2008 Paul Billiet ODWS Modes of Heat Exchange Radiation is the emission of electromagnetic waves by all objects warmer than absolute zero. Radiation can transfer heat between objects that are not in direct contact, as when a lizard absorbs heat radiating from the sun. Evaporation is the removal of heat from the surface of a liquid that is losing some of its molecules as gas. Evaporation of water from a lizards moist surfaces that are exposed to the environment has a strong cooling effect. Convection is the transfer of heat by the movement of air or liquid past a surface, as when a breeze contributes to heat loss from a lizards dry skin, or blood moves heat from the body core to the extremities. Conduction is the direct transfer of thermal motion (heat) between molecules of objects in direct contact with each other, as when a lizard sits on a hot rock. Figure 40.13 Description of the System Physical, Chemical, Behavioral Processes Definition of Body Temperature is not well defined Head, trunk, arm, hand, thigh, skin, fat, muscle, bone, lung, viscera, brain, blood 2.4C difference between skin and blood temp. Most important is core body temperature (i.e.: baseball player) Best place to measure core body temperature Lower esophagus Combination of rectal + skin [8]
Here taken as rectal temperature sk re b T T T 33 . 67 . Core temperature The core temperature of the human body is 37C The core of the human body includes the organs of the thorax, abdomen and the head This is where the vital organs are located Their enzyme systems must operate in optimum conditions The periphery of the body can withstand some deviation from the core temperature 2008 Paul Billiet ODWS Measurements of Temperature Oral Rectal Tympanic membrane Axillary Other
Passive-Active Model Passive: cant be controlled by the body (normally) Radiation Convection - transport of energy due to motion of the heat transfer medium (i.e.: air, blood) - air motion will strip away the heated layer surrounding the skin Conduction heat transfer through contact Evaporation Active: can be modulated by body Sweat glands, dilation of blood vessels, shivering, behavioral processes (neglected in this model)
Heat loss and heat gain The body must balance its heat budget Heat is gained: by conduction from warm air surrounding the body by the bodys metabolic activity which generates heat e.g. when muscle move Heat is lost: by conduction and radiation to cold air (or water) by evaporation of sweat from the body surface (c.f. properties of water) Humans can also affect their body temperature by changing their behaviour e.g. wearing different clothes, seeking shade 2008 Paul Billiet ODWS Maintaining the body temperature Keeping warm Staying cool Increased insulation, subcutaneous fat reduces the conduction of heat from the body Increase blood flow to skin, increases conduction and radiation of heat from the body Reduced sweating decreases evaporation Increased sweat secretion, increases evaporation Increased shivering, increases heat produced by muscle tissue 2 to 5 times Reduced activity 2008 Paul Billiet ODWS Sympathetic nerves effect Production of sweat is stimulated by sympathetic nerves to the glands. These nerves release acetylcholine rather than the usual sympathetic neurotransmitter norepinephrine. Sweat is a dilute solution containing sodium chloride as its major solute. Sweating rates of over 4 L/h have been reported; the evaporation of 4 L of water would eliminate almost 2400 kcal from the body. Insulation Insulation, which is a major thermoregulatory adaptation in mammals and birds Reduces the flow of heat between an animal and its environment May include feathers, fur, or blubber Hair Sweat pore Muscle Nerve Sweat gland Oil gland Hair follicle Blood vessels Adipose tissue Hypodermis Dermis Epidermis In mammals, the integumentary system Acts as insulating material Figure 40.14 In vasodilation Blood flow in the skin increases, facilitating heat loss In vasoconstriction Blood flow in the skin decreases, lowering heat loss Heat Exchange in the Skin Pretty pictures Thermoregulation Human beings generally maintain consistent body temperatures in health Normal body temperature - a range Individual variation Balance between heat gained and lost Heat gain - metabolic processes, exercise, shivering Heat loss - convection, conduction radiation Thermoregulation (Cont'd) Temperature sensitive preoptic region "regulates" body temperature by integrating thermal input signals from thermosensors in the skin and core areas Concept of thermal set point Thermoregulation in Heat For the linguistically impaired: Fever Pathogenesis Exogenous pyrogens Pyrogenic cytokines Interleukin 1 (1L-1) Tumor necrosis factor Interleukin-6 Interferon - gamma Fever Pathogenesis (Contd) Pyrogenic cytokines produced predominantly by mononuclear phagocytes but also other cells Complex relationships among cytokines Raising thermoregulatory set point Local mediators Questions remain regarding exact mechanisms
Fever Pathogenesis (Contd) Increased set point triggers heat conservation (vasoconstriction) and heat production (shivering and metabolism) Signals also to cerebral control for behavior changes Hypothesis-interaction between pyrogenic cytokines and their receptors in anterior hypothalamus, liberation of PGE2 by increasing cyclooxygenase expression Fever Pathogenesis (Contd) Pyrogenic cytokines have short intravascular half lives Active in picomolar quantities Following release of pyrogenic cytokines, increased shedding of soluble receptors, function as endogenous inhibitors
Fever Pathogenesis (Contd) Exact biologic function of circulating receptor antagonists unknown ? serve as natural braking system Mechanism of fever in non-infectious diseases Connective tissue disorders-most probably similar to above Malignancy Spontaneous production of lL1, leukemic cells Lymphomas lL1, TNF a, melanoma, hepatoblastoma, sarcoma, ovarian cell carcinoma Fever Acute Phase Response Fever is one manifestation of cytokine mediated response Other physiologic responses Somnolence, anorexia Altered synthesis of hormones Increase in total circulating PMN and bands Fever Acute Phase Response Increase in hepatic acute phase protein c-reactive protein, fibrinogen, haptoglobin, ceruloplasmin, ferritin, amyloid A protein, complement, antiproteases ? Role of acute phase proteins ?help contain pathogens and their toxins Suppression of "household" proteins- albumin, lipoprotein lipase, cytochrome P450, altered drug and lipid metabolism nerves Less heat generated More water covers the skin. More evaporation Skin arteries dilate More blood to the skin. More radiation & conduction of heat
Muscles of skin arteriole walls relax Sweat glands increase secretion Muscles reduce activity Core body temperature >37C Hypothalamus Thermoreceptors 2008 Paul Billiet ODWS Thermoreceptors Return to 37C Muscles of skin arteriole walls relax Core body temperature >37C Hypothalamus Sweat glands increase secretion nerves Muscles reduce activity Thermoreceptors NEGATIVE FEEDBACK Blood temperature Body loses heat 2008 Paul Billiet ODWS Most homeostatic control systems function by negative feedback Where buildup of the end product of the system shuts the system off
nerves More heat generated Less water covers the skin. Less evaporation Skin arteries constrict Less blood to the skin. Less radiation & conduction of heat
Muscles of skin arteriole walls constrict Sweat glands decrease secretion Muscles shivering nerves Core body temperature <37C Thermoreceptors Hypothalamus 2008 Paul Billiet ODWS Thermoreceptors Return to 37C NEGATIVE FEEDBACK Blood temperature Body loses less heat Body gains heat Muscles of skin arteriole walls constrict Core body temperature <37C Sweat glands decrease secretion nerves Muscles shivering Thermoreceptors Hypothalamus nerves 2008 Paul Billiet ODWS