JG

Cell Pathology: Core Concepts and Mechanisms

Cellular Pathology: A Comprehensive Overview
Cellular Organization
  • Cells: The fundamental, basic unit of the body.

  • Tissues: Groups of similar cells working together to perform similar functions.

  • Organs: Tissues are grouped together in varying proportions to form organs.

  • Organ System: Multiple organs functioning in concert.

  • Functioning Organism: Integrated organ systems working collectively.

  • Disease Implication: An abnormality at any level of this organization can lead to disease.

Essential Components of a Typical Cell
  • Nucleus: Contains genetic information, directs metabolic functions.

  • Nucleolus: Involved in ribosome synthesis.

  • Nuclear Membrane: Encloses the nucleus.

  • Cell Membrane: Outer boundary of the cell.

  • Cytoplasm: The mass of protoplasm with organelles.

  • Mitochondria: Generate energy (ATP).

  • Ribosomes: Protein synthesis.

  • Rough Endoplasmic Reticulum (RER): Protein synthesis for export.

  • Smooth Endoplasmic Reticulum (SER): Catabolism, steroid synthesis.

  • Golgi Apparatus: Protein packaging.

  • Lysosomes: Digestive organelles.

  • Desmosome: Cell adhesion structure.

  • Microvilli: Increase surface area for absorption.

Nucleus and Genetic Information
  • Function: Contains genetic information and directs the metabolic functions of cells.

  • Content:

    • Nucleoli: Structures within the nucleus.

    • Nucleic Acids: Two types combined with protein:

      • DNA (Deoxyribonucleic acid): Contained within chromosomes, holds the genetic code.

      • RNA (Ribonucleic acid): Primarily contained in nucleoli, involved in gene expression.

Cell Function, DNA, and the Genetic Code
  • DNA Structure: A DNA molecule consists of two strands.

  • Base Pairing: The two strands are held together by weak chemical attractions between their bases. Specific pairing rules apply due to the chemical structure:

    • Adenine (A) always pairs with Thymine (T).

    • Guanine (G) always pairs with Cytosine (C).

Central Dogma: Gene Expression
  • The process by which information from a gene is used in the synthesis of a functional gene product, such as a protein.

  • Transcription: Occurs in the NUCLEUS.

    • DNA is transcribed into an RNA transcript (messenger RNA or mRNA).

  • Translation: Occurs in the CYTOPLASM.

    • The mRNA transcript moves to the cytoplasm.

    • mRNA binds to ribosomes.

    • Ribosomal subunits and tRNA molecules (carrying amino acids) facilitate the process.

    • Codons on the mRNA (sequences of three bases) are read.

    • Amino acids are assembled into proteins.

    • Proteins destined for export or membrane integration are synthesized on ribosomes attached to the RER.

    • The Golgi apparatus then packages these proteins for their final destination.

Cytoplasm
  • Definition: The mass of protoplasm, including various cytoplasmic organelles, enclosed by the cell membrane.

  • Hyaloplasm: The jello-like substance within which organelles float; it has no definite shape.

  • Cytoplasmic Organelles: Include mitochondria, ribosomes, endoplasmic reticulum, Golgi apparatus, and lysosomes.

  • Plasma Membrane: Separates the cytoplasm from the extracellular fluid.

Plasma Membrane
  • Location: The outer surface of the cell.

  • Properties:

    • Selectively permeable: Controls what enters and leaves the cell.

    • Possesses an electric charge.

  • Structure: Composed of lipid bilayers with embedded glycolipids and glycoproteins.

  • Regions: Contains both hydrophobic (water-fearing) and hydrophilic (water-loving) regions, crucial for its function as a barrier.

Mitochondria
  • Membranes: Surrounded by a double membrane.

  • Internal Structure: Inner membrane is folded into structures called cristae, which increase surface area.

  • Function: The primary site for generating energy in the form of ATP (Adenosine Triphosphate) through cellular respiration.

  • Enzymes: Rich in oxidative enzymes, such as cytochrome oxidase, which are vital for energy production.

Ribosomes and Rough Endoplasmic Reticulum (RER)
  • Ribosomes (Polysomes):

    • Function: Synthesize proteins that are intended for internal cellular purposes (e.g., enzymes used within the cytoplasm).

  • Rough Endoplasmic Reticulum (RER):

    • Structure: Characterized by ribosomes attached to its surface.

    • Function: Primarily responsible for the synthesis of proteins destined for export from the cell, or for insertion into membranes (e.g., hormones, immune proteins).

Smooth Endoplasmic Reticulum (SER)
  • Functions: Has a variety of complex metabolic roles:

    • Catabolism: Involved in the metabolic degradation (breakdown) of various substances, including drugs, hormones, and nutrients.

    • Synthesis of Steroid Hormones: Key site for the production of hormones such as female estrogen and male testosterone.

  • Prominence: Especially abundant and prominent in cells with high metabolic activity related to these functions, such as:

    • Liver cells (for detoxification).

    • Adrenal cells (for hormone synthesis).

      Leydig cells (in the testes, for testosterone synthesis).

Lysosomes
  • Structure: Membrane-bound digestive organelles within the cell.

  • Contents: Contain various powerful enzymes that are acidic in nature.

  • Types:

    • Primary lysosome: An inactive lysosome budding off from the Golgi apparatus.

    • Secondary lysosomes: Formed when a primary lysosome fuses with a vesicle containing material to be digested.

  • Residual Bodies: Give rise to residual bodies, also known as lipofuscin, which are undigested materials.

  • Function: Act as the cell's "recycling centers," digesting waste materials and cellular debris, and foreign invaders like bacteria or viruses. They are involved in autophagy (digesting worn-out organelles) and heterophagy (digesting external substances).