tissue repair Flashcards
repair comes after what processes?
injury> acute inflammation> necrosis> repair
ECM components
collagen, GAGs, elastic fibers, adhesion/regulation
cells that will regrow during repair (3 classes)
remnants of injured tissue, vascular endothelium, fibroblasts
remnants of injured tissue
regeneration depends on the cell types intrinsic proliferative ability. also provide scaffolding
remnants of injured tissue classifications
labile, stable, permanent
labile
continuously proliferate, easy repair (epithelial/hematapoetic)
stabile
slow growing, but activate in response to GFs (glandular organs, glia, mesenchymal, endothelial, fibroblasts)
permanent
little mitotic activity, mainly just scar (heart, brain, skel muscle)
normal wound healing steps
homeostasis, inflammation, proliferation, maturation
cells in normal wound healing
neutrophils, Mphage, granulation tissue, fibrosis
diminished healing causes
maturation (scurvy), metabolic, vascular, genetics (ED)
scurvy AA
proline and lysine
excessive healing
granulation tissue/ fibrosis (proud flesh, scarring/keloids)
PDGF
leukocyte and fibroblast chemoattractant
EGF, KGF,
granulation tissue formation and fibroblasts
FBF
stimulators of growth factors
VEGF
stimulates angiogenesis, increases permeability
TGF-B
collagen synthesis,
NGF
stimulates nerve growth
IL-13
stimulates fibroblasts and collagen synthesis