Lectures 7 and 8 - Cell Birth and Death I and II Flashcards
Types of reversible altered proliferative states
Regeneration, hyperplasia, metaplasia, dysplasia
Regeneration
One for one replacement of an existing cell that has died with a fully differentiated cell of the same type (always physiologically helpful)
Hyperplasia
Over-growth or an increase in the number of cells in a tissue, all cells are fully differentiated and functional (straddles healthy v. pathologic)
Metaplasia
Replacement of cells of one cell type for those of another cell type; adaptive substitution (always physiologically harmful)
Dysplasia
Cells are losing proliferation and positional control, nuclei of these cells are larger than normal cells around it, cells appear different in size and shape from surrounding cells of the same type (pleiotropy), these cells are often precancerous
Neoplasia
Irreversible proliferation of cells; proliferation continues in the absence of an external stimulus
True or false: Neoplasia is synonymous with tumor.
True
True or false: Neoplasia is synonymous with cancer.
False
Benign tumor
Cells have only lost proliferation controls
Where does regeneration occur?
In the liver and endothelium
True or false: A benign tumor can kill a patient.
True
What does it mean to be a “blood compatible” surface and where is this seen in the body?
Blood cells will not stick to this type of surface - it is found in endothelial tissue lining the lumen of blood vessels.
What is a risk of hyperplasia of smooth muscle following a balloon angioplasty?
If there is too much smooth muscle cell proliferation, then it could accumulate inside the artery and restrict the amount of blood flow through the vessel. This would result in an increased blood pressure.
What is Grave’s disease an example of and what is another name for this condition?
Hyperplasia; it is also called hyperthyroidism
Malignant tumor
Cells have lost proliferation and positional controls
What are some symptoms of Grave’s disease?
Bulging eyes, strabismus, over production of thyroid hormone as there is an increase in the number of fully functional thyroid cells
What is an example of hyperplasia that is helpful?
Erythrocyte hyperplasia in bone marrow following blood loss or changes in altitude (low to high)
What is an example of metaplasia? Is it helpful or harmful?
The replacement of ciliated columnar epithelial cells in the endocervix with several layers of squamous epithelial cells during chronic pelvic inflammatory disease (CPID). This is harmful.
Where else do you see metaplasia and what causes it?
It can occur in the respiratory tract of smokers. Similarly to CPID, ciliated columnar epithelial cells are replaced with squamous epithelial cells.
What are two key examples of dysplasia?
Cervical dysplasia as seen on abnormal Pap smears; dysplastic moles (nevi) removed from the skin
Uterine fibroids
Benign neoplasia of smooth muscle cells
True or false: The position of a cell within a tissue can determine its rate of proliferation.
True
True or false: Information in the ECM has nothing to do with the regulation of cell proliferation.
False
What are symptoms of uterine fibroids?
Abnormal and heavy bleeding, pain and pressure, fertility problems
What is an example of positional control of proliferation?
Intestinal crypt cells
What are the four major stages of the cell cycle?
G1, S, G2, M
G1
Gap 1 - Prepares cells for replicating DNA; cell is busy doubling its contents in preparation of a cell division
S
Synthesis - DNA replication
G2
Gap 2 - Prepares cell for segregation/division of genome and cytoplasm
M
Mitosis - Chromosome segregation (mitosis) and separation of daughter cells (cytokinesis)