Cells
Cells are the smallest functional unit of life
Cells Function
can self-reproduce and transmit genetic info
- Movement
- Conductivity
- Metabolic absorption
- Secretion
- Excretion
- Respiration
- Reproduction
- Communication
At what level do disease start/attack ?
cellular level
3 basic parts to a cell
- Plasma membrane
- Nucleus
- Cytoplasm
What is the Cell membrane (aka plasma membrane)
Provide the selective transport system
plasma membrane also has an important role in cell-to-cell
recognition, cellular mobility, and the maintenance of cellular shape
Semipermeable structure that separates intracellular from extracellular environment
It lets in certain extracellular fluids into the cells, it takes part in electrical current conduction (ex. Na action potential), and hormone receptors bind to it.
What is the cell membrane composition
Phospholipid bilayer makes up the semi-permeable membrane which has a water soluble head (hydrophilic) and water-Insoluble tail (hydrophobic)
It is made of an arranged mixture of lipids, proteins, and carbohydrates
Functions of Cell Membrane Proteins
What is the Nucleus
largest membrane bound organelle
Control center of the cell
Responsible for cell division and control of genetic information,
The nucleus contains the nucleolus: where DNA is stored in Eukaryotes
Cytoplasm
the fluid filling
contains membrane enclosed organelles and a variety of ions (ex. Na+), lipids, and proteins
functions of organelles within the cytoplasm:
Functions of organelles can be divided into four major categories:
(1) genetic control
(2) manufacturing, distributing, and breaking
down molecules
(3) energy processing
(4) structural support, movement, and communication between cells.
Ribosomes:
where proteins are synthesized(produced)
cell's “protein factories.”
RNA-protein complexes that use the information from DNA, written
in messenger
RNA (mRNA), to build proteins and provide sites for
cellular protein synthesis
Endoplasmic Reticulum
rough ER—site of protein synthesis
smooth ER—site of lipid synthesis
Rough ER:
rough endoplasmic reticulum (RER)
specializes in the
synthesis, folding, and transport of protein components
Proteins are produced at attached ribosomes, but move through inside of rER and are chemically modified by enzymes
Smooth ER
synthesis of steroid hormones and is responsible
for a
variety of reactions required to remove toxic substances from the
cell.
Contains enzymes used in lipid synthesis. In muscle cells, holds and releases when signaled Ca2+ ions. In liver cells, detoxify many different drugs.
Golgi apparatus
" the post office"
modifies and packages secretory granules and vesicles
responsible for processing and packaging proteins into
secretory
vesicles that break away from the Golgi complex and
migrate to a variety of intracellular and extracellular destinations,
including the plasma membrane.
Peroxisomes
- Detoxify compounds and fatty acids
- Use oxygen to remove hydrogen atoms from substrates
- Synthesize specialized phospholipids for nerve cell myelination
Mitochrondria
"power house"
responsible for cellular respiration and energy production
most energy in the form of ATP is made here
- contain the metabolic machinery necessary for cellular energy metabolism
- enzymes of the respiratory chain
(electron transport chain), found in the inner membrane of
the
mitochondria, generate most of the cell's adenosine triphosphate (ATP)
Lysosomes
"digestive organelles" "Lysol"
Intracellular digestion system
phagocytosis of unwanted material in the cell
- sac-like structures that contain digestive enzymes
- enzymes are responsible for digesting most cellular substances to their basic form, such as amino acids, fatty acids, and carbohydrates (sugars)
- Cellular injury leads to a release
of the lysosomal enzymes, causing
cellular self-digestion - serve as signaling hubs in a network for cellular adaptation
Cytoskeleton
microtubules, microfilaments, and intermediate filaments make up the cytoskeleton and control the shape and movement
Maintains the cell’s shape and internal organization
- “bone and muscle” of the cell
- internal skeleton is composed of a network of protein filaments, including microtubules and actin filaments (microfilaments).
- form cell extensions (microvilli, cilia, flagella).
Tissues
- Muscle
- Neural
- Epithelial
- Connective
Cellular Adaptations
When the internal environment changes, cells adapt to survive
3 general ways a cell adapts: Change in size, number, type
• Atrophy—decrease in cell size
• Hypertrophy—increase in
cell size
• Hyperplasia—increase in cell number
•
Metaplasia—reversible replacement of one differentiated cell type by
another cell type
• Dysplasia—or deranged cellular growth, is not
considered a true cellular adaptation but rather
atypical hyperplasia
Atrophy
decrease in cell size
- A Smaller cell size with decreased mass (which improves its efficiency and allows the cell to survive)
- Occurs when there are poor environmental conditions
- Causes:
- Lack of use
- Denervation (nerves not stimulating area)
- Loss of endocrine stimulation
- Poor nutrition
- Decreased blood flow (ischemia)
Hypertrophy
increase in cell size
- Increased cell size with increased tissue mass
- Occurs when there is increased workload on an organ/body part
- Typically seen in cardiac or skeletal muscle
- Can occur in normal physiology (ex. lots of exercise causes muscle hypertrophy "runner heart"), but it is usually pathologic to adapt to stress on the organ
- Ex. Myocardial hypertrophy from hypertension
Hyperplasia
increase in cell #
- Increased number of cells which results in increased tissue muscle mass
- Two General Causes:
- Physiologic: due to expected estrogen hormones (ex. breast and uterine growth during pregnancy)
- Non-physiologic: due to excess hormones (ex. benign prostatic hyperplasia in older men due to too much androgens)
- While hyperplasia and hypertrophy are distinctly different, they typically occur together
Metaplasia
reversible replacement of one differentiated cell type by another cell type
- Occurs when one cell type is replaced by another
- But must be same cell type (ex. epithelial cell for different type of epithelial cell)
- Occurs in response to chronic inflammation/irritation to better adapt to the situation
- Ex: Bronchus of a chronic smoker changes the epithelium from normal columnar to squamous
Dysplasia
deranged cellular growth, is not considered a true cellular adaptation but rather atypical hyperplasia (inc # of cells)
- Dysplasia refers to abnormal changes in the size, shape, and organization of mature cells
- dysplasia does not refer to cancer
- Dysplastic changes are common in the epithelial tissue of the uterine cervix, the endometrium, and the gastrointestinal (GI) and respiratory tract mucosa
- Dysplasia is described as “low grade” or “high grade,”
What is cell injury?
- Leads to injury of tissues and organs, determining structural patterns of disease
- Injured cells may recover (reversible injury) or die (irreversible injury)
- Causes cell stress
- Is acute or chronic and reversible or irreversible
Causes of cell injury
- Lack of oxygen (hypoxia)
- Free radicals
- Toxic chemicals
- Infectious agents
- Physical and mechanical factors
- Immunologic reactions
- Genetic factors
- Nutritional imbalances
- Physical trauma
What happens in Lack of Oxygen Cell Injury
- Ischemia-induced reduction in ATP levels causes a failure of the plasma membrane's sodium– potassium (Na+-K+) pump and sodium–calcium (Na+-Ca++) exchange mechanisms.
- Sodium and calcium influx into and accumulate in the cell. Potassium (K+) diffuses out of the cell. Without the pump mechanism, sodium and water can freely enter the cell resulting in cellular swelling and dilation of the ER.
What are different types of Toxic Chemicals
Carbon Monoxide
Lead
Mercury
ETOH
Street Drugs
What are characteristics of carbon monoxide?
Where is it found?
Consequences of CO poisonings?
Odorless and colorless
• Sources: emitted during combustion processes, defective furnaces, occupation exposure (coal mining, firefighting, welding, engine repair), or exposure to tobacco smoke (first or secondhand)
- Produces hypoxic injury
- Directly reduces the oxygen-carrying capacity of blood, and promotes tissue hypoxia
- Causes reduction of oxygen delivery to organs, such as the heart and brain, by binding to hemoglobin (carboxyhemoglobin) reducing the blood’s oxygen-carrying capacity
- CO for hemoglobin is 300 times
greater than that of
oxygen, CO quickly binds with hemoglobin, preventing oxygen molecules from binding to hemoglobin,
and they are thus transported to tissues.
Lead Poisoning
Where is it found?
Consequences of LP?
older homes, found in hazardous concentrations in food, water, and air
central and peripheral nervous systems
increasing their risks for damage to the brain and nervous system,
slowed growth and development, learning and behavior problems
(e.g.,
reduced IQ, attention-deficit/hyperactivity disorder
[ADHD], juvenile delinquency, and criminal behavior), and hearing and
speech problems
Street Drugs
Most popular and dangerous drugs include opioids, methamphetamine (“meth”), marijuana, cocaine, and heroin
Carbon tetrachloride, alcohol, and social
drugs can
significantly alter cellular function and injure cellular structures.
10 drugs most frequently involved in overdose deaths include
heroin,
oxycodone, methadone, morphine, hydrocodone, and
fentanyl; the benzodiazepines alprazolam and
diazepam; and the
stimulants cocaine and methamphetamine
Mercury
Sources?
Who should avoid eating Mercury items?
- Two major sources are fish and healthcare equipment
- Recommendation: Pregnant women, nursing mothers, and young children should avoid eating fish with a high mercury content
found in dental amalgam; some vaccine preservatives; food products (e.g., rice); and terrestrial and marine animals, some of which are consumed by humans.
Lipid solubility of methylmercury and metallic mercury increases their accumulation in the brain, altering neuromotor, cognitive, and behavioral functions
avoid eating fish with a high mercury content (>1 part per million [ppm]), such as shark, swordfish, tile fish, and king mackerel.
lower in methylmercury include shrimp, canned light tuna, salmon, pollock, and catfish
ETOH
What deficiencies does it cause; S/S?
Consequences of ETOH
- Results in major nutritional deficiencies, especially folate
- Is metabolized in the liver
-
Has a protective effect with the cardiovascular system,
up to a point - Acute alcoholism affects the central nervous system (CNS)
- Chronic alcoholism affects primarily the liver and stomach
- Alcohol-induced liver disease (fatty liver, alcoholic hepatitis, cirrhosis)
- Acute gastritis- affects lining of the stomach
- Can cause fetal alcohol syndrome
Fetal Alcoholism Features
short palpebral fissure length, smooth philtrum, and thin upper lip.
Unitntentional Injuries
- Unintentional and intentional injury
- Falls, motor vehicle injuries, opioid overdose, poisonings
- Sports- and recreation-related injuries in children
- Firearms
- Medical care- injuries in hospital, falls
- Suicide
- Examples of
hospital-acquired
conditions include adverse drug events, catheter-associated urinary tract infections, central-lineassociated bloodstream infections, pressure injuries, and surgical site infections, among others
Asphixial Injuries
- Cause: Failure of cells to receive or use oxygen
-
Suffocation:
the process of dying as a result of lack of oxygen, can result
from either a lack of oxygen in the environment or from a blockage
of the respiratory airways
- Choking suffocations:
obstruction of the pulmonary airways. An object may
become lodged in a large airway, directly obstructing breathing. Injury or disease also may result from
soft tissue swelling surrounding the airway, leading to a partial or complete obstruction and subsequent
asphyxiation. - Compression suffication: mechanical compression of the chest or abdomen prevents normal respiratory movements
- Choking suffocations:
obstruction of the pulmonary airways. An object may
- Strangulation: compression of the blood vessels and air passages resulting from external pressure on the neck.
- Hanging: noose or similar object is placed around the neck; V shaped mark on neck
- Ligature: some form of cord encircles and tightens about the neck; horizontal mark on neck
-
Manual: assailant's hands compress the neck of the victim
to the point
where death by asphyxiation occurs - Chemical asphyxiants: prevent O2 or block O2 utilization
- Drowning: death from inhalation of and suffocation by a liquid, usually water
Infection Injuries
- Pathogenicity (virulence) of a microorganism
- Disease-producing potential
- Invasion and destruction
- Toxin production
- Production of hypersensitivity reactions
- Examples include:
- Bacteria
- Viruses
- Fungi
(1) invade and destroy cells,
(2) produce toxins
(3) produce damaging hypersensitivity reactions
Nutritional Injuries
Funtions?
Examples of Excessive and Deficient
- Essential nutrients are required for cells to function normally (Imbalances in nutrition can cause altered cellular structure and function.)
- Proteins, carbohydrates, lipids, vitamins, and minerals)
- Micronutrients and macronutrients
- Examples:
-
Deficient intake
- Iron deficient= iron deficiency anemia
- B12 deficiency= neuropathy or memory loss
-
Excessive intake
- High fat in diet= may lead to atherosclerosis of arteries
- Deficient nutrition:
Temperature Injuries
- Hypothermic injury
- Slows cellular metabolic processes
- Produces reactive oxygen species
- Hyperthermic injury
- Heat cramps, heat exhaustion, heat stroke
- Malignant hyperthermia
- Neuroleptic malignant syndrome
- Drug-induced hyperthermia
- Burns
Atompsphere Pressure Injuries
- Decompression sickness or caisson disease
- “The bends,” diver disease- can cause embolism or strokes
- High-altitude illness
- High-altitude pulmonary edema (HAPE)
- can take Diomox to prevent
- High-altitude cerebral edema (HACE)
- Acute mountain sickness (AMS)
Apotosis
- No inflammatory changes
- Type I—programmed cell death
- Type II—autophagic cell death
Necrosis
- Includes inflammatory changes
- Autolysis
Necrosis is a form of cell destruction characterized by ruptured plasma and lysosomal membrane structures, denaturation of cellular proteins, leakage of cellular contents, rapid loss of ATP, swelling of organelles, severe mitochondrial damage, and local inflammation
Types of Gangrene
- Dry gangrene: lack of arterial blood supply, but venous flow can carry fluid out of tissue.
- Dry, shrinks, skin wrinkles, dark brown/black, usually affects the extremities
- Wet gangrene: lack of venous flow lets fluid accumulate in tissue.
- Cold, swollen, pulseless, moist, black, foul odor due to bacteria, may affect extremities or internal organs
- Gas gangrene: Clostridium infection.
- Hydrogen sulfide bubbles in muscle.
- Crepitus is sensation of bubbles that can be felt underneath the skin.
Cellular Aging
- Even without disease, starting at age 40, there is progressive decline in our body.
- Decreased muscle strength, nerve conduction speed, cardiac reserve, etc.
υThought to be due to individual cell function decline with age, particularly in the mitochondria
- Theories of Aging:
- Pre-programmed theories=age changes are genetically programmed
- Damage (error) theories= age changes are due to many random events over time which ultimately cause DNA damage