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Cell Injury
N/A
60
Pharmacology
Graduate
09/29/2014

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Cards

Term
cause of a disease
Definition
etiology
Term
mechanism of disease development
Definition
pathogenesis
Term
cell & organ changes due to disease, molecular & genetic changes
Definition
morphology changes
Term
functional consequence, sign & sx
Definition
clinical significance
Term
5 options of cell response to injury
Definition
adaptation, acute reversible injury, irreversible injury/cell death, metabolic changes, cellular aging
Term
describe the 4 ways a cell can adapt to an injury
Definition
hyperplasia, hypertrophy, atrophy, metaplasia
Term
describe the two ways a cell can die
Definition
apoptosis, necrosis
Term
describe what metabolic changes can occur in a cell after injury
Definition
intracellular accumulations (proteins, lipids, carbohydrates), calcifications
Term
physiologic v. pathogenic
Definition
physiologic is a good change, pathologic is a bad change
Term
increase in size of cells or organ
Definition
hypertrophy
Term
why does hypertrophy happen
Definition
increased synthesis of structural components or organelles (ex. glycoproteins)
Term
increased muscle mass by pumping iron is an example of what
Definition
physiologic hypertrophy
Term
increased heart size because of hypertension is an example of what
Definition
pathologic hypertrophy
Term
can a cell adaptation be pathologic? Give ex
Definition
yes! Enlarged heart from hypertension
Term
increase in number of cells
Definition
hyperplasia
Term
uterus growing in pregnancy is an example of what
Definition
physiologic hyperplasia
Term
liver regenerating after partial resection is an example of what
Definition
physiologic hyperplasia
Term
give an ex of pathologic hyperplasia
Definition
endometrial, benign prostatic - because it increases risk of malignancy
Term
decreased size or number of cells or organ
Definition
atrophy
Term
why does atrophy happen? 6 reasons.
Definition
disuse, loss of innervation, loss of blood supply/nutrients, loss of endocrine stimulation (breast, uterus), aging, pressure atrophy
Term
breast and uterine shrinkage in postmenapausal women is an example of what
Definition
atrophy
Term
does atrophy affect fxn
Definition
yes; cells have diminished function and may progress ot irreversible injury
Term
reversible change of one cell type to another (aka reprogramming of stem cells)
Definition
metaplasia
Term
give examples of metaplasia
Definition
respiratory epithelium to squamous from smoking; squamous to columnar form acid reflux
Term
fxn of metaplasia
Definition
protection, but it really raises the risk of cancer
Term
name the 3 kinds of reversible injury
Definition
decreased oxidative phosphorylation, decreased ATP, morphology change
Term
name two kinds of morphology change due to reversible injury
Definition
cell swelling, fatty change
Term
causes of injury
Definition
hypoxia, physical agents, chemicals & drugs, infectious agents, immunologic reactions, genetic defects, nutrition
Term
name the 4 things that happen to every cell in reversible injury in order.
Definition
biochemical alterations, ultrastructural changes, light icroscopic changes, gross morphological changes
Term
inflammation: necrosis or apoptosis
Definition
necrosis
Term
apoptosis and necrosis: pathologic or physiologic?
Definition
apoptosis can be either; necrosis is always pathologic
Term
how many cells in apoptosis or necrosis?
Definition
apoptosis is one, necrosis is many
Term
describe the nuclear changes in necrosis.
Definition
pyknosis, karyorrhexis, karolysis
Term
describe the nuclear changes in apoptosis
Definition
nuclear/cytoplasmic fragmentation
Term
capsases
Definition
used in apoptosis to degrade things
Term
cell death that releases IL-1
Definition
pyropoptosis
Term
capsase-independent programmed death of many cells
Definition
necropoptosis
Term
amorphous/flocculent densities
Definition
marker of mitochondrial damage that means irreversible damage
Term
two markers of irreversible injury
Definition
amorphous/flocculent densities; loss of membrane functions; mitochondrial dysfunction
Term
different kinds of necrosis
Definition
coagulation, liqueifactive, caseation, fat, fibrinoid necrosis
Term
what properties of cell injury depend on the injury?
Definition
injury, duration, severity
Term
what properties of cell injury depend on the cell that is injured?
Definition
consequences of injury
Term
6 mechanisms of cell injury
Definition
ATP depletion, mitochondrial damage, increased Ca, free radical damage, membrane damage, DNA damage
Term
How does loss of ATP depletion lead to cell injury?
Definition
loss of oxidative phosphorylation, so intracellular pH decreases, Na pump stops functioning, Ca pump fails, no protein synthesis
Term
how does mitochondrial damage lead to cell injury?
Definition
membrane permeability of mitochondria means no ATP and leakeage of cytochrome c into the cytosol
Term
how does increased Ca lead to cell injury?
Definition
activates destructive enzymes
Term
how does free radical damage lead to cell injury?
Definition
oxidative stress: lipid peroxidation, enzyme damage, nuclear damage
Term
how does a membrane get damaged?
Definition
ATP depletion, free radicals, decreased phospholipid synthesis (or increased breakdown), cytoskeletal abnormalities
Term
loss of osmotic balance, Ca+ influx, leakage of enzymes: what is damaged?
Definition
plasma membrane
Term
decreased ATP: what is damaged?
Definition
mitochondrial membrane
Term
how does DNA damage occur
Definition
radiation, drugs, oxidative stress
Term
what happens following dna damage
Definition
repair mechanisms are overwhelmed and apoptosis is initiated
Term
where do intracellular accumulations come from?
Definition
endogenous in excess or abnormal, exo (coal, tattoo) or endo (lipids, etc.) - can be harmless or toxic
Term
ex of intracellular accumulations with bad outcomes
Definition
fatty liver (too many triglycerides), smokers
Term
steatosis
Definition
fatty, greasy liver
Term
lipofuscin
Definition
heart cells tat have wear & tear injury from free radicals; doesn't affect function of cells
Term
hemosiderin
Definition
in liver - golden deposits that affect function (cirrhosis)
Term
a normal process in dying or dead tissues calcification
Definition
dystrophic calcification
Term
hypercalcemia in normal tissues
Definition
metastatic calcification
Term
mechanisms behind cell aging
Definition
telomere shortening, oxidation, failure of repair mechanisms, lipofuscion from peroxidation
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