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excitable cells
Cells capable of generating action potentials.
e.g. neurons, skeletal muscle cells, cardiac muscle cells
action potential
Difference in electrical charge across plasma membrane
is not static, must move, fastest process in cell
membrane potential
The voltage across a cell's plasma membrane.
Resting Membrane Potential
In a resting neuron, -70mV
AP generation
Induce pain signal: Voltage gated sodium channel opens up, allow extracellular sodium to move in quickly
Why does the resting membrane potential exist?
K+ constantly leaking out of cell The pump: if it keeps working, the inside would be more negative because of a net loss of positive ions
Two gates of voltage-gated Na+ channels
Activation gate (sliding doors) and inactivation gate (ball and chain).
When resting: ACTIVATION GATE is locked shut, doesn't matter if inactivation is open
Depolarisation: activation opens, Na+ in
steps of action potential generation
1) depolarization to threshold (-55) -> point of no return 2) activation gates of sodium channels open- rapid depolarization (Na+ moves in, bc abundant outside) 3) inactivation gate CLOSES of sodium ion channels - activation of potassium ion channels 4) Repolarisation: voltage gated K+ opens, K+ rushes out, restores inside to -70mV
After repolaristion, which gradient is restored?
Only electrical state is restored, but concentration gradient not as Na+ is still high inside and K+ still high outside.
What restored the concentration gradient at end of action potential
Na/K pump, actively transports 3 Na+ out and 2K+ in using ATP back to baseline
myelinated vs unmyelinated fibres in dental pulp
Myelinated fibres your patient will be able to point directly to where the pain is coming from. With unmyelinated, they cannot as the message is slow and distorter
How does LA work?
Anesthetic drugs bind to the sodium channels, blocks it so no action potentials are generated.
Memory in Immunity
Once body has T/B cells that recognise antigen, they migrate to bone marrow and can be sedentary for decades
process of raising the alarm via antigen presenting cell
APC goes to lymph node: lymphocytes differentiate and proliferate in the node to see how to respond to particular antigen presented -> return to then focus on infection via blood (the T and B cells as they are lymphocytes)
T cells attack antigens
inside the cell
B cells attack antigens
outside the cell
Class 1 MHC
expressed by all nucleated cells in the body, but not as effect as class 2 intracellular
Class 2 MHC
on the surface of antigen-presenting cells (APCs), dendrites, b cells, and macrophages extracellular pathogen
(T- cell activation) exposure to iL-12 cytokine produces
Th1 (positive response, more inflammation)
(T-cell activation) Exposure to IL-4 cytokine from APC produces
Th2 (suppresses inflammation)
(T-cell activation) Exposure to IL-6, Il-23 from APC produces
Th17
B-cell receptors
recognise antigens in their native unprocessed forms (does not require peptide bound to MHC molecule)
Each B-cell decorated with IgM with unique specificity
One B cell that recognises sequence, will proliferate and make lots of antibodies
All B-cells that recognise the body;s cells are destoryed as we don't want autoimmunity
Physical
Epithelial surfaces: skin, mucous membranes Skin: 5.5 pH inhibits bacterial growth 1-3pH of Gastric acid: denatures proteins and kills most ingested microbes
Chemical
low pH or antimicrobial molecules:
physiological
diarrhoea, vomiting, coughing, sneezing
Probiotic
harmless species, compete with more dangerous species for nutrients can block adhesion sites might be directly toxic to the antigen
TLRs (toll-like receptors)
Receptors on phagocytic cells recognize PAMPs (pathogen associated molecular pattern), non-self patterns like LPS in cell wall of bacteria, binds to it and stimulates an immune response. Second messengers: cytokine production, proinflammatory gene expression
Effects of activating TLRs
cytokine production → fever, inflammation chemokine production → cell recruitment/attractant activation of bacterial killing mechanisms activation of dendritic cells
defence in epithelia
tight junctions, adherens junctions, desmosoal junctions - creating seals/adhesion between cells - especially in statrified squamous
P. gingivalis
gram neg, anaerobic make proteins resembling cadherins/desmosome
via mimicry, replaces the cadherin family locations, toxin corrupts adhesion, allows access of bacteria into spaces between cells
Antigen presenting cells
dendritic cells, macrophages, B cells
Phagocytic cells
cells that engulf, ingest, and destroy foreign bodies or toxins without knowing identity
Acute Inflammation
local chemokine signalling:
Neutrophils
first on scene, kills bacteria, makes pus maturation of precursor cells in bone marrow contain granules rich in proteases generate free radical to kill phagocytised bacteria
Eosinophils
containing granules, protect against parasites
Monocytes
become macrophages in tissues, eat debris, kill bacteria, attack intracellular viruses
Lymphocytes
T, B, NK specific immunity tumour protection - flag cells for destruction
chemotaxis
Cell movement that occurs in response to chemical stimulus: fmlp and peptidoglycan produced by bacteria from existing, move towards this
Opsonization
coating antigen with antibody enhances phagocytosis - tagging it for destruction via igG
Complement System
proteins in the blood that help antibodies kill their target produced by the liver
Chemokines
Cytokines that attract immune cells to infected sites.
cell body (soma)
contains the nucleus and other parts of the cell needed to sustain its life
Axon
the neuron extension that passes messages through its branches to other neurons or to muscles or glands
Dendrites
Branchlike parts of a neuron that are specialized to receive information.
axon hillock
The conical region of a neuron's axon where it joins the cell body; typically the region where nerve signals is generated.
Which ion triggers synaptic vesicles to discharge neurotransmitter into the synaptic cleft?
Calcium by entering the channel
Sympathetic chain runs where
beside the spine - chain of ganglia alongside spine
originated from T1-L2 (thoracolumbar)
Parasympathetic runs where
ganglia located near or within the target organs
originates from Cranial nerves 3, 7, 9 and 10
innervations of ANS
All tissues other than skeletal muscles
Eyes: sympathetic and parasympathetic effect
S: widen pupils, flatten lens for far vision PS: Constrict pupils, thicken lens for near vision
salivary glands: sympathetic and parasympathetic effect
Increase secretion
Heart: sympathetic and parasympathetic effect
S: Increase heart rate and contractability PS: decrease heart and contractability
Blood vessels: sympathetic and parasympathetic effect
S: dilation PS: constriction
Lungs: sympathetic and parasympathetic effect
S: bronchial dilation, inhibit secretion PS: bronchial contract, stimulate secretion
Urinary tract: sympathetic and parasympathetic effect
S: contract sphincter (less pee) PS: relax sphincter (more pee)
neurotransmitters for sympathetic
Pre: acetylcholine to nicotinic acetylcholine receptor Post: noradrenaline (exception of sweat gland with acetylcholine to muscarinic receptor)
One Pre: releases adrenaline and little bit of noradrenaline
parasympathetic neurotransmitter
acetylcholine to muscarinic actetylcholine receptors
Why does local anaesthetic have adrenaline
Adrenaline is vasoconstrictor, ensures that anaesthetic is trapped locally
all adrenergic receptors are GPCRs
yes
Nucleus function
Control centre of the cell, contains DNA
Rough ER function
protein synthesis
Smooth ER function
lipid synthesis
Golgi apparatus function
modifies and packages proteins
Lysosomes function
Digestion and recycling, degrades viruses, bacteria and other waste
Mitochondria function
ATP production
Eukaryotic Evolution
Eukaryotes engulfed prokaryotes, e.g. example mitochondria, endosymbiotic relationship with cell
What is the structure of DNA?
DNA consists of two long chains of nucleotides twisted into a double helix.
What type of bonds join the chains of DNA?
Hydrogen bonds.
Which bases are complementary in DNA?
Adenine pairs with thymine (2 hydrogen bond), and cytosine pairs with guanine. (3 hydrogen bonds)
Reading Direction of dna
5' (free phosphate) to 3' (free hydroxyl)
RNA structure
single stranded
packing the genome
DNA wrapped around histones (protein) DNA + Histones = chromatin Chromatin further wound up and condensed into chromosome
mRNA
messenger RNA; type of RNA that carries instructions from DNA in the nucleus to the ribosome
Transcription
is the synthesize of RNA using information from the DNA.
Translation
RNA to protein
small subunit of ribosome function
binds to mRNA, links codon in RNA with anti-codon in tRNA
large subunit of ribosome function
catalyses peptide bond formation
Codon
three-nucleotide sequence on mRNA - 1 amino acid
In transcription, what replaces T in DNA
Uracil
Which bond links amino acids together in a protein?
Peptide bond - joining amino and carboxyl group
Peptides
Chains of amino acids
Dipeptide
2 amino acids
Tripeptide
3 amino acids
Polypeptides
more than 10 amino acids
Proteins
more than 50 amino acids and one or more polypeptide chains
Reaction of amino acid joining together
condensation polymerisation, joined by peptide bonds
Which way do you read amino acid
From H3N+ to COO- N- to C- terminus
Central Dogma
DNA -> RNA -> Protein
What pairs with Adenine?
Thymine
What does Uracil replace?
Thymine in RNA
Types of point mutation
silent (doesn't change end), missense(produces different amino acid), nonsense (turns into stop)
Point mutation - only one letter replaced
frameshift mutation
mutation that involves the insertion or deletion of a nucleotide in the DNA sequence - shifts the reading pairs
sickle cell anemia casused by which point mutation
GAG to GTG
Primary structure of proteins
sequence of amino acids in a polypeptide chain
Secondary structure of proteins
alpha helix (spiral) and beta sheet (folding sheet arrangement) - local folding of polypeptide chain into repeating pattern
Tertiary structure of proteins
Three-dimensional structure of a peptide, gives the proteins its function
Quaternary structure of proteins
multiple polypeptide chains coming together as one functional unit. only in proteins made of more than one chain.
What happens when proteins denature
They lose shape and function.
Function of enzyme
speed up chemical reactions
Function of hormones
direct specific activities like regulation blood glucose levels