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Apoptosis Pathology MBBS Summary Notes

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Apoptosis
Define Apoptosis

Pathway of cell death induced by a tightly regulated suicide program

Cells are destined to die activate intrinsic enzymes that degrade cells’ own
nuclear DNA, nuclear and cytoplasmic proteins

Characteristics of Apoptosis

Important mode of cell death

Apoptotic cells break up into fragments

Apoptotic bodies

Plasma membrane remains intact but structure is altered

Become ‘tasty’ targets for phagocytosis

Does not elicit inflammatory reaction

Programmed cell death

Occurs normally in physiological reactions

When cell are damaged beyond repair

Damage effects cells’ DNA


Apoptosis 1

, Causes of Apoptosis


Physiological

Programmed destruction of cells during embryogenesis

Implantation

Organogenesis

Development involution

Metamorphosis

Hormone dependent involution in adult

Endometrial cells break down during menstrual cycle

Cell loss in proliferating cell population

Intestinal crypt epithelium (homeostasis)

Elimination of potentially harmful self-reactive lymphocytes

To prevent reactions against one’s own tissue

Death of neutrophils in an acute inflammation response and lymphocytes
at the end of an immune response

Cells undergo apoptosis

Deprived of necessary survival signals - growth factors


Pathological

DNA damage

Damages DNA directly or via production of free radicals

Radiation

Cytotoxic anticancer drugs

Hypoxia

Accumulation of misfold proteins



Apoptosis 2

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