CELLULAR BIOLOGY - Cell Injury Flashcards
List the five ways cells can respond to adaptive change
Hypertrophy
Hyperplasia
Atrophy
Metaplasia
Dysplasia
How are permanent cells repaired?
Permanent cells are repaired through replacement by connective tissue causing a loss of specialised function
What is hypertrophy?
An increase in organ/tissue size due to an increase in cell size
Which cells is hypertrophy seen in?
Stable and permanent cells
What are the physiological causes of hypertrophy?
Increased mechanical or metabolic workload
Hormone stimulation
Give an example of hypertrophy caused by increased mechanical workload?
Hypertrophy cardiomyopathy
Give an example of hypertrophy caused by hormone stimulation?
Hypertrophy secondary to hyperthyroidism
What age and sex of cat is predisposed to Feline Hypertrophic Cardiomyopathy?
Middle aged male cats
What are the pathological causes of hypertrophy?
Abnormal increase in hormone stimulation
Physical obstruction
Genetics
What are the limiting factors of hypertrophy?
Limited vascular and nutritional supplies for the enlarged cells
What is hyperplasia?
An increase in organ/tissue size due to an increase in the number cells (proliferation)
Which cells is hyperplasia seen in?
Labile and stable tissues
What are the causes of hyperplasia?
Hormonal stimulation
Growth factors
Pathological
Give an example of hormone induced hyperplasia. What is the clinical significance of this condition?
Cystic endometrial hyperplasia which can progress to a pyometra
Give an example of infection induced hyperplasia
Porcine proliferative enteropathy
What is atrophy?
A decrease in organ/tissue size due to a decreased nutrient supply and/or function leading to decreased protein synthesis and increased protein and organelle breakdown
What are the causes of physiological atrophy?
Altered/decreased hormonal stimulation
Apoptosis of individual cells
What are the causes of pathological atrophy?
Nutrient deficiency (cachexia)
Disuse
Denervation
Pressure
Loss of endocrine stimulation
What is denervation atrophy?
The atrophy of skeletal muscle fibres due to neural damage
What is indicated by post mortem serous atrophy of fat?
Suggests starving/emaciation but it can be caused by a wide range of other things
What is metaplasia?
The replacement of an adult cell type with another adult cell type
What is adaptive substitution in regards to metaplasia?
The replacement of sensitive cell types with another cell type that is able to withstand adverse environments
What are some of the causes of metaplasia?
Chronic chemical injury
Chronic mechanical injury
Chronic inflammation
Vitamin A deficiency
Hormonal stimulation
What is dysplasia?
The disordered arrangement of epithelial cells with loss of differentiation, loss of cell polarity and features of atypia (abnormalities)
What is hypoplasia?
The incomplete or underdevelopment of an organ/tissue leading to a below average number of cells
What is a common example of hypoplasia which frequently leads to reduced fertility?
Unilateral or bilateral testicular hypoplasia
What is aplasia/agenesis?
The complete lack of organ/tissue development
What are the seven causes of cell injury?
Oxygen deprivation
Physical agents
Chemical agents and drugs
Infectious agents
Immunologic dysfunction
Genetic defects
Nutritional deficiencies and imbalances
List four examples of reversible cell injury
Hydropic change
Lipidosis
Glycogen accumulation
Neuronal chromatolysis
What are the cellular characteristics of reversible cell injury?
Generalised cell swelling
Blebbing of the plasma membrane
Chromatin condensing
What is hydropic change?
Acute cellular swelling caused by a failure of energy-dependent ion transport pumps which cause an electrolyte imbalance and thus a water overload
On gross examination, how to organs with hydropic change appear?
Enlarged
Pale
Turgid
On microscopic examination, how to cells with hydropic change appear?
Pale cytoplasm
Vacuolated cytoplasm
‘ballooning degradation’ (clear cytoplasm) in severe cases
What is lipidosis?
An abnormal metabolism of lipids
What can cause lipidosis?
Increased mobilisation of lipid stores
Nutritional disorders
Endocrine diseases
In which specific cells types is lipidosis more likely to occur?
Hepatocytes
Myocardial cells
Renal tubule cells
On gross examination, how to organs with lipidosis appear?
Enlarged
Pale/yellow
Soft
Greasy
On microscopic examination, how to cells with macrovesticular lipidosis appear?
Single round vacuoles in the cytoplasm causing peripheral displacement of the nucleus
On microscopic examination, how do cells with microvesticular lipidosis appear?
Multiple small round vacuoles in the cytoplasm with no peripheral displacement of the nucleus
- indicates more severe lipidosis
What are some causes of glycogen accumulation?
- Diabetes mellitus
- Glycogen storage disease
What are some specific causes of hepatic glycogen accumulation?
“Steroid hepatopathy’ (prolonged
corticosteroid/glucocorticoid treatment)
Hyperadrenocorticism
What is the gross appearance of the liver in a glucocorticoid (steroid) hepatopathy?
Enlarged
Pale brown to tan
Firm
Non-greasy
What is neuronal chromatolysis?
The chromatolysis of neuronal ganglia caused by autonomic nervous system disorders
Give an example of a disease caused by neuronal chromatolysis?
Equine dysautonomia (equine grass sickness)
What are the cellular characteristics of irreversible cell injury?
Severe endoplasmic reticulum and mitochondrial swelling
Lysosome rupturing
Blebbing of the plasma membrane followed by membrane rupturing
Nuclear membrane rupture and chromatin fragmentation
Which ion is found in the cytoplasm of cells undergoing irreversible cell injury?
Increased cytoplasmic Ca2+
What causes oxidative stress in cells?
Free radicals/reactive oxygen species
List how free radicals/reactive oxygen species are produced in cells
Normal metabolic functions
Absorption of radiation
Activated leukocytes due to inflammation
Iron and copper catalysing the formation of free radicals
Nitrogen oxide
What are the two main mechanisms of cells death?
Apoptosis
Necrosis
What is hypoxia?
Partial oxygen deficiency to the cells/tissues
What is anoxia?
Complete oxygen deficiency to the cells/tissues
What are the possible causes of hypoxia?
Heart failure
Respiratory failure
Ischaemia
Anaemia
Blockage of cell respiratory enzymes
What is ischaemia?
Partial reduction or complete loss of blood supply caused by local impairment of blood flow
What are the possible causes of Ischaemia?
Thrombosis
Mechanical interference with blood flow
What occurs within cells affected by ischaemia?
Ischaemia leads to a lack of oxygen in the mitochondria, decreasing oxidative phosphorylation and thus there will be a lack of ATP production. This causes a decrease in the actions of the Na+/K+ ATPase pump, an increase in anaerobic glycolysis and the detachment of ribosomes from the endoplasmic reticulum
How does a decrease in the actions of the Na+/K+ ATPase pump due to ischaemia affect a cell?
Leads to cellular swelling and membrane blebbing
How does increased anaerobic glycolysis due to ischaemia affect a cell?
The production of lactic acid decreases the cellular pH causing the clumping of chromatin
How does ribosome detachment from the endoplasmic reticulum due to ischaemia affect the cell?
Results in reduced protein synthesis and increased lipid deposition