Chapter 2 (Sections 3-5) - Cell Responses Flashcards
What are the 3 principal cell targets of injurious stimuli?
Mitochondria
Cell Membrane
DNA
What are some causes of Mitochondrial damage that causes necrosis?
Hypoxia
Toxins
If the Mitochondria is targeted by hypoxia and toxins, what will result?
DECREASED ATP production
INCREASED ROS
= Necrosis
What are some causes of Mitochondrial damage that cause apoptosis?
Protein and DNA damage
If the Mitochondria is targeted by protein and DNA damage, what will result?
INCREASED PRO-apoptotic molecules (BAK, BAX)
– Leakage of Cytochrome C out of Mitochondria
= Apoptosis
What are some causes of cell membrane damage?
ROS
Which cell membranes are targets of ROS?
Lysosomal
Mitochondrial
Plasma
If the Cell membranes are targeted by ROS, What will result?
Necrosis
What are some causes of DNA damage?
Radiation
Mutations
If DNA is damaged, what will result?
Apoptosis
Increased production of ROS or decreased scavenging of ROS leads to their excess. What is this called?
Oxidative stress
Oxidative stress can cause what damage to the cell?
Membrane damage
DNA damage and mutations
Protein modifications
What ion in excess in the cytoplasm can cause cell injury?
Calcium
Increased cytosolic calcium causes what damage to the cell?
Membrane damage
DECREASED ATP
Nuclear damage
Unfolded Protein Response
Accumulation of misfolded proteins in the ER can cause Apoptosis
What inflammatory cells can release large amounts of ROS that can damage the cell?
Neutrophils and Macrophages
What are the 4 cellular adaptations to stress?
- Hypertrophy
- Hyperplasia
- Atrophy
- Metaplasia
Hypertrophy
Increased cell SIZE!!
- Causes an increase in organ size too
Increase in cell size due to stress?
Hypertrophy
What is the mechanism of Hypertrophy
Increases Intracellular proteins to increase cell size
Most common cause of Pathologic Hypertrophy and an example
Increased workload
ex. Pressure overload on the heart
Most common cause of Physiologic Hypertrophy and an example
Hormone induced enlargement from hypertrophy of smooth muscle
ex. Increased uterine size due to estrogen during pregnancy
Hyperplasia
Increased cell NUMBER
Hyperplasia can only occur in cells that are capable of?
Cell division and thus replication
Pathologic Hyperplasia
Excessive or inappropriate actions of hormones or growth factors that increase cell number
Physiologic Hyperplasia
Due to actions of hormones or growth factors when there is a needed compensation due to damage or resection
Hyperplasia is a characteristic response to certain ___ infections
Viral
Atrophy
Decreased cell SIZE and NUMBER
- Causes a decrease in organ size too
Atrophy is due to?
Decreased protein synthesis and increased protein degradation
Pathologic Atrophy
Decreased workload, loss of innervation or blood supply
Physiologic Atrophy is common when?
During development
Metaplasia
Reversible changes where 1 differentiated cell type is replaced with another differentiated cell type
What cell types usually get replaced with metaplasia?
Epithelial or Mesenchymal
Metaplasia changes cell type to a type that can?
Withstand the new environment and adapt best
Metaplasia results from what 2 options?
- Reprogramming local stem cells
2. Colonization by differentiated cell types from another location
Metaplasia is usually which transition?
Columnar to Squamous
Which cellular adaptation to stress can initiate malignant transformation?
Metaplasia
Intracellular accumulations usually occur where in the cell?
Cytoplasm
Lysosomes
Nucleus
4 mechanisms that cause intracellular accumulations
- Inadequate removal
- Accumulation of endogenous product
- Failure to degrade a metabolite due to enzyme defect
- Exogenous substance deposition
Examples of lipids that can accumulate intracellularly
Triglycerides
Cholesterols
Phospholipids
Triglyceride accumulation causes what?
Steatosis (fatty changes)
Cholesterol accumulation causes what?
Atherosclerosis and xanthomas
How do proteins appear when they accumulate?
Eosinophilic droplets
Examples of protein accumulation intracellularly
Amyloid
Plaques and neurofibrillary tangles with Alzheimers
With what disease is Glycogen accumulation seen?
Diabetes
Examples of exogenous pigment accumulation?
Tattooing
Carbon - black lungs
Examples of endogenous pigment accumulation?
Lipfuscin granules - yellow brown in the heart
Melanin
Hemosiderin - iron
Hyaline change
Alterations in cells that give them a smooth, glassy, pink appearance
Lysosomal Storage Disease
Inability to degrade a metabolite due to an enzyme defect
Pathologic Calcification
Abnormal deposition of calcium salts, magnesium and iron into tissue
2 types of Pathologic Calcification
- Dystrophic Calcification
2. Metastatic Calcification
Dystrophic Calcification occurs where?
Occurs in areas of necrosis
Metastatic Calcification occurs why?
In normal tissues due to Hypercalcemia
____ is one of the strongest independent risk factors for chronic disease
AGE
Progressive decrease in cellular function caused by abnormalities and accumulation of damage over time
Cellular Aging
What 3 things cause Cellular Aging?
- DNA Damage
- Decreased replication of cells
- Defective protein homeostasis
With cellular aging there is decreased replication of cells. What is this called?
Cellular Senescence
With cellular aging and decreased replication of cells, what part of the DNA is shortened and causes this?
Telomere
What may slow cellular aging and activate DNA repair?
Caloric restrictions
Decreased IGF-1 and Increased Sirtuins may slow?
Cellular aging