Exam 4: Agenesis/Aplasia, Hypoplasia Flashcards
What are 2 major classes of cell growth?
Congenital
Acquired (after normal development)
What is growth?
An increase in the parenchymal mass of a tissue, resulting from an increase in cell size or number, or both
What are examples of a controlled response to an abnormal stimulus?
Hypertrophy
Hyperplasia
Metaplasia
What are examples of an uncontrolled response to an abnormal stimulus?
Dysplasia
Neoplasia
What is necessary to maintain the tissue?
Continued cell proliferation
What is quantitative growth?
Increased capacity (hypertroohy, hyperplasia), decreased capacity (atrophy)
What is qualitative growth?
Alteration of cell form to adapt (metaplasia)
What is agenesis, aplasia, and hypoplasia?
A lack of proper growth potential
What does the suffix -plasia mean?
A change in the degree of cell proliferation
What does the suffix -ophy mean?
A change in the degree of cell/tissue size
Where is agenesis/aplasia common in?
Reproductive tract
What are the 3 stages of development?
Chromosomes
Gonad
Tubular structures
What are the 4 cell populations that gonads develop from?
Germ (yolk sac)
Mesenchyme (supporting cells)
Coelom epithelium (steroid cells)
Mesonephros epithelium (epithelium)
What is agenesis?
“Without beginning”
The complete failure of an organ to develop
What is aplasia?
“Without formation”
The organ had a beginnin, but little else-rudimentary nubbin or cord of tissue
What determines the development of the gonad?
Chromosomal sex
The absence of the Y chromosome, ovaries form
What happens if a Y chromosome is present?
Mullerian inhibiting substance (from sertoli cells) causes regression of the female tract, and testosterone (from interstitial cells) stimulates the Wolffian duct system
What does suppressed testosterone lead to?
Aplasia of the male reproductive tract
If defects occur in the testosterone target tissue receptor, what does testosterone cause?
Virilization of Wolffian ducts, while dihydrotestosterone induces virilization changes in the urogenital sinus and external genitalia
What are common conditions of cell growth disturbance in the reproductive tract?
Failure of normal maturation, hypoplasia, and aplasia of the genitalia
Segmental aplasia of paramesonephric duct
What are the 3 main categories of disorders of sexual development with agenesis/aplasia?
Abnormal/missing sex chromosome
Female karyotype
Male karyotype
What are examples of abnormal/mixed chromosome?
XXY Klinefelter’s
XX/XY chimerism
What are examples of XY disorders?
Testis development
Androgen synthesis defects
What are examples of XX disorders?
Ovary development
Androgen excess