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16 Cards in this Set

  • Front
  • Back
How may cells communicate
Soluble mediators

Cell to cell interactions

Cell to matrix interactions
Cytokines
Soluble, small, non-immunoglobulin proteins released by living host cells that regulate host cell functions

Released in 10^-9 - 10^-12 concentrations

May act as paracrine or autocrine factors

Central role is remodeling of tissues

Act in concert to affect biologic activity (PDGF and IGF-1)
PDGF
AKA Platelet derived growth factor

Competence factor


Released into wound healing environment early on during initial phase of inflammation

This would causes cells to enter into the cell cycle, become competent to divide, but they couldn't progress through the cell cycle without second cytokine called IGF-1
IGF-1
AKA Insulin-like Growth Factor-1

Progression factor

Present later on during wound healing

Would take cells that were competent to enter the cell cycle because of PDGF's effects and allow them to progress
VEGF
AKA Vascular endothelial growth factors

Promotes revascularization (angiogenesis) by communicating to endothelial cells to enter cell cycle

Can be expressed by tumors to support cancer cell proliferation
Avastin
AKA bevacizumab

Monoclonal antibody that inhibits angiogenesis

Competitively binds to VEGF and inhibits its binding to VEGF receptors to inhibit tumor angiogenesis

Starves a cancer
Cell-Cell Interaction in Wound Healing
Cells communicate through cell-adhesion molecules (CAM) like:
Cadherins
IgG superfamily
Selectins
Intergrins

Ex: Homing of leukocytes by selectins
Ex: epithelial cell migration during would healing by altered integrin expression
Cell-matrix interaction in wound healing
Cells respond to and alter the composition of the ECM during wound healing

Ex:
Fibronectin directed cell migration called haptotaxis

BMP-2 can precipitate the entire bone formation cascade

Enamel matrix derivative like Amelogenin and the induction of acellular cementum formation
Cell-matrix interaction in Haptotaxis
Cell migration along a substrate

Fibronectin forms 3D lattice with Fibrin
Fibronectin has repeating RDG unit (Arginine, Glycine, Aspartic Acid)

RGD unit has ligand for Integrin expressed by PMN

PMN can use integrins to migrate along RGD sequences
BMP-2 in Cell-Matrix interactions
Bone morphogenic proteins (BMP)-2

Cytokine that is pre-made during synthesis of bone in the bone ECM.

Osteoinductive. Induces the entire bone formation cascade

Tells cells that this is the site where calcification must occur

BMP-2 is added to collagen carried in product called Enfuse to induce bone formation
Enfuse
Clinical product that has BMP-2 in a collagen carrier to induce bone formation
Hertwig's Epithelial Root Sheath involvement in cell-matrix interactions
HERS induces cells of dental papilla to become ondotoblasts and lay down root

Voids in HERS allows cells from dental follicle to attach and lay down acellular cementum

Inner layer of HERS lays down matrix called intermediate cementum with amelogenin protein
Emdogain
Enamel matrix derivative of amelogenin protein from HERS

Inductive factor for acelllular cementum formation that adheres to dentin surface and allows regeneration of bone, periodontal CT attachment apparatus, PDL, alveolar bone
Embryonic Stem cells
Present in blastocysts up to 32-cell stage

Pluripotent cells that can differentiate into any cell type in the body
Adult Stem cells
Present in most adult tissues.

Limited to form lineage specific tissues (limited pluripotential)

Can be characterized by high mitotic rates in cell culture and expression of cell surface markers (STRO-1)
PDL stem cells
Mesenchymal stem cells

Basis of novel future applications

PDL stem cells express cell surface antigens similar to dental pulp stem cells and bone marrow stem cells
BUT
PDL stem cells express Scleraxis transcription factor characteristic of tendon cells

Depending on inductive factors introduced, these cells can be pushed down different differentiation pathways