OVERVIEW

AIMS AND CONTENT

LEARNING OUTCOMES

AIMS AND LEARNING OUTCOMES

The General Pathology course aims:
-    to provide the knowledge about the etiology and the pathogenesis of human diseases both at the cellular and at the molecular levels;
-    to provide an overall comprehension of the mechanisms at the base of cellular pathology and of the inflammatory response; 
-    to develop an adequate knowledge about the immunological mechanisms involved in the immune response and in diseases responsible for/caused by immune system alterations.

At the end of the course the student will be able:
- to gain a deep knowledge about the etiology and the pathogenesis of the diseases in humans;
- to classify the causes of disease;
- to recognize the adaptation responses to cellular injury and the morphological and biochemical modifications associated to cell death;
- to gain a deep knowledge about inflammation and tissue repair and to describe the mechanisms involved;
- to apply the acquired knowledge on the immune response to explain defense mechanisms against infectious agents and tumors;
- to apply the acquired knowledge on the immune response to explain the mechanisms involved in immune system alterations;
- to acquire a correct terminology for the proper presentation of the pathological processes; 
- to critically deal with the clinical subjects planned in subsequent years.

TEACHING METHODS

SYLLABUS/CONTENT

Concepts of health and disease, etiology, pathogenesis.

Causes of disease:
Chemical and drug injury.
Injury by physical agents (ionizing and non-ionizing radiations, thermal and electrical injury).
Injury by free radicals.
Nutritional diseases.
Biological causes of disease: pathogenesis of bacterial, viral and parasitic infections. Bacterial toxins. Superantigens. Tetanus. Dyphteria. Streptococcal and post-streptococcal diseases. Cytopathic and non cytopathic viruses. Herpesviruses. HBV, HCV. influenza. Malaria.

Cellular pathology:
Cell injury and cellular adaptations. Regressive processes. Atrophy. Degenerative processes. Lysosomal storage diseases. Cell death: apoptosis and necrosis.

Inflammation:
Acute inflammation. Inflammatory cells. Innate immunity receptors. Innate immunity defects. Chemical mediators of inflammation. Inflammatory cytokines. Chemokines. Leukocyte migration.
Systemic effects of inflammation. Acute phase response. Septic shock. Classification and outcome of acute inflammation. Chronic inflammation. Granulomas. Inflammation and cancer. Autoinflammatory disorders.

Immunology and Immunopathology:
Cells and Tissues of the Immune System. General features of the Innate and Adaptive Immune response. Origin and maturation of T and B lymphocytes. The Antigen receptor gene rearrangement (Immunoglobulin and T Cell receptors). 
Major Histocompatibility Complex (MHC). Antigen processing and presentation to T  Lymphocytes. Dendritic Cells. Activation of T Lymphocytes. Effector mechanisms of Cell-mediated Immunity. Cytotoxic and Helper T cells subpopulations. Cytokines. Natural Killer Cells. 
B cell activation and Antibody production. Effector mechanisms of Humoral Immunity.
Immunity to Pathogens. Mucosal Immunity. The Hypersensitivity Reactions. Congenital and acquired Immunodeficiencies. Immunological Tolerance and Autoimmunity. Systemic and organ specific autoimmune disease. Immunological Memory and vaccines. Transplantation Immunology. Immunity to tumors. Tumor escape. Anti-tumor immunotherapy.

RECOMMENDED READING/BIBLIOGRAPHY

Robbins & Cotran Pathologic Bases of Disease - Elsevier.
Rubin’s Pathology - Clinicopathologic Foundations of Medicine.
Pontieri, Russo, Frati - Istituzioni di patologia generale e fisiopatologia generale, Piccin.
Dianzani -Trattato di Patologia Generale, UTET.
Parham - The immune system. Garland Science.
Abbas, Lichtman, Pillai - Cellular and Molecular Immunology. Elsevier.
Mak, Saunders - Primer to the Immune Response. Elsevier.

As optional research material, reviews in English language concerning several topics of the course will be available in Aulaweb.

TEACHERS AND EXAM BOARD

Exam Board

WILLIAM BRUNO (President)

PAOLA GHIORZO (President)

MARIA CRISTINA MINGARI (President)

GABRIELLA PIETRA (President)

ALDAMARIA PULITI (President)

SONIA SCARFI' (President)

EUGENIO DEBBIA

ANNA MARCHESE

MARIA ADELAIDE PRONZATO

ANNA MARIA SCHITO

CLAUDIA CANTONI (President and Coordinator of Integrated Course)

LESSONS

LESSONS START

4th march 2019

Class schedule

The timetable for this course is available here: Portale EasyAcademy

EXAMS

EXAM DESCRIPTION

ASSESSMENT METHODS

Verification of learning is carried out through the oral exam, aimed at verifying the real acquisition by the student of the expected learning outcomes.
In order to pass the exam the student will have:
- to know the etiological basis and the pathogenic mechanisms of human diseases and how to analyze their main cellular and molecular aspects;
- to understand the different immunological mechanisms involved in the immune response and to know the diseases associated to the dysfunction of the immune system.
The following items will contribute to the final mark:
- ability to critically discuss the requested topics;
- accuracy, clarity, synthesis and fluency;
- competence in the subject;
- speaking ability and correct use of terminology.

Exam schedule

FURTHER INFORMATION