Lecture 12 Flashcards

1
Q

Necrosis

A

“accidental cell death”
does not require signaling and gene expression
cell swelling
cell lyses and bursts, spilling contents
inflammation

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2
Q

Apoptosis

A
"cell suicide"
requires signaling and gene expression
cell shrinkage
cell fragments into apoptotic bodies
no inflammation
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3
Q

The way hypoxia kills neurons (necrosis)

A

Energy defect

lactic acidosis

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4
Q

energy deficit

A

lack of oxygen disrupts energy production

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5
Q

lactic acidosis

A

build up of lactic acid from anaerobic metabolism, low pH kill s cells

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6
Q

The way hypoxia kills neurons (apoptosis)

A

Oxidative stress
glutamate excitotoxicity
inflammation

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7
Q

oxidative stress

A

buildup of metabolic intermediates due to abnormal ATP prodution in the absence of oxygen that damage DNA proteins and membrane

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8
Q

glutamate exitotoxicity

A

hypoxic neurons release excess amounts of the neurotransmitter glutamate, which causes huge Ca2+ influx into postsynaptic neurons which triggers apoptosis

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9
Q

inflammation

A

immune cells can also accidentally damage and kill neurons by releasing substances that trigger apoptosis

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10
Q

Does apoptosis cause inflammation

A

NOOOOOOOO but inflammation can cause apoptosis

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11
Q

HOw does cerebrovascular disorders injure and kill neurons

A

Crushing and compression of neurons by bleeding hematoma

hypoxia

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12
Q

crushing and compression of neurons by bleeding hematoma

A

causes death by necrosis occurs in cerebral hemorrhage only

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13
Q

hypoxia

A

lack of oxygen in “downstream” neurons due to lack of blood flow causes both necrosis and apoptosis, occurs in both cerebral hemorrhage and cerebrovascular occulsion

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14
Q

Different types of brain tumors

A

glioma
secondary metastases
primitive neuroectrodermal tumor PNET
Meningioma

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15
Q

Glioma

A

glial cell tumor, very aggressive often found in adults

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16
Q

secondary metastases

A

tumor that form elsewhere in the body invade into the brain from the bloostream , very aggressive, typically found in adults

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17
Q

primitive neuroectodermal tumor

A

very aggressive neuroblastic tumor in young children

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18
Q

meningioma

A

tumor of the meninges that grow outside the brain, typically very slow growing, typically found in adults

19
Q

Brain tumors kill neurons (necrosis)

A

compression due to tumor growth

20
Q

compression due to tumor growth

A

crushes kills neurons by necrosis also causes misfiring

21
Q

Brain tumors kill neurons (necrosis and apoptosis)

A

compression of blood vessels due to tumor growth

tumor hijacking of blood supply of nutrients and oxygen

22
Q

compression of blood vessels due to tumor growth

A

occludes blood supply can cause hypoxia and death of neurons by necrosis and apoptosis

23
Q

tumor hijacking of blood supply of nutrients and oxygen

A

can cause hypoxia and death of neurons by necrosis and apoptosis

24
Q

Brain tumors kill neurons (apoptosis)

A

inflammation

25
Q

inflammation

A

immune cells attacking tumor release substances that cause neurons to die by apoptosis

26
Q

coup

A

the initial injury to the brain from the skull striking an object

27
Q

contrecoup

A

“rebound” injury to the opposite part of the brain caused when the brain rebounds

28
Q

hematoma

A

tearing of blood vessels resulting in leakage of blood into brain

29
Q

edema

A

swelling of brain tissue in response to trauma

30
Q

Primary brain injury

A

necrosis of neurons due to physical damage of neurons due to coup, contrecoup, hematoma and edema

31
Q

Neural changes associated with primary and secondary brain injury in traumatic brain injury (necrosis)

A

compression of blood vessels due to hematoma

decreased blood supply due to tearing of blood vessels

32
Q

compression of blood vessels due to hematoma

A

occludes blood supply to the brain causing hypoxia

33
Q

decreased blood supply due to tearing of blood vessels

A

can cause hypoxia

34
Q

Neural changes associated with primary and secondary brain injury in traumatic brain injury

A

immune cells removing cell debris release substances that can cause some surviving neurons to die by apoptosis

35
Q

2 main type of infections

A

bacteria and viruses

36
Q

2 common bacterial infections

A

bacterial meningitis

syphilis

37
Q

bacterial meningitis

A

invasion of the meninges by one of the several different species of bacteria

38
Q

syphillis

A

sexually transmitted bacterial disease

39
Q

viral brain infections

A

rabies and polio

40
Q

rabies

A

infects nerves through bites to the skin and moves into CNS

41
Q

polio

A

infects GI tracts but can enter CNS and infect sensory and motor neurons and cause paralysis

42
Q

primary injury

A

necrosis of neuronal cells by viral lysis or bacterial toxin

43
Q

secondary injury

A

immune system tells infected neurons to die by apoptosis