Atrophy

An adaptive response characterized by decreased protein synthesis and increased protein degradation.

  • Cells decrease in size
  • Degradation of proteins using:
    • Lysosomes
    • Ubiquitin-proteasome pathway
  • Autophagy
    • "Self-eating"
    • Natural, regulated mechanism of the cell that disassembles unnecessary or dysfunctional components
    • Elimination of intracellular substances
    • Membrane-bound vacuoles containing mitochondria, ER, complex protein fragments and undegradable substances
      • Undegradable substances accumulate, and with time, can be seen as pigments (lipofuscin and hemosiderin)
    • Plays a role in many physiological and pathological processes
  • Occurs due to:
    • Decreased workload (inactivity)
    • Reduced blood supply or innervation
    • Nutritional defect (cachexia)
    • Loss of hormonal stimulation
    • Aging
    • Pressure/tension
  • Examples:
    • Cerebral atrophy (due to aging or disease)
    • Muscle atrophy (due to prolonged bed rest)

Involution

A general term for describing the shrinking of an organ.

  • Characterized by both atrophy and programmed cell death (apoptosis)
  • Notable examples:
    • Uterus after pregnancy
    • Thymus gland after

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