Growth Adaptations and Cell Injury
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Questions and Answers

What role does MPO deficiency play in infection susceptibility?

MPO deficiency increases the risk of Candida infections.

How do neutrophils differ from macrophages in terms of lifespan during inflammation?

Neutrophils undergo apoptosis within 24 hours, while macrophages peak at 2-3 days and continue to play a role in inflammation.

What are the two main signals required for T cell activation?

T cell activation requires the binding of the antigen/MHC complex and an additional second signal, often provided by a costimulatory interaction.

What is the defining feature of granulomatous inflammation?

<p>The defining feature of granulomatous inflammation is the presence of epithelioid histiocytes.</p> Signup and view all the answers

Which cytokines are mainly secreted by Th1 cells and what are their functions?

<p>Th1 cells secrete IL-2 and IFN-gamma, where IL-2 promotes CD8 T cell activation and IFN-gamma activates macrophages.</p> Signup and view all the answers

How does the process of B cell activation depend on T cells?

<p>B cell activation depends on T cells through antigen presentation to CD4+ T cells, which provide a second activation signal via CD40L.</p> Signup and view all the answers

Explain the importance of the NADPH oxidase in bacterial killing.

<p>NADPH oxidase is crucial for generating reactive oxygen species, enabling effective bacterial killing; its defect results in impaired immune response.</p> Signup and view all the answers

What characterizes the difference between MHC I and MHC II in relation to T cell subsets?

<p>MHC I presents intracellular antigens to CD8+ T cells, while MHC II presents extracellular antigens to CD4+ T cells.</p> Signup and view all the answers

What is the primary function of negative selection in the thymus?

<p>To eliminate T cells that strongly bind to self-antigens, thereby preventing autoimmunity.</p> Signup and view all the answers

How does the cytotoxic CD8+ T cell pathway induce cell death?

<p>It uses perforins to create pores in the target cell membrane and granszyme enters these pores to activate caspases, leading to apoptosis.</p> Signup and view all the answers

Which reactive oxygen species is considered the most damaging and why?

<p>The hydroxyl radical (OH) is the most damaging due to its high reactivity with biological macromolecules.</p> Signup and view all the answers

What is a common consequence of carbon tetrachloride (CCl4) exposure in the liver?

<p>CCl4 exposure can cause cellular swelling and reversible injury, leading to fatty change due to impaired lipid metabolism.</p> Signup and view all the answers

What are the main components of acute inflammation?

<p>The main components are edema (fluid accumulation) and the influx of neutrophils into the affected tissue.</p> Signup and view all the answers

What triggers fever during acute inflammation?

<p>Fever is triggered by macrophages releasing IL-1 and TNF, which increase PGE2 levels in the hypothalamus to raise the body's temperature setpoint.</p> Signup and view all the answers

What role do Toll-like receptors (TLRs) play in the immune response?

<p>TLRs recognize pathogen-associated molecular patterns (PAMPs) and activate NF-kB, leading to an enhanced immune response.</p> Signup and view all the answers

Describe the appearance of amyloid deposits in tissue.

<p>Amyloid deposits display a beta-pleated sheet configuration and can be identified using Congo red staining, which shows apple-green birefringence under polarized light.</p> Signup and view all the answers

What are the two main types of systemic amyloidosis and their causes?

<p>Primary amyloidosis (AL) is due to Ig light chains, while secondary amyloidosis (AA) arises from serum amyloid A protein during chronic inflammation.</p> Signup and view all the answers

What clinical condition is most commonly associated with kidney involvement in amyloidosis?

<p>Nephrotic syndrome is the most common clinical condition associated with kidney involvement in amyloidosis.</p> Signup and view all the answers

What distinguishes noncaseating granulomas from caseating granulomas?

<p>Noncaseating granulomas lack central necrosis, while caseating granulomas contain central necrosis, commonly seen in tuberculosis and certain fungal infections.</p> Signup and view all the answers

Describe the role of CD4 T cells in granuloma formation.

<p>CD4 T cells are activated by IL-12 and release IFN-gamma, which converts macrophages into epithelioid histiocytes and giant cells, essential for granuloma formation.</p> Signup and view all the answers

What is DiGeorge Syndrome and its genetic basis?

<p>DiGeorge Syndrome is caused by a 22q11 microdeletion leading to the absence of the thymus and subsequent T cell deficiency, characterized by the acronym CATCH-22.</p> Signup and view all the answers

What is the main defect in X-linked agammaglobulinemia?

<p>The main defect in X-linked agammaglobulinemia is a mutation in Bruton tyrosine kinase, resulting in a complete lack of immunoglobulin due to disordered B-cell maturation.</p> Signup and view all the answers

Explain the concept of central tolerance in the bone marrow.

<p>Central tolerance in the bone marrow involves negative selection of immature B cells that strongly bind to self-antigens, leading to apoptosis or light chain editing.</p> Signup and view all the answers

What are the two main causes of hyper-IgM syndrome?

<p>Hyper-IgM syndrome is primarily caused by mutations in CD40L or CD40 receptor, leading to defects in T cell activation during B cell class switching.</p> Signup and view all the answers

What is the significance of regulatory T cells in immune tolerance?

<p>Regulatory T cells (CD4+ CD25+ FoxP3+) suppress immune responses and help maintain tolerance by blocking T cell activation and producing inhibitory cytokines.</p> Signup and view all the answers

How does zinc deficiency affect wound healing?

<p>Zinc deficiency impairs collagenase activity, which is vital for converting type III collagen to type I collagen during wound healing.</p> Signup and view all the answers

What is apoptosis, and how is it regulated at the molecular level?

<p>Apoptosis is a programmed cell death process regulated by the Bcl-2 family of proteins, which stabilize the mitochondrial membrane and prevent cytochrome c release.</p> Signup and view all the answers

Describe how cancer cells invade surrounding tissues.

<p>Cancer cells invade tissues by downregulating e-cadherin to detach from neighboring cells, binding to basal membrane components, and producing enzymes like collagenase IV to degrade the extracellular matrix.</p> Signup and view all the answers

What is the relationship between immunodeficiency and cancer risk?

<p>Immunodeficiency increases cancer risk due to inadequate immune surveillance, which reduces the body's ability to identify and destroy tumor cells.</p> Signup and view all the answers

What role does IFN-gamma play in macrophage activation?

<p>IFN-gamma released by activated CD4 T cells converts macrophages into a more effective form known as epithelioid histiocytes, enhancing their ability to engulf and destroy pathogens.</p> Signup and view all the answers

Which cytokines are produced by regulatory T cells and what is their function?

<p>Regulatory T cells produce cytokines such as IL-10 and TGF-beta, which inhibit T cell activation and promote immune tolerance.</p> Signup and view all the answers

Flashcards

Cytotoxic CD8+ T cell pathway

A process where cytotoxic CD8+ T cells eliminate infected or cancerous cells. It involves perforins creating pores in the target cell membrane, allowing granzyme to enter and activate caspases, leading to apoptosis.

Apoptosis

A type of cell death characterized by a series of biochemical events leading to a controlled dismantling of the cell. It is crucial for the removal of damaged or unwanted cells.

Hydroxyl radical (OH)

A highly reactive molecule that is a major contributor to oxidative stress and damage. It is generated during normal cellular processes and can also be produced by environmental factors.

Superoxide burst

A process that produces superoxide radicals (O2-), which is the initial step in the formation of other reactive oxygen species. It is a key enzyme in the immune system's defense against pathogens.

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Amyloidosis

A type of protein misfolding disorder where abnormal proteins accumulate in the extracellular space. This leads to damage to tissues and organs.

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Primary amyloidosis (AL)

A systemic form of amyloidosis associated with multiple myeloma, where amyloid is formed from immunoglobulin light chains.

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Secondary amyloidosis (AA)

A systemic form of amyloidosis caused by the deposition of amyloid A protein, which is an acute-phase reactant. Often associated with chronic inflammation, malignancies, and familial Mediterranean fever.

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Acute inflammation

A complex process involving the release of various inflammatory mediators, resulting in vasodilation, increased vascular permeability, and recruitment of neutrophils to the affected area.

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Toll-like receptors (TLRs)

Pattern recognition receptors expressed on macrophages and dendritic cells. They recognize pathogen-associated molecular patterns (PAMPs) and trigger immune responses.

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NF-κB pathway

A complex signaling pathway that plays a crucial role in innate immunity. It is triggered by TLRs and other inflammatory stimuli, leading to the activation of genes involved in the immune response.

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Neutrophils

A type of white blood cell that is the first responder to infection and plays a crucial role in innate immunity. These cells are short-lived and undergo apoptosis within 24 hours.

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Macrophages

A type of white blood cell that engulfs and destroys pathogens, antigen-presenting cells to T cells. Live longer than neutrophils and contribute to both innate and adaptive immunity.

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Granulomatous inflammation

A process that involves the formation of a granuloma, a characteristic structure of chronic inflammation. Granulomas are formed when macrophages aggregate around a persistent antigen or pathogen, often forming a central core of necrotic tissue.

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Myeloperoxidase (MPO)

A protein that helps activate neutrophils to kill bacteria, and is deficient in certain individuals. People with this deficiency have an increased risk of developing Candida infections.

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CD4+ T helper cells

A type of T cell that helps activate other immune cells, such as macrophages and B cells, to fight infection. This type of T cell is responsible for the production of cytokines that promote inflammation and immune responses.

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CD8+ cytotoxic T cells

A type of T cell that directly kills infected cells by releasing cytotoxic substances. These cells are essential for controlling viral infections and eliminating cancer cells.

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B lymphocytes

A type of white blood cell responsible for producing antibodies, which are proteins that bind to and neutralize pathogens. These cells are crucial for adaptive immunity.

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Resolution of inflammation

A process that involves the resolution of inflammation and healing, typically mediated by cytokines such as IL-10 and TGF-beta that promote tissue repair.

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Noncaseating granulomas

Granulomas that lack central necrosis. They are characteristic of reactions to foreign materials, sarcoidosis, beryllium exposure, Crohn's disease, and cat scratch disease.

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Caseating granulomas

Granulomas that have central necrosis. They are characteristic of tuberculosis (TB) and fungal infections.

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DiGeorge Syndrome

A primary immunodeficiency that affects the development of the thymus, leading to a deficiency in T cells. It is caused by a deletion in chromosome 22.

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SCID (Severe Combined Immunodeficiency)

A severe combined immunodeficiency characterized by the absence of both T and B cells. Patients are extremely susceptible to infections.

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X-linked agammaglobulinemia

A primary immunodeficiency characterized by a complete lack of immunoglobulins due to a mutation in the Bruton tyrosine kinase (BTK) gene.

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Common Variable Immunodeficiency (CVID)

A primary immunodeficiency characterized by low levels of immunoglobulins, similar to X-linked agammaglobulinemia. It presents later in life and carries a higher risk of autoimmune diseases and lymphoma.

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IgA deficiency

A primary immunodeficiency characterized by a deficiency in IgA. Patients are prone to mucosal infections, particularly viral infections. It is often associated with celiac disease.

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Hyper-IgM Syndrome

A primary immunodeficiency characterized by a mutation in either the CD40 ligand (CD40L) or the CD40 receptor on B cells. This disrupts the interaction between helper T cells and B cells, leading to a deficiency in all immunoglobulin classes except IgM.

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Wiskott-Aldrich Syndrome

A primary immunodeficiency associated with thrombocytopenia, eczema, and recurrent infections. It is caused by a mutation in the WAS protein, an X-linked gene.

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Complement Deficiency

A deficiency in the late components of the complement pathway (C5-C9) can lead to an increased risk of Neisseria infections.

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Tolerance

The ability of the immune system to recognize and tolerate self-antigens, preventing the development of autoimmune disorders.

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Central Tolerance

T cells undergo selection in the thymus and bone marrow to ensure they recognize self-MHC and are tolerant of self-antigens.

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Peripheral Tolerance

Mature T cells can undergo tolerance mechanisms in the periphery to prevent autoimmune reactions.

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Regulatory T cells

A subtype of T cells (CD4+ CD25+ FoxP3+) that play a crucial role in suppressing immune responses.

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Wound Healing

A type of tissue repair that occurs after injury. It involves the formation of granulation tissue, which eventually forms a scar.

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Regenerative Capacity of Tissues

The ability of tissues to regenerate after injury. Tissues are classified as labile, stable, or permanent based on their regenerative capacity.

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Labile Tissues

A type of tissue that is constantly cycling and regenerating due to the presence of stem cells.

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Stable Tissues

A type of tissue that is quiescent but can reenter the cell cycle when needed.

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Permanent Tissues

A type of tissue that lacks significant regenerative potential and instead heals with fibrous scarring.

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Granulation Tissue

The initial phase of wound healing characterized by the formation of granulation tissue, a collection of fibroblasts, capillaries, and myofibroblasts.

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Scar Formation

The final stage of wound healing where the granulation tissue is replaced by a scar composed of type I collagen.

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Delayed Wound Healing

Factors that can delay wound healing, including infection, vitamin C deficiency, copper deficiency, zinc deficiency, foreign bodies, ischemia, diabetes, and malnutrition.

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Neoplasia

The abnormal growth of cells, leading to the formation of a tumor. Malignant tumors are those that invade surrounding tissues and metastasize to distant sites.

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Protooncogenes

A group of genes that promote cell growth and division.

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Tumor Suppressor Genes

Genes that suppress cell growth and division.

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Metastasis

A process by which cancer cells spread to distant sites.

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Invasion

The process by which cancer cells invade surrounding tissues.

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Angiogenesis

The process of new blood vessel formation.

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Immune Surveillance

The ability of the immune system to recognize and destroy cancer cells.

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Study Notes

Growth Adaptations, Cell Death, and Injury

  • Atrophy is a decrease in cell size or number (apoptosis). It occurs through ubiquitin-proteosome degradation of the cytoskeleton and autophagy of cellular components.
  • Autophagy is a cellular process where vacuoles are formed to contain cellular components and then consumed by lysosomes.
  • Metaplasia is a reversible reprogramming of stem cells. It can occur with removal of the stressor that caused it, but can progress to cancer. An example of an exception is apocrine metaplasia, which is not linked to cancer. Vit A deficiency can cause metaplasia of specialized epithelia, such as the conjunctiva of the eye. Keratomalasia and myositis ossificans are associated with thickened conjunctiva and inflammation of skeletal muscle (converting to bone), respectively.
  • Dysplasia is a reversible condition unlike cancer, often caused by inflammation of skeletal muscle (trauma). An example is cervical intraepithelial neoplasia (CIN).
  • Aplasia is failure of cellular production during embryogenesis, an example is unilateral renal agenesis.
  • Hypoplasia is a decrease in cell production during embryogenesis, one example given is a streak ovary in Turner syndrome.

Cell Injury

  • Hypoxia is a decrease in blood flow through an organ (ischemia). This can be due to blockage in arteries or veins, or shock.

Cell Death

  • Necrosis is the death of a large group of cells, resulting in acute inflammation. Types of necrosis include coagulative necrosis, and liquefactive necrosis, where cell shape/architecture is retained while the tissue becomes loosely organized.
  • Apoptosis is the death of individual/small groups of cells, without the inflammatory response associated with necrosis. This process involves shrinkage of cells, which is followed by the removal of cellular components by macrophages.

Other

  • Example of oxygen carrying capacity decrease includes anemia, since normal oxygen levels may be bound by a dysfunctional hemoglobin (Hb).

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Description

This quiz focuses on the concepts of atrophy, autophagy, metaplasia, and dysplasia in cellular biology. It explores how these processes relate to cell size, functionality, and injury. Prepare to test your knowledge on these key adaptations and their implications for health and disease.

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