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Intracellular Accumulations:
Following sublethal injury, cells may accumulate abnormal
amounts of various substances. These accumulations may be either temporary
or persistent and may be relatively harmless or cause further compromise
to the cell.
Mechanisms which may lead to intracellular accumulations
fall into three groups:
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A normal endogenous substance may be produced more
rapidly than the cell's rate of catabolism or export. Examples include
fatty change in hepatocytes in diabetes mellitus and following CCl4
exposure.
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A normal endogenous substance may accumulate because
it cannot be completely metabolised. For example, intralysosomal accumulation
of ceroid lipofuscin derived from peroxidation of membrane phospholipids
occurs in aged, atrophic or sublethally injured cells and in cells
from animals with inherited lysosomal enzyme defects (lysosomal storage
disorder).
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An abnormal exogenous substance may accumulate because
cells cannot degrade it. Examples include inhaled carbon and silica
particles and injected tattoo ink. These substances are usually phagocytosed
by but not degraded by macrophages.
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