Lecture 4 Flashcards
To explain and describe the different components of whole body metabolic responses and which of these components are influenced by acute cold exposure.
a
To explain and describe the afferent and efferent
limbs of the cold response including the neural pathways involved in this response.
a
To explain the physiological mechanisms underlying the shivering and non shivering thermogenesis responses.
a
To explain the local as well as central effects of
reductions in body temperatures on cutaneous blood vessel responses.
a
To define hypothermia, its clinical aspects as well as the different types of freezing and non freezing cold injuries.
a
Define Obligatory Energy Expenditure (EE) or Thermogenesis
heat from normal functions of cells and organs, including obligatory part of diet induced thermogenesis (DIT) aka Thermal Effect of Feeding (TEF) that is the nrg cost to digest & absorb food.
Define Facultative EE or Thermogenesis
- an inc in nrg expenditure in response to cold or diet; regulated by hypothalamic integration of skin & core temp plus visceral inputs
Define Adaptive EE or Thermogenesis
the capacity for heat production becomes larger when the organism stays for a prolonged time (days, weeks, months) in the cold; we will look at this in the cold acclimation lecture
What are the components for Obligatory Energy Expenditure (EE) or Thermogenesis
- Standard metabolic rate
- Diet-induced thermogenesis 1
- Physical activity
What are the components for Facultative EE or Thermogenesis
- Cold-induced shivering thermogenesis
- Voluntary activity thermogenesis (exercise)
- Non-exercise activity thermogenesis (fidgeting)
- Cold-induced nonshivering thermogenesis
- Diet-induced thermogenesis 2 (facultative part)
Define ganglion
Group of neuron cell bodies
Define Dorsal Root Ganglia
Group of neuron cell bodies specifically outside SC in the dorsal area and carry efferent info
Define ventral root Ganglia
Group of neuron cell bodies specifically outside SC in the ventral area and carry efferent info
Define Glutamate
Glutamate is the most prominent NT in the body, and is the main excitatory NT
Define glutmateric
Glutamatergic neurons produce glutamate, which is one of the most common excitatory NTs in the CNS
Define Lateral parabrachial nucleus
: one of three main parabrachial nuclei, located at the junction of the midbrain and pons. It receives information from the caudal solitary tract and transmits signals mainly to the medial hypothalamus but also to the lateral hypothalamus and many of the nuclei targeted by the medial parabrachial nucleus
Define Dorsal medial hypothalamus
a nucleus of the hypothalamus. It is involved in feeding, drinking, body-weight regulation and circadian activity
Define GABA
gamma-Aminobutyric acid is the main inhibitory NT
Define Median pre optic subnucleus
Nuclei located in preoptic area of AH, this is most dorsal of the 3, involved in osmoregulation, thermoregulation
Define GABAergic
Synapse uses GABA as it’s NT. If a neuron is GABAERGIC = produces GABA.
Define Subnucleus
Secondary nucleus
Define Rostral ventromedial
Group of neurons located on floor of oblongata and form part of descending pathway. Transmit nociceptive info. 3 categories (on, off, and —)
Define Intermediolateral nucleus
: region of grey matter found in one of the three grey columns of the spinal cord, the lateral grey column. This is Rexed lamina VII
Describe the central integration pathway in response to cold
a
Describe the central integration pathway in response to hot
a
Describe shivering thermogenesis (pathway of receptor in skin to brain structures back to musles)
- facilitatory motor pathways
- skin cold receptors to myelinated afferent A fibers, group III delta, group IV Dorsal Root, and central temperature sensitive neurons
- descends via lateral columns in SC from brainstem
- alpha and gamma motor neurons excite skeletal muscles
- Increased tone stretches muscle spindles that are in series w/muscle fibres; gives stretch reflex induced contractions
- Gives oscillations of contractions of skeletal muscle
Where is the primary motor center for shivering thermogenesis
Dorsomedial hypothalamus
What is shivering thermogenesis inhibited by
Warm signal
Name 2 ways shivering can be blocked?
- Consciously suppressed
2. Blocked by CURARE that competes w/Ach for nicotinic receptors at the NMJ in skeletal muscle
Out of carbs, lipids, and protein, what is the most important shivering fuel source?
If you have more glycogen available, you can oxidize more glycogen and shiver for longer
What would be the optimal fuel mix for sustaining shivering?
In glycogen loaded men, glycogen utilization rate is higher and estimated time before muscle glycogen depleted is longer (longer time until u deplete). The burst rate (contraction of fibres) is lower in glycogen loaded men (contract less).
What promoted a renewed interest in NST (non-shivering thermogenesis)
- Recent identification of fxnal BAT in adult humans
- ß3 receptors, SNS, NE, brown adipose tissue, uncoupling proteins (UCP-1 to UCP-5).
Brown adipose tissue (BAT) thermogenic functions are primarily mediated by what proteins?
Uncoupling proteins (UCP-1 to UCP-5)
What is the basic mechanism for NST, specifically in BAT
- NE binds to adrenergic beta 3 receptor in BAT
- Leads to degradation of intracellular TG
- FFA are released & interact with UCP1
- This interaction overcomes the inhibition of UCP 1 by cytosolic purine nucleotides (e.g. ATP, ADP, GTP & GDP)
- Leads to respiration in the
mitochondria that is uncoupled from ATP synthesis - All combusted food nrg is released as heat
- Therefore without shivering facultative nrg transfer occurs to warm the animal
Does NST occur in skeletal muscles & other tissues?
a
Is NST obligatory, facultative, or adaptive EE or both? How can it be acutely induced?
NST is a facultative (meaning that it can be turned on and off within minutes), adaptive (meaning that it needs weeks to develop) form of thermogenesis that can be acutely induced by NE injection (i.e. an adrenergic thermogenesis)’
Discuss the role of thyroid hormone in shivering thermogenesis
- Thyroid Hormones (mainly T3) give slow response to metabolic rate, has small role in shivering in an interaction with SNS; mxn not complete
- T3 needed for maximal responsiveness to SNS
- T3 & SNS said to act via mitochondrial uncoupling in adult skeletal m., as seen in BAT thermogenesis
- suggests on cold exposure that mitochondrial uncoupling in skeletal m., is a major contributor to increase RMR in humans
What happens to hypothyroid humans
- Become quasi-poikilothermic (will use behaviour to regulate)
- Resting EE is reduced in hypothyroid
How do hypothyroid rats vs. euthyroid rat differ with heat generation during mechanical work
Hypothyroid rats generate less heat during mechanical work than euthyroid (normal fxning thyroid gland) rats
Is just BAT or other tissues involved in NST?
- unknown, active debate on the tissues responsible for NST in adult humans
- Some argue there are uncoupling proteins other than BAT that may be contributing to overall thermogenesis
How does sympathectomy (surgical cutting) or pharmocological block affect skBF? What is this evidence of?
- increased SkBF in cold
- evidence of active tone
What molecular events occur for vasoconstriction?
NE acts on alpha adrenergic (a1 & a2 receptors)
What did Pre-junctional bretylium tosylate block in hypothermia do?
Pre-junctional bretylium tosylate block in hypothermia gave no decrease of SkBF with body cooling (bretylium tosylate typically blocks the release of adrenergic transmitters)
Although the main NT acting on A1 and A2 receptors to cause vasoconstriction if NE, what does new evidence suggest?
Newer evidence suggests NPY and ATP act as NTs and participate in noradrenergic vasoconstriction (non human) or in vitro w/human vascular smooth muscle (vsm) contraction
complete a1 & a2 as well as beta block did not prevent vasoconstriction induced by hypothermia, suggesting what?
Possibly there is a co-transmitter system like in active cutaneous vasodilatation
Neuropeptide cotransmitter neuropeptide Y (NPY) has been shown to be involved in active vasoconstriction and works through what receptors
NPY acts on postjunctional Y1 receptors to aid in vasoconstriction
Temperature dependent _____ vasoconstriction (i.e. local temp) depends on intact _______ cutaneous active _______ nerves
Temperature dependent LOCAL vasoconstriction (i.e. local temp) depends on intact NORADRENERGIC cutaneous active VASOCONSTRICTOR nerves