Atherosclerosis (Quiz 2) Flashcards
What was the incorrect description of atherosclerosis?
Fat builds up on the surface of passive artery walls. If a deposit (plaque) grows large enough, it eventually closes off an affected pipe, preventing blood from reaching its intended tissue. Blood-starved tissue dies, and heart attack or stroke occurs.
What is another term for plaque?
A deposit
How long ago did investigations about atherosclerosis begin?
More than 20 years ago
What do arteries bear little resemblance to?
Inanimate pipes
What do arteries contain?
Living cells that communicate constantly with one another and their environment
What do the cells in arteries participate in?
Development and growth of atherosclerotic deposits, which arise in, not on, vessel walls
Where do atherosclerotic deposits arise?
In (not on) vessel walls of arteries
How many deposits expand so much that they shrink the bloodstream to a pinpoint?
Relatively few
What do most heart attacks and many strokes stem from?
From less obtrusive plaques that rupture suddenly, triggering the emergence of a blood clot, or thrombus, that blocks blood flow
What is another name for a blood clot?
A thrombus
What does inflammation underlie in atherosclerosis?
All phases of the disorder, from the creation of plaques to their growth and rupture
What does inflammation literally mean?
“on fire”
What does this revised conception of atherosclerosis suggest and resolve?
Suggests new ideas for detecting and treating atherosclerosis. Resolves why many heart attacks strike without warning and why certain therapies meant to avert heart attacks frequently fail.
What does society need advances in?
Prevention, detection, and therapy of athersclerosis
How do heart attack and stroke compare to cancer as a cause of death in industrial nations and developing countries?
They exceed cancer as a cause of death in industrial nations and are growing more prevalent in developing countries.
What fuels the development and progression of atherosclerosis?
Inflammation
What is atherosclerosis?
The dangerous accumulation of fat-laden deposits, or plaques, in the arteries
What can inflammation cause?
Certain plaques to rupture.
What do blood clots tend to do (plaques, arteries)?
Tend to form over ruptured plaques and can then occlude arteries, leading to atherosclerotic complications like heart attack and stroke
What does LDL stand for?
Low-density lipoprotein or “bad cholesterol”
What does excess LDL (low-density lipoprotein) trigger?
Arterial inflammation
What reduces arterial inflammation?
Cholesterol-lowering therapies
What happens after sensing that a microbial attack has begun?
Certain white blood cells convene in the apparently threatened tissue
What are white blood cells?
The immune system’s frontline warriors
When do white blood cells convene in a tissue?
When it senses that a microbial attack has begun
What do white blood cells do in a threatened tissue?
Secrete an array of chemicals intended to limit any infection
What chemicals do white blood cells release in a threatened tissue?
Oxidants (able to damage invaders) and signaling molecules (orchestrate the activities of defensive cells; ex: small proteins called cytokines)
What are oxidants?
Chemicals that are able to damage invaders
What are signaling molecules?
Molecules that orchestrate the activities of defensive cells. Ex: small proteins called cytokines
How do researchers document an inflammatory response?
By identifying inflammatory cells or mediators of their activities in a tissue
What are LDL particles composed of?
Fatty molecules (lipids) and protein
What do LDL particles do?
Transport cholesterol (another lipid) from their source in the liver and intestines to other organs
What is cholesterol?
A type of lipid that comes from the liver and intestines
What do excessive amounts of LDL and cholesterol promote?
Atherosclerosis
What have researchers been studying to learn more about LDL?
Cultured cells and animals
What can LDLs pass in and out of at reasonable concentrations in the blood?
The intima
What does the intima consist of?
Consists mainly of the endothelial cells that line vessel walls, the underlying extracellular matrix (connective tissue), and smooth muscle cells (matrix producers)
What happens to LDL when it is in excess?
Tends to become stuck in the matrix
When does the trouble begin for atherosclerosis?
When LDLs from the blood collect in the intima/matrix
What is the intima?
The part of the arterial wall closest to the bloodstream
What are the bad and good cholesterols?
Low-density lipoprotein (LDL) and high-density lipoprotein (HDL)
What do lipoproteins do?
Transport cholesterol in the bloodstream
What do various tissues use cholesterol for from the LDLs?
To repair membranes or produce steroids
What do HDLs do?
Transport cholesterol to the liver for excretion or recyling
What happens to LDL when it accumulates within vessel walls?
Its components become oxidized and altered in other ways; these components then incite an inflammatory response that progressively alters arteries
What are the protective effects of HDL?
Removes cholesterol from arteries, combats atherosclerosis by interfering with LDL oxidation
What happens to the lipids as LDLs accumulate?
They undergo oxidation and their proteins undergo both oxidation and glycation (binding by sugars)
What is glycation?
Binding by sugars
What happens when LDL lipids/proteins undergo oxidation and glycation (2)?
Cells in the vessel wall interpret the change as a danger sign and call for reinforcements from the body’s defense system—i.e., adhesion molecules on endothelial cells (facing the blood) latch onto inflammatory cells called monocytes, causing cells to drop from circulation and attach to the artery wall; also spurs the endothelial cells and smooth muscle cells of the intima to secrete chemicals called chemokines, which attract monocytes
What are monocytes and where are they normally?
Inflammatory cells that normally circulate in the blood
What are chemokines and what do they do?
Chemicals secreted from endothelial cells and smooth muscle cells that attract monocytes; induce monocytes to multiply and mature into active macrophages
When adhesion molecules on epithelial cells latch onto monocytes, what do the monocytes do?
They squeeze between endothelial cells and follow the chemical trail to the intima (chemokines secreted from endothelial cells and smooth muscle cells attract monocytes in intima)
What do endothelial cells and smooth muscle cells of the intima do when LDL lipids/proteins undergo oxidation and glycation?
Secrete chemokines
Where are adhesion molecules and what do they do?
On the blood-facing surface of endothelial cells, they latch onto monocytes, causing the cells to drop from circulation and roll along and attach to the artery wall.
What induces monocytes to multiply and mature into active macrophages?
Chemokines and other substances by the endothelial and smooth muscle cells
What are macrophages?
Fully armed warriors that clear perceived invaders from the vessel wall
What do macrophages react to?
Proteins emitted by stimulated endothelial and intimal smooth muscle cells (like chemokines?)
What do macrophages have on their surface?
Molecules called scavenger receptors which capture modified LDL particles and help macrophages ingest them.