
Q

what happens if theres a slow flow within eddies

A

increased expression of adhesion molecules because of reduced NO

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6
Q

where is plaque formation common

A

in branch points due to increased adhesion molecules expressed on the endothelial layer

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7
Q

what is normal flow in arteries

A

produce NO
reduces WBC adhesion

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8
Q

what happens after increased adhesion

A

WBC interact w adhesion molecules

inflammatory cytokines induce diapedesis

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9
Q

what happens in plaque progression

A

platelets, endothelial cells and macrophages release growth factors and cytokines that promote the migration of smooth muscle cells from media to intima
PLAQUE NARROWS OPENING AND IMPEDES BLOOD FLOW

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10
Q

WHAT HAPPENS IN PLAQUE EROSION

A

macrophages release MMPS and ROS to destabilise plaque via cellular toxicity

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11
Q

what does HDL do

A

inhibit expression of adhesion molecules and oxidation of LDL
promotes cholesterol reflux

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