1.1 Growth Adaptations Flashcards
Hyperplasia, examples of physiologic and pathologic
Increase number of cells from stem cells
- Physiologic: Uterus during pregnancy (also hypertrophy)
- Pathologic: endometrial hyperplasia, BPH
Hypertrophy, mech and 1 example
Increase in size of cells.
- mech: gene activation, protein synthesis, organelle production
- Cardiac myocyte hypertrophy
Atrophy, mechanism
Decrease in cell number
- mech:
- ubiquitin-proteosome degradation of cytoskeleton (intermediate filaments are tagged by ubuiqitin)
- autopaghy of cellular components (autophagic vacuoles fuse with lysosomes)
Metaplasia, mech and 3 examples
Change in cell type
- mech: reprogramming of stem cells
- Usually surface epithelium
- Ex: Barrett’s esophagus, Vit A deficiency, myositis ossificans
Barrett’s esophagus
- Ex of metaplasia
- Acid from GERD turns stratified squamous into simple columnar
Vit A deficiency
- ex of metaplasia
- Columnar epithelium of conjunctiva turns into keratinized squamous epithelium, leading to destruction of cornea (keratomalacia) and blindness
Keratomalacia
- Metaplasia of conjunctiva from Vit A deficiency.
- columnar into keratinized squamous epithelium
- blindness
Dysplasia: 1 example, it is reversible?
Disordered cellular growth
- usually proliferation of precancerous cells
- ex: Cervical intraepithelial neoplasia (CIN) is precursor to cervical cancer
- reversible, but can progress to irreversible carcinoma
Aplasia, 1 example
Failure of cell production during embryogenesis
-ex: unilateral renal agenesis
Hypoplasia, 1 example
Decrease in cell production during embryogenesis, leading to small organ
-ex: streak ovary in Turner syndrome
Myositis ossificans
- ex of metaplasia
- after trauma, connective tissue in muscle turns into bone during healing