Physio - Transport Flashcards

1
Q

What are the nominal intracellular and extracellular concentrations for Na+, K+, and Cl- ions?

A
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2
Q

What is the relative membrane permeability to intra/extracellular ions when a cell is at resting membrane potential?

A
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3
Q

How to calculate Net Rate of Diffusion of Non-Electrolytes?

A
  • The higher the [con] difference (Ca - Cb), the greater the amount of substance crossing the membrane per unit time

J = PA (Ca-Cb)

  • J = Net rate of diffusion (mmol/sec)
  • P = Permeability (cm/sec)
  • A = Surface Area for Diffusion (cm^2)
  • Ca-Cb = concentration (mmol/L)
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4
Q

How do electrolytes diffuse across membrane?

A

Basics:

  • PM = impermeable to ions
  • Ions pass thru water-filled pores (ion channels) w/out energy

Na+ Selective Membrane:

  • Na+ moves down its [con] gradient
    • potential difference across membrane = generated
  • Movement stops at electrochemical equilibrium
    • chemical + electrical driving forces = equal + opposite
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5
Q

What is an Electrochemical Equilibrium Potential?

A

Example of Potassium

  1. Electrical Potential
    • difference moves K+ into cells
  2. Concentration gradient
    • moves K+ out of cell

RMP = permeable to potassium (via leaking channels)

Basics:

  • Equilibrium = reached when chemical gradient + electrical gradient balance each other
  • Unique eq value for each ion
    • calculated via Nerst Equation
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6
Q

What is the Nernst Equation?

A

Nernst Equation (Equilibrium potential)

  • electrical potential across the membrane that is needed to counterbalance the movement of an ion due to the [con] gradient

E(ion) = - (RT/zF)*ln([ion]in/[ion]out)

  • E = electrical potential
  • R = universal gas constant 2cal/mol/K
  • T = temperature in K
  • z = valence of ion
    • ie: divide by 2 for ions w/ 2 valance e- like Ca2+ or Cl2-
  • F = Faraday constant 23cal/mV/mol
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7
Q

What happens to Ek during hyperkalemia?

A
  • Inside = more positive
    • influx of K+ from blood
  • Depolarization
    • electrical gradient into cell > concentration gradient out of cell
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8
Q

Potassium: RMP and EK+ are not at equilibrium, but the net force is small.

  • Due to leak channels, cells are VERY sensitive to K changes
  • Clinical example: Ischemia causes cardiac arrhythmias

Sodium: RMP and ENa+ are not at equilibrium and the net force is large.

  • Due to zero Na conductance, cells are not sensitive to Na changes at rest
  • Clinical example: Hypernatremia causes water retention but no change in RMP

Chloride: RMP and ECl- are the same in magnitude and charge.

  • Chloride ions are at (or close) to equilibrium
  • Clinical relevance: Inhibitory potentials as small in size
A
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9
Q

What influences Resting Membrane Potential?

A
  • Equilibrium potential of each ion = weighted
    • Average of the weighted potentials determines the membrane potential

Goldman Equation:

​​Em = (RT/F)*ln([PKo + PNaout + PClin]/[PKin + PNain + Clout])

  • Em = resting membrane potential
  • P = permeability

Note: K contribued MOST for RMP

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10
Q

RMP Summary

A

Basics:

  • Characteristic for all living cells
  • Imbalane of ions across membrane
  • More (+) outside; More (-) inside cell
    • creates difference in electrical charge
  • Electro-chemical gradient
    • potential energy
    • measure = mV
    • Measure always INSIDE in relation to OUTSIDE
  • Mainly determined by K+
    • weighted average of the individual eq potentials

Note:

  • In most excitable cells, K+ rather than Na+ plays the dominant role in determining the resting membrane potential because plasma membrane is more permeable to K+ than it is to Na+
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11
Q

Role of the Na-K-Pump for the RMP

A
  1. Small direct effect due to electrogenicity of the pump
    • physiologically irrelevant
  2. Indirect, long-term effect
    • physiologically crucial

Inhibition of Na-K pump:

  • Intracellular Na will increase
  • Intracellular K will decrease
  • The cell will depolarize
  • The membrane potential will reach zero
  • The cell will become unresponsive and die
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