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17 Cards in this Set

  • Front
  • Back
Atrophy
decrease in size of tissue from decrease in cell size of individual cells
Causes: disuse, reduced fxnal demand, loss of stimuli, insufficient nutrients, decreased blood flow, persistent cell injury & aging
adaptive & reversible
Hypertrophy
increase in cell size & fxning tissue mass to acheive equilibrium b/t demand & fxnal capacity
results from increased workload on organ/body part (cardiac, skeletal)

result of normal physiologic & pathologic conditions
Pathologic- result of disease condition; adaptive (thickening of urinary bladder from long continued obstruction of urinary outflow) & compensatory (enlargement of remaining organ/tissue after portion removed/inactive)
limiting factor for increased growth
Hyperplasia
increase in number of cells in organ/tissue
occurs in tissue capable of mitotic division
activation of genes controlling proliferation
controlled process; response to stimulus; stops after stimulus removed

physiologic- hormonal stimulation, increased fxnal demand, compensatory mechanism

response of connective tissue in wound healing
Metaplasia
one adult cell type replaced by another
involve reprogramming of stem cells
occurs in response to chronic irritation & inflammation; substitution for better cell survival
Dysplasia
deranged cell growth
vary in size, shape & appearance
implicated as precursor to cancer

sequential mutations in cell population
adaptive process & doesnt necessarily lead to cancer
Mechanisms of Cell Injury
Depletion of ATP: associated w/ hypoxia & chemical cell injury
effects-cellular swelling, loss of enzymes & proteins, leakage of lysosomes

Free Radical Injury: highly reactive chemica; w/ unpaired electron in outer ring
engages into rxns within cell, particularly key molecules
damages cell membranes, cross-linking of cell proteins, inactivates enzymes, damages nucleic acids

Impaired Calcium Homostasis: Ischemia & toxins lead to increase in Ca; activates enzymes in cell w/ damaging effects
Cell Death
Apoptosis: eliminates cells worm out, excess, damaged & developed improperly
induced by program; targeted for phagocytosis; propagated by proteases

Necrosis: cell death still part of living person
unregulated enzymatic digestion; loss of membrane integrity; initiation of inflammatory response
Protein Synthesis
proteins are enzymes that catalyze chemical rxns in cell

synthesis in cytoplasm; RNA assembles proteins

Transcription: copy genetic code w/ instructions for synthesis from DNA to mRNA
mRNA attaches to DNA, transcribes genetic code, diffuses into cytoplasm

Translation: mRNA binds to rRNA, comunicates intruction to tRNA which delivers correct AA to its proper position on peptide chain
Chromosomes
storage of genetic information
in pairs; maternal & paternal pair=homologous chromosomes

23 pairs; 22 autosomes & 1 sex chromosome
Cell Division
cells duplicate chromosomes & divide in 2

Mitosis- nongerm cell replication

Meiosis- Mitotic Divisions I & II
I- homologous chromosomes pair & form synapse
II- each of 23 pairs of chromosomes divide @ centromeres & create 2 more daughter cells
results in 4 daughter cells
Single Gene Disorders
caused by single defect on mutant gene
follow Mendelian pattern of inheritance
may be expressed in different pts of body

Autosomal Dominant: Marfan's Syndrome & Neurofibromatosis

Autosomal Recessive: Phenylketonuria, Tay-Sachs Disease

X-Linked: Fragile X Syndrome
Autosomal Dominant Disorders
single gene disorder
single mutant allele transmitted from affected parent to child regardless of sex
abnormality in structure of protiens
may manifest as new mutation

Marfan Syndrome: connective tissue defect; range of variation in gene expression
cardio most life-threatening

Neurofibromatosis: tumors arising from Schwann cells and other PNS cells
genetic defect in tumor supressor protein regulating cell growth
Autosomal Recessive Single Gene Disorders
single gene disorders
only when both members of gene pair affected
deficiencies in enzymes

Phenylketouria: metabolic disorder; caused by deficiency of liver enzyme converting AA phenalynine to tyrosene
mental retardation, microcephaly, delayed speech, impaired neurologic development

Tay-Sachs: lysosomal storage disease; failure of lysosome degradation
weakness, flaccidity, deterioration of motor & mental fxn, seizures --> death
X-Linked Single Gene Disorders
singe gene disorders
associated w/ X chromosome; affect males

Fragile X Syndrome: decrease in gene length
mentally retarded
Multifactoral Inheritance Disorders
caused by multiple genes & environmental factors
tend to involve organ/tissue derived from same embryonic developmental field & risk of recurrence in future pregnancies is for the same or similar defect
Chromosomal Disorders
acount for large # of spontaneous abortions, congenital malformations & mental retardation
develop during meiosis w/ failure of chromosome separation, rearrangement of genetic info or breakage leading to loss of genetic material

EXs:
Down Syndrome (Trisomy 21)- combination of birth defects
risk increases w/ maternal age
physical features: small head, upward slanting of eyes, small malformed ears, open mouth, large protruding tounge
congenital heart defects, risk of GI malformations
prenatal screening test

Turner Syndrome (Monosomy X)- absence of all/pt of chromosome
almost all spontaneously aborted
girl short in stature, absence of ovaries, no secondary sex characteristics

Kleinfelter's Syndrome- testicular dysgenesis w/ presense of extra X chromosoes
enlarged breasts, sparse facial hair, small testes, inability to produce sperm, tall stature, abnormal body proportions, sexual dysfunction, infertility
Disorders d/t Environmental Influence
FAS- physical, behavioral & cognitive abnormalities resulting from alcohol consumption
harmful effects throughout pregnancy
prenatal/postnatal growth retardation, developmental delays, intellectual impairment, skull/brain malformation
vary in severity
diagnosis: three facial abnormalities, growth defects & CNS abnormalities

Folic Acid Deficiency- neural tube defects