mechanism of cell injury Flashcards

1
Q

what are the major causes of ATP depletion

A

reduced supply of oxygen and nutrients, mitochondrial damage

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2
Q

consequences of mitochondrial damage

A

formation of mitochondrial permeability transition pore
> loss of membrane potential
> failure of phosphorylation and ATP production
>necrosis
> release of Cyc C into cytosol and activation of apoptosis

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3
Q

consequences of Ca influx after cell injury

A

opening of mitochondrial permeability transition pore

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4
Q

an influx of Ca in cytosol leads to the activation of some enzymes such as:

A

phospholipases: X phospholipids → CM damage.
 Proteases: X cytoskeletal proteins→ CM damage (connection)
 Endonucleases: nuclear damage.
 ATPases: X ATP

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5
Q

free radicals

A

chemical species that have a single unpaired electron in the outer orbital

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6
Q

characteristics of free radicals

A
  • unstable atoms
    -react with inorganic and organic chemicals
  • initiate autocatalytic reactions
  • the creation of more radicals (propagation_
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7
Q

oxidative stress

A

the increase ROS (reactive oxygen species) - oxygen-derived free radicals

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8
Q

oxidative stress may cause

A

cell injury, cancer, aging, and some degenerative diseases like Alzheimer

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9
Q

by-products of mitochondrial respiration (free radicals compounds)

A

superoxide anion (O2-), hydrogen peroxide (H2O2), and hydroxyl group (OH)

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10
Q

generation of free radicals through absorption of radiant energy

A

UV light and X-rays > hydrolyze water into OH and H free radicals

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11
Q

how are free radicals generated in the production of leukocytes

A

from NADPH oxidase and xanthine oxidase generate superoxide anion

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12
Q

CCL4 and CCL3

A

not ROS but similar

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13
Q

Fenton reaction

A

generate free radicals from the reaction of H2O2 with ferric ion

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14
Q

can nitric oxide (NO) act as a free radical

A

yes

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15
Q

how are free radicals removed

A

> Decay spontaneously
Antioxidants: Vitamin E and A, ascorbic acid and glutathione in the cytosol.
binding proteins

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16
Q

what enzymes help in the removal of free radicals

A
  • Catalase: H2O2 → O2 + H2O
     Superoxide dismutase (SOD): superoxide anion → H2O2,
     Glutathione Peroxidase: H2O2 → H2O or OH → H2O.
     Reduced Glutathione level is important in cell safety.
17
Q

pathological effects o free radicals

A

Lipid peroxidation in membranes
Oxidative modification of proteins.
Lesions in DNA.

18
Q

degrading enzymes in the lysosome

A

RNases, DNases, and proteases.

19
Q

how to detect tissue damage in the liver

A

through LFT (liver function test)
ALT (Alanine aminotransferase)
AST (Aspartate aminotransferase)
ALK (ALP)

20
Q

which is more rapidly damaging ischemia or hypoxia

A

ischemia

21
Q

Ischemia-reperfusion injury

A

reversible: Restoration of blood flow to ischemic tissues can promote recovery if they are reversibly injured.
Irreversible: reperfusion paradoxically exacerbates injury (more dead cells)