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Pathology and Physiopathology Academic/Subject Sector Year Semester Med/04- General Pathology III Total number of credits 1 and 2 22 Integrated Course coordinator Prof. Columbano A.([email protected]) Integrated Course lecturers Even student numbers Atzori L. ([email protected]) Muntoni S. ([email protected]) Columbano A. ([email protected]), Locci F. ([email protected]). Odd student numbers Batetta B.([email protected]) Dessì S.( [email protected]) Laconi E.( [email protected]) Pani P.([email protected]) Aims of the course The aim of the integrated course is to initiate students in the study of pathological processes and clinical conditions. It is specifically intended to provide students with the basic pathological principles by relating basic science with main pathogenetic and physiophatologic mechanisms. General topics include genetic diseases, cell death, inflammation, neoplasia and cardiovascular diseases. At the end of the course students should have a sound knowledge of the fundamental biological and pathological defence mechanisms of the immune system. Emphasis will be also placed on the applications of molecular biology and their relevance in the understanding of the origin of diseases. Syllabus General Pathology: Cellular injury and cellular death, Cellular growth and differentiation, Normal regulation and adaptation, Acute and chronic inflammation, Tissue repair and fibrosis, Genetic disorders, Non-inherited congenital disorders, Environmental, occupational and nutritional diseases, Drug biotransformation, Ageing. Immunology and Immunopathology: Cells of the immune system, Structure and function of histocompatibility antigens, Mechanisms of immunologic tissue injury (hypersensitivity reactions), Autoimmune diseases, Immunologic deficiency syndromes, Amyloidosis. Oncology: Epidemiology: Definition and terminology, Biology of tumor growth (angiogenesis, progression and heterogeneity, invasion and metastasis), Carcinogenic agents and their cellular interaction, DNA damage and repair, Molecular basis of cancer (Oncogenes, cancer suppressor genes, molecular basis of multistep carcinogenesis). Pathophysiology: Thermoregulation, Diabetes, Gout, Atherosclerosis, Thrombosis, Embolism, Fatty liver, Liver failure. Heart failure and hypertension, Respiratory failure, Qualitative and quantitative blood cells alterations, Non-inflammatory edema, Osteoporosis, Obesity and malnutrition, Altered production, transmission, and transduction of hormone signalling General Pathology: Cell injury and stress, adaptive cellular changes, cell death - Necrosis and apoptosis -Acute inflammation - Chronic inflammation - Repair, regeneration and fibrillation -Cell proliferation and differentiation- Molecular basis of genetic diseases: genic punctiform mutations in coding and non-coding sequences: deletions and insertions - Autosomal recessive and x-linked dominant genetic diseases - Chromosomal diseases - Non-hereditary congenital diseases - Extrinsic causes of diseases: physical agents-induced lesions (radiations) Metabolic medicine system. Environmental and occupational pathology, smoking, alcohol, organic and non-organic chemical agents-induced lesions. Aging. Immunology and Immunopathology: Characteristics of the immune system - Innate and specific immune response - Antigens and immunogenicity - Antibodies - Major histocompatibility complex (MHC)- Tissues and cells of the immune system - Lynphocites B - Lynphocites TSpecific humoral and cell-mediated humoral response - Cytokines - Tolerance - Active and passive immunity - Hypersensitivity reactions - Erythrocyte antigenic systems- Immunodeficiency- Selfimmunity. Oncology: Principles of tumors epidemiology - Definition. Terminology. Characteristics of benign and malignant tumors - Culture characteristics of tumor cells - metastatization process Biochemical atypias - Etiological agents: Physical and viral chemical agents - Mechanism of action of cancerogenic and DNA-repair systems - Molecular basis of tumors - Biology of tumor growth Models of cancerogenesis. Physiopathology: Thermoregulation: Diabetes- Gout - Atherosclerosis, thrombosis, embolism Hepatic failure and steatosis - Heart failure and arterial hypertension- Respiratory failure - Hematic cells: Qualitative and quantitative alterations. Noninflammatory oedema. Osteoporosis. Obesity and malnutrition. Altered production, transmission, and transduction of hormone signalling. Reference texts General pathology and physiopathology: Pathologic Basis of Disease (R. S. Cotran, V. Kumar, S. L. Robbins); Patologia Generale (Pontieri); Pathology (Stevens & Lowe) Immunology and immunopathology: Abbas et al.- Cellular and Molecular Immunology (Abbas et al); Roitt et al – Immunologia Teaching methods Assessment Requirements to take the exam 4 self-assessment tests at the end of each series of lectures: 1. Molecular, cellular, genetic and general pathology 2. Immunology and Immunopathology 3. Oncology 4. Pathophysiology At the end of the Integrated Course students will take a comprehensive final oral examination Students must have taken the Human Anatomy and Physiology exams first. Language of instruction Where we are Interactive teaching centre: Even student numbers: Sezione di Oncologia e Patologia Molecolare of the Dipartimento di Tossicologia. Istituti Biologici Via Porcell, 1st floor, Phone: 070-675 8346. Odd student numbers: Sezione di Patologia Sperimentale del Dipartimento di Scienze Biomediche e Biotecnologie. Istituti Biologici Via Porcell, 2nd floor. Further information