Cellular adaptation
Cellular adaptation
ADAPTATION
OBJECTIVES
Pathophysiolog
Definition Types
y
CELLULAR ADAPTATION
It is a reaction induced by physiological or
pathological stimuli.
Metaplasia
It a decrease in the size of the
cell by loss of cell substance.
When sufficient numbers of
cells are involved, the entire
organ or tissue decreases in
size i.e. become atrophic.
ATROPH The pathophysiological process
occurs bring into balance cell
Y survival in the face of reduced blood
supply, nutrition etc. the cells
become smaller with diminished
function and thus reduced metabolic
needs and by doing so they escape
injury.
The reduction in size is due to
reduction in the number of its
structural components e.g.
mitochondria, myofilaments,
1. Decrease workload e.g. muscular atrophy
due to immobilization as in fractured limb.
2. Denervation (loss of nerve supply) e.g.
paralysis of a limb due to nerve injury or
CAUSES poliomyelitis.
3. Ischemia e.g. brain atrophy as an ageing
phenomenon due to atherosclerosis.
HYPERTR
OPHY The pathophysiological process
due to the excessive workload
induces increase in cellular
constituents i.e. more enzymes,
more mitochondria (ATP production)
and more myofilaments. It is due to
synthesis of more structural
components within the cell (more
enzymes, more mitochondria and
A. Physiological due to
hormones e.g Uterus in
pregnancy (physiological:
hormonal). Skeletal muscles in
athletes (physiological:
CAUSES increased workload).
B. Pathological, Left ventricle
in systemic hypertension
increased workload; the
ventricle has to contract
against increased pressure in
the aorta).
HYPERPLASIA
It is an increase in the number of cells in an organ or tissue leading to
an increase in its size.
On the contrary, nerve cells and those of the heart (myocardial cells)
and skeletal muscle fibers have no capacity for hyperplasia
(permanent cells).
Intermediate among the above two are those of bone, cartilage and
smooth muscle cells. Hyperplasia is divided into physiological and
pathological.
CAUSES
A. Physiological B. Pathological
hyperplasia is either hyperplasia is mostly
• 1. Hormonal (e.g. proliferation either due to
of the breast glandular • Excessive hormonal stimulation
epithelium in females at (e.g. endometrial hyperplasia)
puberty or during pregnancy). or
• 2. Compensatory (e.g. after • The effect of growth factors on
partial hepatectomy). target cells (as in wound
healing).
It is a replacement of one mature cell type by
another mature cell type.