Lecture I

Cards (8)

  • Cell injury is reversible up to a point, but if the injurious stimulus is persistent or severe, the cell suffers irreversible injury and ultimately undergoes cell death
  • Causes of cell injury include:
    • Oxygen Deprivation: reduction of aerobic oxidative respiration
    • Physical Agents: mechanical trauma, extremes of temperature (burns and deep cold), sudden changes in atmospheric pressure, radiation, and electric shock
    • Chemical Agents and Drugs
    • Infectious Agents
    • Immunologic Reactions
    • Genetic Abnormalities
    • Nutritional Imbalances
  • Progression of Cell Injury and Death:
    • Reversible Cell Injury:
    • Early stage: characterized by reversible cellular swelling (e.g., hydropic degeneration)
    • Late stage: characterized by irreversible membrane damage and cell death
  • Adaptations of Cellular Growth and Differentiation:
    • Changes experienced by cells in response to physiological or pathological stimuli
    • Persistent stress can lead to cell injury
  • Hypertrophy:
    • Increase in the size of cells that increases the size of the affected organ
    • Mechanisms of Hypertrophy:
    • Result of increased cellular protein production
    • Activation of signaling pathways and production of growth factors
  • Hyperplasia:
    • Increase in the number of cells in an organ or tissue in response to a stimulus
    • Mechanisms of Hyperplasia:
    • Result of growth factor-driven proliferation of mature cells and, in some cases, increased output of new cells from tissue stem cells
  • Atrophy:
    • Reduction in the size of an organ or tissue due to a decrease in cell size and number
    • Mechanisms of Atrophy:
    • Results from decreased protein synthesis and increased protein degradation in cells
  • Metaplasia:
    • Reversible change in which one differentiated cell type is replaced by another cell type
    • Metaplasia does not result from a change in the phenotype of an already differentiated cell type; it results from either the reprogramming of local tissue stem cells or colonization by differentiated cell populations from adjacent sites