CELLULAR ADAPTATION Flashcards
• Changes made by a cell in response to stress or stimuli.
CELLULAR ADAPTATION
May be physiologic type of adaptation or pathologic type of adaptation.
CELLULAR ADAPTATION
O_________ - the adaptive response of our body; a normal occurrence of our body.
O_________ - brought about or caused by a certain disease.
Physiologic
Pathologic
Cellular Adaptation (5)
A. Hypertrophy
B. Hyperplasia
C. Atrophy
D. Metaplasia
E. Dysplasia
Increased SIZE
The organ will become larger.
Hypertrophy
Hypertrophy
Increased______
The organ will become larger.
SIZE
Increased cell NUMBER
The size can still be the same but for the number of cells, it is increased.
Hyperplasia
Hyperplasia
Increased cell_______
The size can still be the same but for the number of cells, it is increased.
NUMBER
Decreased SIZE and NUMBER
Decreased in both the size of the cell and the number of cells present.
Atrophy
Atrophy
Decreased________
Decreased in both the size of the cell and the number of cells present.
SIZE and NUMBER
Change in ONE CELL TYPE TO ANOTHER
It can be the type of epithelial tissue or the type of connective tissue.
Metaplasia
Metaplasia
Change in______
It can be the type of epithelial tissue or the type of connective tissue.
ONE CELL TYPE TO ANOTHER
Abnormality of cell development
Dysplasia
• Occurs on cells that are not capable of dividing.
• Increased Cell Size -› Increased Organ Size
HYPERTROPHY
3 TYPES of HYPERTOPHY
True Hypertrophy
False Hypertrophy
Compensatory Hypertophy
Hypertophy
Stimulated by hormone.
True Hypertrophy
Hypertophy example
during pregnancy, the uterus will adapt with the changes, the level of the hormones will be increased due to increased function demand.
True Hypertophy
Due to the excessive accumulation of metabolites
It’s not the cell but the metabolites are increased
False Hypertrophy
Hypertophy example
Hepatomegaly
False Hypertophy
Hypertrophy
Can occur in organs that are paired (ex. kidney).
For example, if the left kidney is not functioning well, the right kidney will tend to increase in size just to compensate with the function of the left kidney.
Compensatory Hypertrophy
Hypertophy example
Regeneration
Compensatory Hypertophy
• Adaptive response of the cells that are capable of replication
• Increased Cell Number -> Increased Organ Mass
HYPERPLASIA
HYPERPLASIA
Increase in
Cell number
Due to proliferative actions of growth factor, and/or stem cells.
Hyperplasia
2 DIFFERENT FACTORS of HYPERPLASIA
Physiologic factor
Pathologic factor
Hyperplasia
Physiologic factor (2)
Hormonal
Compensatory
• Proliferation of glandular epithelium of the female breast during puberty and pregnancy.
During these developmental stages, the number of cells will tend to increase.
Hyperplasia
Physiologic
Hormonal
• Left - appearance of the liver of the patients after donation.
.
Right - appearance of the liver after two months.
.
So, the liver will tend to
compensate because of that part that was taken awav durina liver donation.
Hyperplasia
Physiologic
Compensatory
Hyperplasia
There is an imbalance in number.
This is caused by excessive hormonal or growth factor stimulation.
For example in figure 4, the reason for endometrial hyperplasia is due to increased amount of estrogen.
Pathologic Factor
• Decreased Cell Size & Number -› Reduce tissue/organ size
Atrophy
Atrophy
• Decreased_______ -› Reduce tissue/organ size
Cell Size & Number
Atrophy
Due to decreased_______, and increased________.
protein synthesis
protein degradation
2 tyoes of atrophy
Physiologic
Pathologic
5 types of pathologic atrophy
Atrophy of DISUSE
VASCULAR atrophy
STARVATION Atrophy
Loss of Endocrine Hormone Stimulation
Pressure Atrophy (Hydrophenosis)
Common to patients who are bedridden or have long hospitalization time.
Just like in the picture (figure 6), the leg will decrease in size because that part is not used.
Atrophy ofDisuse
Stroke patients
• For example, the right part of the body is not responsive.
So, the blood supply is cut off and it will not be used therefore it will shrink.
Atrophy of disuse
O The left side of the brain shrank compared to the other side.
o This is due to Ischemia or the blood supply is cut off.
Vascular Atrophy
O Patients who are malnourished.
Their muscles can shrink because of starvation.
O There is malnutrition, the muscles are broken down.
Starvation Atrophy
O This will happen to the vagina and uterus of a female after menopause.
O The hormone level will decline thus the vaginal wall will be thin.
For the color, it is a pale, dry, smooth vaginal lining.
O The vaginal canal is shorter compared to the normal one.
O The vagina and uterus will shrink after menopause.
Loss of Endocrine Hormone Stimulation
This is due to increased pressure, due to blockage of the ureter.
Because of blockage, there is pressure in the renal pelvis and because of this pressure, the blood flow will now decrease therefore it can result to an atrophy.
Pressure Atrophy
•Change in one cell type to another.
METAPLASIA
Due to reprogramming of existing stem cells in normal tissue, or of undifferentiated mesenchymal cells in order to withstand adverse environments.
METAPLASIA
Types of metaplasia
Epithelial type of adaptation
exposure to the smoke, the airway will tend to adapt to the stress brought about by the smoke and when now be converted to stratified squamous.
This is just a benign/non-cancerous type of change from one cell to another.
Metaplasia
Strongest type of epithelium
Keratinized stratified squamous epithelium
Barrett’s esophagus is an example of
Mesenchymal type of cellular adaptation
The lining is originally the squamous cell.
This squamous cell will be replaced by intestinal-like columnar cells that are filled with goblet cells.
Barrett’s esophagus
These cells will release a mucus that can neutralize the acidity in the esophagus.
Goblet cells
• Malformation, to create, to form a certain tissue or cell.
DYSPLASIA
Due to expansion of immature cells, with the corresponding decrease in the number and displace of location of cell.
Dysplasia
This one is usually the indication of an early neoplastic process or the earliest point/identification that a cancer is already starting.
Dysplasia
For example in pap smear or biopsy, the pathologist will look for a cell that undergoes_______ because that is a precancerous lesion or identifying point (inform the patient that a cancer is already starting).
dysplasia
MICROSCOPIC CHANGES SEEN IN DYSPLASTIC CELL:
Anisocytosis
Poikilocytosis
Hyperchromatism
Presence of Mitotic Figures
• The cells are unequal in size.
Anisocytosis
The cells are abnormally shaped.
Poikilocytosis
The cells are darkly pigmented or they
can absorb stains more
This is due to the increased amount of
_____ on that specific tissue.
Hyperchromatism
RNA
• An indicative that there is an unusual number of cells that are currently dividing (fast division of cells).
Presence of Mitotic Figures
There is shrinkage in both the cell size and the cell number.
Atrophy
There is an increase in cell number but as to its size it is normal.
Hyperplasia
The number of cells are still the same but the size of the cell is already larger.
Increase in cell size.
Hypertrophy
There is a change from one tissue to another.
It can be______ or it can be
______or on the_______
Metaplasia
epithelial
mesenchymal
connective tissue
There is malformation, the sizes are not uniform, the development is usually late.
The sizes and shapes are different.
Dysplasia