Thermoregulation Flashcards

1
Q

Function of cutaneous thermoreceptors

A
  • May be warm or cold sensitive (10X as many cold sensitive)

- Tell us about environmental conditions

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2
Q

Function of central thermoreceptors

A
  • Located at the pre-optic and superoptic regions of the hypothalamus
  • Neuron cell bodies sensitive to changes in temperature (3X as many warm sensitive)
  • Relay information to other hypothalamic areas
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3
Q

Function of visceral thermoreceptors

A
  • Sense core temperature
  • Detects foods ingested that can possibly change body temperature
  • Sends that info to the hypothalamus
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4
Q

How does the hypothalamus control body temperature?

A
  1. Determines set point for core temperature
  2. Receives information about current temperature
  3. Decides what to do in response to current temperature and relays decision to parts of the brain that can actually mediate it
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5
Q

Name hypothalamus-mediated mechanisms of heat production

A
  1. Autonomic nervous system (especially sympathetic NS)
  2. Endocrine - mediated by Thyroxin and Epinephrine
  3. Muscular activity (voluntary vs involuntary/shivering)
  4. Non-shivering thermogenesis (increase metabolism NOT due to muscles)
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6
Q

Hypothalamus-mediated mechanisms of heat production: Muscular activity

A
  1. Shivering - mediated by the dorsomedial posterior hypothalamus and increases motoneuron excitation down the SC but not enough to activate the alpha-MN itself so if another input comes in the outflow is increased in a rhythmic fashion
  2. Increase voluntary activity - mediated via the cortex (e.g. jumping, running in place)
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7
Q

Shivering is mediated by which part of the brain?

A

Dorsomedial posterior hypothalamus

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8
Q

Hypothalamus-mediated mechanisms of heat production: Non-shivering thermogenesis

A
  1. Hormones:
    - Throxin increases metabolic rate (cold is a stimulus for thyrotropin-releasing hormone release)
    - Epinephrine
  2. Increase food intake –> increased metabolism
  3. Brown adipose tissue - adrenergic innervation for initiation of low efficiency ATP hydrolysis via uncoupling proteins to increase heat production
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9
Q

Which parts of the hypothalamus responds to a) heating and b) cooling

A

a. Anterior hypothalamus to initiate heat loss behaviors

b. Posterior hypothalamus to initiate heat production behaviors

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10
Q

Heat loss techniques: Evaporative heat loss

A
  • Energy (heat) lost as water evaporates (e.g. sweat, panting)
    1. Insensible (respiratory) - always lose heat as we breath
    2. Sweating (controlled)
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11
Q

Heat loss techniques: Convection

A
  • Movement of molecules away from contact

- E.g. as air comes in contact w/ our skin, the air becomes hotter, rises and is replaced by cooler air

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12
Q

Heat loss techniques: Conduction

A

-Transfer of heat b/w objects in physical contact w/ one another (e.g. back touching chair and causing it to heat up)

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13
Q

Heat loss techniques: Radiation

A
  • Infrared radiation transferring heat b/w 2 objects NOT in physical contact
  • Losing heat to window b/c window very cold
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14
Q

Innervation of sweat glands

A
  • Sympathetic cholinergic (ACh)

- Binds to a muscarinic receptor

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15
Q

How is sweat produced?

A
  1. Filtration of blood from BV into the sweat gland –> results in a serum which is high in Na+, Cl-, low in K+ and w/o proteins
  2. As fluid travels to skin surface via duct, the H20 and Na+ are reabsorbed to the blood but the amount that is reabsorbed depends on how much sweat we are producing:
    a. Low flow rate - concentrated sweat w/ little water (lots reabsorbed) and high Na+
    b. High flow rate - lots of water b/c no time to reabsorb it and while acclimating it will be less concentrated w/ Na+ due to aldosterone action (increases Na+ reabsorption and K+ secretion)
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16
Q

Composition of sweat: low flow rate

A
  • Concentrated b/c don’t need a lot of water since we are not that hot
  • Lots of water is reabsorbed in the sweat duct –> little water
  • High [Na+] b/c it doesn’t follow water in duct
17
Q

Composition of sweat: high flow rate

A
  • Lots of water b/c not enough time to reabsorb it
  • W/ acclimation to high temperature, aldosterone release will act on the duct to increase Na+ reabsorption and K+ secretion –> dilute sweat
18
Q

How does the hypothalamus respond to lower than normal body temperature?

A
  • Decreased core T (T_set point > T_b)
  • Increase heat production - shivering and non-shivering thermogenesis
  • Decrease heat loss - move blood away from skin (pallor) and decrease evaporative heat loss (dry skin)
19
Q

What causes the rising temperature in fever?

A
  • Controlled increase in body temperature (set point increase by hypothalamus in response to “bug”)
  • Body is doing what the hypothalamus tells it to do:
  • Decreased core T (T_set point > T_b)
  • Increase heat production - shivering and non-shivering thermogenesis
  • Decrease heat loss - move blood away from skin (pallor) and decrease evaporative heat loss (dry skin)
20
Q

What causes the drop in temperature when a fever “breaks”?

A

-In absence of endotoxins, hypothalamic set point returns to normal and now the core T is increased (T_set point < T_b):

  • Decrease heat production - apathy/inertia, anorexia
  • Increase heat loss - conduction/convection, evaporative heat loss (sweat), insensible heat loss (pant)
21
Q

What causes the set point to rise during fever?

A
  1. “Bug” secretes endotoxins and immune cells activated release cytokines.
  2. Prostaglandin E2 is released and binds to the EP3 receptor
  3. This binding results in an increase in hypothalamic set point for temperature causing (T_body < T_set point)
22
Q

Fever vs hyperthermia: Fever

A
  • Increase in core temperature
  • Increase in set point (Tset point > Tb) –> heat production
  • Pallor, shivering, behavioral changes associated w/ being cold –> Pt describes being cold
  • Caused by infectious agent producing inflammatory mediators acting in brain
23
Q

Fever vs hyperthermia: Hyperthermia

A
  • Increase in core temperature
  • Normal set point (Tset point < Tb) –> heat loss
  • Flushed skin, sweating, behavioral changes associated w/ being hot –> Pt described being hot
  • Caused by increased heat production/decreased ability to eliminate heat
24
Q

What is the major hypothalamic nucleus involved in autonomic regulation?

A
  • Paraventricular nuclei –> sends outlfow via dorsal longitudinal fasciculus (DLF) w/ outputs including (periaqueductal grey, parabrachial nucleus, mesencephalic raphe nucleus, locus ceruleus, dorsal motor nucleus of the vagus, nucleus ambiguus, parasympathetic & sympathetic neurons in SC)
  • DLF also sends inputs to the paraventricular nuclei from the locus ceruleus, parabrachial nuclei, and periaqueductal grey
25
Q

What are the minor hypothalamic structures involved in autonomic regulation?

A
  • Medial forebrain bundle - provides substantial inputs to hypothalamus (especially from nucleus tractus solitarius) w/ outflow to same nuclei as the dorsal longitudinal fasciculus
  • Mammillotegmental tract - smallest of all 3, mammillary bodies to brainstem autonomic nuclei