Membrane Transporters Flashcards
Primary vs Secondary Active Transport
Primary transport directly uses ATP hydrolysis to move ion against concentration gradient
Secondary uses a non-ATP energy source, such as another ion’s concentration gradient, to move an ion against its concentration gradient
Cotransport
Secondary active transport where all ions move in same direction across the PM
Exchange Transport
Secondary active transport where ions move in opposite directions across the PM
Conceptual H/K exchanger
Infusing extra K causes acidema, infusing extra H causes hyperkalemia
This occurs via multiple pumps in parallel
Ex Hyperkalemia activates Na/K pump, but cell is slowly depolarized form increased K so bicarbonate/Na pump does not work and bicarbonate is not pumped into blood to reduce [H]
Would be nice to have K/H pump since they need to be on opposite side of membrane
Glucose transport
Glucose passively enters cell down concentration gradient via glucose transporter, gets phosphorylated to glucose-6-phosphate which cannot utilize transporter to leave
Hyperkalemia Treatments
CBIGK: calcium, bicarbonate, insulin&glucose, Kayexalate
Adding bicarbonate alkylzes blood causing K uptake
insulin and glucose gives energy to Na/K pump
Kayexalate is ion exchanger that initially binds Na but has higher affinity for K and is excreted.