Cell/Tissue Proliferation & Repair Flashcards

1
Q

What are cell numbers determined by a balance of?

A
  • Cell proliferation
  • Death by apoptosis
  • Stem cell differentiation
  • Tissue repair is affected by these, as well as the growth factors that affect cells
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2
Q

Define: Mitosis

A

Process where a cell separates chromosomes and nucleus into two identical cells, or “daughter cells,” that are genetically identical to each other and to the “parent cell”

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3
Q

Define: Meiosis

A
  • Cell division necessary for sexual reproduction
  • Number of chromosomes reduced to half original number, so when paired with another gamete, the resulting zygote contains the original number of chromosomes
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4
Q

What is the difference between cell proliferation and cell differentiation?

A

PROLIFERATION: Process of increasing the number of cells by mitosis

DIFFERENTIATION: Process where cell specializes into specific body structure (organ, tissue, etc.) and function; Different types of cells differentiate at different rates and processes

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5
Q

Which type of cells are fully differentiated once the system is fully developed and cannot proliferate any further?

A

Neurons

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6
Q

What is Gap 1 in the process of mitosis?

A
  • Cells start to prepare for DNA replication and mitosis

- Increased size

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7
Q

What is Synthesis phase?

A
  • DNA synthesis
  • Chromosomes replicated
  • Lasts 10-12 hours
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8
Q

What is Gap 2 phase?

A
  • Premitotic phase

- ENzymes and proteins needed for cell division are synthesized and move into place

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9
Q

What is Mitosis phase?

A

Formation of mitotic spindle and cell division

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10
Q

What is Gap O?

A
  • Not part of the “cycle”
  • Resting phase after mitosis
  • Different cell types act differently here
  • Blood cells and GI tract lining cells never enter here but continue to cycle
  • Hepatocytes rest but can be stimulated to re-enter cycle when needed
  • Neurons leave cycle permanently
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11
Q

What are Cyclins?

A
  • Proteins that control entry and cell movement through the cycle
  • Help to regulate repair of DNA at checkpoints if errors occur
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12
Q

What are Checkpoints?

A

Occur throughout cycle, where cyclins are utilized to prevent genetic errors from occuring

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13
Q

What are Labile tissues?

A
  • Continuously dividing tissue
  • Divide and replicate throughout our lives to replace destroyed cells
  • E.g. skin epithelium, oral mucous membranes, vaginal/cervical lining, GI/GU tract, bone marrow cells.
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14
Q

What are Stable tissues?

A
  • Replication stops when growth stops
  • Rest in Gap0 stage but can be stimulated to regenerate
  • E.g. solid organ parenchyma (liver, kidney), smooth muscles, vascular endothelial cells, fibroblasts, wound healing
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15
Q

What are Permanent tissues?

A
  • Terminally differentiated

- E.g. neurons, cardiac muscle, some skeletal muscle.

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16
Q

Define: Stem Cells

A

Undifferentiated cells that can differentiate when need arises

17
Q

What are the properties of stem cells?

A
  • Self-renewal (can undergo mitosis while still undifferentiated)
  • Asymmetric replication (following division, one cell retains stem-cell characteristics)
  • Differential potential (each generation of cell becomes increasingly differentiated)
18
Q

What are the three phases of Connective Tissue repair?

A

1) Angiogenesis and ingrowth of granulation tissue
2) Emigration of fibroblasts and depostion of extracellular matrix
3) Maturation and remodeling of fibrous tissue

19
Q

What happens in the first phase of CT repair?

A
  • Angiogenesis and ingrowth of granulation tissue
  • New capillaries induced by growth factors (not well structured, leak causes fluid/edema)
  • Inflammatory cells
20
Q

What happens in the second phase of CT repair?

A
  • Emigration of fibroblasts and deposition of extracellular matrix
  • Scar formation on framework of granulation tissue (pale, larely avascular scar)
  • 2 Phases: Fibroblasts proliferate; Collagen synthesis
21
Q

What happens in the third phase of CT repair?

A
  • Maturation & Remodeling of Fibrous Tissue
  • Extracellular matrix reorganizes scar tissue to relatively permanent state
  • Slow process
22
Q

What is the difference between primary and secondary intention in wound healing?

A

PRIMARY: wound closure and healing by sutured surgical incision; well-reduced bone fractures. There is no tissue loss.

SECONDARY: wound closure by scarring (e.g. burns, abrasians). There IS tissue loss.

23
Q

What happens in the inflammatory phase of cutaneous wound healing?

A
  • Begins at time of injury
  • Blood clot (Vasoconstriction, platelet aggregation; vasodilation to allow WBC, etc. to enter)
  • Inflammatory cells (phagocytic WBC’s, macrophages arrive and ingest/remove bacteria and cellular debris)
24
Q

What happens in the proliferative phase of cutaneous wound healing?

A
  • New tissue to fill wound
  • Begins within 2-3 days of injury
  • Granulation (Fibroblasts synthesized and secrete collagen, growth factors, etc. to begin healing process; Angiogenesis, initially very fragile)
  • Epithelialization occurs (formation of new surface layer similar to original)
25
Q

What happens in the remodeling phase of cutaneous wound healing?

A
  • Begins 3 weeks after injury (dependent on extent)
  • Fibrous scar forms
  • Vascularization decreases
  • Scar shrinks
  • Tensile strength seldom as strong as original
  • Occasional keloid formation
26
Q

What is Keloid formation?

A
  • Abnormal scar tissue

- Genetic predisposition

27
Q

What factors affect wound healing?

A
  • Nutritional status
  • Blood flow and oxygen delivery
  • Impaired inflammatory and immune responses
  • Infection
  • Wound separation
  • Foreign bodies (?)
28
Q

How does a protein deficiency affect wound healing?

A

Prolongs inflammatory phase by impairing fibroblast proliferation, collagen synthesis and angiogenesis

29
Q

How does Vitamin A affect wound healing?

A

Stimulates epithelialization, collagen synthesis, angiogenesis

30
Q

How does Vitamin C affect wound healing?

A

Aids cartilage repair/amino acid function

31
Q

How does Vitamin K affect wound healing?

A

Impacts ability to clot

32
Q

How does blood flow and oxygen delivery affect wound healing?

A
  • Nutrient supply
  • Waste/toxin removal
  • Oxygen for aerobic energy
33
Q

How does impaired inflammatory and immune responses affect wound healing?

A
  • Impaired migration to site
  • Enzyme deficiency
  • Hyperglycemia (Neutrophil dysfunction; poor collagen formation)
  • Infection
34
Q

How does wound separation affect wound healing?

A
  • Approximation disruption

- Dehiscence (separation following closure)

35
Q

What types of foreign bodies affect wound healing?

A
  • Dirt, etc.
  • Sutures
  • External fixation devices
  • Drains