Function of Epithelia Flashcards
What is tight control of the airway surface liquid essential for?
Pathogen defence
Mucus clearance by cilia
Paracrine Hormone Signalling
O2 uptake and CO2 exchange
What is the genetic defect in CF?
loss of phenylalanine at 508 causes defect in CFTR Cl channel
What does the CFTR mutation cause?
mucus accumulation and bacterial colonisation in the lung
digestive and reproductive problems due to defective Cl transport
How are electrolytes balanced in the kidney?
nutrient reabsorption from filtrate
fluid reabsorption from filtrate
electrolyte balance
What is PHA caused by?
loss of function mutations on ENaC subunits
What is PHA?
heriditary disease associated with resistance to aldosterone leading to increase Na excretion in urine, dehydration, hypotension, hyperkalaemia and metabolic acidosis
What is aldosterone?
adrenal mineralocorticoid hormones which regulates renal Na retention and K secretion
Where is PHA most evident?
kidney, sweat gland, pancreatic and salivary gland function and can be lethal due to excessive hypotension and circulatory collapse
What is the most lethal form of PHA?
loss of function mutations in the a,b and y ENaC which are distribute throughout the length of the protein
How much fluid is secreted and reabsorbed in the gut daily?
9L input into the system - saliva, gastric juice etc
8.9l reabsorbed through sm.intestine and large intestine
What signalling pathway does cholera toxin stimulate?
stimulates overproduction of cAMP from AC-> PKA
What is the result of PKA overactivation in cholera?
PKA stimulates NKCC channel and CFTR channel
Cl brought from blood to cell by NKCC
Cl removed to gut lumen by CFTR
Cl pulls water into the lumen and causes diarhhoea and dehydration
What are the typical IC and EC ion concentrations of K+?
IC 155
ECF 5
What are the typical IC and EC ion concentrations of Na+?
ICF - 12
ECF 145
What are the typical IC and EC ion concentrations of Mg?
ICF - 15
ECF -2