Cellular Adaptations Flashcards
4 Reversible/Adaptive Disorders of Growth
- Atrophy
- Involution
- Hypertrophy
- Hyperplasia
2 Borderline Reversible/Irreversible Cellular Changes
- Metaplasia
- Dysplasia
(these can often be pre-neoplastic)
Reversible/Adaptive Disorders that cause increase in tissue size?
Hyperplasia and Hypertrophy
Reversible/Adaptive Disorders that cause decrease in tissue size?
Atrophy and Involution
Atrophy and Involution Shared Definition
decrease in size or amount of cell, tissue, or organ after normal growth has been reached, along with decreased functional capacity
Atrophy
decrease is caused by an adverse environment
Involution
decrease is a physiologic (normal) process
3 Examples of Involution
- Thymus
- Uterus
- Mammary
Atrophy Stimuli
decreased nutrition/ blood flow/stimulatory factors/workload or use/innervation
Pressure Atrophy
can be secondary to mass effects –> mass causes tissue to decrease in size
Hypertrophy
increase in cell size d/t increased #s and size of organelles as a response to increased workload or ongoing stimulus
Examples of Physiologic Hypertrophy
-drug metabolism in liver
-uterine wall in pregnancy
-cardiac/skeletal muscle due to exercise
Which is normal and which is hypertrophic?
Hyperplasia
increase in cell number from increase mitotic divisions
Bilateral thyroid adenomegaly
caused by an iodine deficiency in the dam –> dec. thyroxine in the fetus –> inc. TSH from pituitary –> inc. proliferation of thyroid epithelium
Overdevelopment of muscle - hyperplasia or hypertrophy?
hypertrophy
Cystic Endometrial Hyperplasia
inc. # of glands and cells in uterine horn epithelium due to chronic hormonal stimulation
Pyometra can be secondary; progesterone can suppress immune function and produces lots of secretory product that bacteria like
Examples of Physiologic Hyperplasia
-compensatory for tissue loss (hepatic or epithelial regeneration)
-mammary gland development in pregnancy
-endometrium during estrus and diestrus
-secondary sex characteristics
Metaplasia
one cell type replaced by another cell type, typically caused by chronic irritation or damage
commonly epithelial, less commonly mesenchymal
Vitamin A Deficiency in Turtles
can cause non-keratinizing epithelium to become keratinizing, known as squamous metaplasia; common on the eyelids and ears (aural abscesses)
Barrett’s Esophagus
squamous mucosal epithelium of esophagus is replaced by gastric glandular mucosal epithelium of the stomach; typically secondary to individuals with chronic acid reflux
Dysplasia
abnormal organization (disarray) of cells
Two Major Forms of Dysplasia
- Developmental, or primary
- Acquired, or secondary
Developmental Dysplasia
congenital conditions, generally referring to an organ or tissue
congential
present from birth
Acquired Dysplasia
can be due to viral infection or chronic irritation/damage (ex: UV damage)
Can dysplasia progress to neoplasia?
yes
Does metaplasia become neoplastic?
no