Cell Adaptations and Growth Disturbances Flashcards

1
Q

Adaptations due to chronic sublethal injury

A
  • Hypertrophy
  • Hyperplasia
  • Metaplasia
  • Dysplasia
  • Atrophy
  • Intracellular accumulations (ex: hyaline droplets, hydropic degeneration, etc.)
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2
Q

Cell injury during fetal development

A
  • Agenesis/aplasia
  • Hypoplasia
  • Stenosis/atresia
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3
Q

Abnormal development

A
  • Dysplasia (usually applied at the organ level)

- Abiotrophy

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4
Q

Cell adaptations that change cell size, number, or appearance

A
  • Hypertrophy
  • Hyperplasia
  • Metaplasia
  • Dysplasia
  • Atrophy
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5
Q

Growth disturbances of development

A
  • Hypoplasia
  • Aplasia and agenesis
  • Atresia
  • Abiotrophy
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6
Q

One-time temporary injury

A
  • -> Acute cell swelling
  • May recover OR
  • Cell death
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7
Q

Repetitive or chronic injury

A

-Cell death

  • Cell survival mechanisms
  • -Autophagy
  • -Senescence
  • Adaptations of surviving cells
  • -Positive - increased productivity/efficiency
  • -Negative - decreased productivity/efficiency or leads to cancer
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8
Q

Autophagy

A
  • Cells consuming own organelles
  • -Non-functional organelles (housekeeping)
  • -Proteins and carbohydrates (nutrient source)
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9
Q

Result of autophagy

A
  • Single membrane-bound autophagolysosome
  • -Lysosomal enzymes
  • -Portion of the cytosol with dysfunctional organelles
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10
Q

Alternative to cell death

A

Even if the cell dies, the autophagic cell secretes lysophosphatidylcholine and expresses phosphatidylserine on the cell surface to mark cells for heterophagy, and decrease bystander inflammation

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11
Q

Hypertrophy

A
  • Increased size of a tissue or organ due to an increase in the size of individual cells (due to increased number or volume of organelles)
  • Term also used to indicate gross enlargement of an organ or tissue
  • NOT due to cell swelling
  • Often accompanied by hyperplasia in capable tissues
  • -Only hypertrophy in heart and skeletal muscle
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12
Q

Hyperplasia

A
  • An increase in organ size or tissue mass de to increased number of cells
  • Only if the cells can replicate
  • Can cause striking increase in tissue or organ size (macroscopically larger)
  • Restrictive process
  • Distinct from neoplastic proliferation
  • -Long-standing hyperplasia –> benign neoplasia
  • -Hyperplasia –> dysplasia –> malignant neoplasia
  • -Not a restrictive process
  • -Includes DNA mutations
  • -Out of control
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13
Q

Metaplasia

A
  • Transformation of a differentiated tissue type into a related type of tissue
  • -Typically a reparative process
  • -Underlying negative consequences
  • Ex:
  • -Respiratory epithelium –> stratified squamous epithelium
  • -Fibrous connective tissue –> cartilage or bone
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14
Q

Dysplasia

A
  • Abnormal formation of tissue
  • Can occur during development or in fully developed tissue organs
  • Increase in number of atypical or poorly differentiated cells
  • Possible precursor to neoplasia
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15
Q

Atrophy

A
  • Decrease in the amount of tissue after normal growth has been attained; reduced tissue mass due to decreased numbers of cells, and/or reduced cell size (also referred to as “simple atrophy”)
  • Involution
  • Generalized atrophy - nutritional or chronic diseases
  • Localized atrophy - ischemic, pressure, disuse, neurogenic (know some examples of this)
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16
Q

Atrophy morphology

A
  • Gross appearance
  • -Can be hard to tell size difference
  • -Easier to ID in paired organs
  • -Gray and wrinkled surface if tissue has a capsule
  • Microscopic features
  • -Loss of cells
  • -Looks hypercellular
17
Q

When cells are injured during fetal development

A
  • Agenesis/aplasia
  • Hypoplasia
  • Stenosis/atresia
18
Q

When abnormal development

A
  • Dysplasia (usually applied at the organ level)

- Abiotrophy

19
Q

Hypoplasia

A
  • Failure of organ to reach normal size
  • Incomplete growth (was never big)
  • All the right structures are present, just not the right size
  • Ex:
  • -Intestine: distension of intestine proximal to hypoplastic segment
  • -Cerebellum:
  • –Kittens - in utero infection with panleukopenia virus
  • –Calves - in utero infection with BVDV at gestation day 90-130
  • -Enamel:
  • –Fluoride toxicosis in ruminants
  • –Canine distemper virus in dogs
20
Q

Aplasia

A

-Reduction in organ growth manifested as markedly reduced or rudimentary organ size

21
Q

Agenesis

A
  • Complete failure of a tissue or organ to develop

- Ex: amelia, adactyly, anencephaly

22
Q

Atresia

A
  • Absence of a normal opening

- Ex: atresia coli or atresia ani

23
Q

Abiotrophy

A
  • Progressive degeneration of cells resulting from an intrinsic defect in cell metabolism, cells develop normally then degenerate
  • Most common in degenerative diseases of the CNS
  • Ex: cerebellar abiotrophy
24
Q

Abiotrophy v. atrophy

A
  • Atrophy - cell response to exogenous stimuli

- Abiotrophy - cell response to an inborn error in metabolism (endogenous stimuli)