Foundations of Medicine Flashcards
Describe the type of phospholipids on the outerleaflet of the membrane
Sphingomyelin & phosphatidylcholine
Describe a peripheral proteins vs an integral protein
Peripheral: Assoc. with cell membrane but are easily removed
Integral: Protruding from only one membrane surface or transmembrane-spanning throughout the membrane
What are the more common type of phospholipids found on the OUTER leaflet of the plasma membrane (applicable in RBC)
1.) Sphingomyelin (SM)
2.) Phosphatidylcholine (PC)
What are the more common type of phospholipids found on the INNER leaflet of the plasma membrane (applicable to RBC)
1.) phosphatidylserine (PS)
2.) Phosphatidylinositol (PI)
3.) phosphatidylethanolamine
THE COMPOSITION OF THE MEMBRANE LEAFLETS IS ACTIVELY Maintained BY A GROUP OF PROTEINS named:
Flippases and floppases
_____________ concentration is high in the plasma membrane compared to other cellular compartments
Cholesterol
Where is cholesterol synthesized in the cell?
ER
What are lipoproteins
round particles made of fat (lipids) and proteins that travel in your bloodstream to cells throughout your body. Cholesterol and triglycerides are two types of lipids found in lipoproteins.
Carbs occur on the outer membrane surface of the plasma membrane mainly as:
What is their purpose?
- glycoproteins and glycolipids
- Contribute to negative charge to membranes-immunity and barriers via repulsion
What is the purpose of the glycocalyx
Cell recognition
Adsorption of molecules on cell surface
Mechanical & chemical and protection
Glycoproteins can act as signaling molecules and can also:
Function as the surface receptors to which signaling molecules bind
G Protein coupled receptors are what type of protein
Integral protein
What is a peripheral protein
Anchored to only one side of the membrane
What type of protein is G-protein coupled receptor?
Integral protein
T/F: glycoproteins are only found in the cell membrane
False, some are found as hormones
T/F: Integral membranes may be transmembrane or anchored
True
Peripheral proteins are readily removed and compare to integral proteins. Give an example of each
They may be associated with integral proteins but are easily removed compared to integral proteins that require a detergent
I.e.
Integra: G protein coupled
Peripheral: G alpha subunit
Why does carrier mediated transport reach a saturation point while simple diffusion does not
Diffusion does not require any channel or carrier
All forms of carrier mediated transport share three features:
1.) Stereospecificity
2.) Saturation
3.) Competition
What feature of carrier mediated transport does this scenario represent: for some theraputics, single-enantiomer formulations can provide greater selectivity for their biological targets. Improved theraputid indices and/or better pharmacokinetics than a mixture of enatiomers
Competition
Varieties of molecules will act on one type of receptor with greater or lesser preference/concentration which indicates ______________ amongst these
Competition
What are the three major types of passive movement
What does Passive movement mean?
Simple
Facilitated diffusion
Osmosis
Movement from higher concentration to lower concentration
Channel mediated and carrier mediated diffusion are forms of _________________ ____________________ where movement of ions and molecules move down their concentration gradient known as:
Facilitated diffusion
Passive facilitated diffusion
How does channel mediated diffusion differ from carrier mediated?
Something has to bind and the carrier has to change conformation
Thus channels are faster at moving things inside our outside the cell
Channels vary from each other based on:
How they open
Movement across the membrane against the concentration gradient is
Active transport
Primary active transport
Pumps powered by ATP
Secondary active transport harnesses energy to move things against the concentration gradient by:
Gradient that is established by the primary active transport which used ATP to move things in and out of the cell
Receptor mediated cytosis may end up in the following results
Degradation
To maintain a constant intracellular environment, the cell membrane exhibits:
Selective permeability
Sphingomyelin is a molecule identified in a plasma membrane. What is its location
Outside leaflet
Describe how secondary active transport uses Na+/K+ ATPase
Starts with Na/K+ pump that moves sodium outside the cell and K+ in.
Na is already in high concentration OUTSIDE the cell and is now even HIGHER concentration outside the cell
This high concentration of Na+ drives the concentration gradient Na down into the cell taking glucose along with it
How does the intracellular Na+ concentration gradient change following inhibition of the Na+/K+ ATPase?
Na concentration increases
What is the difference between phagocytosis and receptor-mediated endocytosis
Phagocytosis: endocytosis where vesicles are formed as particulate material external to the cell are engulfed by pseudopodia
Receptor-mediated endocytosis: endocytosis in which plasma membrane receptors first bind specific substances; receptor and bound substance are taken up by the cell
Na+ is a cation in high concentration outside the cell, what is an anion in high concentration here?
Chloride, Cl- or Phosphate, PO4
K+ is a cation in high concentration inside the cell, what is an anion in high concentration outside the cell?
Phosphate, PO4 or Chloride
In primary active transport of Na+/K+ transport what is the direction of Na+ and K+
3 Na+ OUT
2 K+ in
What is a class of drugs that inhibits Na+/K+ ATPase? Toxicity of these dugs could induce:
Cardiac glycosides, ouabain & Digitalis
Hyperkalemia
What factors can induce Hypokalemia by increasing Na-K-ATPase activity?
Describe the concentration of K+ in ECF and ICF in this scenario
T3, T4, B adrenergic stimulation, hyperinsulinemia
ECF: Lowered b/c K+ being pushed in
ICF: K+ concentration increased
Give an example of Ungated ion channels
How do they transport?
K+ leaky channels
Selectively permeable to certain substances that is determined by size, shape and charge of channel and ion
List the type of Gated channels
Voltage
Ligand/Chemical
Describe how voltage gated channels work
Give an example of
Apply a charge to the membrane which causes the channel to open
Voltage-gated Na+ channels
Describe how Ligand/chemical channels work
Give an example of one
A ligand or chemical will bind to the channel and will cause it to open
Nicotinic ACh receptor channels
What does mEq/L stand for
Miliequivalent per Liter
What is the concentration of K+ inside the cell?
What is the concentration of K+ OUTside the cell?
INSIDE: 140 mEq
OUTSIDE: 4 mEq
What is the concentration of Na+ INSIDE the cell?
What is the concentration of Na+ OUTSIDE the cell?
INSIDE: 14 mEq/L
OUTSIDE: 142 mEq/L
What is the ratio of K+ inside compared to outside? What about Na+ inside compared to out?
35 times greater inside the cell
10 times less inside the cell
What is a diffusion potential
The potential difference generated across a membrane when a charged solute diffuses down its concentration gradient
The charge left behind as an ion is traveling through a membrane
What is membrane potential?
Difference in voltage across cell membrane
Why are there different equilibrium potentials for different ions at rest?
The typical resting neuron will maintain differing concentration of ions across the membrane
The equilibrium potential represents the direction of membrane potential
What is resting membrane potential?
Voltage difference across the cell at rest
What would be a limitation of the membrane potential
If the membrane is NOT permeable to the ion in question, i.e. if a channel for a specific ion is closed, even if the concentration is raised, then the membrane potential cannot exist
Membrane potential depends on: (2)
Diffusion potential
Concentration gradient
What is resting potential of a normal cell
~ -70 mV
What is the electrostatic gradient?
The charge that is left behind by ion movement that pulls the ion in the opposite direction of the concentration gradient
The diffusion potential counters the concentration gradient. Explain why
Because the diffusion potential is the charge left behind as ions move
The concentration gradient is the flow of ions away from higher concentration gradient it creates its diffusion potential that is opposite the charged ion which creates “like charges attract”
When is equilibrium potential reached:
K out = Kin
What would a Equilbrium potential of K+ at -90 mV mean?
Potassium will move down its concentration gradient until -90 mV inside the cell is reached where the electrostatic gradient will keep it at an equilibrium point
How might the Nernst equation vary?
The constant 61 may be positive or negative depending on the ion in question
What is the Nernst equation mean?
It is the equilibrium potential
Calculates the voltage necessary to perfectly oppose the net movement of an ion DOWN its concentration gradient
What is the Nernst equation mean?
It is the equilibrium potential
What is the Nerst equation?
Ke = 61/z x Log Xin/Kout
where Z is the charge of an ion
What is the expected resting Vm?
- 90 to -70 Vm
What does Vm stand for?
Membrane potential
In normal cells, why is Vm so close to Ek?
What do these two things mean?
The membrane is far more permeable to K+, since K+ leaks out of the cell, there more negative ICF and is more permeable to Na+
Vm is the membrane potential
Ek is the equilibrium potential of potassium, K+
What does the Goldman-Hodgkin-Katz Equation calculate?
What is another name for this equation?
Vm when more than one ion is involved
Goldman Field Equation
The _________ membrane potential is closest to the equilibrium potential for the ion with the highest __________________
Resting
Charge
When using example of calculating the equilibrium potential Which fluid will change concentration, the outside or inside? Why
The extracellular fluid will change only
Because the inside of the cell will maintain homeostasis and not change
What effect does increasing K+ permeability have on Vm?
What effect does increasing Na+ on permeability on Vm
Why is resting membrane potential for RBC so close to 0?
Resting membrane permeability to sodium ions is high compared to most other cells
What is depolarization
When the membrane potential reaches closer to 0 mV
What is hyperpolarization
When the membrane potential becomes more negative to the resting membrane potential of a cell
What is excitability
How easy the cell to create an action potential
When hyperkalemia occurs what happens to the cell excitability
It increases and is closer to depolarization which makes it easer to generate action potentials and can induce cardiac arrythmias
Why does hypocalcemia cause tetany?
Lower Ca+ lowers the threshold so the Excitability increases as the sodium channels open due too the increase in vM
When a threshold is reached in a cell, what happens
All corresponding channels open
What determines resting membrane potential?
What determines cell threshold?
K+
Ca+
What does hypOkalemia do?
Increases hyperpolarization as K+ will want to move down its concentration gradient and OUT of the cell
Also will increase the duration of an action potential
How does hypocalcemia cause muscle tetany?
Low Ca in the plasma causes the Na channels to open
Ca+2 stabilizes Resting Membrane potential of cells
When there are fewer calcium ions, the threshold is lowered (Less + & more - ) so cells are more easily excitable
How does HyperKalemia induce cardiac arrythmias?
High K+ makes resting membrane potential less negative and closer to the threshold potiental
How can calcium reverse HypERkalemia?
1.) HyperKalemia makes the membrane potential less negative & and more likely to reach threshold
2.) Calcium stabilizes the resting membrane potential and increased Ca+ can raise the threshold to a more + number
3.) Thus administration of Ca can maintain the difference between membrane potential and threshold to prevent action potential
At rest, the cell is permeable to what ions?
Potassium only!
______________kalemia depolarizes the cell, ______________kalemia hyperpolarizes the cell.
Why?
Hyper
Hypo
In HypER: there is more K+ entering the cell which makes it more + and closer to the threshold & AP
In HyPO: there is less K+ entering the cell because the concentration gradient outside the cell is smaller, thus the cell is more remains more - and in a hyperpolarized state
Name the three surfaces of epithelial tissue
Apical
Lateral
Basal
Where is the apical surface of epithelial tissue?
On the top-most layer
Nearer the luminal surface
Where is the lateral surface of epithelial tissue?
On the sides
Laterally
Connects/touches to cells next to them
Where is the basal surface of epithelial tissue?
The bottom most layer
Nearer the attachment/basement membrane
In tissue, more specifically, epithelial tissue, what does stratified mean?
Layered
In epithelial tissue, which layer matters the most when determining what cell type is present?
The apical side (top most layer)
Which surface of epithelial tissue will have:
Axonemes–cilia & flagella
Microvilli
Apical surface
Why is the term stereocillia a misnomer?
Because they are more closely related to/similar to microvilli than cillia
All 3 are components of the apical surface of epithelial tissue & cytoskeleteon
Cilia are organized from cytoplasmic extensions known as:
______________________
These ______________ are formed by:
Thus cilia are made of:
Axonemes
Axonemes
Microtubules
Microtubules
Which are smaller cilia or microtubules?
Which are larger microtubules or microvilli?
Thus what can be inferred about size relationship between cilia and microvilli?
Microtubules = cilia!
Microvilli < microtubules
Microvilli < cilia
What are microvilli made of?
Microfilaments
What are the purpose of cilia?
What are the purpose of microvilli?
Cilia : ___________________ as microvilli : ____________________
Movement
Absorption
Cilia : movement as microvilli : absorption
What are the 5 types of connection junctions pertinent to the lateral surface of epithelial tissue?
1.) Gap junction
2.) Adhering junctions
3.) Desmosomes
4.) Hemidesmosomes
5.) Occluding junction AKA tight junction
What are the purpose of occluding junctions? Where are they found?
Found on lateral surface of epithelial tissue
Form tight junctions to prevent things from passing between cells
i.e. blood brain barrier
What are the purpose of adhering junctions? Where are they found?
Use actin to connect cells side by side to each other on the lateral surface of epithelial tissue
What are the purpose of gap junctions? Where are they found?
Communication junction, i.e. electrical synapses
What are the purpose of Desmosomes? Where are they found?
Use intermediate filaments to attach cells to the basal lamina
Tight junctions seals off the intercellular space to prevent toxins and bacteria from entering, the specific integral membrane protein ____________________________ is used to fuse two trilaminar plasma membranes of adjacent cells forming a pentalaminar structure
Occludins
________________ cell junctions are proximal to the basal surface on the lateral surface of epithelial tissue. This “belt” is formed by _____________, tropomyosin, α-actinin, and ____________ . These are attached to each other by transmembrane proteins known as: ___________________
Adhering junction
Myosin
vinculin
Cadherins
When thinking of gap junctions also think of ____________________. These are what form the the opening and bridge between cells for molecules to pass for intercellular coordination and connection
Connexons which form Connexins
Macula adherens aka _________________ are cell junctions of epithelial tissue. They are formed by desmo______________ and desmo_______. They help form cell-cell connection on the lateral surface via _________________ filaments.
Desmosomes
Desmoplakins
Desmogleins
Intermediate filament
Which cell junctions on the lateral surface of epithelial tissue do NOT form a barrier between cells
Gap junctions and desmosomes
Which are the strongest attachment cell junctions? What is distinct about them?
Hemidesmosomes
While most cell junctions of epithelial tissue are on the lateral surface, hemidesmosomes are on the basal surface to anchor cells to the basement membrane
What adaptor protein connects hemidesmosomes to intermediate filaments forming attachment to basement membrane and cell of epithelial tissue?
Integrins
What components form the basement membrane on the basal surface of epithelial tissue?
Basal lamina
Reticular lamina
What layers comprise the basal lamina of the basement membrane?
Lamina lucida and lamina densa
Of the following, which are most similar in terms of FUNCTION?
1.) Gap junction
2.) Adhering junctions
3.) Desmosomes
4.) Hemidesmosomes
5.) Occluding junction AKA tight junction
Why is this so? How do they differ in COMPOSITION?
Desmosomes and adhering junctions
Because they both aid in forming attachment between cells but differ in one uses actin containing microfilaments and the other uses intermediate filaments
What are the two main division of epithelial tissue?
Stratified (multilayer) and simple (single layer)