Chapter 6 Flashcards
Human physiology
Mouth
- site of mechanical digestion
- food is mixed w/ saliva
- saliva contains amylase- beings digestion of starches
- saliva also moistens mixture to help swallow
Peristalsis
A wave of contraction and relaxation of longitudinal and circular muscles of the alimentary canal, by which the contents are forced ahead
- longitudinal and circular muscles work antagonistically
Longitudinal and circular muscles of alimentary canal
Longitudinal:
- contracts to widen lumen of alimentary canal
Circular:
- contracts to constrict lumen of alimentary canal
Stomach
- food is churned w/ acid
- stomach acid kills bacteria
- starts digestion of proteins
Small intestine
- after stomach, food enters small intestine
- first section = duodenum
- acid passing from stomach needs to be neutralised so enzymes digesting fats and lipids, and further digesting carbs can function (their optimum pH is neutral to alkaline)
- by end of small intestine, digestion has been completed
- digested proteins have been absorbed from last section, the ileum
- small intestine is where most of the absorption takes place
Large intestine
- after small intestine (ileum), food now enters the large intestine
- food is now a liquid mixture of undigested material and digestive juices
- here water, along w/ vitamins made by bacteria that normally live in large intestine, are reabsorbed
- anaerobic bacteria here also ferment undigested polysaccharides to produce energy
- in the last parts of the large intestine, faeces is formed
Rectum
Faeces are stored here prior to egestion
Pancreas
secretes amylase (starch), lipase (lipids) and protease (proteins) into the small intestine
Liver
secretes bile to emulsify the lipids
Gall bladder
stores the bile
Structure of the small intestine
- a muscular tube of approx. 6-7m in humans
- lies between stomach and large intestine
- divided into 3 parts: duodenum, jejunum and ileum
- inner surface is covered w/ villi, that increases its SA 30-60 fold
Transverse section of small intestine - outside to the inside
- Serosa: outermost layer consisting of connective tissue that’s in contact w/ body cavities
- Longitudinal muscles: responsible for peristalsis
- Circular muscles: responsible for peristalsis
- Submucosa: connective tissue that supports mucosa and contains large veins and arteries that give rise to capillary bed of the mucosa
- Mucosa: innermost layer forming soft lining of tube comprising of epithelium, connective tissue and smooth muscle (villi form part of this layer)
Enzymes produced by the pancreas
- Amylase: breaks down starch into maltose
- Endopeptidase (trypsin): breaks down proteins into smaller polypeptides
- Lipases: break down lipases into glycerol and fatty acids
- Phospholipases: break down phospholipids to glycerol, fatty acids and phosphate
Once produced, pancreatic juice (w/ enzymes) is carried via pancreatic duct to duodenum
- where it’s released into lumen of small intestine
Enzymes of the small intestine
- wall of small intestine contains some glands that produce enzymes that are immobilized in intestinal epithelial cells
- Nucleases: break down DNA and RNA
- Maltase: breaks down maltose into glucose
- Lactase: breaks down lactose into galactose and glucose
- Exopeptidases: remove a single AA from end of small polypeptides.
- Dipeptidases: break down a dipeptide into two AA
Digestion in the small intestine
- movement of food along small intestine occurs by peristalsis
- contraction of circular and longitudinal muscle of small intestine mixes food w/ enzymes.
- enzymes (from pancreas and small intestine) digest most macromolecules in food into monomers in small intestine
- these monomers are then absorbed into blood
- variety of enzymes secreted by human body allows digestion of starch, glycogen, lipids and nucleic acids into their respective monomers
- cellulose remains undigested, as enzyme cellulase (which breaks down cellulose) isn’t produced by humans
Absorption of food molecules in the small intestine
- actual absorption of food molecules takes place mainly in small intestine, over epithelium
- SA is greatly increased by presence of villi
- villi absorb all monomers produced by digestive processes in the small intestine
- dense capillary network provides villus w/ a good blood supply
- this creates a high-conc. gradient to maximise efficiency of removal of water-soluble products
- lacteal absorbs fat-soluble products
- this prevents blood from being clogged w/ absorbed fat
- Nervous impulses from brain cause villus to sway in the intestine
- pushes the chyme along and maximises contact w/ digested products for absorption
Absorption
taking in of digested food substances as well as minerals and vitamins from small intestine into the blood
What are the end products of digestion that are directly absorbed by the villi?
- bases and phosphates from nucleic acids
- fatty acids and glycerol
- amino acids
- monomeric carbohydrates eg. fructose, glucose, galactose and ribose
Absorption of contaminants
- food may also contain some contaminants or poisons – including alcohol
- Most contaminants pass directly into blood
- liver detoxifies some of the compounds
- but, if they can’t be broken down by the liver, they can be secreted from the body in the urine
- most medical drugs are taken up directly into the blood and are broken down by the liver
Microvillus
- hairlike folds in the membrane of the epithelial cells of the villus
- where absorption takes place by means of (facilitated) diffusion, passive and active transport
Absorption into the blood
- food molecules, minerals and vitamins are absorbed into the blood
- to be absorbed into the blood, molecules need to pass into capillaries of the villus
- fats are absorbed into the lymph, which circulates in the lacteal in centre of the villus
Process of absorption
- Substances to be absorbed move from lumen into epithelial microvilli
- Amino acids and monosaccharides move from microvilli into capillaries
- monoglycerides move into the lacteals.
Four modes of absorption
- Simple diffusion:
- occurs when molecules are small and are hydrophobic
- they can pass through phospholipid bilayers - Facilitated diffusion:
- fructose, glucose and other hydrophilic monomers are moved by protein channels
- this requires a concentration gradient - Active transport:
- needed when conc. are lower in the lumen of the small intestine
- hence, movement needs to occur against a conc. gradient
- glucose, amino acids and some mineral ions are transported in this way- requires ATP
- cells of epithelium have many mitochondria that synthesise ATP for this - Pinocytosis:
- draws in small droplets of liquid surrounded by a small section of phospholipid membrane
Starch
- important component of many human diets: pasta, rice, bread etc.
- occurs as amylose and amylopectin
Digestion of starch
- digestion of starch begins w/ chewing, amylase is present in saliva
- once saliva and food have been mixed, amylase starts breaking down α-1,4 glycosidic bonds between glucose monomers in amylose and amylopectin
- end products are maltose, a dimer of glucose connected by α-1,4 bonds, and maltotriose
- other than α-1,4 bonds, amylopectin also has α-1,6 glycosidic bonds, but, these can’t be broken down by amylase.
- even after initial catalytic breakdown by amylase, these starch molecules are too large to pass through membranes
- they need to be broken down into monomers before they’re absorbed
- what enters small intestine is a mixture of maltose, maltotriose and dextrins
- 3 enzymes that are immobilised in epithelial cells of small intestine: maltase, glucosidase and dextrinase, break down these molecules into glucose
- these are then absorbed by the villi
Transportation of absorbed food
- all absorbed food is transported via hepatic portal vein from small intestine to liver, from where it enters general circulation
- makes glucose available for use by all body cells
- excess glucose is taken up by the liver and converted into glycogen
Dialysis tubing
- partially permeable cellulose tubing that contains microscopic pores
- allows water, small molecules and ions to pass through freely, but doesn’t allow movement of large molecules
- used in separation techniques that enable removal of small molecules from macromolecules in solution based on differential diffusion
Dialysis
separation of smaller molecules from larger molecules in solution by selective diffusion through a partially permeable membrane
Dialysis tubing as a model for small intestine
- used as a model of small intestine, w/ medium outside representing blood into which digested products are absorbed
- tubing represents epithelium of small intestine
- high conc. of glucose solution in the tubing is what is normally observed after a starchy meal has been fully digested
- size of glucose molecules is small enough to pass through pores of tubing
- they’ll diffuse from a region of higher conc. (in the tubing) to region of lower conc. (in beaker)
- movement of glucose mimics absorption of glucose via epithelial cells- represented by dialysis tubing, into blood supply
Testing for presence of starch in dialysis tubing modelling absorption in small intestine
- if starch solution was added inside tubing, and samples of water in beaker were tested for presence of starch at intervals of 10 minutes, a negative result would always be found
- because starch molecules are too big to pass through pores of dialysis tubing
- this is also observed in small intestine: starch and other complex undigested molecules are not absorbed
Shortcoming of dialysis tubing model
it can only account for absorption by diffusion or osmosis, and can’t be used to support absorption by active transport
Aorta
Main and biggest artery connecting the heart w/ the rest of the body
High pressure of blood flowing out of the heart
- generated by contraction of ventricles
- is strong enough to convey blood to all tissues of the body
How do arteries cope w/ high pressure of blood?
- aorta and all arteries in the body can cope w/ pressure that’s exerted on their walls because they’re elastic
- walls contain elastic fibres (formed from elastin), which are stretched at every heartbeat when pressure is highest
- when walls return to their normal shape, this recoil helps to propel blood forward
- arteries also have muscular walls to help w/ propulsion of blood
- muscle and elastic fibres present in wall of arteries assist in maintaining blood pressure between pump cycles
Layers of the arterial wall
- Tunica intima
- Tunica media
- Tunica adventitia
Tunica intima
- innermost layer
- in direct contact w/ blood in the lumen
- includes endothelium that lines lumen of all vessels
- hence, forms a smooth, friction-reducing lining.
Tunica media
- middle coat
- mainly made of smooth (involuntary) muscle cells and elastic fibres arranged in roughly spiral layers
Tunica adventitia
- outermost coat
- is a tough layer consisting largely of loosely woven collagen fibres that protect blood vessel and anchor it to surrounding structures
Systolic blood pressure
- when the heart contracts
- arteries experience the highest pressure
Vasoconstriction
when circular muscles surrounding arteries resist outward pressure and constrict
Diastolic blood pressure
- when heart relaxes between beats
- pressure in arteries is at its lowest
Vasodilation
when smooth muscles surrounding arteries relax
Aterioles
Smaller forms of arteries
- higher density of muscle
- more susceptible to hormonal and nervous control of vasoconstriction and vasodilation
- in both arteries and arterioles, tunica media is the thickest layer
Vasoconstriction and vasodilation
- directly control flow of blood through the body
- play a role in regulating body temp.
- involved in slowing flow of blood when a person is severely wounded
Pulse
- pulse or heart rate
- no. of times the heart beats per minute
- is the result of the alternate expansion and contraction of arterial wall as beating heart forces blood into system of arteries via the aorta
- pulse can be felt when an artery lies near the surface of the skin
Stroke volume
amount of blood pumped out of the left ventricle of the heart during each contraction
Cardiac output
amount of blood the heart pumps through the circulatory system in a minute
Veins
- transport blood back from tissues of the body and return it to atria
- blood pressure is much lower- danger of backflow due to gravity- hence, they have valves that close to prevent backflow
- blood flows more slowly
- veins don’t need thick walls w/ lots of muscle fibres
- blood flow is helped by pressure exerted by skeletal muscles
Valves
- present in veins
- ensure that blood flows in one direction only (towards the heart)
- prevents backflow
Connection between arteries and veins
- formed by a capillary network
- nutrients and oxygen in blood need to reach every cell of the body
- but, size and wall structure of arteries is too big for this
- so, arteries form smaller arterioles that divide to form very fine blood vessels called capillaries
- these vessels then fuse together to form venules, and many venules fuse to form veins
Capillaries
- have walls that are only one-cell thick
- no muscle fibres or other layers
- allows for exchange of materials, oxygen and nutrients w/ cells in tissues
- also allows waste products, eg. CO2 and urea, back into the capillaries to be transported by blood
Blood flow in capillaries
- blood flows through tissues in capillaries
- capillaries have permeable walls that allow exchange of materials between cells in the tissue and the blood in the capillary
- capillaries connect arterioles to venules
- blood flow is slowest in the capillaries, to allow time for exchange w/ tissues
Interstitial fluid
liquid part of blood that passes through capillary wall, to bathe tissue cells in
- composed of. waters, sugars, salts, fatty acids, AA, coenzymes and hormones, and waste products from cells
- tissue fluid w/ dissolved nutrients is in direct contact w/ tissue cells, exchange is greatly enhanced
- after exchange has taken place, tissue fluid is mostly reabsorbed into capillaries
- this ultimately drains into venules
Features of arteries
- made of 3 layers (tunica externa, tunica media and tunica intima)
- tunica media is thicker than in veins
- thick layer of elastin and collagen fibres
- no valves present
- diameter can be greater than 10mm
- have thicker walls w/ narrower lumens than veins
Features of veins
- made of 3 layers (tunica externa, tunica media and tunica intima)
- tunica media is thinner than in arteries
- elastin and collagen fibres are relatively thin compared to artery
- valves are present at intervals
- diameter can be greater than 10mm
- have thinner walls w/ larger lumens than to arteries
Features of capillaries
- one layer of endothelial cells
- no tunica media
- no elastin and collagen fibres
- no valves
- diameter is between 2-10 micrometres
- wall is one cell thick w/ a lumen of about 5 micrometres
Valves in the heart
Ensure that circulation of blood occurs in only one direction by preventing backflow
Structure of the heart
- 2 ventricles
- 2 atria
- no. of valves
Double circulatory system
- blood flows through heart twice before it’s distributed to tissues
- there are two separate pathways that the blood follows
- one path is to absorb oxygen and remove CO2 in the lungs
- other path is to supply all the tissues w/ oxygen and to remove waste from the same time
Systemic circulation
circulation of blood from the heart to body tissues and back to the heart
Pulmonary circulation
movement of blood between the lungs and the heart
Movement of blood through the right side of the heart (pulmonary circulation)
- Blood enters the heart through the inferior and superior vena cava
- oxygen-poor blood from body tissues flowing into RA - As atrium contracts, blood flows from RA into RV through open tricuspid valve
- When ventricle is full, it begins to contract
- increased pressure of blood against tricuspid valve forces it shut
- this prevents blood from flowing back into the atria - As ventricle contracts, blood leaves the heart through the pulmonary artery and flows to lungs where it’s oxygenated
Movement of blood through the left side of the body (systemic circulation)
- Pulmonary vein carries oxygen-rich blood from the lungs into left atrium of the heart
- As atrium contracts, blood flows from left atrium into left ventricle, through open bicuspid valve
- When ventricle is full, it begins to contract
- increased pressure of blood against bicuspid valve causes it to close
- prevents blood from flowing back into atrium, while ventricle contracts - As ventricle contracts, blood leaves the heart through aortic value, into the aorta and to the body
Myogenic
The heart muscle can generate its own contractions
Sinoatrial node
- group of specialised muscle cells in the wall of the RA
- SA node initiates each heartbeat and it sets the heart rate
- called the pacemaker
- fires at regular intervals to cause hear to beat w/ a rhythm of 60-70 bpm for a healthy, resting heart
Propagation through the heart of the electrical signal initiated in SA node
- SA node sends out an electrical signal that stimulates contraction as it’s propagated through walls of the atria
- Signal then passes via inter-atrial septum to reach the atrioventricular node (AV)
- From AV node, signal is relayed via bundle of His located in inter-ventricular septum to the top of each ventricle
- At the top of the ventricles, signal spreads from the bundle of His to the ventricles via the Purkinje fibres located in its wall
Cardiac cucle
The complete sequence of events in the heart from the start of one beat to the beginning of the following beat
Pressure and volume change during the cardiac cycle
- Atrial contraction begins
- Atria eject blood into ventricles
- Atrial systole ends; AV valves close
- Isovolumetric contraction
- Ventricular ejection occurs
- Semilunar valves close
- Isovolumetric relaxation occurs
- AV valves open; passive ventricular filling occurs
Isovolumetric contraction
used to refer to an event occurring at the beginning of systole, during which ventricles contract w/ no corresponding volume change
Cardiovascular centre of medulla oblongata
Signals sinoatrial node to speed up the heart or slow it down
- BP, pH and CO2 conc. of blood are all monitored by cardiovascular centre
- determines whether impulses should be sent along the cardiac accelerator nerve or vagus nerve to the heart
Cardiac accelerator nerve
nerve that stimulates the heart to beat faster
Vagus nerve
nerve that reduces the heart rate
How does heart rate increase due to increased activity?
- increased activity = more respiration
- greater need for oxygen
- increased production of waste products e.g CO@
- increased CO2 in the blood will decrease pH
- decrease in pH is sensed by cardiovascular centre
- it will then send impulses along cardiac accelerator nerve to SA node to increase HR
- as heart pumps faster, more oxygen is sent o body tissues and more CO2 is removed
- once activity stops, heart can slow down
Fitness
speed at which heart slows down after activity
Epinephrine
- another factor that influences SA node
- the ‘fight or flight’ hormone secreted by the medulla of the adrenal glands
- strong emotions eg. fear or anger, cause it to be released
- it’s carried to all parts of the body, including the heart
How does epinephrine increase the HR?
- stimulates the SA node to emit electrical signals at a faster rate
- increasing conduction speed of impulses generated by both SA and AV nodes
Why is epinephrine called the ‘fight or flight’ response?
- speeds up the HR to prepare the body for either of those two actions
- it triggers a rise in HR
- also increases muscle strength, BP and sugar metabolism
- all of these prepare the body for immediate action
Why does our body need fats?
Body needs fats for:
- energy
- insulation
- starting material for certain hormones and anti-inflammatory compounds
Atheromas
- fatty deposits caused by high blood conc. of low density lipoprotein (LDL) in arterial walls next to endothelial cells
- LDL consist of cholesterol and fats
Myocardial infarction
- coronary artery is blocked
- cells in that part of the heart will die
- results in a myocardial infarction (heart attack)
Angina
- build up of plaque takes time
- initially, the restricted flow of blood in such an artery will cause pain to heart cells
- this is because, heart cells have been deprived of oxygen and nutrients
- pain is known as angina
Coronary artery
an artery supplying the heart w/ oxygen and nutrients
Plaque formation
building up of fatty deposits in arteries
- leads to atherosclerosis
- increase in cardiovascular disease
Causes of plaque formation
- high blood conc. of LDL
- diabetes causing high blood glucose conc.
- smoking and stress causing high blood pressure
- diets containing high levels of trans fats
Skin
- outermost layer of the body
- has pores for sweating, hair follicles and sebaceous glands that produce sebum (oils)
- this keeps skin supple and at a slightly lower pH
- oil and low pH both act as growth inhibitors for certain bacteria
Mucous membranes
Made of a surface layer of epithelial cells over a deeper layer of connective tissue
- produce mucous for protection and lubrication
- mucous contains glycoproteins and lysozymes, enzymes that attack bacterial cell walls
- both have antiseptic properties
- mucous also forms a barrier, trapping organisms that can be killed by WBC found in mucous membranes
Openings into the body
A potential entry point for pathogens
- nose and mouth give access to nasal passages, sinuses, lungs and gastrointestinal tract
- eyes, vagina, urethra and head of penis are entry points too
- in these places, mucous membranes help protect the body
Physsical barriers
- form a primary defence against pathogens that cause infectious disease
- skin and mucous membranes act as physical barriers
Blood clotting
- a cascade of reactions triggered by exposure to air
- release of clotting factors from platelets triggers production of thrombin
- thrombin catalyses conversion of soluble fibrinogen into insoluble fibrin
- blood becomes thicker and starts to gel
- after a while, a soft scab forms
- scab hardens and forms a protective layer under which the skin can heal itself
- scab prevents entry of pathogens into the body
Thrombus
a blood clot that forms in a vessel and remains in place where it was formed
- if it happens in the coronary arteries, it’s a coronary thrombus
Process of atherosclerosis
- atherosclerosis narrows lumen of arteries and slows down blood flow
- this increases chance of a clot occluding in a coronary artery
- leads to certain parts of the heart not receiving any oxygen and nutrients
- this causes that part of the heart to die, resulting in a heart attack
- when a blood clot reduces amount of blood reaching heart muscles, it causes angina- heart muscles don’t get enough oxygen-rich blood
Factors that increase risk of clot formation
- smoking
- obesity
- hypertension
- diabetes
- atherosclerosis