Session 7-Cellular Adaptations Flashcards

1
Q

How is cell proliferation controlled?

A
  • chemical signals

- when signalling molecule binds to receptor -> modulation of gene expression

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2
Q

What can the chemical signals make the cell do?

A

1) survive - resist apoptosis
2) divide - enter cell cycle
3) differentiate - take on specialised form and function
4) die - undergo apoptosis

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3
Q

How can a cell population increases its numbers?

A
  • shortening cell cycle

- conversion of quiescent cells to proliferating cells by making them enter the cell cycle

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4
Q

Can cells with damaged DNA replicate?

A

No - if damaged DNA cannot be fixed, cell goes into apoptosis

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5
Q

What is the restriction (R) point?

A

Point near the end of G1 - if cells pass R point, they will complete the cell cycle (point of no return)

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6
Q

Which is the most commonly altered checkpoint in cancer cells?

A

R point - checkpoint activation delays cell cycle and triggers DNA repair mechanisms or apoptosis via p53

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7
Q

How is the cell cycle controlled?

A

cyclins or cyclin dependent kinases (CDKs)

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8
Q

How do CDKs become active?

A

Binding with cyclins

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9
Q

How can cells adapt?

A

1) hyperplasia
2) hypertrophy
3) atrophy
4) metaplasia

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10
Q

What is the least reversible cellular adaptation?

A

Atrophy

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11
Q

What is hyperplasia?

A

Increase in tissue or organ size due to increased cell numbers

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12
Q

In which types of tissues does hyperplasia occur?

A

Labile or stable tissues

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13
Q

What causes hyperplasia?

A

Increased functional demand or hormonal stimulation

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14
Q

True or false: hyperplasia remains under physiological control and is reversible

A

TRUE

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15
Q

What does repeated cell division expose the cell to?

A

Risk of mutations and neoplasia

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16
Q

What are some examples of physiological hyperplasia?

A

1) proliferative endometrium under the influence of oestrogen
2) bone marrow produces erythrocytes in response to hypoxia

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17
Q

What are some examples of pathological hyperplasia?

A

1) eczema

2) thyroid goitre

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18
Q

What is hypertrophy?

A

Increase in tissue or organ size due to increased cell size

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19
Q

In which types of tissue does hypertrophy occur?

A

Labile, stable but especially permanent tissues

20
Q

How is workload shared by a greater mass of cellular components in hypertrophic cells?

A

Cells contain more structural components

21
Q

What are some examples of physiological hypertrophy?

A

1) skeletal muscle in body builders

2) pregnant uterus (hypertrophy and hyperplasia)

22
Q

What are some examples of pathological hypertrophy?

A

1) hypertension -> ventricular hypertrophy
2) enlarged prostate
3) proximal tissue to stricture in bowel hypertrophies to push food through

23
Q

Why do patients with systemic hypertension/valvular disease have greater cardiac hypertrophy than athletes?

A

Patients’ heart never rests so more hypertrophy than athletes

24
Q

How can systemic hypertension lead to fibrosis?

A

Cardiac muscle hypertrophies and heart responds by growing more capillaries but never enough to compensate so heart is hypoxic -> fibrosis -> problems with electrical conduction in heart

25
What is compensatory hypertrophy?
For eg when one kidney is removed, the other compensates by hypertrophying
26
What is atrophy?
Shrinkage of tissue or organ due to acquired decrease in size and/or number of cells
27
What is happening in the cell in atrophy?
1) shrinkage in the size of the cell to a size at which survival is still possible 2) reduced structural components of cell
28
Is tissue atrophy only a result of cell atrophy?
Combination of cellular atrophy and apoptosis
29
What is an example of physiological atrophy?
Ovarian atrophy in post menopausal women
30
What are some examples of pathological atrophy?
1) reduced functional demand/workload = atrophy of disuse - muscle atrophy 2) loss of innervation = denervation atrophy - wasted hand muscles after median nerve damage 3) inadequate blood supply - thinning of skin with peripheral vascular disease 4) inadequate nutrition - wasting of muscles with malnutrition 5) loss of endocrine stimuli - breast 6) persistent injury 7) ageing = senile atrophy 8) pressure - tumour
31
What is metaplasia?
Reversible change of one differentiated cell type to another
32
What causes metaplasia?
Altered stem cell differentiation
33
What is metaplasia sometimes a prelude to?
Dysplasia and cancer
34
In which cell types does metaplasia occur?
Labile or stable cells
35
What are some examples of metaplasia?
1) bronchial pseudostratified ciliated epithelium -> stratified squamous epithelium due to cigarette smoke 2) stratified squamous epithelium -> gastric glandular epithelium with persistent acid reflux (Barrett's oesophagus)
36
What can happen if a young person returns to exercise sooner than they should following a skeletal muscle injury?
Fibroblasts undergo metaplasia and can form bone
37
What is aplasia?
Complete failure of a specific tissue or organ to develop - embryonic developmental disorder OR Organ whose cells have ceased to proliferate eg aplasia of bone marrow in aplastic anaemia
38
What is hypoplasia?
Underdevelopment or incomplete development of tissue or organ at embryonic stage, inadequate number of cells
39
Why is hypoplasia not the opposite of hyperplasia?
Hypoplasia is a congenital condition
40
What is involution?
Overlaps with atrophy - normal programmed shrinkage of an organ
41
Give examples of involution
Uterus after childbirth | Thymus in early life
42
What is reconstitution?
Replacement of lost part of the body
43
Can reconstitution occur in humans?
Yes if a child under 4 1/2 years cleanly cuts off the tip of their finger, it can grow back!!!
44
What is atresia?
'No orifice' | Congenital imperforation of an opening eg anus, vagina, small bowel
45
What is dysplasia?
Abnormal maturation of cells within a tissue, potentially reversible and often a pre-cancerous condition