Tissue Homeostasis and Repair Flashcards

(51 cards)

1
Q

Which layer of skin is responsible for cell proliferation?

A

strata basal

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2
Q

2 examples of permanent cell type

A

neurons + myocardial cell

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3
Q

permanent cells

A

always in G0 with no ability to differentiate

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4
Q

stable cells example

A

hepatocytes

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5
Q

stable cells

A

in G0 but able to divide if needed

ex: will divide if there is tissue damage

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6
Q

What are 3 ways that tissues can replace mass?

A

1) regnerate parenchyma

2) fibrosis

3) scarring

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7
Q

Difference between scarring and fibrosis

A

Fibrosis occurs in response to more chronic inflammation

Scarring occurs in response to acute injury

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8
Q

Similarity between fibrosis and scarring

A

both lay down connective tissue to replace mass

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9
Q

What 2 cell types can regenerate after tissue damage?

A

labile and stable

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10
Q

Difference between epidermis and dermis in healing from wound

A

epidermis can regenerate

dermis scars

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11
Q

example of fibrosis

A

HCV infection in the liver

chronic inflammation that leads to fibrosis

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12
Q

secondary provisional matrix

A

granulation tissue

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13
Q

granulation tissue

A

seen with scarring

lays the groundwork for connective tissue by bringing capillaries to area

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14
Q

what does granulation tissue secrete?

A

VGEF to make new capillaries

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15
Q

3 stages of liver regeneration

A

1) initation / priming

2) proliferation

3) termination

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16
Q

priming stage of liver regeneration

A

increase in growth factors like HGF and EGF

increase in blood flow + cytokines

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17
Q

What growth factor is downregulated during priming?

A

TGF-B

TGF-B is a negative growth regulator

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18
Q

proliferation stage of liver regeneration

A

increased proliferation of most cell types in liver

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19
Q

Termination stage of liver regeneration

A

return to homeostasis

increase in negative growth regualtors like TGF-beta

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20
Q

what is another way to describe liver regeneration?

A

compensatory hyperplasia

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21
Q

What occurs during HCV infection of liver?

A

combination of inflammation, parenchymal regeneration, deposit of collagen in form of fibrosis (regain liver volume through fibrosis)

22
Q

2 types of sweat glands

A

1) apocrine glands: primarily respond to thermal regulation

2) eccrine glands: response to emotional regulation

23
Q

what layer of skin is melanin found?

24
Q

what layer of skin has tight junctions?

A

strata granulosum

25
what is the dermis made of?
irregular, dense connective tissue
26
where are glands?
reticular dermis
27
hyperdermis
adipose tissue / good fat
28
primary provisional matrix
formation of fibrin clot bring neutrophils to the acute inflammatory site
29
what happens after a couple days in epidermis regeneration?
the epidermis needs to migrate to fill in underneath the fibrin clot
30
where does epidermis regenerate?
underneath the eschar (scab)
31
what do you need for epidermis to migrate?
integrin for it to attach to
32
what do you downregulate during migration of tissues?
downregulate laminin production downregulate desmosomes
33
laminin
component of basement membrane do not want basement membrane when moving cells (want to be free)
34
when are neutrophils gone?
after 2 days
35
what does the redness surrounding a scab indicate?
VGEF / new blood vessels
36
what is happening to dermis a couple days following an injury?
scarring lots of blood vessels for granulosum development lots of myofibroblasts
37
how can you tell the scar in the dermis is mature?
type I collagen is replaced with type III collagen
38
3 phases of skin repair
inflammation, proliferation, maturation
39
myofibroblasts and maturation
pull the scarring in / contract
40
what phase of skin repair do you see lots of VGEF?
proliferation
41
keloid dermis
lots of type I collagen
42
hypertrophic scar dermis
type III collagen in parallel, organized arrangment
43
sclerosis
see more connective tissue
44
adhesion
form fibrin bridge
45
contracture after a burn
myofibroblasts over contract the whole wound
46
dehiscence
failure to form scar / granulation tissue often seen in diabetes
47
*how to review lesions
*review slides from Mon, Nov. 20th with pictures
48
proud flesh
cannot get past granulation stage
49
dystrophic calcification
Ca2+ deposition on vessel pretty common / normal Ca2+ stains basophilic
50
metastatic calification
Ca2+ deposition with abnormal growth stains basophilic
51
what happens to tissues after MI?
myocytes undergo scarring