Thermoregulation Flashcards

1
Q

What is normal body temperature and the acceptable range?

A
  • normal: 36.7 degrees C (98.06 degrees F)
  • range: 36.3-37.1 degrees C
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2
Q

What is the general control system of body heat?

A

controlled variable (e.g. core temp) is measured by

>

sensor (thermometer)

>

controller (establishes set point)

>

effector (e.g. furnace, AC) which changes

>

controlled variable

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3
Q

How does temperature vary based upon body part?

A
  • core is the controlled variable (maintained across range of environmental temps)
  • oral temp is closest to core temp
  • hands and feet vary depending on environmental temp
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4
Q

How does body temp vary over a 24 hour period?

A
  • varies ~1-2 degrees over 24 hr period
  • temp is lowest in the mornings
  • highest in the evening
  • circadian rhythm infuences body temp
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5
Q

What is the purpose of maintaining a certain body temp?

A
  • temp affects enzyme activity (w/ every 10 degrees of temp change), will change cellular function for better or worse (usually worse)
  • environmental temp is a threat to temp since humans are always generating heat, heat loss is an issue
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6
Q

Where are thermoreceptors located and what is their specific function in each of these locations?

A

(thermoreceptors are the “sensors” in the thermoregulation pathway)

  • brain (pre-optic and superoptic region of hypothalamus, core): neuron cell bodies sensitive to changes in temp, 3x as many warm sensitive, relay info to other areas of hypothalamus
  • viscera (gut, core): senses core temp and threats to maintenance (food ingested that may change body temp, relays info to hypothalamus)
  • skin (cutaneous thermoreceptors): often bimodal (e.g. temp and touch), may be warm or cold sensitive (10x cold sensitive), tell us about environmental conditions

(all of the above relay info to hypothalamus)

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7
Q

In terms of the thermoregulation, what structure is the controller (establishes set point)?

A
  • hypothalamus is the “controller” in the thermoreg pathway
  • has connections to control hormonal, autonomic, and behavioral changes that are part of thermoreg
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8
Q

How does hypothalamus control body temp?

A

1) determines set point
2) receives info about current temp
3) decides what to do and generates response that it relays to parts of brain that execute action
- anterior hypothalamus: responds to heat and controls heat loss behaviors
- posterior hypothalamus: reponds to cooling and controls heat production behaviors
- with sleep, temp decreases in set point
- with exercise, temp increase in set point (as high as 40 degrees C)

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9
Q

What is the effector (variable that causes changes to core temp) within the thermoreg system?

A

heat loss/heat production

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10
Q

What are the effectors for heat production and how is this process modulated?

A
  • effectors: ANS (sympathetic), endocrine (thyroxin, epi), muscular activity (voluntary and involuntary), non-shivering thermogenesis (increase in metabolism not due to muscles, aka brown fat)
  • modulated by control from the posterior hypothalamus when the body is abnormally cold
  • muscular activity: shivering (dorsomedial posterior hypothalamus, increases motorneuron excitation) and increase in voluntary activity (via cortex, e.g. running/jumping)
  • non-shivering thermogenesis: strong hormonal influence (sympathetic innervation of adipose tissue, thyroxin increases metabolic rate which cold is stim for TRH release; and epinephrine), increase in food intake (leads to increase in metabolism), and brown adipose tissue (adrenergic innervation for initiation)
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11
Q

What is the importance of brown adipose tissue in humans?

A
  • low efficiency hydrolysis of ATP via uncoupling proteins leads to more heat production than otherwise
  • brown fat is innervated by sympathetic fibers, also activated by circulating epinephrine
  • importance: critical in infants due to their heat loss from high surface area; was originally thought to be non-functioning in adults, but recent info suggests white fat expresses right uncoupling proteins and can be activated by sympathetic innervation
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12
Q

How is heat loss modulated?

A
  • modulated by the anterior hypothalamus when the body is abnormally hot
  • evaporative heat loss: energy lost as water that evaporates, two types are insensible (respiratory) and sweating (controlled)
  • convection: movement of molecules away from contact (air heating and rising)
  • conduction: transfer of heat between objects in physical contact w/ another
  • radiation: infared radiation transferring heat between 2 objects not in physical contact (example of babies in incubator that are double lined)

(convection, conduction, and radiation controlled through wearing clothes, feed forward behavior that prevents change in temp)

  • blood to skin: determines how much heat moves from blood to external environment (blood moves away from skin (pale) when cold and blood moves toward skin (flushing) when hot)
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13
Q

What is the general structure of sweat glands and how are they innervated?

A
  • sweat glands have lots of nearby blood vessels, a coiled region that starts sweat production, and a duct leading to skin
  • sweat glands are innervated by sympathetic cholinergic neurons (Ach is NT) and binds to muscarinic receptor
  • sweating is a form of evaporative heat loss that is not dependent on air temp
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14
Q

How is sweat produced?

A
  • initially serum is filtrated from blood of plasma, ions (Na, Cl) and proteins
  • serum moves to the coiled part of sweat gland
  • as fluid travels up to the skin surface, water and Na+ are reabsorbed (back to the blood) in the duct of the sweat gland
  • low flow rate (don’t need a lot of sweat): sweat is concentrated (little water due to reabsorption) and high Na+ (couldn’t follow water)
  • high flow rate (need a lot of sweat): sweat is dilute due to lots of water (no time to reabsorb) and w/ acclimation low Na+ due to aldosterone action (increases temp = increases Na+ reabsorbed)
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15
Q

What is a fever defined as and what are its implications?

A
  • fever: “controlled” increase in body temp
  • implications: set point increases as body temp is doing what hypothalamus directs it to do
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16
Q

How is a fever generated and what physiological processes result in the “stages” of a fever?

A
  • fever production: pathogen secretes endotoxins and immune cells activated by pathogen release cytokines, both of which activate > prostaglandin E2 > (via EP3 receptor?) > increases hypothalamic set point for temp (T body < T set point)
  • shivers/chills: body subjectively reporting that is cold b/c T body is decreased below T set point, thus body is instructed to increase heat production (shivering/chills, gives individual feeling of being cold)
  • fever breaks: pathogen is gone and no longer producing endotoxins, thus the immune system is not activated > hypothalamic set point returns to normal (T body > T set point)
  • sweating/lethargy: body subjectively reporting that it is hot b/c T body is elevated above T set point, thus body is instructed to partake in heat loss behaviors (apathy, lethargy, sweating, anorexia)
17
Q

Compare fever and hyperthermia:

A
  • core temp is increased in both
  • set point is increased in fever, but normal in hyperthermia
  • active thermoregulatory response is heat production in fever and heat loss in hyperthermia
  • signs present: fever (pallor, shivering, behavioral changes a/w being cold), hyperthermia (flushed skin, sweating, behavioral changes a/w being hot)
  • subjective perception: fever (paitent will describe being cold), hyperthermia (patient describes being hot)
  • cause: fever (infectious agent producing inflammatory mediators acting in brain causing increased set point), hyperthermia (increased heat production/decreased ability to eliminate heat, aka dehydration)
18
Q

How is autonomic control of body temp regulated?

A
  • major hypothalamic nucleus: paraventricular nuclei
  • outflow occurs via dorsal longitudinal fasciculus (DLF)
  • outputs: PAG, parabrachial nucleus, mesencephalic raphe nucleus, locus ceruleus, dorsal motor nucleus of vagus, nucleus ambiguous, parasympathetic/sympathetic neurons in SC (bolded structures are how hypothalamus regulates autonomic response)
  • DLF also provides inputs from locus ceruleus, parabrachial nuclei, and PAG to the paraventricular nucleus
  • medial forebrain bundle: provides substantial inputs to hypothalamus, esp from nucleus tractus solitaries (visceral sensory), out flow is to same nuclei as DLF
  • mammillotegmental tract: smaller than DLF or MFB, mammillary bodies of hypothalamus to autonomic nuclei