Podcast
Questions and Answers
What is hypertrophy primarily characterized by?
What is hypertrophy primarily characterized by?
- The formation of new cells
- An increase in the number of cells
- Reduction in overall organ mass
- An increase in cell size (correct)
Which of the following best describes hyperplasia?
Which of the following best describes hyperplasia?
- The death of cells in a tissue
- An increase in the number of cells typically due to hormonal influence (correct)
- A decrease in metabolic activity of cells
- An increase in cell size without a change in numbers
Which type of hypertrophy is triggered by exercise such as weight-lifting?
Which type of hypertrophy is triggered by exercise such as weight-lifting?
- Compensatory hypertrophy
- Physiological hypertrophy (correct)
- Stress-induced hypertrophy
- Pathological hypertrophy
Which condition is an example of pathological hypertrophy?
Which condition is an example of pathological hypertrophy?
What primarily triggers hyperplasia in tissues?
What primarily triggers hyperplasia in tissues?
What percentage reduction in ATP levels is considered critical for cellular damage?
What percentage reduction in ATP levels is considered critical for cellular damage?
Which of the following processes is NOT directly dependent on ATP?
Which of the following processes is NOT directly dependent on ATP?
What can lead to impaired ATP production?
What can lead to impaired ATP production?
Which ion's gradient fails due to ATP depletion affecting ATPase pumps?
Which ion's gradient fails due to ATP depletion affecting ATPase pumps?
What is a consequence of mitochondrial damage during sustained injury?
What is a consequence of mitochondrial damage during sustained injury?
Which is NOT considered an injurious agent that can damage mitochondria?
Which is NOT considered an injurious agent that can damage mitochondria?
What is the outcome of a membrane permeability transition in mitochondria?
What is the outcome of a membrane permeability transition in mitochondria?
What is a result of ATP depletion affecting cellular functions?
What is a result of ATP depletion affecting cellular functions?
What are the three broad cellular responses to cellular stress?
What are the three broad cellular responses to cellular stress?
Which of the following is a general category of injurious agents that can cause cell injury?
Which of the following is a general category of injurious agents that can cause cell injury?
What is the key difference between apoptosis and necrosis?
What is the key difference between apoptosis and necrosis?
Which morphological feature is associated with reversible cell injury?
Which morphological feature is associated with reversible cell injury?
How can necrosis be clinically exploited for diagnosis?
How can necrosis be clinically exploited for diagnosis?
In what physiological circumstance does apoptosis typically occur?
In what physiological circumstance does apoptosis typically occur?
What are common cellular adaptations to cellular stress?
What are common cellular adaptations to cellular stress?
What is an example of irreversible cell injury?
What is an example of irreversible cell injury?
What is primarily indicated by atrophy in tissues or organs?
What is primarily indicated by atrophy in tissues or organs?
Which of the following conditions is NOT associated with pathological atrophy?
Which of the following conditions is NOT associated with pathological atrophy?
What change does metaplasia involve at the cellular level?
What change does metaplasia involve at the cellular level?
In which scenario does Barrett's esophagus occur?
In which scenario does Barrett's esophagus occur?
Which of the following is a morphological pattern of necrosis?
Which of the following is a morphological pattern of necrosis?
What is NOT a broad category of injurious agents causing cell injury?
What is NOT a broad category of injurious agents causing cell injury?
Which of the following represents a clinical example of reversible cell injury?
Which of the following represents a clinical example of reversible cell injury?
What is a direct consequence of oxygen deprivation in cells?
What is a direct consequence of oxygen deprivation in cells?
Which mechanism is NOT involved in indirect damage resulting from cell injury?
Which mechanism is NOT involved in indirect damage resulting from cell injury?
What leads to intracellular release of digestive enzymes during lysosomal membrane damage?
What leads to intracellular release of digestive enzymes during lysosomal membrane damage?
Which of the following best describes reversible cell injury?
Which of the following best describes reversible cell injury?
Which of the following factors can lead to DNA damage and protein mis-folding?
Which of the following factors can lead to DNA damage and protein mis-folding?
What characterizes the interrelationship of mechanisms involved in cell injury?
What characterizes the interrelationship of mechanisms involved in cell injury?
In what scenario can the mechanisms of cell injury be offset?
In what scenario can the mechanisms of cell injury be offset?
Which of the following is an example of the morphological features observed in reversible cell injury?
Which of the following is an example of the morphological features observed in reversible cell injury?
Which of the following is a characteristic of necrosis?
Which of the following is a characteristic of necrosis?
What is the primary feature distinguishing apoptosis from necrosis?
What is the primary feature distinguishing apoptosis from necrosis?
In which type of necrosis is tissue structure preserved?
In which type of necrosis is tissue structure preserved?
Which cellular change is associated with fatty change?
Which cellular change is associated with fatty change?
What happens to the cell size during necrosis?
What happens to the cell size during necrosis?
Which of the following is NOT a feature of apoptosis?
Which of the following is NOT a feature of apoptosis?
How does necrosis commonly affect nearby tissues?
How does necrosis commonly affect nearby tissues?
What is a characteristic of coagulative necrosis?
What is a characteristic of coagulative necrosis?
Which morphological feature is indicative of irreversible cell injury?
Which morphological feature is indicative of irreversible cell injury?
What distinguishes gangrenous necrosis from other forms of necrosis?
What distinguishes gangrenous necrosis from other forms of necrosis?
Flashcards
Homeostasis
Homeostasis
The ability of cells to maintain a stable internal environment despite external changes.
Reversible cell injury
Reversible cell injury
A state of cellular stress where the cell can still recover and return to normal function.
Irreversible cell injury/death
Irreversible cell injury/death
A permanent state of cellular damage leading to cell death.
Adaptation
Adaptation
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Cell Injury
Cell Injury
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Apoptosis
Apoptosis
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Necrosis
Necrosis
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Pathology
Pathology
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Oxygen Deprivation (Hypoxia)
Oxygen Deprivation (Hypoxia)
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Direct Cell Damage
Direct Cell Damage
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Indirect Cell Damage
Indirect Cell Damage
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Lysosomal Membrane Damage
Lysosomal Membrane Damage
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Morphological Features of Reversible Cell Injury
Morphological Features of Reversible Cell Injury
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Mechanisms of Cell Injury
Mechanisms of Cell Injury
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Interrelationship of Cell Injury Mechanisms
Interrelationship of Cell Injury Mechanisms
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What is ATP?
What is ATP?
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Why is oxygen crucial for ATP production?
Why is oxygen crucial for ATP production?
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What causes ATP depletion?
What causes ATP depletion?
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What are the consequences of ATP depletion?
What are the consequences of ATP depletion?
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How are mitochondria related to ATP production?
How are mitochondria related to ATP production?
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What can damage mitochondria?
What can damage mitochondria?
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What is the MPTP?
What is the MPTP?
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What happens when mitochondrial damage becomes irreversible?
What happens when mitochondrial damage becomes irreversible?
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Hypertrophy
Hypertrophy
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Hyperplasia
Hyperplasia
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Cellular Adaptation
Cellular Adaptation
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Cardiac Hypertrophy
Cardiac Hypertrophy
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GVHD (Graft-versus-host disease)
GVHD (Graft-versus-host disease)
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Cellular Swelling
Cellular Swelling
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Fatty Change
Fatty Change
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Plasma Membrane Blebbing
Plasma Membrane Blebbing
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Mitochondrial Swelling
Mitochondrial Swelling
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ER Dilation
ER Dilation
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Chromatin Clumping
Chromatin Clumping
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What are the key features of Apoptosis?
What are the key features of Apoptosis?
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What are the key features of Necrosis?
What are the key features of Necrosis?
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Atrophy
Atrophy
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Metaplasia
Metaplasia
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Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH)
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Endometrial Hyperplasia
Endometrial Hyperplasia
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Study Notes
Cell Injury and Cell Death
- Three broad cellular responses can occur as a result of cellular stress.
- Categories of injurious agents causing cell injury include oxygen deprivation, physical/environmental factors, chemical agents/toxins/drugs, infectious agents, immunologic reactions, genetic derangements, nutritional imbalances, and aging.
- Cellular response to injury depends on the severity, duration and type of insult. Consequences depend on the type, state and adaptability of the cell.
- Injurious agents trigger multiple interconnected mechanisms. Cell injury can result if any of the following cellular processes are disrupted: ATP production, mitochondrial integrity, plasma membrane integrity, protein synthesis, and genetic (DNA) integrity.
- There are six broad mechanisms responsible for cell injury: ATP depletion, mitochondrial damage, increased intracellular calcium, free radical damage, membrane damage, and DNA damage/protein misfolding. All mechanisms are highly complex and are typically inter-related.
- Cell injury can result in reversible or irreversible injury.
- Reversible cell injury can be reversed if the initial insult is mild or temporary.
Reversible Cell Injury
- Features include morphological changes that are reversible if the damaging stimulus is removed.
- Microscopic features include cellular swelling and fatty change.
- Ultrastructure features include plasma membrane blebbing, mitochondrial swelling, endoplasmic reticulum (ER) dilation, and chromatin clumping.
- Early examples include acute kidney injury (AKI) and hepatic steatosis.
Irreversible Cell Injury/Cell Death
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Cell death is characterized by two major forms: apoptosis and necrosis.
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Apoptosis is tightly regulated programmed cell death. Cellular contents are contained, and there is no release of contents/surrounding inflammation.
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Necrosis involves membrane breakdown, leakage of cell contents into tissues, and inflammation.
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Morphological patterns of necrosis include coagulative, liquefactive, caseous, gangrene, fat, and fibrinoid necrosis.
Apoptosis
- Apoptosis is a tightly regulated, programmed cellular suicide.
- Physiological examples include embryogenesis, hormone-dependent tissue involution, control of cell turnover, elimination of self-reactive lymphocytes, and death of host cells after an immune response.
- Pathological examples include DNA damage, accumulation of misfolded proteins, infections, and pathological atrophy.
- Two main pathways for apoptosis include the mitochondrial pathway and the death receptor pathway.
- Caspase activation is common to both pathways.
- Apoptosis is characterized by cell shrinkage, chromatin condensation, cytoplasmic blebs, apoptotic bodies, and a lack of surrounding damage.
Necrosis vs Apoptosis
- Necrosis involves increased cell size, a disrupted nucleus (pyknosis, karyolysis, karyorrhexis), a disrupted plasma membrane, and nearly always triggers nearby inflammation. It is always a pathological process.
- Apoptosis involves reduced cell size, fragmentation or condensation of the nucleus, an intact plasma membrane, and does not invariably trigger nearby inflammation. It can be physiological or pathological.
Cellular Adaptation, Hypertrophy, Hyperplasia, Atrophy
- Cellular adaptations are reversible adjustments in cell size, number, phenotype, and metabolic activity to the changes in their environment.
- Hypertrophy is an increase in the size of cells (and thus organs), usually from increased workload(e.g. body-building). Cardiomyocyte hypertrophy is a common pathological adaptation to circulatory stress.
- Hyperplasia is an increase in the number of cells in an organ or tissue resulting usually from growth factors or hormones (e.g. breast tissue in pregnancy).
- Atrophy is a decrease in the size of an organ or tissue, that occurs from decreased workload, denervation, decreased blood supply, or inadequate nutrition.
Metaplasia
- A switch from one differentiated cell type to another, and is often an adaptive response to adverse environmental factors like inflammation.
- Examples include the conversion of squamous cells in the esophagus to gastric-like columnar epithelium in response to acid reflux.
Cell Death and Clinical Diagnosis
- Myocardial infarction, pancreatitis, and apoptosis are all examples of instances where the necrotic release of certain enzymes into the bloodstream allows for clinical diagnosis. Myocardial infarction is often characterized by a release of cardiac enzymes like troponin into the bloodstream. Pancreatitis leads to elevated amylase and lipase levels in blood. Apoptosis, while not involving release into blood, can be diagnosed microscopically, which is important in disease like liver disease and GVHD(graft versus host disease, particularly in transplantation).
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