phys lect 3 pt. 3 Flashcards

(58 cards)

1
Q

Definition of Angiogenesis

A

Process of new blood vessel development from existing vessels [30].

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2
Q

Angiogenesis primarily develops from…

A

Venules [30].

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3
Q

Angiogenesis Step 1 (Mechanism)

A

Vasodilation in response to NO and increased permeability induced by VEGF [30].

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4
Q

Angiogenesis Step 2

A

Separation of pericytes from the abluminal surface [30].

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5
Q

Angiogenesis Step 3

A

Migration of endothelial cells toward the area of tissue injury [30].

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6
Q

Angiogenesis Step 4

A

Proliferation of endothelial cells just behind the leading front of migrating cells [30].

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7
Q

Angiogenesis Step 5

A

Remodeling into capillary tubes [31].

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8
Q

Angiogenesis Step 6 (Cell recruitment)

A

Recruitment of periendothelial cells to form the mature vessel [31].

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9
Q

Periendothelial cells for small capillaries

A

Pericytes [31].

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10
Q

Periendothelial cells for larger vessels

A

Smooth muscle cells [31].

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11
Q

Angiogenesis Step 7

A

Suppression of endothelial proliferation and migration and deposition of the basement membrane [31].

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12
Q

Important Growth Factor for Angiogenesis 1

A

VGEF (Vascular Endothelial Growth Factor) [31].

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13
Q

VGEF Effect 1

A

Stimulates both migration and proliferation of endothelial cells [31].

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14
Q

VGEF Effect 2

A

Promotes vasodilation by stimulating the production of NO [31].

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15
Q

Important Growth Factor for Angiogenesis 2

A

FGF-2 (Fibroblast Growth Factor-2) [31].

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16
Q

FGF-2 Effect 1

A

Stimulates the proliferation of endothelial cells [31].

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17
Q

FGF-2 Effect 2

A

Promotes the migration of macrophages and fibroblasts to the damaged area [32].

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18
Q

FGF-2 Effect 3

A

Stimulates epithelial cell migration to cover epidermal wounds [32].

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19
Q

Step 1 of laying down connective tissue

A

Migration and proliferation of fibroblasts into the site of injury [32].

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20
Q

Step 2 of laying down connective tissue

A

Deposition of ECM proteins produced by these cells [32].

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21
Q

Important Growth Factor for ECM Deposition 1

A

FGF [32].

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22
Q

Important Growth Factor for ECM Deposition 2 (Full name)

A

TGF-β (Transforming Growth Factor-β) [32].

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23
Q

TGF-β stimulates the production of (List 3)

A

Collagen, fibronectin, and proteoglycans [33].

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24
Q

TGF-β inhibits collagen degradation by Mechanism 1

A

Decreasing proteinase activity [33].

25
TGF-β inhibits collagen degradation by Mechanism 2
Increasing the activity of tissue inhibitors of proteinases (TIMPs) [33].
26
Important Growth Factor for ECM Deposition 3 (Full name)
PDGF (Platelet-Derived Growth Factor) [33].
27
PDGF effects (List 2)
Causes migration and proliferation of fibroblasts and smooth muscle cells [33].
28
Purpose of Remodeling of Connective Tissue
Collagen fibers are reoriented to better resist tensile forces on the wound [33].
29
Repair Outcome Balance
A balance between synthesis of ECM proteins and degradation of ECM proteins [34].
30
Important Growth Factor for Remodeling 1 (Full name)
MMPs (Matrix Metalloproteinases) [34].
31
MMPs Effect
Stimulates degradation of collagen and other ECM components [34].
32
Important Growth Factor for Remodeling 2 (Full name)
TIMPs (Tissue Inhibitor of Metalloproteinases) [34].
33
TIMPs Effect
Inhibit metalloproteinases [34].
34
Factor Influencing Tissue Repair 1
Infection [34].
35
Factor Influencing Tissue Repair 2
Nutrition [34].
36
Factor Influencing Tissue Repair 3
Glucocorticoids [34].
37
Glucocorticoids effect on inflammation
Anti-inflammatory [35].
38
Glucocorticoids effect on scar
Weakness of scar due to diminished fibrosis [35].
39
Factor Influencing Tissue Repair 4
Mechanical variables (e.g., increased local pressure or torsion) [35].
40
Term for wounds pulling apart
Dehiscence [35].
41
Factor Influencing Tissue Repair 5
Poor perfusion [35].
42
Examples of Poor Perfusion
Arteriosclerosis, diabetes, or obstructed venous drainage [35].
43
Factor Influencing Tissue Repair 6
Foreign bodies [35].
44
Factor Influencing Tissue Repair 7
The type and extent of tissue injury [35].
45
Factor Influencing Tissue Repair 8
Location of the injury [35].
46
Factor Influencing Tissue Repair 9
Aberrations of cell growth and ECM production [35].
47
Example of Aberrations of cell growth
Keloids [35].
48
Healing by Primary Intention (Wound Edges)
Wound edges closely together [36].
49
Healing Rate in Primary Intention
Heals more rapidly [36].
50
Characteristic LESS present in Primary Intention (1)
Re-epithelialization [36].
51
Characteristic LESS present in Primary Intention (2)
Collagen deposition [36].
52
Characteristic LESS present in Primary Intention (3)
Contraction and remodeling [36].
53
Characteristic LESS present in Primary Intention (4)
Risk of infection [36].
54
Characteristic LESS present in Primary Intention (5)
Scar formation [36].
55
Healing by Secondary Intention (Wound Edges)
Gap between edges (Tissue loss) [36].
56
Healing Rate in Secondary Intention
Slower process [36].
57
Characteristic MORE present in Secondary Intention (1)
More scar tissue [36].
58
Characteristic MORE present in Secondary Intention (2)
Contraction [36].