physiology

Lecture 1

Signal Transduction

  • is the process by which cells communicate and respond to external stimuli

  • Only cells expressing specific receptors for a ligand can respond to that ligand

Ligand-Receptor interaction

  • Ligands, such as hormones or signaling molecules, bind to specific receptors on the cell membrane or inside the cell.

  • Receptor activation leads to a cascade of intracellular signalling events

  • Interaction between ligands and receptors is highly specific, with each ligand binding to its corresponding receptor with high affinity

Steps of Ligand-receptor interaction

  • Ligand Binding: The ligand, which can be a hormone or signaling molecule, binds to a specific receptor on the cell membrane or inside the cell.

  • Receptor Activation: Upon ligand binding, the receptor undergoes a conformational change, leading to its activation.

  • Signal Transduction: The activated receptor triggers a series of intracellular signaling events, which can involve the activation of various proteins or enzymes.

  • Cellular Response: The signaling cascade ultimately leads to a specific cellular response, such as changes in gene expression, cell growth, differentiation, or other physiological processes.

Types of receptors

  • 7-Transmembrane (TM) receptors

  • Intracellular receptors

  • Tyrosine kinase receptors

7-Transmembrane (TM receptors)

  • Ligand binds to receptor, activating G-proteins and effectors, leading to a cellular response

Intracellular receptors

  • Hormone enters the cell, binds to specific receptor, translocates to the nucleus, activates gene transcription, and promotes protein synthesis

Tyrosine kinase receptors

  • Membrane receptors that have intrinsic tyrosine kinase activity in their intracellular loop

  • Activate two pathways: PI3K-Akt and Ras-MAPK pathways.

What are the steps of the PI3K-Akt pathway?

  • Ligand Binding and Receptor Activation:

    • When a growth factor binds to its receptor on the cell membrane, it induces a conformational change in the receptor, leading to receptor dimerization.

    • The receptor undergoes autophosphorylation, activating its tyrosine kinase activity.

  • Activation of PI3K:

    • Phosphorylated growth factor receptors recruit and activate phosphatidylinositol 3-kinase (PI3K) by binding to its SH2 domain .

    • PI3K, a lipid kinase, converts membrane phospholipids to 3-phosphoinositides (PIP₃), specifically phosphatidylinositol (3,4,5)-trisphosphate.

  • Activation of PDK and Akt:

    • PIP₃ binds and activates phosphoinositide-dependent kinase (PDK).

    • PDK phosphorylates and activates Akt, a serine/threonine kinase (45).

  • Cellular Response:

    • Activated Akt phosphorylates intracellular proteins, leading to cellular responses such as increased cell proliferation and survival.

    • Akt can also induce metabolic responses, such as the translocation of GLUT4 glucose transporters to the cell membrane, promoting glucose uptake

What are the steps of the Ras-MAPK pathway?

  • Ligand Binding and Receptor Activation:

    • When a ligand (such as insulin or a growth factor) binds to its receptor on the cell membrane, it induces a conformational change in the receptor, leading to receptor activation (52, 50).

    • The activated receptor undergoes autophosphorylation, enhancing its tyrosine kinase activity.

  • Activation of Ras:

    • Phosphorylated receptor recruits and activates insulin receptor substrate-1 (IRS-1) or other adaptor proteins.

    • Phosphorylated IRS-1 binds to the Grb2-SOS complex, leading to the activation of Ras.

    • Grb2, via its SH2 domain, binds to phosphorylated residues on IRS-1, bringing SOS (a GTP/GDP exchanger) to the plasma membrane to activate Ras by converting it to a GTP-bound form.

  • Activation of MAPK Cascade:

    • Activated Ras binds to Raf kinase and activates it.

    • Raf kinase phosphorylates MAP kinase kinase (MEK), leading to its activation.

    • Activated MEK phosphorylates MAP kinase (MAPK), also known as ERK (extracellular signal-regulated kinase), activating it.

  • Cellular Response:

    • Activated MAPK (ERK) translocates to the nucleus and phosphorylates various transcription factors, leading to changes in gene expression and cellular responses.

  • Role in Cell Proliferation and Survival:

    • The Ras-MAPK pathway is crucial for regulating cell proliferation, survival, and differentiation in response to extracellular signals, such as growth factors

    • Dysregulation of this pathway can contribute to diseases like cancer, where overactivation of Ras and MAPK signaling leads to uncontrolled cell growth and proliferation.

How does the P13K-Akt pathway affect cancer?

  • Over activation can lead to cell proliferation leading to cancer

  1. Ligand Binding and Receptor Activation:

    • When a ligand (such as insulin or a growth factor) binds to its receptor on the cell membrane, it induces a conformational change in the receptor, leading to receptor activation (52, 50).

    • The activated receptor undergoes autophosphorylation, enhancing its tyrosine kinase activity.

  2. Activation of Ras:

    • Phosphorylated receptor recruits and activates insulin receptor substrate-1 (IRS-1) or other adaptor proteins (52, 50).

    • Phosphorylated IRS-1 binds to the Grb2-SOS complex, leading to the activation of Ras.

    • Grb2, via its SH2 domain, binds to phosphorylated residues on IRS-1, bringing SOS (a GTP/GDP exchanger) to the plasma membrane to activate Ras by converting it to a GTP-bound form (52, 50).

  3. Activation of MAPK Cascade:

    • Activated Ras binds to Raf kinase and activates it.

    • Raf kinase phosphorylates MAP kinase kinase (MEK), leading to its activation.

    • Activated MEK phosphorylates MAP kinase (MAPK), also known as ERK (extracellular signal-regulated kinase), activating it (52, 50).

  4. Cellular Response:

    • Activated MAPK (ERK) translocates to the nucleus and phosphorylates various transcription factors, leading to changes in gene expression and cellular responses (52, 50).

  5. Role in Cell Proliferation and Survival:

    • The Ras-MAPK pathway is crucial for regulating cell proliferation, survival, and differentiation in response to extracellular signals, such as growth factors (52, 50).

    • Dysregulation of this pathway can contribute to diseases like cancer, where overactivation of Ras and MAPK signaling leads to uncontrolled cell growth and proliferation.

Effect of Insulin of MAPK pathway

  • insulin influences the MAPK pathway by initiating a signaling cascade that involves the activation of IRS-1, recruitment of the Grb2-SOS complex, activation of Ras, and subsequent activation of the MAPK cascade.

    • This pathway plays a crucial role in mediating cellular responses to insulin, including metabolic effects such as glucose uptake and gene expression regulation.

  • Ligand Binding and Receptor Activation:

    • Insulin binds to its receptor on the cell membrane, leading to a conformational change in the receptor and subsequent autophosphorylation.

    • The autophosphorylation of the insulin receptor enhances its tyrosine kinase activity.

  • Activation of Insulin Receptor Substrate-1 (IRS-1):

    • Phosphorylated insulin receptor recruits and phosphorylates insulin receptor substrate-1 (IRS-1), a key adaptor protein in insulin signaling.

    • Phosphorylated IRS-1 serves as a docking site for downstream signaling molecules.

  • Recruitment of Grb2-SOS Complex:

    • Phosphorylated IRS-1 binds to the Grb2-SOS complex, which consists of Growth factor receptor-bound protein 2 (Grb2) and Son of Sevenless (SOS).

    • Grb2, through its SH2 domain, recognizes and binds to phosphorylated IRS-1, facilitating the recruitment of SOS to the plasma membrane.

  • Activation of Ras:

    • The Grb2-SOS complex activates Ras by promoting the exchange of GDP for GTP on Ras, leading to Ras activation.

    • Activated Ras then initiates downstream signaling events in the MAPK pathway.

  • Activation of MAPK Cascade:

    • Activated Ras binds to Raf kinase and activates it.

    • Raf kinase phosphorylates MAP kinase kinase (MEK), leading to MEK activation.

    • Activated MEK phosphorylates MAP kinase (ERK), resulting in the activation of ERK.

  • Cellular Response:

    • Activated ERK translocates to the nucleus and phosphorylates transcription factors, thereby regulating gene expression and influencing cellular responses.

  • Metabolic Effects:

    • In fat and skeletal muscle cells, insulin-activated Akt (part of the PI3K-Akt pathway) leads to GLUT4 glucose transporter translocation to the plasma membrane, increasing glucose uptake

Cellular response

  • The signaling cascade initiated by ligand-receptor interaction results in specific cellular responses, such as changes in gene expression, cell growth, or differentiation.

Key players in Signal Transduction

  • Tyrosine Kinase receptors

  • Calmodulin

What do Tyrosine Kinase receptors do?

  • Play a crucial role in cell signaling by phosphorylating tyrosine residues on target proteins

What does Calmodulin do?

  • Calcium-binding protein involved in various cellular processes

What is cGMP (cyclic guanosine monophosphate)

  • It’s a second messenger in intracellular signaling events initiated by activation of certain hormone and neurotransmitter receptors.

  • Mediates cellular responses through the activation of specific cGMP-dependent protein kinases (PKG).

Lecture 2

Resting Membrane potential

  • It is maintained by the unequal distribution of ions, with higher concentrations of Na+ outside and K+ inside the cell

  • Na+/K+ pump plays a crucial role in maintaining this gradient by actively pumping Na+ out and K+ in, against their concentration gradients.

What are typical resting membrane potentials?

  • Large nerve & skeletal muscle fibers: -90 mV

  • Small nerve & skeletal muscle fibers: -40 to -60 mV

Membrane potential

  • refers to the electrical potential difference across a cell membrane.

  • essential for various cellular functions, including signal transmission and maintaining cell integrity.

Generating and measuring membrane potentials

  • Can be generated by the movement of ions across the membrane through ion channels and pumps.

  • It can be measured using a voltmeter by inserting an electrode inside the cell

How do membrane potentials affect excitable cells?

  • A concentration difference of ions across the membrane creates an electrical potential that allows excitable cells to propagate action potentials

What is the Nernst potential?

  • is the equilibrium potential at which the diffusion of an ion is balanced by its electrical gradient, preventing net ion movement

Action potential

  • is a rapid and transient change in membrane potential that allows for the propagation of signals along neurons.

  • It involves a series of depolarization and repolarization phases, driven by the opening and closing of ion channels.

  • The action potential curve typically consists of depolarization, repolarization, and hyperpolarization phases

Myelinated axons

  • Myelinated axons are nerve fibers surrounded by a myelin sheath, which acts as an insulator and speeds up the conduction of action potentials.

  • Nodes of Ranvier are the unmyelinated gaps along the axon where action potentials are regenerated, allowing for saltatory conduction

Parts of a neuron

  • Cell body/soma

  • Dendrites: branching processes coming off of soma. Gets signals from neurons and sends them to axon

  • Axon: generates action potential and sends it to next cell (tail)

Action potential & dendrites

  • stimulus causes action potential in soma

    • dendrites have a high concentration of potassium leak channels When they are stimulated there is a grater excitatory/inhibitory effect

Myelin sheath

  • surrounds axon

Diseases of myelin sheath

  • In demyelinating disorders, the myelin sheath deteriorates

  • In multiple sclerosis, scattered progressive demyelination of axons in CNS results in loss of motor control

Schwann cell

  • envelops axon and rotate around it. has multiple layers of plasma membrane with sphingomyelin (insulator that decreases ion flow)

Nodes of Ranvier

  • Interruptions of myelin sheath every 1-3mm on axon

  • easy ion flow & action potential only happens at nodes

Myelinated & Unmyleinated fibers

  • Large fibers: unmyelinated

  • Small fibers: unmyelinated

Saltatory conduction

  • conduction of action potentials from node to node in myelinated fibers

  • increases velocity of nerve transmission

Facilitation

  • if another stimulus comes, it would be easy for neuron to develop another action potential

Synaptic fatigue

  • defense mechanism against exhaustion of neurotransmitters in synaptic terminals

Toxin blocking pumps

  • Certain toxins can block ion pumps, disrupting the maintenance of membrane potential

  • Includes Saxitoxin, TEA and TTX

TTX

  • blocks sodium channel

  • found in ovaries of blowfish

Saxitoxin

  • Sodium channel blocker found in tissues of shellfish

    • Can have life-threatening paralysis

Tetraethylammonium (TEA)

  • Blocks potassium pump

Lecture 3

  • Action potential phases

    • Resting: resting membrane potential (-)

    • Threshold: action potential occurs because of sodium channel opening

    • Depolarization: positive change in membrane potential [closer to 0] because of influx of sodium

    • Repolarization: returning to negative membrane potential because of efflux of potassium

    • Refractory period: can be absolute or relative. it limits the amount of action potentials that can happen at a time

      • absolute: interval of time a normal impulse can’t re-excite an already excited area of membrane

        • sodium channels closed and can’t be reopened until repolarized

      • relative: interval of time that an excitable tissue is more difficult to stimulate

        • before returned to resting potential, channels are inactivated and need a stronger than normal stimulus

Threshold & Action potential

  • EPSP (Excitatory post synaptic potential)

    • causes depolariation

    • moves toward threshold of action potential

  • IPSP (Inhibitory postsynaptic potential)

    • causes hyperpolarization

    • moves away from causing action potential

    • PM has more neurons is more - than RMP so neurotransmitter modify channels so ions can move into the cell

Summation

  • Spatial summation

    • postsynaptic potentials happen by activating many terminals on widely spaced areas of membrane

  • Temporal summation

    • successive postsynaptic potentials

Action potentials in neurons

    • Non-active neuron cells have a RMP of -70 mV

    • Depolarizing stimulus makes sodium rise in cell, making MP more positively charged (bc sodium is +)

    • It reaches threshold membrane potential of -55 mV (when channels on axon open at a particular voltage)

      • Voltage gated sodium channels open at this threshold

    • Sodium outside of cell rushes inside of cell, causes membrane potential to increase and depolarize.

    • It peaks at +30 mV and sodium channels will close, and potassium channels will open and K+ will leave the cell

      • this makes the membrane potential to become more negative, as K+ is +

      • This is repolarization

      • *More potassium leaves the cell than more sodium that was able to enter the cell bc potassium channels are slower to close

    • Hyperpolarization occurs as membrane potential becomes more negative than it was at the very beginning (cause of slow K+ channels)

    • Potassium leakes out of cell through leak channels, making membrane potential go back to it’s RMP

    • Positive current from the action potential in one end of the neuron will make adjacent sodium channels open

    • this current spreads to part to part of axon (moves down the axon)

      • channels in reverse will be hyperpolarized so you cannot make an action potential, so action potential moves in forward direction only

All or nothing principle

  • The an action potential has been elected on one point on the plasma membrane it will travel over the whole membrane [or not at all if conditions aren’t right]

Action Potentials in Myocardial Contractile Cells

  • similar to action potentials in neurons, but they have longer action potentials because of calcium entering the cell

  • action potential is longer because of influx of CA2+ in stage 2

  • ..

    • After depolarization, there is a plateau and then it repolarizes

    • Starts at phase 4

    • Myocardial contractile cells have RMP of -90mV

    • Depolarization occurs quickly because of open voltage-gated sodium channels

      • reaches +20 mV

      • sodium channels in cardiac cells open faster than in neurons

    • Sodium channels close and K+ channels open. K+ leaves the cells and leads to initial depolarization (little dip before plateau)

    • Calcium channels also open on cell membrane. K+ leaves cells, and CA2+ enters the cell. (Efflux of K+ and influx of CA2+ causes plateau)

      • Plateau takes long time to repolarize because of calcium influx [Calcium pump is slow to activate]

    • Calcium channels will close leading plateau to end. K+ channels are still open, causing K+ to leave the cell. this causes rapid depolarization

Refractory Period in myocardial contractile cells

  • Refractory period is long just like the action potential

Lecture 4

Muscle filaments

  • Thick filaments: myosin [protein]

  • Thin filaments: actin [protein]

Muscle fibre anatomy

  • Sarcomeres = unit of muscle

  • Z disk = where thin actin filaments attach to each other

  • I bands = only occupied by thin actin filaments

  • A bands= regions that have entire lengths of thick myosin filaments

  • H zones = only occupied by thick myosin filaments

  • M lines = divides each A band into half

Myosin

  • A motor protein

    • has a tail and two heads (paired)

  • Hinge region connects tail and head regions

    • makes heads swivel around attachment to actin

  • heads have binding site for Actin & ATP

Actin

  • Repeating sequence of G-CTIN units that make polymers called F-Actin

    • 2 F-actin chains twist to make an actin filament

  • Troponin protein binds Calcium

  • Tropomyosin: a long protein that is controlled by troponin

  • G-Actin has a myosin binding site that’s covered by tropomyosin

    • Myosin can bind but it will be weak

      • When calcium binds to troponin, it moves tropomyosin and exposes the myosin binding sites

Myosin Power stroke [Binding of Myosin and Actin]

  • When calcium enters cell, calcium in cytosol increases and calcium binds to troponin

  • This binding will make tropomyosin to move from actin’s myosin binding site

  • Myosin head will binds strongly to actin and makes a power stroke (head swivels forward and pulls actin filaments together to shorten muscle fibre)

    • In the power stroke the actin moves toward centre of sarcomere

      • Energy comes from ATP

ATP for myosin-actin power stroke

  • Myosin will be in rigor state when it tightly binds to actin

  • ATP will bind to the myosin head which makes myosin let go of actin (muscle relaxes)

  • Myosin hydrolyzes ATP into ADP + Pi which stay bound to myosin.

    • This rotates myosin head into upright position so it can bind weakly to actin

  • Calcium enters cell and binds to troponin attached to tropomyosin

  • It moves tropomyosin out of the way to myosin head can bind tightly to actin

  • Myosin head binds tightly and swivels forward on actin filament and pulls it together [power stroke]

    • when myosin head power strokes (swivels forward), phosphate is released

  • Myosin head releases ADP and power stroke ends

    • nothing is bound to myosin head apart from actin

    • actin is only released with ATP. No ATP = muscle stays contracted

      • cells need to make energy to uncontract muscle

Excitation- Contracting coupling

  • Details how electrical signals lead to contraction of muscles

  • Action potentials initiate the contraction process

    • these potentials come spontaneously from pacemaker cells of heart

Muscle contraction [right side of photo]

    • first action potential creates a voltage (electrical signal) which reaches a channel on the surface of the cardiac muscle cell. This channel is the calcium voltage channel

    • voltage causes calcium channel to open and calcium outside of cell enters the cell

    • the calcium entering the cell binds to a nyanodine receptor on the sarcoplasmic reticulum storing calcium. then the receptor opens (RYR receptor) which makes more calcium enter cell

      • intracellular calcium is increases

    • this makes many calcium sparks, which leads to a calcium signal

    • Calcium signal goes to contractile unit of muscle cell

      • This is the same calcium that binds to troponin on the actin filament

Muscle relaxation [left side of photo]

  • calcium unbinds from troponin and tropomyosin blocks site for myosin to bind to actin

    • actin filaments are pulled apart, power stroke is done

  • Calcium is pumped back into sarcoplasmic reticulum [calcium pump actively pumps it into cell, it’s primary active transport]

  • Some calcium is pumped out of the cell by a sodium calcium exchanger, [NCX antiporter]

    • concentration gradient for this to work is maintained by sodium potassium pump