Adaptations, Injury Death Flashcards
What are the three permanent tissues?
cardiac
skeletal
nerve
Which parts of the cytoskeleton are ubiquitinated during apoptosis?
intermediate filaments
What vitamin is necessary for the differentiation of epithelial cells?
Vitamin A
What is myositis ossificans?
trauma causes skeletal muscle to convert into bone
What is the treatment for methemoglobinemia?
methylene blue
What two ions build up in the cell during hypoxia?
Na+ and Ca2+
What is the hallmark of irreversible injury? Reversible?
membrane damage
What is the hallmark of cell death?
loss of nucleus
What is pyknosis?
nuclear condensation
What is karyorrhexis?
nuclear fragmentation
What is karyolysis?
nuclear dissolution
Which organs undergo coagulative necrosis?
all except brain
What are the macrophages of the brain?
microglia
What organ undergoes coagulative necrosis?
lung
What ion is consumed during fat necrosis? What is this process called?
calcium
Soaponification
What is the difference between dystrophic and metastatic calcification?
metastic occurs during periods of high calcium levels or phosphate levels
What molecule provides the energy for apoptosis?
ATP
What is the function of bcl-2?
prevent cytochrome c leaking from mitochondria
Is cytochrome C located in the inner or outer mitochondrial matrix?
inner
What CD molecule is the Fas Receptor?
CD95
What molecule directly activates caspases? What cell secretes this molecule?
Granzyme
CD8+ T-cells
What free radical does radiation produce?
hydroxyl free radical
What free radical is produced by NADPH Oxidase?
superoxide
Which three vitamins are anti-oxidants?
Vitamin A, C and E
What reaction is catalyzed by Superoxide Dismutase?
Superoxide into H2O2
What is CCl4 converted to? By what enzyme?
chloroform
p450
What does carbon tetrachloride produce in hepatocytes? Why?
fatty change
lack of Apolipoprotein synthesis leads to fatty accumulation in the cell
What causes an increase in cardiac enzymes following the re-establishment of blood flow?
repurfusion
What is the stain for amyloidosis?
congo red
What is the common secondary structure for amyloid deposits?
β-sheets
What protein is found during Primary Amyloidosis? What is this protein derived from?
AL amyloid
immunoglobulin light chain
Which amyloid deposits during Secondary Amyloidosis?
AA amyloid
What protein is AA amyloid derived from?
serum amyloid-associated protein (SAA)
What type of protein is SAA?
acute phase reactant
What rare disease is SAA increased when there isn’t chronic inflammation?
Familial Mediterranean Fever
What are the two presentations of Familial Mediterranean Fever?
fever
serosal inflammation
What three conditions can FMF mimmic?
appendicitis
arthritis
acute-MI
What is the most common organ involved during amyloidosis?
kidney
What happens to the kidney during amyloidosis?
nephrotic syndrome
What type of myopathy takes place during amyloidosis?
restrictive amyloidosis
What three organs are enlarged during amyloidosis?
tongue and hepatosplenomagelys
What protein deposits in the heart during Senile Cardiac Amyloidosis?
non-mutated serum transthyretin
What protein deposits during Familial Amyloid Cardiomyopathy? Does this cause disease?
mutated serum transthyreitin
yes
What protein deposits in the pancreas during T2DM? What is this protein derived from? Where in the pancreas?
amylin
insulin
pancreatic islets
Which chromosome is β-amyloid precursor protein found?
21
What type of protein deposits during dialysis? Where?
β2-macroglobulin
joints
Tumor cells in an amyloid background is indicative of what disease? What makes up the amyloid?
Medullary Carcinoma of Thyroid
calcitonin
What always follows necrosis?
inflammation
What cell mediates liquefactive necrosis in an abscess?
neutrophils
What type of necrosis is gangrenous necrosis?
Coagulative
Where are the two locations of gangrenous necrosis?
lower limb and GI tract
What are the two causes of caseous necrosis?
TB or fungal infection
What is Saponification?
when calcium deposits on dead tissues
Metastatic calcification requires which two electrolytes to be high?
calcium or phosphate
What type of necrosis would be present in a pregnant 30 year old woman? Where? Why?
fibrinoid
placenta
pre-ecclampsia
Which MHC isoform is present on platelets?
MHC one
How does TNF promote apoptosis?
activates caspases
Fenton Rxn produces what free radical?
hydroxyl free radical
Which secondary structure does amyloid assume?
β-pleated
Does amyloid deposit extracellular or intracellular?
extracellular
What composes AL light chain?
immunoglobulin light chain
Which cell is dysfunctional during Familial Mediterranean Fever?
Neutrophil
Why can FMF produce arthritis?
conversion of SAA into AA that can deposit into tissues
Why can amyloidosis result in malabsorption?
wall of bowel thickened
What are two common sites for a biopsy to Dx amyloidosis?
adominal fat pad and rectum
5% of what race carries the gene for Familial Amyloid Cardiomyopathy?
African Americans
β2-Microglobulin is found in what other protein?
MHC one
What protein is not filtered well from the blood?
β2-Microglobulin
What is the one specific cause of fibrinoid necrosis and non-specific cause of fibrinoid necrosis?
malignant HTN = specific
vasculitis = non-specific
What is metaplasia?
change in cell type
What mechanism decreases cell size?
proteasome
What mechanism decreases cell number?
apoptosis
What type of epithelial cell is in the stomach?
columnar
What mechanisms is responsible for metaplasia?
Reprogramming of stem cells
Does apocrine metaplasia increase the risk for breast cancer?
no
Is SaO2 increased or decreased during CO poisoning?
decreased
What are the two main cellular manifestations of cellular swelling?
loss of microville
membrane blebbing
Are dissociation of ribosomes reversible or irreversible?
irreversible
Is the electron transport chain on the inner or outer mitochondrial membrane?
inner
What is the most damaging free radical?
hydroxyl
What do free radicals due to lipids?
peroxidation
Which two metal carrying proteins can act as anti-oxidants?
transferrin and ceruloplasmin
Wha free radical does glutathione peroxidase handle?
hydroxyl
Does amyloid like blood vessels?
yes
Is amyloidosis seen during type one or type two diabetes?
type two