Healing/Repair Flashcards

1
Q

Labile tissues

A

Hematopoietic cells of bone marrow
Squamous epithelium of skin, oral cavity, cervix, vagina
Columnar epithelium of GI tract

Cells that continuously divide

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2
Q

Stable tissues

A

Kidney
Liver
Smooth muscle

Low to no replication(G0), but can enter G1 and replicate rapidly if required

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3
Q

Permanent tissues

A

Heart, neural tissue, skeletal muscle

Cells that don’t divide

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4
Q

Epidermal Growth Factor - what does it do?

A

Stimulates fibroblasts and keratinocytes to divide. Stimulates keratinocytes to migrate

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5
Q

TGFa - what does it do?

A

Stimulates proiferation of hepatocytes and other epithelial cells

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6
Q

VEGF - what does it do?

A

Endothelial cells

Angiogenesis, increased permeability

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7
Q

PDGF - what does it do?

A

Chemotactic, stimulates ECM protein synthesis

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8
Q

FGFs - what does it do?

A

Chemotactic, mitogenic for fibroblasts

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9
Q

TGFb- and what does it do?

A

Chemotactic for leukocytes, suppresses acute inflammation

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10
Q

Give two reasons why a scar would form

A

The injured tissue doesn’t reproduce (muscle, not neurons)

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11
Q

Which 3 nutrients are associated with improved wound healing?

A

Vitamin C
Copper
Zinc

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12
Q

What is the von Hippel Lindau gene, and how does it relate to VEGF?

A

It is a tumor suppressor gene that binds the transcription factor HIF1a, limiting VEGF expression. This checks angiogenesis.

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13
Q

How does von Hippel Lindau syndrome affect VEGF expression?

A

HIF1a is constitutively activated. Unchecked VEGF expression. This leads to more angiogenesis in the pigment epithelium of the eye as well as the kidney.

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14
Q

Which type of collagen is found in granulation tissue?

A

Collagen III

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15
Q

Which type of collagen is found in scar tissue?

A

Collagen I

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16
Q

When does cell repair happen in relation to inflammation?

A

Cell repair is initiated when cell repair begins

17
Q

How do glucocorticoids affect wound healing?

A

Glucocorticoids are anti-inflammatory and inhibit TGF-beta production

18
Q

How does diabetes mellitus affect would healing?

A

DM can result in a poor vasculature, nutrition and immune system

19
Q

What aspects make up granulation tissue?

A
  1. Proliferation fibroblasts laying down type III collagen

2. Proliferating new blood vessels

20
Q

What does the migration and proliferation of fibroblasts require?

A
  1. Fibroblasts synthesize CT proteins

2. Recruitment and activation driven by many growth factors (PDGF, FGF, TGF-beta)