Cell injury and fate Flashcards
What does lethal mean?
Causes cell death
What does sublethal mean?
Produces cell injury not amounting to cell death
May be reversible
May progress to cell death
How do cardio myocytes adapt?
When put under pressure it adapts by becoming bigger
This is called hypertrophy
Left ventricle becomes much thicker because of increased work the heart is doing
What is infarction?
Cell death due to ischaemia
What causes cell injury?
Age Physical agents Infectious agents Genetic defects Chemical agents Oxygen deprivation Immunological reactions Nutritional imbalances
What happens in myocardial infarction?
Block caused by atheromatous plaque in left coronary artery branch
Heart muscle supplies by arteries dies (O2 deprivation)
What does cellular response to injury depend on?
Type of injury
Duration
Severity
What does the consequence of a cell injury depend on?
Type of cell
Cell status
What 4 intracellular systems are particularly vulnerable?
Cell membrane integrity
ATP generation
Protein synthesis
Genetic apparatus integrity
What are the major consequences of cell injury?
Multiple secondary side effects
Cellular function is lost before cell death occurs
What does atrophy mean?
Shrinkage in size of cell/ organ by loss of substance
E.g. neural atrophy in dementia
What is hypertrophy?
Increase in cell size/ organ size
Can be physiological (Occurs in normal healthy people) or pathological (part of disease process)
What causes hypertrophy?
Caused by increased functional demand or specific hormone stimulation
What is an example of physiological hypertrophy?
Hypertrophy of uterus during pregnancy
What is an example of pathological hypertrophy?
Hypertrophy of muscle fibres in response to hypertension or a valve abnormality