atherosclerosis Flashcards
what is atheroscerosis
disease of the arteries by the deposition of fatty material in inner walls
what are the 3 layers of artery
intima
media
adventitia
whats the intima
inner smooth protective coating endothelial cells
branch points
produce turbulent flow and eddies
what happens if theres a slow flow within eddies
increased expression of adhesion molecules because of reduced NO
where is plaque formation common
in branch points due to increased adhesion molecules expressed on the endothelial layer
what is normal flow in arteries
produce NO
reduces WBC adhesion
what happens after increased adhesion
WBC interact w adhesion molecules
inflammatory cytokines induce diapedesis
what happens in plaque progression
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
WHAT HAPPENS IN PLAQUE EROSION
macrophages release MMPS and ROS to destabilise plaque via cellular toxicity
what does HDL do
inhibit expression of adhesion molecules and oxidation of LDL
promotes cholesterol reflux