cellular adaptation Flashcards

1
Q

what is cellular adaptation

A

this is how cells respond to stress in order to stay alive

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2
Q

what are the five main adaptations

A

atrophy
hypertrophy
metaplasia
hyperplasia
dysplasia

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3
Q

what are labile cells

A

those that are constantly replicating and are very mitotically active

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4
Q

what are stable cells

A

asleep cells that are not copying themselves but can if they need to

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5
Q

what are permanent cells

A

these never undergo mitosis and cannot copy themselves to repair

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6
Q

what are some permanent cell types

A

muscle and neural cells

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7
Q

describe atrophy

A

reduction in cell size
caused by reduction in work demand or due to hormones
decreased size makes the cells more efficient so if they are not being used they will shrink to become more energy efficient

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8
Q

what are the physiological causes for atrophy

A

muscles in the uterus become large during pregnancy but once hormone levels drop after birth the muscles return to normal size

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9
Q

what are the pathological causes for atrophy

A

ischaemia - if there is reduced blood flow due to peripheral vascular disease, a reduced blood flow to leg will mean the muscle in the leg will atrophy due to inadequate blood supply

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10
Q

does the number of cells change in atrophy

A

no, just the size of the cell

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11
Q

which cells are likley to be affected by atrophy

A

stable or permanent cells - often happens with muscle

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12
Q

describe hypertrophy

A

this is an increase in cell size
often occurs in skeletal and cardiac muscle cells
stimulus is usually in response to mechanical force or stretch like contraction, hormonal stimulation or growth factor stimulation

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13
Q

describe a physiological cause for hypertrophy

A

going to the gym and lifting weights will increase mechanical stress on the muscle, so the muscle will respond by increasing the gene expression to make more proteins making the cells larger

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14
Q

describe a pathological cause for hypertrophy

A

cardiac myopathy where increased muscle in the heart occurs. as muscle increases, the heart can become inefficient and have issues with contraction

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15
Q

which cell types usually experiene hypertrophy

A

muscle cells - permanent cells

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16
Q

describe hyperplasia

A

this is when tissue size increases due to an increase in cell numbers rather than cell size
usually occurs in labile or stable cells
cells respond to stress by increasing their number

17
Q

what are some physiological causes for hyperplasia

A

inducing agent of hormone levels can lead to hyperplasia of the breast during puberty and pregnancy to increase ability to produce milk

18
Q

what is a change in stable cells that can be caused by hypertrophy at a physiological level

A

hepatocytes in the liver, if the liver was ever cut in half the hepatocytes would be activated and increase mitosis so there is more replication and the cell number increases

19
Q

describe why hyperplasia may occur in an athlete

A

constant exposure to hypoxia, more red blood cell production in the bone marrow, increased oxygen carrying capability

20
Q

describe a pathological cause for hyperplasia

A

prostate gland exposed to androgen hormone can increase the prostate size
papilloma virus causes warts

21
Q

describe metaplasia

A

change in cell type or morphology due to chronic irritation or inflammation
when the environment of the cells are exposed long term to inflammation, the cells must change to be more appropriate to the environment so they can survive

22
Q

give examples of when metaplasia would occur

A
  • if cells are exposed to lower pH, like in barrets oesophagus due to reflux, they would want to be more like cells in the stomach that can withstand the lower pH.
  • if exposed to cigarette smoke, the respiratory epithelium would change from cilia to stratified squamous for protection against soot
23
Q

is metaplasia irreversible

A

no, cells will return to normal once the stimulus is removed

24
Q

describe how metaplasia occurs

A

genes in the cells are activated to cause differentiation, so the cells being affected have to be stem cells like epithelium - bone and muscle cells cannot change their cell type, but epithelial cells can

25
Q

describe dysplasia

A

disordered growth, stimulus is chronic irritation or inflammation, the response is deranged growth

increase in cell number and cell shape
precursor for neoplasia

can be reversible but this is unlikely

pathological causes rather than physiological