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Chapter 1Introduction to Cytology

🔬 Definition

Cytology (from Greek kytos = cell, logos = science): science which studies the structure, chemical composition and functions of the cell, the fundamental unit of life.

Cell biology is the discipline that studies the cell as the basic unit of life, both in its structural organization and in its physiological functioning.

📖 Brief history

DateScientistDiscovery
1665Robert Hooke1st observation of cells (cork) → cornering of the term “cell”
1674Leeuwenhoek1st protozoa & bacteria under the microscope
1838–39Schleiden & SchwannCell theory: all living things are made up of cells
1855Virchow“Omnis cellula e cellula” — every cell comes from a cell
1931Ruska & KnollElectron microscope → ultrastructural revolution

Cell theory is the foundation of all modern biology. All pathology is fundamentally a cellular pathology.

🧬 General principles of cellular life

Metabolism: set of chemical reactions allowing the cell to produce energy and synthesize its components.
Reproduction: ability to divide and transmit genetic information.
Response to stimuli: adaptation to changes in the environment.
Homeostasis: maintaining the internal balance of the cell.
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Chapter 2Cell Study Methods

🔭 Microscopy

TypePower of resolutionUse
Optical microscopy (OM)0.2 µm (200 nm)Living cells, colored tissues, general structure
ME with transmission (MET)0.2nmFine ultrastructure, organelles, membranes
Scanning ME (SEM)10nmRaised cell surface, 3D morphology
Confocal microscopy0.2 µmFluorescence, 3D imaging of living cells
Atomic force microscopy (AFM)<1nmMolecular surface, biological membranes

Resolving power = smallest distance between 2 distinct points. The smaller it is, the better the resolution.

🎨 Colorings

Hematoxylin-Eosin (HE):

  • Hematoxylin (basic) → nuclei in blue-violet
  • Eosin (acid) → cytoplasm in pink

Gram stain (Bacteria):

  • Gram+ → violet (thick wall)
  • Gram− → pink/red (thin wall)

Feulgen's reaction: specific to DNA (red-purple coloring). PAS : reveals the polysaccharides (magenta coloring).

⚙️ Biochemical techniques

Differential centrifugation: fractionation of cellular organelles by increasing centrifugation speeds.

Homogenate → 600g → Cores & debris
Supernatant → 10,000 g → Mitochondria, lysosomes
Supernatant → 100,000 g → Ribosomes, ER, Golgi
Supernatant → Rest = Cytosol

Autoradiography: monitoring of radioactive molecules to study their cellular fate.

Immunofluorescence: localization of proteins using antibodies coupled to fluorochromes.

Western blot: separation and identification of proteins by electrophoresis + antibodies.

🧪 Histochemical & cytochemical techniques

Allows you to locate in situ specific molecules in cells or tissues.

Histochemistry: chemical reactions on tissue sections.
Cytochemistry: chemical reactions on isolated cells.

Enzyme-linked immunosorbent techniques (ELISA, immunohistochemistry): detection of antigens using antibodies coupled to a revealing enzyme (peroxidase, alkaline phosphatase).

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Chapter 3Cell Types: Prokaryotes & Eukaryotes

⚖️ Comparison Prokaryote / Eukaryote

CharacterProkaryote (Bacteria)Eukaryote
Size1–10 µm10–100 µm
CoreAbsent (nucleoid)Present (nuclear envelope)
Membranous organellesAbsentPresent (RE, Golgi, mito…)
ADNCircular, naked, haploidLinear, histone associated, diploid
Ribosomes70S (30S + 50S)80S (40S + 60S)
Cell wallPeptidoglycan (Gram+/−)Absent (plants: cellulose)
DivisionScissiparity (binary)Mitosis / Meiosis
CytoskeletonAbsent (rudimentary)Present and elaborate

The 70S ribosomes of prokaryotes are the target of antibiotics (aminoglycosides, macrolides, etc.) — a fundamental difference in pharmacology.

🦠 Bacterial Cell (Prokaryotic) — Structure

Envelopes (from outside to inside):

  • Capsule : polysaccharides, protection, virulence
  • Wall : peptidoglycan (rigidity, shape)
  • Plasma membrane : lipid bilayer

Internal structures:

  • Nucleoid : circular DNA + RNA + proteins
  • Plasmids : extrachromosomal DNA (resistance)
  • 70S ribosomes
  • Mesosome : membrane invagination (≈ mitochondria)

Appendices: Flagella (mobility), Pili (fixation and conjugation).

🧫 Eukaryotic Cell — General Organization

The eukaryotic cell is compartmentalized. Its main regions:

  • Plasma membrane : cellular border, exchanges
  • Cytoplasm = Hyaloplasm (cytosol) + Organelles
  • Membranous organelles : ER, Golgi, mitochondria, lysosomes, peroxisomes
  • Non-membranous organelles : ribosomes, cytoskeleton, centrosome
  • Core : separated by the nuclear envelope, contains the genome
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Chapter 4Viruses & Non-Cellular Agents

🧬 Definition and characteristics of Viruses

A viruses is an acellular infectious agent, obligate intracellular parasite. It can only reproduce inside a living host cell. It is not a cell: no metabolism of its own, no ribosomes.
Size: 20 to 300 nm (invisible under optical microscope).
Genome: DNA or RNA (never both), single or double stranded.

🔩 Viral structure

Virion = Nucleic acid + CapsidEnvelope)
ComponentDescriptionRole
Nucleic acidDNA or RNA, single/double stranded, linear/circularGenetic information
CapsidProteins (capsomers): helical, icosahedral or complex symmetryProtection of the genome, attachment to cells
EnvelopeDouble lipid membrane (derived from the host cell) + viral glycoproteinsMembrane fusion, tropism
PeplosEnvelope + glycoprotein spiculesRecognition of cellular receptors

Viruses naked (without envelope) are more resistant in the environment than viruses wrapped.

🔄 Viral multiplication cycle

Attachment Penetration Decapsidation
Genome replication Protein synthesis Assembly Liberation

Two possible cycles:

Lytic cycle: rapid multiplication → cell lysis → release of viruses.
Lysogenic cycle: integration of the viral genome into the host DNA (provirus) → possible latency.

🦠 Classification of viruses

CriterionTypes
Nature of the nucleic acidDNA viruses / RNA viruses
Nucleic acid structureSingle strand (+/−) / Double strand
Presence of envelopeNaked / Wrapped
Capsid symmetryHelical / Icosahedral / Complex
Target cell (tropism)Neurotropic, hepatotropic, lymphotropic…

Retroviruses (e.g. HIV): RNA virus using reverse transcriptase to synthesize DNA → integration into the host genome.

Bacteriophages (phages): viruses infecting bacteria. Structure with icosahedral head, tail and tail fibers.

Let us pray: Infectious protein agents, without nucleic acid. Form pathological aggregates (e.g. Creutzfeldt-Jakob disease).

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Chapter 5Plasma Membrane

🏗️ Structure — Fluid Mosaic Model (Singer & Nicolson, 1972)

The plasma membrane is a lipid bilayer in which proteins float freely. It is asymmetrical, fluid and dynamic.

Thickness: 7–10nm. Visible only in TEM (trilamellar appearance: dark-light-dark).

🧪 Lipid constituents

LipidProportionRole
Phospholipids~50%Two-layer framework, impermeability to polar molecules
Cholesterol~25%Regulates fluidity (neither too rigid nor too fluid)
Glycolipids~5%Cellular recognition, blood groups (external side only)
Sphingolipids~20%Signaling, microdomains (lipid rafts)

Lipids are distributed in a way asymmetrical : phosphatidylcholine and sphingomyelin on the external side; phosphatidylserine and phosphatidylethanolamine on the inner side (cytoplasmic).

🔬 Membrane proteins

Intrinsic (integral) proteins: cross the bilayer (transmembrane). Hydrophobic. Ex: receptors, ion channels, transporters.
Extrinsic (peripheral) proteins: associated with one face of the bilayer. Hydrophilic. Ex: signaling enzymes.

Functions of membrane proteins:

  • Transport (channels, pumps, transporters)
  • Receiving signals (hormonal receptors)
  • Enzymatic catalysis
  • Intercellular junctions
  • Cellular recognition (surface antigens)

🍬 Glycocalyx

The glycocalyx is the carbohydrate coating of the extracellular face of the membrane, formed by the carbohydrate chains of glycolipids and glycoproteins.

Roles: cellular recognition (ABO blood groups), mechanical protection, lubrication, intercellular and ECM interactions.

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Chapter 6Membrane Transport

🚪 Passive transport (without energy)

TypeMechanismExamples
Single broadcastConcentration gradient, lipophilic or small moleculesO₂, CO₂, alcohol, steroid hormones
Easy distributionBy protein channels or transporters, without energyGlucose (GLUT), ions (aquaporins)
OsmosisMovement of water from hypotonic to hypertonic solutionWater transport (aquaporins)

Active transport (with energy = ATP)

TypeMechanismExample
Primary active transportATPase ion pump, against gradientNa⁺/K⁺ ATPase pump (3 Na⁺ out, 2 K⁺ in)
Secondary active transportCoupled with the Na⁺ gradient created by the pumpSymport Na⁺/glucose (enterocytes)
AntiportTwo molecules in opposite directionsNa⁺/H⁺ exchanger

The Na⁺/K⁺ ATPase pump is crucial for the membrane potential of excitable cells (neurons, cardiomyocytes). It consumes ~30% of cellular ATP.

🫧 Vesicular transport (cytosis)

Endocytosis

  • Phagocytosis : ingestion of large particles (bacteria), by pseudopods (macrophages, neutrophils)
  • Pinocytosis : ingestion of liquid and small molecules
  • Receptor-mediated endocytosis : mediated by clathrin (eg: LDL, transferrin). Very specific.

Exocytosis

  • Constitutive : continuous, e.g.: collagen secretion
  • Regulated : triggered by signal (Ca²⁺), e.g.: neurotransmitters, insulin

Endocytosis by interposed receptors is the entry route for many viruses (HIV, influenza) and toxins (diphtheria toxin).

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Chapter 7Adhesion & Intercellular Communication

🤝 Intercellular junctions

TypeStructureRoleExamples
Tight junctions (tight junctions)Claudins and occludins, closure of the intercellular spaceSealing (blood-brain barrier, intestinal epithelium)Intestinal epithelium
Adherent junctionsCadherins + actinMechanical cohesionEpidermis
DesmosomesCadherins + intermediate filamentsMaximum mechanical resistanceHeart, skin
Gap junctions (communicating junctions)Connexins (connectons)Direct ionic and chemical communicationMyocardium, neurons
HemidesmosomesIntegrins + basal laminaCell-MEC anchoringEpithelia

📡 Intercellular communication by chemical signals

Endocrine signaling: hormone secreted in the blood, acts remotely (eg: insulin).
Paracrine signaling: mediator acts on neighboring cells (e.g. prostaglandins).
Autocrine signaling: cell responds to its own signals (e.g. certain cancer cells).
Synaptic signaling: neurotransmitter across a synapse (e.g. acetylcholine).

Types of membrane receptors:

  • G protein-coupled receptors (GPCRs) → adenylyl cyclase → cAMP
  • Receptors with tyrosine kinase activity (RTK) → phosphorylation cascade
  • Channel receptors (ionotropics) → direct opening of ion channels

🔗 Cell adhesion molecules (CAMs)

FamilyLigandRole
CadherinsCadherin (homo)Ca²⁺-dependent cell-cell junctions
IntegrinsMEC (fibronectin, lamininin, etc.)Cell-ECM adhesion, inside-out/outside-in signaling
SelectinsCarbohydratesLeukocyte adhesion to the endothelium (inflammation)
IgCAMsVariesCa²⁺-independent adhesion, nervous system
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Chapter 8Cytoskeleton

🏛️ Overview

The cytoskeleton is a network of protein filaments that runs throughout the cytoplasm. It ensures cell shape, movement, intracellular transport and division.

It consists of 3 main types of filaments:

🔴 Actin microfilaments (F-actin)

Diameter: 7nm. Finest filaments.
Protein: G actin (globular) → F actin (filamentous).

Organization: cortical network under the membrane, parallel bundles, three-dimensional network.

Functions:

  • Muscle contraction (with myosin)
  • Cellular movements: pseudopodia, lamellipodia, filopodia
  • Cytodieresis (contractile ring in mitosis)
  • Microvilli (brush edge of enterocytes)

Associated proteins: myosin (molecular motor), cofilin (depolymerization), profilin, ABP, gelsolin.

🟡 Intermediate filaments

Diameter: 10nm. The most stable, non-polarized.
TypeProteinCell
KeratinsAcid/Basic KeratinEpithelial cells
VimentineVimentineMesenchymal cells, fibroblasts
DesmineDesmineMuscle cells
NeurofilamentsNF-L, NF-M, NF-HNeurons
LaminatesLamina A, B, CNuclear envelope (all cells)
GFAPGFAPAstrocytes

Role: mechanical support, resistance to tensile stress, anchoring of desmosomes.

The vimentin is used as a marker in pathology to identify tumors of mesenchymal origin.

🟢 Microtubules

Diameter: 25nm. The largest of the cytoskeletal filaments.
Protein: α and β tubulin (heterodimer) → protofilaments → microtubule (13 protofilaments).

Polarity: + end (rapid growth) and − end (at MTOC = centrosome).

Functions:

  • Rails for vesicular transport (kinesin towards +, dynein towards −)
  • Formation of the mitotic spindle
  • Structure of cilia and flagella (microtubule doublets)
  • Centrioles and centrosome
Cilium/Flagella = axoneme = 9 peripheral doublets + 2 central singulars (9+2)
Axonemal dynein: motor of ciliary movement

Drugs targeting microtubules: colchicine (depolymerizes, anti-inflammatory); taxol/paclitaxel (stabilized, anti-cancer).

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Chapter 9Endomembrane System

🏭 Overview

The endomembrane system is a set of functionally interconnected membranous compartments: endoplasmic reticulum (ER), Golgi apparatus, lysosomes, vesicles, and the plasma membrane.
Ribosome RE rough Transfer vesicle Golgi (cis→medial→trans) Lysosome / Membrane / Exocytosis

🧵 Endoplasmic Reticulum (ER)

Rough RE (RER)

  • Dotted with ribosomes
  • Synthesis of secreted and membrane proteins
  • Protein glycosylation (N-glycosylation)
  • Quality control (chaperones: BiP/GRP78)

Smooth RE (REL)

  • Without ribosomes
  • Synthesis of lipids and steroid hormones
  • Detoxification (liver, kidney) → cytochrome P450
  • Storage of Ca²⁺ (muscles: REL = sarcoplasmic reticulum)

📦 Golgi apparatus

Stacks of flattened saccules (dictyosomes), organized opposite cis (receipt of the RE), face median (modification) and face trans (sorting and shipping).

Functions:

  • Post-translational modifications of proteins (O-glycosylation, phosphorylation, sulfation)
  • Sorting and directing proteins to their final destination
  • Synthesis of proteoglycans and glycolipids
  • Formation of lysosomes (vesicles containing lysosomal enzymes)

Addressing signal to lysosomes: mannose-6-phosphate (M6P) → recognized by M6P receptor at the trans Golgi.

🗑️ Lysosomes

Spherical organelles (0.05–0.5 µm) bounded by a membrane, containing more than 50 acid hydrolases (internal pH ≈ 4.5–5).

Lysosomal enzymes: proteases, lipases, nucleases, glycosidases, phosphatases.

Functions:

  • Heterophagy: digestion of extracellular materials (phagosomes + lysosomes = phagolysosomes)
  • Autophagy: digestion of aged cellular components (autophagosome + lysosomes)
  • Recycling of cellular components

The lysosomal storage diseases (e.g. Gaucher disease, Tay-Sachs) result from a deficiency in lysosomal enzymes → accumulation of substrates.

🔵 Ribosomes

Structure: 2 subunits: large (60S) + small (40S) = 80S (eukaryotes). Compounds of rRNA + proteins.
Functions: translation of mRNA into proteins. Can be free (cytosolic proteins) or bound to the RER (secreted proteins).

Polysomes (polyribosomes): several ribosomes on the same mRNA for simultaneous translation.

🌀 Peroxisomes

Spherical organelles (0.5–1.5 µm) bounded by a simple membrane, containing oxidases and catalase.

Functions:

  • β-oxidation of very long fatty acids (chain > C20)
  • Detoxification (alcohol, H₂O₂): H₂O₂ → H₂O + O₂ (catalase)
  • Synthesis of plasmalogens (myelin constituents)

Peroxisome deficiency: Zellweger syndrome (serious disease of the newborn). Deficiency of a peroxisome enzyme: adrenoleukodystrophy (ALD).

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Chapter 10Mitochondria

General

The mitochondrion is the organelle of cellular respiration. It produces the majority of the cell's ATP (energy). Present in several hundred to thousands per cell depending on energy needs.

Size: 0.5–10µm. Number: 200–2000 per cell. Very abundant in cells with high metabolic activity (cardiomyocytes, hepatocytes).

Endosymbiotic theory (Lynn Margulis): mitochondria would be ancient α-proteobacteria engulfed by endosymbiosis → explanation of their own DNA, their 70S ribosomes, their double membrane.

🏗️ Structure of the mitochondrion

CompartmentDescriptionContent/Function
Outer membraneSmooth, permeable (porins)VDAC (channels), passage of small molecules
Intermembrane spaceNarrow, between the 2 membranesCytochrome c (apoptosis), protons (gradient)
Internal membraneFolded into ridges (cristae)Respiratory chain, ATP synthase (complex V)
MatrixInternal spaceKrebs cycle, β-oxidation, mitochondrial DNA, 70S ribosomes

🔋 ATP Production — Cellular Respiration

Glucose → Glycolysis (cytosol) → Pyruvates → Pyruvate dehydrogenase →
Acetyl-CoA → Krebs cycle (matrix) → NADH / FADH₂
→ Respiratory chain (internal mb) → Gradient H⁺ → ATP synthase → ATP
StepLocationATP produced
GlycolysisCytosol2 net ATP
Krebs cycleMatrix2 GTP + NADH/FADH₂
Oxidative phosphorylationInternal membrane~32 ATP
Total~36–38 ATP/glucose

Mitochondrial DNA (mtDNA): circular, 16,569 bp, codes for 13 respiratory chain proteins + rRNA + tRNA. Exclusive maternal inheritance.

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Chapter 11Interphase Core

🎯 Core structure

ComponentDescriptionFunction
Nuclear envelopeDouble membrane (external: linked to the ER; internal: nuclear lamina)Nucleus/cytoplasm barrier
Nuclear pores (NPCs)~3000–5000 per core, ∅ ≈ 120 nm; complex of 30+ proteins (nucleoporins)Selective transport RNA → cytoplasm/proteins → nucleus
Nuclear laminaLamin A/B/C network under the inner membraneNucleus shape, chromatin anchoring
NucleoplasmNuclear liquidTranscription and replication environment
Nucleolus1–3 per nucleus, not bounded by membraneSynthesis and maturation of rRNAs, assembly of ribosomal subunits
ChromatinDNA + histonesGenome conservation and expression

The progeria (Hutchinson-Gilford syndrome) is due to a mutation in lamin A → accelerated premature aging.

🧶 Chromatin & Chromosomes

double stranded DNA Nucleosome (DNA wrapped around histone octamer H2A×2, H2B×2, H3×2, H4×2)
30nm fiber Loops (300 nm) Condensed chromosome (metaphase)
Euchromatin: slightly condensed, transcriptionally active, rich in expressed genes.
Heterochromatin: very condensed, transcriptionally silent (constitutive: centromeres/telomeres; optional: inactive X chromosome = Barr corpuscle).

Normal human karyotype: 46 chromosomes = 22 pairs of autosomes + 1 pair of gonosomes (XX or XY). Diploid (2n = 46).

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Chapter 12Cell Cycle, Mitosis & Meiosis

🔄 The cell cycle

G1 → Restriction point → S (DNA replication) G2 → Checkpoint G2/M → M (Mitosis) G1
PhaseAverage durationKey events
G16–12 p.m.Cell growth, protein synthesis, restriction point (G1/S)
S6–8 a.m.DNA replication (2n → 4n), histone synthesis
G23–4 hoursDNA verification, mitotic protein synthesis
M (Mitosis)1–2 hoursDivision of the nucleus then the cytoplasm
G0VariesQuiescent cells (neurons, cardiomyocytes) or in differentiation

The cyclins (D, E, A, B) associate with CDKs (cyclin-dependent kinases) to control phase transitions. The inhibitory CDKs (p21, p27, p16) slow down the cycle.

🧬 Mitosis — The 5 phases

PhaseEvents
ProphaseChromosome condensation, nucleolus disappearance, start of the mitotic spindle
PrometaphaseNuclear envelope disruption, kinetochore attachment to spindle microtubules
MetaphaseChromosomes aligned on the equatorial plate (metaphase plate)
AnaphaseSeparation of sister chromatids, migration towards the poles
Telophase + CytokinesisChromosome decondensation, envelope reformation, cytoplasm division by the actin-myosin contractile ring

Result: 2 diploid daughter cells genetically identical to the mother cell.

🧪 Meiosis

The meiosis is a specialized cell division of germ cells producing 4 haploid cells (n=23) genetically diversified from one diploid cell (2n=46).
Cell 2n → Meiosis I (reductional) → 2 n cells (2 chromatids)
→ Meiosis II (equational) → 4 n cells (1 chromatid)

Prophase I (long, 4 stages): leptotene → zygotene (synapsis) → pachytene (crossing over / recombination) → diplotene → diakinesis.

Crossover: exchange of segments between homologous chromosomes → genetic mixing → genetic diversity.

Spermatogenesis: 1 2n cell → 4 spermatids → 4 functional spermatozoa.
Oogenesis: 1 2n cell → 1 oocyte II + 1 polar body I → 1 egg + 3 polar bodies (non-functional).

Meiosis errors (non-disjunction) cause chromosomal abnormalities: Trisomy 21 (Down), 47 XXY (Klinefelter), 45 X (Turner).

🔒 Cell cycle checkpoints

CheckpointKey regulatorRole
G1/S (restriction)p53, Rb, p21DNA integrity, cell size
G2/MCDC2-cyclin B complexComplete DNA replication verification
Spindle assemblyBubR1, Mad2Correct kinetochore-microtubule attachment

p53 (“guardian of the genome”): TP53 mutation present in ~50% of human cancers. In the event of DNA damage: p53 activates p21 → cycle arrest → repair or apoptosis.

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Chapter 13Extracellular Matrix (ECM)

🕸️ Definition and roles

The extracellular matrix (ECM) is a complex macromolecular network that fills the space between cells. It provides structural support and influences cellular behavior (proliferation, differentiation, migration, apoptosis).

🧱 Main components

MoleculeTypeRole
CollagenFibrous protein (28 types, I the most abundant)Tensile strength, structure, healing
FibronectinGlycoproteinCell-ECM adhesion (integrin binding), cell migration
LamininGlycoproteinMajor component of the basal lamina, differentiation
ElastinFibrous proteinElasticity (vessels, lungs, skin)
ProteoglycansCore protein + glycosaminoglycans (GAG)Hydration, filtration, signaling, resistance to compression
Hyaluronic acidUnsulfated GAGSynovial fluid viscosity, hydration

🏗️ Basal lamina

The basal lamina is a specialized form of ECM organized in a continuous sheet beneath epithelia, muscle cells and neurons. Composed mainly of laminin, collagen IV, nidogen and perlecan.

Roles: support of epithelia, filtration (renal glomerulus), epithelial/connective tissue separation, control of cell migration.

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Chapter 14Apoptosis & Cancer Cell

💀 Apoptosis – programmed cell death

Theapoptosis is a process of programmed cell death, genetically controlled, necessary for development, tissue homeostasis and the elimination of damaged cells. To be distinguished from the necrosis (accidental death, inflammatory).

Morphological characteristics of apoptosis:

  • Cell shrinkage
  • Chromatin condensation
  • DNA fragmentation
  • Formation of apoptotic bodies
  • Phagocytosis without inflammation

Trigger routes:

  • Intrinsic pathway (mitochondrial): cellular stress → Bax → cytochrome c release → apoptosome → caspase 9 → effector caspases (3, 6, 7)
  • Extrinsic pathway (death receptors): FasL/Fas, TNF → caspase 8 → effector caspases

Proteins anti-apoptotic : Bcl-2, Bcl-XL. Proteins pro-apoptotic : Bax, Bak, Bad, Bid. The Bcl-2/Bax balance determines cell fate.

☠️ Cancer cell

The cancer is a genetic disease (somatic mutations) characterized by uncontrolled cell proliferation, resistance to apoptosis and an ability to invade other tissues (metastases).

Cancer Hallmarks (Hanahan & Weinberg):

  • Self-sufficiency in growth signals (oncogenic mutations: RAS, HER2)
  • Insensitivity to antiproliferative signals (loss of Rb)
  • Resistance to apoptosis (Bcl-2 overexpression, p53 loss)
  • Unlimited replicative potential (activation of telomerase)
  • Angiogenesis (VEGF)
  • Invasion and metastasis (E-cadherin loss, MMP activation)
  • Metabolic reprogramming (Warburg effect: aerobic glycolysis)
  • Immune escape
Proto-oncogenes → Oncogenes: normal growth-stimulating genes which, mutated, are hyperactive (e.g. RAS, MYC, HER2).
Tumor suppressor genes: slow down the cell cycle. Their loss = tumor (eg: p53, Rb, BRCA1/2).

📌 Summary — Key points to remember

  • Prokaryote: no nucleus, 70S ribosome, bare circular DNA
  • Eukaryote: membrane nucleus, 80S ribosomes, membranous organelles
  • Virus: acellular, obligate intracellular parasite, no metabolism of its own
  • Plasma membrane: lipid bilayer + proteins (fluid mosaic model)
  • Na⁺/K⁺ pump: 3 Na⁺ out, 2 K⁺ in, consumes ATP
  • Lysosome: acid hydrolases, pH 4.5 – intracellular digestion
  • Mitochondrion: double membrane, cristae, Krebs cycle, respiratory chain → ATP
  • Maternally inherited mtDNA, mitochondrial 70S ribosomes
  • Nucleus: pores, lamina (laminas), nucleolus (rRNA), chromatin (nucleosomes)
  • Cell cycle: G1-S-G2-M, controlled by cyclins/CDK and restriction points
  • p53: guardian of the genome, mutated in ~50% of cancers
  • Meiosis: genetic mixing, 4 haploid cells
  • Apoptosis ≠ Necrosis: programmed death, without inflammation
  • Cancer: accumulation of mutations, 8 hallmarks