Topic #6

Homeostasis and Disease

  • Homeostatic Imbalance: Can lead to various diseases, impairing normal body functioning.

  • Disease Definition: A condition associated with impairment of normal body functioning.

Example: Diabetes
  • Diabetes Mellitus: Result of an imbalance in blood glucose regulation, often due to destruction of pancreatic beta cells.

  • Role of Insulin:

    • Promotes glucose uptake from blood to liver.

    • Inhibits conversion of amino acids and glycerol to glucose.

  • Types of Diabetes:

    • Type 1: Genetic disorder with little to no insulin production.

    • Type 2: Result of poor diet leading to insulin overload.

  • Consequences of Uncontrolled Diabetes:

    • Homeostatic imbalances in blood vessels, kidneys, leading to cardiovascular disease or bone disorders.

Infectious vs Noninfectious Diseases

  • Every disease involves some form of homeostatic imbalance.

  • Infectious Diseases: Caused by pathogens; communicable.

    • Example: Sexually transmitted infections (STIs) like gonorrhea and syphilis.

  • Non-infectious Diseases:

    • Caused mainly by homeostatic imbalances, genetics, environmental toxins, and lifestyle choices.

    • Risk Factors: Age, gender, genetic predispositions, environmental exposures (e.g., radon, toxic chemicals), and behavioral risks (e.g., smoking, diet).

Acute vs Chronic Diseases

  • Acute Diseases: Short-term; resolves with or without treatment.

  • Chronic Diseases: Long-term or lifelong; e.g., Type 1 diabetes, HIV.

Non-Infectious Diseases

  • Not caused by pathogens.

  • Causes: Genetic factors, environmental exposures, unhealthy lifestyles.

  • Examples:

    • Cystic fibrosis, various cancers, cardiovascular diseases (e.g., coronary artery disease, hypertension).

Infectious Diseases Classification

  • Epidemic: Increased cases beyond what is expected in a specific area.

  • Outbreak: Localized epidemic.

  • Pandemic: Global epidemic.

  • Endemic: Diseases always present in a population (e.g., malaria in tropical regions).

Epidemiology

  • Epidemiology: The study of patterns, causes, and effects of diseases in populations.

  • Concerned with infectious diseases caused by pathogens including bacteria, viruses, fungi, parasites, and prions.

How Pathogens Cause Disease

  • Pathogens can enter through mucosae and skin, multiply inside host, and cause damage by releasing toxins.

Transmission of Pathogens

  • Modes of Transmission:

    • Airborne: Via droplets.

    • Direct Contact: Skin contact or touching surfaces (e.g., athlete’s foot).

    • Fecal-Oral: Contaminated food/water (e.g., cholera).

    • Vertical Transmission: From mother to child.

    • Vector-borne: Carried by vectors like mosquitos (e.g., malaria).

Sexually Transmitted Infections (STIs)

  • Many STIs are asymptomatic but can lead to serious health issues.

  • Symptoms: Genital sores, discharge, urinary pain.

  • Examples: Chlamydia, gonorrhea, HPV, HIV.

  • Treatment: Bacterial STIs treated with antibiotics; viral STIs managed with antivirals; vaccines available for some (e.g., HPV).

Tuberculosis (TB)

  • Statistics: Affects 9 million worldwide; 2 million deaths annually.

  • Transmission: Infectious through coughing, singing, sneezing.

  • Treatment: Multiple anti-TB drugs for 12-24 months.

Virus Overview

  • Definition: Acellular, parasitic entities, not classified as living organisms. Cannot replicate without a host cell.

  • Structure: Nucleic acid (DNA/RNA) in a protein coat; may have outer lipid envelope.

  • Classification: By nucleic acid type, and morphology (capsid structure).

Viral Infections

  • Viruses can cause various diseases in humans, as well as in animals and plants. - Example: COVID-19 caused by SARS-CoV-2.

  • Pathway of Infection: Viral entry via receptor-mediated fusion or endocytosis.

HIV Overview

  • Structure: Contains two strands of RNA and essential enzymes (reverse transcriptase, integrase, protease).

  • Transmission: Primarily through unprotected sexual contact, sharing needles, and from mother to child.

  • Treatment: HAART (Highly Active Antiretroviral Therapy); no cure, but viral load can be suppressed to undetectable levels.

Vaccination and Antiviral Drugs

  • Vaccination: Builds immunity against diseases; includes live or inactivated vaccines.

  • Antiviral Drugs: Target specific viral proteins to inhibit replication without harming host cells.

  • Example: Tamiflu targets neuraminidase in influenza viruses.

Prions and Cancer

  • Prions: Infectious proteins causing neurological diseases by misfolding cellular proteins.

  • Cancer: Results from uncontrolled cell division; commonly associated with mutations in genes regulating the cell cycle (e.g., p53 mutations).