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7. Kane lecture 11/8
BrownMed
37
Chemical Engineering
Graduate
11/10/2010

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Term
cell injury
Definition
occurs when cell loses ability to adapt
Term
reduced oxygen supply (hypoxia, ischemia) results in
Definition
stroke, heart attack. blood clot, no O2 for 20-30 minutes = cell death
Term
hepatitis itis?
Definition
primary cell injury, secondary inflammation
Term
microbial infections result in
Definition
pneumonia
Term
cumulative sublethal injury
Definition
aging
Term
nutritional imbalance may lead to
Definition
obesity, vitamin deficiency
Term
hypertrophy / caused by
Definition
= increase in size, is required to reach hyperplasia. occurs often in skeletal muscle cells and neurons, which cannot proliferate in adulthood. / caused by increased demand
Term
hyperplasia stimulated by
Definition
increased hormones, growth factors
Term
atrophy
Definition
decrease in size caused by decrease in demand
Term
metaplasia
Definition
reversible change in differentiation; caused by vitamin A deficiency or cigarette smoking (chronic chemical/physical irritation)
Term
problems with left ventricular hypertrophy / cause
Definition
cause - systemic hypertrophy. problems - ischemia (heart wall gets so thick it outgrows the blood supply), heart can't pump as much blood
Term
physiologic hyperplasia example
Definition
proliferation of glandular epithelium in breast tissue at puberty and in pregnancy
Term
compensatory hyperplasia example
Definition
regeneration of liver after partial resection
Term
pathologic hyperplasia example / how slides look
Definition
endometrial hyperplasia as a result of excess estrogen / normal has lots of CT, hyperplastic has too many endometrial glands with more than the singular non-proliferating epithelium
Term
what does atrophy look like / reversible?
Definition
small cells but not dead / yes
Term
atrophy
Definition
= decrease in protein synthesis and increased degradation of proteins in cells. may be accompanied by increased autophagy: starved cell eats its own components
Term
degradation of cellular proteins occurs mainly via
Definition
the ubiquitin-proteasome pathway. activation of ubiquitin ligases may occur in nutrient deficiency and catabolic conditions
Term
cigarette smoker's metaplasia
Definition
bronchial pseudostratified columnar ciliated epithelium changes to stratified squamous, leading to cough and increased infection (cilia can't clear bacteria)
Term
smoking health risks and why (3)
Definition
repeated episodes of infection (no cilia), lung cancer (squamous cell carcinomas), prematue death (lung disease and/or atherosclerosis = 15 years less of life on average)
Term
albumin, clotting factors, lipoproteins
Definition
made by the liver
Term
functions of these structures: plasma membrane, ER, golgi, cytoskeleton, mitochondria, proteasomes and lysosomes, nucleus
Definition
permeability barrier, ion transfer, surface reeptors; protein and lipid synthesis; protein packaging and sorting; protein transport, cell shape, cell motility; ATP synthesis, FA oxidation; protein degradation, autophagy, and autolysis; RNA and DNA synthesis
Term
hydropic degeneration
Definition
(reversible) cloudy swelling (of mito and ER) because of impaired Na-K pump, because of lack of ATP to run the pump, because of mito damage
Term
steatosis / cause
Definition
fatty change = triglyceride accumulation in liver, heart, muscle, or kidney. caused by chemical/drug toxicity, ethanol, obesity, diabetes, anoxia, protein malnutrition, pregnancy
Term
fatty acid fates in liver cell
Definition
1. > beta oxidation > free CO2. 2. + glycerol = triglyceride. 3. + cholesterol = cholesterol ester. 4. + glycerol, phosphate and choline = phospholipid. [[triglyceride could be free, or could combine with PL and CE and an exogenous apoprotein to make a lipoprotein]]
Term
biochemical mechanisms of steatosis (3)
Definition
1. increased uptake of FFA (obesity), 2. decreased catabolism/oxidation of FFA by mitochondria (drugs, anoxia, pregnancy), 3. decreased secretion of lipoproteins (chemicals, toxins, malnutrition)
Term
causes of fatty change
Definition
1. ethanol, 2. obesity
Term
t/f morphologic cell change and biochemical change happen at the same time
Definition
f- morphologic change follows biochemical change by many hours
Term
differences necrosis and apoptosis (6)
Definition
swelling vs. shrinkage, nucleus pyknosis/karyorrkexis/karyolysis vs. fragmentation into nucleosome-sized fragments, plasma membrane disrupted vs. intact, cell contents digested or leaked vs. intact and released in apoptotic bodies, inflammation with infiltration of leukocytes vs. not, patholic vs. mostly physiologic (but path in DNA damage)
Term
pyknosis
Definition
shrinking intact nucleus
Term
karyorrhexis
Definition
uneven fragmentation of nucleus
Term
karyolysis
Definition
dissolution of nucleus
Term
endonucleases
Definition
selectively cleave DNA between nucleosomal units (at linker DNA) during apoptosis; agarose gel shows a ladder (regulated) for apoptosis and a smear for necrosis
Term
apoptosis key features by light microscopy and EM
Definition
scattered involvement of parenchymal cells; condensation and fragmentation of nuclear chromatin > apoptotic bodies eventually engulfed by adjacent cells
Term
looking at kidney tubules, how can you tell necrosis has occurred?
Definition
cells have no nuclei (karyolysis)
Term
mechanisms of apoptosis
Definition
requires activation of signal transduction pathways and proteases that initiate and execute the process of cell death
Term
examples of physiologic apoptosis (3)
Definition
1. destruction of cells during emrbyological development, 2. balance between cell death/proliferation in normal tissues, 3. regulation of cellular populations in hormonally sensitive tissues
Term
there is usually a balance between (3) / where / if disrupted?
Definition
apoptosis, differentiation and proliferation / in normal cells / could cause hyperplasia or cancer
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