Cell Injury Flashcards
What can cause cell injury?
Hypoxia
Toxins
Physical agents
- trauma
- temperature
- pressure
Radiation
Micro-organisms
What is hypoxia?
Lack of oxygen
Difference between hypoxia and ischaemia
Hypoxia = lack of oxygen Ischaemia = lack of blood supply
What are the different types of hypoxia?
Hypoxaemic
- arterial content of oxygen is low
Anaemic
- decreased ability of haemoglobin to carry oxygen
Ischaemic
- interruption to blood supply
Histoxic
- Inability to utilise oxygen in cells
- disabled oxidative phosphorylation enzymes
What happens in reversible injury?
No oxidative phosphorylation Reduced ATP Na+ pump stops Influx of Na+ and water Cell swells Anaerobic respiration pH lowered Chromatin clumps Detachment of ribosomes Protein synthesis decreases
What happens in irreversible injury?
Ca2+ enters cell
Activates ATPase
Breaks down ATP
Activates phospholipase - reduces phospholipids
Activates protease - disrupts membranes
Activates endonucleases - nuclear chromatin damage
What are free radicals?
Reactive oxygen species
OH (hydroxyl)
O2- (superoxide)
H2O2 (hydrogen peroxide)
When are free radicals produced?
Normal metabolic reactions
Inflammation
Radiation
How does the body control free radicals?
Vitamins A, C, E Metal carrier/storage proteins Enzymes - superoxide dismutase - catalase - glutathione peroxidase
How do free radicals injure cells?
Oxidative imbalance - number of free radicals overwhelms anti-oxidant system
Cause lipid peroxidation
Oxidise proteins, carbs, DNA
What are heat shock proteins?
In cell injury aim to ‘mend’ misfolded proteins
Unfoldases or chaperonins
What are cellular changes in reversible injury?
Dispersion of ribosomes Blebs Swelling - pale cytoplasm Chromatin clumping Autophagy by lysosomes Mitochondrial swelling
What are cellular changes in irreversible injury?
Rupture of lysosomes Myelin figures ER lysis Disruption of membrane Nucleus changes
What is pyknosis?
Nucleus shrinks due to condensation of chromatin
What is karyorrhexis?
Nucleus breaks up