Cell Response to Injury: Morphological Changes 1 Flashcards

1
Q

Why is it important for cells to be dynamic?

A

Because they are exposed to constant change, so they need to be able to adapt to limited stress exposure

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2
Q

When is the change reversible?

A

When limit is not exceeded

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3
Q

When is the change irreversible?

A

When that limit has been exceeded

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4
Q

What happens when the change is outside the acceptable limit?

A

It leads to disease

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5
Q

What sort adaptations occur when cells are adapting to environmental change?

A

Physiological structural adaptations – change in normal pattern of growth and detectable structural changes

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6
Q

Why do reversible functional and structural responses occur?

A

To achieve a new altered steady state

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7
Q

How do cells adapt?

A
  • Increased cellular activity
  • Decreased cellular activity
  • Alteration of morphology
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8
Q

What do these adaptations result in?

A

A new altered state is achieved which better equips the cell to survive

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9
Q

What does cell injury result from?

A

Functional and biochemical abnormalities in one or more of several essential cellular components

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10
Q

What causes the varying susceptibility between cells sensitivity to injury?

A

Ability to survive ATP depletion - ATP loss causes failure of biosynthesis and membrane pumps

Ca2+ influx - Free calcium in the cytosol activates intracellular enzymes cause destruction

Reactive oxygen species (ROS) - Disturb normal cell function & damage cell components

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11
Q

What are the main targets of damaging stimuli (4)?

A
  • Mitochondria
  • Cell membranes
  • Cytoskeleton
  • Cellular DNA
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12
Q

what are the 2 types of cell damage?

A
  • sub-lethal injury

- lethal injury

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13
Q

what is sub-lethal injury?

A
  • If damage is minimal, cell recovers after removal of damaging stimulus / REVERSIBLE
  • Associated with reversible structural abnormalities
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14
Q

what are the characteristics of sub-lethal injury (3)?

A
  • Cell and organelle swelling
  • Blebbing of plasma membrane
  • Detachment of ribosomes
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15
Q

how are the features of sub-lethal injury seen?

A

can be recognised by a light microscope

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16
Q

what are the features of sub-lethal injury?

A

• Hydropic degeneration/cellular swelling
▫ Disruption of ionic fluid and fluid homeostasis
▫ Failure of energy dependent membrane pumps
• Fatty change
▫ Hypoxic, toxic or metabolic injury
▫ Manifested as lipid vacuoles in cells

17
Q

what causes hydropic degeneration?

A

the swelling of organelles which leads to cellular swelling

18
Q

what are the characteristics of hypdropic degeneration (3)?

A
  • Cytoplasm becomes pale
  • Formation of intracellular vacuoles
  • Called ‘cloudy swelling’
19
Q

what causes fatty change?

A

Accumulation of lipids in cells:
• Toxins
• Hypoxia
• Disease

20
Q

what are the characteristics of fatty change (5)?

A
  • Cells accumulate lipid in cytoplasmic vacuoles
  • Effects cells that have key role in FA metabolism
  • Affected organ is enlarged
  • Yellow in colour
  • Vacuoles can coalesce to form ‘fatty cysts’
21
Q

what is lethal injury?

A

• Caused by severe damaging stimulus or prolonged sub-lethal damage IRREVERSIBLE
• Cell death occurs by –
▫ Necrosis
▫ Apoptosis

22
Q

what determines the type of cell death?

A
  • Magnitude/type of injurious stimulus determines the type of cell death
  • Availability of cellular ATP after damage
23
Q

how can necrosis be described?

A

Denaturation of proteins and enzymatic digestion

24
Q

what are the characteristics of necrosis (5)?

A
  • Loss of plasma membrane integrity
  • Activation of lysosomal enzymes
  • Enzymatic digestion of cells by autolysis
  • Leakage of cellular constituents  inflammation
  • Necrosis of tissue has distinct patterns
25
what is coagulative necrosis?
* Dead tissue appears firm and pale | * Architecture and tissue outline are preserved
26
what causes coagulative necrosis (3)?
* Occlusion of arterial blood supply: kidney and heart * Proteins released from dead cells aid diagnosis * Cardiac muscle: cardiac troponin-T, creatine kinase
27
what is liquefactive necrosis?
* Dead tissue appears semi-liquid | * Result of dissolution of tissues due to hydrolytic enzymes
28
what is the cause of liquefactive necrosis?
• Bacterial/fungal infections | ▫ These attract neutrophils which release hydrolases and results in liquification
29
when is liquefactive necrosis seen?
Commonly seen in the brain due to neurons having high lysosomal content and lacking extracellular structural proteins such as reticulin and collagen
30
what is apoptosis?
Pathway of cell death induced tightly regulated suicide program
31
what are the characteristics of apoptosis (5)?
* Cells lose contact with neighbouring cells * Activation of enzymes degrades DNA and nuclear/cytoplasmic proteins * Cytoplasm shrinks, and apoptotic cells breaks into apoptotic bodies * Apoptotic bodies phagocytosed by neighbouring cells and macrophages * Cell contents don’t leak out
32
when does apoptosis occur?
during development and adulthood
33
what is the purpose of apoptosis?
* Eliminates aged, unwanted cells or harmful cells | * Diseased/damaged cells
34
what is the role of apoptosis in physiological situations (3)?
* Programmed destruction/embryogenesis * Maintenance of steady cell numbers * Involution of hormone-dependent tissue after hormone withdrawal
35
what is the role of apoptosis in pathological conditions (5)?
• Removes cells injured beyond repair • Limits collateral tissue damage • DNA damage – due to radiation, drugs, hypoxia ▫ Directly or via production of free radicals • Accumulation of misfolded proteins ▫ Leads to ER stress which results in apoptosis • Infection ▫ Loss of infected cells due to apoptosis may be induced by the virus