Cells and Mechanisms of Diseases Flashcards

1
Q

Physiology

A

Study of body function

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2
Q

Pathophysiology

A

studying physiological aspects of disease

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3
Q

Major components of the cell:

A

A. Plasma Membrane
* encloses the cytoplasm
* outer boundary of the cell
* controls movement of substances into and out of the cell
phospholipids, cholesterol, proteins, and carbohydrates
B. Cytoplasm
* internal liquid of the cell (aka cytosol)
* contains organelles
C. Nucleus
* controls reproduction & protein production

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4
Q

Functions of Plasma Membrane

A

➢Doesn’t just enclose cell
➢Provides shape and strength
➢Separates internal content from interstitial fluid which surrounds cells
➢Membrane constituents act as receptors, carriers, channels or pumps
➢Extensions of membrane move the cell, move objects past the cell or aid in absorption
➢Cilia, microvilli, flagellum

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5
Q

Structure of the Plasma Membrane

A

Composition:
➢2 phospholipid layers
➢Cholesterol: helps keep the membrane rigid and stabilizes phospholipid
Proteins are receptors for other molecules or cells
* Part of the immune system
* Recognition of self: HLA system (HLA = Human Leukocyte Antigen; MHC = Major Histocompatibility Complex)
Protein & Carbohydrate chains on the surface act as antigens or ‘markers’

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6
Q

Transport of Fluid & Molecules

A

Passive Transport
o No energy required
✓Diffusion
✓Osmosis
✓Filtration

Active Transport
➢Requires energy
➢Breakdown of ATP & released energy
needed
✓Ion pumps
✓Phagocytosis
✓Pinocytosis

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7
Q

Passive Transport: Diffusion

A

Diffusion: movement of PARTICLES
Diffusion: movement of particles through a
membrane from an area of high concentration to an area of low concentration; that is, down the
concentration gradient e.g., movement of carbon dioxide out of all cells; movement of sodium ions into nerve cells as they conduct an impulse

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8
Q

OSMOSIS:

A

facilitated diffusion
movement of water from high concentration to low concentration

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9
Q

Passive Transport: Filtration

A

movement of water and small solute particles, through a filtration membrane; from high pressure to low pressure - hydrostatic (more pressure from where the cells are leaving from)

e.g., in the kidney, water and small solutes move from blood vessels but blood proteins and blood cells do not, thus beginning the formation of urine.

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10
Q

Active Transport: Ion Pumps

A

special membrane protein that moves ions (charged molecules) across the membrane
high concentration to area of low concentration

needs energy

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11
Q

What happens when there are ‘problems’
with the cell membrane?

A

Skeletal proteins missing from red cell
membrane = hereditary spherocytosis or
elliptocytosis = decreased red cell survival

Wrong blood type transfused = recipient
antibodies destroy donor red blood cells

Cystic Fibrosis – chloride ion pump is missing
* Cells that require chloride die
* increased cell debris cause thick secretions
* Increased mucus
* Digestive problems

Cholera bacteria infect intestinal epithelium
Cause chloride & water to leave cell
results in severe diarrhea & dehydration

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12
Q

Cell Organelles

A

Lysosomes-* contain lytic enzymes that can destroy proteins , carbs, NA,

peroxisomes - like lysosomes but have peroxides detoxify the body found in the liver
e.g. * Phagocytosis
* Cytotoxin release

Golgi apparatus- look like stacked bowls cisternae package, process, transport proteins

er - rER with ribosomes produce proteins - found in endocrine glands
sER no ribosomes lipid synthesis and detox - liver

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13
Q

What happens when the organelles are
abnormal?

A

Example - Chediak-Higashi
disease: lysosomal trafficking
regulator gene mutation
* Large lysosomal granules which do not
function correctly
* Bacteria still phagocytosed by the cell, but the lysosomes don’t function properly: they don’t degranulate, so the bacteria are not destroyed
* Phagocytosis is impaired & death by infection is common

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14
Q

Nucleus

A

Nucleolus
* Critical in protein formation
* Production of ribosome subunits (rRNA)
* Move to cytoplasm for protein production - structural and functional

Chromatin
* Chromatin granules are proteins with DNA wound around
* Tightly coiled during cell division: chromosomes

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15
Q

Euchromatin

A
  • Diffuse, uncondensed: loosely coiled
  • Active portion of nucleus
  • Area of RNA transcription
  • Stains paler purple in Wright’s stain
  • Immature cells actively producing
    protein
  • Usually have nucleoli
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16
Q

Heterochromatin

A

Condensed, clumping pattern.
* Stains dark purple in Wright’s stain
* oldest, most mature cells no
longer dividing or
* Inactive stage

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17
Q

Protein Synthesis

A
  1. Protein synthesis begins with transcription, a process in which an mRNA molecule forms along one gene sequence of a DNA molecule within the cell’s nucleus. As it is formed, the mRNA molecule separates from the DNA molecule.
  2. The mRNA transcript then leaves the nucleus through the large nuclear pores
  3. Outside the nucleus, ribosome subunits attach to the beginning of the mRNA molecule and begin the process of translation
  4. In translation, transfer RNA (tRNA) molecules bring specific amino acids—encoded by each mRNA codon—into place at the ribosome site. As the amino acids are brought into the proper sequence, they are joined together by peptide bonds to form long strands called polypeptides. Several polypeptide chains may be needed to make a complete protein molecule.
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18
Q

No Iron?

A

e.g. low iron → iron deficiency anemia, may
be acquired or nutrition related

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19
Q

No Globin?

A

e.g. thalassemia (inherited)

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20
Q

Phenylketonuria or PKU

A

Deficiency of the enzyme PAH
(phenylalanine hydroxylase) results in high levels of phenylalanine in the blood.
➢Mental impairment results if the
condition is not recognized.
✓Basis of first Newborn
Screening
✓Special diet from birth
prevents effects of disease

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21
Q

Cell Division

A

Nuclear membrane & nucleolus disappear
during Mitosis as cell duplicates DNA and
divides

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22
Q

Interphase and Mitosis

A

Interphase is divided into G1, S, and
G 2 phases.
* Cell growth occurs during G1.
* DNA synthesis or replication in S
* Cell prepares for mitosis in G2
* The cells may also enter a quiescent
phase called G0, where the cell
functions but does not divide.

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23
Q

Apoptosis:

A

programmed cell death
* Mechanism by which abnormalities of cell
division are excluded from proliferating,
over produced cells are removed or
damaged cells die
Example: Apoptosis of an epithelial cell:
* Cell age or an abnormal cell
* This is a NORMAL PROCESS!
* Initiated by a variety of stimuli
* Proteolytic cascade results in cell death
* Procaspase in cells become active enzymes
→ caspases and result in cell ‘suicide’

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24
Q

Critical cell cycle checkpoints:

A

cell will either continue through the cell cycle or undergo
apoptosis.
1. G1 checkpoint is before S phase and DNA replication:
cell stalls here while any DNA repair takes place
2. G2 checkpoint: after DNA replication: if replication was normal the cell proceeds to mitosis

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25
Q

Cell Cycle Errors

A

Genes & their protein products control Cell
Cycle
➢e.g. p53 gene protein detects DNA
damage in G1 & can trigger apoptosis
➢Mutated p53 gene can result in
uncontrolled cell proliferation

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26
Q

Survival of the genes depends on

A

maintenance or restoration of
homeostasis (relative constancy of the internal environment)

27
Q

Homeostasis

A

maintains the internal environment necessary for life.
Regulating the temperature
Keeping the body balance
Meeting the energy demands
Maintaining the water balance
* e.g. circulation system: allows for continuous removal of carbon dioxide (CO2)
produced by body cells
* Body functions are related to age
* peak efficiency is reached during young adulthood and slowly diminishes as
the individual ages

28
Q

Feedback Control Loops

A

The body uses negative feedback loops and, less often, positive feedback loops to maintain or restore homeostasis
A highly complex & integrated communication control network
➢ Can be NEGATIVE or POSITIVE
➢ Most important and numerous homeostatic control mechanisms
➢ Will bring the system back to homeostasis

29
Q

Positive feedback loop

A

Less common
* Homeostatic control system
enhance or amplify changes; this tends to move a system away from its equilibrium state and make it more unstable.
* Results in an amplification of the original stimulus.
* Used by the body to amplify a process and quickly finish it
* “stop” event
* Examples are labour contractions and blood clotting

30
Q

Negative feedback loop

A

Homeostatic control system in which information feeding back to the control center causes the variable to be changed in the direction opposite to that of the initial stimulus
* Reverses change back to normal state (stabilizes conditions)
* Most numerous and important feedback loop
Blood sugar regulation (insulin lowers blood glucose when levels are high ; glucagon raises blood glucose when levels are low)

31
Q

Idiopathic

A

refers to a disease with an unknown cause

32
Q

Pathogenesis

A

the pattern of a disease’s development

33
Q

What are examples of “signs” of a disease

A

Signs are objective abnormalities such as a change in blood pressure, temperature, pulse, or respiratory rate.

34
Q

What are examples of “symptoms” of a disease?

A

Symptoms are subjective and can be felt only by the patient; examples include nausea or pain

35
Q

Genetic mechanisms of disease

A

altered or mutated genes
→production of abnormal proteins →do not perform their originally intended function →absence of an essential function.
Huntington disease, Sickle Cell Disease,

36
Q

Infectious mechanism (pathogenic organisms and
particles):

A

Disease-causing organism → damage body in some way
also includes other microorganisms: bacteria (Strep throat, pneumonia, Syphilis, tetanus, Lyme Disease, gonorrhoeae, TB, botulism), viruses

37
Q

Neoplastic mechanism (tumors and cancer)

A

abnormal tissue growth → physiological disturbances
Benign tumors stay localized in the tissue of origin
metastasize means “to spread

38
Q

Traumatic mechanism (physical and chemical agents)

A

extreme heat/cold, trauma, chemical- poisoning, radiation

39
Q

Metabolic mechanism (endocrine imbalances or malnutrition)

A

Endocrine imbalances, malnutrition → insufficient or imbalanced intake of
nutrients
e.g. diabetes, thyroid diseases, Cushing disease, Addison disease, osteoporosis

40
Q

Inflammatory mechanism

A

a vascular response of tissue to an injury, infection, allergy, or autoimmune disease.
Acute inflammation only lasts from one to two days

RA is chronic inflammation

41
Q

. Degeneration

A

breaking apart or degeneration of tissues by means of many still unknown
processes.
* Although an expected consequence of aging, degeneration of one or more tissues
resulting from disease can occur at any time.

42
Q

Age

A

biological and behavioral variations inherent during different phases of the human life cycle put us at greater risk for
developing certain diseases at certain times in life, e.g. middle ear infections in infants: different inner ear structure →changes as
you grow

43
Q

Genetic factors:

A

inherited traits e.g. light skin/skin cancer,
certain ethnic groups e.g. sickle cell, thalassemia, breast cancer

44
Q

Social determinants of health Lifestyle:

A

way we live and work. Personal activity; spend a lot of time in the sun: skin cancer from UV rays; use of tobacco, alcohol
abuse, obesity

45
Q

Social determinants of health Stress:

A

physical, psychological or emotional stress: headaches, chronic high BP, depression, heart disease etc.

46
Q

Social determinants of health
Environmental factors:

A

climate, pollution, also certain diseases
are endemic in certain areas → live in or travel to those areas:
more at risk of exposure

47
Q

Pre-existing conditions:

A

infection, can adversely affect our
capacity to defend ourselves against further attack. Thus a primary (preexisting) condition can put a person at risk of
developing a secondary condition. e.g. blisters from a burn → break open → infection

48
Q

How can people avoid certain disease risk factors

A

Continuous exercise: increase in cells of muscles = hypertrophy

49
Q

Atrophy:

A

decrease in cell size, example when an arm is broken and immobilized for weeks in a cast: cells atrophy due to lack of use. May also occur in tissues not receiving enough oxygen or nutrients

50
Q

Hyperplasia:

A

increase in the number of cells in an organ

callus on foot
. e.g., increase in milk-producing glands in the breast during pregnancy and following birth of child

51
Q

Hypertrophy:

A

increase in cell size
like someone working out

52
Q

Dysplasia

A

abnormal development of cells within tissues or organs ie Cancer

53
Q

Active transport

A

which uses energy to move the particles against the concentration gradient

endocytosis, phagocytosis, pinocytosis (bringing liquid into cell) exocytosis - hormone secretion, transcytosis (endo and exo at the same time), ion pumps

54
Q

most common cause of illness and death worldwide

A

Infection

55
Q

MDs and DOs practice

A

allopathic medicine (conventional)

56
Q

Etiology

A

cause of a disease

57
Q

Lung cancer

A

most common cause of death due to cancer in men and women

58
Q

hypovolemic shock

A

Hemorrhage may lead to

59
Q

Pathological atrophy

A

Inadequate oxygen or inadequate nutrients to an organ

60
Q

physiological atrophy

A

Loss of body mass with age

61
Q

Metaplasia

A

change of one adult cell type to another.

GERD

62
Q

Necrosis

A

pathological cell death

63
Q

Keloids

A

excessive scar formations