Vascular Biology Flashcards

1
Q

As arteries get smaller the velocity increases/decreases.

A

decreases –> cross sectional area –> promotes nutrient exchange

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2
Q

The amount of work that must be done to overcome friction between adjacent layers of fluid sliding over each other

A

shear force

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3
Q

Dilation of blood vessel after a period of ischemia is called:

A

hyperemia

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4
Q

Arteries that carry blood from the aorta to branch arteries

A

conduit arteries

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5
Q

Arterioles vasoconstrict/vasodilate in response to ischemia

A

vasodilate

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6
Q

Do large conduit arteries vasodilate to ischemia?

A

yes: 12-15%

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7
Q

4 molecules that promote vasodilation

A

NO/EDRF, prostacyclin (PGI2), bradykinin, acetylcholine

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8
Q

How does NO lead to vasodilation?

A

L-arginine is involved in production of eNOS (endothelial NO synthase) –> NO diffuses into smooth muscle cell –> activation of cGMP

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9
Q

How does Ach, substance P, bradykinin, B2 agonists lead to vasodilation?

A

G protein calmodulin pathway –> production of eNOS –> NO diffusion to smooth muscle cell –> cGMP

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10
Q

2 effects of ACh on blood vessels

A
  1. stimulates release of NO from endothelium leading to vasodilation
  2. vasoconstriction/contraction in circumstances with low NO (e.g. damaged endothelium) or with high doses of ACh (even low levels of ACh can cause constriction in diseased arteries)
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11
Q

High ACh + low NO causes vasoconstriction/dilation

A

vasoconstriction

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12
Q

Which is more potent? NO or PGI2

A

NO

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13
Q

Angiotensin is a vasoconstrictor/dilator

A

constrictor –> breaks down bradykinin thereby preventing vasodilation by reducing production of NO and and PGI2

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14
Q

A high fat diet impairs endothelial mediated vasodilation/vasoconstriction for up to four hours after eating.

A

vasodilation

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15
Q

What is the difference between an angioblast and an endothelial progenitor cell?

A

angioblast is in utero and epc is what is modified during adulthood to create new vessels –> all under control of VEGF

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16
Q

What factors stabilize growing blood vessels?

A

angiopoetin 1 and ephrin b2

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17
Q

What are 3 important growth factors for vessels?

A

pdgf, tgf beta, fgf

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18
Q

What growth factor can destabilize growing vessels leading to possible tumorigenesis?

A

angiopoetin 2

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19
Q

EPCs from patients with type II diabetes mellitus are characterized by:

A

decreased proliferation capacity and reduction of their adhesiveness and ability to form capillary tubes in vitro

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20
Q

What autosomal dominant condition can result from disruption of TGF beta signalling via abnormalities in one of two genes, endoglin (Eng) and activin-receptor-like kinase-1
(ALK1)?

A

HHT/Osler-Weber-Rendu

21
Q

4 consequences of HHT

A
  1. GI bleeding
  2. infection from septic emboli
  3. arteriovenous malformation in lungs causing shunting of blood and paradoxical emboli
  4. telangiectases
22
Q

3 classifications of anti-clot systems

A
  1. fibrinolytic - t-PA
  2. antithrombin - thrombomodulin, heparin
  3. antiplatelet - NO, prostacyclin, ADPases
23
Q

2 classifications of pro-clot systems

A
  1. anti-fibrinolytic - PAI1

2. angiotensin II stimulation of PAI1 (plasminogen activator inhibitor)

24
Q

_____ cleaves fibrin to produce progressively smaller degradation products

A

Plasmin

25
Q

Virchow’s triad

A

hypercoagulable state, endothelial injury, circulatory stasis –> clotting/DVT

26
Q

2 procoagulable properties of dysfunctional endothelium leading

A
  1. increase vwf production with increased platelet adhesion/aggregation
  2. increased synthesis of PAI1 resulting in impaired fibrinolysis
27
Q

All cell adhesion molecules are constitutively expressed on endothelium except:

A

ICAM II

28
Q

Migration of neutrophils, monocytes and
lymphocytes from the circulating blood to the inflammatory sites is directed by the expression of specific _____ on the
endothelium

A

cell adhesion molecules

29
Q

______ is a transcription factor involved in the expression of genes encoding many proinflammatory functions of
vascular wall cells and infiltrating leukocytes.

A

NFkB

30
Q

_________ acts as a proinflammatory factor by stimulating NFkB leading to expression of
_____, which mediates monocyte adhesion and of the chemokine _____, which attracts monocytes

A

Angiotensin-II, VCAM-1, MCP-1

31
Q

Angiotensin-II stimulates expression of

______, which provokes the acute-phase response leading to production of the systemic inflammatory marker _________..

A

interleukin (IL)-6, C-reactive protein

CRP

32
Q

Studies in hypercholesterolemic rabbits have

shown that ____ localizes in endothelium over foam cell–filled fatty streaks in the aorta.

A

VCAM

33
Q

T/F Endothelial leukocyte adhesion molecules play an important role in early plaque development

A

T

34
Q

____ stimulates production of endothelial

leukocyte adhesion molecules early in atherosclerotic lesion formation

A

OxLDL aka oxidative fat

35
Q

Spiral secondary flows and recirculation zones with lower shear stress result in round/elongated endothelial cells

A

round

36
Q

Do blood vessels have cholinergic innervation?

A

no –> only muscarinic receptors

37
Q

What stimulates NOS to produce NO from L-arginine?

A

shear stress, chemical mediateors like ACh

38
Q

Name a competitive inhibitor of L-arginine that indirectly inhibits NO production

A

ADMA

39
Q

What stimulates PGI2 release from endothelium?

A

shear stress, physiologic agonists, pathologic insult –> inhibits platelet activation, secretion, aggregation and maintains relaxation

40
Q

Vasoconstrictor or vasodilator? TxA2

A

constrictor

41
Q

Vasoconstrictor or vasodilator? PGI2

A

dilator

42
Q

Vasoconstrictor or vasodilator? NO

A

dilator

43
Q

Vasoconstrictor or vasodilator? endothelin

A

constrictor

44
Q

Vasoconstrictor or vasodilator? ACh

A

constrictor

45
Q

Vasoconstrictor or vasodilator? Angiotensin II

A

constrictor

46
Q

Vasoconstrictor or vasodilator? bradykinin

A

dilator

47
Q

Vasoconstrictor or vasodilator? substance P

A

dilator

48
Q

Vasoconstrictor or vasodilator? superoxide anion O2-

A

constrictor

49
Q

What happens to the number of EPCs in patients with risk factors for ischemic cardiovascular disease?

A

reduce number of endothelial preogenitors