Final Flashcards
Functions of LI
absorbs remaining water and water soluble vitamins
compaction of feces
how is water absorbed by LI
establish ion gradient using Na and then water moves by osmosis
what is the main component of feces?
indigestible starch components, we don’t have the enzymes to break down cellulose–fiber. Also some metabolic waste
role of bacteria in LI
LI is colonized by bacteria.
some breakdown of starch
produce vitamin K
produce gas through cellular respiration
defacation
2 anal sphincter. 1 smooth internal, one skeletal external
conscious urge is triggered by stretch of rectum
contract ab muscles to change pressure
valsalva maneuver
contraction of ab muscles and increased pressure in thorax assists in defecation. By holding breath you can create a change in pressure to help with defecation
But your heart rate will slow down
absorptive state
ingested nutrients are entering the vbloo from the GI tract (in the 4 hours after a meal)
-body wants to absorb more calores thana re required immediatle
some go to blood stream, the remainder are stored.
-total body storage is adequate for the average person to go weekks without food
post-absorptive state
GI tract is empt of nutrients fro stored nutrients must be used(in between meals)
the role of the liver
most ingested nutrients are carbs and proteins which are absorbed immediately into the blood and transported to the liver in hepatic portal vein
liver can filter/alter nutrients before then tracel to the heart and throughout the body
inactivates and removes toxins using liver enzymes
glucose is taken up
absorptive state events carbs
blood glucose levels rise.
is taken up by liver and skeletal muscle which stores it as glycogen
any excess is take up by the liver and converted to fatty acids and triglycerides for storage
gucose stoarge as lipids
synthesized lipids in liver are released into the bloodstream bound to protein transport molcules called lipoproteins: FDL, LDL and VLDL
What do newly made lipids from glucose travel on?
in blood on VLDLs. These are too big to cross out of capillart. gets to areas of adipose tissue which secrete lipoprotein lipase which seperates the lipid from the liporpotein allowing it to move into the adipose tissue.
fate of absorbed carbohydrates
- directly into blood to boost blood sugar levels
- stored as glycogen in liver or muscle
- stored as fat in adipose tissue
absorptive state events of lipids
go directly into lymph, then added to the blood in the vena cava.
Travel in aggregates
lipoprotein lipase breaks up aggregates and allows monomers to diffuse out of the bloodstrem to the adipose tissue
how are lipids stored?
as triglycerides
formation of triglycerides
glycerol head synthesized by glucose in the adipocyte: can be made by 3 sources, glucose from blood thats stored in adipocytes as fatty acids, glucoe from blood can be converted to stored fatty acids in the liver. ingested fatty acids from the blood
cholesterol
a type of lipid necessary for plasma membranes, bile salts, hormones.
can’t be used to cellular respiration
too much in circulation can contribute to atherosclerosis
changes in cholesterol levels
liver can make it
SI can transport some into blood
some passes as feces
liver can also remove colesterol from blood to make bile salts
cholesterol set point
liver is primary control
works by negative feedback (if blood cholesterol is to high, the liver cholesterol production will be inhibited and more will be transported to digestive system
set point can change based on diet etc
HDLs
remove cholesterol from blood and deliver it to liver or endocrine glands
LDLs
supply all cells with cholesterol for membranes
What non-diet factors impact HDLs?
smoking decreases HDLs
Exercise increases HDLs
circulating estrogen increases HDLs
absorptive state events of proteins
absorbed as AA, which are absorbed by cells for production of new proteins.
If needed for energy some amino acids can be converted to metabolic precursors in the liver– but the N group must be removed as urea–makes urine
Fate of ingested amino acids
- converted to metabolic precursors for energy
each cell stores the AA for protein synthesis
excess is converted to glycofen or lipids for protein storage
post absorptive state
no additional sources of enery
must maintain plasma glucose levels
where can glucose come from in the post absorptives tate?
liver glycogen–> glucose
adipose tissue: triglycerides–>glucose
muscle
protein breakdown and conversion to glucose
how long can you subside on liver glycogen?
~3 hours
using glucose and fats for energy
-can provide 720cal/day
organs go into glucose sparing mode where they preferentially use lipids for energy
ketones
form when the liver breaks down fats for energy, leads to ketosis
Control of nutrient use:
endocrine pancrease (insulin and glucagon)
epinepherine and cortisol
sympathetic innervation to liver and adipose
insulin
storage hormone
secreted by beta cells of pancreas
controls cell-expresion of glucose receptors
-promotes glycogen production in the liver and inhibits glucose secretion by the liver
glucose present, results in insulin release–binds to insulin receptors which results in expression of glucose receptor to bind glucose and transfer it into the cells
When does a cell membrane of neuron express glucose transporters?
-always expresses glucose transporters
they are insulin independent
if you had a mutation so you didn’t express lipoprotein lipase you would
- have very little body fat but high blood lipids
- decelop atherosclerosis
- have endocrine issues
more insulin–> what change in blood glucose production?
less glucose in blood
If you accidenly inject excess insulin, what happens?
blood flucose is absorbed by the cells, not enough is left for the brain
Which cells require insulin
skeletal and cardiac muscle, and adipose
NOR BRAIN and NS
incretins
secreted by enteroendocrin cells in GI tract increase insulin
ie sense candy bar in your stomach, so increase insulin to deal wiht it
Control over insulin
glucose level in blood
incretins
hormones that inhibit insulin
sympathetic neurons– fight or flight inhibts insulin secretion
diabetes mellitus
cells cannot take up glucose from the bloodstream
Cause of Type I
auto immune, beta cells are attacked
Type II cause
genetics and lifestyle
cells become insulin resistant, later beta cells slow insulin production
glucose receptors internalize after excessive stimulation.
gestational diabetes cause
idiopathic, probably genetic or tendency toward insulin insensitivity
are then more likely to develop type II
if mom has high glucose levels–baby gets high glucose, and baby doesn’t have diabetes so gets it all.
Type I Treatment
injected insulin at each meal for life
Type2 treatment
diet+ exercise, injectable insulin or incretins,
metformin-down reg liver gluconeogenesis, increases insulin sensitivity
gestational diabetes treatment
lifestyle, glucose monitoring
what would be one of the first signs of type Ii diabetes?
- high blood bressure, b/c excess sugar as a solute in the blood, will drive water in
- increased frequency of infections-high glucose levels in tissues too, feeds more bacteria/yeast to grow.
glucagon
- produced by alpha cells of pancreas
- increase glycogen breakdown and gluconeogenesis in the liver
- effected by some hormones and sympathetic innervations
gluconeogenesis
making of glucose from amino acids or fatty acids
what would the effect of the fight or flight response be on blood sugar?
blood sugar increases
what is energy used for in body?
protein synthesis, ion pumps, cellular transport, muscle contraction, heat
excess is stored
basal metabolic rate
amount of energy to fuel basic properties without exercise or other increase in metabolism
based on body size, typical caloric intake and age
BMR and Body size
losing weight slows down metabolism
- losing 10% body weight–>15% decrease in energy expenditure
- gaining 10% body weight–>15% increase in energy expenditure.
leptin
inhibits appetite. Mice withour leptin voaraciously eat and become obese
- made by adipocytes and released in proportion to the amount ot fat in adipose cells
- stimulates metabolism
- says that you have enough energy, don’t need to eat as much
ghrelin
made by somach lining cells
stimulates appetite
lack of stretch of stomach results in release (empty somach
signals to stop eating
leptin
insulin release
-increase in body temperature
-stretch receptors and hormones in stomach, SI, LI
corticotropin releasing hormone and appetite
decreases appetite
leptin source and impact on appetite
adipose tissue decrease,
insulinsource and impact on appetite
pancrease, decrease
ghrelin source and impact on appetite
stomach, increase
CCK source and impact on appetite
intestine decrease
peptide YY source and impact on appetite
intestine, increase
extreme biggest loser diet
ghrelin soar, leptin levels sink, body thinks you’re starving, these changes remain for 6 years
genetic influece in weightloss
hormone levels, BMR, food preference may be genetically driven, tendency to gain/lose weigjt
twin weight study
] increased calorie intake, decreased exercise
all twins gained the same amount of weight and in the same places, some sets of twins gained 10, some gained 30. l
psychological factors and hunger
stress adrenaline and cortisol-decrease appetite and GI motility
-serotonin is released by intestines in response to food- might change depression
thrifty gene
if poor nutrition at young age, your genome encourages the storage of more energy
adiponectin
produced by adipose
decreases inflammation, promites using energy stores
resistin
adipose hormone, leads to insulin resistace
visfatin
agonist to insulin receptor, increases glucose uptake from the blood, mimics insulin
adipose hormone
adipo-cytokines
promote inflammation and mitosis in local areas
adipose hormone
according to the thrifty gene hypothesis, poor nutrition in infancy would result in
obesity in adulthood
what kind of ghrulin levels would you expect in a person who recently lost weight?
high ghrelin levels
would inhibiting glucagon lower blood glucose levels?
yes,
hypoxia
lack of O2
hypercapnia
too much CO2
functions of the respiratory system
gas exchange, acid-base balance, vocalization, immunity, waterloss and heat loss
cellular respiration
intracellular reaction that uses O2 and glucose to make Co2, h20 and ATP
external respiration
movement of gases betwen the environment and th bodys cells
ventilation
air exchange between lungs and external air
steps of respiration
- ventilation
- exchange of O2 and CO2 between alveoli and capillary
- transport of O2 and CO2 in blood
- exchange of O2 and Co2 betwee blood and tissues
- cellular utilization of O2 and production of Co2
type 1 alceolar cells
small thin for gas exchange between alveoli and capillaries
type ii alveolar cells
synthesize surfactant
- lowers surface tension of alceolus, allowing the cells to inflate
- prevents alveli from collapising alveloi
premature babies and surfactant problems
get respiratory distress because type 2 alveolar cells ar one of the last cell types to develop
is there smooth muscle in lungs?
no
elastic fibers cause recoil so that lungs return to resting after the inhale
inflation of lungs
- work of muscles bbetween ribs and diaphram
- widen the thorax and pull the lungs with them by fluid surface tension.
F=
change in p/r
boyle’s law of gases
if temp is constant:
pressure in inversely proportional to volume
if you increase volume, you decrease pressure`
we must icrease the volume of our lungs (And thus decrease the pressure) to sufficienctly form a pressure gradient with atmospheric pressure and allow for flow
BOyles law applied
inhale, air moves in because pressure is lower inside
exhale- air moves out if pressure is greater outside
If you experience systemic vasodialation, what happens to BP?
decreases
pneumothorax
air gets between the peural layers and the lung is no longer held t othe thorax by surface tension
what happens to flow if you narrow a vessel?
flow decreases, due to increase of resistance
asthma
inflammation and swelling of bronchiole walles
decreased diameter of bronciole- bronchoconstriction
less O2 air to alveloi
CO2 build up in alveoli
increased resistance lowers air flow
pulmonary edem
increased blood pressure, increased pressure, fluid leaves lungs and increases diffusion distance.
emphysema
decreased alveoli surface area=less diffusion
-treatment is to increased PO2
Daltons Law
total pressure=sum of partial pressures
daltons law applied
chemoreceptors in the blood are sensitive to hypoxia– you can increase or decrease the conc. of O2 by changing partial pressure (administering O2) or changing total pressure (changes with altitude_
henry’s law
states that the partial pressure of a liquid will equilibrate to that of a gas— means the partial pressure of a liquid will equilibrate to that of a gas
PO2 in air=PO2 in alveoli=PO2 in blood
4 laws of respiration
boyle-pressure and volume
fick-diffusion
dalton-gasses and proportional pressure
Henry-liquids and gases
PO2 in alveoli=
PO2 in arterial blood
PO2 in tissues=
between the PO2 in alveoli and the PO2 in venous blood
PCO2 in alveoli=
PCO2 in arterial blood
PCO2 in tissues=
same as PCO2 in venous blood, or more
hypercapnia
elevated PCO2–causes acidosis
control of respiration
diaphragm and intercostal muscles
- dont need to think about it, but can change it if you want
-
what directs cyclic innate breathin?
respiratory center in the medulla oblongata–based on chemoreceptors
peripheral chemoreceptors
in aortic and carotid bodies, detect O2 and pH cahngse