Exam 1 Objectives Flashcards

1
Q

Basic functions of all cells

A
  1. Exchange of substances across cell membranes (active/passive transport, facilitated diffusion, endo/exocytosis)
  2. Energy transfer (fuel substrate -> ATP, CO2, H20)
  3. Synthesis of proteins/macromolecules (replaces worn out cell components, adaptive, growth/repair)
  4. store genetic material
  5. responds to chemical messengers
  6. Replication/Repair
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2
Q

continuous replication

A

Replication of epithelial cells occurs in a steady state in areas subjected to mechanical or chemical stresses. Epithelial cells can rapidly divide when injured (e.g., hepatogenesis with liver damage). Smooth muscle cells can undergo mitosis (e.g., in pregnant woman’s uterus).
Structures with continuous replication: skin, GI, epithelial cells, smooth muscle cells

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3
Q

Fixes post-mitotic state

A

cells can’t reproduce themselves; cardiac/skeletal muscle cells, neurons (most neurons are in fixed post-mitotic state, but injured peripheral neurons can regenerate injured axons provided that there is an ideal environment for repair)

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4
Q

tissue

A

formed from aggregated cells

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5
Q

organ

A

tissues come together in specific patterns

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6
Q

organ system

A

maintains homeostasis/internal environment of the body

cells -> tissues -> organs -> organ systems

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7
Q

cell function interdependence

A

cell types arrange themselves into structural and functional units (tissue), thus the formation of muscle, nervous, epithelial, and CT. Thus, their functions are mutually dependent since each type of tissue is composed of an aggregate of cells and a surrounding ECM

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8
Q

Collective function of the organ systems

A

maintain homeostasis, the “internal environment of the body.” Dynamic constancy of the internal environment is maintained by combined action of reflexes and local mechanisms

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9
Q

Biological rhythms

A

add an anticipatory component to the homeostatic system; allows/enables homeostatic mechanisms to be used immediately (allows for a quick response) when there’s a perturbation
example: circadian cycle -> sleep cycle based on light and dark

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10
Q

cell types

A

epithelial, CT, neurons, muscle

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11
Q

Epithelial cells

A

continuous layer of cells that lines the surfaces of organs; replication at a steady state in areas subjected to mechanical or chemical stresses; functions - selectively permeable, protection (from dehydration, chemical, and mechanical damage), secretion of substances (i.e., mucus, water, hormones, enzymes, etc.)

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12
Q

Muscle cells

A

generate mechanical force, specialized for contraction and movement, contain large amounts of actin a myosin

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13
Q

skeletal muscle

A

function is to move the skeleton, growth via hypertrophy but NO hyperplasia, fixed post-mitotic, innervated by somatic NS, voluntary control

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14
Q

cardiac muscle

A

function is to propel blood in the vasculature, growth by hypertrophy, fixed post-mitotic, innervated by ANS, involuntary control

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15
Q

smooth muscle

A

located in hollow tubes and organs, function is to propel contents, cell growth via hyperplasia and hypertrophy, can undergo mitosis, innervated by ANS, involuntary control

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16
Q

neurons

A

specialized for initiation and conduction of AP, most are fixed post-mitotic, can be modified in CNS (plasticity), peripheral neurons have potential to regenerate in ideal environment

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17
Q

connective tissue

A

medium for exchange of nutrients, blood gases, and waste products between the cells and the vasculature; defense against foreign microorganisms and toxins, through the production and activation of immune system and the formation of a physical barrier to prevent the spread of infection; trophic and morphogenetic roles in tissue development/repair; structural support- forms a continuum between itself and the other tissues of the body, it is critical for the development and maintenance of the body

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18
Q

Glands

A

complex structures composed of epithelial cells

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19
Q

exocrine glands

A

secrete onto external surfaces through ducts, such as GI enzymes and salivary glands

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20
Q

endocrine glands

A

ductless glands that secrete messengers into the blood; pancreatic secretion of insulin, hormones

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21
Q

paracrine glands

A

secrete substances into the extracellular fluid compartment (EFC)

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22
Q

CT cell classification

A
  1. special skeletal type
  2. general type
    a. resident
    b. transient
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23
Q

Special skeletal type

A

CT cells, consists of cartilage and bone, stuck in matrix they secrete; includes chondrocytes, osteocytes, osteoblasts, osteoclasts

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24
Q

General type

A

CT cells

  1. Resident: stay in fixe location of body (includes fibroblasts, adipocytes, macrophages, pericytes, mast cells)
  2. Transient: originate in bone marrow, circulate in blood, then enter CT when needed, must be replenished often since short lived (includes B/T lymphocytes, neutrophils, macrophage, etc.)
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25
Q

Intracellular fluid compartment

A

fluid in all cells of body

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26
Q

extracellular fluid compartment

A

fluid in blood (plasma) + spaces around cells (interstitial fluid)

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27
Q

Extracellular Matrix (ECM) Structure

A

non-living macromolecules in extracellular space; made of soluble fibers (long carbohydrate chains linked to proteins which bind to water) and insoluble protein fibrils (collagen and elastin); basement membrane = basal lamina + reticular lamina

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28
Q

Basement membrane of ECM function

A

mechanical anchor, has metabolic role, influences rate of cell division, helps in growth/repair, forms selectively permeable barrier

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29
Q

Basal lamina

A

inner layer of basement membrane of ECM; transmembrane and extracellular glycoproteins + collagen

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30
Q

reticular lamina

A

outer layer of basement membrane of ECM; made of collagen

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31
Q

Function of ECM

A

distribute stresses of movement/gravity and maintains structural integrity; allows two muscle fibers to shorten, even if one is not activated, preventing shear

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32
Q

Components common to all reflex arcs

A

1) Sensory receptor
2) Afferent pathway
3) integrating center: compares change to ‘set point’
4) efferent pathway
5) visceral target site

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33
Q

ANS Major integrating center

A

hypothalamus

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34
Q

Areas of CNS that can function as integrating center for ANS responses

A

Reflex integrating centers: brain, brainstem, spinal cord

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35
Q

somatic motor system

A

single axon arises from ventral horn of grey matter in spinal cord; alpha motor neurons are large in diameter and myelinated; innvervation target = muscle fiber; NT = ACh (cholinergic transmission) and nicotinic receptor (nacho) is found at the NMJ; nAChr is ligand gated and allows for flux of cations (EPP = excitatory)

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36
Q

preganglionic neuron of ANS (visceral motor system)

A

soma from lateral horn of spinal cord, sends axon (myelinated, cholinergic) to synapse onto ganglion cell; ACh binds to nicotinic receptor (ligand-gated) on ganglion cell resulting in an EPSP

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37
Q

postganglionic neuron of ANS (visceral motor system)

A

comprised of ganglion cell and unmyelinated axon that innervates peripheral visceral sites; close to the zone of transmission (where NT released), terminal end branches and contains varicosities (swellings) that store and release NT; cholinergic/nonadrenergic (NE), but may also release other chemicals such as ATP, serotonin, NO; M receptors for ACh; adrenergic receptors that bind NE are either alpha or beta

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38
Q

innervation targets of ANS (visceral motor system)

A

cardiac, smooth, glands, adipose, lymph

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39
Q

parasympathetic NS

A
  • origin: craniosacral; cranial nerves III, VII, X(Vagus nerve), S2, S3, S4 (pelvic splanchnic nerves)
  • NT: ACh
  • Receptors: N on Ganglion, M on visceral sites
  • Parasympathetic ganglia lie within, or very close to, the organs that the postganglionic neurons innvervate
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40
Q

Sympathetic NS

A
  • Origin: lateral gray column of T/(upper) L spinal cord (thoracolumbar)
  • NT: ACh (cholinergic) at preganglionic and NE (noradrenergic) at postganglionic
  • Receptors: N on ganglion, and alpha/beta on visceral sites (noradrenergic)
  • most sympathetic ganglia lie close to the spinal cord and form chains of ganglia on each side of the cord called sympathetic trunks, or in the thorax/abdomen
  • SNS innervates sweat glands, blood vessel walls, and adrenal medulla only
41
Q

What role does the adrenal medulla play in ANS function?

A

indirect, widespread SNS response through the bloodstream

42
Q

What is the role of circulating catecholamines in ANS function?

A

epinephrine/adrenaline and less often norepinephrine bing to alpha/beta adrenergic receptors (metabotrophic/G-protein activated)

43
Q

Vagus nerve

A

supplies motor parasympathetic fibers to organs EXCEPT adrenal glands; little skeletal mucles control; involved in HR, peristalsis, sweating, speech

44
Q

Visceral afferent feedback in autonomic function

A

provides CNS with info regarding the state of a target tissue; informs integrating center of how far off tissue is from homeostatic set point, allowing integrating center to know when to turn on/off homeostatic regulating mechanisms
Example: sensory receptors detect food in the mouth-> need to digest -> send signals to integrating center where info is processed -> signal to salivary glands to produce salivary amylase, promoting digestion

45
Q

NMJ

A

junction of an axon terminal with the motor end plate; receive command from CNS; alpha motor neuron = myelinated, cholinergic; NMJ is site of innervation/synapse; NT = ACh; receptor = nACh (nicotinic); end plate potential (EPP= excitatory response); feedback from receptors can alter activity

46
Q

Ganglion cell

A

myelinated axon onto ganglion cell; preganglionic neuron is cholinergic (ACh); nicotinic receptor on ganglion cell; excitatory post-synaptic potential (EPSP)

47
Q

Visceral target site

A

unmyelinated axon innervates peripheral visceral sites; ACh = cholinergic, muscarinic receptors OR norepinephrine/epinephrine (alpha and beta adrenergic receptors)

48
Q

Varicosities

A

swellings that store and secrete NTs on axon terminal of ganglion

49
Q

to terminate neurotransmission at target sites

A
  • block ACh receptors (e.g., curare - deadly poison that binds to nicotinic ACh receptors)
  • inhibit acetylcholinesterase
  • drugs that block neuromuscular transmission
  • substances that block release of ACh from axon terminals
50
Q

Vasovagal Syncope

A

drop in HR/BP due to trigger leads to fainting

  • most common reason for fainting
  • triggers: emotional stress, sight of blood, heat exposure, fear of bodily injury
  • abnormal pattern of autonomic activation to maintain BP (not failure of ANS)
51
Q

Autonomic dysreflexia triggers/symptoms

A
  • triggers = full bladder/rectum, kidney stones, DVT, pulmonary embolus, insect bite, pain or irritation below lesion, tight clothing or bruising
  • symptoms: elevated BP, headache, sweating/flushing, blurred vision, goosebumps above level of lesion, anxiety, change in heart rhythm
52
Q

autonomic dysreflexia cause

A
  • above lesion, ANS is alive and reflexive, but below the level of the lesion, the integrating center cannot send appropriate motor command
  • trigger causes sympathetic nervous system (through spinal reflexes) to increase BP
  • Baroreceptors detect change, send message to CNS, but CNS can only affect area above lesion
  • BP does not decrease b/c trigger has not been corrected, causing symptoms
53
Q

Diabetic Neuropathy

A
  • occurs when nerve damage to autonomic nerves
  • symptoms: fainting, urinary problems, digestive problems, abnormal sweating, sexual dysfunction, intolerance to exercise
54
Q

Describe the key steps in the process of myogenesis during muscle development

A
  1. Sperm + Egg = morula (ball of cells)
  2. Morula specializes into endoderm, mesoderm, ectoderm germ layers
  3. Mesenchymal stem cells (MSC) arise from mesoderm
  4. Some MSCs differentiate into myoblasts and satellite cells
  5. Myoblasts clump together into a myotube
  6. Myoblasts differentiate and mature into myofiber
55
Q

Endoderm

A

gut/stomach

56
Q

Mesoderm

A

germ layer that gives rise to muscle, bone, fat, CT

57
Q

Ectoderm

A

hair/skin, nervous tissue

58
Q

Myoblast

A

embryonic stem cell that becomes a cell of muscle fiber

59
Q

Myotube

A

result of early fusion, involving a small number of myoblasts; collection of myoblasts

60
Q

MyoD

A

transcription factor; controls early myoblast differentiation

61
Q

Myf-5

A

transcription factor; controls early myoblast differentiation

62
Q

Myogenin and MRF-4

A

transcription factors; control late myoblast differentiation; cause myoblasts to proliferate and fuse into myotubes

63
Q

Pax 3 and Pax 7

A

transcription factors in satellite cell specialization/differentiation; keep myogenic genes off; keep quiescence genes on; thus keeping cell undifferentiated until you need them (i.e. injury)

64
Q

structural organization of muscle

A

tendon -> muscle belly covered my epimysium (also continuous with tendon) -> fascicles (bundles) covered with perimysium -> myofiber/muscle, cell/muscle fiber, covered with endomysium -> myofibrils -> sarcomere

65
Q

ECM

A

Basement membrane + Interstitial Matrix = ECM; Structural support that distributes the stresses of movement and gravity while maintaining the structural integrity of the body’s tissues; physiochemical environment for the body’s cells. Supports cell function and mobility within the CT scaffold (cells of the tissues adhere to components of the ECM). Mediums through which nutrients and chemical messengers can freely diffuse

66
Q

actin

A

thin filament, contains binding site for myosin

67
Q

tropomyosin

A

thin helical protein, shuts/opens up down binding site if troponin binds Ca2+

68
Q

troponin

A

bulbous, sits on top of tropomyosin, 3 subunits; subunit C- binds Ca2+; subunit I - binds actin; subunit T- binds tropomyosin

69
Q

Nebulin

A

wrapped around actin, helps control length of actin

70
Q

Myosin

A

thick filament, contains heavy and light chains, contains 2 globular heads

71
Q

Titin

A

spring-like protein hooking Z and M line (responsible for passive stiffness of sarcomere)

72
Q

Desmin

A

connects Z discs of different sarcomeres, enables lateral force transmission between sarcomeres

73
Q

Dystrophin

A

protein in muscle fiber linking actin cytoskeleton to ECM via dystroglycan complex (links inside of cell to outside of cell); binds to sarcolemma+cytoskeleton, stabilizes during contraction

74
Q

Dystrophin associated proteins

A

dystroglycans, sarcoglycans; both part of dystroglycan complex and disruption to either destabilizes this complex and affects force transmission between the fiber and the ECM

75
Q

Costamere

A

links Z disks to sarcolemma

76
Q

laminin

A

present in basal lamina of ECM, contains pax 7 - links costameres to ECM and links DGC to ECM

77
Q

I Band

A

Actin (and titn) only!

78
Q

Z discs

A

the ends of actin, bisect I line, marks the end of each sarcomere

79
Q

M line

A

line in middle of A band, which links together central regions of adjacent A bands

80
Q

Describe the role of calcium in skeletal muscle contration

A

T-tubules connect to SR. T-tubules contain protein called DHP receptor that senses voltage. Ryanodine receptor forms Ca2+ channel. During AP, Ca released from terminal cisternae of SR enters cytosol, where CA binds to troponin. Troponin shifts (conformational change), tropomyosin moves away from myosin binding site of actin, allows linkage to form between actin and myosin = cross-brige -> contraction. Ca/ATP pumps Ca away from cytosol back out into SR. Lowers Ca and cross-bridges detach.

81
Q

Sliding filament theory of Contraction

A
  1. Ca2+ binds troponin. Troponin changes shape, changing configuration of tropomyosin. Tropomyosin blocks the area on actin that binds to myosin head, but then unlocks the area once troponin causes this conformational change
  2. Cross-bridge is formed when myosin head binds to actin, occurring as ATP binds to myosin head and hydrolysis occurs, forming ADP and phosphate
  3. power stroke ensues resulting in release of inorganic phosphate and ADP from myosin head
  4. binding of a new molecule of ATP to myosin breaks link between actin and myosin
  5. Following the disassociation of actin and myosin, the new ATP that is bound to myosin is hydrolyzed, thereby forming the energized state of myosin and returning the cross-bridge to its pre-power stroke position
82
Q

Functions of ATP in muscle contration

A

Hydrolysis of ATP by Na/K pump maintains Na and K gradients, which allows membrane to produce and propogate AP; ATP binds myosin and causes detachment of cross-bridge. Hydrolysis of ATP energizes cross bridges, providing energy for force generation; hydrolysis of ATP by Ca pump in SR causes active transport of Ca into terminal cisternae, which lowers [Ca2+] cytosol, ending contraction. Ca/ATP pumps Ca out/removal of Ca from troponin

83
Q

major cell organelles in skeletal muscle

A
  1. Plasma membrane (sarcolemma): regulates Ca concentration, conducts waves of depolarization over the surface of cell and into T-tubules
  2. Mitochondria: ATP produces
  3. Myonuclei: controls gene expression and protein synthesis
  4. Sarcoplasmic reticulum: stores Ca until AP/muscle contraction. Releases when depolarized
84
Q

Myonuclear domain

A

certain amount of cytoplasm that a single myonucleus can support. If the cell grows so big that the nucleus can’t handle it, SC donates another nucleus

85
Q

Differentiate between myonuclei and satellite cells

A
  1. Myonuclei are in peripheral parts of fiber. SC stay in reserve under the basal lamina
  2. Myonuclei actively contribute and help with protein synthesis. Each myonuclei is in charge of a wedge shaped are and all RNA/protein synthesis that happens there. SC remain dormant until activated
  3. SCs represent precursor cells to myoblasts that are associated with myotubes during development but did not fuse with them
  4. SCs can divide and form more SCs, wile myonuclei are fixed post mitotically
86
Q

What role do growth factors play in satellite cell activation?

A
  • Growth factors stimulate SC to divide into more SC and myoblasts. GF are secreted by ECM, Fibers, Inflammatory cells or SC themselves.
  • Proliferation: FGF, TGFB, PDGF, IGF (MGF)
  • Differentiation: IGF, MGF
  • Common events that activate SCs include muscle trauma, exercise induced ingury, chronic stretch, significant muscle fiber hypertrophy, and injection of locan anesthetics
87
Q

Excitation-contraction coupling events

A

Ca2+ diffuses to the myofilaments and binds to troponin C, this moves the tropomyosin and exposes a myosin binding site on the actin

88
Q

Twitch

A

single contraction/relaxation due to 1 AP, Ca 2+ quickly taken back up into the SR, myofibrils are not saturated with Ca2+ during a twitch

89
Q

unfused tetanus

A

at low stimulation frequencies, the tension may oscillate as the muscle fiber partially relaxes between stimuli

90
Q

fused tetanus

A

lots of stimulus, no relaxation, blending twitches (clear plateau on graph); deliver lots of pulses in short amount of time, that R receptors have opened and dumped all Ca and myofibril is saturated with Ca, and generates the max force myofiber can produce

91
Q

Describe the temporal relationship between the AP on the SL and a muscle twitch

A

there is a single pulse/depolarization of motor neuron. ryanodine channels open to release Ca2+ from SR, and remain open only until membrane potential remains. There’s not much Ca2+ released, and it’s pumped back instantly, limiting the Ca2+ available in cell for sarcomere

92
Q

Describe the length-tension relationship of muscle

A

the shorter a sarcomere is, the less room it has to form croos bridges and cannot generate much force. The longer a sarcomere is, the fewer cross bridges formed, also little force.

93
Q

Experimental paradigm to determine length tension relationship

A

A mouse fiber subjected to isometric contraction, sarcomere length determines by laser. With shorter sarcomere lengths, it did not generate much force, but the longer the sarcomere became, the stronger the force. The graph also dipped b/c too large gap = weaker force.

94
Q

Muscle force within sarcomere is greatest when…

A

optimal overlap between actin and myosin heads - most cross bridges can form

95
Q

Do all muscles of the body operate at the same length-tension range?

A

No, range is constant at the sarcomere level b/c length of sarcomere (actin/myosin lengths) is constant BUT sarcomere length range a muscle operates in differes between muscles. Some muscles like to operate soley on ascending or descending limbs

96
Q

Force-Velocity relationship of skeletal muscle

A
  • Eccentric contraction: sarcomere tries to shorten, but something is forcibly lengthening it. When myosin heads cross bridge to actin, they resist being stretched by holding onto actin with a greater force (increasing force of contraction)
  • Concentric contraction: sarcomeres are shortening, and actin/myosin slip right past ea/other without cross bridging. Cross bridges = force production. Increase velocity of shortening = fewer cross bridges = less force
97
Q

Under which load conditions is velocity of shortening the fastest? How is this relevant to the profession of PT?

A
  • High V movement: low muscle force (low loading)
  • Low V movement: high muscle force (high loading)
  • strengthening requires high force-producing exercises, velocities must be low
98
Q

motor unit

A

functional unit of movement; alpha motor neuron and all the skeletal muscle fibers it innervates