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homeostasis
ability of body to maintain a constant internal environment, Claude Bernard mid 1800s
Water B. Cannon
made a list of variables that are controlled through homeostasis
ionic composition of fluids
body temperature
pH of body fluids
plasma glucose concentration
blood pressure
hormones
control systems
physiological mechanisms that control the regulated variables in the body
set point
optimal value of a variable, example: body temperature at 98.6 F
sensor
receptors that measure the controlled variable, detects changes of variable, receives an input signal
integrating center
compares the sensor value to the setpoint value, sends an output signal onto the effector, example: brain
effector
mechanism that responds to an output signal, adjusts the controlled variable
error signal
the output signal if the sensor value is not at the set point
normal set point variation
caused by biological rhythms, example: body temperature fluctuates with time of day
abnormal set point adjustment
can occur during disease states or infection, example: fever induction
types of sensors
mechanoreceptors (mechanical distortion)
osmoreceptors
nociceptors (noxious/painful stimuli)
chemoreceptors
thermoreceptors
proprioceptors (changes in muscle length)
system gain
how sensitive the effector is in response to a change in the variable, higher gain = higher sensitivity, more narrow range of variable
system lag
the time it takes to create a response to a change in a variable
types of physiological control systems
negative feedback (common)
positive feedback
feed forward systems (anticipatory)
open loop systems (disordered)
negative feedback
keeps a system at the set point by bringing it back to normal, shuts itself off, examples: hormone release, blood pressure, stretch reflexes
positive feedback
does not maintain homeostasis, increases the initial stimulus, requires an outside factor to shut it off, examples: blood clotting, labor, action potentials, LH surge in ovulation, congestive heart failure, hemorrhagic shock, inflammation
feed forward system
anticipatory, the body predicts that a change will occur and starts the response prior, example: rise in heart rate before exercise, salivating before eating
open loop systems
when a negative feedback loop has been disrupted, loss of feedback causes the variable to increase or decrease in one direction, examples: parkinson’s disease, hyperthermia from sun stroke
cell membrane
a thin phospholipid bilayer that separates the intra and extracellular fluids
isolates and compartmentalizes functions
regulates exchange
communicates between the cell and the environment
structural support
generation of gradients
cell membrane macromolecules
percentages of protein, lipid, and carbohydrates differ between different types of cells
phospholipids
can form bilayers, micelles (droplets involved in lipid digestion), or liposomes (have aqueous center)
phospholipid head and tail
polar head (hydrophilic) and nonpolar fatty acid tail (hydrophobic)
fluid mosaic model
cholesterol inside the lipid bilayer creates fluidity, proteins throughout serve as receptors and channels
glycolipids and glycoproteins in cell membrane
structural stability, cell recognition, immune response
total body water volume
40 L, 60% body weight
intracellular fluid volume
25 L, 40% body weight
extracellular fluid volume
15 L, 20% body weight, made up of interstitial fluid and plasma
interstitial fluid volume (15% overall)
12 L, 80% of ECF
plasma volume (5% overall)
3 L, 20% of ECF
transcellular fluid
“forgotten volume”, not usually counted in measuring body water, examples: CSF, fluid in bladder and GI tract
dilution principle
a tracer is added to the body and allowed to distribute, then compartment volumes are calculated by measuring the tracer
dilution principle formula
volume of compartment = (amount of tracer added - amount of tracer excreted) / (concentration of tracer)
properties of an ideal tracer
non toxic
rapidly distributed
can’t be metabolized
not excreted during equilibration period
easily measured
can’t interfere with body fluid distribution
dilution principle formula units
volume = mL or L
mass = g or mg
mass per volume = g/L or mg/mL
tracer for total body water TBW
antipyrine and tritiated water
tracer for intracellular fluid ICF
none
tracer for extracellular fluid ECF
mannitol and inulin
tracer for interstitial fluid ISF
none
tracer for total blood volume TBV
radioactive RBCs
tracer for plasma volume
Evan’s blue and radioactive albumin
hematocrit formula
hematocrit = (volume of RBCs) / (volume of blood)
volume of blood formula
volume of blood = (volume of plasma) / (1 - hematocrit)
Na+ intra- and extracellular concentrations
intracellular: LOW (10 mM)
extracellular: HIGH (140 mM)
K+ intra- and extracellular concentrations
intracellular: HIGH (150 mM)
extracellular: LOW (4 mM)
Ca++ intra- and extracellular concentrations
intracellular: LOWer (3 mM), 99.9% bound
extracellular: LOW (5 mM), 50% bound
Cl- intra- and extracellular concentrations
intracellular: LOW (2 mM)
extracellular: HIGH (105 mM)
calcium as a biological signal
second messenger molecule that is tightly regulated
metabolic regulation
muscle excitation
building block for bone and teeth
blood clot formation
bulk flow
when fluids and gases move from higher pressure to lower pressure regions, amount moving per unit time
diffusion
movement of molecules from regions of higher concentration to lower concentration
diffusion conditions
passive
occurs until concentration is equal everywhere
fast over short distances, slow over longer distances
directly related to temperature
inversely related to molecular weight and size
takes place in open system or across partition
functions of diffusion
delivery of nutrients
deliver/removal of gases
removal of waste products
flow formula
flow = A*P*C
A = membrane area (cm²)
P = permeability (cm/s)
C = solute concentration
flow units = moles/second
net flow formula
net flow = A*P*(C1 - C2)
C1 and C2 = concentration of compartments
driving force for net flow
concentration difference across the membrane (C1 - C2)
einstein’s relationship for speed of diffusion
x² = 2Dt
x = distance (cm)
D = diffusion constant (cm²/s)
t = time (s)
diffusion constant proportionality
D is inversely proportional to molecule size
molecule size and speed of diffusion
the smaller the molecule the faster the diffusion
where is diffusion best utilized?
across short distances, examples: across cell membranes and compartments, across capillaries
fick’s law of diffusion
diffusion rate is proportional to (membrane area * D * concentration gradient) / membrane thickness
D is proportional to (solubility) / (radM * W)
factors that affect diffusion through cell membrane
lipid solubility
molecular size
concentration gradient
membrane surface area
composition of lipid layer
membrane permeability formula
P = (D * Beta) / l
D = diffusion constant
beta = partition coefficient
l = membrane thickness
units of permeability = cm/sec
types of transport across membrane
simple diffusion (no channel needed)
facilitated diffusion
primary active transport
secondary active transport
water transport
simple diffusion
hydrophobic molecules that move freely across membrane, examples: lipids, alcohols, carbon dioxide and oxygen
facilitated diffusion
passive process where solute moves through a transport protein on the membrane
channel proteins
gated: can be opened or closed in response to signals
open: pores
types of carrier proteins
uniport carriers: transport 1 substrate
symport carriers: transports multiple substrates in the same direction
antiport carriers: transports multiple substrates in opposite directions
transport maximum
the maximum rate at which a solute can be transported across a membrane even when the concentration gradient increases, saturation
competitive inhibition
when 2 substrates compete for a binding site, example: glucose transport is reduced when galactose is competing
primary active transport
solute is moved from an area of low concentration to high concentration using energy (ATP) through a protein on the membrane
cyanide
inhibits primary active transport by working upon the ETC
primary active transport pump examples
Na/K ATPase
calcium pumps
proton pumps
H+/K+ exchange pumps
Na/K ATPase
maintains ionic gradients that drive action potentials
calcium pumps
maintains low intracellular calcium concentrations
proton pumps
eliminates H+ from the kidney to achieve pH balance
H+/K+ exchange pumps
secretes gastric acid in stomach
secondary active transport
dependent on another solute moving down its concentration gradient to move another solute up its gradient, does not directly require ATP, example: glucose and sodium via SGLT protein
aquaporins
allows water to be permeable through cell membrane
osmotic equilibrium
the body is in osmotic equilibrium, water concentrations are equal throughout the body
osmosis
the movement of water across a membrane in response to a solute concentration gradient
osmotic pressure
the minimal amount of force that needs to be applied to prevent the flow of solutes through a semipermeable membrane
molarity
number of moles of dissolved solute per liter of solution (mol/L)
1 osmole
1 mole of a fully dissociated substance dissolved in water
osmolarity concept
the concentration of osmoles in a mass of solvent
osmolarity formula
osmolarity = molarity * (particles/molecule)
osmolarity units: osmol/L or OsM
osmolarity of 1 mole of glucose in 1L of solution
1 osm/L
osmolarity of 1 mole of NaCl dissolved in 1L of solution
2 osm/L
osmolality
osmoles of solute per kg of water (clinical usage)
maintenance of electroneutrality
cells must be electrically neutral at all times
cell electroneutrality
inside mOsm = outside mOsm
leakage of ions is one-for-one exchange
role of Na+/K+ ATPase
osmolarity of solutions
describes the number of particles in solution
cell in hypoosmotic solution
cell immediately swells
cell in isosmotic solution
no immediate change in cell
cell in hyperosmotic solution
cell immediately shrinks
formula to calculate cell volume change from change in osmolarity
(final volume) / (initial volume) = (initial concentration) / (final concentration)
tonicity
describes how a solution would affect cell volume if placed in the solution and allowed to reach equilibrium, dependent on impermeable solutes
osmolarity vs tonicity
osmolarity determines immediate impact on water movement, tonicity determines long-term impact on water movement