Outcomes of necrosis:-1.Inflammation & resolution    occurs if the injury is mild & the tissue has the    power to prolife...
Myocardial infarction (Posterolateral pale infarct)                         2
Inflammation& fibrosis of severe burn                3
Aortic valve , gross , (calcified aortic stenosis).                                                      4
APOPTOSISApoptosis come from the Greek word which means                  “falling off”.
Apoptosis• “A programmed active single cell death”  that is induced by a tightly regulated  intracellular program.Cells ac...
APOPTOSIS• NORMAL  (preprogrammed)• PATHOLOGIC  (associated with  Necrosis)
Apoptosis in Physiologic Situations• Programmed destruction of cell during  embryogenesis & development• Hormone-dependent...
Apoptosis in Pathologic Conditions• Cell death produced by injurious stimuli –  radiation, cytotoxic drug• Cell injury in ...
MORPHOLOGICAL    FEATURES OF APOPTOSIS• Cell shrinkage• Chromatin condensation and fragmentation.• Formation of cytoplasmi...
Morphology of  ApoptosisCell shrinkageChromosomecondensationFormation ofcytoplasmic blebsand apoptotic bodiesPhagocytosis ...
Cellular swelling,         Membrane       normalcell         chromatin cluping           damage         The sequential ult...
Apotosis of hepatocytes
• Fig 1-18
SHRINKAGE/HYPERCHROMASIA
PHAGOCYTOSIS
APOPTOSIS    BIOCHEMISTRY• Protein Digestion  (Caspases)• DNAbreakdown  (endonucleases)• Phagocytic Recognition
Comparison of cell death by apoptosis and necrosis
Comparison of cell death by apoptosis              and necrosis  Feature               Necrosis                    Apoptos...
Comparison of cell death by apoptosis                and necrosisBiochemistry    impairment & cessation of ion homeostasis...
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Lect.no (5)

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  • Apoptosis come from the Greek word which means “falling off”.
  • 93
  • Shrinkage (pyknosis), increased nuclear staining (hyperchromasia), nuclear fragmentation (karyorrhexis, karryolysis), are classic features of apoptosis.
  • The two main cell which clean up dead cell fragments are macrophages (also called “histiocytes”) and neutrophils.
  • Caspases , or  c ysteine- asp artic prote ases , are a family of cysteine proteases, which play essential roles in apoptosis (programmed cell death), necrosis and inflammation. http://en.wikipedia.org/wiki/Caspases
  • Lect.no (5)

    1. 1. Outcomes of necrosis:-1.Inflammation & resolution occurs if the injury is mild & the tissue has the power to proliferate.2.Inflammation & organization (fibrosis). occurs if the injury is severe &/or the tissuedo not have the power to proliferate.3. Dystrophic calcification- deposition of Ca++salts in necrotic tissue.
    2. 2. Myocardial infarction (Posterolateral pale infarct) 2
    3. 3. Inflammation& fibrosis of severe burn 3
    4. 4. Aortic valve , gross , (calcified aortic stenosis). 4
    5. 5. APOPTOSISApoptosis come from the Greek word which means “falling off”.
    6. 6. Apoptosis• “A programmed active single cell death” that is induced by a tightly regulated intracellular program.Cells actually expend energy in order to die.• Causes of Apoptosis - Physiologic situations - Pathologic conditions
    7. 7. APOPTOSIS• NORMAL (preprogrammed)• PATHOLOGIC (associated with Necrosis)
    8. 8. Apoptosis in Physiologic Situations• Programmed destruction of cell during embryogenesis & development• Hormone-dependent tissue involution - endometrial cells (menstrual cycle)• Cell deletion in proliferating cell population e.g skin• Post-inflammatory clean up- neutrophils.• Cell death induced by cytotoxic T-cells to eliminate harmful cells - viral infected or tumor cells
    9. 9. Apoptosis in Pathologic Conditions• Cell death produced by injurious stimuli – radiation, cytotoxic drug• Cell injury in certain viral diseases – viral hepatitis• Pathologic atrophy• Cell death in tumors .
    10. 10. MORPHOLOGICAL FEATURES OF APOPTOSIS• Cell shrinkage• Chromatin condensation and fragmentation.• Formation of cytoplasmic blebs and apoptotic bodies.• Phagocytosis of apoptotic bodies by adjacent healthy cells or macrophages.• Lack of inflammation.
    11. 11. Morphology of ApoptosisCell shrinkageChromosomecondensationFormation ofcytoplasmic blebsand apoptotic bodiesPhagocytosis ofapoptotic cells or cellbodies
    12. 12. Cellular swelling, Membrane normalcell chromatin cluping damage The sequential ultrastructual changes in necrosis and apoptosisNuclear chromatin Cytoplasmic budding and Phagocytosisi ofcondensation and apoptosisi body apoptosis body fragmentation
    13. 13. Apotosis of hepatocytes
    14. 14. • Fig 1-18
    15. 15. SHRINKAGE/HYPERCHROMASIA
    16. 16. PHAGOCYTOSIS
    17. 17. APOPTOSIS BIOCHEMISTRY• Protein Digestion (Caspases)• DNAbreakdown (endonucleases)• Phagocytic Recognition
    18. 18. Comparison of cell death by apoptosis and necrosis
    19. 19. Comparison of cell death by apoptosis and necrosis Feature Necrosis ApoptosisMechanism injurious programmed passive cell death active cell deathCell size Enlarged ReducedExtent single cell group of cellsNucleus Pyknosis / karyorrhexis / karyolysis condensation & Fragmentation (Apoptotic bodies)Plasma membrane Disrupted IntactCellular contents swell& Enzymatic digestion Intact
    20. 20. Comparison of cell death by apoptosis and necrosisBiochemistry impairment & cessation of ion homeostasis Active DNA digestion lysosomes leak lytic enzymes by endonuclease lysosomes intactInflammation usual NoneFate of dead cells phagocytosed by inflammatory phagocytose by cells ( neutrophils & macrophages) macrophagesCause induced by pathologic stimuli induced by physiologic &pathologic stimuli
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