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17 Cards in this Set
- Front
- Back
What reactions normally generate free radicals?
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normal redox reactions
ie. the Fenton cycle |
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What mechanisms remove free radicals?
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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 |
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Lesions can be ___ and ___?
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-Pathognomionic - characteristic of cause
-Nonspecific - different processes can cause same lesion |
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What are lesions?
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Structural alterations due to disease
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What are the 3 types of necrosis?
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-coagulation or coagulative
-liquefaction or liquefactive -Caseous |
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What decides what type of necrosis it is?
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-depends on tissue type
-depends on disease process ---kidney with coagulative necrosis due to ischemia ---kidney with liquefactive necrosis due to fungal infection |
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What are the features of coagulation necrosis?
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-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 |
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What are the features of Liquefactive necrosis?
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-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 |
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What are the features of Caseous necrosis?
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-Observable grossly
-Wxudate has thicker consistency than liquefactive necrosis -Frequently du to bacterial infection - often seen in tuberculosis |
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What activates apoptosis from a pathological vs physiological point?
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Pathological
--Viral infection --Inflammation may be present due to pathologic process but is not caused by apoptotic cells Physiologic --Embryogenesis --Intestinal epithelial cells --Lymphocytes |
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What is fat necrosis & saponification?
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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 |
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Does apoptosis require energy?
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YES
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What signals apoptosis?
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-receptor binding
or -lack of signal to prevent apoptosis |
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Many genes are REGULATORS of apoptosis. Name some and whether they inhibit or stimulate apoptosis.
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p53 - stimulates
bcl-2 - inhibits bax - stimulates bcl-XL - inhibits bcl-XS - stimulates caspase - promotes fas - stimulates FasL - stimulates |
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What are the biochemical features of apoptosis?
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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 |
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What is the pathway for apoptosis?
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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 |
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Describe 6 parts of apoptosis morphology
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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 |