8.2 inflammation Flashcards

(40 cards)

1
Q

Q: What is healing and repair?

A

A: The restoration of damaged living tissue, organs, and biological systems to normal function through regeneration and repair.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What are the types of tissue growth?

A

A: Labile (continuously dividing), Stable (G0 cells that divide when needed), and Permanent (terminally differentiated cells).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: What are examples of labile cells?

A

A: Columnar epithelium in the GI tract and hematopoietic cells in bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Q: What are examples of stable cells?

A

A: Parenchymal cells in the liver and kidney, fibroblasts, and epithelial cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Q: What are examples of permanent cells?

A

A: Cardiac myocytes in the heart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Q: What factors influence the repair process?

A

A: Extent of damage, location, duration of the injuring agent, infection, poor perfusion, nutritional status, steroids, mechanical stress, and foreign bodies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Q: What are the possible outcomes of tissue injury?

A

A: Regeneration, healing with scar formation, and fibrosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Q: What is regeneration?

A

A: Growth of cells and tissues to replace lost structures.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Q: What does regeneration require?

A

A: Intact tissue scaffolds and appropriate stem cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Q: What is healing in tissue repair?

A

A: Formation of scar tissue using ECM and collagen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Q: What is fibrosis?

A

A: Excessive fibrous tissue formation that can impair function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Q: What is an example of fibrosis impacting function?

A

A: Fibrosis following muscle injury compromises contractile function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Q: Can humans regenerate like some animals?

A

A: No, humans exhibit compensatory growth rather than true regeneration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Q: What is an example of compensatory growth in humans?

A

A: Liver after partial hepatectomy—25% can regenerate functionally, but not structurally.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Q: What are hyperplasia and hypertrophy?

A

A: Hyperplasia is an increase in cell number; hypertrophy is an increase in cell size.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Q: What occurs in the kidney after unilateral nephrectomy?

A

A: The remaining kidney undergoes compensatory hypertrophy and hyperplasia to match the mass of two kidneys.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Q: Is lung regeneration possible?

A

A: Some studies suggest alveoli may regenerate, but evidence is limited.

18
Q

Q: What regulates tissue healing and repair?

A

A: Biochemical factors from injury, cell death, or trauma that induce resting cells to enter the cell cycle.

19
Q

Q: How is cell cycle activity controlled during repair?

A

A: By balancing stimulatory/inhibitory factors, shortening the cell cycle, and reducing cell loss.

20
Q

Q: What are the types of cell responses to growth signals?

A

A: Autocrine (self-signaling), Paracrine (nearby cells), Endocrine (distant cells).

21
Q

Q: What growth factors are involved in repair?

A
  • EGF: Platelets, keratinocytes, fibroblasts
  • VEGF A-D: Mesenchymal, endothelial cells
  • PDGF A-D: Platelets, macrophages; chemotactic and promotes angiogenesis
  • TGF-β: Keratinocytes, macrophages; chemotactic, stimulates fibroblasts, angiogenesis, and collagen production
22
Q

Q: What is the extracellular matrix (ECM)?

A

A: Non-cellular components of tissues/organs that provide structure and support.

23
Q

Q: What are the types of ECM?

A

A: Interstitial matrix and basement membrane.

24
Q

Q: What are components of ECM?

A

A: Collagen (fibrillar and non-fibrillar), elastin, fibronectin, proteoglycans, hyaluronate, laminin, glycoproteins.

25
Q: What are the main structural groups in ECM?
A: Complex polysaccharides, fibronectin/laminin, proteoglycans, structural and elastic collagen fibers.
26
Q: What is the role of ECM in repair?
A: Provides a scaffold, controls proliferation, migration, differentiation, apoptosis, and acts as a reservoir for growth factors.
27
Q: How does scar formation occur?
A: ECM deposition by fibroblasts, collagen synthesis starts 3–5 days post-injury, granulation tissue becomes scar tissue.
28
Q: What are features of scar tissue?
A: Spindle-shaped fibroblasts, dense collagen, elastic tissue fragments, vascular regression (pale scar).
29
Q: What is wound healing?
The process of inflammation, ECM synthesis, cell proliferation, angiogenesis, tissue remodelling, and wound contraction.
30
Q: What are the phases of wound healing?
* Inflammation * Entry/proliferation of parenchymal/connective tissue * Angiogenesis * ECM synthesis * Tissue remodelling * Wound contraction * Acquisition of wound strength
31
Q: When does granulation tissue first form?
A: Day 3 post-injury.
32
Q: What promotes angiogenesis during healing?
A: FGF2 and VEGF from macrophages, keratinocytes, and endothelial cells.
33
Q: What do endothelial cells do during angiogenesis?
A: Express new integrins and sprout from existing capillaries.
34
Q: What do fibroblasts and myofibroblasts do in healing?
A: Migrate to the injury site, deposit ECM proteins, and are stimulated by PDGF, FGF2, and TGF-β.
35
Q: What is wound contraction?
A: The process that reduces wound size using myofibroblasts containing actin filaments.
36
Q: What is primary intention wound healing?
A: Healing of narrow surgical incisions with minimal scarring.
37
Q: What happens in primary intention healing?
A: Neutrophils appear within 24 hours, are replaced by macrophages by day 3, granulation tissue fills the space, and collagen becomes reorganized.
38
Q: What is secondary intention wound healing?
A: Healing of large wounds with non-opposed edges and substantial tissue loss.
39
Q: What are features of secondary intention healing?
A: Larger fibrin clot, intense inflammation, abundant granulation tissue, wound contraction, and significant scar formation with epidermal thinning.
40
Q: What are examples of tissue engineering?
A: Skin scaffolds, Re-Cell, and 3D printing.