Injury to cells Flashcards

1
Q

What are the 4 types of cellular adaptation?

A

Hyperplasia, hypertrophy, metaplasia and atrophy.

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2
Q

What is hypertrophy?

A

Increase size of cells= increase size of organ.
Physiological example is a body builder.
Pathological example is the heart during hypertension.

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3
Q

What is hyperplasia?

A

Increase number of cells= increased size of organ.
Physiological example is the menstrual cycle.
Pathological example is the build up of the endometrium if hormone stimulus continues.

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4
Q

What is atrophy?

A

A decrease size of the cells due to loss of substance.

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5
Q

What is metaplasia?

A

When once cell type is replaced by another.
This is reversible
E.g Barretts oesophagus.

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6
Q

What is hypoxia?

A

Cause of injury to a cell.

Due to low oxygen supply.

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7
Q

What is ischaemia?

A

Cause of injury to a cell.

Loss of blood supply resulting in loss of oxygen and nutrients.

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8
Q

What is chemical exposure?

A

A cause of cellular injury.

Due to fag smoke, alcohol and paracetamol.

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9
Q

What are common causes of cellular injury?

A

Infection
Radiation
Lack of nutrients
Ageing

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10
Q

What are two examples of reversible cellular injury?

A

Cellular swelling and fatty change.

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11
Q

Explain necrosis.

A

A type of cell death.
Always pathological
Cellular swelling causes membranes to break down. Enzymes enter into the cell and digests cell.
Causes leakage so therefore an inflammatory response.

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12
Q

Explain apoptosis?

A

Programmed cell death pathway.
Cell activates enzymes that breakdown DNA and proteins causing death.
Membranes remain intact so there is no leakage or inflammatory response.

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13
Q

What is physiological apoptosis?

A

Embryogenesis.

Hormonal elimination of cells that have served their purpose.

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14
Q

What is pathological apoptosis?

A

DNA damage.
Occurs in parachymal organs after duct obstruction.
Cell death caused by cytotoxic T cells.

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15
Q

How is apoptosis activated?

A

A result of the activation of caspases.

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16
Q

What are the different pathways of apoptosis?

A

Intrinsic pathway- mitochondrial pathway.

Extrinsic pathway- fas death receptor pathway.

17
Q

What are different types of necrosis?

A

Coagulative necrosis- heart.
Liguefactive necrosis- hole in brain- e.g. stroke.
Caseous necrosis-in the lung, commonly TB.
Fat necrosis- can mimic tumour.

18
Q

How does the depletion of ATP lead to cell injury?

A

Oxidative phosphorylation of ADP within the mitochondria causes reduced supply of oxygen and nutrients leads to mitochondrial damage.

Causes intracellular lactic acid, failure of calcium pumps and damage to protein structure.

19
Q

How does an influx of calcium lead to cell injury?

A

It causes ischaemia.

Increased intracellular calcium causes the activation of enzymes and damage to cellular components. Triggers apoptosis.

20
Q

How does oxidative stress lead to cell injury?

A

Increase of free radicals.

Damage proteins, fat, DNA.

21
Q

How does a defect in cell membrane permeability lead to cell injury?

A

Results in necrosis.
Decreases phospholipid synthesis and therefore ATP>
Increase in oxygen free radicals- lipids break down.

22
Q

List some examples of intracellular accumulation of abnormal material.

A

Fat in hepatocyctes (liver) due to alcohol misuse.
Cholesterol in smooth muscle in atherosclerosis.
Protein in alzheimers and parkinsons.