Pathology
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Pathology"
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A renal cell carcinoma (chromophobe type) viewed on a hematoxylin & eosin stained slide
A renal cell carcinoma (chromophobe type) viewed on a hematoxylin & eosin stained slide
Bacteriology: Agar plate with bacterial colonies.
Bacteriology: Agar plate with bacterial colonies.
This mastectomy specimen contains an infiltrating ductal carcinoma of the breast. A pathologist will use immunohistochemistry and fluorescent in-situ hybridization to detect markers which determine the optimal chemotherapy regimen for this patient.
This mastectomy specimen contains an infiltrating ductal carcinoma of the breast. A pathologist will use immunohistochemistry and fluorescent in-situ hybridization to detect markers which determine the optimal chemotherapy regimen for this patient.

Pathology is the study and diagnosis of disease through examination of organs, tissues, bodily fluids and whole bodies (Autopsy). The term also encompasses the related scientific study of disease processes, called General pathology.

Medical pathology is divided in two main branches, Anatomical pathology and Clinical pathology. Veterinary pathology is concerned with animal disease whereas Phytopathology is the study of plant diseases.

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History of pathology

Main article: History of pathology

The history of pathology can be traced to the earliest application of the scientific method to the field of medicine, a development which occurred in the Middle East during the Islamic Golden Age and in Western Europe during the Italian Renaissance. The first physician known to have made postmortem dissections was the Arabian physician Avenzoar (1091–1161). Rudolf Virchow (1821-1902) is generally recognized to be the father of microscopic pathology. Most early pathologists were also practicing physicians or surgeons.

General pathology

Main article: General pathology

General pathology, also called investigative pathology, experimental pathology or theoretical pathology, is a broad and complex scientific field which seeks to understand the mechanisms of injury to cells and tissues, as well as the body's means of responding to and repairing injury. Areas of study include cellular adaptation to injury, necrosis, inflammation, wound healing and neoplasia. It forms the foundation of pathology, the application of this knowledge to diagnose diseases in humans and animals.

The term "general pathology" is also used to describe the practice of both anatomical and clinical pathology.

Pathology as a medical specialty

Pathologists are physicians who diagnose and characterize disease in living patients by examining biopsies or bodily fluid. The vast majority of cancer diagnoses are made or confirmed by a pathologist. Pathologists may also conduct autopsies to investigate causes of death. Pathology is a core discipline of medical school and many pathologists are also teachers. As managers of medical laboratories, pathologists play an important role in the development of Laboratory information systems. Although the medical practice of pathology grew out the tradition of investigative pathology, most modern pathologists do not perform original research.

Pathology is a unique medical specialty in that pathologists typically do not see patients directly, but rather serve as consultants to other physicians (often referred to as "clinicians" within the pathology community). To be licensed, candidates must complete medical training, an approved residency program and be certified by an appropriate body. In the US, certification is by the American Board of Pathology. The organization of subspecialties within pathology vary between nations but usually include anatomical pathology and clinical pathology.

Anatomical pathology

Main article: Anatomical pathology

Anatomical pathology (Commonwealth) or Anatomic pathology (U.S.) is a medical specialty that is concerned with the diagnosis of disease based on the gross, microscopic, and molecular examination of organs, tissues, and whole bodies (autopsy). The anatomical pathologist reports to doctors; he (she) does not usually see patients.

Anatomical pathology is itself divided in subspecialties, the main ones being surgical pathology, cytopathology and forensic pathology. To be licensed to practice anatomical pathology, one has to complete medical school, an approved residency program and be certified. In the U.S., the American board of Pathology certifies pathologists.

Anatomical pathology is one of two branches of pathology, the other being clinical pathology, the diagnosis of disease through the laboratory analysis of bodily fluids. Often, pathologists practice both anatomical and clinical pathology, a combination known as general pathology. Similar specialties exist in veterinary pathology.

Clinical pathology

Main article: Clinical pathology

Clinical pathology is a medical specialty that is concerned with the diagnosis of disease based on the laboratory analysis of bodily fluids such as blood and urine, using the tools of chemistry, microbiology, hematology and molecular pathology. Clinical pathologist work in close collaboration with medical technologists.

Clinical pathology is itself divided in subspecialties, the main ones being clinical chemistry, clinical hematology/blood banking and clinical microbiology.

Clinical pathology is one of the two major divisions of pathology, the other being anatomical pathology. Often, pathologists practice both anatomical and clinical pathology, a combination known as general pathology. Similar specialties exist in veterinary pathology.


Veterinary pathology

Main article: Veterinary pathology

Veterinary pathologists are doctors of veterinary medicine who specialise in the diagnosis of diseases through the examination of animal tissue and body fluids. Like for medical pathology, veterinary pathology is divided in two branches, anatomical pathology and clinical pathology. Veterinary pathologists are critical participants in the drug development process.

Plant pathology

Main article: Phytopathology
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For the journal, see Plant Pathology (journal).

Plant pathology (also called phytopathology) is the scientific study of plant diseases caused by pathogens (infectious diseases) and environmental conditions (physiological factors). Organisms that cause infectious disease include fungi, oomycetes, bacteria, viruses, viroids, virus-like organisms, phytoplasmas, protozoa, nematodes and parasitic plants. Not included are insects, mites, vertebrate or other pests that affect plant health by consumption of plant tissues. Plant pathology also involves the study of the identification, etiology, disease cycle, economic impact, epidemiology, how plant diseases affect humans and animals, pathosystem genetics and management of plant diseases. </onlyinclude>

Plant pathogens

The "Disease triangle" is a central concept of plant pathology for infectious diseases[1] . It is based on the principle that disease is the result of an interaction between a host, a pathogen, and environment condition.

Fungi

Powdery mildew, a Biotrophic Fungus
Powdery mildew, a Biotrophic Fungus
Rice blast, a necrotrophic fungus
Rice blast, a necrotrophic fungus

The majority of phytopathogenic fungi belong to the Ascomycetes and the Basidiomycetes.

The fungi reproduce both sexually and asexually via the production of spores. These spores may be spread long distances by air or water, or they may be soil bourne. Many soil bourne spores, normally zoospores and capable of living saprotrophically, carrying out the first part of their lifecycle in the soil.

Fungal diseases can be controlled through the use of fungicides in agriculture, however new races of fungi often evolve that are resistant to various fungicides.

Significant fungal plant pathogens

Ascomycetes

Basidiomycetes

    • Rhizoctonia spp.
    • Phakospora pachyrhizi Sydow; causes Soybean rust
    • Puccinia spp.; causal agents of severe rusts of virtually all cereal grains and cultivated grasses

Oomycetes

The oomycetes are fungal-like organisms that until recently used to be mistaken for fungi. They include some of the most destructive plant pathogens including the genus Phytophthora which includes the casual agents of potato late blight and sudden oak death.

Despite not being closely related to the fungi, the oomycetes have developed very similar infection strategies and so many plant pathologists group them with fungal pathogens.

Significant oomycete plant pathogens

Rice blast is hemibiotrophic

Bacteria

Crown gall disease caused by Agrobacterium
Crown gall disease caused by Agrobacterium

Most bacteria that are associated with plants are actually saprotrophic, and do no harm to the plant itself. However, a small number, around 100 species, are able to cause disease. Bacterial diseases are much more prevalent in sub-tropical and tropical regions of the world.

Most plant pathogenic bacteria are rod shaped (bacilli). In order to be able to colonise the plant they have specific pathogenicity factors. There are 4 main bacterial pathogenicity factors:

1. Cell wall degrading enzymes - used to break down the plant cell wall in order to release the nutrients inside. Used by pathogens such as Erwinia to cause soft rot.

2. Toxins These can be non-host specific, and damage all plants, or host specific and only cause damage on a host plant.

3. Phytohormones - for example Agrobacterium changes the level of Auxin to cause tumours.

4. Exopolysaccharides - these are produced by bacteria and block xylem vessels, often leading to the death of the plant.

Bacteria control the production of pathogenicity factors via quorum sensing.

Significant bacterial plant pathogens

Phytoplasmas ('Mycoplasma-like organisms') and spiroplasmas

Main article: phytoplasma
Vitis vinifera with "Ca. Phytoplasma vitis" infection
Vitis vinifera with "Ca. Phytoplasma vitis" infection

Phytoplasma and Spiroplasma are a genre of bacteria that lack cell walls, and are related to the mycoplasmas which are human pathogens. Together they are referred to as the mollicutes. They also tend to have smaller genomes than true bacteria. They are normally transmitted by sap-sucking insects, being transferred into the plants phloem where it reproduces.

Viruses, viroids and virus-like organisms

Main article: Plant Virus
Pepper mild mottle virus
Pepper mild mottle virus

There are many types of plant virus, and some are even asymptomatic. Normally plant viruses only cause a loss of yield. Therefore it is not economically viable to try to control them, the exception being when they infect perennial species, such as fruit trees.

Most plant viruses have small, single stranded RNA genomes. These genomes may only encode 3 or 4 proteins: a replicase, a coat protein, a movement protein to allow cell to cell movement and sometimes a protein that allows transmission by a vector.

Plant viruses must be transmitted from plant to plant by a vector. This is normally an insect, but some fungi, nematodes and protozoa have been shown to be viral vectors.

Nematodes

Nematodes are small, multicelluar wormlike creatures. Many live freely in the soil, but there are some species which parasitize plant roots. They are mostly a problem in tropical and subtropical regions of the world, where they may infect crops. Root knot nematodes have quite a large host range, whereas cyst nematodes tend to only be able to infect a few species. Nematodes are able to cause radical changes in root cells in order to facilitate their lifestyle.

Protozoa

There are a few examples of plant diseases caused by protozoa. They are transmitted as zoospores which are very durable, and may be able to survive in a resting state in the soil for many years. They have also been shown to transmit plant viruses.

When the motile zoospores come into contact with a root hair they produce a plasmodium and invade the roots.

Parasitic plants

Parasitic plants such as mistletoe and dodder are included in the study of phytopathology. Dodder, for example, is used as a conduit for the transmission of virues or virus-like agents from a host plant to either a plant that is not typically a host or for an agent that is not graft-transmissible.

Physiological plant disorders

Significant abiotic disorders can be caused by:

Natural
Drought
Frost damage, and breakage by snow and hail
Flooding and poor drainage
Nutrient deficiency
Salt deposition and other soluble mineral excesses (e.g. gypsum)
Wind (windburn, and breakage by hurricanes and tornadoes)
Lightning and wildfire (also often man-made)
Man-made (arguably not abiotic, but usually regarded as such)
Soil compaction
Pollution of air and/or soil
Salt from winter road salt application
Herbicide over-application
Poor education and training of people working with plants (e.g. lawnmower damage to trees)
Vandalism

Epidemiology

Management

  • Quarantine
  • Cultural
  • Plant resistance
  • Chemical
  • Biological
  • Integrated

See also

References

  1. ^ George N. Agrios (1997) Plant Pathology fourth edition, Academic Press. New York.

Further reading

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