ch 4: altered cellular and tissue biology Flashcards
what is cellular adaptation? how long does it last? what does it do?
- a protective mechanism
- only temporary
- enhances cell function
5 types of cellular adaptation? what happens with each?
- atrophy
- hypertrophy
- hyperplasia
- metaplasia
- dysplasia
what are the two types of atrophy?
- physiologic atrophy
- pathologic atrophy
when is physiology atrophy common?
during early development
where does pathologic atrophy occur? what does it depend on?
- can be local or generalized
- depends on underlying cause
what is disuse atrophy?
decreases in workload
what is denervation atrophy?
loss of innervation
what is ischemic atrophy?
lack of blood supply
what is senile atrophy?
aging
what are the atrophic changes?
- decreased mitochondria
- increased protein catabolism
- increased autophagic vacuoles
what cells are most often affected by atrophy?
- skeletal muscle
- heart
- brain
- sex organs
what is another name for protein catabolism?
degradation
what is physiology hypertrophy commonly associated with?
exercise
what is pathologic hypertrophy induced by?
workload requirments
what are the 2 types of signals for hypertrophy?
- mechanical signals: stretching
- trophic signals: growth factors, hormones, and vasoactive agents
what does hypertrophy increase?
- functional tissue mass
- organelles
- protein synthesis
- demand on cell due to increase workload
what cells are most often affected by hypertrophy?
- non-dividing cells
- skeletal muscles
- myocardium
- kidney cells
what are the two types of physiologic hyperplasia?
- compensatory: regeneration of organ tissue
- hormonal: estrogen dependent organs
what are the common cells of compensatory physiologic hyperplasia?
- liver
- epidermal layers
- interstitial epithelia
- bone marrow cells
- fibroblasts
what are the common cells of hormonal physiologic hyperplasia?
- mammary
- uterine
when can hormonal physiologic hyperplasia often occur in conjunction with hypertrophy?
pregnancy
what is pathologic hyperplasia? what tissue is commonly involved?
- abnormal proliferation in response to excessive hormonal stimuli or growth factor
- endometrium
what are the increased hyperplasia changes?
- mitotic activity
- DNA synthesis
- production of growth factors in dividing cells
what is metaplasia?
REVERSIBLE replacement of one mature cell type by another less mature cell type
what are the characteristics of metaplasia?
- reprogramming of stem cells or undifferentiated cells
- occurs in response to chronic irritation and inflammation
- common with smoking
when is metaplasia reversible?
if causative factor is removed before a cancer develops
what is dysplasia?
- deranged cellular growth
- abnormal changes in size, shape, type or organization of mature cells
what is atypical hyperplasia?
not true adaptive change
mechanism of dysplasia?
- chronic or severe irritation or inflammation
- potentially reversible if improper stimuli removed
- often leading to cancer
- can be mild, moderate, or severe
what are the common tissues associated with dysplasia?
- uterine
- cervix
- breast tissue
what is neoplasia?
- altered cell differentiation or growth
- aka cancer
what is atrophy?
decreased cell size
what is hypertrophy?
increased cell size
what is hyperplasia?
increased cell number
what is apoptosis?
cellular self-destruction for elimination of unwanted cell populations