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Index
»
Cellular Growth Adaptations, Cellular Injury, Cell Death
»
Chapter 1
»
Cell Death
level: Cell Death
Questions and Answers List
level questions: Cell Death
Question
Answer
Loss of nucleus
Morphologic hallmark of cell death
Nuclear condensation/ Shrinking of nucleus ("ink dot")
Pyknosis
Breaking up/fragmentation of nucleus
Karyorrhexis
Breaking down of nuclear fragments to basic building blocks
Karyolysis
Necrosis and apoptosis
Mechanisms of cell death
Death of large group of cells followed by inflammation brought about by pathologic processes
Necrosis
Firm necrotic tissue with absent nuclei and preserved cell shape and organ structure due to protein coagulation
Coagulative Necrosis
Associated with coagulative necrosis (Exception: Brain)
Ischemic infarction
Blood re-entry to a loosely organized tissue (eg. pulmonary/testicular infarction)
Red infarction
Liquefied necrotic tissue due to enzymatic lysis of cells and protein
Liquefactive necrosis
Liquefactive necrosis due to proteolytic enzymes from microglia
Brain infarction
Coagulative necrosis characteristic of ischeme of lower limb and GIT
Dry gangrene
Liquefactive necrosis due to superimposed infection
Wet gangrene
Coagulative + Liquefactive necrosis; characteristic of granulomatous inflammation from TB and fungal infection
Caseous necrosis
Caseous necrosis
Cottage cheese-like appearance
Fat necrosis; appearance brought about by calcium deposition
Chalky white appearance
Necrotic adipose tissue brought about by saponification
Fat necrosis
Reaction of fatty acids with calcium deposits; type of dystrophic calcification
Saponification
Normal calcium and phosphate levels; necrotic tissue forms nidus for calcium deposit
Dystrophic calcification
High calcium and phosphate levels lead to calcium deposition in normal tissue
Metastatic calcification
Necrotic damage to blood vessel wall; malignant hypertension and vasculitis
Fibrinoid necrosis
ATP-dependent genetically programmed cell death
Apoptosis
Mediator of apoptosis
Caspase
Breaks down cytoskeleton
Protease
Breaks down DNA
Endonuclease
Cellular injury, DNA damage and loss of hormonal stimulation cause inactivation of Bcl2 -> cytochrome c release -> caspase activation
Intrinsic mitochondrial pathway
Inhibits release of cytochrome c from inner mitochondrial matrix
Bcl2
Activator of caspases
Cytochrome c
FAS ligand, TNF binds to corresponding receptors, activating caspases
Extrinsic receptor-ligand pathway
Binds to FAS death receptor to activate caspases in extrinsic apoptotic pathway
FAS ligand
FAS death receptor
CD95
FAS ligand-mediated apoptosis of T-cells which have too avid or strong binding of self antigen
Negative selection (Thymus)
CD8+ T cells release perforin and granzyme to stimulate apoptosis (eg. virally infected cells)
Cytotoxic CD8 + T-cell mediated pathway
Inserts pores on the membrane of the target cell
Perforin
Enters pores on the membrane and activates caspases
Granzyme