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How do organisms work? Why does the human body look and function the way it does?
These are themes of INTEGRATIVE FUNCTION and EVOLUTION, with COMPARATIVE
BIOLOGY, EVOLUTIONARY HISTORY and ADAPTATION. SYSTEMS are sets of organs,
comprised of tissues, comprised of cells, which perform particular functions. They are
SKELETAL, RESPIRATORY, ENDOCRINE, DIGESTIVE, MUSCLUAR, NERVOUS,
CIRCULATORY, etc. HOMEOSTASIS is the regulation of stable internal body functions.
DARWIN’S BIG IDEAS: (1) In all populations there is variation. (2) Some variation is
heritable. (3) Organisms compete for limited resources with DIFFERENTIAL
SURVIVORSHIP. These all contribute to the property of NATURAL SELECTION, whereby
organisms with heritable variations that help them to survive and reproduce will be
more likely to pass on those variations, which gradually leads to change.
(1) We are all modified versions of each other, sharing many similarities. (2) More
closely related organisms tend to share the same novel features (demonstrated through
PHYLOGENY, a tree of TAXONOMIC RELATIONSHIPS). (3) Gradually, evolution
generates increasingly complex organisms made up of many parts that are beautifully
integrated.
EMBRYOLOGY is the study of developmental processes, helping to explain why and how
the body gets its shape. EVO-DEVO helps us to understand mechanisms by which
evolution generates new forms.
The body is a set of folding tubes and sheets, each deriving from the three initial layers
of cells. The body’s parts fit and work together because of how they grow, through a
branching process with many interactions between units. All vertebrates share basic
CHORDATE PLAN and novelties are modifications of this basic plan. The earlier you
alter development, the bigger the phenotypic consequences.
A ZYGOTE is a single cell, derive from two GAMETE CELLS, the SPERM and the EGG. The
human body with millions of cells has about 350 different kinds of cells, each with
membrane, cytoplasm and nucleus. All cells have four basic functions, multiplication,
movement, differentiation, and signaling.
FERTILIZATION occurs 12 to 24 hours after OVULATION. The one-cell stage is when
two PRONUCLEI from the sperm and the egg fuse to form the zygote. The two-cell stage
is the first CLEAVAGE, about 30 hours after ovulation, and cleavage continues as the
cells become smaller and form into a ball. At the four-cell stage, all cells are identical
(the Armadillo makes four identical babies from this stage). Cleavage requires stored
energy from the egg. The MORULA has 12 to 32 cells, the BLASTULA has 128 around a
central cavity, and the BLASTOCYST has 700-800, where they have already begun to
differentiate (the number of cells determine the names). The inner cell mass is the
EMRYOBLAST, the future organism, and the outer cell mass is the TROPHOBLAST, the
supporting structure (which becomes the PLACENTA in mammals). After the blastocyst
implants into the uterine wall via the trophoblast, the embryoblast divides into the
EPIBLAST (nearest to the wall), the future embryo, and the HYPOBLAST, the yolk sac.
GASTRULATION is the formation of the three GERM LAYERS or cell lineages common
to all animals through a process of MIGRATION (moving to different layers) and
DIFFERENTIATION (changing). In mammals the presence of the PRIMITIVE STREAK
will establish bilateral symmetry, determine the site of gastrulation, and initiates germ
layer formation. It grows from the CAUDAL (tail end) toward the middle in the
CEPHALIC (head) direction, when viewed from the top. During gastrulation, cells in the
midline of the epiblast go downwards and spread, as they migrate, they form two new
layers, the MESODERM and the ENDODERM. The epiblast layer is now called the
ECTODERM. In all chordates, the NOTOCORD is also formed from a stiffened rod of
mesoderm, the future core of the axial skeleton. The GUT TUBE is also created. ? The
germ layer derivatives for the ectoderm are the epidermis, nervous system, eyes, ears,
nose and most of the head, the endoderm is the digestive, respiratory, and most of the
endocrine, the mesoderm is skeletal tissue, muscle, circulatory, lymph and
reproductive.
To create an organism, it needs (1) a nervous system, (2) segments, and (3) a gut and
body cavity. The nervous system forms through NEURALATION, when the central
plate of ectoderm folds into a NEURAL TUBE, adjacent to the notochord. Incomplete
fusion of the neural tube results in SPINA BIFIDA. Lateral border stem cells differentiate
and migrate into mesoderm, becoming NEURAL CREST.
SEGMENTS are the key basis for complexity in the body plan. The HOMEOBOX or HOX
GENES are an array of 39 genes on 4 chromosomes, the order and pattern of expression
determining position and identity of SOMITES, paired masses of mesoderm distributed
along the left and right sides of the neutral tube and notochord that will be eventually
become dermis, skeletal muscle and vertebrae. The somites set up the central axis of the
body and play a key role in segmentation of other parts of the body, the number of
which differs among species (humans have 42). The mesoderm lateral to the somites
also differentiates, from inner to outer, being the PARAXIAL (vertebrate and muscles),
INTERMEDIATE (urogenital system), and the LATERAL PLATE (i.e. circulatory system,
limbs). The LATERAL PLATE mesoderm splits into the SOMATIC (body wall) layer on
the inner and the SPLANCHNIC (gut wall) layer on the outer, which fold around the
VENTRAL side of the embryo, meeting in the midline and forming a central body cavity
for organs called the COELOM, as well as a GUT TUBE. ? So far, this has produced a
central nervous system, a central axis, a segmented body and a gut.
The processes by which development occurs permit and promote complexity and
evolution change. The body has many MODULES (i.e. cells) that develop via a
HIERARCHIAL process with many interactions (i.e. growth) between modules, causing
INTEGRATION, when the parts become combined into whole. Because the modules
share basic components they can be recombined in new ways to create variations that
selection can act on, and since development is hierarchical there is a lot of opportunity
for change. For example, heads and limbs are evolutional novelties, generated by using
old cells and organs in a new way, with many distance modules that become highly
integrated with lots of opportunities for variation.
The neural tube also forms segments, the FOREBRAIN (PROSENCEPHALON), MID
BRAIN (MESENCEPHALON) and HINDRAIN (RHOMBENCEPHAON), above the SPINAL
CORD. Other parts differentiate into PRIMORDIAL SENSORY ORGANS (i.e. olfactory
cells, eyes, etc.). Neural crest cells from the upper lateral border that migrate into the
mesoderm are PLURIPOTENT (or differentiate into many types), and form much of the
head, going from the back of the head towards the front, over the top and around the
sides. The cells that go around the sides become the rest of the face and neck (around
the mouth and gut tube), called BRANCHIALARCHES. Each branchial arch has
everything it needs (nerve, blood vessel, ectoderm, mesoderm and endoderm), number
I goes from inner ear to lower jaw, II goes from inner ear to HYOID (top of voice box),
and pouch between the two remains as EUSTACHIAN TUBE. The cells that go over the
top become the CRANIAL VAULT and the upper face (around eyes, nose). These cells
interact with cells from the future eyes (OCCULAR PLACODE) and olfactory bulbs
(OLFACTORY PLACODES) to form structures of upper face above the mouth (opening of
gut tube). All these structures grow toward the midline and fuse. Incorrect fusion
results in CLEFT PALATE.
The ENDOCRINE SYSTEM deals with HORMONES (not DUCTS, can be permanently
altered), chemical mediators that are released from ENDOCRINE TISSUE that travel to
TARGET TISSUES and generate a response. They regulate various human functions
including, metabolism, growth and development, tissue function, and mood. The
endocrine system’s effects are slow to initiate and prolonged in their response, from a
few hours up to weeks. The field of study dealing with the endocrine system and its
disorders is ENDOCRINOLOGY, in internal medicine. The endocrine broadcasts from a
fixed source to dispersed targets, deals with coordination of physiology, integration of
physiology and behavior, and regulation of gene expression. There are ENDOCRINE
HORMONES and PARACRINE HORMONES, which are localized cell-to-cell interactions.
Hormones can be PEPTIDES (short amino acid chains, neurosecretion), or PROTEINS
(long amino acid chains, glandular secretion). Both are coded in genome, and utilize
membrane receptors. Because they are coded in the genome, peptide and protein
hormones evolve (i.e. varying binding affinity between human and pig insulin).
STEROIDS (i.e. adrenals, testes, ovaries) are small, lipid soluble, derived from dietary
precursors cholesterol, glandular secretion and utilize cytoplasmic receptors.
THYRONINES (i.e. thyroid) are small, lipid soluble, derived from dietary precursors,
glandular secretions, and cytoplasmic receptors. ? CATECHOLAMINES (i.e. brain) are
small, water-soluble, derived from dietary precursors, glandular neurosecretions, and
utilize membrane receptors. Although steroid molecules themselves don’t differ
between species, different species can use them differently. CORTICOSTERONE is the
rodent analog to human CORTISOL. CYTOPLASMIC RECEPTORS are intracellular,
directly regulate gene expressions, with steroids and thyronines, and are slower, than
MEMBRANE RECEPTORS, which regulate enzymes, with proteins, peptides and
catecholamines, and are faster. MEMBRANE RECEPTORS trigger actions that usually
involve cascading pathways of enzyme activation or inactivation, through which the
signal becomes amplified, altering the cell’s biochemical activity.
Hormonal signals are often passed along AXES of interacting organs or tissues,
upstream organs sending signals to downstream targets, which in turn send signals to
other targets, integrating diverse responses. There are multiple types of receptors of
hormones, and various hormones with various levels of affinity. Downstream hormones
usually FEEDBACK on the activity of upstream parts of the axis. If the feedback is
NEGATIVE or SUPPRESSIVE, the result is thermostat-like control, as in
THERMOREGULATION. If the feedback is POSITIVE or STIMULATORY, the result can be
runaway escalation. Negative feedback is generally more common, whereby the
circulating levels of the levels of hormones throughout the axis are maintained in a
target range unless some outside influence changes the thermostat setting. There are
few positive feedback systems because homeostasis is desired.
The POSTERIOR PITUITARY comes down from the brain during embryology; the
ANTERIOR PITUITARY comes up from the mouth. The posterior pituitary is wired to
the HYPOTHALAMUS. Peptide hormones (i.e. oxytocin) are secreted into the blood
stream directly from neurons projecting from nuclei of the hypothalamus. The anterior
pituitary has no direct connection, but receives peptide signals secreted by the
hypothalamus into a tiny vascular bed know as the HYPOPHYSEAL or PITUITARY
PORTAL SYSTEM. The anterior pituitary secretes protein hormones that target a host of
downstream organs and tissues, many of which respond by secreting hormones of their
own (i.e. luteinizing, follicle-stimulating, thyroid-stimulating, adrenocorticopic, human
growth). The coupling of the hypothalamus and the pituitary allows information
flowing into the central nervous system to be transduced into hormonal information to
pass along to the rest of the body.
In the HYPOTHALAMIC-PITUITARY-ADRENOCORTICAL (HPA) AXIS, the cycle is
CORTICOTROPIN RELEASING HORMONE (CRH) to ADRENOCORTICOTROPIC
HORMONE (ACTH) to CORTISOL. ? CRH is a peptide hormone, from the hypothalamus,
targeted to the anterior pituitary, for the function of releasing ACTH. ACTH is a protein
hormone, from the anterior pituitary, targeted to the adrenal cortex, for the function of
releasing cortisol. CORTISOL is a steroid hormone, from the adrenal cortex, to multiple
targets, for the function of inhibiting energy storage, reproduction, immunity and
releasing stored energy.
COTISOL doesn’t cause the emotional state, it carries information about the emotional
state to the body so that the body can react accordingly. It deals with the body’s
challenges by storing and regulating how energy is utilized, interactions with immune
system (inflammatory) and behavior, which can be acute or chronic. The HPA axis is
very damaging to the body and becomes hypo responsive (levels aren’t as high, is
slower, cortisol is deleterious). ? Cortisol levels fluctuate throughout the day, higher
with less fluctuation but always come back to the same level. Certain people in high
stress situations response to challenges when closely spaces different. Emotions cause
physiological response through endocrine chronic stress (i.e. bereaved, who have
higher levels of stress and anxiety, as well as higher levels of cortisol and ACTH). HPA
axis is differentially responsive to outside treatment depending on length of time (i.e.
bereaved, who have higher levels of cortisol and ACTH and lower lymphocyte mitosis
immediately following traumatic events). DEXAMENTHASONE is a synthetic
GLUCOCORTICOID that provides exogenous negative feedback to the hypothalamus.
The responsivity and regulation of hormonal axis must be evaluated (i.e. adult subject
with history of abuse trauma had increased anticipatory cortisol response before
cognitive challenge).
PREGNANCY is about women taking food and turning it into a baby. The body requires
fuel, which can be burned through CATABOLIC PROCESSES or used in building as in
ANABOLIC PROCESSES or stored for later, which also requires energy to maintain.
CORTISOL sends signals to tell the body what to do with fuel, and during pregnancy,
cortisol controls catabolic processes and retrieving fuel from storage and thus is a
METABOLIC HORMONE.
The PLACENTA is the FETAL MATERAL INTERPHASE, constantly moving resources such
as glucose, amino acids and oxygen from mother to fetus, from a CATABOLIC STATE in
the mother to an ANABOLIC STATE in the fetus, and moving waste such as urea and
carbon dioxide from fetus to mother. Mothers allocate energy taken in early in
pregnancy to storage on body as fat to be mobilized later in pregnancy to be given to
fetus. Fetus has accelerated growth sustained by maternal fat reserves. With the
INCOME STRATEGY of breeding (i.e. rodents, smaller mammals), mothers must take in
food during pregnancy and lactation in order to sustain pregnancy and infant once
born. If food is interrupted or decreased, reproductive effort will fail. In the CAPITAL
STRATEGEY of breeding, the mother eats a lot of food in advance of reproductive effort,
storing energy on the body as fat, and turning fat into babies. Humans are an
intermediate, relying on both stored energy and energy taken in.
IMPLANTATION occurs during a metabolic crisis that the conceptus is running out of
food, diffusion from the egg is inadequate and the uterine lining is about to be shed. The
OVARY releases the egg, in the FALLOPIAN TUBE the OVUM is FERTILIZED by
SPERMATOZUM, then CLEAVAGE occurs to MORULA and BLASTOCYST with
TROPHOBLAST, which will implant deeply in the ENDOMETRIUM of the UTERUS.
Hormones are preparing the ENDOMETRIUM to be able to support an implanted
conceptus should it arrive. Thickening of the endometrial lining is initially stimulated by
ESTROGEN from endocrine system in FOLLICULAR PHASE before the egg is released.
The FOLLICLE then releases ESTROGEN and PROGESTERONE during LUTEAL PHASE
for thickening and maintains the ENDOMETRIUM that will provide energy for the
conceptus. The abortion pill RU486 blocks PROGESTERONE receptors, causing the
endometrial lining to be unmaintained and therefore sheds, and also promotes
PROSTAGLANDINS that stimulates smooth muscle contractions and soften cervix that
makes it a hostile environment to conceptus. HUMAN CHORIONIC GONADOTROPIN
(HCG) makes the body aware that conception and implantation has occurs, therefore
used in pregnancy tests, also keeping the corpus luteum alive and pumping out
progesterone until the placenta can take over.
Drugs consumed during pregnancy can cross the placenta and affect the embryo in its
development (i.e. Thalidomide for anti-nausea medication stunts arm and leg growth).
If RH- woman and an PH+ man conceive a child, which results in a RH- woman with an
RH+ fetus, cells from the RH+ fetus enter the mother’s bloodstream and the mother
becomes sensitive with antibodies to fight RH+ blood cells, such that in the next RH+
pregnancy the maternal antibodies attack fetal RBCs, resulting in ERYTHROBLASTOSIS
FETALIS. High prevalence of RH+ may be maintained through evolution in gene pool
because could possibly protect against TOXOPLASMOSIS with heterozygotes, which also
causes spontaneous abortion as well as other issues. Risk of pregnancy failure
decreases as pregnancy continues, early development is sensitive to toxins and also has
the essential steps of development. IN VITRO is complex in attempting to recreate
maternal environment.
MARSUPIALS (mammals) do not have a placenta, so no pathway between mother and
child after conceptus runs out of food, so born early in embryonic development with
arms to climb to mother’s nipple where it will continue to develop while being
sustained with milk. There are placental and marsupial analogues, with the exception of
hoofed animals because of the intense selective pressure on hands that grip.
PLACENTAS are the most morphological variable organs among mammalian taxa (i.e.
discs in primates and rodents, bands of tissue in carnivores, round patches in sheep,
diffusely covering the uterine wall in horses, pigs and cetaceans). The UMBILICAL CORD
delivers well-oxygenated blood to embryo with UMBILICAL VEIN and return embryonic
blood to placenta with UMBILICAL ARTERIES. CHORIONIC VILLI contain embryonic
blood vessels that the maternal blood bathes directly, and the blood in the intervillous
space is exchanged 2 to 3 times per minute. PLACENTA is part of the endocrine system
and generates own hormones to communicate and receptors to receive signals for both
mother and fetus. In mammals, the EPITHELIOCHORIAL placenta is the least invasive. It
adheres to the epithelial lining of the uterine wall without penetrating and having no
contact with underlying material vasculature. ENDOTHELIOCHORIAL is the next most
invasive, as the chorion penetrates the endometrial surface and is in contact with the
endothelium of maternal vessels but is not immediately adjunct to maternal blood. The
HEMOCHORIAL is the most invasive, when the chorion penetrates the endometrial
epithelium and the deeper endometrial stoma to arrive in contact with maternal
vessels, penetrates the vessel walls, and placental tissue is in direct contact with
maternal blood. Within hemochorial, INTERSITIAL IMPLANATION is deeper, but even
deeper in humans. TROPHOBLASTS invade and remodel maternal vasculature, in
primates but especially in humans. Human fetuses require more PLACENTAL SURFACE
AREA, and are thus more invasive and require more surface area, suggesting that
relative to other primates fetal nutrient requirements are higher in human. Human
fetuses also have more GLUCOSE FLUX, requiring more energy and transferring more
energy. The problem with this system being so deep is there is no forced blood flow in
pool and no pipes, thus there is no COUNTER CURRENT EFFICIENCY. So to counter this
problem, one can raise MATERNAL BLOOD GLUCOSE LEVELS and UTERINE
PERFUSION PRESSURE. This then leads GESTATIONAL DIABETES, GESTATIONAL
HYPERTENSION and ECLAMPSIA. POSTPARTUM HEMORRAGE is leading cause of
maternal mortality worldwide, another possible side affect of deep implantations with
disruption of musculature. These risks are undertaken for the BRAIN, which is
metabolically expensive.
PARTURITION is triggered by another metabolic crisis, the fetus needs more energy
than the mother can provide across the placenta when the glucose transport costs
become too high. The fetus will begin to draw on its own fat supply to sustain brain,
with the baby’s own HPA axis. Positive feedback system initiates with CRH, ACTH and
cortisol, which also stimulates production of SURFACTANT in lungs for breathing. Other
hormones include RELAXIN, which soften the ligaments of the pelvis, and OXYTOCIN,
which synchronizes smooth muscle contraction.
LACATION is the defining characteristic of mammals. Little is know about lactation but
research comes from dairy science, cancer research and breast-feeding vs. formula
feeding. MAMMARY TISSUE begins to develop before sexual differentiation, and is
further promoted by female hormones in puberty. The ability to secrete fluids from
abdomen developed 250-300 millions of years ago as sweat glands, which may have
transferred hydration or immunofactors to porous eggs. MILK is the most variable fluid
that mammals produce. Lactation is about duration until weaning, frequency of nursing
bouts, size of litter and volume and composition of milk synthesis. Milk is composed of
milk fat globules with nutrients, essential vitamins (i.e. vitamin A), minerals, hormones
(i.e. cortisol), immunofactors (secretory immunoglobulin) and water. The composition
of milk depends on environment (i.e. high water content in desert, high fat as fuel in the
Artic for thermoregulation), diet, ontogeny or developmental priorities (i.e. protein for
growth, fat for blubber, sugar for slow growth as in brain growth for learning), and
phylogeny or evolutionary relationships with related species (i.e. humans and other
primates). Milk can also change in composition, from high in sugar for development as a
fetus to high in fat and proteins for energy (i.e. Kangaroos, which can also make both
kinds at the same time). Humans have a relatively slow developmental trajectory,
weaning our infants at younger ages than apes thus transfer more fat in a shorter
period of time in percentage energy from fat, and small proportion of our energy from
protein. Human attributes take a long time to develop. The bigger the species, the
slower it grows, the more dilute the milk is.
Until puberty, the mammary FAT PAD grows normally, then ESTROGEN and
PROGESTERONE stimulate the branching growth of the DUCT and TEB. During
pregnancy, PROLACTIN, PROGESTERONE and PLACENTAL LACTEGEN promote further
growth of ALVEOLAR at implantation, to develop during 39 weeks until ALVEOLI are
mature, which are condensed into LOBULES. Milk is secreted by LUMINAL CELLS when
MYOEPITHELIAL CELLS contract, stimulated by OXYTOCIN. The secretory pathways
through which materials enter the milk are exocytosis (i.e. proteins and sugars), lipids,
apical transport (i.e. Na, K, Cl, sugars, H2O), transcytosis (i.e. immunoglobulins) and
paracellular. The PLACENTRA produces a lot of progesterone, so once the placenta
leaves, milk synthesis is stimulated. The stages of lactation are LACTOGENESIS 1,
SECRETORY ACTIVATION and INVOLUTION. LACTOGENESSIS 1 produces COLOSTRUM
or the initial milk produced with very little energetic content for nutrition. It contains
sugars and immunofactors, with high concentrations of the protective protein
LACTOFERRIN and IMMUNOGLOBULINS sIgA, because when baby is born, the digestive
tract is sterile so milk is to feed and promote establish of beneficial gut bacteria,
allowing HUMORAL IMMUNITY in the early post-partum period which is important in
protection of mucosal surfaces from intestinal tract. SECRETORY ACTIVATION occurs 1-
3 days after birth with copious milk production, when volume, fat and protein increases
and becomes comprehensive for diet. INVOLUTION is the regression of mammary tissue
to a non-secreting state with the disappearance of much of the epithelial tissue, and a
complex interaction between physiology and behavior. The more frequently and
completely the mammary gland is evacuated, lactose synthesis is stimulated, and water
is pulled into mammary glad, increasing the volume of milk; as WEANING occurs, and
nursing becomes less frequent, milk production is down regulated. During FEEDING, the
amount of protein and carbs stay stable, but fat increases.
POST-NATAL CHALLENGES include behavioral activity and temperament. For infants
during early development, the more calories that are received from milk, the more
behaviorally active you are and the better at coping with new situations, and also are
more confident, playful, exploratory, active and curious. Milk must shape the brain,
because behavior is mediated through the brain. CORTISOL in milk reflects peripheral
bloodstream circulation in mother, stimulates protein synthesis in mammary glands.
Infants have glucocorticoid receptors in the stomach, which decreases during weaning,
thus must be there to bind ingested cortisol. In rats, higher density of glucocorticoid
receptors in hippocampus helps in negative feedback of HPA axis, thus helps in dealing
with stressful situation, as well as monkeys with playful behavior in stressful situations,
but only with males. However, research did not integrate cortisol with available milk
energy, though cortisol regulates digestion, energy use and metabolic processes. What
are the effects that are hormonally driven as opposed to nutritionally driven? Another
is immunological challenges. Milk also affects the INTESTINAL MICROBIOME or
COMMENSAL BACTERIA in intestine, which fights pathogens and helps to absorb
minerals. Microbial communities established in infancy, such as the BIFIDOBACTERIUM
INFANTIS, which helps infants digest HUMAN MILK OLIGOSACCHARIDES. Humans
produce more oligosaccharides, although substantial individual variation in
oligosaccharide profiles within species remains unexplained. Commensal bacteria are
present and probably translocated in milk but through an unknown pathway. Microbes
that prevent ROTOVIRUS are present in milk. Breast milk is personalized from mother
to infant based on diet, pathogens and antibodies, hormonal state, and bacteria. Its
composition is personalized with various amounts of energy, minerals, hormones,
vitamins, immunofactors and water. Breast milk is effective at promoting health.
The evolution of the SPINAL NERVE PATTERN starts with lampreys, which does not
have a single combined SPINAL NERVE (separate ventral and dorsal roots).
The intracellular RESTING MEMBRANE POTENTIAL is recorded at -70mV in reference to
the extracellular fluid. Only a very thin shell of charge difference is needed to establish a
membrane potential. The interior is negatively charged compared to the exterior due to
differences in ion concentrations. There are selective ion channels in the membrane,
including voltage-gated Na+ and K+ channels. Sodium channels can be open, inactive
(with INACTIVATION REGION when channel is open but nothing can pass) and closed,
while potassium can only be open or closed. Ion channels that utilize diffusion down a
concentration gradient also need pumps to maintain relative concentration gradients.
Ion concentrations and diffusivity through the nerve cell membrane can be used to
predict the resting membrane potential using the NERNST AND GOLDMAN EQUATIONS.
In a typical nerve cell, NA+ is at 150 mmol/L and CL- is at 110 mmol/L in the
extracellular; K+ is at 150 mmol/L in the intracellular.
Some MEMBRANE CHANNELS change conformation in response to voltage change in
the surrounding membrane, which are called VOLTAGE-GATED; others change
conformation in response to binding by an ion or other compound, called LIGAND-
GATED. They are selective in which ions pass through the pore in the center and amino
acid charges around the pore can attract specific ions. They may have deactivated,
inactivated, and activated states. In the SODIUM-POTASSION PUMP model, 3 NA+ ions
move out and 2 K+ ions move in, using the splitting of ATP (into ADP and Pi) to power
the protein conformational change.
GRADED POTENTIALS can be EXCITATORY when an action potential is more likely to
occur, as with DEPOLARIZATION after a stimulus of positive ions, or INHIBITORY when
an action potential is less likely to occur, as with HYPERPOLARIZATION after injecting of
negative ions or removal of positive ions. Potentials can be graphed on a voltage versus
time graph. The size of a graded potential is proportional to the size and strength of the
STIMULUS and amount of depolarization. Graded potentials are small, local changes in
membrane potential and decay as they move over a distance, and are usually about 0.5
mV. They are also additive with multiple injects of ions, called SUMMATION.
ACTION POTENTIALS are rapid, high-altitude, large magnitude changes in membrane
potential, usually 100 mV in 3 ms. They do not summate and are usually identical to
each other, thus all-or-none sequence of changes in membrane potential, as well as an
example of positive feedback. ? -55 mV is considered a THRESHOLD VALUE, which is a
15mV change needed to open sodium channels and once open, there is a rapid influx of
sodium ions to depolarize the cell (without a way to stop it). After a certain period of
time, the sodium channels are inactivating, while the potassium channels open (slower
to open because of amino acid structure and stay open for longer) and allow potassium
to flow out, thus hyperpolarizing past resting potential. Sub threshold will never
stimulate but once done they go to the same height and doesn’t matter how far over
threshold it can go. Then pumps work to restore the original balance. They result from a
sequence of changes in ion permeability due to the operation of voltage-gated Na+ and
K+ channels. The rapid or initial opening of the voltage-gated Na+ channels allows
rapid entry of Na+, and the slower or secondary opening of voltage-gated K+ channels
allows K+ to exit. All action potentials with THRESHOLD STIMULI, or stimuli strong
enough to cause depolarization, all reach the same membrane potential.
As ions flow from one region to another, it will stimulate and depolarization the next
region further down. The propagation of the action potential from the dendrites to the
axon-terminal end is typically one-way because the ABSOLUTE REFRACTORY PERIOD
follows along in the wake of the moving action potential and the action potential starts
at the neuron’s INITIAL SEGMENT. The region behind the action potential, the sodium
channels are inactivated and impossible to stimulate. RELATIVE REFARACTORY
PERIOD enables you to generate another action potential with a strong enough
stimulus, relative to the absolute refractory period. SALTATORY CONDUCTION is when
the action potentials jump from one NODE OF RANVIER to the next as they propagate
along a myelinated axon (no channels under sheath).
The SYNAPSE is the point of communication between two neurons. CHMEICAL
SYNAPES have a SYNAPTIC CLEFT, which separates the two cells, and the
neurotransmitter, from synaptic vesicles, diffuses across the cleft to bind to receptors,
often ligand-gated ion channels, on the postsynaptic neuron membrane, which has a
POSTSYNAPTIC DENSITY, which is a region of many channels. The presynaptic axon
terminal has calcium voltage gated channels which open and allow calcium to flow in
and interact with proteins that causes vesicles containing transmit to fuse with
membrane, released into the cleft, travelling across, and bind to ligand-gated receptors
on post-synaptic cell. These are one-directional, after the enzymatic breakdown of
neurotransmitters to be reused prevents restimulation. An action potential in a
presynaptic neuron results in a graded potential in the postsynaptic neuron, thus
multiple action potentials are needed from the presynaptic cell to bring the
postsynaptic cell to threshold in order to fire an action potential. The influence the
transmitter has on the postsynaptic cell is dependent on identity and structure of
postsynaptic channel.
At an EXCITITAORY POSTSYNAPTIC POTENTIAL (EPSP), for which GLUTAMATE is the
main neurotransmitter, non-selective ion channels open and mostly Na+ ions move
down the gradient, stimulating depolarization. At an INHIBITORY POSTYNAPTIC
POTENIAL (IPSP), for which GABA and GLYCINE are the main neurotransmitters, Cl-
and K+ channels open, creating hyperpolarization. For neural integration, the
membrane potential of a real neuron typically undergoes many EPSPs and IPSPs, since
it constantly receives excitatory and inhibitory input from the many axon terminals that
reach it, from as many as 200,000 synapses each. Ion flows from all inputs SUMMATE or
average at the initial segment. TEMPORAL SUMMATION is firing the same EPSP multiple
times and summing them in time. SPACIAL SUMMATION is summing presynaptic action
potentials that differ in special arrangement. An action potential in the postsynaptic
neuron occurs if the membrane potential at the voltage-gated initial segment reaches
threshold.
SPINAL NERVES connect to the middle of muscle fibers, often multiple going to the same
muscle from the gray matter or cell bodies of spinal cord through voluntary somatic
motor neuron axons, stimulating every muscle fibers its attached to to contract.
MUSCLE TISSUE represents about 40% of body weight. MOTOR NERVE CELLS make
contact with muscle cells at the NEUROMUSCULAR JUNCTION. FASCICLES are bundles
of smaller subunit MUSCLE FIBERS in muscle cells, which also have nuclei and
mitochondria, confined in PERIMYSIUM (collagen connective tissue) sheaths. The fibers
are muscle cells, usually 10-60 micrometers in diameter, 2 to 10 (and up to 30) cm long,
which can be overlapped. The MYOFIBRILS (80% of muscle volume) are about 1
micrometer in diameter and made up of contractile MYOFILAMENTS with functional
units of striated, skeletal SACROMERE segments stacked end-to-end, which are 2.5
micrometers in length. ACTIN is 5 nm in diameter and MYOSIN is 12 nm in diameter
and TITIN is 26,926 amino acids and 5 micrometers in diameter.
When a muscle contracts, sarcomeres shorten and the Z-DISCS or Z-LINES (which
delimit sarcomeres with proteins) come towards center or the M-LINE, which connect
the middle of the thick filaments with proteins at the middle of the sarcomere. High
resolution ELECTRON MICROGRAPH reveals that each MYOFIBRIL is made up of
parallel filaments. These are MYOSIN or THICK FILAMENTS, and ACTIN or THIN
FILAMENTS, both also proteins. Actin is a polymer of globular actin molecules in a
double helix structure, which make up thin filaments. 200 to 300 myosin molecules are
stacked in a circular pattern with tail, neck and head. Each myosin itself is a helical
structure with two heads. Thick filaments are between thin filaments, which are
attached to the Z-lines. These two filaments are linked at intervals called CROSS
BRIDGES, which project up and down from the thick filaments at the MYOSIN HEADS or
ratchets. Thick filaments also have TITIN molecules, which extend into myosin and
attach to Z-line (and possibly to M-line) in spring-like fashion, which is an important.
TITIN is a very big protein responsible for the elastic properties of muscle, also for the
patterning and development of muscle. During contraction the myosin heads bind to
actin and the cross bridges flex to slide actin. Each head exerts a force of 1 pN and
moves actin about 10 nm. Small efforts but many. Thick filaments have a 3D structure
with myosin molecules arrayed around the circumference of the thick filament. The
thick filament is actually a polymer of myosin molecules, each of which has a flexible
cross bridge that binds both actin and ATP. Muscle myosin is a dimer of two identical
motor heads, with catalytic cores. One head binds actin, the other binds ATP to power
movement.
The SLIDING FILAMENT MECHANISM OF MUCLE CONTRACTION happens with
conformational changes in the structure of the heads of myosin. The CROSS-BRIDGE
CYCLE generates force in a muscle (1) when the myosin binding site on the actin
becomes available so the energized cross-bridge binds (2) the full hydrolysis and
departure of Pi and then ADP causes the flex of the bound cross-bridge with energy
from split causing sliding (3) the binding of a new ATP to the myosin head at the cross
bridge releases the myosin from the actin (i.e. at death muscles are stiff because myosin
is still attached to actin without production of ATP, or rigor mortis) and (4) partial
hydrolysis of the bound ATP into ADP and Pi energizes and resets the cross bridge. One
ATP molecule is split by each cross bridge in each cycle, which takes only a few
milliseconds. During a muscle contraction, thousands of cross bridges in each sarcomere
go through this cycle, although the cross bridges are out of sync so there are always
many cross bridges attached at any one time to maintain force and make contraction
smooth.
In the absence of calcium or in a relaxed skeletal muscle, TROPOMYOSIN blocks the
myosin-binding site on the actin, preventing cross bridge attachment. Contraction is
allowed in an activated muscle when calcium ions bind to the TROPNIN COMPLEX with
3 binding sites or sub complexes (for actin, tropomyosin, and calcium ions) that then
changes conformation and removes tropomysoin from the actin cross-bridge binding
site. Calcium is crucial for regulation, which is controlled by the nerve.
MOTOR NERVE CELLS make contact with muscle cells at the NEUROMUSCULAR
JUNCTION. An action potential in the motor nerve axon causes all the innervated muscle
fibers to contract.
A single MOTOR UNIT consists of a motor neuron, motor nerve axon and all of the muscle
fibers it innervates. The NEUROMUSCULAR JUNCTION is the point of synaptic contact
between voluntary somatic nerve cells and muscle, with the axon terminal of a motor
neuron and the muscle fiber it controls. Action potentials flow down the axon, which is
often myelinated, to the axon terminal with voltage-gated calcium channels and vesicles
of acetylcholine. At the junction, which is approximately in the middle, the muscle fiber
membrane is a series of curves, which increase its surface area, which contain a series of
ligand-gated sodium channels. Activation of presynaptic calcium channels cause vesicles
to fuse with presynaptic membrane, exit through exocytosis and for the
neurotransmitters to bind to sodium channels, causing sodium to come flowing in.
Action potentials in the motor neuron cause ACETYLCHOLINE to be released into the
neuromuscular junction. Neuromuscular junctions are always EXCITATORY in skeletal
muscle (unlike neural, which could be both, no relaxation) and always excite the muscle
to threshold (no sub threshold stimulus). The END PLATE POTENTIAL is which is about
60 to 70 mV of depolarization at the MOTOR END PLATE in the junction. The outside of
the muscle cells is the muscle membrane SACROLEMMA, within which is many packed
myofibrils. The depolarization at the center spread to the left and right from the motor
end plate, travelling down the sarcolemma, which has T-TUBULUES or transverse
tubules, involutions which are consistent with the membrane. The end plate potential at
threshold depolarizes as a result of a single action potential throughout the T-tubules
into its interior. The SACROPLASMIC RETICULUM is full of calcium ions, connected to
the T-tubules via DHP RECEPTORS which transmits the depolarization by sensing
voltage change and causes calcium release (through change in its conformation) from
the sarcoplasmic reticulum via specialized voltage gated calcium channels called
RYANODINE RECEPTORS. These calcium ions are release into the cytosolic interior of
the muscle cell, around the myofibrils, which binds to the troponin, removes
tropomyosin and contracts the sarcomeres. The sarcoplasmic reticulum has CALCIUM
PUMPS that require ATP to pump cytosolic calcium released back into the cell, which
would otherwise constantly stimulate muscles and cross bridge cycling if not returned
to sarcoplasmic reticulum, eventually removing all calcium so that muscle may relax.
This process goes against a large concentration gradient, requiring many pumps and
much ATP.
The eyes of fast-moving predatory fishes (i.e. tuna) have modified muscle tissue next to
several of the eye muscles that acts as a heating system under neutral control to warm
the retina, which improves vision (FLICKER FUSION FREQUENCY) when fish dive to
cold water. The HEATER ORGAN is a modified eye muscle that has lost all muscle fibers
(no sarcomeres or myofibrils), are mitochondria and sacks of sarcoplasmic reticulum,
The cycling of calcium ion alone via calcium pump generates heat through cleavage,
breaking bonds of ATP (made by mitochondria), which can be maintained near the eye
with a countercurrent exchanger. They are innervated by the OCCULAR MOTOR NERVE.
This is the cellular basis of FUTILE CYCLING to produce heat.
WHOLE MUSCLE MECHANICS features a detached muscle attached to an apparatus. One
is a muscle attached to a weight, stimulated by a motor nerve that then shortens and,
with appropriate weight, the weight moves up. Downward force of mass and gravity
will be balanced by upwards force of muscle. ISOTONIC is the same tension or force
(with same mass). Muscle at the same length stimulated to contract generates force.
This is an ISOMETRIC or same length condition. Force/tension versus time graphs in
isometric conditions, produces a curve after a 2 ms delay between stimulation and
conduction. Muscles varies in peak contraction time, a function of how fast calcium can
be released, and relaxation time is a measure of how fast and how many calcium pumps
can remove free calcium to stop cross-bridge cycling. Fast contraction depends on fast
relaxation. Multiple stimulations from nerve create summations that are a result of
more calcium release and increments where pumps cannot keep up. Fast stimulations
result in greater force, eventually resulting in a maximum force or MAXIMUM
TETANTIC TENSION at TETANUS at 70 to 100 ppsec, while a single stimulus produces
TWITCH (3 to 5 times less than tetanus). To increase force, in addition to frequency, one
may also recruit more motor units by stimulating more neurons to stimulate more
muscles. If one varies the length in an isometric apparatus, one can measure the force at
various lengths. In a force/tension versus length plot is 100% is a muscle in a resting,
relaxed state. At a higher percentage when muscle is stretched, the maximum tetanic
force decreases, because fewer cross bridges can attach when actin and myosin is
pulled apart. At a lower percentage when muscle is squeezed, the maximum tetanic
force also decreases, because actin and myosin structure is deformed. This is an ACTIVE
TENSION CURVE in sarcomeres. PASSIVE TENSION CURVE of muscle (i.e. rubber band)
due to elastic properties of muscle, that increases exponentially from 0 at 100%. The
TOTAL TENSION is a summation of passive and active tension. The latent period
between excitation and development of tension in a skeletal muscle includes the time
needed to release calcium from sarcoplasmic reticulum, move tropomyosin and cycle
the cross bridges.
Under ISOTONIC conditions, with a fixed muscle stimulated with tetanic (high
frequency, 100 pulses per sec) to contact with various weights, one can measure
distance that the weight moves, which can be plotted on a distance versus time graph.
The maximum slope is the maximum VELOCITY or speed the muscle can contract. On a
graph of shortening velocity of the muscle versus weight. At a weight that is too heavy
for the muscle, the shortening velocity will be zero (ISOMETIC condition), and velocity
will increase as weight decreases in a hyperbola for a FORCE VELOCITY CURVE (i.e.
maximizing force of foot while running with low frequency).
The types of muscle are SKELETAL, CARDIAC and SMOOTH. Skeletal muscle is
STRIATED. SMOOTH MUSCLE is spindle shaped cells stacked into sheath, no troponin
and no striation (although actin and myosin). SMOOTH MUSCLE is innervated by
efferent, autonomic nerves (sympathetic and parasympathetic), which have
VARICOSITIES with neurotransmitters in SYNAPTIC VESICLES. Neurotransmitters
cover the surface of smooth muscle cells, no neuromuscular junction. No Smooth
muscle, similar to skeletal muscle fibers., is made up of THICK FILAMENTS (which are
myosin-based) and THIN FILAMENTS (which are actin-based), which interact to cause
smooth muscle contraction. No Z-DICS but DENSE BODIES. Smooth muscle can also
RELAX with different neurotransmitters, as well as contract to a “blob”. CARDIC
MUSCLE cells are connected electrically at junctions called INTERCALATED DISCS with
GAP JUNCTIONS (trans membrane proteins that can depolarize next downstream cell).
Cardiac muscle has distinct striations, so more like skeletal muscle than smooth muscle.
STRIATED SKELETAL MUSCLES have four types of design, STRAP, FUSIFORM,
UNIPENNATE, and BIPENNATE. Strap-like muscles tend to be compartmentalized to
work in parts, pull origin and insertion together. Fusiform collapse down to tendon.
Unipennate has tendons on each with fibers connecting across in an angular fashion,
with different like. FLEXORS and EXTENSORS work in antagonistic sets to refine
movement and to allow force generation in two opposite directions. They are often co-
activated to stabilize joints.
MOTOR RECUITMENT or action of vertebrate muscles is based on neural recruitment
(activation) of MOTOR UNITS, which are MOTORNEURONS plus the population of
muscle fibers (10 to 100) that the motor nerve innervates. Small muscles or muscles
with many motor units allow for finely graded increases in muscle, which allows for
greater control and increased precision of manipulation and grip. Individual motor units
consist of a similar muscle fiber type. Motor neuron axons come from the motor neuron
cell body within the spinal cord and go to muscle fibers.
Factors determining MUSCLE TENSION include (1) tension developed by each fiber in
action potential frequency (frequency-tension relation), fiber length (length-tension
relation), fiber diameter (generates more force) and fatigue, (2) number of active fibers
in number of fibers per motor unit and number of active motor units, and (3) muscle
fiber type (not all muscle fiber types are the same, but all the same in a motor unit).
MUSCLE FIBER TYPES include SLOW OXIDATIVE FIBER (RED-SO) (smaller), FAST
OXIDATIVE GLYCOLYTIC FIBER (FOG) and FAST GLYCOLYTIC FIBER (FG) (larger),
stained for activity of ATP on myosin head. Red fibers are slow contracting, well
supplied with oxygen, aerobic, resistance to fatigue, a lot of capillaries and
mitochondria (for slow running). White fibers are fast contracting, anaerobic and
generate more force. FOG are intermediate. FISH MUSCLE has been a model system for
studying muscle recruitment patterns due to the spatial segregation of muscle fiber
types, unlike human muscle, which is mixed (i.e. RED SO for slow, steady swimming and
WHITE FG for burst, fast swimming). When moving slow, red motor units will be
recruiting first, then moving faster using FOG, then fast using mostly white. The SIZE
PRINCIPLE of motor unit recruitment within a muscle is that the recruitment threshold
increases from low to intermediate to high in SO to FOG to FG from small, slow to large,
fast. Different muscles have different proportions of different types. Different fiber
types between muscles also affect their recruitment pattern (i.e. SO for posture vs.
FOG/FG running and jumping). All three types of muscle fibers are represented in a
typical skeletal muscle and a schematic cross section through a muscle can demonstrate
this. Under tetanic stimulation, these three types make different contributions to the
development of muscle tension, FG contributes most.
SIR CHARLES SCOTT SHERRINGTON contributed the concept of a REFLEX ARC, coined
the term SYNAPSE, was the first to isolate and analyze a single motor unit and
categorized the types of sensory receptors in the body. These SENSORY RECEPTORS are
INTEROCEPTORS (i.e. taste receptors), EXTEROCEPTORS (i.e. detect sound, light, touch)
and PROPRIOCEPTORS, which are any reports that are sensitive to movement, pressure,
or stretching within the body. Proprioceptors that occur in muscles, tendons and
ligaments are important for the coordination of muscular activity and the maintenance
of balance and posture (i.e. Golgi tendon organs and muscle spindles).
An example of reflexes is the neural components of the PAIN-WITHDRAWL REFLEX.
Pain sensory afferents detect pain in the foot (i.e. via pressure, temperature), causes
depolarization and send action potentials via afferent neurons to the CNS, where IPSPs
inhibit extensor muscle. Interneurons in the cord activate muscles to lift the leg and also
muscles on the opposite side of the body to support body weight, as well as signals to
brain. Muscles move the foot away from the painful stimulus. Acting on local reflex
circuits by relaying impulses to the brain, MUSCLE SPINDLES (length, inside muscle,
long and parallel to muscle) and GOLGI TENDON ORGANS (force, around tendon)
provide information about muscle length and force in order to regulate the speed and
intensity of muscle contraction, as well special recognition. Stretched muscle spindles
generate a burst of action potentials as the muscle is lengthened. Shortened muscle
spindles produce fewer action potentials. Frequency as relative. The Golgi tendon organ
sense muscle force as stretch in collagen fibers stretches the nerve cell membrane,
cause deploraztion by mechanical stretch-induced opening of ion channels and thus
causes an action potential that travels back to the CNS. Compared to when a muscle is
contracting, passive stretching of the relaxed muscle produces less stretch of the tendon
and fewer action potentials from the Golgi tendon organ.
ELECTROMYOGRAPHY is one way of studying muscle function in vivo, by needle or
surface electrodes (less accurate because have to read through skin which produces
average instead of specific numbers), which record membrane depolarization. Electrical
activity is multiphasic patterned and spike height (represent depolarization in mV) is
relative to the baseline, information about electrical activity and generation of force, not
specific to contraction or expanding. EMGs can assess the relative degree of activity and
in some cases, with statistical analysis of activity patterns, can be used to roughly assess
the amount of force generated by muscles. The muscle VASTUS LATERALLS, a knee
extensor in dogs, is acts like a strut (active stiffening element) during a walk and hardly
changes in length although much muscle electrical activity (isometric), which activated
when the foot is on the ground. During a gallop, the muscle functions both like a brake
and a motor. Muscles length when foot goes down and then shorten, while electrically
activity (so isotonic).
What are the sources of ATP supply (anaerobic vs. aerobic) in relation to exercise
intensity and behavior? How does this vary across species and thermoregulatory
physiology? How does metabolic rate vary with activity level and the time course of
energy supply? VO2 max or MAXIMAL OXYGEN CONSUMPTION defines AEROBIC
CAPACITY. How do genetics and training affect aerobic capacity? Evolution of
endurance running in human ancestors (hominids).
When O2 is available lactate can be reconverted to pyruvate and oxidized.
Locomotion is the dominant way that the human body uses energy, with ATP for the
contraction of muscle. Exercise is an immediate demand for energy, which is the start of
exercise, then a relatively constant rate of exercise and then an end (on a graph of
energy demand against time). The first source of energy is the pools of ATP already
available, next is phosphocreatine (PCr), which is a high-energy store in muscle, which
splits, supplies ADP and resynthesizes ATP for 30 seconds. Then glycolysis begins and
peaks within the first minute anaerobic ATP synthesis, thus keeping ATP at a constant
level with the energy demand by supplementation, until aerobic supply via oxidative
phosphorylation with increase of respiratory rate and increase in aerobic metabolism
which is then able to be maintained by aerobic metabolism which is STEADY STATE.
Creatine does not enhance aerobic performance. There is a delay (of 1 to 2 minutes)
before ATP can be supplied fully via aerobic metabolism, thus there is a time-course of
ATP supply following onset of exercise. ATP splits to power muscle contraction and ATP
resynthesizes. During contraction, ATP splits into ADP plus Pi for energy. ADP and PCr
are regenerated back to ATP and Cr (resynthesize by PCr). ATP and lactate are
generated through glycolysis or anaerobic respiration (always some amount of lactate
formed with glycolysis). ATP, CO2 and H2O are generated aerobic respiration in
mitochondria. ADP from muscle contraction diffuses into mitochondria and ATP
synthesized diffuses back out to myofilaments. In an expanded timetable the periods of,
(1) OXYGEN DEFICINCENY reflects depletion of ATP and PCr and the initial anaerobic
supply of ATP prior to steady state aerobic ATP supply (2) OXYGEN DEBT reflects post-
exercise elevated VO2 to payback depleted ATP and PCR pools, and metabolize
anaerobic end products (i.e. lactic acid), thus reestablishing resting physiological state
(slow decline), approximately equal out. SUSTAINABLE EXERCISE is within aerobic
capacity, when oxygen consumption VO2 is less than VO2 max (sustainable because no
lactate is produced). SPRINT EXERCISE is non-sustainable due to metabolic acidosis and
is large anaerobic ATP supply that require prolonged elevated recovery metabolism
(lactate produced by ongoing glycolysis for O2 deficit about VO2 max, exceeding VO2
max with demand for energy). SUSTAINED PERFORMANCE is limited by VO2 max
(although other cardiopulmonary factors involved in O2 transport also contribute)
though in actuality no one can exercise exactly at VO2 max) and depletion of glycogen
stores, or shifting shores of energy substrates (from glucose stores to fat with a more
limiting rate, and unsustainable as quickly or as high demand), such as “hitting the wall”
which muscle glycogen is depleted and reliance on lipid oxidation fails to meet ATP
demands despite adequate O2 supply to mitochondria. SPRINT PERFORMANCE is
limited by the anaerobic threshold, when lactate produced causes metabolic acidosis,
which cells and body when released into bloodstream.
The biological extremes of maximal aerobic energy expenditure between animals, such
as python which has a maximum energy expenditure occurs when it’s digesting its meal
(with nutrient uptake), rather than moving, unlike humans and most animals.
V is volume rate or CC/min.
Species differ in exercise performance (i.e. antelope with high aerobic capacity,
sustained activity and short recovery, and cheetahs with low aerobic capacity, brief
bursts of activity and prolonged recovery, VO2 max of dog is higher than VO2 max of
cat). ENDOTHERMS have an elevated body temperature and metabolic rate, because heat
from the metabolism keeps the body warm, thus enabling endurance exercise in birds
and mammals (oxygen debt is small). Higher temperatures result in higher rates of
reactions with enzymes, representing evolution selection for broader ranges of
temperature and active for longer periods of time, high-energy strategy. ECTOTHERMS
have variable body temperature and limited aerobic performance, because heat from
external sources like the sun warms the body, thus having non-sustained, burst exercise
in fish, amphibians and reptiles (oxygen debt is large). Approach is economical with
food intake less often, low-energy strategy (can increase capacity with increase in
muscle mass). Energetics of LOCOMOTION are the effects of speed, gait and body size,
with studies based on measurements of steady state VO2 (inhaled/expired, CO2
production, etc.). One can measure steady state VO2 while a person walks and runs on a
treadmill, measuring the effect of speed on rate of energy use, as on a graph of VO2 vs.
speed (m/s) on which oxygen consumption increases linearly with speed, until leveling
off of oxygen consumption at VO2 max. If the line is extrapolated downwards, there is a
start up cost slightly above the individual’s resting MR; if the line is extrapolated
upwards (above VO2) max, represents increase in lactate by glycolysis in unsustainable
activity. AEROBIC SCOPE is VO2 max/ resting MR (metabolic rate), factorial increase of
metabolism above resting level. Aerobic capacity is defined by VO2 max. The cost of
transport is energy/time//distance/time, which is energy/distance in mlO2/m or J/m.,
which is how much energy is used to move a given distance and can be used to compare
efficiency. The slope of the graph is the net transport cost. Aerobic scope varies across
species with humans and average endotherms at 10. Economical transport comes with
walking, rather than running (the cost of running is higher), when measures the effect
of gait on human energy cost. Waking cost of transport is non-linear and variable, at
greatest distance per energy use at lowest point, walking too fast can make it less
economical than running. Studies have shown that VO2 capacity is also hereditable
(possibly HR and glycolytic capacity of kinds of enzymes as well) and varies with
training. Genetic ancestry determines 50-85% of endurance aerobic performance and
training enables 6-30% increase in individual performance. Mass-specific VO2 max
(VO2/weight, mlO2/kg/min) demonstrates that gender difference reflects relatively
greater body fat in females than men (and have lower metabolic rate, but not oxygen
capacity) and thus must be controlled when comparing sports training of various
individuals, by gender or weight. Endurance training increases aerobic capacity. There
is also an effect of size (and age) on energy cost of running, thus smaller animals (or
children compared to adults) have higher mass specific metabolic rates as a function of
activity intensity (higher mass-specific slopes). Endurance running is a derived
capability of the genus Homo originating about 2 million years ago, including adaption
of skeleton, springy tendons, economical bipedal walking.
The CEREBRUM or “telencephalon” is the biggest part of the brain, much of which is the
cerebral cortex; the cerebrum accomplishes most of the complex cognitive functions,
especially thinking and awareness; it receives and processes sensory information,
controls complex cognitive processes (i.e. language, thinking, awareness, memory,
consciousness, etc.) and also controls non-localized, associative function. Biggest part of
the brain, and most evolved/derived from other mammals, so what makes us human.
WHITE MATTER consists mostly of axons with white myelin sheaths. GRAY MATTER
contains more cell bodies and dendrites, lacking myelin. Human specifically have a large
degree of folding. In the CEREBRAL CORTEX surface area in creased by SULCI and GYRI
(the folds), and is mostly highly developed in mammals (especially primates, especially
humans), thus the grey matter of the outer cortex is 2-5 mm thick (in humans) but
2,400 cm2 of surface area due to the deep foldings. Specifically increases surface area
and density of neurons. Cerebral cortex is divided into six distinct layers (with some
areas having only four or five) and two hemispheres with parallel structures on both
but not identical.
The LOBES OF CORTEX in the forebrain consists of the frontal, parietal, occipital,
temporal and insular or limbic. There is interaction between forebrain and deeper part
of the brain to form the limbic system. The two hemispheres of the brain are linked by
the CORPUS CALLOSUM, a think bundle of myelinated axons and consisting of 200-250
million contralateral axonal projections, it is the largest white matter structure in the
brain. Main area of communication between the two hemispheres, and damage slowly
down brain function. The two hemispheres are also linked by the ANTERIOR
COMMISSURE, which is 1/10 the size of the corpus collosum, deeper in emotional part
of the brain, near the limbic system. The FRONTAL LOBE controls cognitive processes,
planning future action, anticipating future outcomes/consequences (i.e. chess) and
movement, the motor functions are in the posterior part, but also includes memory,
recognition, behavioral regulation, and motor aspects of speech. Limbic system has a lot
of emotion (i.e. passion), frontal is reason and cognitive process, which allow to
suppress certain urges. Individuals with damaged (or developmental problems)
PREFRONTAL cortex have challenges, such as inability to plan or organize daily
(anticipate or understand consequences), but often score very well on intelligence and
memory tests (not cognitively impaired). This area is specifically developed in humans.
Phineas Gage, recreation of injury shows that damage probably occurred in one side, so
that he could maintain his personality. The brain is very good at recovering, within a
certain margin of time, age and extent of damage. The PAREITAL LOBE controls somatic
sensation and forms body image (proprioception: where your body is in relation to other
parts of your body), including representations of the body in the MOTOR CORTEX and
SOMATOSENSORY CORTEX, shown in a SENSORY HOMUNCULUS and MOTOR
HOMUNCULUS (significant portions assigned to hands, feet, mouth, and face). Neuronal
dedication reflects importance, rather than size. Evolutionarily, these are the critically
important to survival and we must be sensitive when these are hurt. There are times
when sensory and motor align, other times when one is more important (i.e. face in
both, hands in motor). The OCCIPITAL LOBE controls vision, eyes project contra
laterally. Vision processing part of the brain is actually in the back, acting like a
projector that is then sent to the front lobe to process the meaning of what is visually
perceived in occipital. The TEMPORAL LOBE controls hearing and language,
WENICKE’S AREA processes sound, travels to BROCA’S AREA to respond, travels to
motor cortex to generate sound. The INSULAR or LIMBIC LOBE (only four or five
layers), which is deeper, controls emotional response learning (i.e. fear, love, gambling).
The HIPPOCAMPUS of the forebrain plays an important role in long-term memory, and
damage to it during a stroke or heart attack can lead to cognitive deficits. Hippocampus
interacts directly with HPA axis. The LIMBIC SYSTEM is the cortical and subcortical
structures around the brainstem (deep structures in the cerebrum), generating and
regulation emotions, memory and emotional learning, by interacting with the endocrine
and autonomic system. Interface between deep, emotional, ancient areas to more
involved areas like frontal, prepares various areas for fight or flight. In the limbic
system, the thalamus relays sensory information to the cortex, the HIPPOCAMPUS
controls memory and navigations, the amygdala controls reward, fear and mating
urges, the hypothalamus controls heart rate, blood pressure, etc., and is also related to
olfactory bulbs, pituitary, other deep structures and the prefrontal cortex. The
AMYDALA is a highly complex brain region involved in processing emotional
information, damage to which inhibits ability to recognize fearful facial expressions
(comprises ability to recognize danger and respond to threat). Hippocampus learns
what the amygdala processes. While the amygdala seems to be important for learned or
experiential fear, innate or instinctual fear seems to be less dependent. Many animals
have particular brain areas that recognize and fear certain patterns. In the limbic
system, emotional and learning states are very sensitive to and affected by external
stimuli (i.e. exercise elevates BRAIN DERIVED NEUROTROPHIC FACTORS (BDNF) in
hypothalamus, which promotes memory), therefore condition of body affects brain and
can impair brain functioning. The BASAL GANGLIA controls conscious motor control,
and has a number of direct connections/projections into limbic system.
The brain communicates neutrally with the rest of the body via spinal and cranial
nerves. The 12 CRAIN NERVES (although CN1 isn’t a real nerve) mostly arise from the
brainstem (except CN1 and CN2), control mostly motor and sensory innervation of head
(except CN10 and CN11) and some are very complex (i.e. CN5, 7, and 10). Some are
mainly motor, some are mainly sensory and some are mixed. The divisions of the brain
can be divided into EVOLUTION, which is the neocortex (cerebrum), paleocortex
(olfactory and limbic systems), and non-cortical brain and cerebellum. DEVELOPMENT,
which is the prosencephalon (the telencephalon/cerebrum and the diencephalon), the
mesencephalon and the rhomb encephalon (mesencephalon/cerebellum and pons, and
myelencephalon/medulla), and FUNCTION, which is the forebrain (cerebrum, thalamus,
hypothalamus), midbrain, and hindbrain (pons, medulla, cerebellum).
FMRI scans show relative real-time blow flow In the brain, or which region O2
consumption is highest, demonstrating that some areas get used more than other and
areas are linked within the brain and to the rest of the body (darker the area, the more
oxygen is used, how hard the brain is working during scan). Glucose levels can also be
monitored. The problem is whenever it is excitatory (making something go) or
inhibitory (making something stop) processes cannot be determined from
neuroimaging, but can tell which area of the brain is being used. ASCENDING
PATHWAYS go from afferent neurons to sensory regions in the brain. DESCENDING
PATHWAYS go from motor regions in the brain to the brainstem to efferent neurons. The
four categories of systems are autonomic system which regulates and controls the
visceral organs (PNS), sensory system which monitors and interprets environmental
stimuli (i.e. sights, sounds, etc.), motor system, which initiates and coordinates muscles
to generate movement, and the limbic system which coordinates autonomic functions
with consciousness, regulating emotion and learning. In the ANS, the sympathetic
system is thoracic-lumbar with ganglia near the spinal cord, and the parasympathetic is
cranio-sacral with ganglia near the organ.
In feeding the brain, the brain is an expensive organ (possibly most expensive tissue),
with 20-25% of resting metabolism and 300-420 kcal/day, because of neuronal
processes (i.e. the Na/K pumps and neurotransmitter synthesis and transport). Another
cause is the BRAIN-BLOOD BARRIER (BBB), as the blood and the brain are mostly
separated by CEREBROSPINAL FLUID (CSF) that bathes the entire CNS, and is
synthesize by CHOROID PLEXUS in VENTRICLES (cavities in the brain, remnants of the
neural tube center) in EPENDYMAL CELLS (glial cells). BBB, which is important for
protecting the brain, is tight junctions between endothelial cells forming blood vessels
in the brain prevent large molecules from passing from the blood into the brain, and
helps prevent infections and toxin from coming in contact with brain cells (may also
prevent many hormones and drugs from accessing neural cells, meth users interferes
with this system). BBB cannot allow passage of RBCs, however permits passage of
plasma, glucose, gasses, hormones, ketone bodies and other small lipid soluble
substances. Non-diffusible substances need to be pumped in an out. In draining the
brain, many SINUSES (valve less) drain the brain, keeping the fluid balance appropriate
(neither too high nor too low). The entire CNS is suspended within the 3 DURAL
MEMBRANES: outer, or DURA MATER, inner or PIA MATER, and the middle, or
ARACHNOID MATER (SUBARACHNOID SPACE filled with CSF). The CSF circulates
through the ventricles and in dural spaces around the brain and spinal cord before
draining. HYDROCEPHALUS is cause by excess CSF, too much production or blocked
drainage; fluid pressure can damage neurons and tissues. In keeping the brain
cool/warm, 37 degrees C is normal. Less than 35 or above 39 leads to impaired function.
Less than 30 leads to slow cell death, greater than 40 leads to rapid cell death. If body
temperature rises above normal, the nervous system signals dermal blood vessels to
dilate and sweat glands to secreted so body heat is lost to its surroundings and body
temperature drops towards normal. When body temperature drops below normal, the
nervous system signals dermal blood vessels to constrict and sweat glands to remain
inactive so that body heat is conserved, and if body temperature continues to drop, the
nervous system signals muscles to contract involuntarily, so that muscle activity
generates body heat (mammals cools by panting, we cool by sweating, to protect cells
and function). We sweat so much on our scalps and faces due to COUNTERCURRENT
COOLING. In protecting the brain, the cranial vault is 5-10 mm thick, and its domed
structure is very strong, dissipating stress over a large area without stress
concentrations. CONCUSSIONS occur with a blunt force trauma, first impact with
instrument is COUP, primary impact, and a CONTRECOUP, secondary impact with
opposite wall of skull, can cause blood pooling. A basic layer of protection is the
meninges. Human brains are especially big, which means brains generally take more
time to grow, with slower growth compared to other animals and rapid growth
compared to the rest of the body, which is costly in energy. It also causes a long period
of adolescence with extended parental care. Humans are especially evolved in social
interactions, diet, and neurobiological evolutions.
A major task of the nervous system is to sense environment via environmental stimuli
such as movement, temperature, color, etc. Acquisition of energy is a driving force in
natural selection. Getting and evaluating information on food, predators and prey was a
major selective force on many sensory adaptations in evolutionary history. Our lives
today and usual compared to our ancestral history because our food is plentiful,
prepared and pleasing, unlike past when food was hard to acquire. Pleasing means that
foods we ingest trigger reward pathways in the brain. We are rarely hungry, we have
lots of food choices and we spend little time getting preparing and eating food
(consumption is quick). We have a high probability of becoming overweight, in part
because we love foods rich in fat, and starch/sugar, neuron pathways implicated in
ingesting food via reward processes, which overlaps with neurobiology of selective
romantic bonds. Behaviors that are reward motivate us to do them more, and if those
behaviors have a fitness advantage, more individuals will display them in the
population. 2/3 of US adults over 20 are overweight and/or obese. Percentage
overweight individuals have remained relatively constant, while obesity has increased.
This relationship to food is very recent and very unusual; we spent millions of years
foraging, the only last 12000 years (still fairly recently) farming and the last few
hundred years in non-agrarian societies. Environments today are radically different
than we were evolved, leading to distinctive mismatches. Traces of the importance of
procuring food during our evolutionary past are abundant in our biology, especially in
the organs of sense. Food technology and food modification has been designed to
maximally appeal to our senses (i.e. organic wild strawberries vs. greenhouse grown
juicy, red strawberries so makes a challenge between senses and cognitively know what
is best).
Touch features cells within skin MECHANORECPTORS that sense pressure and
communicate to spinal cord via afferent nerve cell, various degrees of pressure. Also an
emotional component to how touch is perceived. MEISSNER’S CORPUSCLES for light
touch, MERKLE’S CORPUSCLES for touch, PACINIAN CORPUSCLES for vibration and
pressure, and RUFFINI CORPUSCLES for temperature. Meissner’s corpuscles sense
pressure from surface to under the skin. Most sensory systems are in the head. This
sense is unusual in that it requires contact.
Most sensory systems are specific to the head, rather than periphery as touch. The NEW
HEAD HYPOTEHSIS that the reason is that arose originally in a ancient worm that head
was only part exposed and vulnerable to predators so perception of predators had to be
located in the head. What are the challenges that they have evolved to respond to? The
origin of vertebrates (525 x 10^6 years ago), when FILTER FEEDING PRIMITIVE
CHORDATES evolved into EARLY VERTEBRATE PREDATOR, with a nose to smell, eyes to
see, ears to hear, and a tongue to taste, all of which are derived from neural crest cells
during embryonic development. The general pathway for sensory systems is STIMULUS
(photons, chemicals, sound waves and pressure) to RECEPTOR (photoreceptor,
chemoreceptor, mechanoreceptor) to AFFERENT NEURON (receptor potential, action
potential, change in stimulus to change in frequency) to BRAIN (ascending pathway
from brainstem to thalamus to cerebral cortex).
Eyes sense ripe food (i.e. food, leaves), movement speed, health, rank (i.e. reproductive
status) and danger (i.e. predators or threatening species). The range of visible light is
narrow for humans. One perceives light because it comes in and refracts differently off
different colors. Eye is an exquisitely complex organ (often used against arguments for
evolution). By experiment, one can start out with three layers of cells sensitive to light,
and after generations of selective pressure favoring greater perception of light, one that
can generate what is comparable to the mammalian eye (small changes over light can
generate complex systems). Light sensitivity cells are thought to be a single time point
evolution but from there, there has evolved many different derivations that perceive
the world and utilize light in different ways (i.e. insect eyes). Eyes are mostly an
outgrowth of forebrain (diencephalon) induced by a special group of ectodermal cells
(lens placcode), three layers with increasing complexity, specification and
differentiation to generate all components and form eye. The basic anatomy of the
eyeball is the iris, cornea, pupil, aqueous humor, lens, vitreous humor, 3-layered capsule
(sclera, choroid, retina) and all which concentrate light on optic nerve, which
communicates to brain. The path of light: (1) focusing by CORNEA, the curved change in
velocity converges light through the pupil of the iris onto lens. The IRIS is a tinted, fan
shaped muscle, DILATORS are radial and CONSTRICTORS are concentric, depends on
amount of light desired to be allowed in (i.e. nighttime is dilate, and daytime is contract)
(2) focusing by LENS, the lens is suspended by 1000s of filaments called ZONULES
attached to ciliary muscles which tense and flatten the lens, the muscle contractions
slacken the zonules. The contraction of ciliary muscles relaxes zonules, permitting focus
on near objects; the relaxation of ciliary muscles allows zonules to tense lens, flattering
it to focus on far objects. As we age, lens mineralizes so relaxation of zonules fails to
allow lens to regain convexity (harder time to look at things up close).
NEARSIGHTEDNESS (MYOPIC) is when the visual image is focus in front of the retina,
FARSIGHTEDNESS is when visual image is focused behind the retina (creating fuzzy
images), NORMAL VISION occurs when light is focused directly on the retina rather
than in front or behind it. (3) PHOTORECEPTION light detection occurs at the back of
the retina. BIPOLAR CELLS receive input from MULTIPLE ROD CELLS and SINGLE CONE
CELLS that transmit information to GANGLION CELL which are linked by HORIZONTAL
CELLS and AMACRINE CELLS. Light detection occurs at the back of the retina. The
OPTIC NERVE carries action potentials from GANGLIA to the brain. The initial
processing of visual information occurs in the VISUAL CORTEX in the occipital lobe.
Image transmitted back to frontal lobe.
Human vision is special due to being able to see red-spectrum color and stereoscopy
(depth-perception) from our primate heritage. RHODOPSIN RODS are about 120 million
per eye, distributed all over the retina, with 6 to 600 rods synapses per bipolar cell.
They have low acuity and high sensitivity, with little color perception. OPSIN CONES are
about 6 million per eye, mostly in MACULA (a derived feature of monkeys to have fewer
cones then rods), especially FOVEA (a small pit in the center of macula without vessels),
with 1 cone per bipolar cell. They have high acuity and high sensitivity, with color
perception. This is a tradeoff between nocturnal vision and diurnal visions; color vision
is not as sensitive to light, so color seers cannot see nocturnally as well and vice versa.
Seeing blues and greens are common to most mammals but high-end red is derived in
monkeys. TRICHROMATIC VISION is useful fro selecting ripe fruits and tender leaves
(i.e. leaves that are not young and toxic or old and innutritious) so must have red-green
spectrum to look at fine gradations, and MACULA and FOVEA are useful for seeing detail
and rich color. STEREOSCOPY is the ability to perceive depth. MONOCULAR CUES show
relative size (more distant things are smaller), clarity (more distant things are fuzzier),
and parallax (more distant objects appear to move less when we change position).
BINOCULAR VISION has a narrower range, with more stereoscopy, or overlapping visual
field (humans have more than monkeys), PANORAMIC VISION has a wider range with
less stereoscopy. DEPTH PERCEPTION is useful for leaping, hunting and aggression. Eyes
on the side of the head have small overlapping visual field and thus low depth
perception, fully frontated eyes have big overlapping visual field and thus high depth
perception (i.e. zebras need wide field of vision for predator but not depth perception
for grass, lions need depth perception for leaping during hunting or else miss food or
have injury). Primates had a long arboreal history, moved quickly through the trees,
and thus needed depth perception for leaping between trees. Also aggressive
encounters in fighting because same species interactions. Chimpanzees hunt their prey
once every three days, provided a significant contribution in form of protein, which is
important for energy for many organizations. A derived human feature is the VISIBLE
SCLERA, also derived in orangutan.
Smell and taste is chemoreception. There are about 10,000 taste buds, mostly on the
tongue. BUDS are groups of cells, arranged like organs segments around a central pore.
(1) Food particles dissolve in liquid (ingested with saliva), (2) enter pore, (3) bind to the
receptor causing depolarization (communicates into brain, perceiving taste). There is
no tongue map, but only 5 different kinds of taste (bitter, salty, sweet, MSG, and sour).
The more rich things perceived from taste (80%) of flavor comes from smell (i.e. jelly
bean taste, can identify which 5 kinds, but not what it is). OLFACTION is accomplished
by ODORANTS, which are air-born molecules with a molecular weight of less than 300,
which then bind to the receptor. (1) Odorant dissolves in mucous, (2) binds to receptors
on olfactory nerve dendrite (3) action potential travels to synapse in olfactory bulb
(glomerulus 10-100 neurons), (4) approx. 12-36 glomeruli synapse per mitral cell (5)
olfactory nerve carries stimulus to various parts of the brain. Communicates with other
areas of the brain, can also be associated with other aspects of brain such as memory
(i.e. social recognition queued by olfaction along with reward processing in
monogamous prairie dogs) Human are poor at olfaction (rely to a greater extent on
vision) because we have (1) relatively smaller olfactory bulbs (30% volume relative to
brain size), (2) fewer olfactory neurons (3), fewer functioning olfactory receptors.
Humans as biped has removed our noses from the ground, we only sniff things deeply
when we want to do so, also less need to do so, and we are quite good at perceiving
odorants when we try. One possible explanation is that the human nose is especially
turbulent and complex to brain. Odorants have two pathways in humans, the
ORTHNASAL and the RETRONASAL (through throat), normally 10& of air hits the
OLFACTORY EPITHELIUM (another reason why food can taste so good). Much of flavor
perception is in the NEOCORTEX in the retro nasal olfactory flavor system. Many parts
of the brain are used to perceive flavor: taste, smell, mouth texture and visual (i.e. food
science in vegetarian recreation). These result in a highly integrated sensory
experience.
Hearing is important for predator and prey. Sound is the pressurized waves of
molecules, where amplitude is VOLUME (dB), frequency is PITCH (Hz) and harmonics is
character or TIMBRE. Stage #1 is the outer ear: (1) sound is reflected by the earlobe (i.e.
satellite dish) of PRINNA into the ear canal, (2) is amplified and filtered in ear canal (i.e.
tunnel) or RESONATOR, where longer tubes amplify lower frequencies and narrow
tubes filter lower frequencies, (3) sounds cause vibrations of TYMPANIC MEMBRANE.
Stage #2 is middle ear: (4) EAR OSSICLES (MALLEUS, INCUS, and STAPES, i.e. hammer,
anvil and stirrup) amplify sound, bent lever amplifier is 10 to 20x amplification, which
is important because the inner ear is filled with fluid and requires more energy to
propagate a wave, (5) movements of ossicles vibrate OVAL WINDOW of inner ear. Stage
#3 is the inner ear with liquid: (6) Vibrations pass up COCHLEA, the spiral shaped tube
of bone with 3 tubes- vibrations will go up SCALA VESTIBULI, and down SCALA
TYMPANI, lower frequencies travel farther slower (higher travel faster), vibrations in
scalae cause vibrations of BASILAR MEMBRANE that separates the central COCHLEAR
DUCT, (7) vibrations in basilar membrane displace hair cells in ORGAN OF CORTI, (8)
organ of corti hair cells end in STEROCILIA which touch station TECTORIAL
MEMBRANE which is then bent by vibrations, which open K+ channels to depolarize
cell, opening voltage-gated CA++ channels that trigger neurotransmitter glutamate
release to cochlear nerve (communicate with the brain, and interpret sound).
FREQUENCY is when air cells are activated, distal is lower. Different species have
various ranges of hearing (i.e. lower frequencies detected by elephants, move further,
can communicate further away, mouse uses high frequency imperceptible to humans).
Human hearing is 20Hz – 20,000Hz, best at 2,000Hz-4,000Hz, speech at 100Hz-7000Hz.
Ears on either side of the head can allow for localization of sound. AMPLITUDE is the
rate at which given hair cells vibrate. Is human hearing special? SOUND LOCALIZATION
is the INTERAURAL LEVEL DIFFERENCE and the INTERAURAL TIMING DIFFERENCE.
The VESTIBULAR SYSTEM is another use of hair cells in the ear for balance.
SEMICIRCULAR CANALS measure angular rotation, which have pitch roll and yaw.
SACCULE and UTRICLE measure VERTICAL ACCELERATION and HORIZONTAL
ACCELERATION.
Summary: Most organs of sense are in the head because selection for early predators
favored new sues of neural crest cells. Vision is photo sensory pigments and lens. Smell
and taste has chemosensory receptors. Hearing and balance have mechanosensory
cells.
Overview: expiratory design for molecular diffusion and matching oxygen transport in
linked steps of diffusion and bulk flow; the branching architecture of lung airways,
alveoli, and pulmonary circulation facilitate diffusive exchange (lung anatomy); air
versus water as respiratory media and partial pressure of gases (effect of altitude);
mechanics of breathing, tidal ventilation and its control; health related issues.
The 4 linked transport processes are ventilation, diffusion, convection and diffusion. How
well are these transport processes matched to the rate of oxygen use? They aren’t
necessarily ideally matched. (1) VENTILATION, the exchange of air between
atmosphere and alveoli by bulk flow (tidal volume of inspiration and expiration), (2)
GAS EXCHANGE, the exchange of O2 and CO2 between alveolar air and blood in lung
capillaries by diffusion, (3) GAS TRANSPORT, the transport of O2 and CO2 through
pulmonary and systemic circulation by bulk flow (4) GAS EXCHANGE, the exchange of
O2 and CO2 between blood in tissue capillaries and cells in tissues by diffusion, (5)
CELLULAR RESPIRATION, the cellular utilization of O2 and production of CO2.
DIFFUSION is effective over short distances, the DIFFUSION RATE EQUATION = KA(C
out – C in)/L. K is the diffusivity constant (1/molecular weight, larger molecules diffuse
more slowly), A is surface area (larger surface area, faster), ^C is the concentration
difference (must have a gradient), L is barrier thickness or diffusion distance (thinner the
thickness, faster), ^C/L is the concentration gradient (higher concentration gradient,
faster rate). Ventilation during respiration and circulation maintain concentration
difference with movement of oxygen. Diffusion is designed to maximize surface area for
exchange, minimize diffusion path, and maximize concentration difference (hence ^C/L
is concentration gradient).
Human lung anatomy is the branching tree-like distribution of airways, alveoli and
blood vessels (trachea to bronchi to bronchioles). ALVEOLI (alveolus) are tiny sac-like
endings that inflate and deflate during breathing to exchange gasses with blood flow
through capillaries in alveolar wall via diffusion. Alveoli create big internal surface area
with thin walls. Pulmonary arteries are shown in blue (deoxygenated blood) to lungs
and veins are shown in red (oxygenated blood) to body (reverse relative to systemic
circulation). The branching distribution of airways supply extremely small alveoli,
enabling extreme increase in surface area (large surface area) and short diffusion path
to enhance diffusive gas exchange (thin air-blood barrier) to maximize diffusive gas
exchange. DIAPHRAGM is a muscle that separates contracts and depresses to expand
cavity, increases in volume create negative pressure relative to atmospheric air for air
to flow in, and vice versa.
SEM and TEM, electron micrograph, images show alveoli. TYPE 1 EPITHETIAL CELLS
forms border, TYPE 2 EPITHELIAL CELLS produce PULMONARY SURFACTANT,
lipoprotein complex that wets the surface of alveoli, reducing their surface tension,
important for uniform inflation. Small radius of alveoli makes it hard to expand; larger
alveoli are easier to expand naturally. This makes it easier to inflate alveoli at low lung
volumes (small alveolar size), which increases lung compliance. NEWBORN
RESPIRATORY DISTRESS SYNDROME has lack of surfactant product (didn’t need to
breathe because mother performed gas exchange) and cannot breathe on its own (a
mechanical ventilator), which is a common and leading cause of mortality in premature
babies. The branching architecture of airways and pulmonary circulation provide
hierarchical subdivision into millions of small alveoli for increase in surface area and
decrease in diffusion path. Corresponding arterial structure to airways. Lung is delicate
and lightweight.
Air is far superior to water for O2 supply. Air has lower density and weight, lower
viscosity, higher O2 content, and lower respiratory effort (how many liters to ventilate to
make a given amount of oxygen available for diffusion) than water. This enables high
metabolic rates of birds and mammals, but have to worry about gravity and desiccation
(i.e. loss of water from breathing). The PARTIAL PRESSURE OF GASES has implications
for respiratory physiology. Atmospheric pressure is about 760 mmHg at sea level,
creating pressure in a given volume container. Partial pressure is the fractional
concentration of gases relative to atmospheric pressure (atmospheric pressure
multiplied by decimal percentage). Air is 100% humidified when inhaled into lungs by
airway pathway, reducing lung PO2 by PH2O, water vapor pressure. Accounting for
dead space (stale air trapped in non-exchange airways, percentage that is not expired),
alveolar PO2 at sea level is 105 mmHg (less than 160 mmHg at room air, also
respiratory water loss). Due to solubility, concentration of oxygen in air is 30x more
than in water, even when two pressure are the same.
A SOLUTION is a mixture of water and solutes dissolved in and associate with the water
(or other fluid). NaCl dissociates when added to water H2O into its constituent ions Na+
and Cl- creating loosely charged bonds with H2O molecules. The ability to dissolve into
solution also applies to respiratory gasses. CO2 dissolves much more readily than O2
and N2 in water.
The effect of altitude greatly limits oxygen extraction as summit is approached (PO2 <
30 mmHg). VO2max is just barely above resting, the implication for climbing ability is
that one must climb very slow, minimal activity (critical activity that cannot sustain life
for extended periods of time). PO2 in lung alveoli (105 mmHg) is less than PO2 of air
(160 mmHg) because of dead space of airways that causes stale air to ix with freshly
inhaled air. TIDAL RESPIRATION involves a near equilibration of PO2 and PCO2 of air
relative to blood in the lung alveoli and throughout circulation, making CONCURRENT
EXCHANGE. Over vertebrates have evolved similar designs with comparable or greater
gas exchange capacity, facilitated by large surface area and thin diffusion barrier. The
mammal lung is COLLAPSIBLE, tidal, discontinuous airflow, the bird lung is RIGID,
allows unidirectional, semicontinous “cross current” flow, without dead space (more
oxygen at a higher rate, can fly over mountains). Fish gills have SECONDARY LAMELLAE
allows large surface area and short diffusion path, water goes in through mouth and
PERICULAR PUMPS, uniform flow of water past gills, and blood flow goes in opposite
direction (from low oxygen to high oxygen). COUNTERCURRENT of water versus blood
flow via secondary lamellae allow greater than 90% O2 extraction versus less than 50%
extraction for tidal ventilation of mammals.
Change in volume of lungs controls breathing. INSPIRATION is active, increasing
thoracic volume, the expansion of the thorax creates NEGATIVE PLEURAL PRESSURE,
drawing air into the lungs, and depression via the diaphragm and EXTERNAL
INTERCOSTAL MUSCLES elevate and expand ribs. EXPIRATION is active during
exercise, normally passive at rest, when active, the abdominal muscles assist INTERNAL
INTERCOSTALS creating POSITIVE PLEURAL PRESSURE forcing air out of lungs. Elastic
recoil of stretched ligaments and connective tissue of thorax and diaphragm reduces
respiratory work. F = Palv – Patm/ Resistance of Airway. The THORACIC WALL contains
the INTRAPLEURAL FUILD, bordered by PARIETAL PLEURA and VISCERAL PLEURA.
Lung ventilation is driven by changes in lung volume (inhaled or exhaled in one breath)
or TIDAL VOLUME. Negative TRANSPULMONARY PRESSURE keeps lungs inflated.
PNEUMOTHORAX is air the pleural space usually via a wound, creating a COLLAPSED
LUNG due to the equilibration of pleural and air pressures. RESIDUAL VOLUME keeps
alveoli and lungs inflated, so that even maximum expiration does not reach zero.
INSPIRATORY CAPATCITY is total maximum volume of lungs above tidal volume. VITAL
CAPACITY is total amount from maximum expiration to maximum inspiration.
VENTILATION RATE (L/min) = Respiratory frequency (breaths/min) x tidal volume
(liters/breath). Breathing unique in that it is controlled by both involuntary and
voluntary pathways. CO2 partial pressure levels is sensed to control breathing, not O2,
by CHEMORECEPTORS and BARORECPTORS (blood pressure) located in AORTIC and
CAROTID BODIES. The higher cerebral centers voluntarily control breathing, with the
BRAINSTEM INTEGRATING RESPIRATORY CENTER in the medulla monitor respiratory
rate, and has neuron that monitor magnitude and rate.
The high surface area of lung alveoli provides design for developing effective drug
delivery strategies via pulmonary exchange to bloodstream, which confers an
advantage over oral medications by avoiding digestive breakdown prior to gut
absorption and being more rapid. ASTHMA is bronchiole constriction due to smooth
muscle contraction associated with inflammation (steroid relaxes muscles and keeps
radius large), a reaction to a variety of airborne particles. FLOW RESISTANCE is
inversely proportionally to radius^4, which applies to blood vessels. Effort to breathe
goes up when resistance goes up. Particle accumulation in the lungs is a significant
underlying problem of lung disease; lung cancer is the most concern and leading cause
of death by cancer in the US. Smoking is a high risk factor for lung cancer in addition to
other environmental pollutants.
Summary: Gas exchange involves a linked series of transport steps, involving bulk flow
and diffusion ad tied to the rate of O2 use; branching airways, alveoli and pulmonary
circulation greatly increase SA and reduce L for diffuse gas exchange; design for
diffusion is linked to ventilation and cardiovascular transport of oxygen and nutrients;
tidal respiration is facilitated by superior properties of air as a respiratory medium, in
contrast to gas uptake by aquatic animals, such a fish, that rely on elegant
countercurrent design for effective gas exchange; lung ventilation produced by negative
pressure created through thorax expansion; breathing is under voluntary as well as
involuntary control, with ventilation rate changing to meet energy demand, rest versus
exercise. To learn: Understand how gas exchange involves a linked series of transport
steps, involving bulk flow and diffusion that are tied to rate of cellular respiration (O2
use) should these be matched rates? Understand how/why design for gas exchange is
linked to ventilation and cardiovascular transport of oxygen and nutrients; Understand
lung and respiratory anatomy: branching distribution of airways, alveoli and
pulmonary circulation greatly increases SA and reduces L for diffusive gas exchange;
Understand the mechanism of lung ventilation (via negative pressure produced by
thorax expansion) and why tidal respiration benefits from superior properties of air as
a respiratory medium versus water; Understand how breathing is controlled and how it
is regulated in relation to changes in energy demand (i.e. rest versus exercise);
Understand health related issues (smoking, asthma, drug delivery).
Overview: Heart function, cardiac cycle and heart work (pressure-volume changes);
pipe flow design; structural organization of arteries (strength and elasticity: collagen
and elastin proteins), health related issues; regulation of blood flow, local and extrinsic
factor that adjust regional blood flow patterns.
There are 2 inputs to sinoatrial (SA) node: the VAGUS NERVE via the parasympathetic
nervous system and the SYMPATHETIC NERVE via epinephrine. AUTORHYTHMIC SA
and AV node PACEMAKER CELLS produce phasic activation that maintains resting heart
beat independent of other inputs. There is gradual membrane depolarization (Na+ and
Ca++ ions leak into cell) and conducting fibers are modified MYOCARDIAL CELLS, not
nerves. As a muscular pump, the heart fills and empties each cycle. The CARDIAC CYCLE
(each heart beat) is defined by 2 ventricular phases: DIASTOLE (filling phase at low
pressure when ventricles relax and atria contract) when blood enters from R and L atria
into R and L ventricles, and SYSTOLE (emptying phase at high pressure when ventricles
contract and atria relax) when blood is ejected from R ventricle into the pulmonary
artery and the L ventricle into aorta and systemic circulation and atria fill. A healthy
measurement is 120/80 (systole/diastole mmHg), HYPERTENSION is 160/100, can
cause edmena, increase in either is a problem. Blood only leaves heart during phase 3 of
the cardiac cycle. In cardiac cycle, left atrial pressure is always slightly above left
ventricular pressure to open AV valve, left ventricle contracts and decreases pressure
while ventricular volume stays the same until ventricular pressure exceed aortic
pressure and blood flows out (stroke volume is amount of blood during this phase) with
opening of valves. On a graph of pressure (mmHg) vs. volume (mL) for heart work, the
area between systole and diastole is work. Work is pressure x volume or force x length.
Obstructions increase work of heart.
STARLING’S LAW (regulation of blood flow) is adjusting cardiac output to venous
return, with more blood returning to the heart (END DIASTOLIC VOLUME from atria to
ventricles) stretches the cardiac muscle cells more (increased volume), which affects
the force-length properties of the heart muscle. Amount of blood going in has to equal
amount of blood going out. As heart fills more blood, heart muscles get stretched to a
longer length, (self regulating) produces a higher force, produces a high stroke volume
(as heart fills less blood, lower stroke volume). This causes the heart to beat stronger,
pumping out more blood from the heart and increasing stroke volume. All animals have
approximately the same number of heartbeats per lifetime (humans have more because
of modern medicine), because heart muscle and connective properties are basically the
same working life cycle. Scaling reflects exponential relationship, heart frequencies
scales inversely with size, life span inversely with mass.
Blood flow requires a pressure difference to overcome vessel resistance. Flow
(volume/time)= P1-P2/R = ^P/R, where pressure 1 occurs before the resistance. Pipe
flow is LAMINAR FLOW, meaning fluid moves in parallel fashion. O at surface, maximal
in middle. The Poiseuille Equation is Flow (ml/min) = ((pi)(^P)(r^4))/(8nl), so
Resistance = 8nl/pi r^4, when ^P is pressure difference, r is vessel radius, n is viscosity, l
is vessel length, which applies both to blood and respiratory airflow. Flow resistance for
laminar flow is inversely proportional to r^4, turbulent flow is inversely proportional to
r^5. Circulation is regulated throughout the body via changes in flow by changes in
resistance with radius, because radius is so effective. This also applies to respiratory
system. Changes in vascular resistance provide an effective mechanism to control blood
flow. Cardiovascular health can be affected by a resistance such as ATHEROSCLEROSIS
(obstructions and stiffening of the arteries), resulting in high blood pressure, which
may lead to heart damage. How is blood flow maintained moving from large to smaller
vessels where diffusive exchange can occur? The continuity of flow is conservation of
mass and momentum, must have same volume of blood going in as flowing out. To
maintain CONTINUITY OF FLOW, flow velocity must be same in arteries and veins of
bigger diameter, so faster in smaller capillaries. (1) Flow out (10 ml/s), #2 flow velocity
is 1 cm/s, #3 V2 = 10 cm/s, volume flow = velocity x area. To reduce diffusion path one
needs to move blood and RBCs through small diameter vessels but this tends to greatly
increase flow velocity and resistance and thus MANIFOD DESIGN of branching
architecture of circulatory system (airways and blood vessels in lungs) reduces flow
resistance and also reduces flow velocity in small diameter vessels where diffusion
occurs, satisfies conversation of fluid momentum, allowing rapid low resistance
transport in large diameter vessels over long distances and slow transport for effective.
Cross sectional area increase and is maximal of capillaries, allowing velocity of blood
flow to decrease velocity of flow because overall cross sectional area is decreases,
sufficient time for exchange of nutrients and waste products via diffusion and bulk flow
at big. Summary x area of daughter vessels is greater than X – A of parent vessel. As
diameter of pipes decreases, increase in number of pipes, increase in total cross
sectional area. Circulatory and lung airways systems follow 2 design principles: (1)
large pipes for transport via bulk flow and small pipes for exchange via diffusion (2)
total X-A of small pipes is bigger than large pipes via manifold design. How are arteries
vs. veins built? Arteries have lumen of endothelium with many layers of smooth muscle
and connective tissues; veins have wider lumen, fewer elastic layers and fewer muscle
layers (thin walled for less pressure). Arterioles regulated by hormones or for contract
diameter to regulate blood flow expansion with smooth muscle cells to supply
capillaries bed, venule just endothelium and connective tissue for low pressure.
Capillaries just single endothelial cell layer that allow diffusion but keep blood separate.
ELASTIN and COLLAGEN are key proteins that give arteries elasticity and strength
(resistance to deformation and tearing), also smooth muscle to allow contraction and
nerve cells that provide innervation. Changes in vascular resistance regulate blood flow,
VASODILATION increases flow with smooth muscle relaxation, and
VASOCONSTRICTION decreases flow with smooth muscle contraction. The
ENDOTHELIUM is surrounded by smooth muscle and ELASTIC LAMIN (layers of
collagen and elastin), surrounding by nerve cells, collagen and elastin. The folding of
endothelium and wall layers occurs due to absence of internal arterial pressure.
An ANEURYSM is the localized weakening, damage over time, and blowout of arterial
wall, wall tension as radius increases which collagen and elastin attempt to prevent.
Most common and most dangerous in arties at the base of the brain (CIRCLE OF
WILLIS), internal carotid and descending aorta. Graph of STRESS-STRAIN CURVE or
collagen load-deformation on a force or stress (force/area) versus deformation or
strain (% change) plot is J-shaped, so as collagen is stretched, becomes increasing stiff,
helps prevent blow out. Increased slope signals increased stiffness, which helps
collagen resist tendency of arterial wall to balloon out. ARTERIAL WALL ELASTICITY
stores and returns energy to smooth out pressure pulses of beating heart, smoothing
blood flow. Systole, primaries arteries stretch out, store energy, pulse decrease, can
elastin and collagen recoil producing pressure, which helps to damp fluctuation in
pressure pulses. Thus BP is damped by arterial elasticity and by pressure wave
reflection/cancellation. ATHEROSCLEROSIS is a major cause of coronary heart disease.
Abnormal deposition of smooth muscle cells, macrophages, lymphocytes, cholesterol
(lipoproteins) creates dense connective tissue, under endothelial layer and closes off
lumen of artery, increasing vascular resistance, reducing blood flow and stiffing arteries
wall so ability to stretch and expand with pressure pulse from heart is lost created
ATHEROSCLEROTIC PLAQUE, which is hardening of the arteries. Reduced radius
increases arterial resistance and loss of arterial elasticity, resulting in high blood
pressure. Risk factors include smoking, high plasma cholesterol, hypertension, diabetes,
obesity, inactivity and stress.
Arteries and arterioles respond through smooth muscle contraction or relaxation by
changing their diameter to regulate vascular resistance and blood flow in response to
three main regulatory signals (1) sympathetic nervous system (excite and contract,
vasoconstrictor, or inactive and relaxed, increasing lumen parasympathetic unknown)
and (2) hormones via epinephrine and norepinephrine, both EXTRINCSIC (larger
vessel) and resulting in CASOCONSTRICTION, and (3) local chemical factors (H+, O2,
CO2, K+) which most often enhance blood flow and affect smaller arterioles that
regulate flow to local capillary beds in the tissues, INTRINSIC and resulting in
VASODILATION.
AUTOREGULATION of local blood flow (i.e. HYPEREMIA, increased flow in response to
increased metabolism of local tissues or vasodilation in response to reduced local blood
flow, tissue injury to inflammation, or local signaling via H+, O2, CO2, K+, through
arteriole smooth muscle relaxation. Changes in blood flow distribution during exercise
is regulated by vascular resistance and vasoconstriction. During exercise brain and
skeletal muscle percentage of blood flow increases, heart amount increases but
percentage stays the same, and other less important decreased.
Summary: Changes in vascular resistance is a very effective way to control regional
blood flow (flow resistance 1/r^4); A branching hierarchy from large to small vessels
(manifold design) satisfies continuity of flow, achieving effect bulk flow over long
distances and diffusion over short distances; Elastin and collagen are proteins found in
the walls of arterioles that provide elasticity and strength (smooth out pressure pulses
of heart beat and reduce risk of arterial wall blowout under high pressure (aneurysm);
contraction and relaxation of smooth muscle in arterial walls controls blood flow via
changes in vessel radius, in response to local factors (hyperemia, auto regulation and
extrinsic factors (sympathetic nervous system and hormones).
Overview: Composition and multiple roles of blood; formation of red blood cells;
hemoglobin, oxygen transport carrier molecules, protein structure and function;
myoglobin (skeletal muscle), facilitated diffusion; factors that affect Hb binding affinity
for oxygen; carbon dioxide transport; blood clotting; sickle cell anemia (balancing
evolution for malaria resistance).
Functions of blood/circulation: (1) gas exchange (major, O2 and CO2), (2) metabolism
(metabolites, ions, fuels), (3) waste elimination (renal filtration), (4) hormone
transport, (5) body defense: immune system, (6) fluid and ion balance, (7) heat transfer
(storage and dissipation): temperature regulation. Blood is 55% plasma, less 1%
leukocytes and platelets, and re HEMATOCRIT measure RBC count, low hematocrit is
anemia (low hemoglobin and Fe), caused by hemorrhage, vitamin B defiency,
abnormalities, etc. ERYTHROCYTES are red blood cells, nucleus, biconcave with big
surface area for diffusion of gasses; majority of volume is protein hemoglobin and
water, all anaerobic metabolism (don’t use carried oxygen). HEMATOPOIESIS is blood
cell formation that occurs in the red bone marrow (pelvic girdle, shoulder girdle, heads
of humerus and femur): HEMOCYTOBLAST (stem cell in red bone marrow)
PROEYTHROBLAST (committed cell) developmental pathway phase #1: EARLY
ERYTHROBLAST (ribosome synthesis) phase #2: (hemoglobin accumulation by
ribosomes) LATE ERYTHROBLAST NORMOBLAST (ejects nucleus) phase #3:
RETICULOCYTE (no nucleus) ERYTHROCYTE. Hormones control erythropoiesis by
blood oxygen levels, (1) when a decrease in normal blood oxygen levels stimulated by
HYPOXIA due to decreased RBC count, decrease availability of oxygen to blood or
increased tissue demands for oxygen, (2) kidneys release ERYTHROPOIETIN, (3)
erythropoietin stimulates red bone marrow, (4) enhanced erythropoiesis increases RBC
count, (5) increase oxygen carrying ability of blood, restoring normal blood oxygen
levels (negative feedback). There are 4 HEME (Fe) SUBGROUPS in hemoglobin, each
which binds oxygen, plus globin. The PORPHYRIN RING changes conformation, altering
heme-binding affinity for oxygen, fully bound or saturated Hb is Hb4O2, oxygen binds to
iron, which gives it red. Oxygen is not very soluble in water of plasma, enters plasma by
diffusion from lungs, and goes into RBCs from blood plasma. Hemoglobin binds oxygen;
taking oxygen out of solution, maintain concentration gradient, increasing blood
transport capacity by over 100x. Hb changes color, blood with CO2 is darker red than
blood with O2, percent saturation curve with Hb displays the property of
COOPERATIVE REVERSIBLE BINDING, Hb affinity for oxygen is affected by bound state
of oxygen to 4 heme groups, increasing until 3 oxygen’s (1 and 4th are hard). The
OXYGEN-HEMOGLOBIN DISSOCIATION CURVE has a characteristic sigmoidal shape,
with increased binding affinity when few oxygen bound (low PO2) by changing
conformation, with low to moderate exercise about 50% of O2 dissociates from Hb to
supply tissues (50-100% PO2 from veins to arteries). The molecular structural model
has 2 alpha and 2 beta subunits. MYOGLOBIN is a 1 heme oxygen carrier found in
muscle cells, which provides facilitated diffusion of oxygen from RBC into muscle cells.
Myoglobin curve is shifted left with stronger binding affinity of myoglobin for oxygen
cause oxygen to be released from Hb. Mb has a greater binding affinity than Hb at a
given PO2. Myoglobin binds O2 as it diffuses into the muscle cell, keeping the
concentration gradient for diffusion elevated in muscles where it is used, the partial
pressure gradient pulls oxygen off Mb and into mitochondria, because PO2mit < PO2
cytosol. Factors that affect Hb-O2 binding affinity are: (1) fetal vs. maternal Hb-O2
affinity (molecular structure, gene expression), (2) pH (metabolic state, biochemical
effect), (3) temperature (metabolic heat production) and (4) altitude (biochemical
effect). Horizontal shift in oxygen dissociation curve reflects changes in Hb binding
affinity, left-shift increases oxygen affinity, and right-shift decreases oxygen affinity
(encouraging oxygen to be released), can observe various hB% saturation at a given
PO2. The left-shit in maternal vs. fetal Hb reflects difference in molecular structure,
change in gene expression at birth changes from fetal to maternal Hb form. Fetal Hb has
increase oxygen affinity by facilitating oxygen dissociation from maternal Hb, enabling
oxygen to diffuse across placenta and bind to fetal Hb (made in liver, different
molecule). The BOHR EFFECT is a right shift in oxygen dissociation curve, when
reduced pH and elevated CO2 levels decrease Hb binding affinity, as oxygen dissociates
more readily to enter tissues, facilitating its diffusion into metabolically active cells for
oxygen use. Hemoglobin shifts dependent where it is, highly dynamic situation, capable
of responding to immediate environment to maximize oxygen carrying capacity for
what it needs. Reduced pH results from lactate and H+ as end products of anaerobic
glycolysis and CO2 of aerobic metabolism. Increased temperature (heat from
metabolism) end altitude (via production of DPG) also causes a right shift in oxygen
dissociation curve and decreases in Hb binding affinity. These and pH represent
allosteric effects on Hb, change in Hb conformation changes its oxygen binding affinity.
Dissolve CO2 can contribute to metabolic acidosis, but it’s effect on pH is reduced by
reacting with H2) via CARBOINC ANHYDRASE in RBCs to produce BICARBONATE and
weakly acidic H+ ions. Anaerobic glycolysis produces lactate and H+, which also lowers
pH.
Carbon dioxide is transported in the blood in three forms (1) dissolved in plasma, (2)
chemically bound to hemoglobin, (3) bicarbonate ion in plasma. CO2 + H2O H2CO3
(carbonic acid) H+ + HCO3- (bicarbonate ion). HCO3- goes out, but Cl- goes in to
balance negative charge in and outside of RBC. Standard buffer system in affect in
metabolic ion changes in blood.
Blood flow driven by heart pressure requires a mechanism to plugs leaks, thus
PLATELETS, which produce FIBRIN, perform blood clotting which WBCs have immune
of body defense. Vessel damage exposes collagen under endothelium, causes activation
of platelets to discharge mediates a synthesis thromboxine, which constricts vascular
smooth muscle for vasoconstriction and aggregation of platelets to form platelet plug.
Normal levels are 250,000 platelets per microliter, if platelet count falls below 50,000
per microliter, bleeding becomes a problem. NO (nitrous oxide) and PROTAGLANDIN
inhibit platelet aggregation and limit clotting to localized area of damage.
HAEMOPHILIA is los of critical clotting factors, which leads to uncontrolled bleeding,
which is a rare recessive trait that affects most often males. SICKLE CELL ANEMIA is
when a single AA mutation in the beta submit gene. HbSS is homozygous for sickle cell
anemia, HbSA is heterozygous or sickle cell trait, a condition selected for resistant to
malaria. HbA is normal Hb. HbS is sickled RBCs that clump and aggregate, blocking
small vessels. Sickled RBCS also die more quickly, leading to severe anemia, and cannot
bind oxygen as well. Malaria is caused by parasitic microorganisms transmitted by
mosquitoes that feed on RBCs. Normal RBCs are particularly susceptible, heterozygotes
are less vulnerable and allow partial resistance because it cannot infect sickle cells. 90%
of cases of 10% of world population infected by malaria in are sub-Saharan Africa.
Treatment of homozygous is activated fetal hemoglobin.
Outside of RBCS are antibodies, particularly antibodies that determine blood type. In
humans there are 4 major blood types: A, B, AB, O. The immune system produces anti-
bodies against the opposite markers on the RBC, so: B, A, zero, and AB antibodies
respectively. Thus, for blood transfusions, patients can have: A/O, B/O, A/B/O/AB, and
O respectively. O individuals are considered universal donors, and AB universal
recipient. Bad blood transfusions can cause antibodies will bind to foreign RBC, causing
them to aggregate and seriously affect function of kidneys and liver. +Rh have no
antibodies against Rh factor, -Rh initially have no antibodies until immune system
produces antibodies (first time, +Rh has so no affect but second time will cause
aggregation and anemia).
Summary: Multiple roles of blood reflect multiple cell populations carried within blood;
Hematocrit measures quantity of RBCs in blood (40-45%), RBCs are made in the bone
marrow by a process under hormonal control; hemoglobin is produced and carried in
RBCs which display cooperative reversible binding of 4 O2 molecules, greatly increasing
the blood’s oxygen transport capacity by 100x; Hb oxygen dissociation curve has
sigmoidal shape reflecting cooperative bind of 4 oxygens; myoglobin produced in
muscle has high affinity for oxygen, facilitating oxygen diffusion into muscle cells;
several factors (fetal/maternal, altitude) affect Hb-O2 binding affinity (left vs. right
shifts); CO2 is primarily carried in the blood as bicarbonate and acts as a major buffer in
the blood; clotting initiated by platelets in response to blood vessel damage; sickle-cell
Hb heterozygous trait (homozygous: anemia) reflects balancing selection for resistance
to malaria.
OUTLINE: Scaling and allometry: the importance of size; Scaling basics (the allometric
equation, geometric similarity, isometric expectations); 4 examples: metabolic rate
scaling, COT during swimming, flying and running, respiratory system scaling and
elephants and LSD.
SIZE varies enormously and has a significant impact on function. Size has many
important consequences for how we understanding physiology function; changing size
may change function; Major variation in size between species. SCALING is how
organismal structure and function changes with size. ALLOMETRY is the study of size
and its consequences for organismal function (i.e. the bones of very large animals must
be scaled out of proportion to their linear dimension, such as diameter, in order to
support the weight of the animal, which increases with the third power of the linear
dimensions (between species); during growth, humans change shape as well as size,
head makes up less and limbs make up more of its overall height (in development)).
Studies of scaling usually quantify changes in organismal anatomy or function with size
using the ALLOMETIC EQUATION Y = aX^b, where Y is the TRAIT OF INTEREST or
RESPONSE VARIABLE (i.e. limb mass, metabolic rate, running speed, #mitochondria,
lung volume, body surface area, heart rate, leaf area, etc.), a is a constant, b is the
exponent (the “allometic”/”scaling” coefficient) and X is another trait of interest
(usually a measure of body size, i.e. body mass (Mb), bone mass, volume or length when
body mass can’t be measured, i.e. dinosaurs). This is a logarithmic relationship, which
can be made linear by taking the logs of the values measure for each trait, becoming log
Y = log (a) + b x log (X) or Y = (a) x (b)(X). This describes a straight line with b being the
slope and the intercept is log, which is a constant. One point can be a value for a species,
or point in development. ISOMETRIC EXPECTATION is a hypothesis of slope under
certain conditions. As a NULL CONDITIONS, if large animals were just bigger versions of
smaller animals, what would we expect that slope to be for various variables. Large
organisms could be but are not necessarily just geometrically scaled up versions of
smaller organisms or XEROX ENGLARGEMENT where if we double length, SA increases
4x and volume or mass 8x (i.e. surface area of elephant versus mouse). If
ISOMETRIC/GEOMETIC SCALING, body mass is proportional to length cubed and
surface area is proportional to length squared. In a graph of log lung surface area versus
log of body mass, for children in development, by geometric scaling or Xerox
enlargement, isometric expectation for slope or exponent should be 2/3 (or .67) if
GEOMETRIC SIMILARITY is true. POSITIVE ALLOMETRY is data with a slope above
isometric expectation; NEGATIVE ALLOMETRY is data with a slope blow isometric
expectation of Xerox enlargement. MASS SPECIFIC or VOLUME SPECIFIC SCALING is
usually negative slope (-1/3), on a graph of SA vs. volume, thus as animals are bigger,
bones should increase by cross sectional area to account for support of mass. Brain
mass versus body mass is negative allometry for reptiles, still negative allometry in
humans but largest for body size compared to mammal. Other non-geometric models
for predicting allometric exponents are possible, such as a FRACTAL NETWORK
MODEL, which makes different predictions of scaling exponents from geometric
similarity model. Animal and plant functional design is modeled as a branching network
to generate predicted scaling exponents.
METABOLIC RATE SCALING can be observed by measure metabolic rates in many
animals, plotting metabolic rates versus body mass, measuring slope of relationship,
and observing how metabolic rate scales with size? On a graph of log metabolic rate
(lO2/hour) versus log body mass, if one were to make a “mass mass” (depending on
mass) hypothesis, the slope would be 1, if one were to make a “surface area-mass”
(depending on surface area, i.e. heat dissipating through sweating in skin), the slope
would be .67. However, it has been shown in various mammals and birds, on log-log
axes the KLEIBER CURVE has exponents of .75, even among many different groups of
organisms. COST OF TRANSPORT SCALING (J/ kg m) (in running, swimming and flying)
is classically done with mammals (dog), birds (seagull) and fish, results have found
negative allometry (less cost than expected to move tissue), but various intercepts so
less energetically costly at same body mass. The problem is difference in the respiratory
systems of these animals in different media. Comparing only amount mammals (aquatic
mammals and bats) in each group shows that the slopes are actually very similar and
COT differences vanish. RESPIRATORY SYSTEM SCALING, scaling lung volume versus
body mass, and capillary volume versus body mass both have a slope of about 1, thus
isometric scaling (in volume/mass-mass). When comparing alveolar surface area the
slope is still about 1, but SA-mass isometric prediction is .67, so positive allometry.
When comparing alveolar diffusion distance the slope is .05 (when predicted .33),
because alveolar distances is approximately constant between species. An elephant,
given the LSD dosage based on what was an appropriate for a cat by body weight.
Maybe should have been scaled by metabolic rates, or either in humans, or brain size.
Allometric studies have help discover why differences in size occur.
OUTLINE: General concepts; basic patterns of growth- centile charts; hormonal control
of growth (growth hormone, thyroid hormone, hormones and bone growth).
The 3 universal characteristics of life are (1) metabolism, (2) reproduction, and (3).
Energy is partitioned in the body into maintenance, growth and reproduction. The
general principles of physical growth are directionality (how body proportions change,
generally cephalocaudal from head to tail, though also proximodistal from the center
outward), independence of systems (different parts of the body develop along different
timetables, i.e. the nervous system develops most rapidly in the first five years of life,
while sexual characteristics remain fairly stagnant until puberty is reached in early
adolescence; body size changes quickly from birth to age three before slowing but rapid
growth occurs again right around puberty in an ADOLESCENT GROWTH SPURT until
full adult height is reached in late adolescence such as compared on a graph of adult
status attained versus age), and canalization (many systems in the body follow a
standard, genetically pre-structured pathways of development; if something throws
development off course, a correction back on course occurs as soon as a change is
possible). Norms represent average outcomes where individual differences are the range
of variation within the normal range.
On a graph of adult stats attained (percentage) vs. age, the nervous system grows
rapidly early then asymptotes out at 10-12 years (despite neuronal changes, just mass),
body size increases tapers then increase during puberty, sexual characteristics have
little growth than rapid growth. Various in trajectories between body systems.
Montebeillard scientifically measured his son’s absolute height over time but also
growth velocity or how much height changes at each age, thus how rapid growth is
during infancy. The fastest growth in childhood occurs in the first 2 years of life, and
then spike at puberty. Poor growth during this critical period of fast growth from birth
to 2 years has life-long health and function consequences and is one of the justifications
for the focus of nutrition on the first 1000 days of life. The long period of relatively slow
growth between infancy and adolescence is unique to humans and is thought to be an
evolutionary adaptation to allow brain development a social learning and thereby
enhance the survival chances of humans. The adolescent growth spurt, which occurs
during puberty, is another period of rapid growth. The growth spurt occurs earlier n
girls than in boys, and girls also stop growing earlier than boys, and boys achieve a
taller maximum high. Humans have a unique pattern of growth, but similar in general to
the primate pattern (i.e. Guinea baboon), although noteworthy big drop in humans after
both and primate species peak (puberty) earlier than humans. Compared to the growth
curve in a wild mouse population, pattern of growth is quite different, slope goes up and
asymptotes out in growth vs. age, and growth rate (vs. age) increases and then drops
and tapers off (no adolescent growth spurt).
Human growth is monitored using centile charts. This allows medical professionals to
monitor a child’s growth compared to a certain percentage of the population. Old CDC
charts showed formula-fed, so undergrowing and then heavier, new WHO charts show
breast-fed and much more representative and optimal of natural human population
growth. Charts are broken down in various categories, i.e. ethnicity, location. The age of
the child is taken into consideration as well as the spread of differences in the
population. Height, weight, BMI and head circumference (brain growth) are al
measured in this way. In a centile chart, with weight vs. age in percentages, the thicker
red line in the middle is the 50th percentile (average) which indicates that 50% of the
population of boys has weight heaver than the line and 50% are lighter, the 2nd and the
98th centiles are two standard deviations above and below the median. Each line at Nth
centile marks weight or height below N% of children of that age and gender fall.
Likewise, the 95% percentile line indicates the weight where 95% of the population of
boys is lighter. Growth charts are constructed using measurements from a large
number of children at different ages. A series of these cross sectional samples of
population measurements are then used to construct the chart by joining the dots
between key points at each age. When charts were first made this was done by hand but
now there are sophisticated mathematical techniques to do this. The distance between
each centile line is known as a centile space. The lowest centile, the, 4th has been
chosen to identify extreme low measurements, below which only 1/250 optimally
growing children will fall. Individuals tend to track centile lines during growth. Crossing
two centile lines can be cause for clinical concern. The major exception is at
adolescents. The growth curve of a boy with constitutional delay showing slower
growth in the peripubertal time and then achievement of the normal range by the end
of the growth process, due to acceleration through puberty, which is not unusual. The
growth velocity curve is shown with a more attenuated and lower increase at puberty.
In many countries, dramatic seasonal differences in the availability of foods and
incidence of infectious disease have significant effects on growth (can track people and
communities, variable of nutrition, types of growth rates among populations subject to
various environmental conditions). This figure shows the growth in weight of one child
from birth to 2 years. The child’s weight remains well within the normal range from
birth until the time of the first rainy season. Multiple infectious events during the rainy
season slow and ultimately halt weight growth. Weight growth increases rapidly after
the first rainy season but the child’s weight remains well below the normal range. The
subsequent rainy season results in further disease events and poor growth.
MICROCEPHALY, when one’s head circumference is 2SD less than normal or impaired
head growth, has many possible causes.
Many hormones control growth with principal actions. GROWTH HORMONE is a major
stimulation of postnatal growth, induces precursor cells to differentiate and secrete
IGF-1 (insulin-like growth factor I) which stimulates cell division, stimulates lives to
secret IGF-1, and stimulates protein synthesis (predominantly in muscle). It also has
ANTI-INSOLUIN EFFECTS particularly at high concentrations, rendering adipocytes
more responsive to stimuli that induce breakdown of triglycerides, releasing fatty acids
into the blood, stimulates gluconeogenesis, and reduces the ability of insulin to
stimulate glucose uptake by adipose and muscle cells, resulting in higher blood glucose
levels. INSULIN stimulates fetal growth, stimulates postnatal growth by stimulating
secretion of IGF-1, and stimulates protein synthesis. IGF-1 mediates GH action, secreted
primarily by liver, circulating bound to carrier proteins. During puberty, there is an
increase in IGF-1 production. THYROID HORMONES are permissive (two together are
greater than either individually) fro growth hormone’s secretion and actions and
permissive for development of the central nervous system. TESTOSTERONE stimulates
growth at puberty (in large part by stimulating the secretion of growth hormone),
causes eventual epiphyseal closure, and stimulates protein synthesis in male.
ESTROGEN stimulates the secretion of growth hormone at puberty and causes eventual
epiphyseal closure. CORTISOL inhibits growth and stimulates protein catabolism, the
catabolic action of which opposes insulin. Treatment, hormone therapy, can restore
someone back to his or her original growth trajectory (i.e. after anorexia).
KIDNEY TRANSPLANTS can restore normal growth velocity to a patient with retarded
growth at the time of transplantation, while treatment with recombinant human growth
hormone can produce accelerated growth velocity. In a child, these two results can
produce substantive improvement in the height centile, despite insufficient growth
spurt during the early stages of puberty. Affect can depend on timing. PITUATIARY
GIANTS are caused by an increased production of GH that can occur at any time (i.e. by
tumor) when growth plates of bones are still open and continue to grow. PITUITARY
DWARFISM is caused by insufficient GH in childhood. ACROMEGALY is excess secretion
of GH in adult, when the bones of the hands, feet and face can thicken gradually but not
lengthen stature because growth plates are fused.
PARATHYROID and THYROID GLAND regulate calcium. Disorders of the thyroid gland
include SIMPLE GOITER, CRETINISM, and EXOPTHALMOS. THYROID HORMONE is
important for the development of the central nervous system. Iodine is necessary for
the synthesis of thyroid hormone. THYRONINE HORMONES govern general metabolic
rate by increasing ATP production in mitochondria. Thyroid hormones act successful in
hormone treatment to increase growth when patients are below good centile levels
CALCITONIN (CT) is produced by the PARAFOLLICULAR CELLS in the thyroid and
regulates calcium levels in the blood. It acts directly on osteoclasts, which shrink in size
and slow calcium release. When calcium levels are high, the bones take up the thyroid
gland releases CT and calcium. PARATHYROID HORMONE (PTH) is produced by the
PARATHRYOID GLANDS and also regulates calcium levels in the blood. PARATHYROID
HORMONE stimulates osteoclasts to degrade the bone matrix and release Ca2+ into the
blood. When levels of calcium are low, the parathyroid glands release PTH. In response,
calcium is released by bones, reabsorbed by the kidneys and absorbed by the intestines.
Stages of ENDOCHONDRAL OSSIFICATION: (1) formation of bone collar around hyaline
cartilage model, (2) cavitation of the hyaline cartilage within the cartilage model, (3)
invasion of internal cavities by the periosteal bud and spongy bone formation, (4)
formation of the medullary cavity as ossification continues, appearance of secondary
ossification centers in the epiphyses in preparations for (5) ossification of the
epiphyses, when completed hyaline cartilage remains only in the epiphyseal plates and
articular cartilages. EPIPHYSAL GROWTH PLATES, where cartilage meets developing
bone, are central to growth.
During infancy and childhood, epiphyseal plate activity is stimulated by growth
hormone/IGF-1 release by the anterior pituitary (using hormone receptors in cells).
Closure of epiphyseal plate can also show bone age, which is another way to measure
development (incomplete is younger than chronological age, is also cause for concern).
During puberty, testosterone and estrogens initially promote adolescent growth spurts;
cause masculinization and feminization of specific parts of the skeleton, and later
induce epiphyseal plate closure, ending longitudinal bone growth. Estrogen receptor
deficiencies in bone cells in men can result in continued growth of bones, because
estrogen signals close of epiphyseal plates.
SPECIFIC ADAPTIVE DEFENSES are the bodies’ built in defense system. Unlike, the
innate immune system it must be primed by an initial exposure to an antigen. The
adaptive immune system is a functional system that recognizes specific foreign
substances (encoded by genes), is system (body-wide, no regulated to a particular
system), and has memory. Adaptive immunity is a two-sided defensive system that uses
lymphocytes, APCs (antigen presenting cells), and specific molecules to identify and
destroy non-self particles. Its response depends upon the ability of its cells to recognize
foreign substances by binding to them and communicate with one another so that the
whole system mounts a response specific to those antigens (problems when not specific).
Specific immune defenses have two separate but overlapping arms: HUMORAL or
antibody-mediated immunity provided by antibodies that circulate freely, and
CELLULAR or cell-mediated immunity, where protective factor is lymphocytes, targets
are cellular and have helper and direct killing cells. Antibodies are good are attacking
extracellular, but not intracellular pathogens in the cells of the specific immune system.
There are two types of LYMPHOCYTES: B LYMPHOCYTES and T LYPHOCYTES, which
also are CYTOTOXIC T-CELLS and HELPER T-CELLS, all require APCs which process and
make capable for other cells to responses. In the specific immune system there are also
ANTIGEN-PRESENTING CELLS (APCs) that do not respond to specific antigens.
Lymphocytes are made in bone marrow, come from lymphoid stem cells, mature in
bone marrow and partially mature into B and T cells, T cells finish maturation in
thymus into helper and cytotoxic cells but activation occurs when activated by antigen
in secondary lymph organ (i.e. spleen, lymph nodes tonsils), B cells mature in bone
marrow, activate din lymph nodes and both circulate in blood and lymphatic system.
IMMUNOCOMPETENT B or T CELLS originate in the bone marrow as immature
lymphocytes, circulate in the blood to the thymus (T) or stay in the bone marrow (B) to
develop immunocompetence, and then migrate to lymphoid organs (lymph nodes,
spleen, etc.) which is the site of antigen challenge and differentiation to mater B or T
cells which recirculate in blood and lymph. In thymus, T-cells (i.e. antigen-presenting
cells) that are STRONGLY ANTI-SELF or ANTI-NOTHING result in NEGATIVE SELCTION
or death, while WEAKLY ANTI SELF results in POSITIVE SELECTION or self-tolerant
immunocompetent. Thus they must recognize a cell antigen but not recognize it too
strong or killed. ANTIGEN-PRESENTING CELLS (APCs) major rolls in immunity are to
engulf foreign particles and to present fragment of antigens on their own surfaces to be
recognized by T-cells. Major APCs are macrophages, dendritic cells, and Langerhans cells
and activated B-cells. Humoral immunity response is an ANTIGEN CHALLENGE, (the
first encounter between an antigen or an immunocompetent B-cell) if the lymphocyte is
a B-cell, the challenging antigen provokes a humoral immune response, causing
CLONAL SELECTION or proliferation occurs, B-cells’ antibodies bind to antigen which
stimulates B-cell to proliferate and majority of them turn into PLASMA CELLS which are
antibody-making factories producing large amounts of antibodies to be secreted into
the circulatory and lymphatic system to bind to foreign antigen. MEMROY B CELLS are
also produced, which don’t do anything in first exposure, but stay until second time
when response is larger, faster and longer lasting. In IMMUNOLOGICAL MEMORY, the
secondary immune response to an antigen after a secondary exposure is much larger than
the primary immune response after a first exposure. It takes 5 days after first exposure
to antigen before ay antibody response, peaking 7 days and then declining until day 28,
second exposure antibody production days 3 days. ACQUIRED IMMUNITY can be
NATURALLY ACQUIRED through ACTIVE means (infection, contact with pathogen,
having the virus) or PASSIVE (antibodies pass from mother to fetus via placenta, or to
infant in her milk, but not any memory cells so immune system affect lasts only so long
as the antibodies), or ARTIFICALLY AQUIRED through ACTIVE means (vaccine, dead or
attenuated pathogens) or PASSIVE (injection of immune serum with antibodies, gamma
globin for Hepatitis). VACCINES are a way of using a dead or weakened/attenuated
pathogen to cause humoral immune system to produce memory cells (i.e. chicken pox)
so that the body produces so many antibodies so quick when exposed you don’t feel the
symptoms. Why is vaccine development for certain viral diseases difficult? Because we
can’t test them due to fatality. What was the first disease that a vaccine was developed
for? Smallpox, then cholera and rabies.
Antibodies are useless for intraocular virus, so CELL-MEDIATED IMMUNE SYSTEM. In
cell-mediated immune response, two major populations of T cells mediate cellular
immunity: CD4 cells (T4 cells) are primarily helper T cells (Th) and CD8 cells (T8 cells)
are cytotoxic T cells (Tc) that directly destroy cells harboring foreign antigens, foreign
or infected. Other types of cells are DELAYED HYPERSITIVITY T-CELLS (Tdh),
SUPPRESSOR T-CELLS (Ts) and MEMORY T-CELLS. For CLASS 1 MHC PROTEINS: (1)
endogenous antigen degraded by protease after infection by intercellular virus protein,
(2) endogenous antigen peptides enter ER via TAP, (3) endogenous antigen peptide
loaded onto MHC Class 1, (4) loaded MHC protein migrates to the plasma membrane
where it displays the antigenic peptide, targeting itself for destruction by cytotoxic T-
cells. For CLASS II MHC PROTEINS: (1) bacterium pathogen is phagocytized, (2) after
synthesis at the ER, the MHC Class II Protein, with invariant chain still attached
migrants to the phagolysosome, (3) in phagolysosome, the antigen is degrade and
invariant chain removed for peptide loading, and (4) loaded MHC2 protein migrates to
the plasma membrane to display to helper T cells. This is not an infected cell, but
communicating to helper T cells that there is an exogenous (outside cell) antigen in the
system that needs response by amplifying the immune system response. Why is it
important to try to get a good MHC match prior to organ transplantation? Without MHC
match, immune system will attack cell as foreign. T-CELL ACTIVATION must occur by
first ANTIGEN BIDNING to MHC and must be COSTIMULATED by another factor.
COSTIMULATION done is CYTOKINES or chemical-mediating factors released by APCs
that enhance the immune response by activation the helper T-cells (i.e. TNF, IL-1), some
of which are stimulants of T cells and T cell proliferation. INTERLEUKIN 1 (IL-1) is
released by macrophased costimulates bound T-cells, costimulating to release
INTERLEUKIN 2 (IL-2) and synthesize more IL-2 receptors. IL-2 act as costimulates to
activated cytotoxic T-cells to release chemicals like perforin to destroy infected cell.
CYTOTOXIC T-CELLS (Tc) or KILLER T-CELLS is the only T cell that can directly attack
and kill other cells (i.e. cancer cells, foreign transplant cells, virus infected cells, cells
with intracellular parasites). They circulate throughout the body in search of body cells
that display the antigen to which they have been sensitized. In most cases Tc cells bind
to the target cells and release PERFORIN into its membrane. Other Tc cells induce cell
death by secreting LYMPHOTOXIN (fragmenting target cells DNA, releasing TUMOR
NECROSIS FACTOR (TNF, triggering APOPTOSIS) or secreting GAMMA INTERFERON.
HELPER T-CELLS (Th, stimulates PHAGOSYTOSIS via MACROPHAGE). Cytotoxic T-cells
need helper T-cells, activated by macrophages or activated B-cells. Helper T-cells can
also (in addition to activating cytotoxic T-cells) increase immune response, by activated
macrophages to release more cell-killing chemicals and activated NATURAL KILLER
CELLS, overlapping between specific and nonspecific immune systems. It is a positive
feedback loop, although the body shuts the system off.
Nonspecific defense include anatomical barriers, inflammation and interferon, involving
body surface linings which provide physical barrier and antiviral chemicals, tissue
macrophages which provide phagocytosis of extracellular virus, and most cell types
after viruses enter them, for which interferon nonspecifically prevents viral replication
inside host cells. Specific defenses include antibody mediated, involving plasma cells
(derived form B cells) that secrete antibodies, that neutralize viral and prevent entry
into cell, activate complement which leads to enhanced phagocytosis of extracellular
virus and recruit NK cells via antibody mediated cellular cytotoxicity, helper involving
helper t cells that secrete interleukins, keep NK cells/macrophages/cytotoxic T
cells/helper cells active and convert B cells to plasma cells, and direct killing, involved
cytotoxic T cells, NK cells and activated macrophages, that destroy host cells via
secreted chemicals and induce release of virus into extracellular fluid where it can be
phagocytized (activity stimulated by IL-3 and interferon-gamma.
ORGAN TRANSPLANTS include AUTOGRAFTS (i.e. skin grafts, take a graft from a person
to move somewhere else, same tissue, no rejection), ISOGRAFTS (tissue in-between
genetic identical twins, same genetic code, no rejection), ALLOGRAFTS (non-genetically
identical individuals, ABO and blood group antigens must match, MHC antigen match,
even then immunosuppressive therapy for the rest of their lives, two exceptions are
blood transfusions, tendons and ligaments, and cornea transplants because cornea has
no blood supply) and XENOGRAFTS (graft between human and non-human species,
most common is pig, for tendons, heart valves, but no major organs, but also possible to
directly transfer pathogen, XENOTIC INFECTIONS directly from animals, i.e. HIV, bird
flu, swine flu, TB, SARS). IMMUNDEFICIENCIES occur when immune system is not
function or not producing immune cells, can be congenital (birth) or acquired conditions
in which the function or production of immune cells, phagocytes or complement is
abnormal. SEVERE COMBINE IMMUNODEFICIENCY (SCID) SYNDROMES are genetic
defects that produce a resulted deficient in B or T cells, or no cell receptors for IL, thus
susceptible to every pathogen without a way to fight them. SCID is fatal if untreated with
bone marrow transplants (to replace or supply what is wrong or isn’t there). Hairless
house bred without thymus (and thus without T-cells). Acquired immunodeficiency are
HODGKIN’S DIEASE, cancers of the lymph nodes, which leads to immunodeficiency by
depressing lymph node cells, and ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS).
Which cells do AIDS target that causes individuals to become susceptible to
opportunistic infections? Attacks helper T cells, virus or fungal infection. Is there
another disease that causes the body to become susceptible to opportunistic infections?
The 1918 flu resulted in a world pandemic of devastation proportions. It was also
unusual in the age and sex pattern or morality it caused. Mortality was particularly high
among those harboring tuberculosis, which had a young male biased distribution and
became an opportunistic infection. 1918 flu may have also prevented the body from
shutting the positive feedback loop down, massive respiratory system inflammation
due to CYOTOKINE STORM. AUTOIMMUNE DISEASES are the loss of the immune
system’s ability to distinguish self from non-self (i.e. GRAVES’ DISEASE, RHEUMATOID
ARTHRISTIS, TYPE 1 JUVENILE DIABETES MELLITUS (destroys cells in panaceas)),
which go after and destroy healthy functional cells. HYPERSENSITIVY are immune
responses that cause tissue damage. IMMUNE COMPLEX-MEDIATED ALLERGIES are
immediate/life-threatening and subacute hypersensitivities (inflammatory reaction
caused by systemic allergen that causes anaphylactic shock, i.e. bee stings and peanut
butter allergies. Immediate hypersensitivity reactions include runny nose, itching
reddened skin and water eyes, produced by excessive histamines, ANTIHISTAMINES
counteract these effects. ANAPHYLACTIC SHOCK is a systemic response to allergens that
directly enter the blood which (i.e. insect bite, injection). SYTEMIC HISTAMINE release
may result in constriction of bronchioles, sudden vasodilation (off all blood vessels drops
blood pressure and must be treated with vasoconstrictors) and fluid loss from the
bloodstream, and hypotensive shock and death. IMMUNE-COMPLEX HYPERSENSITIVITY
has antigens that are widely distributed through the body or blood, insoluble antigen-
antibody complexes that form and intense inflammation, local cell lysis and death may
result against self cells and long lasting because not easy to remove from system (i.e.
lupis). DELAYED HYPERSENTITIVES have slow onset (1-3 days), mediated by
mechanisms involving delayed hypersensitivity T-cells and cytotoxic T cells (Tdh and
Tc cells), and cytokines from activated Tc are the mediators of the inflammatory
response (i.e. poison ivy, cortisol suppresses the immune system to eliminate reaction).
Delayed hypersensitivity is mediated by helper T cells and macrophages independent of
antibodies, immune complex hypersensitivity is mediated by antigen antibody
complexes deposited in tissue and immediate hypersensitivity is mediated by IgE
antibodies, MAST CELLS and eosinophil.