Knowledge of cellular biology supports PT understanding of how the body (especially nerve & muscle fibers) functions & the underlying pathophysiology of disorders (most disease processes initiate at the cellular level).
Factors (disease, meds, age, environmental exposures, etc.) impact cellular replication & function = impact on overall health
"Typical Cell" Organization
3 major components:
Cell membrane
Cytoplasm (organelles)
Nucleus with nuclear membrane
"Typical Cell" Composition: (Varies depending on cell type)
Water: 75\%
Proteins: 20\%
Structural & functional
Lipids: 2\%
Carbohydrates: 1\%
Ions: <1\%
Nucleic acids: <1\%
DNA
RNA
Cell Structure
Intracellular organelles
Highly organized physical structures critical for cell function
Semipermeable – helps regulate what comes in/out of the cell
Receptors for hormones and biologically active substances
Participates in muscle & nerve cell electrical events
Aids in cell growth and proliferation
Cell Membrane: Lipid Barrier
Lipid molecules form a phospholipid bilayer
Inner – hydrophobic; outer – hydrophilic
~100\% lipids & proteins
Dynamic, fluid system: thin, pliable structures
Function: Impedes penetration of water-soluble substances
Cell Membrane Lipid Barrier: Large Glycoproteins
Two Types: integral & peripheral
Integral
Transmembrane
Channels: Ions, H2O/H2O soluble, etc.
Carrier proteins: active transport
Serve as receptor/ligand channels & activate intercellular proteins
G protein-coupled receptors
Movement Across the Cell Membrane
Diffusion – simple
Molecule must be lipid soluble or must move through a protein channel
Facilitated
Specific to size, shape, charge of ion/molecule
Channels may be gated
Active transport - requires energy (carrier proteins)
Most common: Na^+/K^+ pump (more in muscle & nerve!)
Movement Across the Cell Membrane
Ion Channels
Mechanically-gated: open in response to deformation of membrane surface
Temperature-gated: open in response to heat or cold
Ligand-gated: open in response to chemical messenger attaching to receptor (Ligand – chemical messenger released by 1 cell to itself or to another cell)
Voltage-gated: open in response to change in membrane potential