Cell injury and fate Flashcards

1
Q

What does lethal mean?

A

Causes cell death

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2
Q

What does sublethal mean?

A

Produces cell injury not amounting to cell death
May be reversible
May progress to cell death

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3
Q

How do cardio myocytes adapt?

A

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

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4
Q

What is infarction?

A

Cell death due to ischaemia

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5
Q

What causes cell injury?

A
Age
Physical agents
Infectious agents
Genetic defects
Chemical agents
Oxygen deprivation
Immunological reactions
Nutritional imbalances
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6
Q

What happens in myocardial infarction?

A

Block caused by atheromatous plaque in left coronary artery branch
Heart muscle supplies by arteries dies (O2 deprivation)

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7
Q

What does cellular response to injury depend on?

A

Type of injury
Duration
Severity

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8
Q

What does the consequence of a cell injury depend on?

A

Type of cell

Cell status

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9
Q

What 4 intracellular systems are particularly vulnerable?

A

Cell membrane integrity
ATP generation
Protein synthesis
Genetic apparatus integrity

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10
Q

What are the major consequences of cell injury?

A

Multiple secondary side effects

Cellular function is lost before cell death occurs

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11
Q

What does atrophy mean?

A

Shrinkage in size of cell/ organ by loss of substance

E.g. neural atrophy in dementia

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12
Q

What is hypertrophy?

A

Increase in cell size/ organ size

Can be physiological (Occurs in normal healthy people) or pathological (part of disease process)

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13
Q

What causes hypertrophy?

A

Caused by increased functional demand or specific hormone stimulation

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14
Q

What is an example of physiological hypertrophy?

A

Hypertrophy of uterus during pregnancy

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15
Q

What is an example of pathological hypertrophy?

A

Hypertrophy of muscle fibres in response to hypertension or a valve abnormality

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16
Q

What is hyperplasia?

A

An increase in number of cells in an organ
Physiological or pathological
Physiological hyperplasia can be normal or compensatory
Pathological hyperplasia usually due to excessive hormonal or GH stimulation

17
Q

What is an example of physiological hyperplasia?

A
Proliferative endometrium (uterus)
After shedding during menstruation cells have to regrow- cell number increases by mitosis
18
Q

What is an example of a pathological hyperplasia?

A

Carcinoma

19
Q

What is metaplasia?

A

A reversible change in which an adult cell type is replaced by another
Can be pathological or physiological

20
Q

What is an example of a physiological metaplasia?

A

Cervix
Columnar epithelium changes from being columnar to squamous due to pH change of vagina- happens in pregnancy
At end of pregnancy new squamous epithelium becomes columnar again

21
Q

What is an example of pathological metaplasia?

A

Barret’s (columnar lined) oesophagus
For reasons such as acid reflux, squamous epithelium becomes columnar
If acid reflux stops it would become squamous again

22
Q

What is dysplasia?

A

Precancerous cells which show genetic and cytological features of malignancy but are not invading underlying tissue

23
Q

What light microscopic changes are associated with reversible injury?

A

Fatty change
Cellular swelling
These are degenerative changes

24
Q

What is an example of fatty change?

A

Alcoholic fatty change

If you drink alcohol you get fatty change and when you stop it goes away

25
Q

What is an example of ballooning degeneration?

A

Theres no fat- you can see the cytoplasm whereas in fat cells you cant see cytoplasm
There are strands of cytoplasm in the cell- this is called ballooning
Balloon degeneration is the swelling of a cell due to protein accumulation due to cell cytoskeleton damage

26
Q

What is necrosis?

A

Confluent cell death associated with inflammation

27
Q

What are the types of necrosis?

A

Coagulative necrosis
Liquefactive necrosis
Caseous necrosis
Fat necrosis

28
Q

What is coagulative necrosis?

A

Structure becomes fixed

29
Q

What is liquefactive necrosis?

A

Tissue becomes liquefied

30
Q

What is caseous necrosis?

A

Means cheesy- oozy and structureless

Occurs in TB

31
Q

What is fat necrosis?

A

Death of fat tissue
Occurs in acute pancreatitis- digestive enzymes become activated in pancreas instead of duodenum and digest tissue around it

32
Q

What is apoptosis?

A

Programmed cell death
Not associated with inflammation
Can be physiological unlike necrosis
Its energy dependent (Active unlike necrosis)

33
Q

What are causes of apoptosis?

A

Embryogenesis
Deletion of auto-reactive T cells in thymus
Hormone- dependent physiological involution
cell deletion in proliferating population
variety of injurious stimuli

34
Q

What the difference between necrosis and apoptosis?

A

Apoptosis may be physiological
Apoptosis needs energy
Apoptosis is not associated with inflammation

35
Q

What is necroptosis?

A

Programmed cell death associated with inflammation

Has many causes