disorders of growth Flashcards
what are the definitions of the 4 types of growth
multiplicative growth- increase in cell number - mitosis
auxetic growth increase in size of growth - e.g. fat cells get bigger
accretionary growth- refers to growth in post embryonic stage or adult stage e.g. connective tissue during adult life
combined - increase in cell growth and
what is the definition of growth
ncrease in size and applies to the whole body but also to cells, organelles in cells, organs , populations there are 4 different types accretionary , multiple;icative auxetic growth and combined
what is the definition of differentiation
cell develops a specialised function or morphology which distinguishes it from its parent cell
e.g. undifferentiated cells - differentiated into differentiated ciliated cells in the bronchus
what is the definition of morphogenesis
complex process of embryological development
formation of shape and organisation of body organs
involves growth , differentiation , and relative movement of groups of cells
programme cell death apoptosis removes
describe what normal control of systemic growth is
growth = the balance between cell division and apoptosis
growth factors can stimulate cell growth
cell check points check the integrity of Dna
withdrawing growth factors will induce apoptosis
induced stimulation of growth factors can cause
what are the endocrine factors in postnatal growth
hormones are secreted by the gland and circulate around the body
endocrine system e.g. thyroid
what are the endocrine factors in foetal growth
foetal growth= controlled by insulin through the maternal transfer of nutrients and oxygen and glucose absorbed by the fetal pancreas - regulates foetal cells - foeal pituitary develops later - things are mainly regulated by insulin- sugar comes from the placenta
- insulin effects foetal cell growth - lower foetal insulin or the ability of insulin receptors to respond to insulin
hyperinsulinaemia (maternal diabetes) too much glucose to feats results in increased growth
what are the major categories of abnormality
hyperplasia and hypertrophy are common tissue responses
can be physiological (e.g. breast enlargement) - post natal natural response
or pathological - part of disease process
(e.g. prostatic enlargement in elderly men
describe normal and abnormal growth in single tissues
can be physiological e.g. breast enlargement in pregnancy or past natal response or pathological part of disease process e.g. prostatic enlargement in elderly men
abnormal conditions - myocardial hypertrophy - enlarged heart
hypertrophy of arterial walls - leads to hypertension
what is hypertrophy
increase in cell size without cell division auxetic growth e.g. muscle cells and fat cells
what is hyperplasia
increase in cell number by mitosis
what is atrophy
atrophy = decrease in the size of an organ or cell
organ atrophy can be due to a reduction in cell size or number or both
can be mediated by apotosis
may be physiological (e.g due tp decreased function)
reduced movemenr = results in decreased function
loss of innervation - reduced blood , oxygen supply or nutritional status and hormonl deficiencies
what is physiological atrophy
occurs in foetal and postnatal ife
embryo and foetus
branchial crafts , notochord , thyroglossal duct
neonate
umbilical vessels, ductus arteriosus
foetal layer adrenal cortex
thymus
late and older age
testes , bone , uterus , gums , mandible
what is hypoplasisa
decreased growth
failure of development of an organ
process is related to atrophy
failure of morphogenesis
e.g. micropthalmia - foetus has a genetic problem - teraploid - has doubled the amount of chromosomes necessary - normal cell has 46 cells - tetraploid has 96 cells
give some examples of physiological and pathological examples of hyperplasia, hypoplasia , atrophy and hypoplasia
physiological examples of hyperplasia -physiological - breast enlargement in pregnancy
- pathological - prostate enlargement in elderly men
myocardial hypertrophy
physiological atrophy - embryo and foetus - branchial clefts , notochord , thyroglossal duct , mullein duct , wolfing duct (females)
neonate- umbilical vessels
early adult thymus
late adult - uterus , endometrium females
testes (males)
bone (particular females)
gums
mandible
hypoplasiia - pathological caused by Zika virus - mircopheley - abnormal head development - below average head size