Cellular Adaptation and Pathology
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Questions and Answers

What is cellular adaptation?

  • Reversible changes in cells in response to changes in their environment (stress/stimulation) (correct)
  • Irreversible changes in cells in response to changes in their environment (stress/stimulation)
  • Changes in cells that are not related to stress or stimulation
  • All of the above
  • Which of the following changes in the environment can cause a physiological response in cells?

  • Hormones
  • Mechanical stress demands
  • Endogenous chemical mediators
  • All of the above (correct)
  • Which of the following changes in the environment can cause a pathologic response in cells?

  • Cigarette smoking
  • Toxins
  • Protein malnutrition
  • Anoxia
  • All of the above (correct)
  • What is hyperplasia?

    <p>Increase in cell number resulting in an increase in organ size (C)</p> Signup and view all the answers

    Which of the following is an example of hormonal hyperplasia?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is an example of compensatory hyperplasia?

    <p>Both A and B (D)</p> Signup and view all the answers

    Which of the following is an example of pathologic hyperplasia?

    <p>The growth of the endometrial lining of the uterus in response to excessive estrogen stimulation (B)</p> Signup and view all the answers

    What is hypertrophy?

    <p>Increase in cell size resulting in an increase in organ size (D)</p> Signup and view all the answers

    Which of the following is an example of physiologic hypertrophy?

    <p>The growth of skeletal muscle in response to exercise (C)</p> Signup and view all the answers

    Pathological calcification can lead to organ dysfunction and even organ failure.

    <p>True (A)</p> Signup and view all the answers

    What is cellular aging and what factors affect it?

    <p>All of the above (E)</p> Signup and view all the answers

    How does the accumulation of DNA mutations affect cellular aging?

    <p>All of the above. (D)</p> Signup and view all the answers

    Flashcards

    Cellular Adaptation

    A reversible change in cells in response to changes in their environment (stress/stimulation), affecting size, number, phenotype, metabolic activity or function.

    Hyperplasia

    An increase in cell number resulting in increased organ size, common in cells capable of replication.

    Hormonal Hyperplasia

    Physiological hyperplasia stimulated by hormonal changes like puberty, pregnancy, and lactation.

    Compensatory Hyperplasia

    Physiological hyperplasia where remaining tissue grows after a portion is removed, like after liver resection.

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    Pathological Hyperplasia

    Pathological hyperplasia caused by excessive or uncontrolled hormonal/growth factor stimulation, often due to estrogen.

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    Hypertrophy

    An increase in cell size resulting in increased organ size due to more structural proteins and organelles.

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    Physiological Hypertrophy

    Physiological hypertrophy caused by increased functional demand like weightlifting or hormonal changes during pregnancy.

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    Pathological Hypertrophy

    Pathological hypertrophy where stressed cells reach their limit of enlargement and can no longer compensate, leading to complications like heart failure.

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    Atrophy

    Shrinkage in cell size by loss of cell substance, resulting in a decrease in tissue/organ size, meaning the cells are not dead but have diminished function.

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    Physiological Atrophy

    Physiological atrophy caused by loss of endocrine stimulation, like uterine atrophy after menopause, or natural aging of tissues.

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    Pathological Atrophy

    Pathological atrophy caused by decreased workload, loss of innervation, reduced blood supply, or inadequate nutrition.

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    Metaplasia

    A change of one mature (differentiated) cell type to another mature (differentiated) cell type, an adaptive response to better tolerate a specific environmental change.

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    Physiological Metaplasia

    Physiological metaplasia caused by hormonal changes, such as the replacement of columnar epithelium in the cervix by squamous epithelium during reproductive age.

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    Pathological Metaplasia

    Pathological metaplasia caused by chronic irritation from smoking or gastric reflux, like squamous metaplasia in the bronchi or Barrett's esophagus.

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    Intracellular Accumulation

    The accumulation of substances produced by the cell itself or elsewhere, primarily in the cytoplasm, organelles (like lysosomes), or nucleus.

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    Fatty Change (Steatosis)

    Any accumulation of triglycerides within parenchymal cells, often in the liver due to alcohol abuse, diabetes, or other causes.

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    Cholesterol and Cholesterol Esters

    Macrophages engulf LDL lipoprotein, overloading with cholesterol and cholesterol esters, leading to the formation of 'foam cells' in atherosclerosis.

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    Protein Accumulation

    Less common than lipid accumulation, this occurs due to excess protein synthesis, uptake, or misfolding.

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    Glycogen Accumulation

    Excessive intracellular glycogen deposits associated with abnormalities in glucose or glycogen metabolism, like in uncontrolled diabetes mellitus or glycogen storage diseases.

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    Pigments

    Colored substances that are either exogenous (derived from outside the body) or endogenous (synthesized by the body).

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    Carbon (Anthracosis)

    Most common exogenous pigment derived from soot, diesel exhaust, coal, cigarette smoke, and air pollution, causing blackening of lung parenchyma and draining lymph nodes.

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    Lipofuscin

    An insoluble brownish-yellow granular intracellular material, aka ‘wear-and-tear pigment,’ that accumulates in various tissues due to aging or atrophy.

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    Melanin

    An endogenous brown-black pigment synthesized by melanocytes in the epidermis, acting as a screen against harmful UV radiation.

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    Hemosiderin

    Hemoglobin-derived granular pigment (iron) that accumulates in tissues when there is a local or systemic excess of iron, appearing golden yellow to brown.

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    Pathological Calcification

    Abnormal deposition of calcium salts, iron, magnesium, and other minerals, commonly occurring in various disease states.

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    Dystrophic Calcification

    Calcification occurs in injured/degenerated tissues, dead/necrotic tissues at normal calcium levels, possibly causing organ dysfunction.

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    Metastatic Calcification

    Calcification occurs in any tissues, including normal ones, associated with hypercalcemia (high blood calcium levels), potentially impacting organ function.

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    Cellular Aging

    Cells age due to a progressive decline in their lifespan and functional activity, caused by factors like DNA mutations, decreased replication, and protein imbalances.

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    Accumulation of DNA Mutations

    Cells accumulate mutations in their DNA, primarily caused by reactive oxygen species (ROS) due to toxins or radiation, leading to functional deficiencies and eventual cell death.

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    Decreased Cellular Replication

    Normal cells have a limited replication capacity, eventually entering a non-dividing state (replicative senescence) due to telomere shortening, leading to cell cycle arrest and aging.

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    Abnormal Protein Homeostasis

    Cells lose their ability to maintain normal protein homeostasis, leading to decreased synthesis, increased turnover, and accumulation of misfolded proteins, triggering apoptosis.

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    Persistent Inflammation

    Cellular damage, accumulation of lipids, and endogenous substances activate the inflammasome pathway, contributing to persistent inflammation and exacerbating aging.

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    Study Notes

    Cellular Adaptation, Intracellular Accumulation, Pathological Calcification & Aging

    • Cellular adaptation involves reversible changes in cells responding to environmental changes (stress/stimulation) to maintain homeostasis (a new steady state) and preserve viability and function. This adaptation can be physiologic (response to normal stimulation) or pathologic (response to stressful stimulation).
    • Cellular adaptation includes changes in cell size (hypertrophy, atrophy), cell number (hyperplasia), and cell type (metaplasia).
    • Hypertrophy is an increase in cell size, resulting in an increase in organ size. This can be physiological—as seen in response to exercise or hormonal stimulation in some organs —or pathological.
    • Hyperplasia is an increase in cell number, which increases organ size. It can be physiological or pathological. Hyperplasia and hypertrophy can occur together. Examples include hormonal hyperplasia and compensatory hyperplasia.
    • Atrophy is a shrinkage in cell size due to loss of cell substance. This can be physiological, for example, the shrinkage of the uterus after pregnancy, or pathological, such as from decreased workload/demand, loss of innervation, reduced blood supply, or inadequate nutrition/energy.
    • Metaplasia is a change from one mature cell type to another mature cell type. This is an adaptive response to produce cells better equipped to withstand environmental changes. Examples include physiological squamous metaplasia in the cervix from hormonal changes and pathological squamous metaplasia in the lung from cigarette smoking.

    Intracellular Accumulations

    • Intracellular accumulations are the buildup of substances produced by the cell or elsewhere in cells. Possible locations include the cytoplasm, lysosomes, and nucleus.
    • Substances such as lipids, glycogen, proteins, and pigments can accumulate, potentially causing cellular dysfunction.
    • Lipids accumulate in cells due to increased intake, decreased catabolism, or abnormal metabolism. For example, excess lipid accumulation in parenchymal cells is called steatosis.
    • Protein accumulation can be from excessive synthesis, uptake, or from the misfolding of proteins. An accumulation of abnormal proteins in neurons is associated with Alzheimer's disease.
    • Glycogen accumulation can result from genetic disorders or issues with carbohydrate metabolism. Examples are in the cells of the renal tubules, cardiac myocytes, and islets of Langerhans in cases of diabetes.
    • Pigment accumulation is also possible. Examples include exogenous pigments from the outside, such as carbon and the endogenous pigments lipofuscin, melanin, and haemosiderin.

    Pathological Calcification

    • Pathological calcification is the abnormal deposition of calcium salts, smaller amounts of iron, or magnesium and other minerals. It can occur in either dystrophic or metastatic forms.
    • Dystrophic calcification happens in dead or degenerating tissues occurring at normal calcium levels. It can result in organ dysfunction, such as in the heart valves, and heterotopic bone formation.
    • Metastatic calcification involves an excess of calcium in the blood (hypercalcemia) causing calcium deposition in normal tissues. Common sites for deposition include the kidneys, lungs, and blood vessels and the synovium of joints. Common causes of this form of calcification include hyperparathyroidism, bony destructive lesions, and hypervitaminosis D and prolonged immobilisation.

    Cellular Aging

    • Cellular aging is a progressive decline in the lifespan and functional activity of cells due to accumulation of DNA mutations, decreased replication, abnormal protein homeostasis, and persistent inflammation. Cellular adaptations, such as telomere shortening, are involved in aging.
    • Telomeres are critical protective structures at the ends of chromosomes and are progressively shortened with each cell division, ultimately leading to cellular arrest and aging.

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    Description

    This quiz explores key concepts related to cellular adaptation, including hypertrophy, hyperplasia, and atrophy, as well as intracellular accumulation and pathological calcification. Understand how cells respond to various stimuli to maintain homeostasis and the impact of these changes on aging. Test your knowledge on the mechanisms underlying cellular responses to stress and their physiological and pathological implications.

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