lecture 11 Flashcards

0
Q

the JG apparatus are made of 2 cells

A

macula densa and jxutagolmerula

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1
Q

Renal pressure system occurs

A

in the JG apparatus of the kidney

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2
Q

the two cell of the jg apparatus will fire

A

when the Na levels drop in the blood and release renin into the blood

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3
Q

renin cleaves an inactive protein called

A

angiotensin(a 2 globulin) to the active form angiotensin I

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4
Q

Enzyme ACE in the lungs will change

A

the angiotensin into angiotensin II in the capilary walls of the lungs

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5
Q

angiotensin II will go to the adrenal gland (zona glumerarosa ) causing

A

the release of aldosterone

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6
Q

aldosterone goes back to the kindney causing

A

the absorption of Na and excretion of K in the tubule cells

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7
Q

aldosterone is a form of

A

minerlocorticoid

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8
Q

aldosterone play a role in intestinal cells by

A

causing the enterocytes of the intestine to absorb Na and excrete K

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9
Q

aldosterone play a role in salivary gland

A

as saliva are being produced as it descends through the ducts , Na is absorbed and k is excreted

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10
Q

the primary effect of aldosterone is

A

a genomic effect where it diffuse through the membrane andbind to the cytoplasmic protein. it then goes to the nucleus to activate some sort of transcription factor

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11
Q

aldosterone produce two group of protein

A
  1. enzyme

2. transport protein— the Na/K pump and Na channels to allow Na into the cell

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12
Q

aldosterone is release due to

A

decline in Na in the ECF
elevation of K in the ECf
angiotensin is direct activator of aldosterone
ACTH affects the release of aldosterone

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13
Q

Glucocorticoid is

A

a stress hormone, a type of cortisol that affect carbohydrates, protein , lipids and fatty acid

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14
Q

glucocorticoid effects on protein

A

decrease protein synthesis in all cells in the body except the liver
promotes protein synthesis in the liver cells( mainly blood protein to relieve osmotic pressure

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15
Q

glucocorticoid effect on fatty acid and lipids

A

promotes the break down of fatty acid making then available for cellular respiration.
uses fatty acid as primary source of energy even though glucose is being synthesize more.

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16
Q

glucocorticoid effect on carbohydrate

A

primary site of action liver, promote gluconeogenesis , activate genes that promote gluconeogenesis , effect the muscle of other cells leading to the mobilization of amino acid ( brings amino acid to the liver. promotes glycogenesis

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17
Q

the buffalo effect

A

when under stress people gain weight on the face and chest this is because there is a distribution of the receptor in these cells

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18
Q

cortisol effects on stress is

A

particularly an anti inflammatory effect

19
Q

types of stress

A
physical stress( damage to  body)
various infection
intense heat and cold
surgical procedures 
debilitating disease
20
Q

stress axis is mediated through the

A

hypothalamus and the adreno pituitary gland

21
Q

4 stages of inflammatory response

A

redness
swelling
pain
heat

22
Q

damage to tissue release chemical such as

A

prostaglandins, prostacyclins, glucotriene, thromboxi, interleukin, histamine, and proteolytic enzyme

23
Q

chemical release due to damage to tissue usually lead to

A

the dilation of blood vessels(erthena)

24
Q

capillaries of damage tissue become

A

more permeable allowing more protein that do not diffuse through the blood vessel to do so. this leads to swelling of the damage tissue because the osmotic pressure has been disrupted. leukocytes will migrate to the damage area and exit capillary

25
Q

cortisol can reduce inflammatory response by

A

stabilizing the membrane of the lysosome ( will not release proteolytic enzyme) making the cappiliaries less permeable , block white blood cell exit , suppress T and B cells, reduce interleukin I

26
Q

interleukin I is

A

the main signaling molecule that affects the thermostat of the body located in the hypothalamus. it will increase the temperature of the body

27
Q

regulation of cortisol

A

there is a long negative loop where cortisol affects the hypothalamus directly or short loop where it affects the anterior pituitary

28
Q

CRH ( cortisol releasing hormone)

A

has a genomic effect on the pituitary , the activated gene causes the synthesis of POMC

29
Q

POMC

A

prehormone, will be cleaves by enzyme prohormone convertase I into 4 different hormone….. ACTH, a MSH, endorphin , B-lipotopin, ACTH activates a second messenger (cAMP) in the adrenal cells

30
Q

hypoadrenalism

A

under secretion of adrenal hormones

ex addisin disease

31
Q

hyperadrenalism

A

over secretion of adrenal hormones ex cushing syndrome and adrenal genital syndrome

32
Q

addisin’s disease

A

can be cause by trauma, tumor around cells, autoimmune destruction of cells. can cause pigmentation problem particularly on the lips. the abnormal levels of ACTH is the cause of excessive pigmentation, can cause a drop in mineralocorticoids and glucocorticoids

33
Q

cushing syndrome

A

caused by hyper secretion of cortisol and occasionally aldosterone, which will cause too much Na and water to be maintained and too much ka is excreted leading to blood volume going up

34
Q

adrenal genital syndrom

A

over active zona reticularis, over production of androgen can affect both sex resulting in early development

35
Q

Adrenal medulla

A

the center zone of the adrenal gland , there are modified post sympathetic neuron that have lost their fibers, but still maintain the function of sympathetic nervous system

36
Q

the adrenal medulla produces

A

nor- epinephrine and epinephrine but have tyrosine precursor, they stored in vesicle linked to chromogranin

37
Q

chromogranin are

A

are acidic protein that bind to N.E and E to keep them inactive

38
Q

N methyl transferase

A

converts E to N.E b than place back into vesicle because one E is produced in the cells , the enzyme is located the cytoplasm and conversion is the cytoplasm

39
Q

NE and Epinephrine are

A

fight flight and fright hormones
anything that activate the sympathetic NS can activate them
cause increase heart rate , contractility , dilation of air way,promote glucogenolysis in the live, promote break down of glucose , promote break down of fat and are escape hormone

40
Q

insulin and glucogon are produce in

A

the pancreas

41
Q

exocrine pancreas produce

A

enzyme for digestion( pancreatic enzymes)

42
Q

endocrine pancrease

A

islet of langerhann , collection of cell type( beta, alpha, and delta) the cells types are well vascular, fenestrated capillaries to aid release of hormone

43
Q

alpha cells of the islet of langerhann is responsible for producing

A

glucogon and it make up 10 % of the islet

44
Q

beta cells of the islet of the langerhann produces

A

insulin and make up 60% the islet

45
Q

excluding insulin and glucogon the pancreas also produces

A

amalin
pancreatic polypeptide
somatostain

46
Q

the delat cells of the islet of langerhann make

A

10% of the islet