Lecture #4: Disease at the Cellular Level Flashcards
what is a definition of injury?
any stimulus bringing changes in cell physiology and or structure (disruption of homeostasis)
Adaptation results from the changes in a cell due to _________ injury
REVERSIBLE
if irreversible, cell fails to adapt and cell death occurs
a normal cell undergoing stress and increased demand will lead to what?
adaptation and if inability to adapt then cell injury and cell death
what are some external factors that might cause cell injury?
- lack of O2 (hemorrhage, anemia)
- physical agents (trauma, burn, freeze, radiation, electric shock)
- chemical agents (drugs, poisons, heavy metals)
- biological agents (bacteria, viruses, protozoa, fungi, parasites)
- malnutrition (deficiencies, over-nutrition)
what are some internal factors that might cause cell injury?
- immunologic
- genetic
- metabolic
what are the 4 types of adaptation a cell will undergo due to injury?
- Atrophy
- Hypertrophy
- Hyperplasia
- Metaplasia
what are the two types of cell death?
apopotosis & necrosis
what are the 4 types of necrosis?
- coagulative- infraction
- liquefactive- abscess
- caseous- tuberculosis
- gangrene- with infection
what do cell reactions to injury depend on?
- type of injurious stimulus
- duration and severity of injurious stimulus
- type, state and adaptability of cells involved
myocardial cells adapt to hypertension or heart valve deficiency by what mechanism?
Hypertrophy (bigger cells)
what happens when the myocytes are irreversibly injured?
- arteries can become blocked causing lack of oxygen to tissues which can cause necrosis
- vacuoles with accumulation of water are formed
- condensed nucleus and damaged nuclear membrane
- chromatin damage
- eventually leads to cell death
what is Atrophy?
decrease in the mass or a organ or tissue due to the reduction in the cell number or size.
what can cause atrophy ?
- reduction in the work load
- nutritional deficiencies
- loss of innervations or hormone supply
- reduced blood supply
- aging
- pressure (tumors- blocking blood suppy to neighbouring tissues)
what is hypertrophy?
the increase in the SIZE of a tissue or organ due to an increase in the size of the cells without increasing the cell number (no new cells, just larger cells)
* increases the total cellular proteins, mitochondria and ER*
What can cause hypertrophy?
can be physiological or pathological:
- increasing work load (muscles)
- hormonal stimulation (uterus, mammary gland)
what is Hyperplasia?
increase in organ size or tissue caused by an increase in the number of cells
hyperplasia frequently occurs together with with ________
hypertrophy
what can induce hyperplasia?
physiologic: hormone induced or pathologic (compensatory)
- usually caused by activated of cellular pathways, local production of growth factors or its receptors
- increased lvl of a normal stimulus
- compensatory response (ex: kidneys)
- excessive stimulation (ex: goiter- lack or iodine for thyroid to produce T3 and T4)
what is metaplasia?
one type of differentiated cell is replaced by a different type that is not normal of that tissue