Homeostasis Flashcards

1
Q

Define homeostasis

A

Our body monitors its internal state, responding to threats which could disturb/prevent optimum “similar
conditions”.
Homeostasis describes the processes by which the internal environment of the body is kept reasonably constant in such a way that it optimises all physiological and biochemical processes that support life.

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2
Q

Why must we maintain a consistant internal environment?

A

Without homeostasis we would die; it is fundamental to life. Without it, vital biochemical processes would not occur, meaning energy cannot be generated to power cellular function.

Our bodies are not tolerant to substantial change to internal environment and respond in ways to minimise these changes. failure to adequately correct imbalances results in illness and disease, or pathology

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3
Q

What does homeostasis require (since it is so complicatied)?

A

Integration of organ systems to mainteain this optimal internal environment, allowing cells to function and ultimately produce energy. This requires regulation at a cell, tissue and system level.

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4
Q

Give everyday challenges to our internal environment and what they impact on?

A

External temp, access to nutrients, exercise. Impact on body fluid composition, energy stores, body temp and physiological mechanisms must act to counteract these potential threats to homeostasis.

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5
Q

What happens to homeostasis at extremes?

A

it becomes less effective

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6
Q

Explain Negative feedback

A

When a condition that is homeostatically regulated (e.g. body temperature), is sensed to have shifted from the normal range, a signal (usually nervous or endocrine), is generated that produces a response (e.g. shivering or sweating), that corrects the original disturbance and brings the regulated condition back within the normal range.

It causes a return to a set point

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7
Q

Why is it “negative” feedback?

A

the condition that triggered the homeostatic response becomes switched off/removed by that response.

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8
Q

Give some characteristics of negative feedback systems?

A
  • Size of response proportional to the size of the disturbnce
  • there is oscillation around a set point
  • restores the regulated condition after its intitial disturbance but cannot prevent that disturbacne from happening
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9
Q

Explain feedforward control

A

More sphisticated form of -ve feedback. Additional receptors permit the ststem to anticipte the change and activate a response earlier - almost predicting and preventing change

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10
Q

Give an example of -ve vs feedforward feedback?

A

While negative feedback prompts the thirst response, the kidney detects the increased body fluid concentration and pre-empts a state of dehydration. It responds by producing smaller volumes of urine, and a more concentrated form of urine, thus conserving water.

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11
Q

Outline daily water balance in man?

A

Person working in hot day –> looses body water y evaporation –> body fluids become concentrated –> internal receptors sense change in internal concentration –> thirst pathway stimulated –> person seeks out and drinks water –> water added to body fluids decreases their concentation - negative feedback between two

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12
Q

Explain positive feedback?

A

Where negative feedback restores disturbed conditions to optimum, positive feedback sets off a train of events that** lead to an even greater disturbance**. It AMPLIFIES the response but cannot predict/prevent disruption before it happens.
Such cycles usually lead to instability and are common in pathophysiology/pathology but rare in normal physiology

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12
Q

Where could positive feedback mechanisms occur?

A

In nerve action potential, in ovulation and sexual behaviour

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13
Q

give an example of a positive feedback mechanism

A

Action potential: initial trigger allows +vely charged Na ions to enter nerve cell. influx of Na, meaning charge inside becomes more positive (depolarisation). Na permeability increases… leading to influx… cycle repeats - self amplification

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14
Q

What is the aim of medicine (in relation to homeostasis)

A

Restoring this homeostatic control when it is disturbed by illness or disease

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15
Q

What key process is homeostatically controlled and why?

A

Water balance - its homeostatic maintenance is crucial beacuse water affect the conc of everything else in the body (water in must = water out)

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16
Q

What is regulated to maintain water balance

A
  • Input regulated by thirst mechanism
  • Output by regulation of kidney function (urinary loss)
  • Other processes to alter water balance are regulated too, but their control is not aimed at maintaining water balance (e.g. sweating to control temp regulation, but by-product of water loss leads to confilc between water and temp regulation
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17
Q

Name the 3 body fluid compartments

A
  1. Intracellular Fluid (ICF)
  2. Interstitial Fluid ISF (fluid between cells, like plasma but lacks protein/blood cells which are too large, and thus restricted to plasma)
  3. Plasma (fluid component of blood)
18
Q

Describe extracellular fluid (ECF)

A

subdivided into plasma and interstitial fluid. Material moving between cells and ECF must cross the cell membrane

19
Q

How can water move between the body fluid compartments?

A

Freely, however, it is subject to forces such as osmosis

20
Q

How can the body survive?

A

Only as long as the composition of the ECF is maintained in a state compatible with the survival of its individual cells

21
Q

Explain the composition/ratios of water in the body?

A

Water accounts for 60% of body weight (although vaires in different tissues/ages/genders (muscles heavier than fat as have more water (70% compared to 10% water). Old people less water (less muscle)

Approx, 66% body water ICF and 33% ECF. Of ECF, approx, 80% is ISF and 20% is plasma

22
Q

What seperates the body water compartments?

A

Plasma(~3L): blood vessel capillary wall (permeable to everything but plasma protein and blood cells) : Interstitial Fluid (~11L): cell membrane (selectively permeable): Intracellular fluid (~28L)

23
Q

Explain plasma in more detail

A

Fluid component of blood; and dynamic component of the ECF. Plasma freely exchanges nutrients (O2/ions/glucose) and waste (urea/CO2) with the ISF which occure as blood passes through capillaries (arteries too thick for exchange.

24
Q

What is the ECF essentially (composition wise)

A

Homogenous (same composition) with exeption of ISF being devoid of plasma protein and blood cells

25
Q

What is the only fluid that can be sampled?

A

Plasma - only one which can be measured directly as can only access bloodstream

26
Q

What is crucial to determining the test substance with body fluid?

A

The nature of barriers which seperate compartments

27
Q

How can compartments be measured?

A

Using the dilution principle: M=CV

28
Q

Define the dilution principle

A

The volume of a component is equal to its mass dissolved in solvent divided by the its concentration in that solvent

29
Q

Give the 3 things we can measure

A
  1. Plasma Volume (PV): Since plasma proteins cannot cross the capillary walls, can use dyes/radioactive labels that attach to plasma proteins (which can’t cross capillary walls - Evans blue or I125albumin).
  2. Extracellular Volume (ECF): Need something that freely crosses capillary walls, but cannot cross cell membranes - inulin, sucrose, mannitol - which are all too large to cross cell membrane or 24Na+ , 36Cl- which are actively extruded from cells.
  3. Total Body Water (TBW): There is no barrier to water in the body, so can use a loading dose of heavy water/ deuterated water (D2O).
30
Q

How can other compartments where plasma is not a component be sampled

A

indirectly by calculation

ISF = ECF-PV
ICF = TBW-ECF

31
Q

Give the method practise of the dilution principle?

A
  1. Inject a substance that will stay in only one compartment (plasma, ECF, TBW)
  2. Calc the volume of distribution = amount injected (minus any removed by exretion or metabolism) divided by the conc in the sample fluid
32
Q

Explain differences in composition of ECF and ICF?

A

ECF bathing cells MUST be maintained at a constant composition, however the composition of the ICF differs markedly from the ECF, particularly for ions (because cell membrane is a selective barrier). There is a large concentration gradient between ICF and ECF for ions (Na/K/Cl) and other molecules as this is fundamental for nerve and muscle function.

33
Q

Why must we maintain the ECF Constant (homeostasis work)?

A

If the concentration of a given ion (e.g. K) is allowed to inc beyond the normal range then there will be a loss of conc grad between ECF and ICF. This disrupts nerve and muscle function, including cardiac muscle –> ventricular fibrillation and death. Thus, essential to regulate ECF K+.

34
Q

What are disease states and illness associated with?

A

Perturbation, and even breakdown, of homeostatic control mechanisms (e.g. diabetes from breakdown of normal regulation of blood glucose  hyperglycaemia).

35
Q

How else can water content be important?

A

When treating with H2O/lipid soluble drugs the proportion of body water/fat will influence the rate at which te drug can be eliminated from the body

36
Q

Hyper

A

greater than normal

37
Q

Hypo

A

Less thn normal

38
Q

Aemia/emia

A

In the blood

39
Q

Uria

A

In the urine

40
Q

Glyc

A

related to glucose

41
Q

How are homeostatic processes controlled?

A

by subconscious neural or hormonal feedback or feed forward mechanisms that may be simple or very complex

42
Q

What do homeostatic processes control?

A

Body temp, blood glucose levels, O2/Co2 levels, water and ion balance, blood pressure/blood volume…

43
Q

Summarise when homeostasis fails

A

Changes within the normal range are sorted out by physiological mechanisms (homeostasis) which act to counteract change. Out with normal range, pathophysiological disturbances require clinical intervention to restore variables to normal range. If extreme disturbance, then may fall off the homeostatic plateau –> DEATH.