Glossary
44 key terms · definitions · clinical pearls
Acute Inflammation
Rapid, short-lived response to injury with vascular changes, edema, and neutrophil infiltration. Cardinal signs: rubor, calor, tumor, dolor, functio laesa.
Anaplasia
Loss of structural and functional differentiation. Hallmark of malignancy.
Angiogenesis
Formation of new vessels. Essential for tumors >1–2 mm.
Apoptosis
Programmed, ATP-dependent cell death with intact membrane, cell shrinkage, chromatin condensation, apoptotic body formation. Does NOT trigger inflammation.
Autophagy
Cellular self-digestion: autophagosome → fuses with lysosome → degrades damaged organelles. Activated by starvation (AMPK↑, mTOR↓).
Autosomal Dominant
One mutated allele is sufficient. Affects both sexes, vertical transmission, 50% offspring risk.
Autosomal Recessive
Both alleles mutated. Carrier parents asymptomatic; 25% affected offspring; horizontal pattern in siblings.
BCL-2 Family
Regulators of mitochondrial apoptosis. Pro-apoptotic: BAX, BAK, BID, BIM. Anti-apoptotic: BCL-2, BCL-XL, MCL-1.
Caseous Necrosis
Cheese-like, friable necrotic tissue with granulomatous inflammation.
Chronic Inflammation
Prolonged response with macrophages, lymphocytes, plasma cells, tissue destruction, repair, fibrosis.
Coagulative Necrosis
Tissue architecture preserved as 'tombstones' due to protein denaturation. Most ischemic infarcts.
Diabetes Mellitus
Group of metabolic disorders with chronic hyperglycemia from defects in insulin secretion, action, or both.
DiGeorge Syndrome
22q11.2 deletion. CATCH-22: Cardiac, Abnormal facies, Thymic aplasia, Cleft palate, Hypocalcemia.
EMT
Epithelial-Mesenchymal Transition: loss of E-cadherin, gain of N-cadherin/vimentin, gain of motility.
Exosome
30–150 nm extracellular vesicle derived from MVB. Carries proteins, mRNA, miRNA.
Fragile X
Most common inherited intellectual disability. CGG trinucleotide expansion in FMR1 (Xq27.3).
Gangrenous Necrosis
Ischemic necrosis of a limb. Dry: coagulative. Wet: superimposed bacterial liquefactive.
Granuloma
Focal collection of epithelioid macrophages, often with multinucleated giant cells and lymphocytes.
Hyperplasia
Increase in cell number. Physiologic (endometrium) or pathologic (endometrial hyperplasia).
Hypertrophy
Increase in cell size. Common in non-dividing cells (cardiac, skeletal muscle).
Imprinting
Parent-of-origin-specific gene expression via differential methylation.
Klinefelter Syndrome
47,XXY. Tall stature, gynecomastia, small testes, infertility, learning issues.
Knudson Two-Hit
Tumor suppressors require biallelic inactivation. Familial cancers inherit one hit.
Leukemia
Malignant clonal proliferation of hematopoietic cells in bone marrow.
Liquefactive Necrosis
Tissue digested by enzymes → fluid/pus. Classic in brain infarcts and bacterial abscesses.
Marfan Syndrome
AD mutation in FBN1 → defective fibrillin-1 → weak elastic tissue.
Metaplasia
Replacement of one mature cell type with another. Reversible if stimulus removed.
Metastasis
Spread of malignant cells from primary to distant site.
MYC
Transcription factor proto-oncogene. Translocation t(8;14) in Burkitt lymphoma.
Necrosis
Accidental, ATP-deplete cell death with membrane rupture and inflammation.
Neutrophil
First responder of acute inflammation. Phagocytic; releases NETs.
Oncogene
Mutated proto-oncogene with gain-of-function driving proliferation.
p53 (TP53)
'Guardian of the genome'. Senses DNA damage → arrest (p21), repair, or apoptosis (BAX↑).
PTEN
Lipid phosphatase that opposes PI3K. Loss → constitutive AKT signaling.
RB1
Retinoblastoma protein. Binds E2F → blocks G1→S transition until phosphorylated.
Reed-Sternberg Cell
Large bi/multinucleated B-cell with 'owl-eye' nuclei. Diagnostic for Hodgkin lymphoma.
Sickle Cell Disease
AR HbS: Glu→Val at position 6 of β-globin. Sickling under deoxygenation, acidosis, dehydration.
Tamoxifen
Selective Estrogen Receptor Modulator. Antagonist in breast, agonist in endometrium/bone.
Thalassemia
AR. Reduced synthesis of α or β globin chains → microcytic anemia.
Trisomy 21
Down syndrome. Most common chromosomal disorder. Maternal age risk factor.
Tumor Suppressor Gene
Gene whose loss-of-function promotes cancer. Requires biallelic inactivation.
Turner Syndrome
45,X. Short stature, primary amenorrhea, streak ovaries, webbed neck.
VEGF
Vascular Endothelial Growth Factor. Master regulator of angiogenesis.
X-Linked Recessive
Males hemizygous, affected. Females heterozygous = carriers. No male-to-male transmission.