Cell Injury and Apoptosis Quiz

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Questions and Answers

What is the main role of the mitochondrial outer membrane in apoptosis?

  • Facilitates the entry of apoptotic signals into the cell
  • Prevents leakage of death-inducing proteins into the cytosol (correct)
  • Activates receptor-ligand interactions
  • Increases the permeability of pro-apoptotic factors

Which of the following factors can lead to cell injury that triggers the mitochondrial pathway of apoptosis?

  • Environmental toxins (correct)
  • Increased cellular hydration
  • Excessive growth factors
  • Decreased DNA damage

Which BCL2 family members are considered pro-apoptotic effectors?

  • Fas and TNF receptor
  • BAX and BAK (correct)
  • BCL-XL and BCL2
  • Adaptor proteins and executioner caspases

What is the outcome of the activation of initiator caspases during apoptosis?

<p>Activation of executioner caspases (A)</p> Signup and view all the answers

Which of the following statements about apoptotic body formation is true?

<p>Apoptotic bodies are a result of cellular breakdown and blebbing (D)</p> Signup and view all the answers

What is the primary way that noxious influences exert their effects on cells?

<p>At the molecular or biochemical level (C)</p> Signup and view all the answers

Which agents are classified as potentially injurious substances?

<p>Environmental pollutants and industrial hazards (D)</p> Signup and view all the answers

How long can it take for morphologic changes visible by light microscopy to appear after injury?

<p>Hours to days (A)</p> Signup and view all the answers

What type of immune reactions can result in cell injury?

<p>Injurious responses to endogenous self antigens (B)</p> Signup and view all the answers

What is the timeframe for unmistakable light microscopic evidence of cell death following ischemia?

<p>4 to 12 hours after onset (D)</p> Signup and view all the answers

Which of the following describes the changes that occur in damaged cells initially?

<p>They are subtle and detected with advanced techniques (B)</p> Signup and view all the answers

In the context of myocardial ischemia, what characterizes cell swelling?

<p>It may be a reversible morphologic change (C)</p> Signup and view all the answers

What characterizes necrosis as a mechanism of cell death?

<p>Results in inflammation at the site of injury. (B)</p> Signup and view all the answers

What differentiates apoptosis from necrosis?

<p>Apoptosis is mediated by specific molecular pathways. (A)</p> Signup and view all the answers

What are DAMPs and what role do they play in cell death?

<p>They are released from injured cells to initiate inflammation. (D)</p> Signup and view all the answers

Which of the following substances is classified as a damage-associated molecular pattern?

<p>ATP released from damaged mitochondria. (B)</p> Signup and view all the answers

What is the primary advantage of apoptosis over necrosis?

<p>Apoptosis is performed with precision and minimizes inflammation. (C)</p> Signup and view all the answers

Which process describes a genetically controlled form of necrosis?

<p>Necroptosis. (B)</p> Signup and view all the answers

What is a common outcome when cells die via necrosis?

<p>Inflammation is often heavily pronounced. (D)</p> Signup and view all the answers

What occurs when the early stage of reversible injury progresses?

<p>Cell death occurs by necrosis. (D)</p> Signup and view all the answers

Which statement is true regarding the relationship between necrosis and apoptosis?

<p>Necrosis can sometimes exhibit features of apoptosis. (C)</p> Signup and view all the answers

What is the primary role of apoptosis during development?

<p>To remove excess cells that are not needed (B)</p> Signup and view all the answers

Which of the following best describes necrosis?

<p>A pathologic process characterized by local inflammation (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic feature of reversible cell injury?

<p>Nuclear fragmentation (B)</p> Signup and view all the answers

Which physiologic situation demonstrates the role of apoptosis in involution?

<p>Endometrial cell breakdown during the menstrual cycle (C)</p> Signup and view all the answers

What would most likely occur during hormone withdrawal in hormone-dependent tissues?

<p>Apoptosis leading to involution of tissues (D)</p> Signup and view all the answers

What is the significance of apoptosis in maintaining cell number?

<p>It allows for turnover in proliferating cell populations (D)</p> Signup and view all the answers

Which of the following cellular changes is characteristic of apoptosis?

<p>Breakdown of the plasma membrane and organelles (B)</p> Signup and view all the answers

Apoptosis can be characterized as which of the following processes?

<p>A controlled process of cell death during development (D)</p> Signup and view all the answers

In the context of immunology, apoptosis is significant for which of the following cell populations?

<p>Immature lymphocytes in the thymus and bone marrow (C)</p> Signup and view all the answers

Which of the following features would indicate cellular necrosis rather than apoptosis?

<p>Cellular membrane destruction (C)</p> Signup and view all the answers

What characterizes fat necrosis in the context of acute pancreatitis?

<p>Release of pancreatic lipases causing fat cell membrane liquefaction. (B)</p> Signup and view all the answers

Which type of necrosis is most commonly associated with bacterial infections resulting in liquefaction?

<p>Gangrenous necrosis with superimposed infection. (B)</p> Signup and view all the answers

What is the primary histological hallmark of caseous necrosis?

<p>Appearance of shadowy outlines of necrotic cells. (D)</p> Signup and view all the answers

Which process is responsible for the formation of chalky-white deposits in fat necrosis?

<p>Combination of fatty acids with calcium ions. (A)</p> Signup and view all the answers

Which necrosis type is most often associated with vascular damage in immune reactions?

<p>Fibrinoid necrosis involving blood vessels. (C)</p> Signup and view all the answers

In which scenario is coagulative necrosis most likely to occur?

<p>Myocardial infarction due to obstructed blood flow. (C)</p> Signup and view all the answers

Which statement accurately describes liquefactive necrosis in the brain?

<p>It results in the dissolution of the tissue. (A)</p> Signup and view all the answers

What does saponification in fat necrosis indicate?

<p>Formation of calcium salts in fatty tissues. (A)</p> Signup and view all the answers

Which characteristic is true regarding gangrenous necrosis?

<p>It may involve mixed necrosis types when infections are present. (A)</p> Signup and view all the answers

What defines the appearance of caseous necrosis upon microscopic examination?

<p>Presence of necrotic fat cells exhibiting a friable structure. (C)</p> Signup and view all the answers

Flashcards

Injurious Substances

Substances in our daily lives that can harm cells, including pollutants, pesticides, industrial hazards, recreational drugs, and medications with side effects.

Infectious Agents

Living organisms that can cause cell injury, ranging in size from viruses to parasites.

Immunologic Reactions

The body's defense system, which can also cause cell damage if it attacks the body's own tissues.

Early Changes in Cell Injury

Initial changes in cells that are reversible, such as swelling, and can be detected with specialized methods.

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Irreversible Cell Injury

The point at which cell damage becomes irreversible and leads to cell death.

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Morphologic Manifestations of Necrosis

The visible signs of cell death that can be observed with a light microscope.

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Necrosis

The process of cell death, which is a natural part of the life cycle of cells, but can also be caused by injury.

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Apoptosis

Programmed cell death that's controlled by specific molecular pathways, leading to a clean, organized cell demise without inflammation.

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Necroptosis

A specific type of necrosis where a cell's death is genetically regulated through a defined molecular pathway.

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Damage-Associated Molecular Patterns (DAMPs)

Molecules released from damaged cells that signal the immune system about severe cell injury.

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Macrophages

Immune cells that recognize and engulf cell debris, cleaning up the 'accident site' and triggering inflammation.

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Cytokines

Chemical messengers produced by immune cells that induce inflammation, leading to a cascade of events.

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Proteolytic enzymes

Proteins that break down other proteins, playing a crucial role in the breakdown of dead cells.

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Phagocytosis

The process of engulfing and breaking down dead cells by macrophages, contributing to clearing the 'accident site'.

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Blurred lines between necrosis and apoptosis

The process of separating necrosis and apoptosis isn't always clear-cut, and some situations may show characteristics of both or transition between them.

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Removal of supernumerary cells

Elimination of excessive cells during development, like removing extra fingers during fetal development.

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Involution of tissues

The process of tissues shrinking due to the loss of cells, like the shrinking of the uterus after childbirth.

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Programmed cell death

Cell death that is a natural part of development, like shedding skin cells

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Involution of hormone-dependent tissues

The breakdown of hormone-dependent tissues when hormone levels decrease, like the shedding of the uterine lining during menstruation.

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Cell turnover

A constant process of cell division and death to maintain a balanced number of cells, like the renewal of skin cells.

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What is cell death caused by injury?

The process of cell death that occurs when cells are damaged and can't be repaired. It is characterized by swelling, rupture of the cell membrane, and inflammation.

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What is programmed cell death?

The death of cells in a planned and orderly way. It is a normal part of development and maintenance.

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What is the mitochondrial pathway of apoptosis?

The mitochondrial pathway is a main way that cells commit suicide. It happens when there's damage inside the cell, like from toxins or lack of oxygen. To die, the cell's mitochondria release proteins like cytochrome c, which activate a cascade of enzymes, eventually leading to cell breakdown.

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What's the role of the BCL2 family of proteins in apoptosis?

BCL2 family proteins are like gatekeepers. Some, like BAX and BAK, trigger cell death by opening the mitochondrial door, releasing cytochrome c. Others, like BCL2 and BCL-XL, act as 'protectors' by blocking this release and saving the cell.

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How does cytochrome c trigger apoptosis?

Cytochrome c, released from the mitochondria, acts like a signal for other enzymes called caspases. These caspases trigger a chain reaction that leads to breakdown of the cell's components.

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How does the death receptor pathway initiate apoptosis?

Unlike the mitochondrial pathway, the death receptor pathway is triggered by signals from outside the cell. These signals bind to receptors on the cell's surface, activating a chain reaction that ultimately leads to cell death.

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How does apoptosis differ from necrosis?

Apoptosis is a neatly controlled process where cells break down into smaller pieces, called apoptotic bodies. These bodies are then engulfed by other cells, preventing inflammation and damage to surrounding tissues.

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Liquefactive Necrosis

A type of cell death characterized by the breakdown and liquefaction of tissue due to the action of hydrolytic enzymes, often seen in the brain following an infarct.

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Fat Necrosis

A type of necrosis characterized by the formation of white, chalky deposits due to the breakdown of fat cells by pancreatic lipases and subsequent saponification of fatty acids with calcium.

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Gangrenous Necrosis

A type of necrosis commonly seen in the extremities (especially legs) that have lost blood supply, leading to tissue death and discoloration. It usually involves coagulative necrosis, but liquefactive necrosis can be added by bacterial infection.

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Caseous Necrosis

A type of necrosis characterized by a cheesy, friable appearance often observed in tuberculous infections. It is a specific type of coagulative necrosis with a distinctive appearance.

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Fibrinoid Necrosis

A type of necrosis that occurs mainly in blood vessels, characterized by damage to the walls of blood vessels often caused by immune-mediated reactions.

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Pancreatitis and Fat Necrosis

A process involving the release of activated pancreatic lipases into the peritoneal cavity, which leads to the breakdown of fat cells and formation of chalky-white deposits.

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Necrosis - Cell Death

The process of cell death characterized by a loss of normal cell structure and function, with visible signs like pyknosis, karyorrhexis, and karyolysis.

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Necrosis in Infarction

A type of necrosis where a loss of blood supply leads to tissue death, often followed by bacteria infection and further tissue breakdown.

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Causes of Necrosis

Cell death caused by various factors including physical trauma, chemical exposure, radiation, and infection, each affecting the cell in a distinctive way.

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Apoptosis (Programmed Cell Death)

Cell death that is programmed and organized, involving a cascade of biochemical events that lead to the controlled dismantling of the cell without releasing harmful substances into the surrounding tissues.

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Study Notes

Introduction to Pathology

  • Pathology is the study of structural, biochemical, and functional changes in cells, tissues, and organs that underlie disease.
  • It's a bridge between basic sciences and clinical medicine, explaining signs, and symptoms in patients.
  • General pathology examines common responses of cells and tissues to injurious stimuli.
  • Systemic pathology studies diseases in specific organ systems.

Causes of Cell Injury

  • Etiology encompasses genetic (e.g., mutations) and environmental (e.g., infections) factors.
  • Pathogenesis describes the sequence of events leading to disease.
  • Morphologic changes are structural alterations diagnostic of a disease.
  • Clinical manifestations are the observable symptoms and signs of a disease's progression.

Cellular Responses to Stress and Noxious Stimuli

  • Normal cells operate within a narrow range of function and structure, maintaining homeostasis.
  • Adaptations are reversible responses to stress, such as hypertrophy (increased cell size), hyperplasia (increased cell number), atrophy (decreased cell size), and metaplasia (change in cell type).
  • Reversbile injury occurs when limits of adaption are passed.
  • Cell injury can progress to necrosis (cell death with inflammation) or apoptosis (regulated cell death without inflammation).

Reversible Cell Injury

  • Early stages involve swelling and blebbing of the plasma membrane, detachment of ribosomes from the ER and clumping of nuclear chromatin.
  • Scell swelling from water influx, usually due to ATP depletion or mitochondrial damage.
  • Fatty change can occur in organs like the liver.

Cell Death

  • Necrosis involves cell membrane damage, inflammation, and enzymatic digestion of cellular contents.
  • Apoptosis is a regulated cell death process, without inflammation, characterized by nuclear fragmentation and apoptotic body formation and phagocytosis.

Morphological Changes

  • Necrosis shows increased eosinophilia.
  • Apoptosis features cell shrinkage, chromatin condensation, and apoptotic body formation.

Overview of Cell Injury and Death

  • Cell injury often begins on the biochemical/molecular level.
  • The delay between the initiating stress and observable change may vary by method of examination.
  • The sequence of structural changes in cell injury to cell death is illustrated in figures, and described in detail later.

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