Lecture 2 1/24/24 Flashcards
What are the etiologic categories?
-metabolic
-inflammatory
-neoplastic
-infectious
-vascular
-anomalies
-nutritional
-degenerative
-idiopathic
-traumatic
-toxic
-iatrogenic
What is pathogenesis?
steps involved in the development of a lesion or disease
How do cell injury and cell death compare?
-can be caused by the same things
-cell death is more severe than cell injury
-cell injury is reversible while cell death is not
What is hypoxia?
lack of oxygen
What is ischemia?
lack of blood
What are free radicals/reactive oxygen species?
chemicals with an unpaired electron in the outer orbit
What are the sources of free radicals?
-radiation injury
-toxicity
-inflammation
-normal cell function
Which source contributes the most free radicals?
normal cell function
Why are antioxidants important?
antioxidants inactivate the free radicals produced by cell function or other injury
What factors affect the response to cell injury?
-type of cell
-nutrition and antioxidant levels
-reperfusion injuries
What are reperfusion injuries?
increased tissue damage that occurs when blood flow is restored to ischemic tissue
What are the mechanisms of reperfusion injury?
-reperfusion provides oxygen, leading to abundant free radicals in tissue with depleted antioxidants
-infiltrating neutrophils damage viable tissue
What are intracellular accumulation injuries?
excess accumulation of a substance in the cytoplasm to the point that the cell cannot function normally
What are the mechanisms of fatty change?
-excessive entry of fatty acids
-defective oxidation of fatty acids
-decreased apoprotein synthesis
-defective secretion of lipoproteins
What leads to defective fatty acid oxidation?
toxins such as aflatoxin