Unit 6 - Human Physiology

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Last updated 6:35 AM on 5/20/26
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141 Terms

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Alimentary Canal

Organs through which food passes:

  • Oesophagus

  • Stomach

  • Small & large intestine

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Oesophagus/Esophagus

  • A hollow tube connecting the oral cavity to the stomach and is separated from the trachea by the epiglottis.

  • In it, food is mixed with saliva and moved in a bolus via peristalsis.

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Stomach

  • Temporary storage tank where food is mixed by churning and protein digestion begins.

  • Lined with gastric pits w/ digestive juices —> pH~2

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Small Intestine

A long, highly folded tube where usable food substances (nutrients) are absorbed.

Sections: Duodenum (first segment with digestive juices from gall bladder and pancreas), jejunum (digestive process mostly completed), ileum (highly folded + bile absorbed and returned to liver via vessels).

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Structure of Small Intestine

  • Serosa: Protective outer covering composed of cells reinforced by fibrous connective tissue.

  • Muscle layer: Outer layer of longitudinal muscle (peristalsis) and inner layer of circular muscle (segmentation)

  • Submucosa: Composed of connective tissue separating the muscle layer from the innermost mucosa.

  • Mucosa: Highly folded inner layer which absorbs materials through its surface epithelium from intestinal lumen.

<ul><li><p>Serosa: Protective outer covering composed of cells reinforced by fibrous connective tissue.</p></li><li><p>Muscle layer: Outer layer of longitudinal muscle (peristalsis) and inner layer of circular muscle (segmentation)</p></li><li><p>Submucosa: Composed of connective tissue separating the muscle layer from the innermost mucosa.</p></li><li><p>Mucosa: Highly folded inner layer which absorbs materials through its surface epithelium from intestinal lumen.</p></li></ul>
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Villi

  • Finger-like projections from the folding of the inner epithelial lining of the intestine. → Protrude into the intestinal lumen = Increase SA for material absorption.

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Features of Villi (6)

  • Microvilli: Ruffling of epithelial membrane = increases SA

  • Rich blood supply: Dense capillary network rapidly transports absorbed products.

  • Single layer epithelium: Minimises diffusion distance between lumen and blood.

  • Lacteals: Absorbs lipids from intestine into lymphatic system.

  • Intestinal glands: Exocrine pits (crypts of Liberkuhn) release digestive juices.

  • Membrane proteins: Facilitates transport of digested materials into epithelial cells.

<ul><li><p>Microvilli: Ruffling of epithelial membrane = increases SA</p></li><li><p>Rich blood supply: Dense capillary network rapidly transports absorbed products. </p></li><li><p>Single layer epithelium: Minimises diffusion distance between lumen and blood. </p></li><li><p>Lacteals: Absorbs lipids from intestine into lymphatic system. </p></li><li><p>Intestinal glands: Exocrine pits (crypts of Liberkuhn) release digestive juices. </p></li><li><p>Membrane proteins: Facilitates transport of digested materials into epithelial cells. </p></li></ul>
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Structure of Villus Epithelium (5)

  • Tight Junctions: Occluding associations between plasma membrane of adjacent cells = impermeable barrier ( maintain concentration gradient).

  • Microvilli: Microvilli increase surface area of plasma membrane = more absorption

  • Membrane w/ digestive enzymes + channel proteins

  • Mitochondria: Epithelial cells have mitochondria = active transport.

  • Pinocytotic Vesicles: Uptake of fluids + dissolved solutes through ingestion (break down of membrane = vesicle)

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Large Intestine

Final section of alimentary canal where water and dissolved minerals are absorbed.

  • Appendix + Ascending colon, transverse colon, descending colon, sigmoidal colon + rectum

<p>Final section of alimentary canal where water and dissolved minerals are absorbed.</p><ul><li><p>Appendix + Ascending colon, transverse colon, descending colon, sigmoidal colon + rectum</p></li></ul>
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Accessory Organs

Aid in digestion but DO NOT TRANSFER food

  • Salivary glands, pancreas, liver, gall bladder.

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Salivary Glands

Release saliva to moisten food and contains enzymes to initiate starch breakdown.

  • Include: Parotid gland, submandibular gland, and sublingual gland.

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Pancreas

  • Produces broad spectrum of enzymes that are released into the small intestine via the duodenum.

  • Produces and secretes hormones like insulin and glucagon to regulate blood sugar concentrations.

Insulin: Lowers blood glucose levels by increasing glycogen synthesis + storage of glucose in liver & adipose tissues.

Glucagon: Increases blood glucose by limiting synthesis+storage.

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Liver

Take the raw materials absorbed by the small intestine and uses them to make key chemicals.

Role: Detoxification, storage, metabolism, bile production and haemoglobin breakdown.

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Gall Bladder

Stores the bile produced by the liver → Bile salts are used to emulsify fats.

  • Releases bile into the small intestine via the bile duct.

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Drawing Digestive System

  • Stomach is a ‘J’-shaped bag and be connected to the oesophagus and small intestine

  • Liver should look like a right-angled triangle and be superimposed to the left of the stomach (right side of the human)

  • Bile duct (connected to gall bladder) and pancreatic duct should both feed into a U-shaped bend of the small intestine

  • Small intestine should be thinner in width than the large intestine

<ul><li><p><span style="font-family: Arial">Stomach is a ‘J’-shaped bag and be connected to the oesophagus and small intestine</span></p></li><li><p><span style="font-family: Arial">Liver should look like a right-angled triangle and be superimposed to the left of the stomach (right side of the human)</span></p></li><li><p><span style="font-family: Arial">Bile duct (connected to gall bladder) and pancreatic duct should both feed into a U-shaped bend of the small intestine</span></p></li><li><p><span style="font-family: Arial">Small intestine should be thinner in width than the large intestine</span></p></li></ul>
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Mechanical Digestion

Food is physically broken down into smaller fragments.

Chewing (Mouth):

  • Mastication —> Grinding action of teeth

  • Tongue pushes bolus towards back of throat to esophagus.

  • Epiglottis prevents bolus from entering the trachea, and uvula prevents bolus from entering nasal cavity.

Churning (Stomach):

  • Stomach lined with muscles = physically squeeze+mix the food

  • Turned into chyme —> Enters small intestine where absorption occurs.

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Movement of Food

Peristalsis

  • Peristalsis is the principal mechanism of movement in the oesophagus (but also stomach + gut)

  • Continuous segments of longitudinal smooth muscle rhythmically contract and relax = Food is moved unidirectionally along the alimentary canal (mouth to anus)

Segmentation

  • Segmentation involves the contraction and relaxation of non-adjacent segments of circular smooth muscle in the intestines = bi-directional chyme movement (mixing w/ digestive juices)

  • Can slow overall movement.

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Chemical Digestion: Stomach Acids

  • Stomach contains low pH environment → Contains gastric glands = digestive acids.

  • Acidic environment = denature proteins + macromolecules = aid digestion.

  • Stomach epithelium contains mucous membrane = prevents acids from damaging the gastric lining.

  • Pancreas releases alkaline compounds → Neutralize acids as they enter intestine.

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Bile

  • Liver produces bile that is concentrated within the gall bladder —> Released into intestine.

  • Bile contains bile salts = emulsifies fat globules into smaller droplets.

  • This emulsification = increase SA available for enzymatic activity.

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Lipase vs. Bile

Lipase can only bind to lipid globules at their outer extremity (therefore, digestion of lipids IS SLOW)

However, bile have both hydrophobic + hydrophilic SURFACES.

  • Hydrophobic end = interact with lipids

  • Hydrophilic ends = prevents lipids from coalescing.

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Enzymes

  • Carbohydrate: Amylase (salivary glands), enzymes for disaccharide hydrolysis immobilized on epithelial lining (small intestine), no enzyme capable of digesting cellulose.

  • Proteins: Release of proteases (~2 pH) in acidic pH of stomach; endopeptidases (small intestine) breaks down smaller polypeptide chains (pH~7).

  • Lipids: Occurs in intestines (emulsification of fat globules) → Digested by lipases from pancreas.

  • Nucleic Acids: Nucleases in pancreas.

<ul><li><p>Carbohydrate: Amylase (salivary glands), enzymes for disaccharide hydrolysis immobilized on epithelial lining (small intestine), no enzyme capable of digesting cellulose. </p></li><li><p>Proteins: Release of proteases (~2 pH) in acidic pH of stomach; endopeptidases (small intestine) breaks down smaller polypeptide chains (pH~7). </p></li><li><p>Lipids: Occurs in intestines (emulsification of fat globules) → Digested by lipases from pancreas. </p></li><li><p>Nucleic Acids: Nucleases in pancreas. </p></li></ul>
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Starch Digestion

  • Amylase digests amylose into maltose subunits and amylopectin into chains called dextrin.

  • Maltase on epithelial lining breaks these down into glucose monomers.

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Membrane Transport Mechanisms: Secondary Active Transport

  • A transport protein couples the active translocation of one molecule to the passive movement of another (co-transport)

  • Glucose + amino acids are co-transported across the epithelial membrane by the active translocation of Na+

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Membrane Transport Mechanisms: Facilitated Diffusion

  • Channel proteins help hydrophilic food molecules pass through plasma membrane.

  • Channel proteins are often situated near specific membrane-bound enzymes = localised concentration gradient.

  • Certain monosaccharides (e.g. fructose), vitamins and some minerals are transported by facilitated diffusion

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Membrane Transport Mechanisms: Osmosis

  • Response to movement of ions & hydrophilic monomers (solutes) through liquids (water).

  • Small + large intestines.

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Membrane Transport Mechanisms: Simple Diffusion

  • Hydrophobic materials move through hydrophobic portion of plasma membrane.

  • Lipids pass through lacteals.

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Membrane Transport Mechanisms: Endocytosis

  • In intestines → Vesicles form around fluid via pinocytosis = materials ingested in en masse.

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Circulation

Two distinct locations for blood transport

  • The left side of the heart pumps oxygenated blood around the body (systemic circulation) ==> Has a thicker myocardium (muscular wall) to pump blood further.

  • The right side of the heart pumps deoxygenated blood to the lungs (pulmonary circulation)

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William Harvey’s Findings

Antiquated beliefs:

  • Arteries and veins are separate blood networks where veins pump natural blood (liver) and arteries pump heat (produced by heart).

Harvey’s findings:

  • Arteries and veins were part of interconnected network

  • Arteries pumped blood from heart.

  • Veins returned blood from heart.

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Arteries

Function: convey blood at a high pressure FROM heart ventricles to tissues in the body + lungs.

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Structure of Arteries

Order: Outside to inside

  • Thick wall with outer layer of collagen to prevent rupturing from high pressure.

  • Arterial walls contain thick layer of inner muscle + elastic fibres to maintain pulse flow.

  • Endothelium: Thin membrane

  • Narrow lumen = maintain high blood pressure

<p>Order: Outside to inside</p><ul><li><p>Thick wall with outer layer of collagen to prevent rupturing from high pressure. </p></li><li><p>Arterial walls contain thick layer of inner muscle + elastic fibres to maintain pulse flow.</p></li><li><p>Endothelium: Thin membrane</p></li><li><p>Narrow lumen = maintain high blood pressure</p></li></ul>
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Flow of Blood

Blood flows via pulses.

Muscle fibres:

  • Rigid arterial wall = withstand pressure.

  • Muscles can contract to narrow lumen = increase pressure between pumps as to maintain blood pressure.

Elastic fibres:

  • Allows arterial walls to stretch + expand in response to flow of pulse.

  • Pressure exerted on arterial wall = elastic recoil = push blood forward.

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Capillaries

Exchange materials between tissues + blood travelling at a low pressure.

Arteries split —> Arterioles split —> Capillaries: Decreasing arterial pressure while total vessel volume increases.

  • Ensures every cell has a blood source.

Pool into venules which collate into larger veins when material exchange occurs.

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Structures of Capillaries

  • Small diameter (~ 5 µm wide) which allows passage of only a single red blood cell at a time (optimal exchange)

  • Single layer of cells in capillary walls to minimise the diffusion distance.

  • Surrounded by a basement membrane which is permeable to necessary materials.

Differences:

  • Limit permeability: Capillary wall is continuous (endothelial cells with tight junctions)

  • Specialized for absorption (e.g. intestines, kidneys): capillary wall is fenestrated (contains pores)

  • Permeable to large molecules (e.g. in liver): sinusoidal and have open spaces between cells.

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Flow of Blood in Capillaries

Blood flows through the capillaries slowly + low pressure = maximal material exchange

Higher hydrostatic pressure at the arteriole end = forces material from the bloodstream into the tissue fluid

  • Material that exits the capillaries at body tissues include oxygen and nutrients.

Lower hydrostatic pressure at the venule end = allows materials from the tissues to enter the bloodstream

  • Materials that enters the capillaries at body tissues include carbon dioxide and urea (wastes by cells)

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Veins

Function: Collect blood from tissues and convey at LOW pressure to atria of heart.

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Structures of Veins

From outside to inside

  • Thin outer layer

  • Thin layer containing less muscle and elastic fibres as blood is at a very low pressure (~ 5–10 mmHg)

  • Endothelium

  • Very wide lumen (relative to wall thickness) to maximise blood flow for more effective return

  • Because the pressure is low, veins possess valves to prevent backflow and stop the blood from pooling at the lowest extremities

<p>From outside to inside </p><ul><li><p>Thin outer layer</p></li><li><p><span style="font-family: Arial">Thin layer containing less muscle and elastic fibres as blood is at a very low pressure (~ 5–10 mmHg)</span></p></li><li><p><span style="font-family: Arial">Endothelium</span></p></li><li><p><span style="font-family: Arial">Very wide lumen (relative to wall thickness) to maximise blood flow for more effective return</span></p></li><li><p><span style="font-family: Arial">Because the pressure is low, veins possess valves to prevent backflow and stop the blood from pooling at the lowest extremities</span></p></li></ul>
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Flow of Blood in Veins

  • The veins contain one-way valves = maintain the circulation of blood by preventing backflow

  • Veins typically pass between skeletal muscle groups → Skeletal muscles contract = squeeze veins = cause blood to flow to site of compression.

  • Veins typically run parallel to arteries, and a similar effect can be caused by the rhythmic arterial bulge created by a pulse.

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Blood Vessel Comparisons

  • Veins have thin walls but typically have wider lumen. → they transport blood at low pressure.

  • Arteries have thick walls and narrow lumens because they transport blood at high pressure → Arterial wall has three distinct layers (tunica)

  • Capillaries have walls that are only a single cell thick because they exchange materials between blood and tissue

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Heart Structure: Chambers

  • Two atria (singular = atrium) – smaller chambers near top of heart that collect blood from body and lungs

  • Two ventricles – larger chambers near bottom of heart that pump blood to body and lungs

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Heart Structure: Heart Valves

  • Atrioventricular valves – bicuspid valve on left side ; tricuspid valve on right side

    • In middle of atria and ventricles

  • Semilunar valves – aortic valve on left side ; pulmonary valve on right side

    • In middle ventricles and arteries

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Heart Structure: Blood Vessels

  • Vena cava (inferior and superior): feeds into the right atrium and returns deoxygenated blood from the body.

  • Pulmonary artery connects to the right ventricle; deoxygenated blood to the lungs.

  • Pulmonary vein feeds into the left atrium = returns oxygenated blood from the lungs

  • Aorta extends from the left ventricle and sends oxygenated blood around the body.

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Heart Contraction

Contraction of heart is myogenic: signal for cardiac compression arises within heart by cardiomyocytes.

  • Controlled by sinoatrial nodes (SA Node) = primary pacemaker = controlling rate of heart beats (60-100 cardiac contractions/min).

SA node —> AV node (secondary pacemaker) —> Bundle of His (third pacemaker)

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Fibrillation

Interference of pacemaker = irregular/uncoordinated contraction of heart muscle.

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Defibrillation

When fibrillation occurs, normal sinus rhythm may be re-established with a controlled electrical current.

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Electrical Conduction of Heart Beat

  • The sinoatrial node=sends out an electrical impulse that stimulates contraction of the myocardium.

  • This impulse directly causes the atria to contract and stimulates atrioventricular node (AV node) between the atrium and ventricle

  • AV node sends signals down the septum via Bundle of His.

  • The Bundle of His innervates nerve fibres in the ventricular wall = contraction forcing blood up.

—> Delay between atrial + ventricular contractions = time to maximize blood flow (in ventricle)

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Nerve Signalling + Heart Rate

The pacemaker is under autonomic control from the brain → medulla oblongata (brain stem)

Two nerves connected to the medulla regulate heart rate:

  • The sympathetic nerve: releases the neurotransmitter noradrenaline=increase heart rate

    • Also stimulates adrenaline hormone from adrenal glands

  • The parasympathetic nerve (vagus nerve): releases the neurotransmitter acetylcholine=decrease heart rate

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Hormonal Signalling + Heart Rate

Hormones are chemical messengers released into the bloodstream that act specifically on distant target sites.

Heart rate can undergo a sustained increase in response to hormonal signalling in order to prepare for vigorous physical activity

  • Adrenaline (a.k.a. epinephrine) is released from the adrenal glands (located above the kidneys) → stimulate SA node = increases heart rate.

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Other factors affecting heart rate

  • Nerve signals= trigger rapid changes; endocrine signals=trigger more sustained changes

  • Changes to blood pressure levels or CO2 concentrations (and thereby blood pH → Picked up by sensors) will trigger changes in heart rate

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Cardiac Cycle: Atrial Systole

Chambers

  • Blood flows into atria + ventricle since pressure in them is lower.

  • When Ventricle ~70% full, atria CONTRACTS —> Force blood into ventricles.

Blood Flow

  • Blood flow from atrium to ventricle

Valves

  • AV Valve opens

  • Aortic valve closed

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Cardiac Cycle: Ventricular Systole

Chambers:

  • Atria relaxes

  • Ventricle contracts

Blood Flow

  • Ventricle to aorta

Valves

  • As ventricles contract, ventricular pressure > atrial pressure = AV valves close to prevent back flow.

  • With both sets of heart valves closed, pressure rapidly builds in the contracting ventricles (isovolumetric contraction)

  • When ventricular pressure exceeds blood pressure>aorta → Aortic valve opens + blood is released into the aorta

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Cardiac Cycle: Diastole

  • As blood exits the ventricle and travels down the aorta, ventricular pressure falls.

  • When ventricular pressure drops<aortic pressure → Aortic valve closes to prevent back flow.

  • When the ventricular pressure drops< atrial pressure—> AV valve opens and blood can flow from atria to ventricle

  • Throughout the cycle, aortic pressure remains quite high as muscle and elastic fibres in the artery wall maintain blood pressure.

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Phases of Cardiac Cycle

  1. Atrial contract —> Blood from atrium into ventricle

  2. Isovolumetric Contraction builds pressure in the ventricle → Since AV valve is closed.

  3. Ventricular Ejection occurs when ventricular pressure>aortic pressure —> Blood into aorta. Additionally, blood from RV can also go into pulmonary artery.

  4. Isovolumetric relaxation

  5. Atrial filling of blood

  6. Ventricular filling.

<ol><li><p>Atrial contract —&gt; Blood from atrium into ventricle</p></li><li><p>Isovolumetric Contraction builds pressure in the ventricle → Since AV valve is closed. </p></li><li><p>Ventricular Ejection occurs when ventricular pressure&gt;aortic pressure —&gt; Blood into aorta. Additionally, blood from RV can also go into pulmonary artery.</p></li><li><p>Isovolumetric relaxation</p></li><li><p>Atrial filling of blood</p></li><li><p>Ventricular filling. </p></li></ol>
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Consequences of Coronary Occlusion

  • Blood clots

  • Potential for coronary heart disease.

  • If a coronary artery becomes completely blocked, an acute myocardial infarction (heart attack) will result.

  • Myocardial tissue requires the oxygen and nutrients transported via the coronary arteries in order to function = Coronary occlusion prevents it.

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Physiological Respiration

  • Ventilation: The exchange of air between atmosphere and lungs —> Physical act of breathing.

  • Gas Exchange: The exchange of CO2 and O2 between alveoli + bloodstream (via passive diffusion).

  • Cell Respiration: Release of ATP from organic molecules.

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Purpose of Ventilation

Concentration gradient in alveoli to allow gas exchange to occur (passive process):

  • O2 constantly removed from alveoli into bloodstream + CO2 released.

Lungs=ventilation system

  • O2 levels stay high in alveoli (and diffuse into the blood)

  • CO2 levels stay low (and diffuse from the blood)

  • Lungs have large surface area = increase the overall rate of gas exchange

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Ventilation Changes (Physical Activity)

  • ATP production (via cellular respiration) produces carbon dioxide as a waste product (and may consume oxygen aerobically)=changes in blood CO2 levels

  • Changes in levels are detected by chemosensors in the walls of the arteries —> signals to the brainstem

  • As exercise intensity increases=increase demand for gas exchange= increase levels of ventilation.

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Tidal Volume

Increasing the volume of air taken in and out per breath allows for more air in the lungs to be exchanged.

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Ventilation Rate

Greater frequency of breaths allows for a more continuous exchange of gases.

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Respiration System

  • Air enters the respiratory system through the nose or mouth.

  • Passes through the pharynx —> trachea

  • Trachea —> until it divides into two bronchi which connect to the lungs

  • The right lung is composed of three lobes, while the left lung is only comprised of two (smaller due to position of heart)

  • Inside each lung, the bronchi divide into many smaller airways called bronchioles = Increase SA

  • Each bronchiole have alveoli, where gas exchange with the bloodstream occurs

<ul><li><p><span style="font-family: Arial">Air enters the respiratory system through the nose or mouth.</span></p></li><li><p><span style="font-family: Arial">Passes through the pharynx —&gt; </span><em><span style="font-family: Arial">trachea</span></em></p></li><li><p><span style="font-family: Arial">Trachea —&gt; until it divides into two </span><em><span style="font-family: Arial">bronchi</span></em><span style="font-family: Arial"> which connect to the lungs</span></p></li><li><p><span style="font-family: Arial">The right lung is composed of three lobes, while the left lung is only comprised of two (smaller due to position of heart)</span></p></li><li><p><span style="font-family: Arial">Inside each lung, the bronchi divide into many smaller airways called </span><em><span style="font-family: Arial">bronchioles</span></em><span style="font-family: Arial"> = Increase SA</span></p></li><li><p><span style="font-family: Arial">Each bronchiole have </span><em><span style="font-family: Arial">alveoli</span></em><span style="font-family: Arial">, where gas exchange with the bloodstream occurs</span></p></li></ul>
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Alveolus Structure (4)

Alveoli function as the site of gas exchange.

  • They have a very thin epithelial layer=minimise diffusion distances.

  • Rich capillary network=increase the capacity for gas exchange with the blood.

  • Roughly spherical=maximise the available SA for gas exchange

  • Internal surface covered in fluid = dissolved gases are better able to diffuse into the bloodstream

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Pneumocytes

Cells that line the alveoli and comprise of the majority of the inner surface of the lungs.

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Type I pneumocytes (4)

  • Type I pneumocytes are involved in the process of gas exchange between the alveoli and the capillaries

  • They are squamous: extremely thin (~ 0.15µm) —> minimising diffusion distance.

  • Connected by occluding junctions=prevents leakage of tissue fluid into the alveolar air space.

  • Type I pneumocytes are amitotic and unable to replicate.

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Type II pneumocytes (3)

  • Type II pneumocytes=the secretion of pulmonary surfactant, which reduces surface tension in the alveoli

  • They are cuboidal + possess many granules (for storing surfactant components)

  • Type II pneumocytes only comprise a fraction of the alveolar surface (~5%) but are relatively numerous.

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Pulmonary Surfactant

  1. While moist lining of alveoli = helps gas exchange, it also increases tendency to collapse —> Surface tension (elastic force): created by cohesion of liquid molecules.

  2. Pulmonary surfactant decreases surface tension.

  3. As alveoli expands (gas intake) = surfactant spreads = decrease surface tension + increase rate of expansion (in smaller alveolus) to ensure same rate of inflation.

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Breathing

Change of pressure within lungs by changing volume of thoracic cavity.

  • Pressure is inversely proportional to volume.

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Mechanisms of Breathing: Volume increased

  • Lung pressure drops below atmospheric pressure.

  • Air move into lungs to equalize pressure —> Inspiration.

  • Diaphragm contracts —> Expand lungs = increase chest volume.

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Mechanisms of Breathing: Volume decreases

  • Lung pressure rises above atmospheric pressures.

  • Air move out of lungs → Expiration

  • Diaphragm relaxes → Presses on lungs (smaller) = decrease chest volume.

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Inhalation

  • Diaphragm contract = increase thoracic cavity volume

  • External intercostals (muslce between ribs) contract = ribs expand up and forward.

  • Additional muscle groups: sternocleidomastoid, pectoralis minor.

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Exhalation

  • Diaphragm relax = curves up = decreases volume of thoracic cavity.

  • Internal intercostal muscles contract = ribs down and in.

  • Abdominal muscles contract= forced exhalation.

  • Elastic recoil of lungs = forces air OUT of lungs during expiration.

  • Additional muscles pull ribs down = quadratas lumborum.

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Lung Disorder: Emphysema

Walls of alveoli loses elasticity due to damage.

  • Leads to abnormal enlargement of alveoli and decreased SA for gas exchange.

  • Degradation of walls = holes = alveoli merge into pulmonary bullae.

Consequences: increased susceptibility of chest infections, cyanosis, shortness of breath, etc.

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How smoking causes emphysema

  • Chemical irritants in cigarettes = damage alveolar walls.

  • Damage to lung tissue = recruit phagocytes that produces elastase.

  • Elastase breaks down elastic fibres in alveolar wall.

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Lung Cancer

Uncontrolled proliferation of lung cells.

  • The lungs are vital to normal body function and thus the abrogation of their normal function is particularly detrimental to health

  • The lungs possess a very rich blood supply, increasing the likelihood of the cancer spreading (metastasis) to other body regions

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Spirometry

Spirometry involves measuring the amount (volume) and / or speed (flow) at which air can be inhaled or exhaled —> Detects changes in ventilation.

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Neurons

Specialized cells that transmit electrical impulses within the nervous system → Detect + respond to stimuli.

  • Sensory neurons: transmit information from sensory receptors to CNS

  • Relay neurons: Transmit info within CNS as part of decision-making process.

  • Motor neurons: Transmit info from CNS to effectors → Initiate response

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Neuron Structure (Motor Neuron)

  • Dendrites: Short-branched fibres that convert chemical information into electrical signals.

  • Axons: Elongated fibre that transmits electrical signals to terminal regions for communication.

  • Soma: Cell body containing nucleus + organelles → Essential metabolic processes.

  • Axon terminals at the end of axons → Where synaptic transfer occurs.

Some neurons may have myelin sheath (phospholipids + proteins) = Improve conduction speed of electrical impulses along axon (action potential jumps between nodes of Ranvier).

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Myelin

  • Produced by glial cells → Schwann cells in peripheral nervous system and oligodendrocytes in central nervous system.

  • Increase speed of electrical transmissions via saltatory conduction → Action potentials “hop” between nodes.

  • Takes up space.

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Resting Potential

Difference in charge across membrane when neuron is not firing. → Inside of neuron is MORE NEGATIVE relative to outside (~-70 mV.)

Maintained by sodium-potassium pump (active process):

  • Na+ and K+ pump is transmembrane protein that exchanges these ions (antiport).

  • Expels 3 Na+ for every 2 K+ ions admitted. → Creates electrochemical gradient where cell interior is relatively negative compared to extracellular environment.

  • Requires hydrolysis of ATP.

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Action Potential Definition

Rapid changes in charge across membrane that occurs when a neuron IS firing.

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Action Potential: Depolarization

Sudden change in membrane potential from relatively negative to positive internal charge.

  • Sodium channels open within membrane of axon. Since Na+ ions are concentrated outside = opening of channels = passive INFLUX of sodium.

  • Influx = Positive membrane potential (+30 mV).

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Action Potential: Repolarization

Restoration of membrane potential following depolarization.

  • Potassium channels open within membrane of axon.

  • K+ ions are more concentrated inside neuron = Passive EFFLUX of K+

  • Efflux = membrane potential becomes more negative (~-80 mV).

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Refractory Period

The period of time following nerve impulse before neuron can fire again. Need to restore concentration gradient (since ionic distribution is largely reversed).

  • Requires antiport action of sodium-potassium pump to ensure that more Na+ is outside, and K+ is inside neuron.

  • Inside ~-70 mV again

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Nerve Impulses

Action potentials that move along the length of axon as wave of depolarization.
+ Depolarization occurs when change in internal membrane charge reaches ~-55 mV

+ Ion channels that occupy length of axon are VOLTAGE-GATED → So depolarization at one point = opening of ion channels at next segmenet = unidirectional wave along axon length.

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Oscilloscope Traces

Oscilloscopes are instruments that measure membrane potential across a neuronal membrane. Data displayed in time (milliseconds) on X axis and membrane potential (mV) in Y axis.

  • Resting potential ~-70 mV

  • Depolarization: +30 mV

  • Repolarization: -80 mV

  • Refractory: Returns to level of resting potential

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Synaptic Transfer

Chemical transfer across synapses.

  1. When action potential reaches the axon terminal of presynaptic neuron, it triggers the opening of voltage-gated calcium channels.

  2. Ca2+ diffuse into the cell → Bind to vesicles containing neurotransmitters → Causes exocytosis.

  3. Neurotransmitters are released into synaptic cleft.

  4. Neurotransmitters bind to receptors on post-synaptic membrane (connected to ligand-gated ion channels).

  5. Causes channels to open = generates electrical impulse in post-synaptic neuron.

  6. Neurotransmitters can be recycled (reuptake pumps) or degraded (enzymes in cleft).

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Neurotransmitters

  • Chemical messengers released from neurons to transfer signals across the synaptic clef.

  • Can be excitatory (Excitatory post-synaptic potentials [EPSPs]) or inhibitory (IPSPs) to a response.

Response to different cell types -

Neuron: Stimulation/inhibition of electrical signal.

Glandular cell: Stimulation/inhibition of secretion (exocrine/endocrine)

Muscular Fibre: Stimulation/inhibition of muscular contraction/relaxation

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Exocrine System

Includes glands that secrete substances into a ductal system to an epithelial surface

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Endocrine System

Secrete products (i.e. hormones) directly into bloodstream.

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Acetylcholine

  • Commonly released at neuromuscular junctions and binds to receptors on muscle fibres to trigger muscular contractions.

  • Released in autonomic nervous system to promote parasympathetic responses (i.e. rest + digest)

Activates a post-synaptic cell by binding to either classes of specific receptor → Nicotinic or muscarinic.

  • Need to be continually removed from synapse since overstimulation = fatal convulsions and paralysis.

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Acetylcholinesterase (AChE)

Synaptic enzyme that breaks down acetylcholine into acetyl group + choline.

  • AChE either released into synapse from presynaptic neuron or is embedded on membrane of post-synaptic cell.

After, liberated choline returns to presynaptic neuron to be coupled with another acetate → Reform acetylcholine.

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Neonicotinoid Pesticides

Irreversibly bind to nicotinic acetylcholine receptors in pests.

  • Trigger a sustained response = causes insects to die since they have receptors that bind to neonicotinoids more strongly.

Neonicotinoid pesticides CANNOT be broken down by acetylcholinesterate.

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Graded Potential

Opening of channels on post-synaptic membrane= small changes in membrane potential (graded potential).

A nerve impulse is only initiated if a threshold potential is reached.

  • Excitatory neurotransmitters (e.g. noradrenaline) cause depolarisation by opening ligand-gated sodium or calcium channels

  • Inhibitory neurotransmitters (e.g. GABA) cause hyperpolarisation by opening ligand-gated potassium or chlorine channels

If depolarization > hyperpolarization + threshold is reached = neuron fire (vice versa.)

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Central Nervous System

Made up of brain + spinal cord

Contains relay neurons

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Peripheral Nervous System

Made of peripheral nerves that link CNS to body’s receptors + effectors

Contains sensory neurons + motor neurons.

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Stimulus-Response Model

  1. Receptors transform stimuli into electrical nerve impulses transmitted via neurons to CNS → Where decision-making occurs.

  2. When a response is selected, the signal from neurons is transmitted to effectors (organs that produce a response to stimulus).

  3. Response = resulting change in organism

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Reflex Actions

Reflex: Rapid and involuntary response to stimulus that triggers reflex arc.

  • Sensory information directly relayed to motor neurons within the spine = faster response without conscious thought.

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Insulin

Antagonistic hormone released from pancreas and acts (mostly) on liver.

  • When blood glucose level is high = insulin from Beta cells of pancreas = reduce bg concentration.

    • Stimulating glycogenesis in liver = increase glucose uptake by liver/adipose tissue.

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Glucagon

Antagonistic hormone released from pancreas and acts (mostly) on liver.

  • When blood glucose level low = glucagon from alpha cells of pancreas = increase level.

  • May involve glycogen breakdown in liver (Glycogenolysis) + increased glucose release by liver/adipose tissue.

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Diabetes mellitus

Metabolic disorder that results from prolonged high blood glucose.

  • Type I: Beta cells do not produce insulin = glucose not removed from bloodstream = treated by insulin shots.

  • Type II: Desensitization (down-regulation) of insulin receptors = glucose not removed = treated by lifestyle changes.

Causes: genetic disposition, diet (excess in fat, cholesterol, etc.)

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Thyroxin

Secreted by the thyroid gland = signals derived from hypothalamus = acts on nearly every tissue.

  • Partially composed of iodine (iodine deficiency = decreased thyroxin production).

  • Iodine deficiency = goiter.

Role: Increase basal metabolic rate by stimulating carbohydrate/lipid metabolism (oxidation).

  • Results in increased heat = thyroxine controls body temperature.