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17 Cards in this Set

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  • Back
What reactions normally generate free radicals?
normal redox reactions

ie. the Fenton cycle
What mechanisms remove free radicals?
Antioxidant mechanisms

-SOD (in mitochondria) converts O2* to H2O2

-Glutathione peroxidase (in mitochondria) converts OH* to H2O2

-Catalase (in peroxisomes) convert H2O2 to H2O + O2
Lesions can be ___ and ___?
-Pathognomionic - characteristic of cause

-Nonspecific - different processes can cause same lesion
What are lesions?
Structural alterations due to disease
What are the 3 types of necrosis?
-coagulation or coagulative

-liquefaction or liquefactive

-Caseous
What decides what type of necrosis it is?
-depends on tissue type

-depends on disease process
---kidney with coagulative necrosis due to ischemia
---kidney with liquefactive necrosis due to fungal infection
What are the features of coagulation necrosis?
-obvserved grossly and with LM

-Scaffolding is intact

-Cytoplasm is hypereosinophilic

-Loss of detail withing cell

-Loss of nuclei

-if survivable - inflammation in surrounding tissue

-tissue may heal by scar or regenteration
What are the features of Liquefactive necrosis?
-observable grossly

-Histologically similar to caseous necrosis

-Loss of tissue architecture

-WBC and cellular debris

-Tissue most susceptible - CNS

-Disease process involve destroys tissue
---bacterial infection, fungal infection

-Result - cavitation: the formation of cavities within the body, such as those formed in the lung by tuberculosis
What are the features of Caseous necrosis?
-Observable grossly

-Wxudate has thicker consistency than liquefactive necrosis

-Frequently du to bacterial infection - often seen in tuberculosis
What activates apoptosis from a pathological vs physiological point?
Pathological
--Viral infection
--Inflammation may be present due to pathologic process but is not caused by apoptotic cells

Physiologic
--Embryogenesis
--Intestinal epithelial cells
--Lymphocytes
What is fat necrosis & saponification?
saponifacation is changing oils/fats to soap, the condition causes the apperance of soap.

--usually in abdomen
--due to leakage of pancreatic enzymes
--white chalky deposits are formed from released fatty acids and calcium
Does apoptosis require energy?
YES
What signals apoptosis?
-receptor binding

or

-lack of signal to prevent apoptosis
Many genes are REGULATORS of apoptosis. Name some and whether they inhibit or stimulate apoptosis.
p53 - stimulates

bcl-2 - inhibits
bax - stimulates

bcl-XL - inhibits
bcl-XS - stimulates

caspase - promotes

fas - stimulates

FasL - stimulates
What are the biochemical features of apoptosis?
activation of caspases (systeine proteases)

crosslinking of cytoplasmic proteins

DNA breakdown by endonucleases
-internucleosomal cleavage
-Ladder appearance in agarose gel electrophoresis (multiples of 180-200 bp)
-Not specific

Flipping of phosphatidly serine
-phagocyte recognition
What is the pathway for apoptosis?
Trigger - injury, no GH, receptors bind ligand, cytotoxic T cells

Regulators - can either inhibit or promote

-caspases - executioners - trigger enzymes to fragment DNA and other fxns

-Apoptotic body - cytoplasmic buds break of to be disposed of by macrophages
Describe 6 parts of apoptosis morphology
nuclear condensation

hypereosinophilia of cytoplasm

cell rounds up, often shrinks

nucleus is divided into many small dense round bodies

membrane bound apoptotic bodies

phagocytosis by surrounding cells