apoptosis v necrosis Flashcards
describe apoptosis
programmed cell death
takes place in SINGLE cells
an important process in normal cell turnover in the body
prevents accumulated genetic damage from dividing and producing cells- that might develop into cancer cells
what are the two processes that result in death of cells?
Apoptosis
Necrosis
how does a cell decide to apoptose?
One of the mechanisms is detecting the amount of DNA damage within the cell.
p53 is a protein in cells which can detect DNA damage and can then trigger apoptosis
how des a cell apoptose?
The cell triggers a series of proteins which lead to the release of enzymes ( caspases) within the cell which eventually auto digest the cell
what is apoptosis important for in the healthy functioning of the body?
-Development
- Cell turnover
describe apoptosis in development
removal of cells during development e.g. interdigital webs
describe apoptosis in cell turnover
removal of cells during normal turnover e.g. cells in the intestinal villi at the tips, to be replaced by cells from below
describe apoptosis in cancer
- cells in tumours often don’t apoptose when they would have been expected to which results in increase in the tumour size and accumulation of genetic mutations.
- Often this is due to mutations in the P53 gene so the p53 protein can no longer detect DNA damage and instigate apoptosis.
describe apoptosis in HIV
-the HIV virus can induce apoptosis.
- It can induce apoptosis in CD4 helper cells which reduces their numbers enormously to produce an immunodeficient state.
Describe Necrosis
It is the wholesale destruction of large numbers of cells by some external factor.
Give four clinical examples of necrosis
- Infarction due to loss of blood supply e.g. myocardial infarction, cerebral infarction
- Frostbite
- Toxic venom from reptiles and insects
- Pancreatitis
What does the body do after necrosis
Tries to clean the mess by- macrophages phagocytosing dead cells and usually by replacing the necrotic tissue by fibrous scar tissue.
caseous necrosis
can be due to tuberculosis so a pathologist would always order stains for mycobacteria