Lecture 16: Atherogenesis Flashcards

1
Q

where in the artery do plaques develop

A

tunica intima

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2
Q

what are plaques made up of

A
  • cells
  • matrix components
  • lipids
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3
Q

how does oxidised LDL direct monocytes to sites of lesions

A

stimulates expression of VCAM-1 and MCP-1

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4
Q

what causes proliferation and migration of VSMCs

A
  • PDGF
  • TGF beta
    secreted by endothelial cells and macrophages
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5
Q

what are possible reasons for endothelial injury

A
  • raised LDL
  • haemodynamic stress
  • hypertension
  • smoking
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6
Q

how do statins decrease plasma lipid levels

A
  • is HMG CoA reductase competitive inhibitor
  • inhibits cholesterol synthesis
  • activates SREBP-2
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7
Q

effects of SREBP-2

A
  • increased LDL receptor expression

- increased PCSK9 expression

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