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Cell physiology Flashcards

1
Q

What is the water distribution breakdown of a 70kg man?

A

60% of man is water
40% ICF- cannot be measured-> measure TBW with deuterium oxide
20% ECF (14litres)
of ECF; 25% vascular, 75% interstitial
ECF is isosomotic with ICF at osmotic equilibrium
ECF best measured using insulin, a polysaccharide, MW5200
Transcellular water= component of ECF that has been processed by cells into special compartments eg.CSF

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2
Q

What are the key facts about total body water?

A 
60% of body weight
Higher in men than women
Reduces with age
Used to measure ICF
Inversely proportion to fat-> decreased in Cushing's disease
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3
Q

What is osmosis?

A

The diffusion of a solvent into a region where there is a higher concentration of a solute to which the membrane is impermeable

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4
Q

What are the fundamental properties of the plasma membrane?

A

Semipermeable; permeable to H20, K+, Na+ etc
Preferential permeability to lipid soluble substances
Low surface tension
High electrical resistance-> impermeable to organic ions

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5
Q

What are the 4 ways a substance can cross a membrane?

A 
Diffuse freely
Endocytosis
Exocytosis
Via transport proteins
How well a substance crosses membrane depends on ; size, electrical charge, fat solubility
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6
Q

What is the Donnan effect?

A

When an ion on one side of a membrane cannot diffuse across, the other ions which are permeable will move to balance the charge.
This effect means that:
1. there are more osmotically active particles in cells than in interstitial fluid, hence Na-K+ ATPase is essentially to prevent cell swelling
2. an electrical difference exists across the membrane
3. there are more proteins in plasma than interstitial fluid, there is Donnan effect ion movement on capillary walls

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7
Q

what is the equilibrium potential of a membrane?

A

There is no net passive movement of ion across the membrane

NOT related to concentration being the same on both sides or potential difference being zero

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8
Q

What is the normal resting membrane potential in the cell membrane of nerve and muscle?

A

-70 to -90mV
Potassium permeability is greater than sodium permeability
Insulin causes an increase in resting membrane potential (hyperpolarization)

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9
Q

What role to Na/K+ ATPase play in maintaining the cell membrane potential/

A

The concentration gradient of K+ facilitates its movement out of the cell via K+ channels, however its electrical gradient is in the opposite direction
Na/K+ATPase pumps 3 Na+ out and 2K+ into the cell, which keeps the intracellular concentration of sodium low and acts and a electrogenic pump

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10
Q

What are the key facts about the capillary membrane?

A

Different tissues have differing permeability
Liver capillaries are permeable to plasma proteins
Glucose transfer across capillary wall occurs by passive diffusion

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11
Q

How much sodium and potassium is there in the body?

A

More total Na than K
Total exchangeable Na is 3000ml (70% of total body Na)
Total body K is 3000ml (90% exchangeable)

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12
Q

What is normal serum osmolality and pH of ECF?

A

Serum osmolality is 300mmol/kg

pH of ECF 7.36-7.44

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13
Q

What are the main cations in intracellular fluid?

A

K, Mg, Na
K concentration 150-160
Organic phosphates are present in high concentrations
More H ion intracellular than extracellular

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14
Q

Describe the concentration of ions in plasma

A

Higher sodium concentration than in interstitial fluid
Higher magnesium concentration than in interstitial fluid
Higher protein concentration than in interstitial fluid
Chloride concentration is LOWER in plasma due to Donnan’s effect

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15
Q

What happens to a cell when extracellular K+ is reduced to 3.0?

A

K+ will diffuse out
H+ will diffuse in
Intracellular net charge=unchanged due to Donnan’s effect

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16
Q

What are the key functions of tight junctions?

A

Surround apical margins of cells in epithelia
Restrict molecular movement across epithelium
Facilitate cell to cell adhesion (NOT communication)
Found just below luminal surface

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17
Q

What are the functions of gap junctions?

A

Spanned by corresponding connexons
Connexons line up and are the only way things can pass between cells without entering ECF
Allows ions, sugars, amino acids and other small molecules
Facilitates cell to cell communication
Allows synchronous contraction of cardiac+smooth muscle
Defective connexin gene in Charot-Marie Tooth

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18
Q

What are the 4 ways cells communicate through the ECF?

A

Autocrine

Paracrine, endocrine and neural (all use chemical messengers that bind to receptors)

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19
Q

How do receptor numbers get downregulated in the case of an excessive hormone?

A

Ligand binds to receptor->ligand receptor complex gets endocytosed-> decreased number of available receptors
Alternatively gets chemically desensitized so they are less sensitive

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20
Q

What is an example of a stimulus that acts to open or close ion channels in a cell membrane?

A

ACh on nictonic receptor

Noradrenaline on K+ channel in heart

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21
Q

What is an example of a stimulus that acts via cytoplasmic/nuclear receptors to increase transcription of mRNAs?

A

Thyroid hormones
retinoic acid
Steroid hormones

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22
Q

What is an example of a stimulus that acts to increase phospholipase C?

A

ANGII
Noradrenaline via alpha adrenergric receptor
ADH via V1 receptor

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23
Q

What is an example of a stimulus that acts on adenylyl cyclase to modify intracellular levels of cAMP?

A

Noradrenaline via B1 receptor (increases cAMP)
Glucagon
ADH
Noradrenaline via A2 receptor (decreases cAMP)

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24
Q

Which 2 substances increase cGMP in a cell?

A

ANP

Nitric oxide

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25
Which hormones increase tyrosine kinase activity?
Insulin EGF PDGF M-CSF
26
Which things increase the action of Na-K ATPase?
``` High levels of intracellular Na Thyroid hormones Insulin Aldosterone Uses lots of energy: 24% of cell energy expenditure, 70% in neurons ```
27
Which things decrease the action of Na-K ATPase?
``` Decreased TP Dopamine Ouabain Digoxin Intracellular oedema may occur in areas where local blood flow is depressed because inadequate oxygenation depresses cell membrane ionic pumps and allows Na to leak into cells. ```
28
What are the functions of calcium within a cell?
Proliferation, nerve signalling, contraction, secretion pretty much everything etc
29
Describe the concentrations of calcium and describe its movements across cell membrane
Intracellular Calcium=100nmol/L, most bound to ER Extracellular calcium= 12000x higher, calcium always wants to move into cells Does this via; voltage gated, ligand gated and stress activated. Voltage gated can be either transient or long standing.. Cells get rid of calcium via Calum-H ATPase (2 hydrogens) or Ca-Na ATPase (3 Na)
30
When a cell is activated and more calcium needs to enter cell how is this achieved?
Intracellular calcium increased by increased store operated Calum channels. Calcium inside a cell needs to bind to a protein (troponin, calmodulin and calbindin)
31
Describe the function and structure of microtubules
``` Composed of tubulin and make up part of cytoskeleton Make up filaments of spindle at mitosis Fix the shape of platelets Assist transport of material within cell are NOT part of Golgi complex ```
32
Describe the function and structure of lysosomes
Found in granulocytic WBCs May be involved in gouty arthritis Merge with intracellular membrane lined vacuoles containing exogenous substances forming a phagocytic vacuole Are released intracellulary (not extra cellularly) in normal host response to infection
33
Describe an action potential in terms of membrane potential
Resting membrane potential= -70mV Stimulus raises it to -55mV, then if this threshold is reached it overshoots up to +35mV (via sodium influx) Then K+ channels open and a slower depolarisation occurs If threshold not reached, nothing happens, but does not get more intense if threshold is exceeded
34
What is the difference between absolute refractory and relative refractory period?
Absolute: no stimulus, no matter how strong with excite the nerve Relative: stronger than normal stimulus can cause excitation Therefore the intensity required to elicit another spike is increased
35
What are the 3 types of presynaptic vessels?
Small and clear: Ach, glycine, GABA or glutamate small with dense core: catecholamines large with dense core: neuropeptides
36
What receptors does Ach act on?
Muscarinic: can be blocked by atropine selectively Nicotinic: found at NMJ and CNS/autonomic ganglia Therefore atropine does not cause problems at NMJ when administered a
37
What controls/inhibits the firing of motorneurons?
Inhibited by nerve terminal which release glycine Inhibited by nerve terminals which release GABA Is subject to supraspinal control Negative feedback control by means of Renshaw cells
38
Where are nerve growth factors produced and where do they bind?
Produced my muscles they innervate or come from astrocytes Bind to receptors at nerve ending, internalised then transported retrograde to neuronal cell body, increases production of proteins (assists with neuronal development, growth and survival) Does not increase growth of myelinated motor neurons
39
Which subunits make up nerve growth factor?
Beta subunits: have all nerve growth promoting activity, structure similar to insulin Alpha: has trypsin like activity Gamma: serine proteases
40
In the skin where complete nerve degeneration has occurred, does the triple response to stroking occur?
No -because the flare of the triple response (red, wheal and flare) is mediated by an axon reflex
41
Which neurons are cholingeric (as opposed to noradrenergic)?
All preganglionic neurons Parasympathetic postganglionic neurons Sympathetic post ganglionic neurones that innervate sweat glands Sympathetic neurons that act on blood vessels in skeletal muscles and produce vasodilation when stimulated
42
What type of ganglion is the adrenal medulla?
Sympathetic ganglion
43
Which hormone is released by parasympathetic vs sympathetic ans?
Ach: parasympathetics NA: sympathetics
44
Describe the key facts about the ANS
Axons of postganglionic parasympathetic neurons are typically short Adrenal medulla is functionally a sympathetic ganglion Transmission at parasympathetic ganglia and sympathetic ganglia are pharmacologically the same Salivary glands receive both sympathetic and parasympathetic supply Most Blood vessels have a sympathetic nerve supply
45
Which nerves cause micturition?
A nervous reflex triggered by intravesical pressure | Postganglionic parasympathetic nerve fibre stimulation
46
What are the actions of noradrenaline?
Relaxes accommodation and dilates pupils Increases HR and raises BP Dilates blood vessels in muscles but constricts blood vessels in the skin Stimulates sweat glands Elevates plasma glucose and mobilises FFA
47
Why does atropine abolish salivary secretion?
Parasympathetic innervation is probably most important for salivary secretion
48
Why does destruction of the conus medullaris paralyse defecation?
Spinal cord mediated defecation is intergrated in conus medullaris
49
Which nerve supplies skin of the external auditory canal and preganglionic cholinergic axons to cardiac ganglia?
Vagus
50
What are the characteristics of sympathetic vasodilator fibres?
Liberate Ach preganglionic endings | Cannot sustain vasodilation for more than 30 seconds
51
What are the characteristics of alpha-adrenergic receptors at sympathetic postganglionic nerve endings?
Blocked by phenoxybenzamine Present at presynaptic location on nerve endings Blocked by phentolamine
52
What does the amino acid glycine do?
Probably mediator for direct inhibition on the spinal cord Causes hyperpolarisation when directly applied to membranes With arginine and methionine is responsible for synthesis of creatinine Has an inhibitory function in spinal cord but NOT antagonised by atropine
53
Which 2 different nerve fibre systems are responsible for pain
Nociception Unmyelinated C fibres Associated with signficant levels of substance P in the substantia gelatinosa Travels via ascending pathways in dorsal column (lateral spinothalamic tract)
54
When conscious, which type of stimuli to the bowel will cause pain?
Visceral distension Visceral ischaemia Not surgical diathermy Not cutting with a sharp instrument
55
What is the main energy supply of the brain?
Glucose Little glycogen is stored in neurons Metabolic rate is much higher than the body average Neuronal uptake of glucose is insulin dependent
56
What is the post central gyrus responsible for?
Motor control | Projections of afferents are not innate and may be changed by experience
57
What are some key differences between cerebellar tremors and parkinsonian tremors?
At rest: cerebellar is hypotonia, Parkinsonism is hypertonia During movement: cerebellar tremor is worse, parkinsons is better Parkinsonian tremor is present during sleep
58
What are the 4 key features of a cerebellar disorder?
Dymetria Dysdiadochokinesia Intention tremor Hypotonia
59
What occurs below a hemisection of the spinal cord?
Ipsilateral paralysis Contralateral pain and temperature loss Ipsilateral touch and pressure (as these fibres decussate in the medulla)
60
What is the likely sequelae within the 1st week of a complete transection of the lower cervical spinal cord?
Bradycardia Negative nitrogen balance Hypothermia
61
What occurs following transection of cord in spinal shock?
Profoundly depresses spinal tendon reflexes (resting membrane potential rises 6mV) Patient becomes poikilothermic Lasts 1-2 weeks Associated with disappearance of vasomotor responses
62
Which tissues demonstrate denervation hypersensitivity?
Skeletal and smooth muscle Iris becomes hypersensitive to adrenaline Smooth muscle does not atrophy but skeletal muscle does after denervation Skeletal muscle still shows sporadic contraction Exocrine glands (exception of sweat glands) also shows denervation hypersensitivity

Physiology (7 decks)

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