how body responds to injury - healing Flashcards

1
Q

What happens after inflammation?

A
  1. resolution
  2. regeneration or repair
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2
Q

What is complete restoration of the tissue to its normal state called?

A

restitutio ad integrum

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3
Q

What do macrophages do?

A
  • clear offending stimuli and dead tissue
  • produce growth factors for healing response
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4
Q

What actions can macrophages perform (like for themselves)?

A
  • chemotaxis
  • hypertrophy
  • pseudopodia
  • pinocytosis
  • phagocytosis
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5
Q

What is pseupodia?

A

active movement (makes an arm basically)

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6
Q

What is pinocytosis?

A

ingest fluid from their surroundings

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7
Q

What can labile and stabile cells heal by?

A

regeneration or repair

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8
Q

What can permanent cells heal by?

A

Repair

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9
Q

What is regeneration dependent on?

A

preserved integrity of extracellular matrix (scaffolding) or basement membrane

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10
Q

Under what condition can liver tissue regenerate from stem cells?

A

if the stromal reticulin scaffolding remains intact

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11
Q

What are the steps to repair?

A
  1. formation of granulation tissue
  2. formation of connective tissue/scar
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12
Q

What controls the development of new blood vessels?

A

vascular endothelial growth factor (VEGF-A)

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13
Q

What are the steps to angiogenesis?

A
  1. vasodilation
  2. degradation of BM of local blood vessels
  3. migration of endothelial cells and recruitment of endothelial precursor cells from bone marrow
  4. maturation of endothelial cells into tubes
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14
Q

What are the two parts to formation of granulation tissue?

A

angiogenesis and the proliferation of fibroblasts

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15
Q

What growth factors do macrophages release to induce proliferation of fibroblasts?

A

fibroblast growth factors (FGFs)

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16
Q

What do fibroblasts produce?

A

ECM proteins (mainly collagen and elastin)

17
Q

What controls the production of ECM proteins by fibroblasts?

A

transforming growth factor beta (TGF-beta)

18
Q

What does granulation tissue eventually become?

A

a scar

19
Q

What determines the remodelling of scars?

A

interactions of collagen deposition and degradation by matrix metalloproteinases (MMPs)

20
Q

What are the steps to scar remodelling?

A
  1. collagen changes to type 1 collagen
  2. blood vessels disappear
  3. contraction of scar tissue
  4. final scar is collagen and remaining fibroblasts
21
Q

What percentage of normal tissue strength do scars retain?

A

80%