Cellular Injury Mechanisms and Types

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Questions and Answers

What is the primary consequence of irreversible cell injury?

  • Apoptosis (correct)
  • Equilibrium restoration
  • Cellular repair
  • Chronic inflammation

Which of the following best describes a potential effect of inappropriate adaptive efforts in cells?

  • Enhanced cellular growth
  • Increased cellular resilience
  • Inability to manage injury (correct)
  • Improved enzymatic functions

Which type of agents can directly cause rupture or damage to the cell membrane?

  • Immunological agents
  • Biological agents
  • Nutritional agents
  • Physical agents (correct)

What is a potential outcome if toxic chemical agents accumulate in the body?

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

Which factor is NOT typically associated with causing cellular injury?

<p>Effective enzymatic pathways (D)</p> Signup and view all the answers

What immediate consequence does hypoxia lead to in cells?

<p>Increased anaerobic glycolysis (C)</p> Signup and view all the answers

Which of the following best describes the process of hypertrophy?

<p>An increase in the size of individual cells (D)</p> Signup and view all the answers

What is the primary effect of free radicals on cellular structures?

<p>They damage phospholipids and proteins (C)</p> Signup and view all the answers

In response to chronic injury, what is metaplasia?

<p>Replacement of one cell type with another (B)</p> Signup and view all the answers

Which condition is characterized by the accumulation of lipid deposits in the brain?

<p>Tay-Sachs disease (C)</p> Signup and view all the answers

What is a common effect of excessive food intake of lipids?

<p>Atherosclerosis and cardiovascular disease (A)</p> Signup and view all the answers

Which cellular adaptation involves the decrease in cell size?

<p>Atrophy (C)</p> Signup and view all the answers

What disrupts the normal intracellular environment leading to cell injury?

<p>Cellular oxidative stress (C)</p> Signup and view all the answers

How does lactic acidosis affect the cell's environment?

<p>Leads to impaired enzyme processes (C)</p> Signup and view all the answers

What is a significant consequence of impaired calcium homeostasis?

<p>Cellular calcification and dysfunction (D)</p> Signup and view all the answers

Which process indicates cellular injury through receptor dysfunction?

<p>Binding and destruction of receptors (A)</p> Signup and view all the answers

What condition results from the excess sodium accumulation inside cells?

<p>Cell enlargement and swelling (A)</p> Signup and view all the answers

What is the role of ATP in cellular metabolism?

<p>ATP is crucial for enzyme activation and cellular processes (B)</p> Signup and view all the answers

What characterizes dysplasia in cellular changes?

<p>Atypical changes with potential for uncontrolled growth (D)</p> Signup and view all the answers

Which statement best describes the role of apoptosis in cellular health?

<p>It contributes to disease if not correctly suppressed (B)</p> Signup and view all the answers

What is the outcome if necrosis occurs in living tissue?

<p>Infection and scarring may develop (D)</p> Signup and view all the answers

Which condition frequently requires the removal of necrotic tissue to prevent further complications?

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

How does habitual cigarette smoking affect cellular changes?

<p>It may precondition cells for cancerous transformation (B)</p> Signup and view all the answers

What cellular adaptation is characterized by an increase in the number of cells capable of dividing?

<p>Hyperplasia (C)</p> Signup and view all the answers

Which condition exemplifies pathologic hypertrophy that can lead to ineffective contraction of heart muscle?

<p>Left ventricular hypertrophy (C)</p> Signup and view all the answers

Which effect does chronic exposure to free radicals NOT typically cause in cells?

<p>Increased muscle size (A)</p> Signup and view all the answers

In which scenario does atrophy occur as a cellular adaptation?

<p>In response to muscle disuse (D)</p> Signup and view all the answers

What is a potential consequence of metaplasia as a response to chronic irritation?

<p>Replacement of one cell type with another (D)</p> Signup and view all the answers

What physiological process can lead to cellular injury as a result of excessive exposure to ozone and pollution?

<p>Free radical damage (C)</p> Signup and view all the answers

Which of the following conditions represents a normal response in the body, occurring during wound healing?

<p>Physiologic hyperplasia (B)</p> Signup and view all the answers

Which type of cellular adaptation is directly associated with aging and is characterized by a decrease in cell size?

<p>Atrophy (C)</p> Signup and view all the answers

Which scenario best illustrates a situation leading to irreversible cell injury?

<p>A cell experiencing prolonged nutrient deprivation (C)</p> Signup and view all the answers

What distinguishes necrosis from apoptosis in cellular injury?

<p>Necrosis occurs due to external damage, whereas apoptosis is a programmed process (D)</p> Signup and view all the answers

Which factor is primarily responsible for cellular changes resulting from chemical agents?

<p>Interference with normal enzymatic functions (A)</p> Signup and view all the answers

In which situation would removing the stimulus causing injury primarily enhance cellular repair?

<p>Continuous electrical stimulation leading to cell fatigue (B)</p> Signup and view all the answers

What is a potential consequence of the exhaustion of adaptive efforts in cells?

<p>Development of tissue anomalies (A)</p> Signup and view all the answers

When can a cell best adapt to injury rather than undergo irreversible changes?

<p>When removal of the stressor occurs promptly (C)</p> Signup and view all the answers

Which of the following best describes an effect of physical agents causing cellular injury?

<p>Direct rupture of the cell membrane due to trauma (A)</p> Signup and view all the answers

In what manner can toxins, such as lead, lead to cellular injury?

<p>By blocking the action of essential enzymes and pathways (C)</p> Signup and view all the answers

What condition results from the accumulation of fat deposits leading to decreased blood flow, potentially causing heart attack or stroke?

<p>Atherosclerosis (D)</p> Signup and view all the answers

Which mechanism primarily leads to decreased ATP generation in cells during inadequate oxygen supply?

<p>Anaerobic glycolysis (B)</p> Signup and view all the answers

What is the primary consequence of increased intracellular calcium levels in cells?

<p>Activation of damaging enzymes (A)</p> Signup and view all the answers

What effect does impaired calcium homeostasis have on tissues?

<p>Tissue calcification and dysfunction (C)</p> Signup and view all the answers

In which physiological condition might lactic acidosis contribute to muscle soreness?

<p>Sustained hypoxia (B)</p> Signup and view all the answers

What process leads to the development of cachexia, characterized by muscle and fat loss?

<p>Inadequate nutritional intake (D)</p> Signup and view all the answers

Which type of disorder is characterized by an inability to metabolize a specific protein due to genetic defects?

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

What cellular dysfunction is indicative of changes to the cell membrane impacting permeability?

<p>Altered electrolyte balance (B)</p> Signup and view all the answers

Which type of microorganisms can directly interfere with cellular metabolism?

<p>Viruses (D)</p> Signup and view all the answers

What is the most common cause of cellular injury associated with insufficient blood oxygenation?

<p>Hypoxia (D)</p> Signup and view all the answers

What type of metabolic impairment occurs due to the accumulation of waste materials in the cytoplasm?

<p>Decreased metabolic rate (D)</p> Signup and view all the answers

What result can come from excessive food intake of lipids?

<p>Atherosclerosis and associated diseases (A)</p> Signup and view all the answers

What potential effect can occur due to the obstruction of receptor sites by waste products?

<p>Inappropriate triggering of cellular responses (B)</p> Signup and view all the answers

How does increased cell permeability impact the risk of infection?

<p>Increases the risk of microorganism entry (A)</p> Signup and view all the answers

Flashcards

Cell Damage Progression

Occurs when cells are unable to repair themselves due to excessive damage, leading to disease processes.

Necrosis

Involves cell death due to external factors like injury or toxins, causing cells to break down.

Apoptosis

A controlled form of cell death initiated by the cell itself, often involving a sequence of steps to eliminate damaged or unwanted cells.

Adaptive Changes

The process of cells adapting to stressors, ensuring survival and maintaining function, until exhaustion or inappropriate adaptations occur.

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Chemical Agents of Cell Injury

Chemical agents like toxins can injure cellular structures, disrupt enzymatic pathways, and cause problems with blood coagulation and osmotic environments.

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Cellular Injury

Damage to a cell or the uptake of harmful substances into the cell.

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Hypoxia

A condition where there is insufficient oxygen reaching the cells, leading to decreased ATP production and impaired cell function.

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Lipid and Carbohydrate Accumulation

The accumulation of fat deposits within cells, often due to improper metabolism, which can lead to plaque formation and blockages in blood vessels.

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Pathologic Calcification

A pathologic process where calcium deposits accumulate within cells, leading to tissue hardening and impaired function.

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Disruption in Cell Membrane

Changes in cell membrane permeability, often due to injury or disease, leading to electrolyte imbalances, swelling, and impaired function.

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Atrophy

The process by which cells adapt to stress or injury by decreasing in size.

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Hypertrophy

The process by which cells adapt to stress or injury by increasing in size, resulting in larger tissue size.

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Hyperplasia

The process by which cells adapt to stress or injury by increasing in number, often due to hormone stimulation.

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Metaplasia

The process by which one type of adult cell is replaced by another type, often in response to chronic irritation or inflammation.

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Dysplasia

Atypical changes in cells, often due to abnormal growth patterns, which may progress to cancer if not controlled.

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Cachexia

A state of general wasting of the body, characterized by loss of muscle and fat.

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Infectious Agents

A group of microorganisms that can cause infection, including viruses, bacteria, and fungal spores.

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Inborn Problems of Metabolism

Problems with metabolism that are present at birth, often caused by genetic defects.

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Free Radical Effects

Free radicals are unstable molecules that can damage cell membranes, proteins, and DNA, leading to various diseases.

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Cellular Adaptation

The process by which cells adapt to stress or injury by changing their function or structure, often due to long-term exposure to harmful stimuli.

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What is apoptosis?

A type of cell death where cells are destroyed in a controlled manner. It is normal and necessary for the removal of old, damaged, or excess cells.

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What is a cellular adaptation?

The process of cells changing their structure or function in response to stress or injury in order to survive.

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What is dysplasia?

Cells that have undergone abnormal changes but are still potentially reversible. These changes can sometimes lead to cancer if not controlled.

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What happens when cellular adaptive processes are overwhelmed?

Occurs when cells have reached their limit of adaptation and are unable to recover from the damage.

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What is necrosis?

A type of cell death that occurs due to external factors like injury, toxins, or lack of blood supply. It results in cell breakdown and inflammation.

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Cell Damage (or Cell Injury)

External or internal changes that harm a cell, leading to potential long-term damage or death.

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Cell Damage Outcomes

When a cell is hurt or stressed, it can either recover or adapt, or if the damage is too big, it dies.

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Irreversible Injury

The point where damage is too severe for a cell to fix itself, leading to two types of death: Necrosis (uncontrolled) and Apoptosis (programmed).

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Physical Agents of Cell Injury

Physical agents that can harm cells include trauma, extreme temperatures, radiation, and electricity - think of a car accident or a bad sunburn.

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Free radicals

Unstable reactive chemicals that can damage cell membranes, proteins, and DNA. Exposure to ozone, pollution, cigarette smoke, radiation, and chemicals can all lead to free radical formation.

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Cell Injury

Damage to cells due to various factors such as chemicals, toxins, physical agents, or biological agents. This can lead to a wide range of diseases.

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What is cachexia?

A state of general wasting of the body, characterized by loss of muscle and fat.

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What is Hypoxia?

A condition where there is insufficient oxygen reaching the cells, leading to decreased ATP production and impaired cell function.

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What is lipid and carbohydrate accumulation?

The accumulation of fat deposits within cells, often due to improper metabolism, which can lead to plaque formation and blockages in blood vessels.

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What is pathologic calcification?

A pathologic process where calcium deposits accumulate within cells, leading to tissue hardening and impaired function.

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What is disruption in cell membrane?

Changes in cell membrane permeability, often due to injury or disease, leading to electrolyte imbalances, swelling, and impaired function.

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What are infectious agents?

A group of microorganisms that can cause infection, including viruses, bacteria, and fungal spores.

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What are inborn problems of metabolism?

Problems with metabolism that are present at birth, often caused by genetic defects.

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What is the inability of a cell to process materials?

A condition where the cell is unable to process materials properly, leading to the accumulation of waste materials and toxins in the cytoplasm.

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What is the Na+,K+-ATPase pump?

An important pump in the cell membrane that maintains the balance of sodium and potassium ions across the membrane.

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What is inadequate oxygen in the blood?

Insufficient oxygen in the blood (hypoxemia) leads to decreased oxygen to cells (hypoxia).

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What is the effect of decreased oxygen on cells?

A decrease in oxygen availability to cells, leading to a buildup of lactic acid and a lower pH, ultimately causing cell injury.

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What is atrophy?

The process by which cells adapt to stress or injury by decreasing in size.

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What is hypertrophy?

The process by which cells adapt to stress or injury by increasing in size.

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What is hyperplasia?

The process by which cells adapt to stress or injury by increasing in number.

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What is metaplasia?

The process by which one type of adult cell is replaced by another type, often in response to chronic irritation or inflammation.

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Study Notes

Cellular Injury Mechanisms

  • Cell injury, also called cell damage, results from various stressors impacting the cell, including physical, chemical, infectious, biological, nutritional, and immunological factors.
  • These stressors can cause long-term damage or cell death.
  • Adaptive changes can occur initially to ensure survival and maintain cellular function, but exceeding the cell's ability to adapt leads to damage and disease.
  • Injury's severity determines whether the cell can recover or undergo irreversible damage.

Types of Cellular Injury

  • Irreversible injury leads to necrosis (tissue/cell death), or apoptosis (programmed cell death).
  • Removing the damaging stimulus can increase the chances of reversible injury.

Stimuli Causing Cellular Injury

  • Physical Agents: Trauma, temperature changes, radiation, electrical stimulation cause direct cell rupture or membrane damage.
  • Chemical Agents: These can damage cellular structures, block enzymatic pathways, disrupt osmotic balance, and cause blood coagulation issues (e.g., simple compounds like glucose, toxins, therapeutic agents).
  • Therapeutic Agents: Drugs like Tylenol, chemotherapy, and ibuprofen can injure cells or tissues (e.g. Tylenol (liver), chemotherapy, ibuprofen (kidney)).
  • Microorganisms: Infectious agents (viruses, bacteria, fungi) release toxins interfering with cellular metabolism.
  • Genetic Defects/Disorders: Inherited metabolic problems, birth defects, or malformations cause issues (e.g., Tay-Sachs).
  • Nutritional Imbalances: Vitamin and protein deficiencies or excessive food intake (especially lipids), lead to conditions like atherosclerosis and cachexia.
  • Hypoxia: Inadequate oxygen in the blood (hypoxemia) deprives cells of oxygen (hypoxia).
    • This decreases ATP production; anaerobic metabolism increases, lactic acid accumulates (sore muscles).
    • Increased lactate lowers pH (lactic acidosis), damaging enzymes and potentially leading to cell death. -Reduced ATP also reduces tissue perfusion.

Intracellular Changes Responding to Stimuli

  • Cells may accumulate waste materials and toxins.
  • Metabolic processes slow down, ATP synthesis is impaired, and energy stores deplete (e.g., accumulation of waste materials/toxins in the cytoplasm).
  • Accumulation of lipids and carbohydrates can cause problems (e.g., triglycerides).
    • Example: Tay-Sachs disease leads to lipid accumulation in the brain, impacting brain function.
  • Metabolic processes slow, resulting in impaired ability to synthesize adenosine triphosphate (ATP), and a depletion of energy stores.
  • Pathologic calcification occurs due to calcium accumulation in injured cells affecting calcium homeostasis, damaging tissues and impairing functions.

Cell Membrane Disruption

  • Cell membranes control the intracellular environment and selectively transport substances.
  • Impaired transport processes lead to electrolyte imbalances and swelling.
  • Failure of Na+/K+-ATPase pumps leads to sodium buildup inside cells and water influx, causing cell swelling.
  • This swelling can also impact signaling and defenses.

Receptor Dysfunction

  • Receptors can be damaged, blocked or destroyed by waste products which can lead to problems in communication between cells.

Free Radical Effects

  • Unstable reactive chemicals like ozone, pollution, and smoke damage cellular components (phospholipids, proteins, and DNA), potentially causing various diseases.

Cellular Adaptations

  • Atrophy: Decrease in cell size (e.g., disuse atrophy, aging).
  • Hypertrophy: Increase in cell size, often caused by increased workload (e.g., weightlifting, left ventricular hypertrophy).
  • Hyperplasia: Increase in cell number (e.g., hormone stimulation, wound healing, pregnancy).
  • Metaplasia: One cell type replaced by another (e.g., smoking, chronic irritation).
  • Dysplasia: Abnormal changes in cells (precursor to cancer with potential reversiblity).

Cell Death

  • Apoptosis: Programmed cell death (normal, essential).
  • Necrosis: Uncontrolled cell death in living tissues.
  • Gangrene: Necrosis, typically of a considerable tissue mass.

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