Cellular Adaptations Flashcards

1
Q

What is hypertrophy?

A

An increase in size of existing cells without cell division due to an increase in functional demand or from stimulation by hormonal or growth factors

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2
Q

Is hypertrophy reversible?

A

Yes

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3
Q

What is eccentric hypertrophy?

A

Where cells become longer

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4
Q

What is concentric hypertrophy?

A

Where cells become wider

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5
Q

What happens to nuclei in hypertrophied cells?

A

They become a lot larger

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6
Q

What mostly contributes to the increased size of hypertrophied cells?

A

Increased synthesis of structural components

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7
Q

What is hyperplasia?

A

An increase in the number of cells due to stimulation by hormonal or growth factors

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8
Q

Is hyperplasia reversible?

A

Yes

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9
Q

Where does hyperplasia occur in normal physiology?

A

in the endometrium during the reproductive cycle and in the breast during lactation

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10
Q

Do hyperplasia and hypertrophy ever occur together?

A

Yes e.g. in Grave’s disease

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11
Q

Why do some cells undergo hyperplasia and some cells undergo hypertrophy?

A

Depends on whether cells can divide or not - labile cells are continuously cycling, stable cells are in the G0 phase and permanent cells cannot divide so therefore cannot undergo hypertrophy

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12
Q

What is cellular atrophy?

A

When cells receive less than normal nutrients so decrease in size and activity - cellular components are removed by autophagy - reversible

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13
Q

What is tissue atrophy?

A

Where tissues reduce in size and activity due to cellular apoptosis - not reversible

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14
Q

When does physiological atrophy occur?

A

In the uterus after birth and in the thymus after adolescence

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15
Q

When does pathological atrophy occur?

A

inadequate nutrition, diminished blood supply, denervation, disuse, loss of endocrine stimulation, pressure

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16
Q

What is metaplasia?

A

Adaptive change from one fully differentiated cell type to another fully differentiated cell type due to cytokine or growth factor reprogramming

17
Q

Where does metaplasia commonly occur?

A

In the epithelium

18
Q

What occurs in cervical metaplasia?

A

Convert from simple columnar epithelium to stratified squamous after the onset of menstruation

19
Q

What occurs in bronchial metaplasia?

A

Pseudostratified columnar changes to stratified squamous - happens in smokers

20
Q

What is the risk of hyperplasia?

A

May increase risk of malignancy due to increased risk of mutations developing

21
Q

What is neoplasia?

A

New growth that is unregulated e.g. cancer and malignancy

22
Q

What are the causes of valve disease?

A

congenital abnormalities, degenerative changes (calcification), inflammation (infection or immune mediated)