Cell renewal, cell death and apoptosis Flashcards

1
Q

the balance between the production of new cells and cell death that maintains the appropriate number of cells in a tissue.

A

homeostasis

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2
Q

What are reversible functional and structural responses to physiologic stresses; hypertrophy, hyperplasia, atrophy, metaplasia

A

adaptation

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3
Q

What is the state where cells are no longer able to adapt; ATP depletion, cell swelling, alterations in intracellular organelles, such as mitochondria and the cytoskeleton

A

cell injury

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4
Q

the end result of progressive and irreversible cell injury. Cells die by one of two mechanisms; necrosis or apoptosis

A

cell death

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5
Q

Apoptosis and necrosis have different characteristics; What are the differences

A

differ in their morphology, mechanisms, and roles in physiology and diseases.

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6
Q

What is an
Accidental cell death from acute injury by external factors. It is the ungoverned, irreversible, and premature death of cells and living tissues.

A

Necrosis (detrimental, not natural)

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7
Q

What is a
Programmed cell death (cell-suicide program).
It is carefully regulated.
It balances cell proliferation and maintains constant cell numbers.
It eliminates “non-functioning, unwanted, damaged, or potentially dangerous” cells.

A

apoptosis (beneficial, natural)

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8
Q
These are causes of:
Pathological conditions
 Trauma; injury, burns, shock
 Lack of blood flow; hernia,
cancer, hypoxia, stroke, 
 myocardial infarction
 Infection; viruses to tapeworms 
 Chemicals; poisons 
 Inflammation;
 Nutritional imbalances;
A

necrosis

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9
Q

o
Physiological conditions to cause (blank):
 The programmed destruction of cells during embryogenesis. For example, during development of a limb, tissue present between the digits must be removed. This occurs through localized apoptosis.
 Normal cell loss in proliferating cell populations.
 Involution of hormone-dependent tissues upon hormone withdrawal.

A

apoptosis

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10
Q

What condition can undergo apoptosis or necrosis?

A

myocardial infarction

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11
Q

o Pathophysiological conditions to cause (blank):
 DNA damage; anticancer drugs, radiation, and hypoxia.
 Accumulation of misfolded proteins leading to endoplasmic reticulum (ER) stress.
 Cell death in certain infections, particularly viral infections.
 Pathologic atrophy of organs and tissues as a result of stimuli removal.
 Cytotoxic T cell-induced cell death.
 Cell death that occurs in heart diseases.

A

apoptosis

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12
Q

When cells are stressed it causes (blank)
If cell injury is irreversible what happens to the cell?
This happens in what type of cell death?

A

reversible or irreversible injury
Swelling, complete dissolution of nucleus, plasma membrane disrupted, enzymatic digestion of cell contents
Necrosis

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13
Q

Apoptosis results in what happening to the cell?

A

shrinkage, chromatin condensation + fragmentation + become apoptopic bodies, PM remains intact, cellular contents may be released in apoptopic bodies.

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14
Q

apoptotic bodies contain what?

A

fragmented nucleus

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15
Q

apoptotic cells express (blank) signals which recruit and are recognized by (blank).

A

eat me.

Phagocytes

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16
Q

What are some notable eat me signals of apoptotic cells?

A
  • “Flipped-out” phosphatidylserine which is restricted to the inner leaflet of the plasma membrane.
  • Thrombospondin
  • An adhesive glycoprotein
  • Natural antibodies and proteins of the complement system, notably C1q
  • Soluble factors
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17
Q

This process of phagocytosis of apoptotic cells is (blank) , often within minutes, and inflammation is (blank).

A

efficient

absent.

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18
Q

(blank) cells swell and lyse; the contents are released into the extracellular space and cause inflammation.

A

Necrotic

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19
Q

Apoptotic signaling pathways:

(blank) are the effectors of apoptosis

A

Caspases

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20
Q

Activation of what molecular will lead to a cascade and eventual apoptosis? i.e the ultimate executioner of apoptosis

A

caspase

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21
Q

Initiation of apoptosis occurs principally by signals from two distinct pathways

A

Intrinsic or mitochondrial pathway

Extrinsic or death receptor–initiated pathway

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22
Q

(blank) have cysteine (C) residues at their active sites and cleave after aspartic acid (Asp) residues in their substrate proteins.
Cleave nearly 100 different cell target proteins.

A

Caspases

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23
Q

What are four different targets of caspases?

A
  • ICAD inhibitor of DNAse, (frag of DNA)
  • Nuclear lamins (frag of nucleus)
  • Cytoskeletal proteins actin, myosin, alph-actinin, tubulin, vimentin (frag of membrane)
  • Golgi matrix proteins (frag of golig)
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24
Q

(blank) act as either initiators or effectors of apoptosis

A

caspases

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25
Q

In normal cells, caspase is typically (blank)

A

inactive

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26
Q

What is the caspase pathway?

A
  • Each caspase is initially made as an inactive proenzyme (procaspase). Some procaspases are activated by proteolytic cleavage by an activated caspase: two cleaved fragments from each of two procaspase molecules associate to form an active caspase, which is a tetramer of two small and two large subunits; the prodomains are usually discarded, as indicated.
  • The first procaspases activated are called initiator procaspases, which then cleave and activate many executioner procaspase molecules, producing an amplifying chain reaction (a proteolytic caspase cascade). The executioner caspases then cleave a variety of key proteins in the cell.
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27
Q

What are the initiator caspases?

A

2,8,9,10

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28
Q

What are the executioner caspases?

A

3,6,7

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29
Q

What does the intrinsic or mitochondrial pathway of initation of aptosis consist of?

A

Members of the Bcl-2 family act at the mitochondria.

Cytochrome c released from mitochondria triggers caspase activation.

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30
Q

Bcl-2 family members regulate the intrinsic pathway

by controlling mitochondrial release of (blank)

A

cytochrome c

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31
Q

(blank) domain mediates a direct binding interaction between one pro-apoptotic protein and one anti-apoptotic protein to form heterodimers.

A

The BH3

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32
Q

(blank) often acquire mutations that allow them to alter the balance between pro- and anti-apoptotic proteins, making it less likely for them to commit suicide even under conditions when normal cells would

A

Cancer cells

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33
Q

(blank) is the only domain shared by all BCL-2 families.

A

BH3

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34
Q

Bcl-2 family proteins regulate the intrinsic pathway

by controlling mitochondrial release of (blank)

A

anti-IAP proteins

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35
Q

Caspases are also regulated by a family of proteins called the (blank)

A

IAP (inhibitors of apoptosis) anti-IAP proteins.

36
Q

In the absence of an apoptotic stimulus, the IAP proteins are located in the cytosol and bind to and inhibit any spontaneously activated (blank) .

A

caspases

37
Q

When an apoptotic stimulus activates the intrinsic pathway, anti-IAP proteins are released from mitochondria through activated (blank) proteins, and bind to and block the inhibitory activity of the IAPs. At the same time, the released cytochrome c triggers the assembly of apoptosomes, which can now activate a caspase cascade, leading to apoptosis.

A

BH123

38
Q

Describe the cytochrom c activated caspase cascade:

A

release of cyt c->activationf of ApafI->gain dATP-> forms apoptosome-> recruits procaspase 9-> activates executioner procaspases->capase cascade leads to apoptosis

39
Q

(blank) is a particularly dangerous form of cell stress, because mutations can lead to the development of cancer.

A

DNA damage

40
Q

If the DNA damage is too great to be repaired successfully,(blank) are activated, and they then phosphorylate (activates) and stabilize p53 tumor suppressor protein.

A

ataxia telangiectasia mutated (ATM) and Chk2 protein kinases

41
Q

When you have a large increase in p53, what will p53 target?

A

Cdk inhibitor p21, which inhibits Cdk2/cyclin E complexes, halting cell cycle progression in G1 (cell cycle arrest).
BH3-only proteins PUMA and Noxa, which activate BH123 proteins Bax and Bak, leading to mitochondrial release of cytochrome c and activation of caspase-9 (apoptosis).

42
Q

What does p53 mediate?

A

cell cycle arrest and apoptosis in response to DNA damage.

43
Q

Summarize the extrinisc or death receptor-intiated pathway?

A

Fas ligand (polypeptides in Tumor necrosis family (TNF)) signal cell death by activating cell surface death receptors, as happens in the immune system when T cells kill their target cells by producing Fas ligand.

44
Q

Cell surface death receptors directly activate a distinct initiator caspases, caspase (blank or blank)

A

caspase-8 or 10.

45
Q

Killer T cell-induced apoptosis via (blank)

A

Fas death receptor

46
Q

describe the killer T cell-induced apoptosis via Fas death recepter pathways

A

Fas ligand, binds to Fas death receptor
Fas recruits adaptor protein FADD (fas -associated Death domain)
FADD recruits initiator procaspase forming death-inducing signaling complex (DISC)
Procaspase molecules on DISC get close which activates their cleavage and stabilizes the activated protease which is now a caspase. Activated caspase cleaves and activates executioner procaspaes which creates caspase cascade->apoptosis

47
Q

TNF and other cell death receptor ligands consists of three polypeptide chains, so their binding to cell death receptors induces receptor (blank)

A

trimerization.

48
Q

are their interconnections between intrinisc and extrinsic pathway?

A

Yes via TNF and Capase 8

49
Q

How does capase-8 participate in the extrinsic pathway of apoptosis?

A

Capase-8 is recruited to the receptor and activated via interaction with adaptor molecules. Once activated, caspase-8 can directly cleave and activate effector caspases

50
Q

How does capase-8 participate in the intrinsic pathway of apoptosis?

A

caspase-8 cleaves the BH3-only protein Bid, which activates the intrinsic pathway of apoptosis, leading to caspase-9 activation

51
Q

Early development is characterized by the rapid proliferation of (blank) , which then differentiate to form the specialized cells of adult tissues and organs.

A

embryonic cells

52
Q

As cells differentiate, their rate of proliferation usually (blank), and most cells in adult animals are arrested in the (blank) stage of the cell cycle.

A

decreases

G0

53
Q

In order to maintain a constant number of cells in adult tissues and organs, cell death must be balanced by cell (blank) .

A

proliferation

54
Q

Most differentiated cells in adult animals are no longer capable of (blank). If these cells are lost they are replaced by proliferation of cells derived from .

A

proliferation

self-renewing stem cells

55
Q

Some types of differentiated cells that are normally arrested in G0 stage of the cell cycle can….?

A

retain the ability to resume proliferation as needed, to repair damaged tissue.

56
Q

What are some differentiated cells that are normally arrested in G0 phase of cell cycle and are able to regenerate?

A

endothelial cells (VEGF angiogenesis in ischemic myocardium), epothelial cells (liver), fibroblastes (PDGF i.e. cut or wound)

57
Q

What does this describe:
a subpopulation of less differentiated self-renewing cells present in most adult tissues.
retain the capacity to proliferate and replace differentiated cells throughout the lifetime of an animal.
divide asymmetrically to produce one daughter cell that remains a stem cell and one progenitor cell that further divides and terminally differentiates

A

stem cells

58
Q

Many types of cells that have short life spans and must be continually replaced by proliferation of stem cells include:

A

blood cells, sperm, epithelial cells of the skin and lining the digestive tract, skeletal muscle, nervous system, and heart.

59
Q

(blank) that line the intestines are exposed to harsh environment and live only a few days before they die by apoptosis.

These cells have new cells that are derived from the continuous but slow division of stem cells at the (blank) of intestinal crypts, which were identified in 2007.

Stem cells give rise to a population of (blank), which proliferate for 3-4 divisions and then differentiate into the three types of the colon surface epithelium (an absorptive epithelial cells and two secretory cells, called goblet cells and enteroendocrine cells).

A

Epithelial cells
bottom
transit-amplifying cells

60
Q

(blank) is a clinical procedure in which transplantation of bone marrow stem cells is used in the treatment of cancer and diseases of the hematopoietic system.

A

Hematopoietic stem cell transplantation (or bone marrow transplantation

61
Q

What type of cells are used for skin grafts to treat patients with burns, wounds, and ulcers.

A

Skin epithelial stem cells

62
Q

Skin epithelial stem cells and hematopoietic stem cell transplants are what?

A

applications of adult stem cells

63
Q

What is an advantage of the use of adult stem cells in clinics:

A

Transplantation from the patient himself eliminates the potential complication of graft rejection by the immune system.

64
Q

What are some disadvantages of adult stem cell therapy?

A

Isolation and culturing pure stem cell populations are difficult.
Stem cells have not yet been identified in many adult tissues.
Adult stem cells do not have pluripotency - the capacity to develop into all of the different types of cells in adult tissues.

65
Q

(blank) are pluripotent stem cells derived from the inner cell mass of a blastocyst, an early-stage embryo, first cultured from mouse embryos in 1981.

A

embryonic stem cells

66
Q

What are advantages to clinical applications of ES:

A

ES cells can be grown indefinitely as pure stem cell populations.
They can be directed to differentiate to a variety of cell types (pluripotency).
Clinical transplantation therapies based on ES cells may provide the best hope for treatment of diseases such as Parkinson’s and Alzheimer’s disease, diabetes, and spinal cord injuries.

67
Q

What are some disadvantages to ES?

A

Cell culture conditions to obtain specific differentiated cell types are not yet fully characterized.
Ethical concerns with respect to the destruction of embryos.

68
Q

What are the basic science applications of placing ES into mice?

A

They can be used to introduce altered genes into mice.
They provide an outstanding model system for studying the molecular and cellular events associated with cell differentiation.

69
Q

What does this describe:
the basic procedure of animal cloning in which the nucleus of an adult somatic cell is transferred to an enucleated egg.
In 1997, Dolly arose from the nucleus of a mammary epithelial cell that was transplanted into an unfertilized egg in place of the normal egg nucleus.
This type of cloning in mammals is a difficult and inefficient process.- only 1-2% of embryos generally give rise to live offspring.

A

Somatic cell nuclear transfer

70
Q

What does this describe:
, a nucleus from an adult human cell would be transferred to an enucleated egg, which is then used to produce an early embryo in culture. ES cells are then cultured form the cloned embryo and used to generate appropriate types of differentiated cells for transplantation therapy.

A

therapeutic cloning

71
Q

What are the advantages and disadvantages of therapeutic cloning?

A

advantages= pluripotency, no immune rejection, could correct inherited disease
Disadvantages: low efficiency, culture conditions aren’t understood, ethical concern w/ cloning and destruction of embryo

72
Q

What are pluripotent stem cells artificially derived from a non-pluripotent cell - typically an adult somatic cell - by inducing a “forced” expression of specific genes.

A

iPS stem cell

73
Q

What a big disadvantage of iPS?

A

risks to cause cancer

74
Q

What can lead to disease caused by apoptosis?

A

either excessive or insufficient apoptosis

75
Q

Is this from excessive or insufficient apoptosis:

Cancers
Autoimmune diseases
Hematological diseases

A

insufficient

76
Q
Is this from excessive or insufficient apoptosis:
neurodegenerative diseases
infection (AIDS)
Ischemia
Autoimmune disease (T1 diabetes)
A

excessive

77
Q

Cancer cells have defects in regulatory circuits that govern normal cell proliferation and apoptosis, therefore apoptosis can be used clinically how?

A

as a therapeutic target in cancer

78
Q

Drugs or therapeutic strategies that can restore the apoptotic signaling pathways towards normality have the potential to (blank) cancer cells.

A

eliminate

79
Q

What are mechanisms by which evasion of apoptosis occurs in cancer?

A

Impaired receptor signaling pathway, defects in p53, reduced expression of caspases, increased expression of IAPs, disrupted balance of BLC2 family of proteins

80
Q

A manifestation of six essential alterations in cell physiology that collectively dictate cancer growth are…

A

sustained angiogenesis, limitless replicative potential, tissue invasion and metastasis, insensitivity to anti-growth signals, self-sufficiency in growth signals, evading apoptosis

81
Q

Humans are formed from billions of cells means that billions of cells experience (blank) every day.

A

mutations

82
Q

Why do we not all die of cancer?

A

In general, many different mutations need to accumulate in a single line of cells to cause this disease – perhaps 10 to 20 mutations.

83
Q

What would the ideal cancer be?

A

based on exact understanding of intracellular state of tumor cell, and induce apoptosis

84
Q

What is important to keep in mind about tumor cells?

A

each has own set of mutations and signaling pathway resulting from random mutations

85
Q

Cancer should be viewed as what?

A

a collection of different but related diseases, with different therapeutic needs