Category Archives: Cell

Colon Cancer Pathway

Colorectal Carcinoma Genetic Pathways

Pathways to colorectal carcinoma:
1) chromosome instability pathway (adenoma to cancer pathway)
2) microsatellite instability pathway
3) MYH pathway
4) CpG island methylation pathway –> important mechanism of inactivating tumor suppressor genes

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Extracellular matrix components

Components of the extracellular matrix

1. Fibrous structural proteins:

-(collagen {E-D}, elastin, fibrillin {Marfan})

2. Adhesive glycoproteins:

-(fibronectin, laminin, integrins)

3. Gel of proteoglycans and hyaluronan:

▪  proteoglycans :( core of protein and multiple twigs of polysaccharides (aka GAG))

▪  hyaluronan: (superhuge repeating disaccharides)

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What is collagen

What is collagen?

Collagen is a component of soft tissue and acts as a supportive structure of cellular architecture and composition. It consists biochemically of an alpha triple helix with repeating polypeptide sequence →  gly-x-y.

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Collagen mutation genetic disorders

Collagen Mutations

Genetic disorders associated with collagen mutations:

1.  Alport syndrome (type IV) → basement membrance

2.  Ehlers-Danlos (type III and IV)

3.  Osteogenesis imperfecta (E-D syndrome) (type I)

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Angiogenesis Factors

Angiogenesis Factors

Most important factor involved in angiogenesis

-VEGF

Factors involved in angiogenesis

-Angiopoietins 1 and 2

-FGF

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Growth factor molecules

Growth factor molecules

1.    EGF

2.    VEGF

3.    PDGF

4.    IGF-1

5.    TGF-β

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Wound Healing Factors

Wound Healing Factors

Local factors:

·    Infection

·    Mechanical (early motion of wounds)

·    Foreign bodies

·    Size and location (face heals faster b/c more vascular)

Systemic factors:

·    Nutrition

·    Metabolic status (DM)

·    Circulatory status (poor blood supply)

·    Hormones (glucocorticoids can ↓healing)

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MAP-kinase pathway

Signal transduction pathway

MAP-kinase pathway:

1.  Receptor tyrosine kinase, RTK→binding of growth factor results in autophosphorylation

2.  Results in binding of adaptor proteins (GRB2, SOS)

3. Results in activation of Ras (Ras-GDP→Ras + GTP)

4. Results in phosphorylation of Raf

5. Results in phosphorylation of MEK

6. Results in activation of transcription factors c-jun and c-fos

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Inflammation

Inflammation

Steps involved in leukocyte extravasation

1.    Rolling → selectins (P/E-selectin)

2.    Activation → integrins (ICAM/VCAM)

3.    Adhesion

4.    Transmigration → (ICAM/PECAM)

Endogenous mediators of chemotaxis

1.    C5a

2.    leukotriene B4

3.    cytokines (IL-8)

Phagocytosis steps

1.    recognition and attachment

2.    engulfment

3.    killing and degradation

Vasoactive amines

1.    histamine

2.    serotonin

Compounds which cause vasodilation.

1.    Prostaglandins

2.    Nitric oxide, NO

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Calcification

Calcification

Dystrophic Calcification

Pathogenesis:

Extracellular deposition of calcium from necrotic tissue and is a byproduct of cell injury.

Locations: TB granuloma, atherosclerotic coronary arteries, MV and AV

Metastatic Calcification

Pathogenesis:

Occurs in the setting of hypercalcemia (eg. CRF, vit D intoxication, hyperparathyroidism)

Locations: Intersitial tissues of stomach, kidneys and lungs

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