Final Exam! Flashcards
Comparison of Endocrine and Nervous System
are both control systems of the body. Both release ligands (chem. messengers) that attach to target cells. Unlike nervous system, endocrine uses hormones, is widespread, can target any cell, exhibits longer reaction times and longer-lasting effects.
Steroids
lipid-soluble molecules synthesized from cholesterol
biogenic amines (monoamines)
modified amino acids; are water soluble except for thyroid hormone. Includes catecholamines, TH, and melatonin
proteins
most hormones are proteins, water-soluble chain of amino acids
local hormones
signaling molecules that don’t circulate in blood
eicosanoid
local hormone. Includes prostaglandins.
How to water-soluble hormones enter cell
use membrane receptors. These hormones are polar and cannot diffuse through the membrane.
Synergistic interaction
one hormone reinforces activity of another. ex: estrogen and progesterone effects of target cell.
Permissive interactions
one hormone requires activity of another. ex: oxytocins milk ejection effect requires prolactin’s milk generating effect.
Hypothalamo-hypophyseal portal system
system of blood vessels that connects hypothalamus to anterior pituitary. Contains a primary plexus (capillary network near hypothalamus), secondary plexus (capillary in ant. pit.) and hypophyseal portal vein that drains primary plexus and transport to secondary plexus.
Posterior pituitary
storage and release sight for oxytocin and antidiuretic hormone which is released from synaptic knobs into blood when neurons fire impulses.
antidiuretic hormone
functions to decrease urine production, stimulate thirst, and constrict blood vessels.
oxytocin
functions in uterine contraction, milk ejection, and emotional bonding.
Hormones of hypothalamus
releasing hormone: increase secretion of anterior pituitary hormones and includes thyrotropin RH, prolactin RH, gonadotropin RH, corticotropin RH and growth hormone RH.
Inhibiting hormones: decreases secretion of ant. pit. hormones.
anterior pituitary hormones
TSH, PRL, adrenocorticotropic hormone, and gonadotropins.
thyroid stimulating hormone (TSH)
release triggered by TRH from hypothalamus, causes release of TH from thyroid
Prolactin (PRL)
release triggered by PRH, inhibited by PIH. causes milk production, and mammary gland growth in females.
Adrenocorticotropic Hormone (ACTH)
release triggered by CRH from hypothalamus. Causes release of corticosteroids by adrenal cortex.
Gonadotropins
FSH and LH, released by anterior pituitary.
growth hormone
stimulates release of nutrients from storage (glycogenolysis, gluconeogenesis, lipolysis)
glycogenolysis
breakdown of glycogen into glucose
gluconeogenesis
conversion of nutrients to glucose
glycogenesis
synthesis of glycogen
lipolysis
breakdown of triglycerides
lipogenesis
formation of triglycerides
follicular cells of thyroid
synthesize thyroglobulin that produces and releases TH
parafollicular cells of thyroid
makes calcitonin to decrease blood calcium levels
thyroid hormone
increases metabolic rate and protein synthesis in targets, fosters ATP production
calcitonin
released when blood is high in calcium or stress from exercise. Stimulates kidneys to increase excretion of calcium in urine.
adrenal medulla
releases epinephrine and norepinephrine with sympathetic stimulation
adrenal cortex
synthesizes mineralocorticoids, glucocorticoids, and gonadocorticoids.
mineralocorticoids
hormones that regulate electrolyte levels. Made in zona glomerulosa (outer layer). Includes aldosterone which foster Na retention and K secretion
glucocorticoids
hormones that regulate bg; in zona fasciculata (middle layer). Includes cortisol which increases bg.
gonadocorticoids
sex hormones made in zona reticularis (inner layer). Includes androgens which are male sex hormones made by adrenals that is converted to estrogen in females. More androgens are released in testes.
Cortisol and corticosterone
increase nutrient level in blood to resist stress and repair injured tissues. Release is regulated by hypothalamic-pituitary-adrenal axis and neg. feedback.
Effects of cortisol
causes target cells to increase blood nutrient level. Liver cells increase glycogenolysis and gluconeogenesis while decreasing glycogenesis. Adipose cells increase lipolysis and decrease lipogenesis. Body cells break down proteins and cells decrease glucose uptake; sparing it for the brain.
Cushing syndrome
chronic exposure to excessive glucocorticoid hormones in people taking corticosteroids for therapy. Some cases when adrenal gland produces too much hormone.
pancreas
has endocrine and exocrine functions. Acinar cells generate exocrine secretion for digestion. Pancreatic islets contain endocrine cells: alpha cells secrete glucagon, beta cells secrete insulin.
Lower BG
beta cells detect rise in bg and secrete insulin. Insulin travels through blood and randomly leaves to encounter target cells and initiates 2nd messenger systems. hepatocytes remove glucose from blood to make glycogen and adipose increases lipogenesis. body cells increase nutrient uptake (amino acids, glucose)
pineal gland
secretes melatonin to regulate circadian rhythm.
parathyroid glands
contain chief (principal) cells that make parathyroid hormone. PTH increases blood calcium by taking it from bones and decrease its loss in urine; activates calcitriol.
functions of blood
transportation, protection, regulation of body temp, pH, and fluid balance.
blood: transportation
transports formed elements, dissolved molecules and ions. Carries o2 and co2, nutrients, hormones, heat, and waste
blood: protection
leukocytes, plasma proteins and more protect against pathogens, platelets and some plasma proteins protect against blood loss
regulation of body temp. by blood
blood absorbs heat from body cells and releases at skin blood vessels, can also vasoconstrict to conserve heat.
regulation of body pH by blood
blood absorbs acids and bases from body cells and contains buffers.
fluid balance
water is added to blood from GI tract and is lost through urine, respiration, and skin. fluid is exchanged between blood and interstitial fluid and blood contains plasma proteins and ions to help maintain osmotic balance
blood pH
slightly alkaline; between 7.35 and 7.45. Crucial for normal plasma protein shape (avoid denaturing)
Components of blood
buffy coat (1%), plasma (55%) and erythrocytes (44%)
Whole blood
plasma and formed elements; can be separated with a centrifuge
buffy coat
thin, gray-white, middle layer in centrifuge. Composed of leukocytes and platelets and 1% of sample
Plasma in centrifuge
straw-colored at top of tube, 55%
Hematocrit
percentage of volume and all formed elements. Clinical definition is percentage of only erythrocytes. 42-56% for males and 38-46% in females because testosterone causes more erythropoietin secretion by kidneys.
Plasma composition
92% water, 7% plasma proteins, 1% dissolved molecules and ions. It is an extracellular fluid that has a similar composition to interstitial fluid, just higher protein concentration.
plasma proteins
most are produced by liver and include albumins, globulins, fibrinogen, enzymes, other clotting proteins, and some hormones. They exert colloid osmotic pressure to prevent loss of fluid from blood
colloid osmotic pressure
helps prevent loss of fluid from blood as it moves through capillaries which maintains blood volume and pressure
Albumins
smallest and most abundant plasma protein (58%). Exert greatest colloid osmotic pressure
gamma-globulins
also called antibodies, type of globulin plasma protein that is part of body’s defenses.
Hemopoiesis
production of formed elements occurring in red bone marrow of some bones.
- hemoblast (stem cell)
- Pluripotent, can differentiate into many types of cells and produce 2 lines:
3a. Myloid line: forms erythrocytes, all leukocytes except lymphocytes, and megakaryocytes
3b. Lymphoid line: forms only lymphocytes
colony-stimulating factors
stimulate hemopoeisis
erythropoiesis
red blood cell production requiring iron, b vits, and amino acids.
Leukopoiesis
production of leukocytes, involves maturation of granulocytes, monocytes, and lymphocytes. granulocytes include neutrophils, basophils, and eosinophils. Monocytes are derived from myeloid stem cells. Lymphoblasts mature into b and t lymphocytes
thrombopoiesis
platelet production. megakaryocyte is formed from myeloid stem cell and produces these platelets.
Hemoglobin
red protein that transports o2 and co2. considered oxygenated when fully loaded with o2. each hemoglobin has 4 globins. O2 bonds are fairly week for quick attachment in lungs and detachment in body tissues and the co2 binds weakly to the globin protein, not iron
erythrocyte destruction
erythrocytes lack organelles so they cant repair themselves. Maximum lifespan is 120 days and old erythrocytes are phagocytized in spleen or liver.
blood type
blood group depends on surface antigens projecting from erythrocyte membrane. Either A, AB, B or no surface antigens; this determines antibody status
Rh factor
determines if blood is positive or negative. Rh antibodies do not usually appear until an Rh negative person is exposed to Rh positive blood.
neutrophils
granulocyte; most numerous leukocyte in blood. Phagocytize pathogens and rise in chronic bacterial infections.
eosinophils
phagocytize antigen-antibody complexes or allergens; active in cases of parasitic worm infection
basophils
releases histamine to increase blood vessel diameter and heparin to inhibit blood clotting.
t-lymphocytes
manage immune response
b-lymphocytes
become plasma cells and produce antibodies
nk cells
attack abnormal and infected tissue cells
monocytes
phagocytize bacteria, viruses, debris
platelets
small, membrane enclosed cell fragments that help stop bleeding
Hemostasis
stoppage of bleeding; involves 3 overlapping phase.
- vascular spasm: blood vessel constriction: lasts many minutes. platelets and endothelial cells release chemicals to further constrict.
- platelet plug formation: normal blood vessels walls have prostacyclin which repels platelets, but when it is damaged a platelet plug forms and platelets aggregate
- Coagulation: network of fibrin (from fibrinogen) forms a mesh to form a clot.
prostacyclin
an eicosanoid that causes endothelial cells and platelets to make cAMP which inhibits platelet activation in undamaged blood vessel.
sympathetic response to blood loss
if greater than 10% of blood is lost, sympathetic increases vasoconstriction, HR, and force of heart contraction and blood is redistributed to heart and brain. Effective in maintaining bp until 40% of blood is lost.
cardiac muscle myofilaments
arranged in sarcomeres; gives striated appearance
Sarcolemma of cardiac muscle
Sarcolemma is folded at connections between cells to increase structural stability of myocardium and facilitate communication between cells. cells are connected by these intercalated discs
gap juntions
electrically join cells (allow ion flow) to make each heart chamber a functional unit (functional syncytium)
cardiac muscle metabolism
high energy demand; is able to use different types of fuel molecules such as Fatty acids, glucose, lactic acid, amino acids, and ketone bodies
sinoatrial node
initiates heartbeat and is located high in posterior wall of right atrium
cardiac cell membrane proteins
Na/K pumps, Ca pumps, leak channels, slow voltage-gated Na channels, fast voltage-gated Ca channels and voltage-gated K channels
autorhythmicity
spontaneous firing of sa node.
action potential in SA node
- reaching threshold: slow Na voltage-gated Na open and Na flows in. Membrane potential goes from -60 to -40 mV (threshold)
- depolarization: fast Ca channels open and Ca flows in; -40 to just above 0 mV
- Repolarization: calcium channels close and voltage K open so K flows out. RMP goes back to -60, where voltage Na open again.
vagal tone
parasympathetic activity by vagus nerve on SA node keeping the heart rate slower than 100bpm.
direction of action potential spread through heart
After starting at SA node the action potential spreads 1. Action potential is distributed through atria, reaches AV node • Excitation travels via gap junctions and the two atria contract together 2. Action potential is delayed at the AV node • AV nodal cells are slow because of small diameter and few gap junctions • Insulation of fibrous skeleton means AV node is bottleneck (only path) • Delay allows ventricles to fill before they contract 3. Action potential travels through AV bundle to Purkinje fibers • AV node → AV bundle → Bundle branches → Purkinje fibers 4. Action potential spreads through ventricles • Gap junctions allow impulse to spread through cardiac muscle fibers • Cells of the two ventricles contract nearly simultaneously
electrical events in cardiac muscle
1) Depolarization • Impulse from conduction system (or gap junctions) opens fast voltage-gated Na+ channels • Na+ enters cell changing membrane potential from −90 mV to +30 mV • Voltage-gated Na+ channels start to inactivate
2) Plateau • Depolarization opens voltage-gated K+ and slow voltage-gated Ca2+ channels
• K+ leaves cardiac muscle cell as Ca2+ enters
• Stimulates sarcoplasmic reticulum to release more Ca2+ • Membrane remains depolarized
3) Repolarization • Voltage-gated Ca2+
channels close while K+ channels remain open • Membrane potential goes back to −90 mV
why cant cardiac muscle exhibit tetany
have longer refractory period due to plateau phase. Heart must relax before it can be stimulated again
P wave
Reflects electrical changes of atrial depolarization originating in SA node
QRS complex
Electrical changes associated with ventricular depolarization • Atria also simultaneously repolarizing
T wave
• Electrical change associated with ventricular repolarization
PQ segment
Associated with atrial cells’ plateau (atria are contracting
ST segment
Associated with ventricular plateau (ventricles are contracting)
PR interval
Time from beginning of P wave to beginning of QRS deflection or from atrial depolarization to beginning of ventricular depolarization. Is the time to transmit action potential through entire conduction system
QT interval
Time from beginning of QRS to the end of T wave • Reflects the time of ventricular action potentials
Atrial contraction and ventricular filling
SA node starts atrial excitement, atria contract pushing remaining blood into ventricles to end diastolic volume