3.1 - **ICPP** pH + Cell Volume Regulation Flashcards

1
Q

cell pH features

A
  • Limits of human tissue survival are from 6.8 to 7.8
  • A change in [H+] by a factor of 2 causes pH change of 0.3
  • At pH 7.4 the [H+] is 40nM and a pH change of 0.3 either doubles or halves [H+]
  • Normal plasma pH is 7.35-7.45 (extracellular pH)
  • Cytoplasmic pH is 7.2 (but varies depending on organelle)
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2
Q

Why is pH tightly regulated

A
  • pH causes change in net electrical charge on proteins + molecules
  • disrupts electrostatic interactions + hydrogen bonding (not covalent)
  • alters protein structure + function → alters binding of substrates + ligands
  • normal cellular metabolism occurs at extracellular pH of 7.35-7.45
  • lungs + kidneys are responsible for this control
  • equilibrium is present: changing amount of free H+ will shift equilibrium one way
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3
Q

what are the pH extracellularly and intracellularly

A
  • extracellular pH is 7.35-7.45
  • cytoplasmic pH is 7.2 (but this varies with other organelles depending on their function)
  • the difference between intracellular + extracellular pH allows for pH gradient
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4
Q

pH dysregulation: tissue ischaemia

A
  • eg cardiac ischaemia + stroke (blockage of an artery)
  • reduction in blood flow → decreased O2
  • causes switch to anaerobic glycolysis
  • this causes cytoplasmic acidification
  • causes overactivity of Na-H exchanger 1
  • this causes overload of intracellular sodium
  • this also increases intracellular Ca2+ overload die to Na-Ca exchanger
  • causes altered cellular function, apoptosis/necrosis
  • in the heart ☞ arrhythmogenic
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5
Q

pH dysregulation: Dent’s disease

A
  • characterised by proximal tubule dysfunction + progressive renal failure
  • due to mutations in CLC5 ☞ 2Cl-/H+ exchanger + defects in endocytosis
  • alteration of pH
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6
Q

Sources of protons

A

protons drawn in via electrochemical gradient
- electrochemical gradient favours inward movement of H+ and outward movement of HCO3-
- consists of the transmembrane pH gradient + electrical gradient
- protons accumulate intracellularly

metabolism causes CO2 production (where ‘=’ is equilibrium symbol)
CO2 + H2O = H2CO3 = H+ + HCO3-
Therefore when CO2 is produced, more H+ will be produced

anaerobic glycolysis
Glucose is metabolised → lactic acid
The production of H+ therefore depends on how metabolically active tissues are

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7
Q

Buffer systems

A

☞ buffers immobilise H+ and reduce its destructive effects
☞ buffers only reduce impact of acute changes
☞ need dynamically regulated transport proteins to manage pH better and prevent acidosis

bicarbonate buffer system
CO2 + H2O = H2CO3 = H+ + HCO3 (where = is equilibrium)
By far the most physiologically important
Equilibrium shifts depending on concentration of free protons

phosphate buffer system
H+ = HPO4(2-) = H2PO4(-)

proteins as these contain numerous H+ binding sites

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8
Q

What are the ion transporters involved in cellular pH regulation

A

primary transport
☞ Sodium-potassium ATPase as this maintains the Na+ gradient to provide energy for secondary/tertiary transport (3Na+ out, 2K+ in, ATP used)

alkalinises cell – these all rely on Na+ gradient
☞ Na+/H- exchanger (Na+ in, H+ out)
☞ Na+-Cl—HCO3—H+ co-transport (Na+ and HCO3- in, and H+ and Cl- out)
☞ Na+-HCO3- co-transport (Na+ and 2HCO3- in)

acidifies cell
☞ anion exchange (HCO3- out and Cl- in)

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9
Q

Na+/H+ exchanger (NHE)

A
  • important as there is a drive for H+ to enter into cell
  • for every Na+ into cell, one H+ out of cell
  • electroneutral due to 1:1 ratio (so doesn’t change membrane potential)
  • regulates intracellular pH
  • also regulates cell volume
  • activated by pH and growth factors
  • inhibited by amiloride
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10
Q

bicarbonate transporters (AE and NBC)

A
  • these are the NBC (Na+ bicarbonate chloride cotransporter) and the anion exchanger
  • both are involved in pH and cell volume regulation

sodium bicarbonate chloride co-transporter
Na+ and HCO3- in
H+ and Cl- out
Alkalinises cell

anion exchanger
HCO3- in and Cl- out
Acidifies cell

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11
Q

Co-ordination of intracellular pH regulation

A
  • this is all done by negative feedback
  • pH is held at set point
  • any change is corrected by increased activity of the ion transporters
  • acidification activates NHE and NBC
  • alkalinisation activates AE
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12
Q

pH sensitivity of NHE and AE2

A
  • very sensitive to small changes in pH → small change in pH will cause large change in activity
  • they are very active at ideal pH – tight regulation
  • NHE is most active at lower pH (more acidic)
  • AE is most active at higher pH (more alkaline)
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13
Q

Cell volume regulation – why is it important

A
  • cells must avoid large changes in cell volume to survive
  • excessive swelling → changes in membrane integrity
  • swelling /shrinking → interferes with cell cytoskeleton
  • cellular functions depend on correct hydration of proteins
  • some cellular functions rely on localised volume control (eg if they send out cellular processes)
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14
Q

how is cell volume controlled

A
  • no ‘standard’ method for cell volume regulation
  • mainly by H2O diffusing across the membrane
  • this depends on the osmotic gradient (hypo/hypertonic)
  • osmosis is passive diffusion across plasma membranes
  • intracellular volume is sensitive to extracellular osmolarity
  • therefore, cell volume regulation is by the transport of osmotically active ions, such as Na+, K+, amino acids and Cl- etc

☞ some patients are osmotically challenged due to changes in the extracellular environment by hypo/hypernatraemia etc

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15
Q

Hypo/hypertonic and osmosis

A

hypertonic solution
Water moves out cell
Greater solute concentration outside cell
Causes cell shrinkage

hypotonic solution
Water moves into cell via osmosis
Greater solute concentration inside cell
Causes cell swell → lysis

isotonic solution
No net movement of water

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16
Q

Mechanisms to resist cell swelling

A

regulatory volume decrease (RVD)
☞ causes efflux of osmotically active ions ie K+ and Cl- and AAs
☞ This causes water to move out of cell
☞ prevents cell lysis

17
Q

Mechansims to resist cell shrinking

A

regulatory volume increases (RVI)
☞ causes influx of osmotically active ions eg Na+, K+ and Cl-
☞ this causes water to enter cells
☞ longer term: synthesis or transport of organic solutes (such as sorbitol + inositol)