Cellular Pathology
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Causes of cell injury
-Physical trauma -Ischemia/hypoxia -Chemical agents >poisons -Infectious agents -Immunological reactions -genetic defects -nutritional imbalances
Adaptive responses to cell injury ;reversible changes
• Number • Size • Phenotype • Metabolic Activity • Function
Two types of adaptive responses
Physiological Pathological
Physiological adaptations
e.g. hormone-induced enlargement of breast during pregnancy
Principal adaptive responses are:
• Hypertrophy • Hyperplasia • Atrophy • Metaplasia
Hypertrophy
• Increased size of cells • Increased size of organ -happens when cells are used more(mechanical signals)
Hyperplasia
-Increased number of cells -Increased organ size -epithelial cells over prelipilating -can be caused by drug called phenytoin used to treat epilepsy
Atrophy
-Reduced size of Cells -Reduced size of Organ -Diminished function but not dead, caused by decreased work load through: Loss of innervation; Diminished blood supply; Inadequate nutrition; Loss of endocrine stimulation; Ageing; Reduced protein synthesis (due to reduced metabolic activity), increased protein degradation -
Metaplasia
• Reversible change in phenotype • Replaced by a cell type which can better withstand the adverse environment
Reversible Cellular changes in injury
• Cell swelling • Swelling of organelles • Lipiddeposition • Detachmentofribosomes • Lossofmicrovilli • Clumpingofchromatin • Surface blebs
Irreversible cellular changes In injury
• lysosomalenzymerelease • Proteindigestions • Severe cell swelling • Membranedamage • Mitochondrial vacuolation • Nuclear changes
Cellular changes in injury
• fattychange • vacuoles • cloudyswelling • Membraneblebbing • Necrosis • Nuclear changes • ERswelling • lossofribosomes • loss of specialised membrane structures • myelinbodies • condensation of mitochondria • vacuolisation of mitochondria