The cell in health and disease Flashcards

1
Q

define homeostasis

A

Homeostasis is the process by which internal variables are kept within a normal range of values e.g. body temperature, blood glucose or blood pressure.

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2
Q

what happens when a stimulus changes/affects an internal variable from its normal range of values?

A

when a stimulus changes one of these internal variables, a receptor detects this change–> a control centre compares the change against a reference value/set point–> instructs effectors to make adjustments usually through negative feedback.

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3
Q

give an example of negative feedback

A

the body has a normal blood glucose range of 4.0 to 5.9 mmol/litre. If you eat a meal rich in carbohydrate, blood glucose will rise above its normal range. the rise in blood glucose is the stimulus. Unless the body’s glucose homeostatic mechanisms kick in, glucose will continue to rise and will make you very sick. This is what might happen in a patient who has type 1 diabetes who does not take their insulin. Normally, if blood glucose rises, the beta cells within the pancreas act as the sensor and control centre in that they detect this rise and release an effector, which is insulin. Insulin then binds to receptors in hepatocytes and skeletal muscle causing glucose to be taken up by these cells and stored as glycogen, restoring blood glucose to its normal range.
This negative feedback loop then stops too much insulin being produced and released, maintaining normoglycaemia or a normal blood glucose.

If on the other hand, blood glucose falls too low, alpha cells of the pancreas will detect this and will pump out the hormone, glucagon, which causes glucose to be released from the liver by conversion of stored glycogen to glucose.

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4
Q

Another way of maintaining homeostasis is by a positive feedback loop. define positive feedback and give an example of it.

A

POSITIVE FEEDBACK: where a variable change causes adjustment in the same direction as the initiating event.

BLEEDING:
If you are chopping your vegetables and the knife slips, you may be very unlucky and sever an artery in your hand. In this setting, the most immediate threat to your life is excessive blood loss. Less blood circulating means reduced blood pressure and
reduced perfusion of the brain and other vital organs. If perfusion is severely reduced, vital organs will shut down and the organs and person will die. Homeostatic mechanisms respond to this potential catastrophe by releasing substances from the injured blood vessel wall that begin the process of blood clotting. As each step of clotting occurs, it stimulates the release of more clotting factors. This accelerates the processes of clotting and seals off the damaged vessel. Clotting is contained in a local area based on the tightly controlled availability of these clotting proteins. This is an example of an adaptive, life-saving cascade of events.

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5
Q

HOMEOSTASIS SUMMARY

A
  1. Homeostasis is the maintenance of a physiological state within a narrow range which is compatible with life.
  2. Homeostatic systems are usually controlled by negative feedback but there are also examples of positive feedback loops.
  3. The components of a homeostatic system are the same for both loops and include a stimulus, a sensor, a control centre and an effector.
  4. Negative loops prevent an excessive response to a stimulus whereas positive loops
    intensify the response to a stimulus until an end point is reached.
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6
Q

regarding cellular housekeeping, what is required for normal cell viability?

A
  • in order to survive, a cell must be PROTECTED FROM THE ENVIRONMENT and it must receive adequate NUTRITION.
  • for multicellular organisms, CELL COMMUNICATION is is essential–> extracellular signals determine whether a cell will live or die, whether it remains quiescent or whether it is stimulated to perform a specific function.
  • Cell must also be able to GENERATE ENERGY and this is usually in the form of adenosine triphosphate (ATP).
  • cells must be able to MOVE
  • must be able to breakdown molecules (molecular catabolism) and renewal of senescent molecules.
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7
Q

give an overview of respiration in the mitochondria

A

At the cytoplasm, Glucose goes through glycolysis–> a metabolic pathway that cuts a 6 carbon glucose into two 3-carbon molecules known as pyruvate.

Pyruvate then enters the mitochondria and goes through the citric acid cycle/krebs cycle and the electron transport chain to produce ATP. This requires oxygen so is known as aerobic respiration.

1GLUCOSE + 4OXYGEN–> 32ATP + CO2 + H2O

If there’s not enough glucose, our cells can burn fatty acids in the mitochondria as a source of fuel- in a process called beta-oxidation. Mitochondria can only work with medium-sized fatty acids.

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8
Q

where has mitochondria evolved from?

A

Mitochondria evolved from prokaryotes which were engulfed by primitive eukaryotes. They contain their own DNA, which is always maternally inherited (because the ovum contributes the vast majority of cytoplasmic organelles to the fertilised zygote). Mitochondrial machinery is similar to that of bacteria.

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9
Q

what makes mitochondria similar to the nucleus?

A

They contain their own DNA, which is always maternally inherited (because the ovum contributes the vast majority of cytoplasmic organelles to the fertilised zygote). Mitochondrial machinery is similar to that of bacteria. Both nuclear and mitochondrial DNA contribute to the proteins of the mitochondria which means that mitochondrial diseases can be x-linked (caused by a mutation in a gene on the X- chromosome. A characteristic of X-linked inheritance is that fathers cannot pass X-
linked traits to their sons), autosomal (caused by a gene abnormality affecting any chromosome apart from the sex chromosomes) or maternally inherited (caused by a mutation in the mitochondrial DNA). Mitochondria undergo self replication in a manner which is similar to bacterial cell division.

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10
Q

where is the site of ATP synthesis?

A

The mitochondria’s intermembrane space

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11
Q

Rapidly growing cells can upregulate glucose and glutamine uptake, to produce
intermediates so that lipids, proteins and nucleic acids can be produced instead of ATP in some circumstances.

A

The intermembrane space is the site of ATP synthesis. As a by product, reaction oxygen species are produced. Thermogenin which is plentiful
in brown fat resides in the inner membrane and can generate heat. We will see in later lectures that the sensors of cell damage are found in mitochondria which can initiate and regulate apoptosis (programmed cell death).

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12
Q

what can cause damage to the mitochondria?

A

Mitochondria can be damaged by toxins, ischaemia or trauma causing ATP generation to fail through loss of the proton gradient.

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13
Q

We already said that if there’s not enough glucose, our cells can burn fatty acids in
the mitochondria as a source of fuel - in a process called beta oxidation but mitochondria can only work with medium sized fatty acids. what organelle can chop up long fatty acids and transform them into medium sized ones? what is a side effect to the process?

A

peroxisome

This process generates dangerous hydrogen peroxide, but the peroxisome has an enzyme called peroxidase–> can safely convert the hydrogen peroxide into water and oxygen.

Haem which is a component of haemoglobin is also made in mitochondria.

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14
Q

To survive, all cells must be able to dispose of waste - what are the organelles that help to do this?

A

LYSOSOMES AND PROTEASOMES.

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15
Q

DESCRIBE the lysosome and how it works

A

membrane bound organelles which contain enzymes that can digest cell constituents.

Lysosomes contain over 40 different enzymes called acid hydrolases which include proteases, lipases and nucleases, all of which work best at a pH less than 5. Material arrives at the lysosome via 1 of 3 pathways – via an endosome, phagosome, or autophagosome. In heterophagy, cells take up material from outside the cell by using processes such as receptor-mediated endocytosis and pinocytosis or a specialized process such as phagocytosis. Endosomes then fuse with lysosomes. In autophagy, membrane-bound vesicles are formed within the cell by engulfing material such as proteins, lipids and organelles. After formation, these autophagosomes fuse with lysosomes. Formation of lysosomes requires translation of lysosomal proteins in the endoplasmic reticulum and their sorting to the correct vesicles in the Golgi complex.

Phagosomes form most commonly in neutrophils and macrophages, which ingest foreign material. We will encounter this again when we discuss acute inflammation
later in the year.

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16
Q

describe proteasomes

A

Proteasomes are organelles which digest unneeded or damaged proteins, releasing peptides, after they have been identified by attachment of a molecule called ubiquitin. They can also denature regulatory proteins altering the rate at which the cell transcribes DNA.

17
Q

what is the golgi apparaturs responsible for?

A

protein modifications and for glycosylation of proteins and lipids.

18
Q

the cytoskeleton of each cell contains structural elements of 3 main types- name and describe them.

A

microfilaments, microtubules and intermediate filaments.

Actin microfilaments are made from the most abundant protein present within the cell cytoplasm called actin. The function of actin is to control cell shape and cell movement. In muscle cells, filaments of myosin can move along filaments of actin, driven by ATP.

Microtubules serve as connecting cables which allow movement of vesicles and organelles, driven by ATP. They participate in chromatid separation during mitosis. Microtubules and their associated motors also form the cilia which you saw previously on respiratory epithelial cells and flagella.

Intermediate filaments have tissue-specific patterns which can be used to determine the likely cell/tissue of origin in a tumour which has metastasised. An example of an intermediate filament is cytokeratin which is present in the cytoplasm of epithelial cells and these are the major structural proteins in skin and hair. Intermediate filaments give strength to cells.

19
Q

what do nuclear lamins do?

A

Nuclear membrane lamins maintain nuclear structure and they also regulate transcription. Lamin mutation is seen in a disease called progeria which causes pre- mature aging.

20
Q

read page 15-16\pto

A
  • epidermis with the ladder-like desmosomes which seal adjacent keratinocytes together.

Tight (occluding) junctions seal adjacent cells together. Anchoring junctions or desmosomes contain cadherin proteins and attach the intracellular cytoskeleton of adjacent cells together. Hemidesmosomes attach the cell to the extracellular matrix.

skin disease called pemphigus vulgaris where antibodies are directed against desmoglein-3, which is a component of the desmosomes.

21
Q

what is the purpose of communicating junctions or gap junctions?

A

Communicating junctions or gap junctions allow passage of chemical or electrical signals from one cell to another. Ions, nucleotides, sugars, amino acids and vitamins can move between cells via gap junctions. An increase in intracellular calcium or reduced pH reduce transport through these gap
junctions. Transport of calcium through gap junctions allows the myocardium to behave as functional unit (syncytium) to pump out blood from the heart.

22
Q

name and describe one membrane phospholipid

A

PHOSPHATIDYL SERINE:

This is a negatively charged molecule which usually faces inwards but it can also flip to the extracellular face of the membrane, becoming an
‘eat me’ signal for phagocytes (a cell which can gobble other cells or particles) in the setting of apoptosis (programmed cell death).

23
Q

where are glycolipids located and why are they important?

A

glycolipids are on the outside and are important in interactions between cells and between the cell and the surrounding matrix in the context of inflammation and in eg. sperm-egg interactions.

24
Q

PAGE 18 diagram

explain how molecules move across membrames

A

oxygen, carbon dioxide and water move by passive diffusion. Urea, alcohol and steroids also move by this method. Aquaporins are channels which facilitate passive water transport and these channels are active in the kidneys. Water moves by osmosis so that if extracellular salt concentration is high, water moves out of cells and if it is low, water moves in to cells. Polar molecules >75 daltons in mass and ions cannot diffuse through the lipid bilayer.

  1. These need fast channels or slow carrier proteins to get across. A concentration or electrical gradient is needed for passive transport. Transporter ATPases (a carrier channel protein) include the multidrug resistance (MDR) protein which pumps chemotherapy drugs out of cells allowing cancer cells to become treatment resistant. The cytoplasm is rich in charged metabolites and this increases cellular osmolarity. The cell therefore must constantly pump out Na+ and Cl- using the Na-K ATPase or over-hydration results due to osmosis. Injured cells cannot produce energy and this pump fails causing cell swelling and eventually rupture.
  2. Caveolae-mediated endocytosis is involved in the regulation of transmembrane signalling. They are also involved in cell adhesion by moving receptors away from the surface. They can also move integrins, which are molecules which join cells to the surrounding stroma. Vitamin uptake is also caveolae mediated.
  3. Bigger molecules bind to surface receptors before endocytosis. Receptor- mediated endocytosis is the major uptake mechanism for ‘bad’ cholesterol – LDL and the iron transporter, transferrin. The vesicles which form fuse with lysosomes, releasing cholesterol or iron and the receptors are then recycled back to the plasma membrane. Familial hypercholesterolaemia is caused by a defect in receptor mediated transport of LDL.
  4. Export of large molecules is by exocytosis.
  5. Trancytosis is the movement of endocytosed vesicles between apical and and basolateral components of the cell. This is how antibodies pass from breast milk through intestinal cells
    and explains the vascular wall permeability seen in healing wounds and tumours. Endocytosis and exocytosis must be tightly coupled as the cell will ‘drink’ 10-20% of its volume per hour and 1-2% of its membrane per minute.
25
Q

describe the cystic fibrosis transmembrane regulator (CFTR) and what happen during a diseased state (i.e. patient has cystic fibrosis)

A

The cystic fibrosis transmembrane regulator or CFTR is responsible for chloride transport across cell membranes.

In the disease, cystic fibrosis, there is a mutation in the CFTR gene on chromosome 7 which damages this chloride channel, leading to the creation of sticky thick mucus which in the lungs can cause stasis of secretions. This in turn blocks airways and traps bacteria, causing infection and inflammation.

26
Q

name and describe the 4 main methods by which cells communicate

A

synaptic transmission
paracrine transmission
endocrine transmission
autocrine transmission

Synaptic transmission happens at the neuromuscular junction, where acetylcholine travels from a nerve across the synaptic space to the acetylcholine receptor on the muscle cell.

Autocrine signalling is when the cell stimulates itself and this occurs during cell development or to amplify a response. Tumours can survive by producing growth factors which act via an autocrine mechanism.

Paracrine signalling targets cells in the immediate vicinity. Growth factors can act by the paracrine mechanism and these can alter the local environment. Paracrine signalling is involved in generation of new blood vessels in eg. wound healing – this is called angiogenesis. Paracrine mechanisms are also involved in cell motility and tumour metastasis.

Endocrine signalling involves a mediator being released into the blood stream and travelling to a distant target eg. Follicle stimulating hormone from the pituitary gland targets cells of the ovarian follicle