tissue healing & repair Flashcards

gurlllll

1
Q

fibronectin:

A

protein that provides structural support, scaffolding, has ability to glue substances together, tensile strength

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2
Q

list the components of tissue healing

A
  1. fibronectin
  2. proteoglycans
  3. elastin
  4. collagen
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3
Q

proteoglycans
what are they composed from
secreted by?

A

– composed of carbohydrates and sugars
– provide stability and retain water for tissue for being repaired
– secreted by fibroblasts

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4
Q

elastin
who are they secreted by?
function?

A

secreted by fibroblasts
function: becomes cross-linked to provide tissues with elasticity

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5
Q

collagen
function

A

provide structural support and tensile strength

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6
Q

collagen type 1

A

most common and versatile
*predominant in strong tissue like tissues and bones *TENSILE STRENGTH

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7
Q

collagen type 2
what is their half life?

A

thin supporting filaments found in cartilage and epiphyseal plates
half life: 3 months

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8
Q

collagen type 3

A

thin filaments found in fresh scars
–essential in wound healing, common in newborns **elastic

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9
Q

collagen type 4

A

found in fetus, basement membranes

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10
Q

what tissues have decreased blood supply>

A
  • ligaments and tendons
  • cartilage
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11
Q

define GROWTH FACTORS
GFs are produced by?

A

proteins that regulate cell proliferation, differentiation, and migration
- produced by cells involved in the same tissue repair response

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12
Q

sources of GROWTH FACTORS

A

platelets, fibroblasts, macrophages, endothelial cells

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13
Q

function of platelet-derived growth factors

A

speeds up healing process

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14
Q

the signals that turn on proliferation of normal cells and cause tissue healing ARE ALSO RESPONSIBLE for proliferation of…

A

cancer cells

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15
Q

phases of healing

A
  1. hemostasis and degeneration
  2. inflammation
  3. proliferation and migration
  4. remodeling and maturation
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16
Q

hemostasis and degeneration of the

A

goal: stop the bleeding
coagulation clumps platelets together
PLATELETS SUMMON GROWTH FACTORS + inflammatory cells :)

17
Q

degenerative phase - hemostasis

A

formation of a hematoma (necrosis of cells), and the start of inflammatory cell response

18
Q
  1. inflammation
    goal?
    how?
    VIPs?
A

inactivate injurious agent and to breakdown dead cells. replace injured tissue with healthy tissue
how? coordinate reaction of body tissues
key components: blood vessels, chemical mediators, CT, collagen

19
Q
  1. proliferation and migration
    granular tissue
A

endothelial cells begin to proliferate and start ANGIOGENESIS, channels of new blood vessels to transport o2 and nutrients to healing tissue
* granular tissue: rich network of developing tissue with connective tissue

20
Q

what are the steps for remodeling and maturation of tissue healing?

A
  1. contraction
  2. contracture
  3. tissue regeneration
  4. formation of scar tissue
  5. chronic wounds
21
Q
  1. tissue contraction
    myofibroblasts doooo…..
A

newly formed extracellular matrix comes together, causing shrinkage
myofribroblasts differentiate like smooth muscles and help shrink healing tissue

22
Q
  1. tissue contracture
    effects
    - what does this do to mobility?
A

excessive shrinkage + pulling of deeper tissue
- limit mobility and organ function
- arthrofibrosis : scarring and thick fibrotic capsule

23
Q
  1. tissue regeneration
    what kinds of cells restore OG function?
A

process of parenchymal cells to restore OG tissue

24
Q

what are the 3 types of cells for tissue regeneration?

A

1: permanent - regeneration does not happen :/ [cardiac myocytes, CNS neurons]
2: labile: continuously splits [skin, stem, GI]
3> stable: normally dont split but can undergo mitosis [kidney, hepatocytes]

25
4. tissue repair
scarring occurs when the cut extends under the surface layer
26
chronic wounds.. - in what stage to they usually stay in? - probable causes?
- chronic wounds may stay in the inflammatory and proliferative phases - deficiency in growth factors - wrong biochemicals are present
27
tissue repair goal
to attempt to restore tissue to OG function
28
tissue repair depends on...
- type of cell - type of damage incurred - other factors
29
lung - tissue repair
regeneration can only happen if basement membrane is intact. - if basement membrane is disrupted, healing must be done by repair [fibrosis and scar]
30
digestive tract
gut cells slough off every 5 days..take 3 weeks for a complete turnover!! gut health contribute to immune function + serotonin function!!
31
peripheral nerves need to maintain the...
when a nerve is cut it goes through myelin degeneration and axonal fragmentation --w/in 24 hours, new axonal sprouts from central stumps --need to maintain the neurotubules!
32
skeletal composition
80 % - cortical 20 % - cancellous (spongy)
33
bone loss occurs when
imbalance between destruction and production of bone cells
34
bone: fracture healing
1. inflammatory phase 2. reparative phase 3.Remodelin phase
35
inflammatory phase - bone
occurs as inflmmatory cells arrive @ injured site
36
reparative phase - bone
formation of soft callus formed @ around 2 weeks. once its immobilzed, hard callus replaces it. through enchondral ossification.
37
fracture remodeling phase
disorganized bones replaced with lamellar bone. 10-30% replaced in adults due to microfractures
38
factors that affect bone healing
- type of bone - fracture site and type -treatment involved -treatment complicationst
39
tendons and ligaments
- composition 78% water, 20% collagen hemostasis begines immediately inflammatory during the 72 hours then proliferative 2-3 weeks