Cellular Adaptations Flashcards

1
Q

explain the concept of adaptation in the context of physiological responses to stress agents

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Adaptation is the physiological ability to respond to prolonged exposure to stress agents: This statement implies that living organisms have the capability to adapt to stressors over time. When exposed to prolonged stress, the body can undergo various changes to better cope with the stressors.
Adaptation is the reserve mechanism to respond to prolonged excessive exposure to stress stimuli: This suggests that adaptation acts as a sort of backup or reserve mechanism when the exposure to stress stimuli becomes excessive or overwhelming. In such situations, the body may rely on adaptation to deal with the stress.
Metabolic modifications: This refers to changes in metabolic processes within the body. When exposed to chronic stress, the body may modify its metabolic functions to maintain homeostasis or respond more effectively to the stressors.
Structural changes by a change in growth pattern: Chronic stress can also lead to structural changes in an organism. This might include changes in the growth pattern of tissues or organs. For example, some cells or tissues might grow more rapidly or undergo alterations to adapt to the stress.
In summary, adaptation is a fundamental concept in biology and physiology. It involves various mechanisms, including metabolic modifications and structural changes, that allow organisms to respond and cope with prolonged exposure to stressors.

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2
Q

explain the relationship between cell production, cell death, and changes in cell growth

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In an adult, cell production matches cell death: In adult tissues, there is typically a balance between cell production (proliferation) and cell death (apoptosis). This balance helps maintain tissue homeostasis and the overall number of cells in a tissue. When these two processes are in equilibrium, the tissue remains stable.
Increased demand for work, excessive hormonal stimulation –> growth is increased: When there is an increased demand for the functionality of a particular tissue or excessive hormonal stimulation, it can lead to an increase in the growth of the tissue. This growth can occur through two main mechanisms:
a. Hyperplasia: This refers to an increase in the number of cells in a tissue. It occurs when cells undergo mitosis and increase in number to meet the increased demand.
b. Hypertrophy: This involves an increase in the size of individual cells without an increase in their number. Cells become larger in response to the increased workload or hormonal stimulation.
So, to answer your question, when there is increased demand for work or excessive hormonal stimulation, both hyperplasia (increased number of cells) and hypertrophy (increased size of cells) can occur simultaneously to accommodate the increased need for tissue function. Therefore, the correct answer is “1 and 2, both hyperplasia and hypertrophy.”

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3
Q

explain the relationship between cell proliferation (increase in cell number), an increase in the size of an organ, and the potential consequences of these processes

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Increase in the number of cells by mitosis –> increase in the size of an organ: This is correct. When cells undergo mitosis and increase in number, it can lead to an increase in the size of the organ or tissue. This process is often associated with hyperplasia and can be a normal response to increased demand or growth signals.
Can only take place if the cell population is capable of replication: For an increase in the number of cells through mitosis to occur, the cells in the tissue must be capable of replication. Not all cells have the ability to divide and replicate, and this ability can vary depending on the tissue and cell type.
Can occur together with hypertrophy, e.g., uterine enlargement: It is possible for hyperplasia (increased cell number) and hypertrophy (increased cell size) to occur simultaneously in response to certain stimuli. For example, in the case of uterine enlargement during pregnancy, both cell division (hyperplasia) and cell growth (hypertrophy) may contribute to the overall increase in uterine size.
In some cases, hyperplasia progresses to dysplasia and then neoplasia (a tumor): This is an important point. While hyperplasia is a regulated increase in cell number, in some cases, it can progress to a more disordered and potentially harmful state known as dysplasia. Dysplasia involves changes in cell structure and organization that may be precursors to cancer. Neoplasia refers to the development of a tumor or abnormal growth. Therefore, hyperplasia can be a step in the progression toward neoplasia or the development of tumors in some cases.

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4
Q

explain the examples of various physiological conditions involving either hormonal or compensatory mechanisms

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Skeletal muscle due to exercise: Skeletal muscle can undergo both hypertrophy (increase in cell size) and hyperplasia (increase in the number of muscle cells) in response to regular exercise. This is a compensatory adaptation to the increased physical demand placed on the muscle.
Hyperplasia of bone marrow cells producing red blood cells in individuals living at high altitudes: In high-altitude environments with lower oxygen levels, the body responds by increasing the production of red blood cells. This is a compensatory response to enhance oxygen-carrying capacity and is stimulated by the hormone erythropoietin.
Hyperplasia of breast tissue at puberty, pregnancy, and lactation: Various hormones, including estrogen, progesterone, prolactin, growth hormone, and human placental lactogen, stimulate the hyperplasia of breast tissue during these stages. This is a physiological response to prepare the breasts for milk production and feeding.
Hypertrophic hyperplasia of uterine smooth muscle at puberty and in pregnancy: The uterus can undergo both hypertrophy and hyperplasia in response to hormonal changes, particularly the influence of estrogen. This is a normal physiological adaptation to support the growing fetus during pregnancy and the menstrual cycle.
Thyroid hyperplasia due to increased metabolic demands: The thyroid gland can undergo hyperplasia in response to increased metabolic demands, such as during puberty or pregnancy. It produces more thyroid hormones to meet the body’s increased energy needs.
Growth of some organs after surgical resection, e.g., liver transplant: In cases where a portion of an organ is removed through surgery, such as a liver transplant, the remaining portion of the organ can undergo compensatory hyperplasia and hypertrophy to restore normal function and size. The body adapts to the loss of tissue by promoting the growth of the remaining tissue.

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5
Q

explain the pathological conditions where hormone stimulation leads to abnormal growth or hyperplasia of certain tissues

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Acromegaly due to an increase in growth hormone and insulin-like growth factor-1 (IGF-1): Acromegaly is a disorder caused by the excess production of growth hormone, often due to a benign tumor in the pituitary gland. This leads to the overproduction of IGF-1, resulting in the abnormal growth of bones and tissues, particularly in the extremities and face.
Endometrial gland hyperplasia due to hyperestrogenism: Hyperestrogenism, or an excess of estrogen, can lead to the overgrowth of the endometrial lining in the uterus. This can result in conditions like endometrial hyperplasia, which can increase the risk of uterine cancer.
Benign prostatic hyperplasia (BPH) due to an increase in dihydrotestosterone: BPH is a non-cancerous enlargement of the prostate gland. It is associated with an age-related increase in dihydrotestosterone (a potent form of testosterone), which can cause hyperplasia of the prostate cells and result in urinary symptoms.
Gynecomastia (male breast tissue) due to increased estrogen: Gynecomastia is the abnormal development of breast tissue in males. It can occur due to various factors, including an imbalance between estrogen and testosterone levels, leading to breast tissue hyperplasia.
Polycythemia due to an increase in erythropoietin: Polycythemia is a condition characterized by an abnormal increase in the number of red blood cells. It can result from an overproduction of erythropoietin, a hormone that stimulates red blood cell production. This condition can lead to increased blood viscosity and potential complications.
In these pathological scenarios, the excessive or abnormal production of hormones, such as growth hormone, estrogen, dihydrotestosterone, and erythropoietin, leads to pathological hyperplasia or abnormal growth in various tissues and organs.

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6
Q

explain the pathological conditions that can result from either hormone stimulation or chronic irritation

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Hormone Stimulation:
Thickened epidermis from constant scratching: Chronic scratching of the skin can lead to a thickening of the epidermis. While it’s not directly hormone-stimulated, the mechanical irritation and inflammation from scratching can result in skin changes, including epidermal hyperplasia.
Bronchial mucous gland hyperplasia in smokers and asthmatics: Chronic exposure to irritants, such as smoke in the case of smokers and inflammatory triggers in asthmatics, can lead to an increased production and proliferation of bronchial mucous glands. This results in hyperplasia and increased mucus production, which can contribute to airway obstruction and breathing difficulties.
Chronic Irritation:
Cirrhosis of the liver due to alcohol excess: Cirrhosis is a condition of the liver caused by chronic liver inflammation and damage, often due to excessive alcohol consumption. It is not primarily driven by hormone stimulation but rather by the chronic irritation and inflammation caused by alcohol’s toxic effects on liver cells.
In these pathological scenarios, chronic irritation or inflammation plays a significant role in driving hyperplasia or changes in the affected tissues. While hormones may be involved in certain aspects of these conditions, such as asthma and its inflammatory response, the chronic irritation is a key factor leading to tissue changes and pathology.

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7
Q

explain the pathological conditions that can result from hormone stimulation, chronic irritation, or chemical imbalances

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Hormone Stimulation:
Parathyroid gland hyperplasia from long-term hypocalcemia: The parathyroid glands regulate calcium levels in the body. When there is chronic hypocalcemia (low calcium levels), it can stimulate the parathyroid glands to become hyperplastic, enlarging them and leading to increased production of parathyroid hormone (PTH) to raise calcium levels in the blood.
Chronic Irritation:
Thyroid enlargement due to iodine deficiency: Chronic iodine deficiency can lead to an enlargement of the thyroid gland, a condition known as goiter. The lack of iodine disrupts the production of thyroid hormones, which can result in the thyroid gland enlarging in an attempt to compensate for the deficiency.
Chemical Imbalance:
None of the examples you’ve provided directly involve a chemical imbalance. Both examples (1 and 2) can be attributed to hormonal and nutritional imbalances. In the case of parathyroid gland hyperplasia, it’s related to hypocalcemia and the body’s response to maintain calcium balance, and in the case of thyroid enlargement due to iodine deficiency, it’s related to a lack of an essential nutrient (iodine) necessary for thyroid hormone production.

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8
Q

explain an example of a pathological condition that results from antibody stimulation

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Antibody Stimulation:
Graves’ disease: Graves’ disease is an autoimmune disorder in which the immune system produces antibodies, specifically thyroid-stimulating immunoglobulin G (IgG) antibodies, against the thyroid-stimulating hormone (TSH) receptors in the thyroid gland. These antibodies act like TSH and continuously stimulate the thyroid gland to produce excessive amounts of thyroid hormones. This condition is characterized by hyperthyroidism, goiter, and other symptoms related to thyroid hormone excess.
Graves’ disease is an example of a pathological condition primarily driven by antibody stimulation, specifically autoimmune antibodies targeting thyroid receptors. It leads to hormonal imbalances and thyroid hyperplasia due to chronic stimulation of the thyroid gland.

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9
Q

explain an example of a pathological condition that results from viral infection

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Viral Infections:
Wart: Warts are skin growths caused by infection with the human papillomavirus (HPV). In the case of warts, the virus infects the epidermal cells and leads to localized epidermal hyperplasia. The viral infection triggers the excessive growth of the outer layer of the skin, resulting in the characteristic appearance of a wart.
Warts represent a pathological condition resulting from viral infection, and the hyperplasia is a response to the presence and activity of the virus in the skin cells.

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10
Q

explain the two main mechanisms involved in hypertrophy

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The increase in the size of current cells, resulting in the increase in the size of an organ without the addition of new cells, is a process known as hypertrophy. This typically occurs in tissues that are incapable of dividing, such as cardiac muscle (heart) and skeletal muscle. Hypertrophy can involve two main mechanisms as you mentioned:
(a) Hypertrophy of Secretory Cells: In secretory cells, which are responsible for producing and releasing various substances, hypertrophy involves the enlargement of these cells. This can occur through the synthetic apparatus, which includes ribosomes, endoplasmic reticulum (ER), Golgi apparatus, and other organelles. As these cells grow larger, they produce and release more of the substances they are designed to secrete.
(b) Hypertrophy of Contractile Cells: In contractile cells like skeletal muscle cells, hypertrophy involves an increase in the number and size of myofibrils within the cells. Myofibrils are the contractile units of muscle cells and play a key role in muscle function. By increasing the number of myofibrils, the muscle cells become larger and stronger, leading to greater muscle mass and strength.
Hypertrophy is often seen in response to increased demands on a particular tissue. For example, regular exercise can lead to hypertrophy in skeletal muscle, resulting in increased muscle mass and strength. In the heart, hypertrophy can occur in response to chronic high blood pressure or other cardiac stressors to help meet the increased workload.

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10
Q

explain how muscles can undergo changes in response to increased functional demand due to workload

A

In a physiological context, muscles can undergo changes in response to increased functional demand due to workload. This is typically associated with increased muscle use and exercise rather than the duration of use. When muscles experience increased workload, several physiological adaptations can occur:
Muscle Hypertrophy: When a muscle is subjected to resistance training or increased workload, it can undergo hypertrophy, which involves an increase in the size of individual muscle fibers. This is often the result of an increase in protein synthesis and the addition of myofibrils, making the muscle stronger and more powerful.
Increased Muscle Strength: In response to increased functional demand, muscles can become stronger and more capable of performing work. This is particularly relevant in strength training or exercises that challenge the muscle.
Improved Muscle Endurance: Workload can also improve muscle endurance, allowing a muscle to sustain its activity for longer periods without fatigue. This is crucial in activities like long-distance running or endurance sports.
Enhanced Muscle Function: Increased functional demand can lead to improved muscle function. Muscles can adapt to specific types of work, becoming more efficient at performing certain movements or tasks.
These physiological adaptations are beneficial and serve to optimize muscle function in response to increased workload. They are often observed in the context of physical training and exercise, as the muscles adapt to the demands placed upon them, becoming more efficient and capable of performing their intended functions.

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11
Q

explain left ventricular hypertrophy (LVH)

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Left ventricular hypertrophy (LVH) is a pathological condition characterized by an abnormal increase in the thickness of the left ventricular wall of the heart. This condition is often associated with cardiovascular diseases and represents a pathological adaptation of the heart muscle. It can result from various factors, including increased afterload and preload:
Increased Afterload: Afterload refers to the pressure the heart must overcome to eject blood from the left ventricle into the systemic circulation. Conditions such as hypertension, aortic stenosis, or other cardiovascular diseases that lead to increased afterload can force the left ventricle to work harder. In response to this increased workload, the left ventricle may undergo hypertrophy as it thickens its walls to generate more force to overcome the higher afterload.
Increased Preload: Preload is the volume of blood returning to the heart, filling the left ventricle during diastole. Conditions that increase preload, such as mitral regurgitation or heart failure, can also lead to left ventricular hypertrophy. The heart accommodates the increased volume by thickening the left ventricular wall.
In both cases, left ventricular hypertrophy is a pathological response to the heart’s increased workload and is associated with various cardiovascular diseases. It can lead to impaired cardiac function and is an important clinical sign to monitor and manage in the context of heart health.

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12
Q

explain smooth muscle hypertrophy in the urinary bladder

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Smooth muscle hypertrophy in the urinary bladder is a pathological condition that occurs in response to urethral obstruction. When the flow of urine from the bladder to the urethra is blocked or restricted, the bladder has to work harder to expel urine. This increased workload and resistance to urine flow can lead to hypertrophy of the smooth muscle in the bladder wall.
Here’s how this process typically occurs:
Urethral Obstruction: Urethral obstruction can result from various factors, including prostate enlargement in males, urinary tract stones, or other underlying conditions that restrict urine flow.
Increased Workload: When urine cannot be easily expelled from the bladder due to the obstruction, the bladder must contract more forcefully to push urine against the resistance of the obstruction.
Smooth Muscle Hypertrophy: Over time, the smooth muscle in the bladder wall responds to the increased workload by undergoing hypertrophy. This involves an increase in the size of individual smooth muscle cells within the bladder wall. As these cells become larger, the bladder wall thickens.
This hypertrophy is an adaptive response by the bladder to the mechanical demands imposed by the urethral obstruction. However, it can lead to problems in the long term, such as reduced bladder capacity and reduced bladder compliance, and may contribute to symptoms like urinary retention and increased pressure within the bladder. Treating the underlying cause of the urethral obstruction is important to manage this condition effectively.

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13
Q

explain compensatory hypertrophy & cell enlargement

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Compensatory Hypertrophy of Healthy Kidney After Removal of Other Kidney: This is an example of physiological compensatory hypertrophy. When one kidney is removed or becomes non-functional due to disease or injury, the remaining healthy kidney can undergo compensatory hypertrophy to compensate for the loss of the other kidney’s function. The functional nephrons in the remaining kidney increase in size and capacity to maintain normal kidney function and manage the body’s filtration and waste removal needs.

Cell Enlargement After Cytomegalovirus Infection: Cytomegalovirus (CMV) infection is a viral infection that can lead to the enlargement of cells, particularly in the organs or tissues affected by the virus. CMV can infect a variety of cells in the body, and the virus can cause cellular hypertrophy as part of its replication and infection process. This cellular enlargement can be a pathological response to the viral infection and is a characteristic feature of CMV-infected cells.

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14
Q

explain the two categories: A, representing a decrease in the size of a normally formed tissue or organ, and B, representing abnormal tissue or organ development, including agenesis, aplasia, and hypoplasia

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Decrease in Size of a Normally Formed Tissue/Organ: This refers to a situation where a tissue or organ, which typically develops to a specific size during embryonic and postnatal development, undergoes a reduction in size. This reduction in size can be due to various factors, including injury, disuse, or certain medical conditions. An example of this would be muscle atrophy, where muscle tissue decreases in size due to lack of use or other factors.

Abnormal Tissue/Organ Development:
Agenesis: Agenesis refers to the complete absence of the development of a particular tissue or organ. In such cases, the structure never forms during embryonic development. For example, renal agenesis is the absence of one or both kidneys from birth.
Aplasia: Aplasia occurs when a tissue or organ is present but fails to function due to poor development. It means that the structure is underdeveloped and unable to perform its normal function. An example is aplastic anemia, where the bone marrow fails to produce enough blood cells.
Hypoplasia: Hypoplasia involves a tissue or organ that is small in size but structurally normal. While it is not fully absent like in agenesis, it is smaller than expected and often has lesser function. A common example is renal hypoplasia, where the kidneys are smaller than normal but present.
These categories encompass a range of developmental and pathological conditions, describing variations in the size and structure of tissues and organs.

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15
Q

explain atrophy

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When a normally formed tissue or organ decreases in size, it’s often due to a condition known as atrophy, which can result in diminished metabolism. Atrophy can occur through either:
Reduction in Cell Size: This involves individual cells becoming smaller. In this case, there’s a decrease in cytoplasm and a reduction in the number of organelles. The cells become more compact and contain fewer resources for metabolism.
Reduction in Cell Numbers: This refers to a decrease in the total number of cells in the tissue or organ. It can result in the loss of functional capacity.
The mechanisms involved in atrophy include:
Decreased Protein Synthesis: When tissues or organs experience reduced workload or demand, there is often a decrease in protein synthesis within the cells. Proteins are essential for maintaining cell structure and function.
Increased Protein Degradation: In atrophic conditions, cells may experience increased protein degradation. Autophagy is one mechanism where cells break down their own components, including proteins, to reuse them or generate energy. The accumulation of lipofuscin pigment, a cellular waste product, is a characteristic feature of this process.
Loss of Cells by Apoptosis: In some cases, atrophy may involve the programmed cell death process known as apoptosis. When cells are no longer needed or are underutilized, they may undergo apoptosis and be removed from the tissue or organ.

16
Q

explain the physiological changes that can occur in various organs and tissues under specific conditions

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Thymus Gland Atrophy in Early Adult Life: The thymus is an important organ for the development of the immune system, particularly T-lymphocytes. However, it naturally undergoes atrophy (shrinkage) during early adulthood. This is a normal part of aging and is known as physiological thymic involution. As people grow older, the thymus gradually reduces in size, and its function declines. This is a part of the normal aging process and is linked to the shift in the immune system’s balance and function.
Bone Strength When No Longer Exercising: Bones adapt to the mechanical forces placed on them, and regular weight-bearing exercise is crucial for maintaining bone strength. When an individual stops exercising, especially weight-bearing activities like walking or resistance training, they may experience a decline in bone density and strength. This is a physiological response to reduced mechanical loading, and it highlights the importance of regular exercise in maintaining bone health.
Brain in Older Life (Small Vessel Disease): Small vessel disease in the brain is a physiological change that can occur with aging. It involves the gradual narrowing and damage to the small blood vessels in the brain. This condition can affect the brain’s blood supply and is associated with cognitive changes and an increased risk of stroke. While it is considered a part of the aging process, various lifestyle factors, such as diet and exercise, can influence the risk of small vessel disease.

17
Q

explain the various examples of pathological conditions that can lead to changes in tissues and organs

A

Tissue Hypoxia due to Atherosclerosis of Carotid Arteries: Atherosclerosis is a condition where fatty deposits (plaques) build up in the arteries, potentially leading to reduced blood flow. When this occurs in the carotid arteries that supply the brain, it can result in tissue hypoxia (oxygen deprivation) in the brain, potentially causing strokes and cognitive impairment.
Tissue Compression due to Pressure: Prolonged pressure on tissues, such as pressure sores (bedsores), external pressure from tumors, or the pressure exerted by hydronephrosis (distension of the kidney due to urine backup), can lead to tissue compression, reduced blood flow, and tissue damage.
Decreased Innervation to Muscle (Amyotrophic Lateral Sclerosis): Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that results in the loss of motor neurons, leading to decreased innervation of muscles. This leads to muscle atrophy and weakness.
Lack of Nutrition with Muscle as a Source of Energy/Protein: When the body doesn’t receive adequate nutrition, it can break down muscle tissue to provide energy and protein. This process is known as muscle wasting or muscle atrophy and can result from conditions like malnutrition.
Cancer: Cancer is characterized by uncontrolled cell growth and the formation of malignant tumors. It can lead to the disruption of normal tissue structure and function as cancer cells proliferate and invade surrounding tissues.
Skin Thinning (Subdermal Atrophy) after Prolonged Use of Steroids: Prolonged use of corticosteroid medications can lead to thinning of the skin, known as subdermal atrophy. Steroids can suppress collagen production and lead to skin fragility.
Muscle Bulk and Strength Due to Lack of Use: When a muscle is not regularly used or immobilized, as in the case of a fractured leg that is immobilized, it can result in muscle atrophy. The muscle loses mass and strength due to disuse.
Brain Changes in Older Life (Small Vessel Disease): Small vessel disease is a condition where small blood vessels in the brain become narrowed or damaged.