Liver Apoptosis and Injury Quiz

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Questions and Answers

What is associated with massive apoptosis in the liver?

  • Ischemic conditions and hypo perfusion (correct)
  • Increased bile acid synthesis
  • Chronic liver disease only
  • Neoplastic cell growth

Which pathway is linked to caspase-dependent apoptosis?

  • Both A and C (correct)
  • Extrinsic pathway
  • Intrinsic pathway
  • Necroptosis pathway

What triggers mitochondrial external membrane permeabilization during apoptosis?

  • Increase in TNF Alpha
  • Intrinsic signaling defects
  • Endoplasmic reticulum stress (correct)
  • Activation of death receptors

What is typically observed in hepatocytes during acute liver injury?

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

What can be seen in normal necrosis that is not characteristic of typical apoptosis?

<p>Death receptor activation (C)</p> Signup and view all the answers

What role do smac/DIABLO and cytochrome C play in cell death?

<p>They are involved in apoptosis induction. (C)</p> Signup and view all the answers

What type of liver disease is primarily associated with cytotoxic T cells?

<p>Inflammatory liver diseases (C)</p> Signup and view all the answers

Which of the following statements about hepatocytes is false?

<p>Normal hepatocytes can effectively undergo apoptosis. (B)</p> Signup and view all the answers

Which of the following triggers the release of profibrogenic cytokines in hepatocyte response to injury?

<p>Hepatic stellate cell activation (A)</p> Signup and view all the answers

What is the primary difference between intrinsic and extrinsic apoptosis?

<p>Intrinsic is primarily triggered by internal signals. (D)</p> Signup and view all the answers

What is a key consequence of massive apoptosis in liver tissue?

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

What distinguishes reversible hepatocellular injury from irreversible injury?

<p>Extent of ATP depletion (B)</p> Signup and view all the answers

Which of the following is a characteristic of reversible hepatocellular injury?

<p>Mallory-Denk Bodies (B)</p> Signup and view all the answers

What cellular process is primarily responsible for repairing liver injury?

<p>Regeneration of mature liver cells (B)</p> Signup and view all the answers

What is the primary difference between necrosis and apoptosis?

<p>Apoptosis is a specific cascade; necrosis is unregulated cell death. (C)</p> Signup and view all the answers

Which condition is associated with microsteatosis?

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

What phenomenon is linked to ischemic-hypoxic injury in liver cells?

<p>Increased oxidative stress (D)</p> Signup and view all the answers

What role do Kupffer cells play in apoptosis?

<p>Phagocytosis of apoptotic bodies. (D)</p> Signup and view all the answers

What leads to necrosis during hepatocyte injury?

<p>Increasing intracellular calcium levels (A)</p> Signup and view all the answers

Which pathway primarily induces apoptosis via death receptors?

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

Which factor is essential for the survival and proliferation of mature liver cells?

<p>Optimal portal blood flow (D)</p> Signup and view all the answers

What is a key feature of ballooning degeneration in hepatocellular injury?

<p>Membrane volume control derangement (C)</p> Signup and view all the answers

Which factor is NOT typically associated with reversible hepatocellular injury?

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

Which of the following statements best describes necrosis?

<p>Necrosis involves intracellular ATP depletion. (D)</p> Signup and view all the answers

What is the primary role of hepatocytes in relation to progenitor cells during chronic injury?

<p>To signal that they cannot regenerate (D)</p> Signup and view all the answers

What effect does fibrosis have on hepatocyte remodeling?

<p>Interferes with normal lobular arrangement (A)</p> Signup and view all the answers

Which of the following is NOT a type of collagen mentioned in relation to the liver's extracellular matrix?

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

What does the presence of c-kit indicate in the context of liver repair?

<p>Active stem/progenitor cell processes (D)</p> Signup and view all the answers

Which of the following extracellular matrix components is categorized as non-fibrillary?

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

In the context of hepatic fibrogenesis, what does an increase/change in the extracellular matrix typically precede?

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

Which cellular marker indicates an active biliary proliferation during liver repair?

<p>CK 7 (A)</p> Signup and view all the answers

What is a characteristic of the liver in a ‘streaming liver’ state following chronic injury?

<p>Presence of fibrogenesis (C)</p> Signup and view all the answers

What triggers hepatocytes to enter the cell cycle in response to liver injury?

<p>Cytokines secreted by Kupfer cells (C)</p> Signup and view all the answers

Which cell type is primarily responsible for secreting TNF-alpha during liver injury?

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

In cases of chronic liver injury, what is the primary source of liver regeneration?

<p>Proliferation of hepatic progenitor cells (C)</p> Signup and view all the answers

What is the significance of the G0 phase in hepatocytes?

<p>It represents a stable state from which they can re-enter the cell cycle (D)</p> Signup and view all the answers

Which cytokine exclusively binds to hepatocyte receptors to stimulate regeneration?

<p>Interleukin-6 (D)</p> Signup and view all the answers

What is a possible effect of telomere shortening in hepatocytes during liver regeneration?

<p>Inhibition of hepatocyte proliferation (C)</p> Signup and view all the answers

Which factor is NOT directly involved in the liver regeneration process after acute injury?

<p>Proliferation of stem cells (D)</p> Signup and view all the answers

What initial step occurs when Kupfer cells encounter apoptotic or necrotic cells?

<p>Engulfment of dead cells (D)</p> Signup and view all the answers

What is the primary consequence of Ito cell activation during liver damage?

<p>Obstruction of endothelial pores (C)</p> Signup and view all the answers

Which process occurs as a result of high sinusoidal pressure in liver damage?

<p>Formation of porto-central shunts (A)</p> Signup and view all the answers

Which of the following statements is true regarding capillarization in liver disease?

<p>It is associated with a decrease in endothelial permeability (C)</p> Signup and view all the answers

What is a key characteristic of porto-systemic shunts formed during portal hypertension?

<p>They bypass normal portal circulation (C)</p> Signup and view all the answers

Which of the following is NOT a consequence of microvascular rearrangement in liver damage?

<p>Decreased parenchymal loss lesions (C)</p> Signup and view all the answers

What role does chronic inflammation play in hepatic fibrogenesis?

<p>It promotes the accumulation of HIF-1 in endothelial cells (B)</p> Signup and view all the answers

Nodulation in the liver can result from which underlying condition?

<p>Chronic viral hepatitis (C)</p> Signup and view all the answers

What is one consequence of portal/vascular fibrosis in liver damage?

<p>Development of pre-sinusoidal vascular resistance (C)</p> Signup and view all the answers

How does hypoxia influence the process of liver fibrosis?

<p>It activates HSC and myofibroblast proliferation (A)</p> Signup and view all the answers

Which of the following best explains the relationship between vascular changes and ischemic injury in the liver?

<p>Vascular changes increase risk of focal ischemic injury (C)</p> Signup and view all the answers

Flashcards

Balooning Degeneration

A reversible form of liver cell injury characterized by swelling of hepatocytes.

Mallory-Denk Bodies

Cellular inclusions (damaged proteins) in hepatocytes associated with liver injury, often seen in alcoholic liver disease.

Hepatocellular Necrosis

Pathological cell death in liver cells, occurring due to severe injury.

Apoptosis

Programmed cell death, a controlled process of cell destruction.

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Necrosis

Pathological cell death characterized by uncontrolled cell breakdown.

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Reversible Hepatocellular injury

Liver cell damage that can be repaired.

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Steatosis

Accumulation of fat in liver cells.

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Apoptosis Pathways

Two main pathways (intrinsic and extrinsic) involved in programmed cell death within the cell.

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Hepatocyte Apoptosis

Programmed cell death in liver cells, a response to acute or chronic liver injury.

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Acute Liver Injury

Sudden liver damage, often caused by ischemia (low blood flow) or hypoperfusion.

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Chronic Liver Injury

Long-term liver damage, which may include acute exacerbations (worsening).

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Extrinsic Pathway

Cell death pathway triggered by external signals.

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Intrinsic Pathway

Cell death pathway triggered by cellular stress or abnormalities within the cell.

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Mitochondrial Function Defect

A problem with mitochondria, the 'powerhouses' of the cells, leading to apoptosis.

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Apoptosis in Liver Disease

Programmed cell death in the liver, triggered by various factors like inflammation, toxins, and infections.

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Necrosis in Liver Injury

Uncontrolled cell death in the liver due to severe damage, causing cellular swelling and leakage.

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Hepatocyte Survival Time

Mature liver cells (hepatocytes) typically live for 200-300 days.

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Liver Regeneration

The liver's ability to repair itself by either stimulating mature liver cells to multiply or recruiting stem cells to produce new cells.

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Chronic Liver Damage Triggers

Chronic liver diseases are often triggered by infections, inflammation, toxic compounds, and autoimmune responses which lead to a chronic inflammatory response.

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Toxic Liver Damage

Liver damage caused by harmful substances, either from drugs or toxins.

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Fibrogenesis in Liver Diseases

The formation of scar tissue in the liver due to chronic inflammation or injury, often triggered by the release of profibrogenic cytokines.

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HSC Role in Liver Damage

Stellate cells (HSC) play a key role in liver damage by releasing profibrogenic cytokines (TGFβ) which trigger inflammation and fibrosis.

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Hepatocyte Regeneration

The liver's ability to regrow after injury, primarily using mature hepatocytes stimulated by Kupffer cells.

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Kupffer Cells

Immune cells in the liver that engulf and clear apoptotic cells.

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Cell Cycle Stimulation

The process of triggering hepatocytes (liver cells) to divide and reproduce following an injury.

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TNF-alpha

A cytokine (signaling molecule) secreted by Kupffer cells, which stimulates more Kupffer cells.

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Interleukin-6 (IL-6)

A cytokine secreted by Kupffer cells that signals hepatocytes to enter the cell cycle.

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Acute Liver Injury Regeneration

Regeneration of the liver following acute injury, primarily due to mature hepatocytes.

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Chronic Liver Injury Regeneration

Liver regeneration after chronic damage, mainly from progenitor and stem cells.

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G0 Phase

Stable state of hepatocytes (liver cells) when not actively dividing.

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Progenitor Cell Role

Progenitor cells are stem-like cells that can differentiate into specialized liver cells, contributing to regeneration when hepatocytes are unable to do so.

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Fibrosis and Regeneration

Excess collagen buildup (fibrosis) impairs the liver's ability to regenerate, as the fibrous tissue disrupts normal structure and prevents hepatocytes from performing their functions.

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ECM: Building Blocks of the Liver

Extracellular Matrix (ECM) is a complex network of proteins and other molecules that provide structural support, organization, and communication within the liver.

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ECM Components

Components of the ECM include fibrillary (collagen, elastin) and non-fibrillary (laminin, fibronectin) components that contribute to the liver's structural integrity.

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ECM in Liver Function

ECM plays a crucial role in liver function by providing structural support, influencing cell behavior, and regulating communication within the liver.

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ECM Changes in Liver Disease

In liver disease, ECM composition and arrangement change, often resulting in fibrosis, which can lead to impaired liver function.

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Hepatic Fibrogenesis

Hepatic Fibrogenesis is the process of excessive ECM production and deposition in the liver, leading to fibrosis and scarring

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Capillarization

Formation of a basal membrane-like structure in the Disse space, hindering nutrient and oxygen delivery to hepatocytes due to collagen accumulation.

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Sinusoidal Pressure

Increased pressure within the sinusoids caused by collagen buildup, leading to vascular thrombosis and impaired blood flow.

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Shunt Formation

Abnormal connections between blood vessels, such as porto-central shunts, bypassing the sinusoids due to high pressure and impaired blood flow.

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Portal Hypertension

Increased pressure in the portal vein due to obstruction of blood flow through the liver, leading to abnormal blood flow patterns.

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HSC Activation

Hepatic stellate cells (HSCs) transform into myofibroblasts, increasing contractility and contributing to sinusoidal resistance.

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Neoangiogenesis

Formation of new blood vessels in the liver, triggered by chronic inflammation and hypoxia, leading to abnormal blood flow patterns and contributing to portal hypertension.

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Parenchymal Loss Lesions (PLL)

Areas of liver cell death caused by insufficient oxygen delivery, contributing to liver dysfunction.

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Nodulation

Formation of small clusters of regenerating liver cells in the damaged liver, contributing to changes in liver structure.

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Cirrhosis

Advanced liver disease characterized by fibrosis, nodulation, and vascular rearrangement, leading to impaired liver function and potential liver failure.

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Study Notes

Morphologic Patterns of Hepatic Injury and Cirrhosis

  • The presentation is about the morphological patterns of hepatic injury and cirrhosis, focusing on regeneration and fibrogenesis.
  • The discussion revolves around reversible and irreversible hepatic injury.

Hepatocellular Injury

  • Reversible injury includes ballooning degeneration, Mallory-Denk bodies, and steatosis.
  • Irreversible injury includes apoptosis and necrosis.

Reversible Injury

  • Ballooning Degeneration: Characterized by intracellular calcium increase, water influx, and membrane volume control derangement leading to hepatocyte swelling. ATP depletion is a major factor.
  • Mallory-Denk Bodies: Result from abnormal protein accumulation within hepatocytes, potentially progressing from reversible to irreversible changes, often associated with keratin cytoskeleton alterations.
  • Steatosis: Fatty liver disease, characterized by fat accumulation within hepatocytes. Multiple causes exist, including viral hepatitis, autoimmune diseases, drugs, metabolic disorders, starvation, and total parenteral nutrition.

Irreversible Injury

  • Apoptosis: Programmed cell death with specific stimuli leading to a degradation cascade, characterized by chromatin condensation, DNA fragmentation, and cellular shrinkage.
  • Necrosis: Pathologic cell death due to metabolic degradation, typically involving intracellular calcium increase, ATP depletion, and cell swelling.
  • Oncotic Necrosis: A type of necrosis that results from swelling of the cells due to an inadequate supply of ATP.

Cell Death

  • Necrosis: Pathologic death characterized by cell membrane damage, swelling, and intracellular content leakage.
  • Apoptosis: Programme cell death. Apoptotic bodies form and are removed.
  • Necroptosis: A regulated form of necrosis.
  • Apoptosis is a form of programmed cell death.

Hepatic Repair

  • Regeneration: Liver repair involves mature liver cell proliferation and stem cell/progenitor cell proliferation and differentiation.
  • Fibrogenesis: Fibrosis occurs when collagen accumulates in the liver, impeding its normal function and structure.

Mechanisms of Hepatic Fibrosis

  • Inflammatory and fibrotic response triggered by apoptotic cells releasing ATP and UDP, stimulating macrophages and HSCs (hepatic stellate cells) . HSCs then release TGF-β, promoting fibrogenesis.
  • Fibrosis includes changes to ECM (extracellular matrix) density, profile, and distribution, with an increase in Type I and III collagen, as well as septa formation and lobular/sinusoidal collagen accumulation, causing dysfunction.
  • Inflammation, apoptosis, and reactive oxygen species contribute to hepatocyte injury and HSC activation, initiating fibrogenesis.
  • Active HSCs release profibrogenic cytokines, including TGF-β, promoting chronic liver injury and fibrosis.

Microvascular Rearrangement

  • Increase in endothelial permeability.
  • Formation of vascular shunts.
  • Vascular thrombosis and obstruction.
  • Capillarization of sinusoids.

Neovascularization

  • Chronic inflammation, hypoxia (low oxygen), and fibrosis stimulate angiogenesis (new blood vessel formation) in the liver.
  • Hepatocyte and Kupffer cell-derived cytokines, such as HIF-1, promote neoangiogenesis.

Portal/hepatic vein branch or sinusoidal obstruction

  • Portal or hepatic vein branch or sinusoidal obstruction leads to focal ischemic injury
  • Injured hepatocytes appear prior to the fibrotic septa.
  • Loss of parenchymal cells can occur.
  • Fibrosis development is observed in these areas.

Nodulation

  • Micronodular lesions (< 3mm) are often associated with alcoholic liver disease, metabolic disease, and venous outflow obstruction.
  • Macronodular lesions (> 3mm) are frequently related to viral hepatitis, autoimmune hepatitis, and other chronic liver conditions.

Additional Points

  • Specific cell types play crucial roles in liver fibrosis, including hepatic stellate cells, portal myofibroblasts, and endothelial cells.
  • The development of fibrosis and cirrhosis can be triggered by various factors, such as alcohol, viral infections, autoimmune diseases, and metabolic conditions.
  • The progression of liver damage can often lead to cirrhosis, characterized by widespread fibrosis, nodular regeneration, and architectural distortion, affecting liver function.

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