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PBT Vocab Quiz Part 1
PBT
55
Medical
Graduate
08/16/2011

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Term
Coagulative Necrosis
Definition
loss of nuclei, preserved ghost outline of cells
often caused by ischemia (called an infarct)
Term
Liquefactive Necrosis
Definition
dead cells turn into gelatinous yellow purulent exudate w/ PMN
Caused by: toxins, inflam resp, Ischemic CNS cell death
Term
Caseous Necrosis
Definition
yellow, friable granuloma w/ central necrosis surr by MO, giant cells, WBCs
Caused by: TB and fungus
Term
Gangrenous Necrosis
Definition
necrosis of body part that has undergone coagulative necrosis due to ischemia
Infxn: wet gangrene (due to Leukocytes and bacteria)
w/o infxn: dry gangrene
Term
Fat Necrosis
Definition
lipase from pancreatic cells causes white chalky deposits of fat cells in retroperitoneum
Caused by: lipase converts TG to FA which combo w/ Ca++ and form white deposits
Term
Mitochondrial Permiability Transition Pore
Definition
when open leads to loss of membrane potl (lose protons) resulting in failure of oxid phosphor and depleted ATP
cytochrome C's rel activates pro-apoptotic caspaces
Prevented by: cyclosporin
Term
Intrinsic pwy of Apoptosis
Definition
Mitochondrial-activats BH3-only proteins, which activate Bax and Bak and form pores in Mito memb
-BH3-only also blocks Bcl-2 and Bcl-X, CytoC leaks out, activates caspaces
Term
Extrinsic pwy of Apoptosis
Definition
Death receptors on PM: Type 1 TNFR and Fas(CD95)
Term
Metastatic Calcification
Definition
hypercalcemia accentuates dystrophic calification
Term
Causes of Hypercalcemia
Definition
1. incr PTH 2. bone destruction 3. Vit D dep disorder 4. renal failure 5. metastatic cancers
Term
Exudate
Definition
Extravascular fluid w/ high protein conc., contains cellular debris and has high spec gravity
Term
Transudate
Definition
fluid w/ low protein (mostly albumin), little or no cellular matl, and low spec gravity
Term
Acute Phase Proteins
Definition
Large number of plasma proteins made in the liver, which are impacted by inflam stimuli,
IL-6, IL-1 and TNF upreg them
Term
Leukocytosis
Definition
elevated Leukocytes, common during inflam (15-20K)
caused by accel rel of BM cells
Term
Leukopenia
Definition
decr leukocyte count, due to Typhoid fever, viruses, or disseminated cancer, rampant TB and severe alchohol
Term
Embryonic SC (ESC)
Definition
pluripotent SC contained in the nner cell mass of blastocysts in early embryonic devo
Term
Induced Pluripotent SC
Definition
reprogrammed fibroblast, happens b/c of 4 genes encoding Tissue factors which can gen endodermal, mesodermal, and ectodermal tissue
Term
Focal Adhesion Complex
Definition
formed when ligands bind to integrins and the receptor cluster
Made of: talin, vinculin, paxilin
Fxn: activated R for a nmber of signal transduction pwy's incl: MAP kinase, PKC, PI3K
Term
Healing by primary union (1st intention)
Definition
Surgical incision approximated by sutures
Term
Healing by secondary union (2nd intention)
Definition
large skin defects w/ extensive tissue and cell loss, inflam resp, granulation tissue, extensive collagen deposition
Form large scar, which may contract
Term
Keloid
Definition
collagen accum forming a scar beyond the boundaries of the original wound
Term
karyolysis
Definition
complete dissolution of the chromatin in a necrotic cell due to DNase; complete loss of nuclear basophilia in coag necrosis, following pyknosis and karyorrhexis
Term
pyknosis
Definition
irreversible condensation of chromatin in cell undergoing necrosis or apoptosis followed by karyorrhexis
Term
karyorrhexis
Definition
fragmentation of the nucleus following pyknosis
Term
Selectins
Definition
bind sialyl lewis X, for rolling
Term
PECAM-1 (CD 31)
Definition
on both leukocytes and endothelium, aids in diapedesis
Term
Weibel-Palade bodies
Definition
contain P selectin, which is induced to be expressed on endothelial surface by histamine and thrombin
Term
GlyCAM (CD34) and VCAM
Definition
binds L-selectin on leukocyte; binds VLA-4 (Beta1) integrin on leukocyte
Term
Thrombin
Definition
main link b/t coat and inflame; binds protease activate R (PAR) and triggers inflame
Term
Factor XIIa (Hageman)
Definition
Activates the bradykinin and coag system which simultaneously activating the fibrolysis system;
XIIa specifically initiates fibrinolysis yielding plasmin which activates C3->C3a (anaphylatoxin)
4 systems: 1. kinin 2. clotting 3. fibrinolysis 4. complement
Term
Chemotaxis due to:
Definition
C5a, LTB4, IL-8
Term
Bradykinin prodxn and conseqs
Definition
Factor XII activates Kallikreins to activate kinins (and activate plasmin) (vasoactive peptides) and form bradykinin which incr vascular perm and causes contrxn of vasc smooth mm, dilation of blood vessels and pain
Term
Vasodilation
Definition
PGs, NO, Histamine
Term
Vascular Perm
Definition
Histamine, 5-HT, C3a, C5a, Bradykinin, LKT, PAF, substance P
Term
Chemotaxis, Leukocyte recruitment and activation
Definition
TNF and IL-1, chemokines, C3a, C5a, LTB-4, bacterial products (N-fmet)
Term
Fever
Definition
IL-1, TNF, PGE2 @ hypothalamus
Term
Pain
Definition
bradykinin and PGs (spec PGE2)
Term
Abscess
Definition
necrotic collection of purulent exudate filling a space in a tissue; prod by deep seeding bacteria, center of PMN, sure by vasculature and fibroblasts
Term
Fibrosis
Definition
deposit collagen and ECM to form scar esp w/ TGF-B and MPPs
Term
Granulation tissue
Definition
Fibroblasts and vascular endothelial cells in 24-72 hrs lay down pink, soft, granular tissue at beginning of repair process; fills wound and neovascularization is maximal around days 5-7
Term
Serous inflam
Definition
blister, bullous pemphigoid
Term
Fibrinous (shaggy)
Definition
fibrin covers the surfaces in a meshwork; occurs in linings of body cavities: meninges, pericardium and pleua
Term
Suppurative
Definition
purulent exudate from PMN, fibrin and necrotic cells assoc w/ pyogenic Strep and Staph infxn
Term
Ulcer
Definition
local defect (into submucosa ) on surface of an organ due to the irritation and sloughing of necrotic tissue
Term
EGF
Definition
mitogenic for keratinocytes and Fb, stim granulocyte migration and granulation tissue formation
Term
FGF
Definition
>10 GFs, MO, Fb, Enothelial migration (wound repair), ANGIOGENESIS, wound contrxn and MATRIX DEPOSITION
Term
PDGF
Definition
chemotaxis of PMN, MO, Fb, smooth m, angiogenesis and MATRIX DEGRADATION
Term
VEGF
Definition
vasculogenesis in embryo and ANGIOGENESIS (esp proper branching in conjxn w/ Notch signaling)
Term
TGF-B
Definition
Pleiotropic (effect dep on tissue), chemotaxis for WBC, Fb and myocytes; normally inhib epithelial prolix, but potent stim of Fibroplasia and angiogen
Term
HGF (scatter factor)
Definition
mitogen for hepatocytes, epithelial and endothelial cells; incr motility and scattering
Term
c-fos, c-jun, and c-myc
bcl-x
mdm2 and p53
Definition
G0->G1
Thru G1
G1->S
Term
Proteoglycans and Hylauronan
Definition
Gel proteins
Term
Fibronectin and Laminin
Definition
Adhesive glycoproteins
Fibronectin binds integrins and EC collagen and attaches epitdermal basal cells to the BM
Laminin is in the BM and polymerizes type IV collagen
Term
Collagen and Elastin
Definition
Firbrous structural proteins
Term
Type IV collagen, laminin, Proteoglycan
Definition
in Basement membrane
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