Pathology: Cellular and Tissue Responses Flashcards
What is hypertrophy?
An increase in the size of cells (by producing more organelles)
What causes hypertrophy?
Increased functional demand (eg Muscle) or stimulation by hormones or growth factors
What could be a problem with hypertrophy?
The blood supply may not increase adequately to serve the increased mass
What is hyperplasia?
An increase in the number of cells
What causes hyperplasia?
Physiologic: Hormonal hyperplasia or compensatory hyperplasia
Pathologic: Diffuse (whole organ enlarged) or localised (nodular hyperplasia)
What is atrophy?
Decrease in cell size and number
What causes pathologic atrophy?
Decreased workload Lossof innervation Diminished blood supply inadequate nutrition Loss of endocrine stimulation Pressure
What is metaplasia?
Where one cell type is replaced by another eg. columnar epithelium becomes squamous epithelium
What causes metaplasia?
Caused by chronic irritation, deficiencies (eg. vitamin A) as a result of cell/tissue injury or oestrogen toxicity
Why does columnar epithelium transition to squamous epithelium in metaplasia?
Because sq. epithelium is able to serve in conditions where fragile columnar epithelium would have succumbed
Hyperplasia can only occur under what conditions?
The cells must be dividing in the organ
labile cells> stable cells> permanent cells
What are labile cells?
Cells that routinely proliferate
Eg. Epidermis, intestinal epithelium, bone marrow cells
What are stable cells?
Intermediate in their ability to regenerate/divide
Eg. bone, cartilage and smooth muscle
What are permanent cells?
Have very little capacity to regenerate
Eg. skeletal muscle and cardiac muscle
what is agenesis?
Complete failure of an organ to develop during embryonic growth due to the absence of primordial tissue