Cell Injury and Adaptation Flashcards

1
Q

What are the 5 minor types of adaptation?

A
  1. Atrophy
  2. Hypertrophy
  3. Hyperplasia
  4. Metaplasia
  5. Dysplasia
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2
Q

What is atrophy?

A

Decrease in size or number of cells

  • cells are not dead

** organ/tissue reached normal growth but then decreased in size

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3
Q

What are causes of atrophy?

A
  1. Decreased workload
  2. Denervation
  3. Decreased blood supply or oxygen
  4. Malnutrition
  5. Aging
  6. Loss of endocrine stimulation
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4
Q

What are examples of physiological atrophy?

A

Non lactating mammary gland

post partum uterus

  • they aren’t being used so it decreases size
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5
Q

What is hypoplasia?

A

incomplete development or underdevelopment

** congenital condition

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6
Q

What is aplasia?

A

lack of development, organ or tissue doesn’t develop at all

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7
Q

What is hypotrophy? What is another name for hypotrophy?

A

Progressive loss of vitality of certain tissues or organs

Also called abiotrophy

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8
Q

What is an example of physiological hypertrophy?

A
  1. Hypertrophic pregnant uterus
  2. Exercise/Increased workload

**normal, physiological increase in size of cells and organs

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9
Q

What are examples of physiologic hyperplasia?

A

Hormonal - mammary gland during pregnancy

Compensatory- hepatectomy
**liver cells replicate to form new liver tissue

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10
Q

What most commonly causes pathologic hyperplasia?

A

Excessive hormonal or growth factor stimulation

Ex: Epidermal thickening - repeated irritation

Ex: Respiratory mucosa - in viral infections

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11
Q

What are examples of metaplasia?

A
  1. Chronic irritation in lungs (smoking)
  2. Vit-A deficiency
  3. Estrogen toxicity
  4. Mammary tumors

** seen on histo not GE

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12
Q

What are causes of cell injury?

A
  1. BacT, Fungi, Viruses (infectious agents)
  2. Hypoxia or anoxia
  3. Immune mediated diseases
  4. Genetics
  5. Aging
  6. Toxicity
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13
Q

What are the consequences of aortic thromboembolism in cats?

A

Anoxic damage to muscles of the hind limbs

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14
Q

What are the mechanisms for cell injury?

A
  1. Depletion of ATP
  2. Mitochondrial damage
  3. Entry of Ca+
  4. Oxidative stress ( increase in ROS)
  5. Membrane damage
  6. DNA and protein damage
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15
Q

What happens when there is ATP depletion?

A
  1. Failure of Na/K pump - salt stays inside cell and H20 follows causing CELL SWELLING
  2. Switch from aerobic to anaerobic glycolysis - makes lactic acid which makes acidic pH
  3. Detachment of ribosomes - decreased protein synthesis
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16
Q

What are the major consequences of mitochondrial injury?

A
  1. Forms mitochondrial permeability transition pore (MPTP) - leads to decreased ATP
  2. Production of ROS - released from mitochondria bc of altered membrane potential due to MPTP
  3. Activation of apoptosis - proteins leak out and cause cell death

leads to cell necrosis + cell death

17
Q

What happens when Ca homeostasis is lost?

A
  1. Opens MPTP
  2. Activates enzymes: phospholipases, proteases, endonucleases, ATPases

** both cause ATP depletion leading to cell injury

18
Q

The accumulation of Ca+ can cause these 3 major forms of cell damage:

A
  1. Membrane damage
  2. Nuclear damage
  3. ATP depletion
19
Q

What is a physiological example of when ROS are produced?

A

Normally produced during cellular respiration by mitochondria

** normally removed by scavenging mechanisms (Vit A and Vit E remove ROS)

20
Q

How can cell injury result from ROS?

A

Increased production causes oxidative stress and decreased scavenging

21
Q

What are normal ways the body removes/neutralizes ROS?

A

Antioxidants like Vitamin A + E and glutathione

22
Q

What are pathological sources of ROS?

A
  1. Inflammation
  2. Transition metals
  3. Nitric Oxide (NO)
  4. Absorption of radiant energy
23
Q

What is the result of ROS?

A
  1. Lipid peroxidation in membranes - membrane damage
  2. Oxidative modification of proteins
  3. DNA damage - Lesions in DNA
24
Q

Why do cells adapt?

A

To preserve function and viability

25
________ is when there is an increase in the SIZE of cells, leading to increased tissue/organ size
Hypertrophy
26
________ is more common in cells with little replication
hypertrophy ** increases in cell size bc it cant divide Ex: cardiac and skeletal muscle, bone, cartilage, smooth muscle
27
Give an example of concentric hypertrophy
cardiac hypertrophy from hypertension or aortic valve disease - thickening of muscle wall and small chamber
28
Give an example of eccentric hypertrophy
Dilated cardiomyopathy (DCM) - thinning of wall and larger chamber
29
What is hyperplasia?
Increase in the # of cells of an organ leading to increased size of the organ ** hypertrophy is increase in cell SIZE NOT NUMBER
30
What cells readily become hyperplastic?
Labile cells - epidermis, intestinal epithelium, bone marrow
31
What are examples of hyperplasia?
1. Gingival hyperplasia 2. Epidermal thickening from repeat infections 3. Resp mucosa from viral infections
32
When cell types change from cuboidal to squamous, this is an example of ___________
Metaplasia
33
What term is mostly used in neoplastic processes?
Dysplasia
34
What is an example of pathological hypoplasia?
Cerebellar hypoplasia from Feline Pan Leuk virus (FIP)
35
What is the most common cause of cell injury?
depletion of ATP
36
What does the term ballooning refer to?
Acute swelling