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Chapter 19


                19 DEVELOPMENT: BIRTH THROUGH DEATH

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            Overview

            O     ur Birth to Death chapter is an all encompassing review of the physiological changes that occur

                  throughout a normal life span. In determining what a normal life consists of we included functions
            that are likely to happen to a large percentage of the population. While any one person is not likely to
            experience all of the events listed in this chapter they will undoubtedly go though some of the
            processes.




            Apoptosis


                 Apoptosis is the process of regulated cell death and removal. In some cases cell damage can trigger
            apoptosis, but it is usually a normal function of the cell. Apoptosis results in controlled auto digestion
            of the cells content. The cell membrane stays in place and the cells contents are not dispersed. When
            this process is near completion "eat me" signals, like phosphatidylserine, appear on the surface of the
            cell membrane. This in turn attracts phagocytic scavengers that complete the process of removing the
            dead cell without eliciting an inflammatory response. Unlike necrosis, which is a form of cell death that
            results from acute cellular injury, apoptosis is carried out in an ordered process that generally confers
            advantages during an organism's life cycle.

            Apoptosis Rates
                  The rate at which cells die varies widely between different cell types of the body. Some cells,
                  such as white blood cells, live for only a matter of hours where other cells can live an throughout
                  the entire lifetime of the host.

            Homeostasis
                  Apoptosis is a regulated function that results in a relatively consistent number of cells in the
                  body. This balancing act is part of the Homeostasis (see chapter 1) required by living organisms
                  to maintain their internal states within certain limits. An example of this is that blood cells are
                  constantly being replaced and apoptosis takes place to eliminate a simular number of older cells.

            Development
                  Apoptosis also plays a key role in growth and development. An example of how apoptosis
                  enables development is the differentiation of human fingers in a developing embryo. Apoptosis is
                  the function that enables the embryos fingers to separate.

            Disorders
                  Too much apoptosis causes cell-loss disorders such as osteoporosis, whereas too little apoptosis
                  results in uncontrolled cell proliferation, namely cancer.









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