Common causes of cell injury
Metabolic: oxygen deprivation, nutritional Chemical Physical Biological Immunological Genetic Aging
Intracellular systms affected by injury
Cell membrane integrity
ATP production
Protein synthesis
Genomic or chromosomal integrity
Early cellular responses to injury
Cloudy swelling
Hydropic degeneration: stain faintly
Fatty change: accumulate ACG
Cellular adaptations to nonlethal injury
Atrophy
Hypertrophy
Hyperplasia
Metaplasia
Hypertrophy
Reversible
Cardiac muscle, skeletal muscle, uterus
Hyperplasia
Endometrium Prostate gland RBC Glandular epithelium of breast Uterine enlargement
Atrophy
Testis in elderly
Skeletal muscle
Brain
Metaplasia
Respiratory epithelium
Cervical epithelium
Esophageal epithelium
Dysplasia
Cervix, skin High nuclei to cytoplasm ratio Large nuclei with darkly staind chromatin May lead to neoplasia Borderline to reversibility
Neoplasia
Irreversible
Benign or malignant