Trigger 6: Wound Healing Flashcards

(40 cards)

1
Q

tissue repair definition

A

the regeneration of damage tissue by parenchymal cells of the same type or replacement by connective tissue (scar)

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2
Q

parenchymal cells

A

the functional parts of an organ

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3
Q

connective tissue is

A

scaring

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4
Q

causes of damage

A

trauma, infection, physical or chemical agents tissue necrosis, immune reactions

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5
Q

immune reactions e.g.

A

hypersensitivity reaction - asthma or anaphylaxis

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6
Q

what are the four phase of tissue repair (in order)

A
  1. Haemostasis
  2. Inflammation
  3. Proliferation
  4. Remodelling
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7
Q
  1. Haemostasis
A

platelet aggregation and clotting which leads to the release of pro-infllamtory mediated

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8
Q

when does haemostats occur

A

within hours of damage

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9
Q

platelets during haemostats causes

A

a fibrin plug to form- prevent bleeding

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10
Q

platelets recruit

A

inflammatory cells using cytokines and growth factor

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11
Q

what occurs after haemostasis

A

inflammation

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12
Q
  1. Inflammation causes
A

diapedesis

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13
Q

diapedesis

A

the passage of white blood cells through the intact walls of the lung capillaries, typically accompanying inflammation.

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14
Q

inflammation occurs within

A

hours

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15
Q

role of inflammation

A

recruitment of neutrophils, monocytes and macrophages

  • wound debridement
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16
Q

wound debridement

A

removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.

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17
Q

what happens after inflammation

A

proliferation

18
Q
  1. Proliferation
A

alterations to cell-cell and cell-matrix interactions

19
Q

proliferation involved

A

cross talks between MMPs, interns, cytokines/GF and ECM production which cause migration of cells

20
Q

when does proliferation occur

21
Q

proliferation causes what to happen (4)

A
  • re-epithelialisation
  • angiogenesis
  • fibroplasia
  • ECM deposition
22
Q

fibroplasia

A

process of forming fibrous tissue (fibroblasts)

23
Q

extra cellular matrix

A

a three-dimensional network of extracellular macromolecules:

1) collagen
2) enzymes
3) glycoproteins

provide structural and biochemical support of surrounding cells

24
Q

what happens after proliferation

25
4. Remodelling
involves fibroblasto to myofibroblast differentiation
26
when does remodelling occur
within weeks/ months
27
remodelling involves
ECM remodelling and degradation, contraction and scar formation
28
which cells are important during aberrant wound healing in lung fibrosis?
- epithelial - macrophage - fibroblast - myofibroblast - endothelial cells
29
aberrant wound healing
abnormal wound healing
30
haemostats simple
Is a process which causes bleeding to stop, meaning to keep blood within a damaged blood vessel. It is the first stage of wound healing. This involves coagulation, blood changing from a liquid to a gel.
31
fibroblast
Involved in formation of extracellular matrix (ECM). Differentiate into myofibroblasts
32
fibroblast differentiate into
myofibroblasts
33
myofibroblasts
a cell that is in between a fibroblast and a smooth muscle cell in phenotype
34
extracellular matrix provides
- structural support | - regulates movement and growth of cells
35
what is the ECM made up of
collagen- structural support elastin- elastic stretch and recoil proteoglycan- regulate ECM structure and permeability adhesive glycoproteins interns
36
collagen
tensile strength
37
elastin
elastic stretch and recoil
38
proteoglycan
regulates ECM structure and permeability, binds GFs
39
which adhesive glycoproteins
fibronectin and laminin
40
integrins
major cell surface receptor family- mediating cell adhesion to ECM