Chapter 9: Cardiovascular And Immune System Flashcards
Total aqueous solution: intracellular
- Protein, potassium and phosphate
Total aqueous solution: Extracellular fluid
- Salt, bicarbonate, calcium
How to lose water:
- Insensible loss: due to respiration and evaporation
- Sweat
- Feces
- Urine
Functions of respiratory system
- Gas exchange: at alveoli its CO2 for O2
- Protection: mucous and hair
- Sound production: larynx
- Acid/base regulation: expelling CO2 raises blood pH
- Olfaction
- Temperature: rapid breathing lowers body temperature
Respiratory system components
- Nose and nasal cavities: filters air, goblet cells produce mucin, cilia moles mucous and dust to pharynx to be removed via spitting /swallowing
- Pharynx: Passage for food or air
- Larynx: voice box, during swallowing epiglottis covers it
- Trachea
- In lungs
5a. Bronchi
5b. Bronchioles
5c. Alveoli: gas exchange
Inspiration & expiration
- Inspriation: contracted diaphragm, Chest expands, volume high, pressure low
- Expiration: volume low, pressure high, relaxed diaphragm
Gas exchange
- Oxygen binds w Hb in erythrocyte which forms oxyhemoglobin
- Cooperative binding occurs: O2 pressure increases so O2 saturation does as well
Bohr effect
- Oxygen dissociation curve: high pressure of CO2, high H+, high Temp, high 2,3-BPG, shift right …. This lowers Hb’s affinity for oxygen
Ways CO2 is carried in blood
- Physical solution, Carbamino compounds and bicarbonate (most of the time)
- Bicarbonate ion formation is governed via carbonic anhydrase: CO2 absorbed into tissues, HCO3- diffuses into cellls so chlorine moves out to balance (chloride shift)
Haldane effect
- Raising affinity for CO2 due to oxygenation
- Helps CO2 unload in lungs and load in tissues
Respiration in medulla oblongata
- Respiratory rate increases via: increase in CO2, decrease in pH, decrease in O2
Anatomy of heart
- Pulmonary circulation: oxygenated blood
1a. Right atrium -> right ventricle -> pulmonary arteries in lungs - Systemic circulation: oxygen to tissues and carries CO2 away from tissues
2a. pulmonary veins -> left atrium -> left ventricle -> aorta
Heartbeat
- Systole: ventricles contract
- Diastole: relaxation of heart then contraction of atria
Heart contractions
- Starts at SA node in right atrium via electrical synapses (gap junctions)
- Goes to AV node where it pauses the AP to allow atrium to finish contraction
- Bundle of His-> purkinjie fibres -> next cardiac muscle cell via gap junctions
Vasculature
- Arteries/arterioles: blood away from heart, smaller
- Veins/venules: blood to heart, bigger
Layers of blood vessels
- Tunica intima (Inner):
- Tunica media: has smooth muscle and is innervated by sympathetic nervous system (Constricts in fight/flight)
- Tunica externa (outer)
Vasomotion
- Governed by autonomic nervous system via hypothalamus where blood is rerouted to different tissues
- Mechanism for thermoregulation
2a. Cold: arterioles construct to prevent heart loss
2b. Hot: arterioles dilate to expel heat
Ways material can cross capillary walls
- Pinocytosis: transcellular
- Diffusion through capillary cell membranes or fenestrations
- Diffusion through space: paracellular
Systolic vs diastolic pressure
- Systolic pressure: measures peak pressure in contraction of ventricles
- Diastolic pressure: measures min pressure during relaxation
- Normal: 120/80
Ways to regulate blood pressure
- Baroreceptors: sense changes in blood pressure
1a. Carotid arteries
1b. Aortic arch
Renin-angiotensin-aldosterone system (RAAS)
- Renin: forms angiotensin 2
- Angiotensin 2: vasoconstriction, thirst, Na+ reabsorption, aldosterone release which raises blood pressure
Natriuetic peptides (NPs)
- Work as a counter to RAAS: reduce blood volume and systemic resistance
Blood components
- Plasma: has nutrients, metabolic waste, ions and plasma proteins
- Buffy coat (white blood cells): includes granulocytes, lymphocytes and monocytes that all differentiate from MHSC in hematopoietic
- Red blood cells (erythrocytes): no nucleus, no reproduction, function is to transport O2 and CO2, no mitochondria
Myelocytes: granulocytes
- Includes Neutrophils, Eosinophils, Basophils in innate response using PRR to recognize PAMPS
1a. Neutrophils: in bone marrow and phagocytosize bacteria
1b. Eosinophils: target worms
1c. Basophils: release histamine for vasodilation: in blood
Myelocytes: mast cells
- Similar to basophils but they live in epithelial and mucosal tissue
Myelocytes: megakaryocytes
- Become platelets which contract blood clots in hemostasis
Myelocytes: monocytes
- Can become macrophages that phagocytosize pathogens and present them to T cells via MHC2
Antigen presenting cells
- Dendrites
- Macrophages
Lymphocytes: T lymphocytes
- Helper T cells (MHC2): allow differentiation into different types for specific response
- Cytotoxic T cells (MHC1): damage via perforin and granzymes
Lymphocytes: B lymphocytes
- Undergo clonal selection which produces plasma cells that produce antibodies
Natural killer cells
- Recognize stress induced proteins or viral proteins
Lymphatic system function
- Collect and recycle extra fluid
- Reroute lipid digestates
- Immune functions : produce, store and transport immune cells and monitor for infection
Lymphoid organs
- Primary: Thymus and bone marrow
- Secondary: spleen, lymph nodes, MALT
MHC 1 and 2
- Endogenous: MHC1 ->CD8
- Exogenous: MHC2 -> CD4
Activation of naive T and B cells
- Signal 1: antigen recognition
- Signal 2: co stimulation via B7 on APC to its receptor CD28 on T cell
2a. Without this signal, cell is anergic (unable to respond)
Innate immunity
- Nonspecific, fast, to PAMP and DAMPs
Adaptive immunity
- Specific, slow etc
Hemostasis
- Vascular constriction: occurs due to local myogenic muscle spasms, autacoid release, nervous reflexes
- Platelet plug formation: platelets made more sticky via bone Willebrand factor and these sticky platelets form the plug
- Clotting:
3a. Formation of prothrombin activator
3b. Activation of prothrombin
3c. Activation of fibrinogen
What happens during inflammation
- Vasodilation
- Migration of granulocytes and monocytes
- Increase in capillary permeability: diapedesis
- Fibrin clot
- Swelling
Extravasation of neutrophils
- Chemotaxis occurs:
1a. Selection on endothelial binds to carb on neutrophils which starts roll
1b. Endothelial ICAM binds to WBC integrin which activates it and arrests it to do diapedesis
Protein complement cascade pathways
- Classical: via IgM or IgG
- Lectin: via carbs
- Alternative: via PAMPS
Protein complement cascade functions
- Inflammation
- Opsonization which marks pathogen for phagocytosis
- MAC formation: lysis of cell
Primary and secondary immune response
- Primary response
- Secondary response: stronger and more rapid due to memory cells
Adaptive immunity: cell mediated
- T cells for intracellular threats
Adaptive immunity: humoral
- Antibodies for extracellular threats
- Antibodies can caused neutralization, opsonization, ADCC (NK cells), agglutination etc