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what are the three things cuased by hypoxia
increase in anaerobic glycolysis so high lactic acid and low pH so condensing of nuclear chromatin
detachment of ribosomes so lower protein synth
Na+ pumps don’t work so water, sodium and calcium come in and K+ comes out so swelling of ER and cell and bleb formation
how have tourniquetst changed based on reperfusion injuries
release a bit every 15 minutes to prevent it
what if chemical agents aren’t direct toxicity
conversion of toxic metabolites through cytochrome P-435 cuasing membrane damage and formation of ROS
what is the weird infectious agent
prion
genetic abnormalities
misfolded proteins
damaged DNA accumulation
poor protein function
In short, what are the trhee things happening as a consequence of mitochondrial damage
ATP depletion
formation of MPTP channels
incomplete oxidative phosphorylation
how are ROS formed
inflammation
absorption of radiant energy
oxygen toxicity
transition metals
enzymatic metabolism of exogenous substances
reperfusion injury
NO
reduction oxidation reactions
what is the name of the ROS membrane thing
lipid peroxidation
give me three anti-oxidants
vitamin A C E
what happens as a consequence of membrane damage
increased permeability so enzyme leakage from lysosomes, impaired transport and osmolarity and contents leaking in plasma membrane and decreased ATP generation and apoptosis in mitochondrial
how do Ca2+ ions get into cells
cell, mitochondrial or ER membrane damage
or loss of Na+/K+ ATP pump
what are the 4 causes of endoplasmic reticulum stress
lower energy stores as ATP depletion
genetic mutations in proteins and chaperone proteins
viral infections
chemical insults
cuases of DNA damage
radiation,
drugs
ROS
aging
chemotherapeutics
how does hypertrophy happen
synthesis and assembly of intracellular structural components like proteins
physiological hypertrophy
uterine smooth msucel hypertrophy in pregnancy
what are teh two reasons for hyperplasia
increase funcitonal capacity of hormone sensitive organs due to increased stimulation
pathologic - neoplasia predisoposition
cuases of atrophy
decreased workload
denervation atrophy
loss of blood supply (three reasons)
senile atrophy
nutrition
loss of endocrine stimulation
pressure from neoplasm
what is metaplasia
well-differentiated cells are replaced by other well-differentiated cells
common in epithelium
pathologic metaplasia example
chicken oesophagus vitamin A deficiency leading to severe mucous gland squamous metaplasia
what is the other name for dysplasia
carcinoma in situ
what is karyomegaly
increase in nuclear size
what is the other thing that occurs in dysplasia that isn’t a cell type
icnreased mitotic figures
example of hypoplasia
kidney - unilateral normally