Chapter 2_1 flashcards

(43 cards)

1
Q

Etiology: Definition

A

The original cause of a cellular alteration or disease.

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2
Q

Cellular Responses to Stressors

A

Cells can: 1. Develop adaptive, compensatory changes to maintain homeostasis. 2. Develop maladaptive changes (derangements of structure or function). 3. Undergo cell injury or cell death if insult is overwhelming.

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3
Q

Cell Injury: Reversible vs. Irreversible

A

Cell injury can be reversible if the damaging stimulus is removed. If stress is prolonged or severe, it can lead to irreversible cell injury and cell death.

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4
Q

Hypoxia: Definition [cite: 1]

A

A deficiency of oxygen at the cellular level. [cite: 1]

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5
Q

Brain Cell Vulnerability to Hypoxia [cite: 2]

A

Brain cells are particularly vulnerable and cannot withstand low oxygen delivery (hypoxia) for more than 6 minutes. [cite: 2]

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6
Q

Ischemia: Definition [cite: 3]

A

Lack of blood supply to tissue, often leading to hypoxia. [cite: 3]

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7
Q

Infarction: Definition [cite: 3]

A

Irreversible cell death (necrosis) of tissue as a consequence of prolonged ischemia. [cite: 3]

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8
Q

Apoptosis: General Definition & Characteristics [cite: 6]

A

A genetically programmed, orderly process of cell death that eliminates unwanted, unnecessary, or damaged cells without inflammation or adverse effects on surrounding tissue. [cite: 6]

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9
Q

Necrosis: General Definition & Characteristics [cite: 7]

A

Uncontrolled cell death caused by injury or disease, where stressors overwhelm the cell’s ability to survive. It is an irreversible process often triggering inflammation. [cite: 7]

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10
Q

Gangrene: General Definition [cite: 8]

A

Occurs when necrotic (dead) tissue is exposed to bacteria, which thrive on the decaying tissue. [cite: 8]

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11
Q

Histology: Definition

A

The microscopic study of tissues and cells, yielding important diagnostic information.

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12
Q

Biopsy: Definition

A

Extraction of a cell sample from an organ or mass of tissue to allow for histological examination.

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13
Q

Pathognomonic Changes: Definition

A

Unique histological findings that represent distinct disease processes.

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14
Q

Autopsy: Definition

A

An examination of the tissues and organs of a deceased individual that allows for a study of the cause of death.

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15
Q

Atrophy: Definition & Purpose [cite: 12]

A

A cellular adaptation where cells revert to a smaller size in response to changes in metabolic requirements or environment, allowing for less metabolic demand and more efficient functioning. [cite: 12]

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16
Q

Common Causes of Cellular Atrophy [cite: 12]

A

Disuse or diminished workload, lack of nerve stimulation (paralysis), loss of hormonal stimulation, inadequate nutrition, decreased blood flow (ischemia), aging. [cite: 12]

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17
Q

Hypertrophy: Definition & Consequence [cite: 10]

A

An increase in individual cell size that results in an enlargement of functioning tissue mass, leading to greater metabolic demand and energy needs. [cite: 10]

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18
Q

Hyperplasia: Definition & Tissue Types [cite: 11]

A

The increase in the number of cells in a tissue or organ; occurs only in tissues with cells capable of mitotic division, such as epithelium and glandular tissue. [cite: 11]

19
Q

Metaplasia: Definition & General Cause [cite: 13]

A

The replacement of one cell type by another cell type, likely due to genetic reprogramming in response to chronic inflammation or changes in environmental conditions. [cite: 13]

20
Q

Dysplasia: Definition & General Association [cite: 14]

A

Deranged cellular growth within a specific tissue, often as a result of chronic inflammation or a precancerous condition. Cells vary in size, shape, and organization. [cite: 14]

21
Q

Neoplasia: Definition [cite: 15]

A

New growth; usually refers to disorganized, uncoordinated, uncontrolled proliferative cell growth that is cancerous. Tumor and neoplasm are often used interchangeably. [cite: 15]

22
Q

Cellular Differentiation in Neoplasia

A

The process whereby newly growing cells acquire (or fail to acquire) the specialized structure and function of the cells they replace. Used to classify neoplasms.

23
Q

Benign Neoplasms: Characteristics [cite: 15]

A

Contain well-differentiated cells (resemble healthy cells of origin). Cells do not metastasize or break loose from the tissue of origin. [cite: 15]

24
Q

Malignant Neoplasms: Characteristics [cite: 15]

A

Contain poorly differentiated cells (do not look or act like normal cells of origin). Tendency to break away, enter lymphatic/circulatory systems, and metastasize to distant sites. [cite: 15]

25
Basic Mechanisms of Cell Injury (General List)
Dysfunction of Na+/K+ pump, loss of plasma membrane integrity, mitochondrial dysfunction, defects in protein synthesis, intracellular accumulations, cellular swelling, DNA damage.
26
Cell Injury: General Consequence of Na+/K+ Pump Dysfunction
Lack of ATP -> pump failure -> increased intracellular sodium -> water influx -> cellular swelling.
27
Cell Injury: General Consequence of Plasma Membrane Integrity Loss
Injurious agents can enter, organelles become vulnerable, cellular swelling, mitochondrial damage, nucleus vulnerable.
28
Cell Injury: General Consequence of Defective Protein Synthesis
Low ATP (hypoxia/mitochondrial dysfunction) -> cells cannot manufacture proteins for regeneration/processes -> cell degeneration or death.
29
Cell Injury: General Causes of Intracellular Accumulations
Abnormal metabolic function, exposure to high amounts of environmental material, or aging.
30
Cell Injury: General Consequence of Genetic Damage
Mutated DNA -> defective RNA -> abnormal proteins -> abnormal cell structure/function or apoptosis.
31
Major Categories of Cell Injury Causes (List)
Hypoxic cell injury, Free radical injury (oxidative stress), Physical agents, Chemical injury, Infectious agent injury, Injurious immunological reactions, Genetic defects, Nutritional imbalances.
32
Endothelial Cell Injury: General Significance
Acts as an initiator of arteriosclerosis and is the fundamental cell change causing cardiovascular disease. The endothelium is a vast, active tissue vulnerable to injury.
33
Key Roles of Endothelial Cells
Line arterial blood vessels, key in vascular function, secrete angiogenesis growth factor (VEGF), vasodilators (Nitric Oxide - NO), and vasoconstrictors (Endothelin).
34
Apoptosis vs. Necrosis: Key Difference in Inflammation
Apoptosis is programmed cell death that does *not* cause inflammation. Necrosis is cell death due to injury and *does* initiate an inflammatory reaction.
35
Clinical Interventions for Cell Injury: General Approaches
Removal of injurious stimuli (can reverse atrophy, hyperplasia, metaplasia, hypertrophy). Surgical removal for neoplasms (plus radiation/chemo if malignant). Resolving metabolic derangements for intracellular accumulations.
36
Treatment for Permanent Cell Injury: General Modalities
Organ and tissue transplantation, regenerative medicine using stem cells, and therapeutic cloning.
37
Pluripotent Stem Cells: Definition
Undifferentiated cells capable of developing into any specialized tissue or organ.
38
Therapeutic Cloning (Somatic Cell Nuclear Transfer - SCNT): General Concept
Procedure to develop new organs using human somatic cells and an enucleated ovum, potentially creating organs with the patient's DNA for transplant without rejection.
39
Reproductive Cloning: General Concept & Ethical Status
Genetic engineering to create a new organism genetically identical to a donor. Performed in livestock with issues; highly controversial ethically for humans.
40
Angiogenesis: Definition
The growth of new blood vessel branches. Stimulated by factors like Vascular Endothelial Growth Factor (VEGF).
41
Oxidative Stress: Definition
A form of cell injury that occurs when free radical generation overwhelms the mechanisms of removal, leading to oxidative degradation of cellular components.
42
Vascular Endothelial Growth Factor (VEGF)
An angiogenesis growth factor secreted by endothelium that stimulates the synthesis of collateral blood vessel branches.
43
Endothelin
A potent vasoconstricting substance secreted by endothelial cells.