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aPATH P COPY (SC) > Cellular adaptions > Flashcards

Cellular adaptions Flashcards

1
Q

cell population controlled by

A
  • Rate of cell proliferation
  • Physiological and pathological
  • Rate of cell differentiation
  • Rate of cell death by apoptosis
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2
Q

Increased numbers=

Decreased=

A

Increased numbers= proliferation

Decreased= cell death

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3
Q

Control of cell proliferation by

A
  • proto-oncogenes and tumour suppressor genes
  • chemical mediators from microenvironemnt
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4
Q

signalling moelcules modulate gene expression by binding to receptors on the :

A
  • cell membrane
  • cytoplasm
  • nucleus
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5
Q

cell cycle overview

A

G1

G1 checkpoint

S phase

G2

G2 checkpoint (restriction point)

M and cytokinesis

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6
Q

G1

A

cellular contents excluding the chromosome are duplicated

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7
Q

G1 checkpoint

A
  • Is the cell big enough
  • Is environment favourable
  • Is DNA damaged?
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8
Q

S phase

A

each of the 46 chromosomes are duplicated by the cell

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9
Q

G2

A

cell doublechecks the duplicated chromosomes for error- makes repairs

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10
Q

G2 checkpoint (restriction point)

A
  • Is all DNA replicated?
  • Is the cell big enough?
  • Enter M
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11
Q

M and cytokinesis- mitosis

A
  • Division of cell to produce 2 identical sister cells
  • Prophase
  • Metaphase
  • Anaphase
  • Telophase and cytokinesis
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12
Q

if there are defects in checkpoints

A

uncontrolled division

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13
Q

what regulate checkpoints

A

cyclins

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14
Q

the restriction (R) point is governed by

A

P53

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15
Q

the majority of cells that pass the R point will

A

complete cell cycle- point of no return

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16
Q

the R point is the

A

most commonly altered checkpoint in cancer cells

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17
Q

checkpoint activation at the R point

A

delays cell cyel and triggers DNA repair mechanisms or apoptosis via P53

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18
Q

P53- the guardian of the genome - activators

A
  • DNA damage
  • Oncogene expression
  • Hypoxia
  • Oxidative stress
  • Nutrient deprivation
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19
Q

what occurs as a reuslt of P53

A
  • Senescence
  • Cell cycle arrest
  • Apoptosis
  • DNA repair
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20
Q

all results of P53 activation result in

A

tumour supression

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21
Q

in 70% of cancers

A

P53 mutation

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22
Q

P53 pathway

A
  1. DNA is damaged
  2. Increase in activated P53 either induces
    1. Apoptosis
    2. Or Increase in p21
      1. Prevent phosphorylation of cyclins
      2. Cell cycle arrest
      3. Allow DNA repair
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23
Q

cyclins and CDK

A
  • Cyclin dependent kinases (CDKs) become activated when cyclins bind
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24
Q

what do CDKs do

A
  • phosphorylate proteins which have downstream effects such as increased transcription of proteins which increase cellular proliferation
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25
Q

For each part of the cell cycle to commence

A

specific cyclins must binds to CDKS

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26
Q

cyclin inhibitors e.g. retinablastoma (RB) protein and P21

A

e.g. retinoblastoma (RB) protein

  1. RB is bound to TF (e.g. E2F-DP1) preventing it from entering the nucleus and transcribing
  2. When cyclin binds to CDK the CDK phosphorylates the RB protein
  3. This releases the TF so it can enter the nucleus and transcribe proteins that will cause cellular division (protooncogenes)
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27
Q

How can cells adapt

A
  • hyperplasia
  • hypertrophy
  • metaplasia
  • aplasia
  • hypoplasia
  • involution
  • reconsturction
  • atresia
  • dysplasia
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28
Q

hyperplasia simple

A

cells increase in number above normal

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29
Q

hypertrophy simple

A

icnrease in cell size

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30
Q

atrophy

A

cells become smaller

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31
Q

metaplasia

A

cells are replaced by cells of different type

32
Q
A
33
Q

hyperplasia occurs in

A
  • Labile (resting/slow turnover) tissues
34
Q

hyperplasia is caused by

A
  • increased functional demand or hormonal stimulation (e.g. regeneration of the liver)
  • Remains under physiological control and is reversible
  • Can occur secondary to pathological cause but the proliferation itself is a normal response
35
Q

risk of hyperplasia

A

exposes cell to risk of mutations and neoplasia

36
Q
A
37
Q

physiological hyperplasia

A
  • Proliferative endometrium under influence of oestrogen
  • Bone marrow produces erythrocytes in response to hypoxia
38
Q

pathological hyperplasia

A
  • Eczema
  • Thyroid goitre iodine deficiency
39
Q

hypertrophy occurs in

A
  • Labile, stable but especially permanent tissues
40
Q

when does hypertrophy occur

A
  • Increased functional demand or hormonal stimulation
  • Usually occurs alongside hyperplasia
41
Q

why do cells need to grow

A
  • Cells contain more structural components e.g. cytoplasm- workload is shared by a greater mass of cellular components
42
Q

physiological hypertrophy

A
  • Skeletal muscle e.g. building muscle in the gym
  • Pregnant uterus (hypertrophy + hyperplasia)
43
Q

pathological hypertrophy e.g.

A
  • Hypertrophy of the heart
    • Athletes and cardiac hypertrophy- no. of capillaries will increase- but only to a certain extent- can cause ischaemia–> heart arrhythmias
  • Obstruction of the urethra increases amount of urine needed to be held in the bladder at any time
44
Q

compensatory hypertrophy example

A

if you remove one kidney the other will grow

45
Q

Atrophy

A

Shrinkage of a tissue or organ due to an acquired decrease in size and/ or normal number of cells

46
Q

why foes atrophy need to occur

A
  • shrinkage in the size of the cell to a size at which survival is still possible
  • Reduced structural components of the cell (e.g. cytoplasm)
47
Q

atrophy may result in

A

cell death

48
Q

atrophy is reversible or irreversible

A

reversible up to a certain point

49
Q

physiological atrophy

A
  • E.g. ovarian atrophy in post menopausal women
50
Q

pathological atrophy

A
  • Reduced functional demand= atrophy of disuse
  • Loss of innervation= denervation atrophy
  • Inadequate blood supply
  • Inadequate nutrition
  • Loss of endocrine stimulinBreast, reproductive organs
  • Persistent injury
  • Ageing= senile atrophy
  • Pressure
51
Q

Reduced functional demand= atrophy of disuse

A
  • Muscle atrophy after disuse
  • Reversible with activity
52
Q

​Loss of innervation= denervation atrophy

A

Wasted hand muscles after median nerve damage

53
Q

Inadequate blood supply

A

Thinning of skin on legs with peripheral vascular disease

54
Q

Inadequate nutrition

A

Wasting of muscles with malnutrition

55
Q

Loss of endocrine stimulation

A

Breast, reproductive organs

56
Q
A
57
Q

Persistent injury

A

Polymyositis (inflammation of muscle)

58
Q

Ageing= senile atrophy

A

Brain, heart

59
Q

Pressure

A

Tissues around an enlarging benign tumour (probs secondary to ischaemia)

60
Q

metaplasia (reversible change of one differentiated cell type to another) occurs in

A

labile cell types

61
Q

why does emtapalsia occur

A
  • Altered stem cell differentiation
  • Adaptive substitution of cells that are sensitive to stress by cell types better able to withstand the adverse environment
  • Metaplastic cells are fully differentiated and the process is reversible
62
Q

metaplasia can lead to

A

dysplasia and cancer (no metapalsia across germ layers)

63
Q

example of metaplasia in lung tissue

A

Bronchial pseudostratified ciliated epithelium –> stratified squamous epithelium due to effect of cigarette smoke

64
Q

example of metaplasia in the oesphagus

A

Stratified squamous epithelium –> gastric glandular epithelium with persistent acid reflux (Barretts oesophagus)

65
Q

examples of how epitheilial metaplasia can lead to cancer

A
  • Squamous metaplasia and lung squamous cell carcinoma
  • Barrett’s epithelium and oesophageal adenocarcinoma
  • Intestinal metaplasia of the stomach and gastric adenocarcinoma
66
Q

aplasia

A
  • Complete failure of specific tissue or organ to develop
67
Q

aplasia is a

A
  • Embryonical developmental disorder
    • E.g. thymic aplasia- infections and auto-immune problem
    • Aplasia of a kidney
68
Q

aplasia can also be used to describe

A
  • an organ whose cells have ceased to proliferate e.g. aplasia of bone marrow in aplastic anaemia
69
Q
A
70
Q

hypoplasia

A
  • Underdevelopment or incomplete development of tissue or organ at embryonic stage- inadequate number of cells
71
Q

hypoplasia is in a spectrum with

A

aplais

72
Q

hypoplasia is not

A

the opposite of hyperplasia as it is a congenital condition

73
Q

involution

A
  • Overlaps with atrophy
  • Normal programmed shrinkage of an organ
  • Uterus after childbirth, thymus in early life, pro and mesonephros
74
Q

atresia

A
  • No orifice- failure for opening to form
  • Congenital imperforation of an opening
  • E.g.
    • Pulmonary valve
    • Anus
    • Vagina
    • Small bowel
75
Q

Dysplasia

A
  • Abnormal maturation of cells within a tissue
  • Potentially reversible
  • Often pre-cancerous condition

aPATH P COPY (SC) (19 decks)

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