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32 Cards in this Set
- Front
- Back
resolution
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injury causing minimal tissue destruction; no residual evidence of injury is noted
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best example of resolution
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lobar pneumonia
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crisis
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form of resolution where suddenly the patient gets well and it all resolves at the same time
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resolution by lysis
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after severe respiratory infection; feel a little better everyday; not sudden
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repari
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injury caused substantial tissue destruction
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regeneration
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replacement of the injured tissue by cells of the same type; orderly proliferation
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what does regeneration require
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cell proliferation
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labile
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cells that have an unlimited capacity to divide; skin and GI
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stable
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cells that can undergo rapid division under the right stimuli and thus capable of reconstituting the tisse of origin
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permanent
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cells that have left the cell cycle and cannot undergo mitotic division in postnatal life
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stem cells
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prolonged self renewal capacity and by their asmmetric replication
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types of stem cells
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embryonic and adult; adult has restrictive capacity except in the bone marrow
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niches
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location of stem cells
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oval cells
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bipotential progenitor cells capable of differentiating into hepatocytes and biliary cells
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what controls cell growth
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contact inhibition and growth factors
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competence factors
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growth factors that are unable to induce DNA synthesis
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progression factors
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growth factors that are able to induce DNA synthesis in competent cells
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molecular events in cell growth
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1. binding of ligand
2. activation of growth factor receptor 3. signal transduction and second messangers 4. transcription factors 5. cyclins |
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functions of IL-1 and TNF
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fibrogenic, induce fibroblast proliferation, chemotactic for fibroblasts, stimulate synthesis of collagen and collangenase
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transcription factors
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induce growth regulatory genes
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epidermal growth factor
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mitogenic for epithelial cells, fibroblasts and hepatocytes
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platelet derived growth factor
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competent factor; induces proliferation in fibroblasts, smooth muscle and monocytes
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fibroblast growth factor
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affinity for heparin and anionic molecules; induces angiogeneis; produced by macrophages
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what makes up the ECM
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structural proteins and adhesive glycoproteins embedded in a gel of proteoglycans and GAGs
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when does collagen synthesis begin after an injury?
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3-5 days into wound healing
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What are involved in collagen degradation?
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metalloproteinases; collageneases and gelatinases which remodels wounds
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fibronectin
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produced by fibroblasts, monocytes and endothelial cells; binds to ECM components via specific domains and to cells via integrin receptors
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integrins
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transmembrance glycoproteins anchoring to elements of the cytoskeleton
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laminin
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most abundant glycoprotein in BM; binds to cellular membrane receptors and to matrix components
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most abundant GAG in ECM
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hyaluronic acids
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sequence of events for repair by connective tissue
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1. angiogenesis
2. migration and proliferation of fibroblasts 3. deposition of ECM 4. remodeling of scar |
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factors influencing wound healing
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nutrition, glucocorticoids, infection, foreign bodies, venous drainage and blood supply, wound dehiscence
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