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15 Cards in this Set

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What are the key events in repair by connective tissue deposition?
inflammation
angiogenesis
migration and proliferation of fibroblasts
scar formation
connective tissue remodelling
What are the mechanisms of angiogenesis?
Angiogenesis from existing vessels
Angiogenesis from endothelial precursor cells
What growth factor receptors are involved in angiogenesis?
VEGF
DLL4
What are the effects of VEFG blockade?
Vascular organisation
What are the effects of DLL4 blockade?
Sprouting and EC proliferation
How are new formed vessels stabilised?
Pericyte and smooth muscle recruitment
Deposition of ECM proteins
What ECM proteins regulate angiogenesis?
Intergrins - for blood vessel formation
matricellular proteins - destabilise cell-matrix interactions
proteinases - tissue remodelling and endothelial invasion
What are the three phases of cutaneous wound healing?
inflammation
proliferation
maturation
What are the events in wound healing?
Formation of clot
Formation of granulation tissue
Cell proliferation and collagen deposition
Scar formation
Wound contraction
Connective tissue remodelling
Events in wound healing can be clumped into phases
What are two types of cutaneous wound repair
Healing of thin wound
Healing of complicated excisional wounds
What local and systemic factors influence wound repair?
local - infection, mechanical forces, foreign bodies, dimension
Systemic - Nutrition, metabolic status, circulatory status, hormones
What are the consequences of aberrant repair?
Inadequate granulation tissue and scar assembly
Excessive formation of repair components
Contractures
What is the cause of fibrosis?
Persistent injury
What compounds are important in fibrosis?
Osteopontin
TGF-B
Why do fetal cutaneous wounds heal without scarring?
?lack of osteopontin
?non-fibrogenic forms of TGF-B
?absence of a TH2 response