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21 Cards in this Set
- Front
- Back
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What are the three main categories that result from a wound, and what differentiates the two results of an acute injury?
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Regeneration, Healing (scar formation), Fibrosis;
Regeneration occurs when there remains an intact tissue framework (cell matrix), if the tissue framework is damaged (deep wounds) then only healing/scarring takes place |
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What substance is involved in scar tissue formation? what secretes it?
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Collagen Type 1; fibroblasts in ECM
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What are the cells that are current in G0, but can re-enter the cell cycle?
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quiescent cells (e.g. hepatocytes)
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When a stem cell is triggered to proliferate and differentiate in wound healing, do both cells differentiate?
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No. one remains a stem cell (undiff.)
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What are the two "components" of the cell-matrix and subcomponents involved in wound healing?
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BM: preoteoglycans, laminin, Type IV collagen
ECM: Type 1 collagen, elastin, proteoglycans |
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Are there stem cells in the liver?
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Yes! that's why the liver can regenerate; located between bile ductiles and hepatocytes --> express cytokeratin 7
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What happens to the quiescent stellate cells in the space of disse upon repeated episodes of cell death leading to abnormal regeneration and scarring?
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they become active myofibroblasts and form a dense extracellular matrix.
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What happens or is targeted in Days 2-3 of a wound?
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Re-epithelialization (EGF)
and fragments of ECM --> |
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What is proliferation of fibroblasts and ingrowth of new blood vessels in ~Days 4-7 in wound healing?
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Granulation tissues (very different from granulomas)
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where do newly regenerated capillary networks come from?
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existing vessels
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what two factors predominantly cause angiogenesis, what secretes them?
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VEGF & TGF-a (activated macrophages)
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In a mature wound, what happens(ed) to all the capillaries, fibroblasts and macrophages?
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apoptosis
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in a mature wound, what causes contraction of wound?
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myofibroblasts (differentiated, trying to close the wound)
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what is responsible for breakdown of the collagen and extracellular matrix in remodeling? why?
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matrix metalloproteinases; increase/regain immobility
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what is THE most important factor in wound healing?
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TGF-beta (beta builds)
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what is responsible for the tensile strength of collagen?
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triple helix (in Golgi), then cross-linking in ECM --> now *fibrils* --> restores 80% of normal tensile strength (takes 6 months!)
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In ECM repair, what is necessary for the hydroxylation of proline?
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Vitamin C
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What does infection do to wound healing?
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Impairs. Shifts back toward inflammatory stage (from fibrotic) and further damages host tissue.
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What is the most important function of EGF?
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epithelial proliferation
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What is the most important function of VEGF?
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angiogenesis
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What is the most important function of TGF-B? (2)
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fibroblast migration/proliferation & collagen sythesis
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