MOD 1.1 - Cell Injury Flashcards
What can cause cell injury/death? (7)
- Hypoxia
- Toxins
- Physical agents e.g. temperature extremes
- Radiation
- Micro-organisms
- Immune mechanisms e.g. allergic responses
- Dietary deficiencies
What happens during hypoxia?
- Area/body is deprived of Oxygen
- Decreases the rate of aerobic respiration
What are the four types of hypoxia?
- Hypoxaemic Hypoxia
- Anaemic Hypoxia
- Ischaemic Hypoxia
- Histiocytic Hypoxia
Describe hypoxaemic hypoxia
Low arterial oxygen content
Describe anaemic hypoxia
Compromise in ability of haemoglobin to transport Oxygen
Describe ischaemic hypoxia
Interruption of blood supply
Describe histiocytic hypoxia
Oxygen can’t be used due to disabled oxidative phosphorylation enzymes
Describe Ischaemia
- Loss of blood supply
- More serious as substrate as well as oxygen is lacking
What are the two immune mechanisms for cell injury? Describe them
- Hypersensitivity = Host tissue is injured after an over vigorous immune reaction
- Autoimmune = Immune system can’t distinguish self from non-self
Give 3 effects of the decrease in oxidative phosphorylation and therefore decrease in ATP as a result of ischaemic hypoxia
- Activity of Na+-K+ pump decreases therefore more Na+ and H20 in the cell which causes swelling, blebbing and oncosis
- Increases amount of Ca2+ in the cell
- Increases rate of Glycolysis which decreases pH and Glycogen therefore causing nuclear chromatin clumps
Describe the effects of an increase in cellular Ca2+
Activates enzymes such as:
- ATPase
- Phospholipase
- Proteases
- Endonucleases
(Irreversible effects)
What can cause non-ischaemic injury?
- Extreme cold therefore leading to frostbite
- Free radicals
What is the fenton reaction?
Fe2+ + H2O2 ==== Fe3+ + OH- + OH. (free radical)
What is the Haber-Weiss Reaction?
O2- + H+ + H2O2 === O2 + H2O + OH. (free radical)
Give four mechanisms of protection against cell injury
- Enzymes e.g. Catalase, Superoxide Dismutase
- Free radical scavengers
- Storage proteins e.g. transferrin
- Heat shock proteins e.g. Ubiquitin
What are the reversible changes of cell oncosis that can be seen with electron microscopy? (4)
- Blebbing
- Swelling
- Clumping of nuclear chromatin
- Dispersion of ribosomes