当前课程知识点:Pathology > Chapter2 Adaptation and Injury of Cells and Tissues > Section5 Apoptosis > Apoptosis
OK today we will learn apoptosis together
We've learned the damage of tissues and cells
which is divided into reversible and irreversible damage
Then there are two major categories of irreversible damage
one is necrosis
and the second major category is apoptosis
Well what is apoptosis
It refers to such a kind of death
that occurs during the development of the body's cells
or under the influence of certain factors
by the regulation of genes
and its products in the cell
This kind of death involves single cells
which forms apoptotic bodies
Unlike necrosis
it does not cause inflammation in surrounding tissues
Well from this concept we also see
this kind of apoptosis can occur either under physiological conditions
or under pathological conditions
So what is the significance of apoptosis
Under physiological conditions
apoptosis plays an important role
in embryonic and tissue development
the stability of normal cell populations
in the tissue body defense and immune response
injury aging and tumorigenesis
For example if there is too much apoptosis
we know that AIDS
CD4 positive T cells in its patients have too much apoptosis
then without such T cells
patients are prone to various infections
and tumors
There is a second category such as transplant rejection
if immunosuppressants is no longer taken after the transplant
Then the body will undergo transplant rejection
resulting in transplanted organ apoptosis
There is also apoptosis during
ischemia-reperfusion
Neurological degenerative diseases
such as Alzheimer's disease
brain nerve cell apoptosis may occurs
Electric radiation also causes increased apoptosis
So what does too little apoptosis cause
Tumorigenesis
The reason why the tumor can be unlimitedly proliferated
without being controlled by the body
then it is related to too little apoptosis
We can use this principle to induce apoptosis
which can be meaningful
for the prevention and treatment of tumors
In addition there is less apoptosis in autoimmune diseases
apoptosis of cells also decreases during virus infection
Let’s focus on the morphological changes of apoptosis
We can see in the apoptotic tissue
that it is the death of a single cell
however inflammation is the death of a group of cells
It involves a single cell
which is in a separate state
with surrounding normal cells
generally round Red-stained cytoplasm
Its chromatin is aggregated into small clumps
and is very characteristic. You can't find any inflammatory cells around it
and it does not trigger an inflammatory reaction
Then under the electron microscope we can see that
its chromatin characteristically gathered at the edge of the nuclear membrane
and then
The cell membrane gradually buds and falls off
forming apoptotic bodies
Inside these apoptotic bodies
some of the complete structure of the organelles can be seen
This is its pathogenesis
Exogenous and endogenous factors induce apoptosis
and this process is completed
through the Caspase family
Then after the chromatin accumulates under the nuclear membrane
the cell membrane sprouts
and then surrounds many organelles
then apoptotic bodies form
Apoptotic bodies can finally be engulfed by macrophages
to be degraded
There is a very characteristic change in apoptosis
When apoptosis occurs if we perform
agarose gel electrophoresis
there will be a characteristic DNA gradient change
The bands are like ladders
and they are all DNA fragments
with an integer multiple of 180 to 200 bp
Why is this
Since endonuclease is activated
during apoptosis
endonuclease cuts chromatin
between nucleosomes
so such DNA fragments
with an integer multiple of 180 to 200 bp
will be produced
So agarose gel electrophoresis shows
a gradient of DNA
Then it is important that we distinguish
the difference between apoptosis and necrosis
Apoptosis must be seen in pathological damage
however apoptosis can occur both under physiological conditions
and under pathological conditions
Necrosis involves many cells
while apoptosis involves single cells
During apoptosis
the cell's cytoplasm shrinks
the mitochondria are very dense
other organelles are also dense
and the chromatin is also dense without being damaged
Especially the cell membrane because it is in the form of budding is also intact
because of budding it is also intact
Because of these above
the cytoplasmic components will not be released
so there is no inflammatory reaction around it
On the contrary when necrosis occurs the cell membrane is destroyed
the organelles are destroyed
and the components in the cytoplasm are released into the surrounding tissue
so it will cause an inflammatory reaction
This is a schematic diagram a normal hair cell
When a normal cell is necrotic you can see the swelling of mitochondria
the swelling and breakage of endoplasmic reticulum etc
Finally the cell membrane is destroyed
Then when apoptosis occurs it is in the form of budding
and the organelles are intact
apoptotic bodies surround
Chromosome fragments
and some complete organelle structures
This is called apoptosis
OK today's lesson is over thank you
-Section1 Introduction to pathology
-Section2 The position of pathology in medicine
--The position of pathology in medicine
-Section3 How to learn pathology well
-Exercises
-PPT
-Section1 Adaptation of Cells and Tissues
--Adaptation of Cells and Tissues
-Section2 Cause and mechanism of injury
--Cause and mechanism of injury
-Section3 Degeneration
-Section4 Necrosis
--Necrosis
-Section5 Apoptosis
-Exercises
-PPT
-Exercises
-PPT
-Section1 Partial blood circulation disorders
--Partial blood circulation disorders
-Section2 Thrombosis
-Section3 Embolism
--Embolism
-Section4 Infarction
-Exercises
-PPT
-Section1 Summary
--Summary
-Section2 Acute inflammation
-Section3 Types of acute inflammation
-Section4 Chronic inflammation
-Section5 Local manifestations and systemic reactions of inflammation
--Local manifestations and systemic reactions of inflammation
-Section6 The process and outcome of inflammation
--The process and outcome of inflammation
-Section1 Neoplasm
--Neoplasm