Progress test 2 Flashcards

1
Q

Function of the Nervous System

A

Senses the environment and the appropriate response.

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2
Q

What does the Central Nervous System (CNS) and the Peripherial Nervous System (PNS) consist of?

A

The CNS consists of the brain and the Spinal Cord which are each composed of Neurons and Gila.

The PNS consists of peripherial nerves and ganglia which is also composed of neurons and Gila.

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3
Q

What are neurons and what are there four key structures?

A

Neurons are cells specialised for transmission of information. The four key structures are the dendrites (KS) which recieve input from other neurons and sends to the cell body (KS) of the neuron. The cell body contains the necleus and organelles. the cell body is the site of summation of input. the axon (KS) carries the electrical impulses and may not be insulated with myelin. The axon terminal (KS) is for the transmitter release.

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4
Q

What are the zones of the nervous system and what do each do?

A

The Input Zone which consists of dendrites and cell body. this recieves chemical signals from other neurons.

The Summation Zone concists of axon hillock and functions as the summation of inputs.

The Conduction Zone consists of an axon and carries electrical signals around the nervous system.

The Output Zone consists of axon terminals and its finction is the contact withg input zone of other neurons or effectors. This releases neurotransmitters chemical signals)

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5
Q

What are the 4 morphological types?

A

The Anaxonic (axonless), which has no distinct axon and all processes look alike

The Unipolar type shows one process emanate (to come out of a source) from the body and then branches into dendrite and axon.

The multipolar has multiple processes emanate from the cell body

The Bipolar type has 2 processes emanate from the cell body.

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6
Q

What is the Gila?

A

Support cells for neurons

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7
Q

What are the 4 types of Gila? (Note: there are 4 types in the CNS, 1 in the PNS.)

A

Astrocytes (CNS): supply nutrients to neurons, ensheath blood capillaries, injury response

Microglia (CNS): immune cells of the CNS, engulf microorganisms and debris.

Ependymal cells (CNS): line fluid-filled spaces of the brain and spinal cord. Have cilia to circulate cerebrospinal fluid (CSF)

Oligodendodrytes (CNS): support nerve fibres, ensheath (enclose in a sheath) neurons in the CNS with myelin

Schwann Cells (PNS): support peripheral nerve fibres - ensheath them with myelin (similiar to oliogondendrocytes but in the PNS)

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8
Q

What do these mean (CNS)
(Nuclues, Tract, Grey Matter, and White Matter

A

Nucleus: group of cell bodies in the CNS

Tract: group of axons in the CNS

Grey Matter: group of cell bodies in the cerebral cortex (spinal cord)

White Matter: group of axons in the cerebral cortex

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9
Q

What do these mean (PNS)
(ganglion, nerve, myelin)

A

Ganglion: group of cells bodies in the PNS

Nerve: Bundle of axons in the PNS

Myelin - Lipid wrapped around the axon to inc conduction velocity (nodes of Ranvier in between)

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10
Q

What is a Synapse and when does this occur?

A

Communication between neurons - occurs at the sypnatic cleft.

Electrical signals (pre-sypnatic axon) > chemical signal (synapse) > electrical signal (post-sypnatic dendrite or cell body)

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11
Q

Where does the information flow into and out of the nervous system

A

Information flows in the both directions, Using SAME.

Afferent: Ascending infromation - information going into the brain (sensory)

Efferent: descending information - information coming out of the brain (motor)

(Sensory - Afferent - Motor - Efferent)

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12
Q

What is the difference between Somatic and Autonomic?

A

Somatic: Aware of conscious sensation (afferent) and control over voluntary movement (efferent)[skeletal muscle]

Autonomic: Unaware of unconscious sensation (afferent) and no control over involuntary movement (efferent)
[blood pressure]

NOTE: Afferent = conducting or conducted inwards towards something // Efferent = conducted or conducted away from something

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13
Q

What makes the Somatic Efferent and where are they?

A

2 myelinated neurons between the brain and the effector (skeletal muscle)
-upper motor neuron: cell body in the brain, axon in the spinal cord
-lower motor neuron: cell body in the spinal cord, axon in the spinal nerve
-snyapse onto effector muscles (skeletal muscle)

Brain > spinal cord > spinal nerve

Neurotransmitter - Ach

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14
Q

What is the autonomic efferent? What is its 2 divisions and what are the effectors?

A

Involuntary movement/control that is divided by 2 divisions (parasympathetic and sympathetic). The effectors are the smooth muscle, cardiac muscle, glands, and the adipose. The autonomic efferent consists of 3 neurons (2 myelinated, 3 unmyelinated
ACh for neuron 2; ACh (parasympathetic) or NE(sympathetic) for neuron 3.

Neuron 1 has a cell body in the brain and axon in the brain or spinal cord. (IGNORE NEURON 1)
Neuron 2 has its celll bodyin the brain or spinal cord (CNS) and acon in the peripherial nervous system (PNS)
Neuron 3 has its cell body in an automatic ganglion) and axon in the peripherial nervous system.

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15
Q

What do the 2 divisions of CNS do? (sympathetic nervous system and the parasympathetic nervous system)

A

The sympathetic nervous system prepares the body for an acute stress response (increased heart rate, etc.)

The parasympathetic is the opposite and prepares it for restful situations (decreased heart rate, etc.)

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16
Q

What 2 parts make up the Parasympathetic Nervous System (autonomic)?

A

Preganglionic Neuron: Cell bodies in cranial (brainstem) and sacral (spinal cord) levels. The axon is long and myelinated and synapses occur using acetylcholine (ACh)

Postganglonic Neuron: Cell bodies in parasympathetic ganglion. The axon is short and unmyelinated and sypnases in the effector occur using ACh again.

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17
Q

What is Action Potential?

A

AP is defined as the reversal of a transmembrane voltage that is completed in 2-3 ms.

NOTE: Establishing and maintaining the resting membrane potential drives electrical signalling

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18
Q

What are the 3 types of ion channels? (gating)

A

Chemical ion gating - cell body/dendrites
Voltage gating - axon (Na, K), axon terminals (Ca)
Mechanical gating - physical distortion

NOTE: In neurons, they are chemically gated at the cell body and axon hillock, and voltage gated in the axon.

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19
Q

What are the Local Potentials (AKA graded potentials) and their basic features?

A

Defined as the opening of ion channels in response to chemical signalling from a synapse. Can be excitatory (depolarisation) or ingibitory (hyperpolarisation).
Not actively propagated - magnitude decreases at site away from initiation.

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20
Q

How does summation interact with local potentials?

A

Effect of local potentials is summated temporally (one after the other in time) and spatially (happening at the same time next to each other)
Summation occurs at the axon hillock: there is a high density of voltage gater NA channels.
For an AP to be generated, the net voltage change must be over 10mV/threshold.

*summed local potentials
Wave of depolarisation from local potential opens (Na channels)
If this meets threshold (from -70mv > -60mv at least)
Suddenly open many voltage gated Na+ channels

This is how an action potential is generated.

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21
Q

How do Action Potentials occur?

A

Depolarisation to threshold, activation of voltage-gated Na channels, Na+ channels close (inactivation) K+ channels open (activation)

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22
Q

What happens to the RMP during action potential

A

voltage-gated Na channels are closed at RMP. When the Na+ channels close and the K+ channels reopen, it leads to the repolarisation of the membrane potential back to the RMP and at the end the RMP is restored.

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23
Q

What are the 2 types of refractory period of the axon.

A

Absolute refractory period = no possible new AP (no matter how large stimulus.

Relative refractory period = only large stimulus generates AP

Due to V.g sodium channel inactivation
Prevents AP propagating backwards.

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24
Q

What happens when Action Potential is using unmyelinated axons?

A

Ap propagates by spreading graded depolarisation to subsequent segments
Na+ (sodium) spreads laterally >
This gradually/progressively brings the next ‘segment’ to threshold
AP cannot move backwards
Relatively slow (1-5m/s)
Inadequate to meet body’s changing needs.

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25
Q

What happens when Action Potential is using Myelinated axons (similiar to unmyelinated axons)

A

Ap develops in one segment
Local current brings depolarisation to following segment (meets threshold) Na+ influx > Ap propogated (etc.)
Prior segment then repolarizes

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26
Q

Why is Myelin good for Action Potential

A

Myelin acts as an insulator. Meaning the GAPS between the myelin (nodes of ranvier) are excellent conductors. Depolarisation essentially “jumps” from node to node = ‘saltatory conduction’ which is resulting in increased conduction velocity.

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27
Q

What is a Synapse and a Sypnatic Cleft?

A

Synapse: Junction between a (pre-sypnatic) nerve terminal and a (post-sypnatic) cell - either a muscle/nerve.

Sypnatic Cleft: The physical gap between pre- and post-sypnatic cell

-Chemical sypnatic transmission turns electrical impulses into a chemical message
-occurs via the release of neurotransmitters
-once bound to their post-sypnatic receptors, the neruotransmitters open + close various ion channels to induce local changes in the membrane potential (i.e. local potentials)
-These may or may not lead to an AP in the post-sypnatic cell.

NOTE: Electrical > Chemical > electrical

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28
Q

What is the Sypnatic Transmission process?

A

Action potential arrives at the axon terminal, and triggers the opening of voltage gated calcium channels.
Calcium ions diffuse into the axon terminal, and triger sypnatic vesicles to release ACh by exocytosis.
ACh diffuses across sypnatic cleft, binds to ACh-gated sodium ion* channels, and produces a graded depolarization.
Depolarization ends as ACh is broken down by AChE into acetate and choline.
Choline reabsorbed from the sypnatic cleft into axon terminal and uses it to synthesize new molecules of ACh.

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29
Q

How can postsypnatic events be excitatory or inhibitory and how they summate.

A

Summation can be either
-temporal (one after another in time) or
-spatial (muliple inputs in different sections of the neuronal cell membrane).

Summation of the IPSPs and EPSPs may or may not bring the membrane to threshold and result in an action potential… but they increase the probability of one being produced

EPSPs produced when transmitter is ACh or glutamate
IPSPs is produced when transmitter is GABA - alcohol

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30
Q

There are 2 special cases of sypnatic transmission. what are they?

A

Electrical sypnases and the Neuromuscular junction

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31
Q

What is an electrical synapse?

A

a gap junction consisting of a field of connexin pores that pass ions and signaling molecules directly from one cell to another without passing through the extracellular fluid

Gap junction: join the presypnatic cell and post sypnatic cells which are so close together
-allows the transmission of ions between cells
-allows current to flow from the presypnatic cell to the post sypnatic cell

Electrical signal is NOT transformed into a chemical signal to cross the synapse. Voltage change in post-sypnatic cell = same as pre sypnatic. No signal modulation due to free flowing charge.

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32
Q

Whats the difference between the transmission at the nerve-nerve neuromuscular junction compared to the nerve-muscle neuromuscular junction?

A

Nerve - Nerve
Synapse size small
Input: can recieve thousands
probability of bringing to threshold: unlikely
Post sypnatic potentials: IPSP or EPSP
Neurotransmitter used: Many
Location of AP initiation: At the axon hillock

Nerve - Muscle
Synapse size: large
Input: each fibre recieves input from only one neuron at one site
probability of brining to threshold: very likely
Post sypnatic potentials: Only EPSP
Neurotransmitter used: Only ACh
Location of AP initiation: Neuromuscular junction, not hillock

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33
Q

What is the anatomy of a Spinal Cord?

A

Starts at foramen magnum (hole at base of skull). meninges create “sac” inside spine cavity (within vertebrae - filled with CSF

Non - neural tissue
-Conus medullaris - tapered cone where the spinal cord terminates/ends
-Filum terminale - fibrous, anchors spinal cord.

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34
Q

What does the spinal nerve consist of? (pairs, cervicals, thoracic, lumbars, sarcals, coccygeals)

A

31 pairs (one segment of the spinal cord gives pair (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal.

Exception: cervical nerves due to there being only 8 cervical spinal nerves but only 7 cervical vertebrae.

Nerves exit at the appropriate level of origin. Cauda equina = large collection inferior to the end of the spinal cord.

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35
Q

What are the components and the direction of information flow of the spinal cord.

A

Components:
Dorsal root ganglion = unipolar cell bodies
Spinal nerve
Autonomic cell bodies = lateral horn
Somatic cell bodies = ventral horn
White matter tracts = axons (dorsal column pathway

Direction of infrormation flow:
Sensory afferent = via dorsal path
Motor efferent = via ventral path

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36
Q

What is sulcus and fissure?

A

Sulcus = furrow ( A furrow in the bone surface that runs along the length of a vessel or nerve, providing space to avoid compression by adjacent muscle or external forces)
Fissure = deep sulcus

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37
Q

What would happen if there was damage to the Ventral horn? (Ventral = motor/efferent information)

A

Paralysis of muscles supplied by somatic motor neurons from spinal cord segment on the same side

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38
Q

If there was damage to the dorsal side (dorsal = sensory/afferent information (e.g dorsal root ganglion or dorsal column pathway)

A

Lots of sensation from regions of the body supplied by sensory from this spinal cord segments, on the SAME side.

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39
Q

What do spinal nerves do?

A

Spinal nerves carry afferent and efferent information
Spinal nerves split into 2 branches:

1) Dorsal ramus = efferent to the back; afferent from the back
2)Ventral ramus = efferent from the front; afferent from the front. => this splits into Rami communicans which take information to and from the sympathetic ganglion*

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40
Q

How do Fasicles, Axons and Nerves interrelate and differ?

A

Axons are covered with endoneurium
Axons bundled together to from fascicles
Fascicles are covered with perineurium
Fascicles bundle with blood vessels to from a nerve
Nerves are covered with epineurium

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41
Q

What are the 3 layers of the meninges

A
  1. Dura mater
  2. Arachnoid mater
  3. Pia mater
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42
Q

What makes the Dura mater (outermost)

A

The dura meter is dense and fibrous. It consists of 2 layers (inner and outer).

Inner layer forms dural folds

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43
Q

What is the function of Dura mater? (or dural folds)

A

seperates major divisions of brain, provides stability.
-Falx cerebri: seperates cerebral hemisphere, median plane
-Flax cerebelli: seperates the cerebellar hemispheres, median plane
-Tentorium cerebelli: separates the cerebrum from the cerebellum, horizontal plane

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44
Q

What does the Venous sinuses between layers do?

A

collects 1) venous blood from the brain and 2) ‘old’ CSF in some places

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45
Q

What is the Arachnoid Mater (middle)?

A

Sits beneath dura mater and above pia mater
Doesn’t extend into sulci of the brain
Containes blood vessels

2 key features
1. arachnoid granulations
-perforate inner layer of dura mater
-Drains ‘old’ CSF into the venous sinuses

  1. subarachnoid space
    -space between the pia + arachnoid layers
    -filled with CSF
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46
Q

What is the Pia Mater (innermost) and what does it do?

A

Innner layer of the meninges
Trasparent + delicate
Blood vessels in the subarachnoid space sit on top of pia mater
Adheres to the brain and follows gyri (hills), and extends into the sulci (valley).

NOTE: meninges of spinal cord have same structure as the meninges of brain.

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47
Q

What is the ventricular system and what does it do for the brain?

A

A network of interconnected spaces (ventricles) within the brain and filled with cerebrospinal fluid (CSF) which:
1) nourishes + protects the brain
2) transport nutrients + waste. found within the subarachnoid space

Spaces are lined by ependymal cells (glia cell) which circulates the CSF w/ waving cilia.
CSF is produced by the choroid plexus within the ventricles.

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48
Q

What is the path of the cerebrospinal fluid (CSF)

A
  1. Lateral ventricles: 2 of them - 1 in each cerebral hemisphere
  2. 3rd ventricle: located deep in the brain (diencephalon)
  3. Cerebral aqueduct: connects the 3rd ventricle to the 4th ventricle. Located in the brainstem (mid brain)
    Then goes to the subarachnoid space where it flows around the brain and spinal cord via…
  4. The central canal

> CSF exits through arachnoid granulations into benous sinus.

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49
Q

What do these LOBES mean?
(BE, D, E, and AB) BRAIN LOBES DIAGRAM

A

BE = Frontal lobe
D = Parietal lobe
E = Occipital lobe
AB = Temporal lobe

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50
Q

What to the 4 cerebral lobes do? (Frontal, Parietal, Occipital, Temporal)

A

Frontal lobe: motor, language, personality. (primary motor cortex: voluntary movement)
Parietal lobe: somatosensory (primary somatosensory cortex)
Occipital lobe: vision
Temporal lobe: memory, hearing

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51
Q

What are the major Gyri, Sulci, and Fissure? BRAIN LOBES DIAGRAM

A

Gyri
A= Precentral gyrus
C= Postcentral gyrus

Sulci
B = Central gyrus
BD = Lateral sulcus
BF = Parieto-occipital

Fissure
BG = Transverse fissure

NOTE: AE and AD make the brainstem

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52
Q

What are the 3 types of Tracts?

A

Commissural - axons cross side to side (bidirectional) example is the Corpus Callosum

Projection - between cerebral cortex and other regions of the CNS. Example: Corticospinal tract - controlling movements of arms, legs, trunk

Association (axons travel between brain areas on the same side within the cerebral cortex)

Short + Long Distance

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53
Q

What is the difference between reflexes vs voluntary movement?

A
  1. Reflexes are reproducible, rapid, and automatic responses to external stimuli, whereas voluntary movements have a wide variety of different movements
  2. Spinal reflexes use a single neural circuit that only goes as high as the spinal cord, whereas coluntary movement requires complex patterns of sensory and motor processing in cortex through muliple pathways
  3. Reflexes do NOT require involvement of higher brain centres, whereas voluntary movement are initiated in the BRAIN… hence damage taken to the brain areas prevents voluntary movement, however, reflexes can still take place.
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54
Q

Memory Aid: “lets all have fun”

A

Legs, arm, hand face

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55
Q

What does the Hommunculus do?

A

It’s a map demonstrating the proportional representation of the somatosensory or motor neurons on the cortex

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56
Q

What does the hommunculus show us?

A

Specific regions of the cortex recieve sensory input (somatosensory) from or controls (motor) SPECIFIC regions of the body.
Largest areas of the somatosensory or primary motor cortex are occupied by neurons projecting to muscle capable of finest + most complex movements.
Finer control/sensation = more laterally located

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57
Q

What are the 2 key motor pathways for voluntary movements

A

Corticospinal tract
Functions as the voluntary movement (efferent). This starts at the primary motor cotex and ends at the periphery

Dorsal/posterior column pathway
Functions as the somatosensory pathway (afferent) = specifically fine touch/2 point discrimination. it starts at the periphery and ends at primary somatosensory cortex.

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58
Q

What happens when damage occurs at the primary motor cortex or the somatosensory cortex?

A

Damage to the motor cortex = muscle weakness and paralysis in region of the body corresponding to location of damage ON OPPOSITE SIDE

Damage to the somatosensory cortex = ascending info has nowhere to go = lack of perception of touch in region of body corresponding to location of damage ON OPPOSITE SIDE.

Spinal cord = same side; cortex = opposite side (because it CROSSES over at the medulla oblongata)

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59
Q

REFELCT BOTH THE CORTICOSPINAL PATHWAY AND THE DORSAL/POSTERIOR COLUMN PATHWAY

A

Yea boi

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60
Q

REFLECT ON THE STRETCH REFLEX (monosypnatic) AND THE WITHDRAWAL REFLEX (polysypnatic), ALONg WITH THE VOLUNTARY MOTOR CONTROL LOOP

A

Yurr

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61
Q

What are the major steps in the voluntary control of movement?

A

Frontal cortex (decision making) > premotor cortex > Primary motor cortex (w/ info from cerebellum + basal nuclei) > Axons down corticospinal tract *upper motor neuron > Lower motor neuronwhich sypnases onto muscle fibres > generate force that moves limbs > As limb is moved, proprioceptor neurons sned sensory info to cerebellum > Is recieved in the somatosensory cortex

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62
Q

how does the primary motor cortex controls force by?

A

Recruitment (motor neurons and therefore motor units activated)
Frequency (at which AP are fired) > This helps to modulate activity pattern

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63
Q

What is the cerebellums role and coordinator

A

Helps plan, execute and learn motor programs. It intergrates sensory info (proprioceptive neurons) with planned events.
Modifies ongoing activity to make movements smooth and accurate. Its also key for control of posture, balance and body position. Disorders: various forms taxia, e.g:
- Drunken gait
- Dysarthria (slurred speech)
- Dysmetria (difficulty judging distance)

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64
Q

What is Somatic Sensation?

A

Somatic sensation = everything but the special senses
Special senses = vision, hearing, balance, taste, smell - they have special sensory organs.
Includes touch, pain, temperature, vibration, abd chemical sensation (like blood gases which we don’t consciously sense)

65
Q

What are the 4 key receptors that detect Somatic Sensation

A

Mechanoreceptors
Nociceptors
Thermoreceptors
Chemoreceptors

66
Q

What is the principles of sensory signal transduction and sensory receptors?

A

Signal Transduction; Mechanism by which an external stimulus is converted to a change in receptor membrane potential (RP)

Sensory receptors = specialized axon terminals which open ion channels** in response to a specific stimulus
- results in a receptor potential
- If this RP reaches threshold, it creates an action potential in the sensory receptor axon.

67
Q

REFLECT ON THE RECEPTORS TABLES

A

yeye

68
Q

What is the concept of the receptive field

A

Area in which sensory neuron’s receptors are located. Larger the receptive field = poor localisation (less easily localized that stimulus is). Opposite way when receptive field is smaller.

69
Q

What is the difference between tonic and phasic receptors

A

TONIC: (e.g. Muscle Spindles)
-Continually active
-Frequency of AP sent CHANGES when the stimulus intensity CHANGES
-Slowly adapting.

PHASIC: (e.g some touch and temperature)
-Normally silent
-Detect change in the intensity of the stimulus
-Fast adapting

70
Q

What are the 4 types of information about a stimulus that are encoded by sensory systems

A
  1. Modality - Type of receptor activated
  2. Intensity - Frequency of action potentials firing per neuron and number of axons activated
  3. Duration - Time period over which action potentials are fired
  4. Location - Place in body where receptors are activated mapped in the somatosensory cortex (homunculus)
71
Q

Homeostasis Terminology (Controlled Variable, Set Point, and Normal Range)

A

Controlled variable: variable controlled by the body’s physiology (e.g. blood glucose, core body temperature, plasma sodium concertration)
Set Point: ‘normal’ value of controlled variables. Each physiological condition has a particular set point
Normal Range: the restricted set of values that is optimally healthy and stable at a population level. Each controlled variable has a range in which the set point can fluctuate and still be considered ‘normal’ (e.g. core body temp normal range = 36.5C to 37.5C)

72
Q

What is Homeostasis? and whats the difference between the reference range and the normal range?

A

Homeostasis is the presence of a stable internal environment

Individual has a normal range which their bodies fluctuate around due to a variety of environmental and genetic factors. Population has a reference range. Individual normal ranges are narrower than reference ranges.

NOTE: you can still be within the reference range (population), but move outside your own (individual) normal range.

73
Q

How does the endocrine system compare and contrasts to the nervous system regulating effectors.

A

The endocrine system uses hormones which are released into the circulation to have its effect. These hormones bind to specific receptors on cells of distant tissues (termed their ‘target tissue’) to have their effect. This creates long lasting , widespread, and sustained responses. The hormonal response is relatively slow COMPARED to the sypnatic/neural control of the nervous system.

74
Q

Nervous vs hormonal response

A

The nervous system therefore elicits brief responses that are easily terminated, WHEREAS the hormonal responses are slowed to start and slower to stop.

75
Q

What is the endocrine system consisted of?

A

Endocrine gland cells which are found in hormones, which are chemical messengers that are secreted from a gland into the blood stream to have their action on distant target tissues. Also found in the blood stream and the target tissues

76
Q

What 4 key variables homeostatically maintains the endocrine system, and through what hormones

A

Blood sugar - insulin/ glucagon /growth hormone
Growth/ repair - growth hormone/somatomedin C
Basal metabolic rate - thyroid hormone
Blood calcium concentrarion - parathyroid hormone / calcitriol

This is achieved through secretion of hormones that inhibit/promote certain processes that change the levels of these variables. These hormones are secreted by the major endocrie glands in response to feedback from the body as to the levels of these variables and output a response to return them to their set point.

77
Q

What is the mechanism of hormone action for peptide hormones and catecholamines (water-soluble hormones).

A

Hormones bind to specific receptors expressed by their cells.

These are proteins that may be in the
1. cell membrane (for water soluble peptide hormones/catecholamines) or
2.inside the cell itself (for lipid soluble/ steroid hormones/thyroid hormones).

Hormones are chemicals that are either hydrophilic (water soluble) or hydrophobic (lipid soluble).

78
Q

Reflect on the classification of hormones

A

yeah yeah

79
Q

What is the water soluble mechanism

A
  1. Water soluble hormone binds to cell-surface receptor
    (confromational change)
  2. Activates associated G protein
  3. G protein activation activates secondary messenger system (cAMP, AMP, Ca2+)
    4.Signal transduction pathways Activates or deactivates downstream proteins/pathways
80
Q

What are the mechanisms of lipid-soluble hormones?

A

1.Dissociates from carrier protein
2. Diffuses across cell membrane
3. Binds to intracellular receptor
4. Together with receptor, complex acts as a transcription factor for specific genes
5. Target gene is activated
6. New mRNA is generated and translated
7. New protein mediates cell specific response
8. Takes hours to days

81
Q

What is negative feedback? (homeostasis)

A

A homeostatic system where the controlled variable moves back towards the set point

This is done in 2 ways
- reduce changes until stimulus is removed (e.g fixing the blood glucose)
-directly inhibit further release (hormone acts back on the receptor to tell it to stop).

82
Q

What is positive feedback? (homeostasis)

A

A homeostatic system where the controlled variables moves further away from the set point.

Physiological (normal) positive feedback systems have an end-point

83
Q

What is the location and the functions of the pancreas?

A

It is both an exocrine galnd(secretion to the ouside world) and an endocrine gland (secretes into blood stream).

Endocrine PART refers to producing insulin and glucagon in the pancreatic islet cells.

Beta cells secrete insulin, whiule alpha cellls secrete glucagon.

84
Q

Why is the blood glucose homeostasis a key to maintain?

A

If it was too high, it would cause hyperglycemia. if it was too low it would cause hypoglycemia.

Homeostasis is key because glucose is the only fuel the brain uses.

85
Q

Compare the roles of insulin and glucagon in the control of plasma glucose concentration in the fed state and the fasting statee

A

Our blood glucose levels fluctuate throughout the day, between 2 states:
- ‘Fed’ where the abundate blood glucose after a meal which is being taken up into cells to be used,
-‘Fasting’ where there is very little glucose in the blood so glucose is being released from storage or newly synthesised to supply cells with fuel for respiration/

Which state?

Insulin secretion is high during the feeding state (high glucose)
The glucagon secretion is high during the fasting state (low glucose)

86
Q

What is the insulin pathway

A

High blood glucose
Detected by pancreatic islet beta cells
Response: to secrete insulin
Insulin acts on:
1) LIVER = increases glucose uptake
2) MUSCLE = increase glucose uptake + AA intake > protein synthesis
3) FAT = increase glucose uptake > fat synthesis.

Negative feedback control: response reduces the stimulus

87
Q

Glucagon Pathwayhat is the glucagon pathway?

A

Low blood glucose
Detected by pancreatic alpha cells
Response: to secrete glucagon
Glucagon acts on:

Liver
-Glycogenolysis
-Gluconeogenisis
-Ketogenisis

88
Q

What is the structure and location of the pituitary gland?

A

Located at the base of the brain
Attached to hypothalamus (control centre
2 parts: anterior + posterior

89
Q

What are the hormones released by posterior pituitary gland

A

ADH - Stimulates the kidneys to reabsorb water
Oxytocin - Stimulates contraction of uterine muscles + breast milk release

89
Q

What is the growth hormone?

A

1)Growth hormone releasing hormone
2)Acts on the anterior pituitary and stimulates GH
3)Growth hormone then acts on 3 locations

Muscles=protein synthesis, and inhibits GLUCOSE uptake (increases blood glucose conc)
LIVER = stimulates glucose synthesis *gluconeogenisis (new glucose) + somatomedin C (IGF1)
FAT = Increases in TAG breakdown - mobilisation of fuel so liver has energy to make new glucose

89
Q

What is growth hormone secretion

A

GH secretion concentrations vary throughout the day, but are highest during sleep

GH secretion concentrations are higher in adult/ children. with a peak during puberty, and declines

89
Q

What are the 2 key cell types in the thyroid glands? (Follicles)

A

there are 2 key cell types in the thyroid gland, follicular cells and parafollicular (C) cells.

Both cell types are arranged into rings which surround a follicle of stored thyroid hormone.

89
Q

What is the function and location of the thyroid gland

A

Location is below larynx and anterior + lateral surface of tranchea

Makes + secretes 2 main hormones
1) Thyroid - key for metabolism
2) Calcitonin (key for calcium homeostasis)

90
Q

What is the thyroid hormone synthesis?

A

Parafollicular / C cells synthesize and secrete calcitonin.

Follicular cells produce thyroglobulin (essentially thyroid hormone without iodine attached)

Iodide from the diet combines with the tyrosine in the thyroglobulin

2 forms;

  1. T3 is active whereas
  2. T4 is inactive but more plentiful
90
Q

What is the Basal Metabolic Rate defined as?

A

Body’s rate of energy expenditure at rest or under basal conditions

This occurs when the person is
-Awake
-At mental + physical rest
-Lying down
-No muscle movement
-Fasted
-Comfortable temperature

90
Q

REFLECT ON THE THYROID HORMONE PATHWAY (activation + travel)

A

yoza

90
Q

REFLECT ON THE CONTROL OF THYROID HORMONE SECRETION

A

yayaa

90
Q

What are the actions of Thyroid Hormone

A

Basal Metabolic Rate Increase

-Temperature; increases body heat production
-Fat; stimulates fatty acid oxidation
-Muscle; increased proteolysis
-Carbohydrate; Gluconeogenisis + gluconeogenisis

NOTE: Glucose concentration does not increase significantly!!

91
Q

Why is calcium important in homeostasis

A

Needed in actin/myosin binding
Neurotransmitters
2nd messenger system
Concentraion of extracelllular (blood) calcium is tightly controlled
Bone has Ca2+ stored in the bone (and in the blood marrow)

There is a key balance of what goes in and what goes out (don’t want to damage the bone/ or it be too hard)

92
Q

What are the 3 hormones involved in Ca2+ regulation

A

1) PARATHYROID HORMONE * PTH
2) CALCITRIOL
3) CALCITONIN

93
Q

What is the location and what makes up the parathyroid gland?

A

Location of the thyroid gland (wrapped around tranchea and larynx) is on the posterior (backside) location

It is made of bunvles of cells which are the parathyroid glands. It is also made of the parathyroid tissue (inside and thyroid tissue (follicle) on the outside
Secrete the PARATHYROID HORMONE

94
Q

What is the Parathyroid Hormone Mechanism?

A

Low blood Ca2+ is detected in the parathyroid gland.

Parathyroid gland is receptor and control centre. Secretes PTH to increase blood calcium concentration.

Parathyroid hormone affects
1) Kidney
2) Bone

Outcome: Increase blood Ca2+ towards normal. Negative feedback; act to remove/ reduce the stimulus.

95
Q

REFLECT ON THE CALCIUM REGULATION SUMMARY

A

yezzherr

96
Q

What is the location and function of the Adrenal Glands?

A

The Adrenal Glands are superior (on top) of each kidney. It is 2 seperate glands.

-Adrenal Cortex
1) Outer = secretes aldosterone
2) Middle = secretes cortisol
3) Inner = secretes androgens

-Adrenal medulla (“medulla” think middle/central/inner region) = secretes adrenaline

97
Q

What is Adrenaline Secretion?

A

Stimulus = stress
Hypothalamus stimulates SNS system (preganglionic fibers)
AP release and neurotransmitter release of Ach
Adrenal medulla secretes adrenaline which travels in the blood to target cells.

98
Q

What are the Metabolic effects in Andrenaline Secretion?

A

Skeletal muscle & liver
Increases in glycogenolysis
Fat; Increases lipolysis
>Mobilises fuel (glucose & fatty acids) more readily available to cells (rapidly)

99
Q

What is Cortisol?

A

Produced when required
Made in the outer part of the adrenal gland = adrenal cortex
Lipid soluble so can diffuse out of cells but needs to be carried via carrier
Gets to target cell and passes through cell membrane
Binds to the intracellular receptor (cytoplasm or nucleus)
Acts as a transcription factor, and genes are transcribed (mRNA)
mRNA into cytoplasm, where mRNA trasnlates into proteins
Proteins then go on to have an eefect within the cell

100
Q

What is the difference between Cortisol and Adrenaline?

A

Cortisol
-Stimulus can be STRESS and NON STRESS stimulus (e.g. circadian rhythm)
-It makes new glucose (process is called gluconeogenisis)
-Is slower (need to make it, then release it, and has to affect another cell).

Adrenaline
-Stimulus is due to STRESS
-Mobilises stored glucose rather than making glucose (glycogenolysis)
Is much faster > sees hormonal and neural signals.

101
Q

What is the stimulus of the Cortisol Mechanism?

A

Stimulus: stress or non-stress neural inputs

1)Hypothalamus releases CRH.
2)CRH travels through portal vessels and stimulates anterior pituitaryto secrete ACTH.
3)ACTH travels through adrenal cortex (outer region of adrenal gland) which secretes cortisol (steroid hormone).

102
Q

What metabolic effects occur with Cortisol?

A
  1. Muscle - Increase in protein breakdown, decrease in glucose uptake.
  2. Fat - Increase in fat breakdown. Decrease in glucose uptake
  3. Liver - Gluconeogenesis + other effects
    For stress-feedback aims to remove the stimulus. For non stressful situations, negative feedback is to inhibit further release of CRH and ACTH.
103
Q

When does the Cortisol Secretion peak?

A

Highest peaks upon walking
Distrubances in sleep affects this pathway

104
Q

What does Cortisol also affect (including muscle, fat, and liver)

A

-Blood pressure (HR and vessel construction)
-Glucose concentration (via protein, fat + carbohydrate metabolism)
-CNS + immune response

105
Q

What are the 3 Intergrated Stress Responses?

A

Hypothalamus > Anterior Pituitary
Hypothalamus > Posterior Pituitary
Hypothalamus > Neural pathway

106
Q

What are the 3 phases of the stress response?

A
  1. Alarm phase
    -SNS activation with adrenaline primarily involved
    -Also increase in HR (and force of contradiction)
  2. Resistance phase;
    -Mobilising remaining energy reserves
    -Cortisol released to assist with increase glucose
  3. Exhaustion phase;
    -Imbalances in ions
    -Increase in blood pressure strains heart + vessels
107
Q

What are some of the probleems with Hormone Signalling?

A

Too much = hyper
Too little = hypo
Hormone levels (producing) = secretion
Hormone receptors (response) = sensitive

108
Q

What are the 3 stages when certain amount of growth hormone occurs?

A

Too much: produces too much somatosedin C which causes GIGATISM

Normal: Combination of genes, nutrition and environment while having a normal balance

Too little: Particular version of DWARFISM. They develop proportionally.

109
Q

What are the 2 issues that occur with cortisol production?

A

Too little = Addison’s Disease. Which also means low blood pressure and weakness (not mobilising the fuel)
Too much = Cushing’s Disease Which also means high blood pressure and weakness (due to muscle wasting this time)

110
Q

What is Addison’s Disease

A

Cause:
Hyposecretion due to autoimmunity
Lowered secretion of cortisol + aldosterone
Low cortisol means no ‘ive feedback > increased ACTH
Excess ACTH secretion stimulates melanin synthesis

111
Q

What is the Cushing’s disease?

A

Cause;
Hypersecretion due to tumors and other factors

112
Q

What are the Thyroid hormone disorders

A

Too much = Hypersecretion > Grave’s disease

Too little = Hyposecretion > Infantile hypothyroidism / Iodine deficiency disorder aka Simple Goitre

113
Q

What is Grave’s disease

A

HYPERSECRETION of thyroid hormone
Autoimmune disease: body produces antibodies
Antibodies (rather than identifying things for destruction) which bond to receptors on the thyroid and artificially stimulate receptors

Effects: high metobolic rate, weight loss

Symptoms:
Heat intolerance, increased heart rate, nervousness, hair loss, thyroid swelling, and exopthalmos

114
Q

What is the Infantile hypothyroidism?

A

HYPOSECRETION of thyroid hormone = Low secretion of thyroid hormone in utero (new born babies)

Effects:
-Low metabolic rate
-Cold, intolerant (always want warm)
-Physical growth is retarded
-Deficiencies in brain development

Cause: Lack of oidine in the mother’s diet

“PREVENTION’ : Material iodine supplemation

115
Q

What is the HYPOSECRETION of thyroid hirmine? (aka Simple Goitre)

A

It’s the hyposecretion of thyroid hormone. Lack of thyroid hormone (T3 & T4)
Signals keep going
Hypothalamus makes TRH > (anterior pituitary) makes TSH
But the thyroid cannot make thyroid hormones (T3 and T4)
Because of lack of iodine (oidine + thyrosine in thyriglobulin binding protein)

Result:
Loss of -ive feedback control
Overstimulation of thyroid gland
Excess TSH (thyroid stimulating hormone from anterior pituitary) which stimulations growth of the thyroid gland (proliferation of thyroid cells from anterior > thyroid)

116
Q

What are the Parathyroid hormone + calcium issues?

A

Parathyroid Hormone;
Too much = Hypersecretion > Hyperparathyroidism

Extracellular calcium;
Too much > Hypercalcemia
Too little > Hypocalcemia

117
Q

What is Hyperparathyroidism?

A

NOTE: parathyroid hormone DOES NOT invlove the hypothalamus

Hypersecretion due to tumours

Too much parathyroid hormone means…
1. Bones can become soft, deformed + fragile (OC > OB) calcium pulled from bones > weak
2. Increase in Ca2+ in the blood levels,
3. Increase in phosphate ions
4. Promotes KIDNEY STONES (made up of calcium phosphate)

118
Q

What is Hypercalcemia?

A

Too much calcium in the blood/increased concentration
Caused by tumors and other factors

Effects
Nerves + muscles are less responsive and excitable
(more +ve (Ca2+) outside cell/ECM therefore more -ve inside/ICM… further from threshold)
Depression, emotional disturbances (nervous system is affected)
Muscle weaknesses
Can cause Cardiac arrest: as it can prevent exciteable cells form depolarising where they fire AP, which causes the heart to stop

119
Q

What is Hypocalcemia?

A

Caused by other factors (don’t need to know too much)
-Thyroid tumors (C cells)
-Vitamin D deficiency (not enough calcitriol)

SYPMTOMS are opposite (low calcium) to hypercalcemia

Increased excitability of nervous system
As blood Ca2+ is lower (ECM relative to ICM), means closer to threshold > more likely to fire AP
-Muscle termors, spasms and cramps (spontaneous firing)
-When it gets too LOW: paresthesia

120
Q

What is Diabetes Type 1

A

Hyposecretion
- Too little (or no) insulin secreted
- Caused by destruction of beta cells (pancreatic islet cells)

OUTCOME:
-Glucosuria (glucose in urine)
-Polyuria (urinate too much)
-Polydipsia (excess thirst)

TREATMENT: inject insulin or infusions

121
Q

What is Diabetes Type 2?

A

Hypersensitivity
- Too much insulin around, for too long, so RECEPTORS stop responding correctly
- Based on RECEPTORS - NOT about the SECRETION of hormone
- Associated with obesity
- Similar symptoms but different causes

122
Q

What is the treatment to Diabetes Type 2

A

Changes in diet and excessive.
Put less sugar in, and use what we do have as exercise to avoid having high sugar (since our receptors don’t work)

123
Q

What is the immune system?

A

The study of an organism’s defense system in health and disease

The immune system is an ORGANISED system of
1. Organs (e.g spleen)
2. Cells (e.g T cells)
3. Molecules (e.g antibodies)

These interact to defend the body against pathogenic microorganisms and cancer.

124
Q

What are microbes?

A

Microbes include;
1. Virus
2. Bacteria
3. Fungi
4. Protozoa

Some microbes are pathogens, which means ‘disease-causing’.

125
Q

What are the Primary Lymphoid Organisms is made of and what does it do?

A

Production of white blood cells (specifically lymphocytes)

  1. Bone marrow (source of stem cells)
  2. Thymus (school for T-cells
126
Q

Where are the sites where the immune response is initiated?

A
  1. Spleen (initiation of response against blood borne bacteria)
  2. Lymph nodes (fluid of tissues + blood is filtered, and initiation of immune response)
127
Q

What are the main features of the human lymphatic system?

A

Lymph is
-Free fluid in the interstitium (between cells of the body)
-Lymph needs to be drained effectively in order to prevent swelling

This is called the lymphatic system, and it consists of:
-Lymphatic vessels
-Primary and secondary lymphoid organes.

Lymph is KEY to the immune system because:
it picks up debris in the tissues and ‘shows’ anything strange or abnormal to the lymph nodes

Lymph nodes are:
-located along the lymphatic vessels and collect and filter lymph fluid.
-Where secondary lymphoid organs where the addaptive immune response is initiated

128
Q

What are the Blood Plasma Components?

A

Plasma 55%
-Protein
-Other solutes
-Water

Formed elements 45%
-Platelets
-White blood cells (leukocytes)
-Red Blood cells

129
Q

What are the 3 blood cell lineages?

A
  1. Erythroid = RBS (erythrocytes)
  2. Myeloid = granulocytes, monocytes, dendritic cells, platelets > innate immune cells
  3. Lymphoid = B and T cells > adaptive immune cells
130
Q

What is the Granulocyte in the Blood?

A

Neutrophils;
-Major 75% of all leukocytes
-Higher phagocytic (eat + kill)

131
Q

What is the Granulocyte in the Tissue

A

Mast cells;
-Line mucosal surfaces
-Release granules that attract WBCs to areas of tissue damage

132
Q

What are the Phagocytic Cells?

A

In blood; Monocytes
-Low phagocytosis

In tissues; Macrophages
-High phagocytosis

3 Key functions;
1. Phagocytosis
2. Release chemical mediators
3. Antigen presentation (linking adaptive + innate ‘arms’)

133
Q

What are Dendritic cells?

A
  1. Linking adaptive + innate arms
  2. Found in low numbers
  3. Phagocytic cells
134
Q

How do innate cells recognise pathogens

A

Innate cells recognise pathogens by detecting their pathogen associated molecular patterns (PAMPS).
These are common building blocks of these pathogens (aka their antigens)
Are associated with pathogens
Aren’t associated with the host

135
Q

What are viral pamps?

A

Nucleic acids: ssRNA, dsRNS
Nucleocapsid
Envelope

Capsule
Cell wall: lipopolysaccharide (LPS), endotoxin, lipoteichoic acid
Flagella: flagellin
Nucleic acid: unmethylated cPG DNA
Cell membrane

136
Q

What are PAMPS

A

PAMPs of microbes are detected through toll-like receptors of innate immune cells. Receptors are activated by the binding of hen microbial ‘building blocks’

Receptors can be expressed in 2 ways:
1) surface of a cell
2) phagocytes they are within the cell and react to phagocytosed PAMPs within an endosome.

Both pathways activate a cascade of enzymes that increase transcription of proflammatory genes and upregulate the immune response of innate immune cells.

137
Q

How and what are the effects of a fever?

A

-Abnormally high temperature
-Resetting of the thermostat in the hypothalamus
-Caused by pyrogens
-Phagocytes produce IL-1 (cytokine) after ingesting bacteria

2 effects;
1) Inhibits replication of bacteria cells
2) Enhances gene transcription in mammalian and immune cells

138
Q

What is the first part of the inflammatory response?

A
  1. Chemical signals from tissue-resident cells of innate immune system attract to site of infection
    - These are activated by recognition of PAMPs and/or DAMPs (damage-associated molecular proteins)
  2. Neutrophils enter from bone marrow
  3. Neutrophils cling to capillary wall (adherence)
  4. Chemical signals from tissue resident cells increase vascular permeability (make them ‘leaker’)
  5. Neutrophils squeeze through capiliary wall (diapedesis)
    6 …and follow chemical trail to site of infection/injury (chemotaxis)

NOTE: This causes swelling and redness in the area, and promotes the release of antimicrobial peptides into the tissue from the blood, such as complement and antibodies.

139
Q

What are the 5 stages of Phagocytosis?

A

1) Pseudopod formation
2) Phagosome formation
3) Phagolysosome formation
4) Lysosomal enzymes go to work
5) Exocytosis

140
Q

Why are Microbes killed?

A

-low pH,
-reactive nitrogen + oxygen intermediates and
-enzymes (protease, lipase, nuclease

141
Q

What are the main features of the complement system?

A

Coplement activation plays a key role in the innate and the adaptive immune response.
- Complement is the term given to 9 major proteins / complexes that activated in a cascade to amplify the immune response.
- Complement is most useful in the immune response against bacteria.

142
Q

What are the 3 main pathways that activate complement?

A

These are the classical, the alternative, and the lectin pathway.

Classical = where an antibody which is bound to a pathogen binds to complement. This requires activation of the adaptive immune system and production of antibodies.

Alternative pathway = pathogen binds directly to complement to surface/pathogen component.

Lectin pathway = is where the carbohydrate component of microbes/pathogens binds to circulation lectin which activates complement

143
Q

REFLECT ON THE PATHWAYS CONVERGE

A

yurress

144
Q

How do immune cells communicate with each other? (3 main methods)

A

Solubles molecules (cytokines or chemokines) binding to receptors on a cell membrane

Cell surface-bound receptors binding to cell surface-bound ligand

Antigen (pathogen parts) being presented to cell surface-bound receptors

144
Q

What is an Antigen?

A

Antigen is anything that has the potential to be recognised by the immune system

1.Foreign antigen (pathogens, chemicals, toxins > environmental/external)

2.Self antigen (normally learn to be TOLERANT > otherwise autoimmunity develops)

144
Q

How to Dendritic cells are activated and how do they communicate with adaptive immunity cells

A

Dendritic cells (DC)
-Aka antigen presenting cells (APC)
-Link the innate and the adaptive immune system
-They are phagocytes
-Once activated, they travel to the lymph node to present the antigen
-They present to the naive T cells, abd begin the T cell activation process

145
Q

How are T cells activated

A

T cell activation by DC cells uses all three of the methods described above.

1)Making cytokines that bind to T cell membrane receptors

2) Connecting to the T cell via surface ound ligands that connect to T cell surface co-receptors

3) Presentation of the antigen to surface-bound T cell receptors

146
Q

What is MHC?

A

MHC stands for major histocompatibility complex

MHC1 - endogenous/intracellular. Express on all nucleated (virus) INCLUDING APC

MHC2 - exogenous/extracellular
Presented on antigen presenting cell only (bacteria)

147
Q

What are cytokines and chemokines?

A

Cytokines are molecules that control the growth and activity of immune cells. Chemokines are molecules that stimulate cell migration (think about chemotaxis).

These are produced by both adaptive and innate immune cells, as well as other cells that influence the immune system such as epithelial cells.

148
Q

How can the complement help activate B cells?

A

Complement is activated by B cell
-via the classical pathway (antibody binding to a pathogen then to complement)

B cells also activated by complement
- B cells don’t require protein to be broken into peptides like T cells
-Antigen can be the whole protein, aka ‘native antigen’
-So when complement fragments bind to antigen, and then binds to a B cell, it will activate the B cell which will make antibodies.

NOTE: It is a 2 way relationship