Podcast
Questions and Answers
In the context of tissue repair, what distinguishes regeneration from fibrosis?
In the context of tissue repair, what distinguishes regeneration from fibrosis?
- Regeneration replaces damaged tissue with healthy, identical tissue, whereas fibrosis involves the formation of scar tissue by fibroblasts. (correct)
- Regeneration is characterized by the proliferation of permanent cells, whereas fibrosis is associated with the activity of labile cells.
- Regeneration involves the replacement of damaged tissue with non-functional scar tissue, while fibrosis restores original tissue structure and function.
- Regeneration occurs primarily in tissues with a compromised supporting framework, while fibrosis is limited to tissues with an intact framework.
How does the condition of the supporting framework influence the type of tissue repair?
How does the condition of the supporting framework influence the type of tissue repair?
- A damaged framework promotes regeneration by guiding cell growth, while an intact framework leads to fibrosis.
- The supporting framework only influences the speed of tissue repair, not the type of repair that occurs.
- The supporting framework determines the extent of inflammation during tissue repair; greater inflammation leads to fibrosis.
- An intact framework supports organized regeneration, while a destroyed framework results in disorganized repair, potentially leading to fibrosis. (correct)
In the context of tissue repair, what is the primary role of labile cells, and where are they typically found?
In the context of tissue repair, what is the primary role of labile cells, and where are they typically found?
- Labile cells are involved in the repair of nerve tissue through gliosis and are found in the central nervous system.
- Labile cells primarily secrete growth factors to stimulate repair and are typically found in connective tissues.
- Labile cells, found in tissues like the epidermis, are continuously dividing and primarily involved in tissue repair by regeneration. (correct)
- Labile cells are responsible for forming the initial scar tissue and are commonly found in areas of chronic inflammation.
How does the healing process of stable cells differ when comparing scenarios with intact versus damaged supporting frameworks?
How does the healing process of stable cells differ when comparing scenarios with intact versus damaged supporting frameworks?
In the context of tissue repair, how does gliosis contribute to the healing of damaged nerve tissue involving permanent cells?
In the context of tissue repair, how does gliosis contribute to the healing of damaged nerve tissue involving permanent cells?
How do the roles of macrophages and osteoclasts differ in the cleaning phase of a simple bone fracture?
How do the roles of macrophages and osteoclasts differ in the cleaning phase of a simple bone fracture?
What roles do capillaries, fibroblasts, and osteoblasts play during the formation of provisional callus in bone healing?
What roles do capillaries, fibroblasts, and osteoblasts play during the formation of provisional callus in bone healing?
How does the process of bone remodeling contribute to the final stage of healing a simple bone fracture?
How does the process of bone remodeling contribute to the final stage of healing a simple bone fracture?
What roles do osteoblasts play in the transition from soft to hard callus during bone fracture repair?
What roles do osteoblasts play in the transition from soft to hard callus during bone fracture repair?
What are the crucial differences between "osteoid (soft callus)" and "hard callus (osseous)"?
What are the crucial differences between "osteoid (soft callus)" and "hard callus (osseous)"?
How does the depth of skin damage influence the healing process, specifically distinguishing between regeneration and fibrosis?
How does the depth of skin damage influence the healing process, specifically distinguishing between regeneration and fibrosis?
In liver damage, how does the state of the supporting framework differentiate between regeneration and cirrhosis?
In liver damage, how does the state of the supporting framework differentiate between regeneration and cirrhosis?
Which of the following is the most accurate sequence of phases in the healing of any tissue?
Which of the following is the most accurate sequence of phases in the healing of any tissue?
Which of the following situations will most likely cause 'Non-union' during bone fracture healing?
Which of the following situations will most likely cause 'Non-union' during bone fracture healing?
Which of the following factors will most likely cause 'Fibrous union' during bone fracture healing?
Which of the following factors will most likely cause 'Fibrous union' during bone fracture healing?
Which quality of cells leads to tissue healing by regeneration?
Which quality of cells leads to tissue healing by regeneration?
Which of the following cells typically heals by fibrosis?
Which of the following cells typically heals by fibrosis?
Which of the following cells can heal by both regeneration and mixed regeneration/fibrosis?
Which of the following cells can heal by both regeneration and mixed regeneration/fibrosis?
After damage to nerve cells, they heal by gliosis. Which type of cells are nerve cells?
After damage to nerve cells, they heal by gliosis. Which type of cells are nerve cells?
In which tissue type would scarring of organs be most likely?
In which tissue type would scarring of organs be most likely?
Flashcards
Tissue Repair
Tissue Repair
Replacement of damaged tissue by new, healthy tissue.
Regeneration
Regeneration
Replacement of damaged tissue with the same tissue type.
Fibrosis (Gliosis)
Fibrosis (Gliosis)
Healing by replacement with connective tissue, especially in the CNS.
Cleaning Phase
Cleaning Phase
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Proliferation Phase
Proliferation Phase
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Re-modeling Phase
Re-modeling Phase
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Labile Cells
Labile Cells
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Permanent Cells
Permanent Cells
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Stable Cells
Stable Cells
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Granulation Tissue Formation
Granulation Tissue Formation
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Capillaries' Role in bone healing
Capillaries' Role in bone healing
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Osteoblasts' Role in bone healing
Osteoblasts' Role in bone healing
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Osteoid (Soft Callus)
Osteoid (Soft Callus)
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Hard Callus (Osseous)
Hard Callus (Osseous)
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Fibrous Union
Fibrous Union
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Non-Union
Non-Union
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Mal-Union
Mal-Union
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Delayed Union
Delayed Union
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Study Notes
- Tissue repair is the replacement of damaged tissue with new, healthy tissue
Types of Repair
- Classical types include regeneration and fibrosis (gliosis in the CNS)
- Another type is organization
Factors determining type of repair
- The type of damaged cells
- The condition of the supporting framework
Types of Damaged Cells
- Labile cells continuously divide, healing by regeneration if damaged; examples include epidermis, mucous membranes, and blood/lymphoid tissue
- Permanent cells do not proliferate, include muscle cells which heal by fibrosis when damaged, and nerve cells which heal by gliosis
- Stable cells proliferate with limited capacity, healing by mixed regeneration and/or fibrosis if damaged; examples include parenchymal cells (hepatocytes, renal tubules, endocrine/exocrine glands) and mesenchymal cells (fibroblasts, osteoblasts, chondroblasts)
Supporting Framework
- Intact framework leads to healing by regeneration
- Destroyed framework causes disorganized cell growth and improper regeneration mixed with fibrosis, such as in liver cirrhosis
Phases of Healing
- Cleaning phase involves removing necrotic debris by phagocytic cells
- Proliferation phase is when cells proliferate to replace the damaged ones
- Re-modeling phase is the maturation of new tissue to simulate the original
Healing by Regeneration
- Regeneration replaces damaged tissue with healthy tissue of the same kind
Cells that Heal by Regeneration
- Labile cells
- Stable cells with an intact framework
Healing in the Skin
- Damage limited to the epidermis or mucosa results in regeneration
- Damage to both the epithelium and sub-epithelium results in fibrosis, with loss of hair follicles, sweat, and sebaceous glands
Healing of Liver Damage
- Intact supporting framework (mild damage) results in regeneration
- Destroyed framework (severe damage) results in cirrhosis with disorganized regeneration, fibrosis, and loss of architecture
Healing of a Simple Bone Fracture
Cleaning Phase
- Macrophages and osteoclasts clean blood and necrotic debris from fracture ends
Proliferation Phase
- Granulation tissue formation develops between fracture ends, formed of capillaries, fibroblasts, and osteoblasts
- Capillaries provide O2 and nutrients
- Fibroblasts create collagen
- Osteoblasts form bone matrix
- Early stage sees formation of osteoid (soft callus), uniting the fracture ends, devoid of minerals
- Osteoblasts secrete alkaline phosphatase, with mineral deposition transforming the soft callus into a hard callus (osseous)
Remodeling Phase
- Osteoclasts remove unnecessary internal and external callus, leaving the permanent intermediate callus to become mature (lamellar) bone, allowing regeneration of bone marrow
Causes of Failure of Bony Union
- Poor immobilization leads to fibrous union
- Interposition of soft tissue like muscle or fascia leads to non-union
- Lack of proper apposition leads to mal-union
- Other factors contributing to failure: delayed union, pathological fractures due to bone disease, poor blood supply, infection, old age, and malnutrition
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