the stomach has 3 layers of muscle, all moving in different directions that churn/squeeze the food
creates chyme by mixing bolus with gastric juices
chief cells
secrete pepsinogen (zymogen of pepsin), present in the stomach
Systemic blood system
oxygen-rich blood from the left ventricle is pumped all around the body, then returned to right atrium
carry oxygen-rich blood away from the heart to body tissue
the thick outer wall contains collagen for stretch and so it won’t rupture
contains elastin, elastic recoil helps move blood
the muscular wall allows it to transport blood at high pressures
autonomic nervous system regulates the lumen diameter using the smooth muscle
one cell thick for efficient exchange
has a diameter of 1 RBC for efficient exchange
connects the veins and arteries
has low blood pressure
exchanges nutrients and waste
has wide lumen to maximize blood flow
carries oxygen-poor blood to the heart
carries blood at a low pressure therefore walls are very thin and contain little muscle
located between skeletal muscle, relies on contraction for blood flow
AV node
the atrioventricular node, located in the septum, receives a signal from the SA node, then transmits a signal for the ventricles to contract with a 0.1 second delay
sends signals down the septum via a nerve bundle (Bundle of His)
The Bundle of His innervates nerve fibres (Purkinje fibres) in the ventricular wall, causing ventricular contraction
large vein going back into the heart
inferior vena cava = lower body
superior vena cava = upper body
demand to remove CO2 and intake O2, triggers the medulla to send a signal to the SA node through the cardiac nerve to increase heart rate
when CO2 levels go down, medulla sends a signal through the vagus nerve to decrease the heart rate
Pathogens
any living organism or virus that causes disease (eg. virus, bacteria, fungus, worm, protozoa)
Disease
condition that disturbs normal body functioning (interrupts homeostasis)
Illness
deterioration in the normal state of health of an organism
zoonotic pathogens
can cross species barrier
an increasing problem as contact between humans and animals increases via animal husbandry
eg. west nile virus, rabies
Species specific pathogens
can infect one species but not another
based on optimal body temperatures, presence of cell receptor molecules
eg. frogs cannot suffer from TB
eg. gonorrhea, polio, syphilis, measles
Primary defence: Skin
While the dermis is alive with sweat glands, sensory receptors, dermal cells, etc., the epidermis is mainly dead cells on the surface
since many pathogens enter living tissues, as long as dead epidermis is intact, it acts as a primary defence
Sebaceous glands in skin secrete lactic acid and fatty acids which makes the surface of the skin acidic and prevents growth of most pathogenic bacteria
Primary defence: Mucus
Entry points of the body (urethra trachea, nasal passage, vagina) are heavily lined with goblet cells —the mucus they secrete can trap pathogens
Cilia may also be present which “sweep” the pathogens out the body
Lysozomes may be present in mucus, their enzymes can kill bacterial pathogens
Haemostasis
sealing the hole in a blood vessel to keep pathogens out and prevent blood loss
Platelets
cell fragments produced by bone marrow
have no nucleus
live for 8-10 days
undergo a structural change when activated to form a sticky plug at the damaged region
Coagulation cascade
Clotting factors are released by platelets when a blood vessel is damaged
they also initiate localised vasoconstriction to reduce blood flow through the damaged region
they trigger the conversion of inactive zymogen prothrombin to activated enzyme thrombin
thrombin then catalyzes the conversion of soluble plasma protein fibrinogen into insoluble fibrous form fibrin
fibrin forms a mesh of fibres around the platelet plugs and traps RBCs to form a temporary clot
Coronary Thrombosis
Formation of a blood clot within coronary arteries
occlusion of a coronary artery by a blood clot may lead to an acute myocardial infarction
Atherosclerosis
Blood clots form in arteries when vessels are damaged as a result of the deposition of cholesterol
Stenosis - The diameter of the lumen is reduced by atheromas the increased pressure results in fibrous scar tissue forming in damaged areas
atherosclerotic plaque forms as smooth lining degrades
if the plaque ruptures, blood clotting forms a thrombus that restricts blood flow —forms an embolus if it is dislodged
Leukocytes
White blood cells, includes phagocytes and lymphocytes
Phagocytes role in the immune system
Ingestion of pathogens by macrophages gives non-specific immunity to disease (part of the innate immune system)
They do not differentiate between different types of pathogens
They are also non-adaptive; they respond to an infection the same way every time
Mechanism of phagocyte’s ingestion of pathogens
Macrophages circulate in blood and move into body tissue (extravasation) in response to infection (damaged tissues release chemical signals to draw in white blood cells via chemotaxis)
They recognize that a pathogen is “not-self” based on protein molecules on its surface (generally glycoproteins)
Use phagocytosis to ingest pathogens —pseudopodia extend from the cell membrane and surround the pathogen, eventually fusing to form an internal vesicle
This vesicle fuses to a lysosome to form a phagolysosome which contains enzymes to digest the pathogen
Pathogen fragments (antigens) may then be presented on the surface of a macrophage to form a dendritic cell and stimulate the third line of defence.
Mechanism of inflammation
tissue damage signals leukocytes called mast cells (localised) and Basophils (circulating) to release histamine
histamine is recognized by some cells and causes local vasodilation which increases capillary permeability to improve the recruitment of leukocytes to the region
this also causes increased blood flow (redness/heat) and release of fluids (swelling/tenderness)
Antibodies definition and structure
specific protein molecules that are produced in response to a pathogen’s specific antigen
Y shaped, four polypeptides with disulphide bonds between them
antigen binds to a variable region specific to it
constant region serves as a recognition site for the rest of the immune system
Antibodies functions
recognizes and attaches to foreign antigen proteins on non-self cells
Precipitation: Makes soluble antigens insoluble to aid elimination
Agglutination: links cell-bound antigens together, causes clumping, restricting mobility
Neutralisation: Masks dangerous parts of pathogens (eg. exotoxins)
Inflammation: Triggers histamine release, increases immune mobility
Complement: complement proteins perforate cell membrane, can lead to cell lysis
all of these functions aid in destroying pathogens, or enhancing immune system to aid phagocytic leukocyte’s recognition of pathogens
Adaptive immune system description
3rd line of defence, differentiates between particular pathogens and targets response specific to the pathogen
Immunological memory: The adaptive immune system can respond rapidly upon re-exposure to a specific pathogen
Explain the process of forming immunological memory
Dendritic cells present antigen fragments on their surface, they migrate to the lymph nodes and activate specific helper T lymphocytes by binding to them
The TH cells then release cytokines to activate the B cell capable of producing antibodies for the antigen
Some of the T cells will then from memory T cell’s (important upon re-exposure)
Clonal selection: triggered by the cytokine, the specific B cell will then divide and form clones
Some of these clones will form mature but short lived plasma cells, which are capable of producing large volumes of the antibody
others will form memory B cells which will be able to swiftly produce antibodies upon reexposure (allows for immunity)
Polyclonal activation
often pathogens contain multiple distinct antigenic fragments, so a single pathogen is likely to activate many different T and B cells to produce a variety of antibodies
Mechanism of vaccines
Contain an attenuated version of a pathogen with a recognizable antigen that will stimulate an immune response (initiate a primary immune response), but not cause the disease
Memory cells are produced, creating long-term immunity
Length of time someone is immune after an injection depends on the lifespan of memory cells
Significance of smallpox in vaccination efficacy
first disease of humans eradicated (disease stops circulating worldwide) via vaccination
last case was in 1977
Possible because: easily identifiable; direct transmission without animal vectors; short infection period; virus did not mutate; population was cooperative
Antibiotics function
only blocks processes in prokaryotes (only works for bacterial pathogens, not viruses, and doesn’t affect eukaryotes)
each antibiotic is specific to the pathogen it attacls
they block processes such as protein/cell wall/nucleic acid synthesis, metabolism, and cell membrane integrity
Penicillin
First chemical compound found to have antibiotic properties, identified by Alexander Fleming (1928)
Discovered by unintendingly contaminating a dish with s. aureus,
penicillin mould growth caused a halo of inhibited bacterial growth around the mould
Florey and chain experiment
discovered medical applications of penicillin
eight mice injected with pathogenic bacteria, four treated with penicillin survived
HIV
human immunodeficiency virus —retrovirus that infects TH lymphocytes, results in a loss of antibody production.
following infection, the virus undergoes a period of inactivity (clinical latency) during which TH cells reproduce
once the virus becomes active again, it spreads, destroys T lymphocytes in the process (lysogenic cycle)
Body then becomes susceptible to opportunistic infections -AIDS
AIDs
Acquired immuno-Deficiency syndrome, a result of HIV
It describes the inability to produce antibodies some period after an HIV infection
There is currently no treatment for AIDs (however PrEP is an effective preventative treatment for HIV)
Allergic reactions
mast cells release histamines that cause inflammation to improve immune response
allergens are antigens that produce an abnormal immune response fighting a perceived threat
the abnormal inflammation results in sympmtons in nose/throat and rashes
Monoclonal antibodies description
antibodies artificially derived from a single B cell clone (ie. identical specific antibodies)
an animal (usually a mouse) is injected with an antigen and produces antigen-specific plasma cells
Plasma cells are removed and fused with tumour cells (myeloma cells) capable of endless divisions
results in a hybridoma cell which is capable of synthesizing large quantities of monoclonal antibody
Therapeutic treatments with monoclonal antibodies
injecting purified antibodies is an effective emergency treatment for rabies
can be used to target cancer cells that the body’s own immune system fails to recognize as harmful
Diagnostic uses of monoclonal antibodies
used in pregnancy tests —tests for the presence of hCG in urine
hCG is a hormone produced by women during fetal development
uses the enzyme ELISA to identify the substance via a colour change
3 processes of respiration
external respiration (including ventilation): exchange of gasses b/n air and blood (via alveoli)
Internal respiration: exchange of gasses b/n blood and cells
cellular respiration: formation of ATP molecules (using O2 and producing CO2)
Ventilation and concentration gradients in alveoli
process by which the body maintains a concentration gradient in alveoli to facilitate passive respiration
flow of O2 into alveoli and removal of CO2
O2 levels must be higher in alveoli so they diffuse into blood
CO2 levels must be lower in the alveoli so CO2 diffuses out of the blood into alveoli
lungs function as a ventilation system by continually cycling fresh air into the alveoli
Pneumocytes
alveolar cells, line the alveoli and comprise of the majority of the inner surface of the lungs
divided into type 1 and type 2 pneumocytes
Type 1 pneumocytes
squamous (flat) and very thin to maximize diffusion
involved in gas exchange between blood and capillaries
connected by occluding junctions to prevent leakage of tissue fluid into alveolar air space
amitotic, but type 2 can differentiate into type 1
cover around 95% of the alveolar surface
Type 2 pneumocytes
responsible for the secretion of pulmonary surfactant, which reduces the surface tension in alveoli
cuboidal shape and contain many granules for storing surfactant components
Pulmonary surfactant
secreted by type two pneumocytes
manipulates surface tension (can spread out across moist lining to increase surface tension and slow rate of expansion) so all alveoli inflate at roughly the same rate
Alveolar fluid
lines the inside of alveoli
moist surface is conductive to gas exchange (easier for O2 to dissolve across membranes when dissolved in liquid)
however, it creates a tendency for the alveoli to collapse and resist inflation (which is counteracted by pulmonary surfactant)
Relationship between pressure and volume in relation to ventilation (think thoracic cavity)
contraction of respiratory muscles changes the volume of the thoracic cavity
Boyle’s law P proportional to 1/V
gasses will move from an area of high P to low P
Inspiration: When P in thoracic cavity < atmosphere, air moves into lungs
Expiration: When P in thoracic cavity > atmosphere, air moves out the lungs
Respiratory muscles for inspiration
Diaphragm contracts, causing it to flatten
External intercostals contract, pulling rips up and out
Respiratory muscles for exhalation
diaphragm relaxes causing it to curve upwards
internal intercostals contract, pulling ribs in and down
abdominal muscles contract, push diaphragm upwards during forced expiration
Lung cancer causes and symptoms
since lungs are very vascular, there is an increased probability of metastasis, so most common cause of cancer related deaths
Risk factors: radiation; aging; pollution; environment; diseases; genetics; occupation; asbestos; tobacco; smoke
Symptoms: coughing blood; wheezing; respiratory distress; weight loss; chest pain; difficulty swallowing; heart complications
Emphysema causes and symptoms
chemical irritants (eg. cigarettes) damage cells of alveolar walls, causing them to lose their elasticity
phagocytes release elastase at damaged region, breaking down elastic fibres
sometimes caused by a gene mutation
symptoms: short breath; phlegm; expansion of ribcage; cyanosis, increased susceptibility to chest infections
Dendrites
short branched fibres from the soma that receive chemical information from other neurons or receptor cells and convert it into electrical signals
Axon
elongated fibre to transmit electrical signals to terminal branches to be passed on
Myelin sheath
in some neurons, the axon is surrounded by a fatty white layer made of glial cells (oligodendrocytes in CNS and Schwann cells in the PNS)
improves conduction speed of electrical impulses via saltatory conduction
However, myelination takes up significant space within a closed environment
Saltatory conduction
propagation of action potentials along myelinated axons, from one node of Ranvier to the next
increases conduction velocity of action potentials by up to 100x
Resting potential
difference in charge across the membrane when a neuron is not firing (-70 mV)
neurons pump sodium and potassium ions across their membranes to generate a resting potential
more negative inside the neuron than outside
maintained by the sodium-potassium pump
Sodium potassium pump
maintains the resting potential by expelling sodium ions and admitting potassium ions through the hydrolysis of ATP
3 Na+ ions our for every 2K+ in
some K+ ions also leak back out of the cell
This imbalance and the presence on negative ions (eg. chloride ions) and negatively charged proteins in the neuron maintains a negative interior environment
Creates an electrochemical gradient
Action potential
rapide changes in charge across the membrane that occur when a neuron is firing
caused by depolarisation and repolarisation
allows the axon to propagate an electrical impulse along its length
Depolarisation
sudden change in membrane potential from a negative to positive internal charge
in response to a signal at the dendrite, sodium channels on axon membrane open, causing a passive influx of sodium ions due to concentration/electrochemical gradient
results in a membrane potential of +30mV
Repolarisation
restoration of the membrane potential following depolarisation (restoring negative internal charge)
potassium channels open following the sodium ion influx (triggered by a change in voltage), causing a passive potassium efflux
causes voltage to reach -80 mV
Refractory period
period of time following a nerve impulse before a neuron is able to fire again
sodium-potassium pump actively transports sodium ions out and potassium ions in to restore the resting potential of -70mV
Threshold potential
minimum stimulus to open voltage-gated channels; combined stimulus from dendrites must exceed minimum level of depolarisation
an action potential of the same magnitude will always occur no matter the magnitude of the stimulus provided the threshold potential is reached
self-propagation of nerve impulses
action potentials that move along that length of the axon act as a self-propagating wave of depolarisation
the ion channels that occupy the length of the axon are voltage-gated (open in response to changes in membrane potential)
hence depolarisation in one point of the axon triggers the opening of ion channels in the next segment
Synapses
gaps that separate neurons and other neurons/receptors/effector cells
electrical signals are converted to chemical signals to transmit a message across the synapse
Description of process of synaptic signal transfer
Action potential arrives at the axon terminal of the pre-synaptic neuron
depolarisation causes voltage-gated channels to open, Ca2+ ion rushes in and signals to synaptic vesicles to move and fuse to the membrane
neurotransmitters are released by exocytosis and diffuse across the synaptic gap
specific neurotransmitters bind to specific receptors on the post-synaptic neuron
sodium channels on the post-synaptic neuron open, causing a sodium ion influx and depolarisation
action potential is initiated, leads to propagation of nerve impulse if above threshold potential
enzymes in synaptic gap break down neurotransmitters and the products are reuptaken by pre-synaptic neuron by active transport
neurotransmitters
chemical messengers released from neurons
bind to receptors on post-synaptic neuron to trigger (excitatory) or prevent (inhibitory) response
acetylcholine functions and structure
used by both CNS and PNS, commonly released at neuromuscular junctions to trigger muscular contractions and also commonly released by autonomic nervous system to promote parasympathetic response (rest and digest)
created in the axon terminal by combining choline with an acetyl group and stored in a vesicle
binds to either a nicotinic muscarinic receptor on post-synaptic neuron
must be continually removed from the synaptic cleft bc overstimulation leads to fatal convulsions and paralysis
broken down by acetylcholinesterase (AChE) which is either released into synapse or embedded in the membrane of post-synaptic neuron
liberated choline can reform acetylcholine when returned to pre-synaptic neuron
Neonicotinoid pesticides
irreversibly bind to nicotinic acetylcholine receptors to trigger a sustained response
AChEs cannot break them down, so they lead to fatal convulsions and paralysis
insects have more acetylcholine receptors which bind to neonicotinoids more strongly so they are more toxic to insects than mammals
linked to reduced honey bee populations and bird populations (since insects are their food source)
has been restricted in some countries
endocrine system
collection of glands that produce hormones that regulate homeostasis and essential life processes
Secretion of thyroxin and target cells
secreted by the thyroid in response to signals initially from the hypothalamus when thyroxin levels or temperature levels are low
hypothalamus stimulates thyroxin release at low temperatures and inhibits it at high temperatures
requires iodine from the diet, if iodine levels are too low, the thyroid cannot complete the synthesis of thyroxin, so will store intermediary molecule which forms goiter
targets all cells
Functions of thyroxin
regulates metabolic activity (eg. rate of cellular respiration) and body temperature
increases basal metabolic rate (amount of E used by body at rest) by stimulating carb and lipid metabolism via oxidation of glucose and fatty acids
heat is a consequence of increased metabolism, so thyroxin is released in response to decreased body temperature
Secretion of leptin and target cells
secreted by adipose (fat tissue) and targets hypothalamus cells
Functions of leptin
regulates appetite and metabolic activity, as well as fat stores
binds to receptors in the hypothalamus to inhibit appetite
overeating causes more adipose cells to from, hence more leptin is produced; inverse with starvation
Uses of leptin therepeutically
cured obesity in a group of mice that genetically could not produce leptin
not applicable to humans, however, because most people do produce leptin, but are just desensitized to it and leptin resistance develops with age
Secretion of melatonin and target cells
secreted by pineal glands in response to signalling from cells in the SCN (suprachiasmatic nucleus) in the hypothalamus when blue wavelengths are removed
target cells, many cells of the body and brain