4. OXYGEN DEPRIVATION
â˘Hypoxia
â˘interferes with aerobic oxidative respiration.
â˘Different from ischemia
â˘Ischemia is the most common cause of hypoxia.
â˘oxygen deficiency can also result from inadequate oxygenation of the
blood, as in pneumonia.
â˘Or reduction in the oxygen-carrying capacity of the blood, as in blood-
loss, anemia or carbon monoxide (CO) poisoning.
5. CHEMICAL AGENTS
â˘Chemical agents can injure the cell.
â˘Osmotic disturbance---- glucose and salt.
â˘Poisons cause severe damage-------by altering membrane permeability,
osmotic homeostasis, or the integrity of an enzyme or cofactor.
â˘Air pollutants , CO, asbestos, insecticides etc.
7. IMMUNOLOGIC REACTIONS
â˘Immune reactions can also result in cell and tissue injury.
â˘Examples include autoimmune reactions against oneâs own tissues and
allergic reactions against environmental substances in genetically
susceptible individuals
8. GENETIC DEFECTS
⢠Congenital malformations associated with Down syndrome
⢠Single amino acid substitution in hemoglobin S giving rise to sickle cell
anemia.
⢠Deficiency of functional proteins
⢠Deficiency of enzymes in inborn errors of metabolism
⢠Or accumulation of damaged DNA or misfolded proteins--- irreparable
damage.
9. NUTRITIONAL IMBALANCES
⢠Proteinâcalorie insufficiency
⢠Specific vitamin deficiencies .
⢠Excessive dietary intake may result in obesity and also is an important
underlying factor in many diseases, such as type 2 diabetes mellitus and
atherosclerosis
10. PHYSICAL AGENTS
⢠Trauma
⢠Extremes of temperature
⢠Radiation
⢠Electric shock
⢠Sudden changes in atmospheric pressure all have wide-ranging effects
on cells.
11. AGING
â˘Cellular senescence leads to alterations in replicative and repair abilities
of individual cells and tissues.
â˘All of these changes result in a diminished ability to respond to damage
and, eventually, the death of cells and of the organism.
Editor's Notes
(CO forms a stable complex
with hemoglobin that prevents oxygen binding.)