Respi 6131 Flashcards
The respiratory tract is divided into the
upper and lower respiratory tract
extra thoracic airway passages above the neck
upper respiratory tract
airway passages and lung parenchyma below the pharynx
lower respiratory tract
reaches from the nostril or
mouth to the pharynx
upper
passage of URT
oronasal
functions of the URT
functions to conduct, heat,
humidify, filter, and chemosense incoming air.
Leaving the nasal passage, air is warmed to about ________ and humidified to about ___________%water saturation
33°C; 98%
In addition to conducting, conditioning, and filtering air to the lower respiratory tract, a major function of the oronasal passage is __________
chemosensory
Nasal epithelia can metabolize many foreign compounds by ______________ and other enzymes
cytochrome P450
Chemosensory function of the nasal passages is accomplished by a wide variety of specialized receptors in
major subtypes including:
- olfactory receptors
- trace amine–associated receptors (TAARs)
- membrane guanylyl cyclase GC-D receptors
- vomeronasal receptors
- formyl peptide receptors (FPRs)
The olfactory epithelium contains
specialized chemosensory olfactory
neurons located in the ________ portion of the nasal passage.
superior
Airflow in this region of the nasal passage
is typically _________, thus sniffing can increase perception.
(olfactory receptors)
low
_______ detect trace amines, with fishy or
putrid odor, that are found in foods and
can also be generated during
fermentation or decay.
TAARs
GC-D receptors are located in the cilia of
olfactory sensory neurons and detect the
natriuretic peptides, _________ (found in urine) and _________
uroguanylin and guanylin
In rodents, these receptors detect carbon
dioxide, which is odorless in humans and
other primates
membrane guanylyl cyclase GC-D receptors
_________ are separate from, but adjacent to, olfactory neurons.
vomeronasal receptors
They can detect higher molecular weight
stimuli, including nonvolatile chemicals.
vomeronasal receptors
are also a part of the vomeronasal
system and detect bacterial or
mitochondrial formylated peptides,
which are thought to identify pathogens
or pathogenic states.
formyl peptide receptors (FPRs)
In addition to the detection of odor, the detection of irritant chemicals, cold and hot temperatures, or mechanical stress
can be a protective mechanism that may limit exposure. Two protein families, the ____________ and the ____________, perform these functions in the upper respiratory tract
transient receptor potential (TRP)
channels and the taste (TAS) receptors
are ion channels that are permeable
to cations, including calcium, magnesium, and sodium. These receptors are sensitive to a variety of natural ingredients, pain stimuli, and heat.
TRP
Taste buds, which contain_______, determine salt, sour, sweet, umami (glutamate and nucleotides), and bitter.
TAS
LRT Airways
Conducting airways
At the beginning of the lower respiratory tract is the __________, which is responsible for speech (phonation).
larynx
The conducting airways of the lower respiratory tract can be
divided into:
proximal (trachea and bronchi) and distal
regions (bronchioles)
Conducting airways have a bifurcating structure, with successive airway generations containing about twice the
number of bronchi progressively ___________ in internal diameter.
decreasing
Eventually a ___________ zone is reached where cartilaginous bronchi give way to noncartilaginous bronchioles, which in turn give way to gas exchange regions, respiratory bronchioles, and alveoli.
(CONDUCTING AIRWAYS)
transition
In the bronchiolar epithelium, mucus-producing cells and glands give way to ___________
(CONDUCTING AIRWAYS)
bronchiolar secretoglobin cells (BSCs)
One way in which airflow is altered is by smooth muscle that surrounds the airways and is under autonomic innervation via the __________
(CONDUCTING AIRWAYS)
vagus nerve
Main function of conducting airways
mucociliary clearance and antimicrobial
In humans, the proximal airway and a portion of the nasal passage are covered by a ____________ that contains a number of specialized cells including ciliated, mucous, and basal cells.
(Mucociliary Clearance and Antimicrobial Functions)
pseudostratified respiratory epithelium
__________and_________ are needed to move fluid into the airway lumen and ______________ are needed to move water out of the lumen.
(Mucociliary Clearance and Antimicrobial Functions)
Chloride ion channels and the cystic fibrosis transmembrane regulator;
sodium channels
Ciliated cells have microtubule-based protrusions, cilia, of which there are two types:
(Mucociliary Clearance and Antimicrobial Functions)
motile and primary
exert mechanical force through
continuous motion to propel harmful inhaled material out of the nose and lung. ___________ also exhibit mechanosensory and chemosensory
functions and can respond to mechanical stress, heat, acidic pH, and endogenous and synthetic agonists.
(Mucociliary Clearance and Antimicrobial Functions)
Motile cilia
often serve as sensory organelles.
(Mucociliary Clearance and Antimicrobial Functions)
Primary cilia
Serous cells contain and secrete a less viscous fluid, and are also enriched in antimicrobial proteins including lysozyme and lactotransferin. These cells also contain the antimicrobial protein, ___________
(Mucociliary Clearance and Antimicrobial Functions)
BPIF2 (aka SPLUNC2)
__________ is a serine proteinase inhibitor that is produced locally in the lung by cells of the submucosal bronchial glands and by nonciliated epithelial cells. The main function of ________ is the inhibition of neutrophil elastase and other proteinases, and may also have
antimicrobial functions.
(Mucociliary Clearance and Antimicrobial Functions)
Secretory leukocyte proteinase inhibitor (SLPI)
Another airway secretory cell is the ____________ previously called the Clara cell
(Mucociliary Clearance and Antimicrobial Functions)
bronchiolar secretoglobin cell (BSC)
- they are known to inhibit
phospholipase A2 and limit inflammation - are found mainly in the distal
airways and can act as tissue stem cells
(Mucociliary Clearance and Antimicrobial Functions)
bronchiolar secretoglobin cell (BSC)
The gas exchange region consists of
- terminal bronchioles,
- respiratory bronchioles,
- alveolar ducts,
- alveoli,
- blood vessels,
- lung interstitium
Gas exchange occurs in the ________, which comprise ∼________% of the total parenchymal lung volume.
alveoli; 85%
The alveolar epithelium consists of two cells:
the alveolar type I and type II cell
cover ∼95% of the alveolar surface and therefore are susceptible to damage by noxious agents that penetrate to the alveolus
(Gas exchange)
Type I
attenuated cytoplasm to enhance gas exchange
(Gas exchange)
Type I cells
- produce and secrete surfactant, a mixture of lipids, and four surfactant
associated proteins - can undergo mitotic division and replace damaged type I cells
(Gas exchange)
Type II cells
surfactant associated proteins
(Gas exchange)
- A1
- A2
- B
- C
- D
are amphipathic and aid in spreading secreted lipids which form a monolayer that reduces surface tension
(Gas exchange)
B and C
are members of the subfamily of C-type lectins called collectins, which defend
against pathogens.
(Gas exchange)
A1, A2, and D
do not alter lipid structure but do bind lipopolysaccharides (LPS) and various microbial pathogens, enhancing their clearance from the lung
(Gas exchange)
A1 and A2
is also necessary in the suppression of
pulmonary inflammation and in host defense against viral, fungal, and bacterial pathogens.
(Gas exchange)
D
Principal functions of the lungs is gas exchange which consists of:
- diffusion
- ventilation
- perfusion