Cell & Muscle Physiology Flashcards
Basic unit of human body/life
Cell
Most abundant type of cell in body
RBCs
of neurons
100 billion
Major hallmarks of cancer
• Loss of cell-to-cell adhesion
• Anchorage independent growth
Guardian of the cell
Cell membrane
Water in body is 60%. _____ is ICF and _____ ECF
2/3 ICF
1/3 ECF
Loose carbohydrate coat of cell surface
Glycocalyx
Components of Lipid bilayer (fluid-mosaic model)
Head is glycerol
Tail is hydrophobic
55% proteins
25% Phospholipids
13% cholesterol
4% other lipids (glycolipids)
3% carbohydrates
Outer leaflet of phospholipids
Phosphatidylcholine
Sphingomyelin
Inner leaflet of phospholipids
Phosphatidylethanolamine
Phosphatidylserine
Phosphatidylinositol
1 component of cell membrane
Proteins
• Integral
• Peripheral
Most important component of cell membrane
Cholesterol
(membrane fluidity and permeability —> lipid soluble substances can go through cell membrane easily)
Component of cell membrane that confers antigenicity
Glycolipids
Major lipoprotein source of cholesterol
LDL
Na vs. K: At rest, the membrane is more permeable to..
K
Factors that determine permeability of membrane
• Temperature (inc. temp = inc. permeability)
• Type of solute (inc. lipid solubility = inc. permeability
• Level of cell hydration (inc. concentration difference —> affect diffusion and osmosis = inc. permeability)
PROTEIN IN CELL MEMBRANE:
Integral vs. Peripheral
• Has tight attachments
• Uses hydrophobic interactions
• Spans entire cell membrane (go through 2 bilayers)
• e.g. aquaporins, ion channels, solute carriers, ATP-dependent transporters
Integral proteins
PROTEIN IN CELL MEMBRANE:
Integral vs. Peripheral
• Has loose attachment
• Uses electrostatic interaction
• either in inner or outer leaflet (only 1 bilayer)
Peripheral proteins
MOVEMENT OF SUBSTANCES ACROSS THE CELL MEMBRANE:
Water
Osmosis (via aquaporins)
MOVEMENT OF SUBSTANCES ACROSS THE CELL MEMBRANE:
Lipid-soluble substances
Simple diffusion (high concentration to low concentration)
MOVEMENT OF SUBSTANCES ACROSS THE CELL MEMBRANE:
Water-soluble substances
Carrier-mediated transport
IONS:
Main cation in ECF
Main determinant of osmolarity
Sodium (Na)
IONS:
Main cation in ICF
Potassium (K)
IONS:
Main anion in ECF
Main ion in GI tract
Associated with Cystic fibrosis (CFTR gene, sweating) & cholera
Chloride (Cl)
IONS:
Utilized by all types of muscles (power for muscle contraction)
Calcium (Ca)
IONS:
Only electrolyte mainly reabsorbed in Thick Ascending Limb of Loop of Henle (TAL of LH), majority are reabsorbed in PCT
Magnesium (Mg)
MOVEMENT OF SUBSTANCES ACROSS THE CELL MEMBRANE:
Amino acids - Luminal membrane
Na-amino acid symport
MOVEMENT OF SUBSTANCES ACROSS THE CELL MEMBRANE:
Amino acids - Basolateral membrane
Facilitated diffusion
RATE OF DIFFUSION/TRANSPORT
Facilitated vs. Simple
Which is faster when there is dec. solute concentration?
Facilitated diffusion
(Has “car” which is the carrier mediated protein)
RATE OF DIFFUSION/TRANSPORT
Facilitated vs. Simple
Which is faster when there is inc. solute concentration?
Simple diffusion
(Has no saturation —> no Tmax —> rate of transport does not plateau; Rate of transport only depends on concentration difference)
INTERCELLULAR STRUCTURES BETWEEN CELL MEMBRANE
• Disk shaped
• For tight intercellular adhesion (like staple wires)
• e.g epithelium
Macula adherens (desmosomes)
Formula for Simple Diffusion
J = PA (C1-C2)
J = flux (mmol/sec)
P = permeability (cm/sec)
A = area (cm2)
C1 = higher concentration 1 (mmol/L)
C1 = lower concentration 2 (mmol/L)
Permeability is increased by:
Increased oil/water partition coefficient (inc. lipid sol)
Decreased radius of solute
Decreased membrane thickness
Where is GLUT-1 found?
Blood brain barrier
RBCs
Placenta
Cornea
Where is GLUT-2 found?
Liver
Pancreas (B islet cells)
Basement membrane of SI
Kidney
Where is GLUT-3 found?
Neurons
Placenta
Where is GLUT-4 found?
Muscle
Adipose tissue
Where is GLUT-5 found?
For fructose transport from SI limen to SI cells
Speematocytes (fructose is energy source for sperm motility)
The only insulin dependent glucose transporter
GLUT-4
Inhibitor of Na-K-ATPase pump
Digoxin
Ca-ATPase pump in Sarcoplasmic reticulum that pumps Ca back into SR
SERCA
Main electrolyte that maintains the cell gradient
Sodium (Na)
Formula of osmolarity
Osmolarity
= concentration x # of dissociable particles mOsm/L
= mmol/L x # of particles/mol
Driving force of osmolarity
Osmotic pressure
Osmotic pressure is calculated using?
Van’t Hoff Law
π = g x C x RT
π = osmotic pressure (atm or mmHg)
g = # of particles per mole in sol (Osm/mol)
C = Concentration (mmol/L)
R = Gas constant (0.082 L - atm/mol - K)
T = Absolute temp (K)
Effective osmotic pressure formula
Osmotic pressure x reflection coefficient
Osmotic pressure exerted by proteins
Oncotic pressure/colloid osmotic pressure
Reflection coefficient formula
Amount returned/amount sent
(A number from 0 to 1, describes ease of membrane permeation of solute)
Ineffective osmole with a reflective coefficient of 0 (complete solute penetration)
Urea
Effective osmole with a reflective coefficient of 1 (no solute penetration)
Albumin
Potential difference generated across a membrane because of concentration difference of ion
Diffusion potential
Diffusion potential that exactly balances (opposes) the tendency for diffusion caused by concentration difference
Equilibrium potential/Nernst potential
Resting membrane potential (-70 mv) is caused by
Nernst potential for Na and K
K-leak channels
Na-K-ATPase pump (contributes -4 mv)
Excitable cells that exhibit AP
Neurons
Muscles
Characteristics of a true action potential
SPA
Stereotypical size and shape
Propagating
All or none
At the RESTING STATE, what happens to the Na-activation (m), Na-inactivation (h), and K gates?
Na-activation gate - closed
Na-inactivation gate - open
K-gate - closed
During DEPOLARIZATION, what happens to the Na-activation (m), Na-inactivation (h), and K gates?
Na-activation gate - open
Na-inactivation gate - open
K-gate - closed
During REPOLARIZATION, what happens to the Na-activation (m), Na-inactivation (h), and K gates?
Na-activation gate - open
Na-inactivation gate - closed
K-gate - open
At UNDERSHOOT, what happens to the Na-activation (m), Na-inactivation (h), and K gates?
Na-activation gate - closed
Na-inactivation gate - closed
K-gate - open
Basis for Absolute refractory period
Closed Na-inactivation gates
Basis for relative refractory period
Prolonged opening of K-channels
AP Conduction Velocity is increased by
Rapid Na Channel gating - rapid AP upstroke
Wide axons - lower resistance - faster
Myelination - insulation
Saltatory conduction - AP jump from node to node, reducing need for slower active regeneration steps
SUPPORTING CELLS OF NERVOUS SYSTEM
Tissue macrophage that acts as scavenger cells (remove debris)
Microglia
SUPPORTING CELLS OF NERVOUS SYSTEM
Macroglia that form myelin in the CNS
Oligodendrocytes
SUPPORTING CELLS OF NERVOUS SYSTEM
Macroglia that form myelin in the PNS
Schwann cells
SUPPORTING CELLS OF NERVOUS SYSTEM
Helps in regeneration and remyelinatiin in PNS
Schwann cells
SUPPORTING CELLS OF NERVOUS SYSTEM
Macroglia that send processes that envelope synapses and surface of nerve cells
Helps form the BBB
Astrocytes
• In white matter - fibrous
• In gray matter - protoplasmic (maintains appropriate concentration of iins and NTs by taking up K, glutamate, and GABA)
Mechanism for release of NTs to synapse
Exocytosis (non-carrier mediated transport)
Autoimmune dse wherein antibodies against voltage gated Ca channels are produced, preventing Acetylcholine from being released to NMJ
Lambert-Eaton Myasthenic Syndrome
Autoimmune dse directed at components of myelin sheath
Multiple sclerosis
What is found at fhe brain MRI and CSF analysis of MS patients?
Oligoclonal bodies
MS is associated with this gene
HLA-DR2
Clinical presentation of MS
• Distinct episodes of neurological deficits that are separated in time (due to patchy white matter lesions separated in space)
• paraparesis
• paresthesia
• optic neuritis (pain in eye movements, loss of color perception, central scotoma, BOV)
If transient (lasts weeks or months): Relapsing-remitting MS
If no remission: Primary progressive MS
Neurotransmitter that opens Na-K pumo that depolarizes the muscle endplate to value halfway between Na-K equilibrium potentials
Dec in Huntington and Alzheimer dementia
Acetylcholine (ACH)
Primary neurotransmitter of postganglionic sympathetic neurons
Norepinephrine
Plant used for depression but contraindicated in pregnant
St. John’s Wort
Nitric Oxide is a ___________ NT and vaso-___________
From tryptophan: melanin vs. melatonin
Melatonin
From tyrosine: melanin vs. melatonin
Melanin
Main inhibitory NT of spinal cord
Glycine
Main inhibitory NT of brain
GABA
Main exhitatory NT of brain
Glutamate
NT Involved in pain perception
Opiod peptide
NT for fast pain
Glutamate
NT for slow pain
Substance P
NT that Activates NMDA receptors
Glutamate
Affinity of opiod peptides:
Endorphins
Mu
Affinity of opiod peptides:
Enkephalins
Kappa
Affinity of opiod peptides:
Dynorphin
Delta
Opioid receptor that is the site of action of morphine
Mu
Type of skeletal muscle that detects changes in muscle length
Intrafusal (5%)
Type of skeletal muscle that causes voluntary muscle contraction
Extrafusal (95%)
Characteristics of Extrafusal Type I fibers
• Slow twitch
• Red
• Oxidative
• Numerous mitochondria
• e.g: Postural muscles of the back
• For endurance
Characteristics of Extrafusal Type II fibers
• Fast twitch
• White
• Anaerobic glycolysis (non-oxidative)
• Few mitochondria
• e.g: EOM
• For power (wt, resistance, sprint)
Innervations of Intrafusal and extrafusal, respectively
Intrafusal - gamma motor neurons
Extrafusal - alpha motor neurons
Composition of thick filaments
• Myosin - cross bridges of sarcomere
• 2 pairs of light chains, 1 pair of heavy chains
• 2 heads, 1 tail
Composition of thin filaments
• Actin
• Tropomyosin - relaxing protein that covers actin binding sites at rest
• Troponin
* Troponin T - attaches troponin complex to tropomyosin
* Troponin I - inhibits actin-myosin binding
* Troponin C - calcium-binding protein
Type of muscle fiber not used by a sedentary person
Type II muscle fiber (fast twitch, white fibers)
Majority of muscle weight comes from?
Myosin
PARTS OF A SARCOMERE:
Borders
Z-lines
PARTS OF A SARCOMERE:
Midline
M line
PARTS OF A SARCOMERE:
Entire length of myosin
A band
PARTS OF A SARCOMERE:
Purely myosin, no actin interspersed
H band
PARTS OF A SARCOMERE:
No myosin heads
Bare zone
PARTS OF A SARCOMERE:
Purely actin, no myosin interspersed
I band
PARTS OF A SARCOMERE:
1. Invaginations of sarcolemma
Spreads action potential throughout muscles. 2. Contains ____________
- Transverse (T-tubules)
- Dihydropyridine receptors (DHPR)
PARTS OF A SARCOMERE:
1. Located in T-tubulesand voltage sensitive. 2. It activates____________
- Dihydropyridine receptors
- Ryanodine receptors
PARTS OF A SARCOMERE:
1. Contains Ca needed for muscle contraction
2. Amoubt of released Ca depends on ____________
- Sarcoplasmic reticulum (SR)
- Stored calcium
- Ca release channel in SR
- It is activated by _________
- Ryanodine
- Dihydropyridine receptors (DHPR)
PARTS OF A SARCOMERE:
PROTEIN that stores Ca in the SR
Calsequestrin
PARTS OF A SARCOMERE:
Pumps Ca from ICF to SR
Sarcoplasmic reticulum Calcium ATPase pump (SERCA)
PARTS OF A SARCOMERE:
Binds myosin to Z-lines, and binds Z-lines to M-lines
Deficiencies cause numerous dystrophy and scleroderma
Titin
Deficient protein in Duchenne muscular dystrophy
Dystrophin
PARTS OF A SARCOMERE:
Stabilizes sarcolemma and prevents contraction-induced rupture
Dystrophin
PARTS OF A SARCOMERE:
Binds actin to Z lines
Actinin, CapZ protein
PARTS OF A SARCOMERE:
Binds Z lines to sarcolemma
Desmin
PARTS OF A SARCOMERE:
Acts a molecular rulers that sets length of actin
Nebulin
Initiates AP in skeletal muscle fiber
Sodium (Na)
DRUGS THAT AFFECT NMJ:
Blocks release of acetylcholine from presynaptic terminals
Botulinum toxin
DRUGS THAT AFFECT NMJ:
Competes with Ach for receptors on motor-endplate
Curare
DRUGS THAT AFFECT NMJ:
Inhibits acetylcholinesterase
Neostigmine
DRUGS THAT AFFECT NMJ:
Blocks reuptake of choline into presynaptic terminal
Hemicholinium
Dx test for Myasthenia gravis
Edrophonium (AchE inhibitor)/Tensilon test
Myasthenia gravis mimics this type of poisoning
Malathion poisoning
INTERCELLULAR STRUCTURES BETWEEN CELL MEMBRANE
• Ring shaped
• Increases surface area for contact
• e.g epithelial and endothelia cells, intercalated disks of cardiac muscles
Zonula Adherens
INTERCELLULAR STRUCTURES BETWEEN CELL MEMBRANE
• Barrier to movement of proteins across membranes
• divides cell into apical and basolateral side
• e.g epithelium
Zonula occludens (Tight junctions)
INTERCELLULAR STRUCTURES BETWEEN CELL MEMBRANE
• Bridge for sharing small molecules between cells
• For rapid intercellular communication (contract as one/SYNCITIUM!)
• e.g cardiac and unitary smooth muscles
Gap junctions
INTERCELLULAR STRUCTURES BETWEEN CELL MEMBRANE
• Attach cell membrane to basement membrane
• e.g. stratum basale attaches to basement membrane using _____
Hemidesmosomes (only 1 side)
TYPE OF TIGHT JUNCTIONS:
Found in PCT and Jejunum
Leaky TJ
TYPE OF TIGHT JUNCTIONS:
Found in collecting duct, terminal colon, blood brain barrier
Tight TJ
TYPES OF TRANSPORT FOR ZONULA OCCLUDENS/TIGHT JUNCTION:
Movement across apical and basolateral sides
Transcellular transport
TYPES OF TRANSPORT FOR ZONULA OCCLUDENS/TIGHT JUNCTION:
Movement through tight junctions
Paracellular transport
Integral proteins inside tight junctions
Claudin
Functional unit of gap junction
(Hexagonal in shape)
Connexon
Subunit of connexon
Connexin