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Toledo PT cell injury, adaptation, death
Toledo PT Cell Injury, Adaptation, Death
52
Physiology
Graduate
09/03/2009

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Term
Causes of Cell Injury
Definition
Oxygen deprivation, chemical agents, infection agents, immunological reactions, genetic defects, nutritional imbalance, trauma, extreme temperature.
Term
Consequences of cell membrane injury
Definition
Ionic concentration gradients, osmotic gradient.
Term
Consequences of ATP generation apparatus
Definition
ATP essential for cellular function
Term
Consequences of injury to protein synthesis
Definition
Enzymes and cytoskeletal proteins malfunction
Term
Consequences of Genetic apparatus injury
Definition
synthesis of mRNA to produce proteins
Term
Ischemia
Definition
caused by reduced blood flow, resulting in a decrease in O2 delivery to tissues. Artherosclerosis, thrombus
Term
Potential causes of ischemia
Definition
aterosclerosis, thrombus
Term
Hypoxia/Anoxia
Definition
deficiency or absence of O2. blood flow may be adequate. caused by: obstruction in lung, inadequate movement of O2 from lung to blood(pneumonia), inadequate O2 transport(Anemia, CO poisoning), inability to use O2 at tissue level(mitochondria).
Term
Consequences of Hypoxia/ Anoxia
Definition
increased reliznce on glycolysis, decreased ATP synthesis, lower pH. intracellular accumulation of ions and fluids. --> swelling of cell and organelles.
Term
Cause of inadequate movement of o2 from lung to blood
Definition
Pneumonia
Term
Cause of inadequate transport of O2
Definition
Anemia(low hemoglobin levels), CO poisoning.
Term
Free Radical
Definition
chemical species w/ a single unpaired electron in an outer orbital.
Term
T/F. Small amounts of ROS can be produced in normal cell respiration
Definition
True.
Term
Lipid peroxidation
Definition
Oxidative degradation of lipids. Causes oxiation of lipids, producing lipid radical. Lose permeability, become rigid, reactive, and nonfunctional
Term
DNA fragmentation
Definition
ROS reacts with thymine of nuclear or mitochondrial DNA, causing a break of DNA strand. Causes cell death or malignant transformation of cell.
Term
Protein cross-linking
Definition
ROS promotes protein cross-linking, leads to increased rate of enzyme degradation & loss of enzymatic activity.
Term
Enzymes in Antioxidant System
Definition
Superoxide Dismutase, Glutathione peroxidase, Catalase. also: Vit E, A,C & B-carotene can block ROS formatino or scavenge them.
Term
Mercuric chloride poisoning
Definition
binds to sulfhydryl groups of various cell membranes directly.
Term
Indirect chemical injury
Definition
chemicals are converted to biologically toxic metabolites: Carbon tetrachloride (CCl4) converted to toxic free radical Ccl3- in the liver causing membrane phospholipid peroxidation.
Term
Acetaminophen
Definition
Metabolites of this compound are toxic to the liver after taking overdose.
Term
T/F. Exercise-induced muscle hypertrophy is a pathological adaptive change.
Definition
False.
Term
T/F. Atrophy implies that cells are dead.
Definition
False. Atrophy is chrinkage in size secondary to loss of cell substances resulting in smaller organs.
Term
Hypertrophy
Definition
increase in cell size. increased size of organ skeletal muscle with resistance training & uterus during pregnancy.
Term
Hormonal Hyperplasia
Definition
driven by hormonal changes. proliferation of glandular epithelium of female breast at puberty & during pregnancy.
Term
Compensatory Hyperplasia
Definition
driven by tissue loss or damage. Resectinof liver tissue: hyperplasia of remaining liver stimulated. proliferation of fonective tissues in injured site.
Term
Pathologic Hyperplasia
Definition
excess hormonal or growth factor stimulation. excessive proliferation associated with cancer development.
Term
Metaplasia
Definition
one adulat cell type is replaced by another adult cell type. ex.) columnar epithelium replaced by stratified squamous cells in the upper airways in smokers. --> llose mucous secretion & ciliary clearance.
Term
Subcellular response to injury
Definition
lysosomal catabolism, induction of SER, mitochondrial adaptation, heat shock protein, abnormal accumulation of substrates.
Term
Heterophagy
Definition
digestion of ingested materials from external environment through endocytosis. phagocytes, neutrophils, macrophages.
Term
Autophagy
Definition
digestion of intracellular organelles. removal of damaged or senescent organelles during cellular remodeling process. common in cells undergoing atrophy induced by nutrient or hormnoal deprivation.
Term
Induction hypertrophy of Smooth ER
Definition
Liver SER does detoxification of many drugs and chemical agents. Repeated use of barbiturates induce synthesis of mor enzymes and more SER for effective metabolizing drugs.
Term
Mitochondrial alterations
Definition
Increase in mitochondria number & size in skeletal muscles after endurance training. Decrease in number in muscle atrophy. Giants in liver w/ nutritional deficiency and alcoholic liver disease.
Term
Heat Shock Proteins
Definition
chaperones, protein folding, disaggregation of protein-protein complex, transport of proteins. Induced in MI & neuronal ischemic injury.
Term
Steatosis
Definition
Abnormal accumulations of TG in parenchymal cells, often in liver.
Term
Causes of Steatosis
Definition
Alcohol, toxins, protein malnutrition, obesity. Defects in any step from Free Fatty Acids entry to exit of lipoproteins.
Term
What disease is Steatosis associated with?
Definition
Diabetes.
Term
Characteristics of Cell death
Definition
ATP depletion, loss of cell's ability to control borders, loss of volume regulation, increased permeability to extracellular materials, appearances of intracellular enzymes in the systemic circulation: CPK, troponins, alkaline phosphatase.
Term
Necrosis
Definition
refers to a sequence of morphological changes that follow cell death inliving tissues.
Term
What are the causes of Necrosis appearance?
Definition
enzymatic digestion of dead cell by hydrolytic enzymes, denaturation of cellular proteins, 4-12 hours after an irreversible injury.
Term
Coagulative Necrosis
Definition
typically seen in hypoxic environments, preservatino of basic cell structural outline, MI is a good example.
Term
Liquefactive Necrosis
Definition
characteristic of bacterial or fungal infections, cell destruction + pus formation, necrosis of brain after hypoxic death shows this pattern
Term
Caseous Necrosis
Definition
white gross appearance of central necrotic area, common form of necrosis w/ tuberculous infection in the lungs, tissue architecture is completely obliterated.
Term
Fatty Necrosis
Definition
describes focal area of fat destruction by lipases. Typically occurs after pancreatic injury.
Term
Proper formation of the toes and fingers of a fetus requires what cellular process?
Definition
Apoptosis
Term
What cell is responsible for inducing apoptosis in virus-infected cels?
Definition
Cytotoxic T cells
Term
What can result from embryonic DNA damage?
Definition
Birth defects, or to become cancerous.
Term
This protein is the cells response to DNA damage and is a potent inducer of apoptosis
Definition
TP53
Term
What are some triggers that initiate apoptosis?
Definition
lack of growth, tumor necrosis factor-a that binds to TNF receptor, FAs ligand, release of granzymes, radiation & free radicals, intrinsic programmed event.
Term
Death receptor adaptor pathway
Definition
FasL with Fas, recruits FADD, recruits procaspase 8, procaspase 8 is activated by cleavage into smaller subunits, producing caspase 8, activates caspase 3.
Term
Mitochondrial pathways
Definition
Bcl-2 on membrane, activates Bax which punches holes in outer mitochondrial membrane, cytochrome C to leak out, binds Apaf-1, apoptosomes, bind to caspase-9, activates caspase 3
Term
Granzyme-mediated apoptosis
Definition
granzyme B activates procaspase 3 to partially active caspase 3, released cytochrome c fully acitivates caspase 3, Caspase 3-mediated cell death.
Term
Caspases
Definition
enzymes that cleave proteins.
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