General Pathology – Seminar 2

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Presentation transcript:

General Pathology – Seminar 2 Necrosis Atrophy - causes Jaroslava Dušková Inst. Pathol. ,1st Med. Faculty, Charles Univ. Prague http://www1.lf1.cuni.cz/~jdusk/

Death irreversible damage of the morphological & functional integrity of cells organism

Cell Death apoptosis necrosis

Apoptosis (cell execution / suicide) induced (from outside) or genetically programmed cell death (cell execution / suicide) logical and functional contrary to mitosis a system for the removal of unnecessary, aged, or damaged cells

Apoptosis -1 Triggered by a wide range of stimuli. Cell surface receptors like Fas or tumor necrosis factor receptor 1 (TNFR1). Interplay of proapoptotic (Bax, Bad, Bid, Bik, and Bim) and antiapoptotic (Bcl-2 and Bcl-XL) proteins

Apoptosis Morphology chromatin condensation cell shrinkage budding and forming of apoptotic bodies (emission of pseudopodia) karyorrhexis (not pathognomonic for apoptosis)

Apoptosis Meaning physiological process necessary for right organ formatting and life course pathological process leading to organism damage - e.g. atrophy

Apoptosis intestinal mucose, genit. tract, Ontogenesis immune system - T lymphocytes Regeneration of tissues and organs intestinal mucose, blood Physiological involution neonatal adrenal cortex, thymus, breast after lactation period Atrophy preassure, hyperplasia regression, slight ischemia

Necrosis cell death caused from external insult

Necrosis Biochemistry no expression of genes de novo energy dependent membrane systems damaged hypoxia, toxins changes in concentrations of ions increased water volume (oncosis) autolysis

Necrosis Morphology pyknosis, karyorhexis, karyolysis denaturation of proteins - eosinophilia cell swelling cell budding (cytoplasmic protrusions)

Necrosis Meaning pathological process leading to a temporary organism damage or death

Necrosis liquefaction coagulation Classification according to the tissue macroscopy: simple liquefaction coagulation + special types: caseation, Zenker´s of waxy appearance

Necrosis - further development: no death of organism gangrene sicca (dry g.) humida (wet g.) emphysematosa (gas g.) demarcation, sequestration regeneration repair

Necrosis - Causes: chemical physical biologic chlorinated hydrocarbons, heavy metal compounds, ethyl- alcohol, aphlatoxins, ... physical mechanical trauma, UV light, ionizing radiation, heat, cold, …. biologic bacteria, viruses, fungi...

Atrophy diminution of organ or tissue after full development has been attained (versus hypoplasia, aplasia) simple (x hypertrophy) numerical (x hyperplasia)

Atrophy - causes: vascular involution pressure senile inactivity inanition neurogenic ionizing radiation involution senile postinflammatory endocrine unknown cause

Atrophy - meaning: may be reversible loss of specialised structures & hypofunction clinically silent or unimportant (involution) clinically apparent metaplasia, increase of the supportive tissues - pseudohypertrophy