Essential Nutrients
Chemical substances found in foods used in the human body
cannot be synthesized in the body and do not have a replacement made in the body
so must be ingestred
6 Classes of nutrients
carbs
proteins
lipids
vitamins
minerals
water
Malnutrition
health condition caused by an imbalance or XS of nutrients in the diet
Caused by improper dietary intake or inadequate use of nutrients by the body due to a disease/condition
Method of determining energy content of food
Using calorimetry - Combustion
Food is combusted in calorimeter, heat given off measured
q=mcΔT
Comparison of energy content between carbs, lipids, and proteins
Protein: Lowest relative energy content; protein metabolism produces nitrogenous waste products which must be removed from cells
Carbs: Intermediate relative energy content; preferentially used as an energy source because it is easier to digest and transport
Lipids: Highest relative energy content; stores more energy per gram but harder to digest and transport
Essential amino acids
cannot be produced by the body, must be ingested
eg. methianine
Non-essential amino acids
can be produced in the body
eg. alanine
Conditionally non-essential amino acids
Can be produced but at lower rates than needed in certain conditions eg pregnancy or infancy
Meaning they can be essential
eg. glycine
PKU Causes
Phenylketonuria: genetic condition that results in the impaired metabolism of phenylalanine
autosomal recessive condition caused by a mutation which alters phenylalanine hydroxylase (PAH)
PKU Consequences
Phenylketonuria: PAH (phenylalanine hydroxylase) can no longer convert excess phenylalanine to tyrosine, instead it is converted to phenylpyruvate (aka phenylketone)
build up of phenylketone in blood and urine may lead to brain damage and mental delays
Protein deficiency malnutrition
shortage of one or more amino acids in diet will prevent the production of specific proteins
health affects vary depending on the shortage
Treatment of PKU
enforcing strict diet that restricts phenylalanine intake
low protein diet with supplemented medical formal with precise amino acid content
Essential fatty acids
polyunsaturated fatty acids necessary for health
cannot be synthesized by humans
consist of either omega-3 fatty acids or omega-6 fatty acids
found in fish, leafy vegetables, walnuts
eg. Alpha-linolenic acid (omega-3) and linoleic acid (omega-6)
Modified in the body to make lipid-based compounds
Deficiencies of alpha-linolenic acid and linoleic acid linked to…
impaired brain development (depression)
altered maintenance of cardiac tissue (abnormal heart function)
Lipoproteins
since fats and cholesterols are hydrophobic, they must be packaged with proteins to be transported
Vitamins
organic molecules with diverse and complex chemical structures
may be water-soluble or fat-soluble
Water-soluble vitamins
need to be constantly consumed since an excess is lost in urine
eg. B and C
Fat-soluble vitamins
can be stored within the body, eg. A, D, E, K
Production of ascorbic acid
although many organisms can produce ascorbic acid (vitamin C), humans cannot, so it is considered essential
Scurvy symptoms
anaemia
dental issues
hemmorhagin
skin bruising and discoloration
Vitamin D production
can be naturally synthesized in humans when a chemical precursor is exposed to UV
hence vitamin D deficiency is usually seen in individuals without access to sunlight
Vitamin D function
involved in the absorption of phosphorous and calcium by the body, which is essential to bone mineralization
Vitamin D deficiency
can lead to deformed bones (rickets, children) or softened bones (osteomalacia, adults)
Source = oily fish
Dietary minerals
chemical elements required as essential nutrients that must be consumed by organisms
Examples of minerals in human development
Fe/P/Mg are major components of hard sturctures (bones, teeth)
Na/K/Cl are components of body fluids
Fe/P/I are cofoactores for specific enzymes and components of proteins and hormones
Examples of minerals in plant development
Mg is an important component of chlorophyll
K helps stoma open/close, helps diffuse H2O into roots
Ca is used for plant root and shoot elongation
Release of dietary hormones can be triggered by… (3 things)
stretch receptors in the stomach and intestines during digestion
adipose tissue releasing hormones in response to fat storage
pancreas releasing hormones in response to changes in blood sugar concentrations
Clinical obesity
Describes a significant excess in body fat
caused by a combination of high energy intake and low energy expendature
Starvation
describes the severe restriction of daily energy intake, leading to significant loss of weight
may manifest in anorexia nervosa
Hypertension
abnormally high blood pressure, which can lead to heart disease
common in overweight individuals; excess weigh buts more strain on the heart
high dietary cholesterol also increases blood pressure, and puts stress on the heart
Myocardial atrophy in anorexia
in severe anorexia, the body begins to break down heart muscle, making heart disease the most common cause of death
the heart tissue can starve and lose volume
can also cause dangerous arrythmias
RDI
Recommended daily intake
Daily dietary level needed to meet requirements of health
An estimation that varies according to age, gender, activity, medical conditions
Based on a daily energy intake of 8400 kJ for healthy adults
presented on food packages as a percentage of a daily total
Dietary intake can be compared to one’s energy expenditure to monitor weight change
Exocrine glands
Produce and secrete substances via a duct onto the epithelial surface
Salivary glands secrete…
salivary amylase
Gastric glands secrete…
HCL, proteases
Pancreatic glands secrete…
Pancreatic juices with enzymes
Intestinal glands secrete…
Intestinal juices via crypts of Lieberkuhn
Gastric secretions controlled by…
nervous or hormone mechanisms; control volume and contents of secretions
Nervous control over gastric secretions
sight and smell of food —> gastric juice secreted by stomach pre-ingestion
Food enters stomach —> distension (swelling) is detected by stretch receptors in stomach lining, signals then sent to brain to trigger release of digestive hormones to achieve sustained gastric stimulation
Brain sends signal to stomach via VAGUS nerve
Hormonal control over gastric secretions
Brain sends signal via vagus nerve to endocrine cells to secrete gastrin
Gastrin - secreted into bloodstreams from gastric pits of stomach to stimulate the release of stomach acids
If pH gets too low, gastrin secretion is inhibited by gut hormones (secretin, somatostatin)
Duodenum releases digestive hormones when chyme enters small intestine
Secretin, CCK: both stimulate pancreas and liver to release digestive juices; pancreatic juices contain bicarbonate ions which neutralise stomach acids, liver produces bile for fat emulsification
Stomach acid secretion
gastric glands lining stomach secretes acidic solution — optimum pH for hydrolisis rxns
Stomach acid functions
assists in digestion by dissolving chemical bonds in food
Activates stomach proteases — pepsin is activated when pepsinogen is proteolytically cleaved in acidic conditions
Prevents pathogenic infection
Mechanisms of protection from low pH stomach acid
mucus lines the stomach and protects the tissue from stomach acid
bicarbonate ions from the pancreas released into the duodenum neutralises
PPIs
Cons of antacids
may impair digestion, leads to a higher chance of infection
Proton pump inhibitors
reduces stomach acid secretion
proton pumps in parietal cells of gastric pits secrete H+ via active transport, combined with Cl- to form HCL (lower pH)
PPIs irreversibly bind to proton pumps, preventing H+ release
raises pH to prevent gastric discomfort caused by high acidity, but may also increase susceptibility to gastric infections
Villus epithelial cells can be identified by…
tight junctions - allows for concentration gradient
microvilli
many mitochondria (ATP for active transport)
pinocytotic vesicles — materials ingested by breaking and reforming membrane
Dietary fibre
indigestible portions of food derived principally from plants and fungi (cellulose and chitin)
Humans lack cellulase , nut some ruminants have bacteria which aid in breakdown of indigestible plant matter in the digestive tract
Dietary fibre functions/benefits
The rate of transmit of materials through large intestine is positively correlated with fibre content
provides bulk in intestines
absorbs water, which keeps bowel movements soft and easy to pass
Cardiac muscle cells stucture and function
Branched; faster signal propagation and contraction in 3D
Cells not fused, connected by gap junctions- communication between cells, at intercalated discs- holds cells together by adhesion; can contract independently while still being able to pass along electrical signals
More mitochondria; more reliant on aerobic CR than skeletal muscle
Myogenic contraction
Cardiac muscle can contract without stimulation by CNS, contractions signalled by the SA/AV nodes
Unique functions of cardiac muscle
longer contraction and refraction periods to maintain a viable heartbeat
heart tissue not easily fatigued, contraction must my life long and continuous
interconnected network of cells are separated b/n atria and ventricles to enable separate contractions
Autorhythmic cells
control coordinated contraction of cardiac muscle
SA nodes coordination of atrial systole
collection of cardiomyocytes in right atrium
primary pacemaker, controls rate of heartbeat
sends electrical signals propagated through atria via gap junctions and intercalated discs
therefore atria wall cardiac muscles contract simultaneously in atrial systole
Atria and ventricles are seperated by…
fibrous cardiac skeleton composed of connective tissue; anchors heart valves in place, cannot conduct electrical signals
AV node
located in cardiac skeleton in septum
separates atrial and ventricular contractions
propagates electrical signal after SA node relays it, but more slowly, hence delay
Electrical signal propagation in the heart
SA node = primary pacemaker
Transmits signal via ap junctions to atrial myocardium; atria contracts
Signal received by AV node, then sent down septum via the bundle of His
innervates the Purkinje fibres in ventricular walls — contraction
Bundle of His
specialized bundle of cardiomyocytes in septum
Significance of ventricular contraction beginning at the apex
by initiating ventricular contraction with the Purkinje fibres at the bottom of the ventricle first, ensure blood is forced upwards out the arteries
Diastole relative length and function
relatively long period of insensitivity
allows the atria to fill with blood and prevents fatigue of heart tissue
purpose of heart valves
prevent backflow
ensuring one-way circulation
Heart beat sounds
1st: closure of atrioventricular valves at the start of ventricular systole
2nd: closure of semilunar valves at the start of ventricular diastole
Electrocardiography
can map cardiac cycle (periods of systole and diastole) by generating an electrocardiogram
Electrocardiogram: P wave
depolarisation of atria in response to signalling from SA node (ie. contraction of atria)
Electrocardiogram: QRS complex
depolarisation of ventricles (ie. contraction of ventricles triggered by AV node)
Electrocardiogram: T wave
repolarisation of ventricles - ventricular relaxation - completion of a standard heart beat
Electrocardiogram: PR interval, ST segment
inactive periods to allow blood flow
Cardiac output
describes the amount of blood the heart pumps through the circulatory system in one minute (mL/min)
Medical indicator of how efficiently the heart can meet the body’s demands
Cardiac output equation
CO (mL/min) = Heart rate (beats/min) x stroke volume (mL/beat)
Heart rate
the speed the heard beats, contractions/min or bpm
each ventricular contraction forces a wave of blood through the arteries = pulse
normal = 60-100 bpm
Factors affecting heart rate
exercise
age
disease
temperature
emotional state
Stroke volume
blood pumped to body with each beat of the heart
affected by the volume of blood in the body, contractility of the heart, resistance from blood vessels
changes in SV affect BP, more blood or more resistance causes higher BP
Hypertension causes and consequences
abnormally high blood pressure; either systolic or diastolic or both (greater than 140/90)
causes: sedentary lifestyle, salt and fatty diets, excessive alcohol or tobacco use, may be secondary to other conditions, caused by medications
hypertension does not cause symptoms but leads to consequences in long term due to narrowing of blood vessels
Thrombosis causes and consequences
clot formation within blood vessels
cholesterol deposits damage artery vessels
atheromas (fat deposits) reduce lumen diameter, high blood pressure damages walls, forming atherosclerotic plaque/inelastic scar tissue
if the plaque ruptures, a clot (thrombus) forms
if embolus travels to brain → stroke
if clot in coronary arteries → myocardial infarction
high cholesterol, saturated, trans fat diets as a cause
CHD
coronary heart disease, caused by build-up of plaque in coronary arteries
Risk factors: age, diet, obesity
Fibrillation
rapid irregular unsynchronised contraction of heart muscle fibres results in suboptimal blood flow
The defibrillator applies a controlled electrical current to the heart, depolarizing heart tissue to terminate unsynchronized contractions, normal heart beat should then be re-established by the SA node
Artificial pacemaker
delivers electrical impulses to heart to regulate the heartbeat
highly programmable, adjustments can be made as required,
treats abnormally slow heart rate - bradycardia
treats arrhythmias arising from blockages in hearts electrical conduction system
Hormone
signalling molecule produced by glands and transported to target cells via blood vessels
recognizes specific protein binding sites to cause various responses
Hypothalamus function
maintains homeostasis by linking nervous and endocrine systems
Pituitary gland structure and function
adjacent to hypothalamus and in contact with it via portal blood system
2 lobes
“master gland”
Anterior lobe
hypothalamus produces releasing factor proteins, released into portal vessels by
neurosecretory cells
Cause endocrine cells in the anterior
pituitary to release specific hormones into
the bloodstream
Posterior lobe
Hypothalamus produces hormones which enters a neurosecretory cell which extends through the posterior lobe to be released into the blood
Exocrine glands vs endocrine glands
Exocrine secretes substances into ducts, leading to the epithelial surface
Endocrine = ductless (Secretes hormones directly into the blood system)
Steroid hormones key features
lipophilic, can diffuse across the plasma membrane
binds to a protein receptor in the cytoplasm or nucleus
receptor-hormone complex acts directly on DNA as a transcription factor controlling gene expression
Steroid hormones examples
estrogen, progesterone, testosterone
Peptide hormones key features
hydrophilic so cannot diffuse across the plasma membrane
bind to protein receptors on membrane surface which are coupled to internally anchored proteins
activates second messengers (eg. cAMP, Ca2+, etc.) to allow for signal transduction—amplification of original signal
Peptide hormones examples
Insulin, glucagon, leptin, ADH, oxytocin
Somatotropin
growth hormone, anabolic peptide hormone
secreted by anterior pituitary
reduces adipose tissue
indirectly increases muscle mass, and bone size, by promoting IGF (insulin growth factor) produced by the liver
Promotes growth and regeneration, performance enhancer
Oxytocin
produced by hypothalamus, secreted by neurosecretory cells extending through posterior lobe
release triggered by stimulation of sensory receptors in breast tissue
positive feedback loop results in continuous secretion of oxytocin till infant stops feeding
Prolactin
secreted by anterior pituitary in response to release of prolactin release hormone (PRH)
inhibited by progesterone (preventing milk production before birth)
involved in production of milk
Lactation
production and secretion of milk my maternal mammary glands following birth (controlled by prolactin and oxytocin)
Haemoglobin composition
four polypeptides
four haem groups, each with a Fe
hence can rxt with 4 O2
Haemoglobin cooperative bonding
changes shape and affinity when carrying O2
proteins can undergo conformational changes to perform function
changes shape so affinity for O2 increases until saturation
it has a progressively higher O2 affinity as more oxygens bind on
no affinity with 4 O2
Oxygen dissociation curve description
plots oxygen partial pressure (mmHg) against oxygen saturation of haemoglobin or myoglobin
S-shaped/sigmoidal graph
low affinity (% saturation) for O2 at low pressures of oxygen, higher affinity at higher pressures of oxygen
Myoglobin composition and function
O2 binding protein in skeletal muscles
composed of one polypeptide, with one haem group, that can bind to one O2
Therefore not capable of cooperative binding
Has a higher affinity for O2 and becomes saturated at lower partial pressures of oxygen
holds onto oxygen supply until levels in muscles are very low to prevent onset of anaerobic cellular respiration (last reservoir)
Myoglobin oxygen dissociation curve
logarithmic shape
higher saturation than haemoglobin at any given partial pressure of oxygen
Fetal haemoglobin vs adult haemoglobin
Fetal haemoglobin is structurally different than adult haemoglobin
has a higher affinity for O2 so its oxygen dissociation curve is shifted left — at any given O2 partial pressure it will be more saturated than adult haemoglobin
means it will load O2 when adult haemoglobin is unloading in placenta capillaries
adult haemoglobin almost completely replaces fetal after birth
Bohr shift
High levels of dissolved CO2 lowers pH of blood (H2CO3), which alters haemoglobins uptake and release of O2
Causes it to release O2 shifting the dissociation curve to the right
promotes oxygen release at regions of greatest need (with high metabolism/CR/CO2 production)
CO2 possible forms of blood transport
small percent remains dissolved in blood (toxic in high concentrations though)
some CO2 enters RBCs, reversible bound to haemoglobin
70% majority converted to hydrogen carbonate ions (HCO3-) in RBCs
CO2 conversion to HCO3-
CO2 + H2O → H2CO3 → HCO3- + H+
Carbonic anhydrase Spontaneous dissociation
Chloride shift
for every HCO3- that exits a specialised protein channels, one Cl- enters the RBC to maintain charge in the cell