Pathology of Ageing Flashcards

1
Q

How do dividing cells age?

A

-telomeres become shorter after each cell division -> limits the amount of cell division that can occurring
-telomere becomes so short -> chromosomes cannot divide/replicate -> no cell division

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why do cells from older people divide fewer times in culture than cells from younger people?

A

-shorter telomeres (cells are older therefore they have undergone more rounds of cell division)
-shorter telomeres = more limited amount of times the cell can divide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Examples of dividing cells

A

-skin cells
-gut lining cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hayflick limit

A

There is a limit to the number of times that a human cell can divide

Graph of time in culture against cumulative cell population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is progeria?

A

-condition in which ageing is accelerated
-due to mutations in cell membrane proteins -> cell division impossible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What factors could cause damage in non-dividing cells?

A

-cross-linking/mutations of DNA
-loss of DNA repair mechanisms
-telomere shortening
-time-dependent activation of ageing & death genes
-cross-linking of proteins
-loss of Ca2+ influx controls
-damage to mitochondrial DNA
-peroxidation of membranes
-free radical generation
-accumulation of toxic by-products of metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What reduces ageing universally across the body?

A

Calorie restriction -> reduces levels of metabolic products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can slow down ageing in specific parts of the body - example?

A

-specific local measures can slow down ageing in specific parts of the body
-high SPF cream -> reduces UV cross-linking of proteins in the dermis -> prevents deral elastosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Give 5 examples of ageing

A

-dermal elastosis (skin wrinkling)
-osteoporosis
-cataracts
-senile dementia
-sarcopenia (loss of muscle)
-deafness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe dermal elastosis

A

-wrinkling of skin
-due to accumulation of abnormal elastic in the dermis of the skin - cross-linking of proteins (especially collagen)
-result of prolonged sun exposure - photoaging
-UV-B light causes protein cross-linking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is osteoporosis?

A

-disease in which bone breakdown by osteoclasts is greater than bone formation by osteoblasts
-decrease in bone mineral density
-increased risk of fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe osteoporosis

A

-caused by loss of coupling in bone remodelling process - increased bone resorption/decreased bone formation
-decreased bone formation due to lack of oestrogen -> women often affected after menopause
-bone matrix mineralised as normal but trabeculae are thinned -> results in fractures from minor trauma
-liberates Ca2+ -> hypercalcaemia -> renal stone formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How can osteoporosis be prevented?

A

-hormone replacement therapy (oestrogen)
-Ca2+/vit D supplements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe cataracts

A

-result of formation of opaque proteins within the lens -> usually also results in loss of lens elasticity
-UV-B cross-linking of proteins in lens -> opaque proteins
-UV-B light causes cross-linking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How can cataract formation be prevented?

A

Sunglasses which block UV-B light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How can cataracts be treated?

A

Replacement of lens with plastic implant

17
Q

Describe senile dementia

A

-Alzheimer’s type or vascula dementia
-Alzheimer’s type - caused by genetic & lifestyle factors, eg. exercise, obesity
-Vascular dementia - same RFs as atherosclerosis in other parts of the body, eg. high BP, hyperlipidaemia, poorly-controlled diabetes
-plaques & neurofibrillary tangles occur in brain

18
Q

What is sarcopenia?

A

-loss of muscle
-caused by decreased GH, decreased testosterone, increased catabolic cytokines
-prevented by exercise, eg. resistance/weight training

19
Q

Describe deafness

A

-hair cells cannot divide/regenerate - once damaged cannot recover
-damaged by high volumes of sound
-prevented by avoidance of high volume sounds throughout life