Cellular Asaptations
Cellular Asaptations
Size
Phenotype
Metabolic activity
environment
PHYSIOLOGICAL ADAPTATION
Represent responses of cells to normal
stimulation by hormones or
endogeneous chemical mediators e.g,
hormone induced enlargement of
breast and uterus
PATHOLOGICAL ADAPTATION
Responses to stress that allow cells to
modulate their structure and function
and thus escape injury.
Such adaptations can take several
different forms e.g, cardiac hypertrophy
FOUR PRINCIPLE ADAPTATIONS
1. Hypertrophy
2. Hyperplasia
3. Atrophy
4. Metaplasia
TYPE OF CELLS
TYPE OF CELLS
ATROPHY
(SHRINKAGE IN CELL SIZE BY THE
LOSS OF CELL SUBSTANCE)
workload or adverse
environmental conditions
Is adaptive and reversible
results in a decrease in cell size
Types / Causes
Disuse atrophy (paralysis) Unilateral
Degeneration atrophy (MS)
Ischemic atrophy (kidney, heart)
Malnutrition atrophy (starvation)
Loss of endocrine stimulation (uterine, breast)
Bilateral Atrophy
MECHANISMS OF ATROPHY
pathways-----induction of genes----synthesis
of proteins---inc synthesis of myofilaments
and cells------improved performance----
balance btw demand and function
LIMIT
CARDIAC HYPERTROPHY
🞤 May be a pathological response as in
myocardial hypertrophy from HTN or valve
disease
🞫 Example: Left ventricular hypertrophy (LVH) –
🞲 A PATHOLOGICAL HYPERTROPHY resulting in ↑ size
of heart d/t ↑ workload caused by HTN.
🞲 There is an increase in size but function is
compromised
🞲 However, there is a LIMIT to the amount the
tissue can enlarge
• Left Ventricular Hypertrophy
LVH) – seen with poorly
controlled HTN
Plantar warts -
in # of
epidermal
cells
However, dysplasia is an adaptive process – may or may
not lead to cancer
Decrease risk if irritation is removed or
inflammation treated.
ANAPLASIA
Cells differentiate to a more IMMATURE or
embryonic form.
Malignant tumors are characterized by
anaplastic cell growth.
SUMMARY: CELLULAR CHANGES