Block 2 Flashcards

1
Q

WHAT IS CELL INJURY?

A

Disruption of homeostasis stress or stimulus was too intense to adapt

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2
Q

WHAT IS CELL INJURY?

is it reversible?

A

Reversible or Irreversible

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3
Q

WHAT IS CELL INJURY?
name 6 causes

A

Many Causes:
Bacteria, fungi, viruses (infectious)
Hypoxia or anoxia
Immune-mediated diseases
Genetics
Aging
Toxicity

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4
Q

WHAT IS CELL INJURY?

If normal cell is stressed, what happens?

A

adaption

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5
Q

WHAT IS CELL INJURY?
if a normal cell is affected by an injurious stimulous what happens?

A

cell injury

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6
Q

WHAT IS CELL INJURY?
is a stressed cell is unable to adapt, what happens?

A

cell injury

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7
Q

WHAT IS CELL INJURY?
if the cell injury is mild and transient what happens?

A

it is reversible

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8
Q

WHAT IS CELL INJURY?
if the cell injury is severe and progressive, what happens?

A

Not reversible

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9
Q

WHAT IS CELL INJURY?
if the cell injury is irreversible what are the possible outcomes?

A

cell death
necrosis
apoptosis

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10
Q

WHAT IS CELL INJURY?
label 1-12

A
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11
Q

EXAMPLES OF CELL ADAPTATION

What is atrophy

A

cells decrease in size or number

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12
Q

EXAMPLES OF CELL ADAPTATION
what is hypertrophy

A

Hypertrophy: increase in cell size
- cells can increase size of organelles and
cytoplasm
*non-dividing

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13
Q

EXAMPLES OF CELL ADAPTATION
what is hyperplasia

A

increase in cell number
*dividing

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14
Q

EXAMPLES OF CELL ADAPTATION
what is metaplasia
example?

A

change in phenotype
- Ex. Cuboidal cells change to squamous cells

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15
Q

EXAMPLES OF CELL ADAPTATION
what is dysplasia
what is it commonly associated with?

A

disorganized and abnormal cell
growth
- Commonly associated with neoplasia

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16
Q

ATROPHY
What is it?
are the cells dead?
what kind of change is it, when does this occur?

A

Cell decreases in size
Viable cells - NOT DEAD … just adapting
Physiological change : after birth

from slide:
* a dimunation in the size of the cell, tissue, organs or part that was properly developed.

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17
Q

What can cause atrophy?
name 6 causes

A

What can cause atrophy?
- Denervation (loss of nerve supply)
- Decreased workload
- Ischemia
- Hypoxia
- Aging
- Poor nutrition Ǖ emaciation

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18
Q

ATROPHY
what is Serous Atrophy of Fat?
what causes it?
what happens?
where does it happen in the body?
what does it look like?

A

Ex. Serous Atrophy of Fat
- Due to starvation/malnutrition
- Animal mobilizes fat to compensate no stores left
- Heart, Bone marrow, perirenal
- fat turns to fluid/shiny

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19
Q

ATROPHY
hypoplasia v atrophy
explain

A

never achieved full size
v
decreased size due to decrease in cell number

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20
Q

Hypoplasia

A

From slide
*incomplete development or underdevelopment of an organ or tissue, it is less severe in degree that aplasia. It is a congenital condition.

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21
Q

Aplasia

A

from slide
*lack of development of an organ or tissue

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22
Q

Hypotrophy =abiotrophy

A

from slide
*progressive loss of viatilty of certain tissues (you have something written here, but I cant read it..see slide 5) or organs, leading to disorders or loss of function; applied especially to degenerative hereditary diseases of late onset.

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23
Q

HYPERTROPHY

A

Increase in cell size leading to increase in size of the tissue or organ

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24
Q

HYPERTROPHY
What cells commonly undergo hypertrophy?
examples?

A

CELLS WITH LITTLE REPLICATION
- Neurons, cardiac and skeletal muscle, bone, cartilage and smooth muscle

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25
Q

HYPERTROPHY
Why wouldn’t we see this in cells that repliate often?

A
  • They can just increase in numbers (hyperplasia) if they are dividing all the
    time!
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26
Q

HYPERTROPHY
Physiologic Hypertrophy

A

exercise, pregnancy
*bigger cells!

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27
Q

HYPERTROPHY
Pathologic Hypertrophy

A

Pathologic Hypertrophy: cardiac hypertrophy associated with CHF
- Disturbance in aortic outflow (any other pathology)
- Left ventricle compensates through hypertrophy to increase muscle to help
get blood out

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28
Q

Hypertrophy: Mechanisms

*this is a graph see answer.

A
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29
Q

HYPERTROPHY
Concentric
what is it?
what happens to the ventricle/ventricle chamber?
what is Hydrotropic cardiomyopathy (HCM) and what animal?

A

**Concentric: **Thickening of wall
and smaller chamber
- Hypertrophic growth of
ventricle
- Decrease amount of volume of
ventricle chamber
- Dysfunction of diastolic filling

Hypertrophic
cardiomyopathy (HCM)
seen
frequently in cats

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30
Q

HYPERTROPHY
Eccentric
what is it?
what happens to the ventricles/systolic function?
what is dilated cardiomyopathy DCM and what animal?

A

**Eccentric: **Thinning of
wall and larger chamber
- Dilation of ventricle
without thickening of the
ventricles
- Decreased systolic
function

Dilated
Cardiomyopathy
(DCM) in Dogs

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31
Q

Hypertrophy
explain example of how adaptation to stress can progress to functionally significant cell injury if the stress is not relieved?

A

Cardiac hypertrophy (different causes/mechanisms)
* limit beyond which enlargement of muscle mass is no longer
able to cope with the increased burden →several regressive
changes occur in the myocardial fibers ( e.g. lysis and loss of
myofibrillar contractile elements)

  • extreme cases →myocyte death
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32
Q

Hypertrophy
Physiological causes of hypertrophy
(2)

A

-increased workload, e.g. the bodybuilder’s skeletal muscle.
-ormone stimulation, e.g. the pregnant uterus (smooth muscle hypertrophy)

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33
Q

Hypertrophy
pathological causes of hypertrophy
(2)

A

-increased resistance e.g.cardiac muscle hypertrophy as a result of working against an increaded peripheral resistance in hypertention (high blood pressure)
-physical obstruction, e.g. bladder smooth muscle hypertrophy in outflow obstruction caused by an enlarged prostate gland.

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34
Q

These are images of 2 turkey poult hearts taken at post mortem. left is normal. what is happening on the right?

A
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35
Q

This image shows the brain from 2 kittens. which on is abnormal, and what is the vell process?

A
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36
Q

HYPERPLASIA

what is it what happens?

A

An increase in number of cells in an organ or tissue

Seen in cells that divide frequently

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37
Q

HYPERPLASIA
Physiologic
explain
example

A

Physiologic: mammary glands, bone marrow (only normal in
young animals)
Ex. mammary glands get bigger during pregnancy for
breastfeeding, after hepatectomy (liver removal), hepatocytes can
replicate to form new liver tissue

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38
Q

HYPERPLASIA
Pathologic
explain
example

A

Pathologic: excessive hormones or growth factors
Ex. gingival hyperplasia, epidermal thickening (repeated
irritation)

*thyroid gland

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39
Q

Hyperplasia

labile cells
what are they?
where are they?
do they become hyperplastic?

A

Those that routinely proliferate in normal circumstances, such as those of the epidermis, intestinal epitheliem and bone marrow cells.
readily become Hyperplastic +++

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40
Q

Hyperplasia
Permanent cells
what are they?
do they become hyperplasic?

A

such as neurons and cardiac and skeletal muscle, myocytes, have very little capacity to regenerate or become hyperplastic in most situations +

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41
Q

Hyperplasia
Stable cells
what are they?
examples?
do they become hyperplastic?

A

such as bone, cartilage and smooth musle, are intermediate in their ability to become hyperplastic ++

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42
Q

what is Myostatin?
what relevance in whippets and your dogs bella and bleue? lol

A

Myostatin : protein produced my myocytes that inhibits myocyte growth

differentiation
and growth

Whippets can have a mutation of the myostatin gene which involves a
two-base-pair deletion, and results in a truncated, inactive, myostatin protein

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43
Q

METAPLASIA
what is it?
what causes it?
what result?
what might it increase?
where should you look for it?

A

Change in phenotype of an already differentiated
cell (*what a cell looks like)
- due to chronic irritation (stress)
- may decrease function
- increases chance of transforming into
malignant/neoplastic cells
- look for this on histology!!!

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44
Q

METAPLASIA
is it reversible?
if so, when?
examples

A

Reversible if the cause of irritation is removed
- Ex. Irritation to the lungs from smoking
- Ex. **Vitamin A **deficiency in chickens

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45
Q

What is this?
tissue?
process?
morphologial description?
Aetiology?

A

Tissue : Chicken Oesophagus
Process: metaplasia
Morphological Description: severe
multifocal mucous gland squamous
metaplasia

Aetiology : Vit A deficiency

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46
Q

DYSPLASIA

what is it?
what happens?
what is it associated with?

A

Abnormal development (cell had not
differentiated yet)

Change in cell **shape, size and
organization **- becomes disorganized

Commonly affecting epithelial cells and
associated with neoplastic process

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47
Q

what type of cell adaption is present?

dog, liver

A
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48
Q

OTHER IMPORTANT TERMS TO KNOW
Hypoplasia
what is it?
why?
examples?

A

**Hypoplasia: **incomplete development or underdevelopment of a
tissue/organ
- Cells never fully developed/always have been small
Ex. Cerebellar Hypoplasia Ǖ Feline Panleukopenia Virus

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49
Q

OTHER IMPORTANT TERMS TO KNOW

Aplasia
what is it?

A

Aplasia: lack of the development of an organ or tissue literally just didn’t show up to the party

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50
Q

OTHER IMPORTANT TERMS TO KNOW

Hypotrophy

what is it?

A

Hypotrophy: progressive loss of function of tissue

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51
Q

what type of cell adaption is present?

A
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52
Q

This image shows the thyroid and patathyroid of a chicken. what is the cell adaption occurring?

A
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53
Q

This is an image of a kidney from a dog. What is the morphological diagnosis?

A
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54
Q

This is an image of a goats hear. What is the cell adaption occurring?

A
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55
Q

This is an image of a bovine abomasum. what is the cell adaption occuring?

A
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56
Q

This is an image of a cats stomach. Wha tis the process?

A
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57
Q

WHAT IS CELL INJURY?
(yes this is a repeat, but with more info)
what is it?
is it reversible?
what are the many causes (9)
what are the 3 most common causes?

A

Disruption of homeostasis stress or stimulus was too intense to adapt
Reversible or Irreversible

Many Causes:
Bacteria, fungi, viruses (infectious)
Hypoxia or anoxia
Immune-mediated diseases
Genetics
Aging
Toxicity

Most common:
oxygen deficiency
infectious agents common/important
immunological dysfunction

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58
Q

Oxygen Deficiency

what is hypoxia?

A
  • Hypoxia: partial reduction in
    O2 (oxygen) delivery to
    a tissue
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59
Q

Oxygen Deficiency
what is Anoxia

A

no
O2 (oxygen)delivery to

a tissue

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60
Q

Oxygen Deficiency

what 4 things cause hypoxia/anoxia?

A

1 inadequate oxygenation of blood
2 reduced transport of O2 in blood
3 reduction in blood supply=ischema
4 blockage of the cell respiratory enzymes

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61
Q

Oxygen Deficiency

what 4 things cause hypoxia/anoxia?
1- inadequate oxygenation of blood
what happens?

A

heart failure
respiratory failure

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62
Q

Oxygen Deficiency

what 4 things cause hypoxia/anoxia?
2- reduced transport of O2 in blood
what happens?

A

Anemia
carbon monoxide toxicosis

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63
Q

Oxygen Deficiency

what 4 things cause hypoxia/anoxia?
3 reduction in blood supply=ischema
what happens?

A

Thrombosis

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64
Q

Oxygen Deficiency

what 4 things cause hypoxia/anoxia?
4 blockage of the cell respiratory enzymes
what happens?

A

cyanide toxicosis

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65
Q

What are the consequences of aortic thromboembolish in cats?

A

anoxic damage to muscles of the hind limbs

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66
Q

Infectious Agents
Name 5

A

Viruses
bacteria
fungal (mycosis)
protozoan
metazoan parasites

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67
Q

Infectious Agents
viruses
what happens
does the cell survive?

A

‒ Obligate intracellular “parasites”use host cell
enzyme systems
‒ Cell survival depends on method viruses leave the
cell

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68
Q

Infectious Agents
Bacteria
what are they?
what happens?

A

‒ Toxins
‒ Overwhelming and uncontrolled replication

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69
Q

Infectious Agents
Fungal (mycosis)
what result?

A

Progressive, chronic inflammatory disease

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70
Q

Infectious Agents
Protozoan
what happens
what result?

A

‒ Replicate in specific host cells –>cell destruction

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71
Q

Infectious Agents
Metazoan parasites

what happens?

A

‒ Inflammation, tissue distortion, utilization of host
nutrients

72
Q

Immune Dysfunction
what happens?

A

Immune system fails to respond
or
Immune system over-responds or aberrant reaction

73
Q

Immune Dysfunction
Immune system fails to respond
what happens?
examples?
what kind of defect?
is it transient?
what result?
what kind of infection? treatment?

A
  • Congenital defects: Severe Combined Immunodeficiency
    (SCIDS, Arabian foals) antigen receptors(lymphocytes)
  • Acquired defects
  • May be transient (but not always)

: Results from damage to lymphoid tissue
: Viral infections, Chemicals, Drugs

74
Q

Immune Dysfunction
Immune system over-responds or aberrant reaction

what is it?
what result?
examples?

A

Immune system over-responds or aberrant reaction
- Autoimmune diseases
- Hypersensitivity reactions

: anaphylaxis, Flea allergy dermatitis, Feline asthma

75
Q

WHAT ARE THE MECHANISMS FOR CELL
INJURY?

name 6

*** Lots of these mechanisms overlap do not get too caught up in the nitty gritty
details!

A

Depletion of ATP
Mitochondrial change
Loss of calcium homeostasis
Oxidative stress
Membrane permeability
DNA and protein damage
*** Lots of these mechanisms overlap do not get too caught up in the nitty gritty
details!

76
Q

WHAT ARE THE MECHANISMS FOR CELL
INJURY?
ATP DEPLETION

why is ATD important?
what happens if it is lost?
how much is considered “lost”?
What result? (name 3)
why does it matter in each case?

A

Cells need ATP as their form of energy to carry out their functions
What happens if ATP is lost?
- 5-10% loss ĺ VERY BAD
Failure of the Na+/K+ Pump
Cell membrane damage ĺ loss of gradients
(influx of Ca2+, H2O and Na+, Efflux of K+)
Swelling of ER
Altered Cell metabolism
Consistently in a state of anaerobic glycolysis
Build-up of lactic acid
Depletion of glycogen stores
Detachment of Ribosomes
Decreased protein synthesis

77
Q

MITOCHONDRIAL DAMAGE

what 3 consequences and what result?

A

Damage to the mitochondria will lead to the formation of
the mitochondrial permeability transition pore
(MPTP)
What happens when the pore opens?
Membrane potential is lost
- ATP depletion from failure of oxidative phosphorylation
Increased Reactive Oxygen Species (ROS)
Released from the mitochondria into the cytoplasm
Activation of Apoptosis
Apoptotic activating proteins leak out and cause
programmed cell death

78
Q

LOSS OF CALCIUM HOMEOSTASIS

what is it?

A

Calcium is an ion found in higher concentrations
extracellularly
If too much calcium builds up intracellularly, different
signaling cascades may occur

79
Q

LOSS OF CALCIUM HOMEOSTASIS

How can calcium accumulate? (2 ways)

A

How can calcium accumulate?
Release from the ER or the mitochondria
Damage from outside of the cell

80
Q

LOSS OF CALCIUM HOMEOSTASIS

What happens when calcium accumulates inside the
cytoplasm?

A

What happens when calcium accumulates inside the
cytoplasm?
Activation of enzymes ĺ phospholipases, proteases,
endonucleases and ATPases* (EUHDNVGRZQ$73«OLN
(breaks down ATP…like girl c’mon seriously?)
Opening of the MPTP leading to even more decreased ATP!

81
Q

REACTIVE OXYGEN SPECIES (ROS)
physiologic or pathologic?

A

Can be physiologic or pathologic

82
Q

REACTIVE OXYGEN SPECIES (ROS)
Can be physiologic or pathologic
Physiologic -explain
Pathological-explain

A

Physiologic Ǖ A byproduct produced by the mitochondria during cellular
respiration
Pathological Ǖ released by activated WBCs during inflammatory responses

83
Q

REACTIVE OXYGEN SPECIES (ROS)

how are ROS removed?

A

ROS are normally removed by scavenging mechanisms
- Ex. Antioxidants like Vitamins A and E help remove ROS

84
Q

REACTIVE OXYGEN SPECIES (ROS)

how are ROS removed?

A

**ROS are normally removed by scavenging mechanisms
- Ex. Antioxidants like Vitamins A and E help remove ROS

85
Q

REACTIVE OXYGEN SPECIES (ROS)

How can cell injury result from ROS?

A

Increased production causes oxidative stress and decreased scavenging

86
Q

REACTIVE OXYGEN SPECIES (ROS)
What can cause oxidative stress?

A
  • radiation, toxins, inflammation, aging, degenerative diseases, etc.
87
Q

REACTIVE OXYGEN SPECIES (ROS)
Result:

A

Membrane damage, oxidative modification of proteins, DNA damage

88
Q

Pathological sources of ROS
name 4

A
  • Inflammation (lecs to come)
  • Transition metals (ie. Iron, Copper)
  • Nitric oxide (NO)
  • Absorption of radiant energy
89
Q

Pathological sources of ROS
* Inflammation (lecs to come)
explain

A
  • Inflammation (lecs to come)
  • Rapid bursts of ROS produced by activated
    WBCs (esp. neutrophils)
  • generatessuperoxide anion (O2
    *-
    )
90
Q

Pathological sources of ROS
* Transition metals (ie. Iron, Copper)
explain

A
  • Transition metals (ie. Iron, Copper)
  • Frequently donate or accept free electrons
  • Catalyze free radical formation
91
Q

Pathological sources of ROS
* Nitric oxide (NO)
explain

A
  • Nitric oxide (NO)
  • Important chemical mediator
  • Generated by endothelial cells,
    macrophages, neurons, and others
  • Can act as a free radical
  • Can be converted into peroxynitrite anion
    ONOO-

, or NO2, or NO3

92
Q

Pathological sources of ROS
* Absorption of radiant energy

A
  • H2O + **ionizing radiation ***OH + H
93
Q

Neutralisation of ROS
Removal of Free Radicals
(4) ways

A

Spontaneous decay: O2
* + H2O O2 + H2O2
Enzymes
Storage and transport proteins
Antioxidants - Vitamin E, Vitamin A, glutathione

94
Q

Neutralisation of ROS
Removal of Free Radicals
Spontaneous decay
explain

A

O2 + H2O O2 + H2O2

95
Q

Neutralisation of ROS
Removal of Free Radicals
Enzymes
explain

A

Enzymes: catalase,superoxide dismutase, glutathione
peroxidase
‒ Break down H2O2 and O2

‒ Located near sites where oxidants are formed

96
Q

Neutralisation of ROS
Removal of Free Radicals
Storage and transport proteins
explain

A

Storage and transport proteins - transferrin, ferritin,
ceruloplasmin
Bind reactive metals: Fe, Cu

97
Q

Neutralisation of ROS
Removal of Free Radicals
Antioxidants - Vitamin E, Vitamin A, glutathione

A

Antioxidants - Vitamin E, Vitamin A, glutathione
‒ Block initiation
‒ Inactivate (scavenge)

98
Q

pathological effects:ROS
(3)

A

lipid peroxidation in membranes
oxidative modification of proteins
lesions to DNA

99
Q

pathological effects:ROS
lipid peroxidation in membranes
what does it lead to?

A

extensive membrane damage

100
Q

pathological effects:ROS
oxidative modification of proteins
what does it lead to?

A

damage active sites, change conformation, enhance degradation
-generated by monamine oxidase (MOA) in outer nmitochondrial membrane

101
Q

pathological effects:ROS
Lesions in DNA
what does it lead to?

A

cell aging, malignant transformation
-MOA: single or double stranded breaks, cross-linking of DNA strands, formation of adducts

102
Q

MEMBRANE DAMAGE
which membranes?

A

All membranes ĺ plasma membrane, mitochondrial membrane and lysosomal

103
Q

MEMBRANE DAMAGE
What can cause membrane damage?
(5)

A

ROS
Decreased synthesis of phospholipids
Decreased production of ATP
Increased breakdown of phospholipids ĺ Phospholipases!
cytoskeletal abnormalities

104
Q

MEMBRANE DAMAGE
What can cause membrane damage?

Decreased production of ATP
explain

A

decreased phospholipid synthesis: secondary to defetive mitochondrial function and/or hpoxia
decreased production of ATP–> decreaded phospholirid synthesis

105
Q

MEMBRANE DAMAGE
What can cause membrane damage?
Increased breakdown of phospholipids ĺ Phospholipases!
explain

A

increased phospholipid breakdown:
activation of calcium dependent phospholipases
accumulation of lipid breadksown products

106
Q

MEMBRANE DAMAGE
What can cause membrane damage?
cytoskeletal abnormailites
explain

A

-increased cytosolic calcium
–>activation of proteases–>damage to cytoskeleton

107
Q

MEMBRANE DAMAGE
Plasma Membrane:
explain

A

Plasma Membrane:
loss of cellular contents
ion and fluid (osmotic) imbalance

108
Q

MEMBRANE DAMAGE
Mitochondrial Membrane:
explain

A

Mitochondrial Membrane:
MPTP opening leads to the leakage of pro-apoptotic proteins

109
Q

MEMBRANE DAMAGE
Lysosomal Membrane
explain

A

Lysosomal Membrane
enzyme leakage leading to digestion of proteins and nucleic acids

110
Q

Protein Damage

explain

A

Accumulation of misfolded proteins
‒ Genetic mutations
‒ Free radical damage
Cells have repair mechanisms for
misfolded proteins
When overwhelmed proteins
accumulated in the ER
→“ER stress” initiates
apoptosis

111
Q

DNA damage: repair, apoptosis, senescence, cancer
explain

A

Radiation, cytotoxic anticancer
drugs, hypoxia
‒ Direct damage
‒ Free radical damage
Cells have repair mechanisms
When overwhelmed initiates
apoptosis

112
Q

REVERSIBLE V. IRREVERSIBLE CELL INJURY
Reversible
explain

A

Reversible
Cell swelling (Hydropic Degeneration)
Lipidosis (fatty change)
Catch it early or its GAME OVER

113
Q

REVERSIBLE V. IRREVERSIBLE CELL INJURY
Irreversible
explain

A

Irreversible
Necrosis
Apoptosis

114
Q

REVERSIBLE V. IRREVERSIBLE CELL INJURY
what are the possible 3 responses to cell injury
explain

A

cells have a limited repertoure of responses to injury, depending on the celltype and the nature of teh injury
1-adaption (increase efficiency or productivity)
2-degeneration (diminished functinal capacity)
3-death

115
Q

WHAT DO WE HAVE HERE?

Type of cell injury?
etiology?
reversible or irreversible?

A

Ballooning Degeneration
Swinepox Virus
reversible

116
Q

ACUTE CELL SWELLING
what is it?

A

Can be called “hydropic degeneration” or ballooning
degeneration (specifically in epidermis)
Increase in the size and volume of the cell
**“bulging”

117
Q

ACUTE CELL SWELLING
How does it happen (2)

A

How does this happen?
Loss of ionic and fluid homeostasis
Influx of fluid into the cell leading to cell swelling

118
Q

ACUTE CELL SWELLING
Causes (2)

A

Causes:
Hypoxia - how does this cause it? (lack of oxygen which means lack of ATP)
Toxins

119
Q

ACUTE CELL SWELLING
Which cells are commonly affected? (4)

A

Which cells are commonly affected?
- Cardiomyocytes
- Hepatocytes
- Proximal Tubule epithelium
- Neurons

120
Q

GROSS APPEARANCE OF CELL SWELLING
explain 3 features of this photo

A
  • Pale in color (pallor)
  • Wet
  • Swollen with smooth edges find
121
Q

Morphological changes of cellularswelling
name 4

A

1.Plasma membrane alterations
2.Mitochondrial changes
3.Dilation of the ER
4. Nuclear alterations

122
Q

Morphological changes of cellularswelling
Plasma membrane alterations
explain

A

1.Plasma membrane alterations,such as
blebbing, blunting, and loss of microvilli

123
Q

Morphological changes of cellularswelling
Mitochondrial changes
explain

A

2.Mitochondrial changes, including
swelling and the appearance of small
amorphous densities

124
Q

Morphological changes of cellularswelling
Dilation of the ER
explain

A

3.Dilation of the ER, with detachment of
polysomes; intracytoplasmic myelin figures
may be present (see later)

125
Q

Morphological changes of cellularswelling
Nuclear alterations
explain

A
  1. Nuclear alterations, with disaggregation
    of granular and fibrillar elements
126
Q

The initial change is hydropic degenerative change in cells is:

A

release of Ca from the endoplasmic reticulum

127
Q

FATTY CHANGE
LIPIDOSIS
what is it, what does it look like

A

-presence of inrracytoplasmic fally vacculation
-can be seen with cell swelling

128
Q

FATTY CHANGE LIPIDOSIS
Etiology: (3)

A

Etiology: hypoxia, toxicity or metabolic disorders
Abnormalities in the synthesis, utilization and/or
mobilization of fat

129
Q

FATTY CHANGE LIPIDOSIS
Pathogenesis:

A

Pathogenesis: impaired metabolism of Fatty Acids leads to the
accumulation of lipids - formation of fat vacuoles

130
Q

FATTY CHANGE LIPIDOSIS
Which cell are more susceptible?

A

Which cell are more susceptible?
Cardiac and skeletal muscle, liver (hepatic lipidosis), kidneys
Liver is most central organ to lipid metabolism
- all these cells need a ton of energy: use fats for energy

131
Q

FATTY CHANGE LIPIDOSIS
How does lipidosis occur? (3)
what are the main causes? (5)

A

How does lipidosis occur?

** Excessive delivery of FFAs** from fat stores or diet
Decreased oxidation of FFAs (not being oxidized into
ketone bodies to be used!)

Impaired synthesis of Apoprotein
Impaired combination of protein and triglycerides to
form lipoproteins (need to be in this form to be transported)

** Impaired release of lipoproteins** from hepatocytes

main causes: hypoxia, toxicity, metabolic disorders

132
Q

GROSS APPEARANCE

name 4 characteristics of this picture

A
  • Can be yellow/pale
  • Rounded edges
  • Greasy texture
  • Soft
133
Q

HISTOLOGICAL APPEARANCE

name 3 characteristics of this picture

A

Looks like fat!

Large cytoplasmic vacuoles

DISPLACES THE NUCLEUS TO THE PERIPHERY

134
Q

HEPATIC LIPIDOSIS
which animals

A

Seen frequently in mini horses
Also seen in ruminants and cats

135
Q

HEPATIC LIPIDOSIS
Physiologic in Ruminants
what are they
why?
when?

A

Physiologic in Ruminants: Undergo small amounts of hepatic
lipidosis to form ketone bodies to keep up with their energy
requirements
** Pregnancy toxemia and early lactation** -very high energy requirements

136
Q

HEPATIC LIPIDOSIS

Pathological
what happens?

A

Pathological: obesity (fat accumulation), starvation causing
mobilization of fat (liver gets overwhelmed processing all the fat and it
can accumulate in the liver) and diabetes also causes mobilizationof
triglycerides

137
Q

HEPATIC LIPIDOSIS

what result?

A

Can be fatal:
Death of hepatocytes is irreversible - liver dysfunction

138
Q

WHAT HAPPENS WHEN CELL INJURY IS NO
LONGER REVERSIBLE?

A

Necrosis: cell death from irreversible injury by hypoxia, ischemia and direct
cell membrane injury

139
Q

WHAT HAPPENS WHEN CELL INJURY IS NO
LONGER REVERSIBLE?
What do you see morphologically?

A

Plasma membrane damage does not stay intact
Swelling of the mitochondria and lysosomes as well as cell

USUALLY ACCOMPANIED BY INFLAMMATION UNLIKE
APOPTOSIS **
cell shrink/membrane intact

  • If you can see inflammation (redness/swelling) you can assume its
    necrosis!!
140
Q

NECROTIC CHANGES
5 changes
when do they occur?
how long do they occur?

A

Biochemical alterations occur first!
Ultrastructural changes - occur in <6 hours
Histological Changes - 6-12 hours
Gross changes - 1-2 days
Loss of Cell Nuclei

Karyolysis: nuclear fading 3
Pyknosis: nucleus shrinks 1
Karyorhexis: nuclear 2 fragmentation

you have gotten skinn/shrink. I can pick you up

Know the attached chart!

141
Q

GROSS APPEARANCE - NECROSIS

3 Characteristic
MDx?
Inflammation?
Etiology?
disease name?

A

Pale
Soft
Visible zone of
inflammation
MDx: hepatitis, multifocal coalescing,
Inflammation yes

Etiology: histomonas meleagridis
Disease Name:”blackhead”

142
Q

HISTOLOGICAL APPEARANCE - NECROSIS
name 4

A

Losing basophilia, binding of eosin to denatured proteins
turns pick
**Enzyme digested organelles **- Vacuolation and moth-eaten
appearance
**Calcification **may occur

143
Q

COAGULATIVE NECROSIS
where is it seen?
why?

A

Mainly seen in liver, heart, kidney, skeletal
muscle Why?
Response to hypoxia or ischemia
Can be a response to toxic injury

Always think of INFARCTS: local areas of
coagulative necrosis

144
Q

COAGULATIVE NECROSIS
Histology?

A

Histology:
Necrotic cells are surrounded by phagocytic
WBCs - neutrophils and macrophages

145
Q

LIQUEFACTIVE NECROSIS
what is it
how does it occur?
name 4
can they overlap?

A

Unique to** CNS** due to high presence of lipids in the brain
- Dead cells digested and are transformed into a mass of liquid
(PUS!!!)
Leukoencephalomalacia:
Leukomyelomalacia:
Polioencephalomalacia:
Poliomyelomalacia:
All of these can overlap!

146
Q

LIQUEFACTIVE NECROSIS
Leukoencephalomalacia

white or gray matter
where

A

Leukoencephalomalacia: necrosis of **white **matter of the brain

147
Q

LIQUEFACTIVE NECROSIS
Leukomyelomalacia
white or gray matter?
where

A

Leukomyelomalacia: necrosis of white matter of the spinal cord

148
Q

LIQUEFACTIVE NECROSIS
Polioencephalomalacia:
white or gray matter
where

A

Polioencephalomalacia: necrosis of grey matter of the** brain**

149
Q

LIQUEFACTIVE NECROSIS
Poliomyelomalacia
white or gray matter
where

A

Poliomyelomalacia: necrosis of **grey **matter of the spinal cord

150
Q

WHAT DO WE HAVE HERE?
etiology?

A

Etiology?
Thiamine
(B1) deficiency

Lead poisoning

Polioencephalomalacia

151
Q

WHAT DO WE HAVE HERE?
Etiology?

A

Etiology?

Ingestion of Moldy corn
containing Fusarium
verticilioide

Leukoencephalomalacia

152
Q

WHAT DO WE HAVE HERE?
Etiology?

A

Etiology?

Equine herpesvirus 1
Rabies (lyssavirus)
West Nile Virus
(Flavivirus)

Poliomyelomalacia

153
Q

GANGRENOUS NECROSIS

what is it?
how does it start?
where and why?

A

Usually begins as coagulative necrosis
- affects distal extremities - Frostbite**

154
Q

GANGRENOUS NECROSIS

name 2
bacterial infection?

A

Dry gangrene: no bacterial infection- tissue
appears very dry

Wet gangrene: bacterial infection that
makes tissue appear wet
- mastitis goat (wet); Clostridium novyi

155
Q

CASEOUS NECROSIS

what is it?
what is it associated with?
examples?
histology?

A

Caseous = CHEESE
- White necrotic debris

Associated with bacteria that can
replicate in phagosomes Ǖ hard for body
to get rid of!
Ex. Mycobacterium, Cornyebacterium
pseudotuberculosis
Ex. Tuberculosis

Histology:
Eosinophilia of necrotic area with a rim
of inflammatory cells
-** NO NEUTROPHILS**

156
Q

FAT NECROSIS

name 4

A

Enzymatic Necrosis
Traumatic Necrosis of Fat
Abdominal Fat Necrosis
Saponification

157
Q

FAT NECROSIS
Enzymatic Necrosis
where? why?
how?

A

Enzymatic Necrosis
- Pancreas, commonly following repeated pancreatitis
- Lipases become activated and destroy surrounding adipocytes

158
Q

FAT NECROSIS
Traumatic Necrosis of Fat
what?
why?
ex.

A

Traumatic Necrosis of Fat:
- Trauma to tissue can lead to necrosis of surrounding fat
Ex. Surgery, Dystocia (difficult birth)

159
Q

FAT NECROSIS
Abdominal Fat Necrosis
what?
where?

A
  • idiopathic or possibly related to vitamin E deficiency
  • seen in the omentum, mesentery and retroperitoneum
  • may cause intestinal stenosis (narrowing) in extreme cases (lumen of intestines
    becomes narrow)
160
Q

FAT NECROSIS
Saponification
what?

A

Saponification: Fat necrosis where calcium deposits in an injured area

161
Q

FIBRINOID NECROSIS
f I D
what is it?
appearance?

A

Antigen antibody complexes accumulate and
deposit in the walls of arteries following immune
reactions (TYPE III HYPERSENSITIVITY)
- Fibrinoid = Fibrin + Antigen-Antibody
complexes

Looks like fibrin on histology - very strandy!

162
Q

APOPTOSIS
Programmed cell death
4 steps

A

Programmed cell death
- Cells will activate enzymes to degrade their own DNA
and proteins

- apoptotic cells break up into fragments, called
apoptotic bodies, which contain portions of the
cytoplasm and nucleus
- plasma membrane stays intact

163
Q

APOPTOSIS
inflamation?

A

No inflammation!! - make sure you know this!

164
Q

APOPTOSIS

physiological?
pathological?

A

Physiological: embryogenesis, thymus involution

Pathological: Viral infection, Extensive DNA damage,
accumulation of misfolded proteins

165
Q

WHAT DO WE SEE?

(4)

A

Cell shrinkage with increased cytoplasmic
density

** Pyknosis:** chromatin condensation

Formation of cytoplasmic blebs and
apoptotic bodies

Phagocytosis of apoptotic cells by adjacent
healthy cells

166
Q

APOPTOTIC PATHWAYS
name 3

A

Intrinsic Pathway
Cytochrome C
Extrinsic Pathway

167
Q

APOPTOTIC PATHWAYS
Intrinsic Pathway
explain

A

Intrinsic Pathway
-** major mechanism of apoptosis**
- increased mitochondrial permeability and release of pro-apoptotic
molecules (death inducers)

168
Q

APOPTOTIC PATHWAYS
Cytochrome C
explain

A
  • Cytochrome C:released into cytoplasm to initiate suicide
  • “point of no return”–>activation of caspases

Initiators: Caspases 8 and 9
Executioners:Caspases 3 and 6

169
Q

APOPTOTIC PATHWAYS
Extrinsic Pathway
explain

A

Extrinsic Pathway
- Initiated by death receptors (TNFs) 2 present on every cell!
- some substances bind to these receptors, bind and activate caspases

170
Q

APOPTOSIS - HISTOLOGY
How do cells look when they undergo apoptosis?

A
  • Shrinkage
  • Plasma membrane remains intact
    • Increased density of cytoplasm
171
Q

REMOVAL OF APOPTOTIC BODIES
Apoptotic Bodies
3 characteristics

A
  • Edible for phagocytes
  • Expressed phospholipids in the outer layer of the membrane in
    order to be identified by macrophages
  • May become coated with natural antibodies & proteins of the
    complement system
172
Q

REMOVAL OF APOPTOTIC BODIES
Apoptotic Cells
3 characteristics

A
  • secrete substances that recruit phagocytes
  • some express thrombospondin, which is easily identified by
    phagocytes)
  • macrophages may produce proteins that bind to apoptotic cells for
    engulfment
173
Q

DISORDERS W/ APOPTOSIS
Too Little Apoptosis
what happens?

A

Too Little Apoptosis
Mutation in p53 gene(tumor suppresor gene)
Defective apoptosis and increased abnormal
cell survival
Leads to proliferation of neoplastic cells and
thus, neoplasia is a common
consequence

174
Q

DISORDERS W/ APOPTOSIS
Too Much Apoptosis?

A

Too Much Apoptosis: Neurodegeneration
and ischemia

175
Q

CASE REVIEWS

Remember:
Morphologic Diagnosis (MDx)
(3)

A

-pathological process
location
distribution(must, duration and severity (optional)

176
Q

CASE REVIEWS
Remember:
Etiologic Diagnosis (Edx)
(3)

A

-pathologic process
location
cause

177
Q

CASE REVIEWS

A

distribution<–locally, extensive,

process<–necrotizing hepitatis–>organ/location
Edx: Clostridial Hepatitis