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Human Physiology and Pharmacology 2
a
327
Biology
Undergraduate 1
05/04/2016

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Term
Total volume of blood in a healthy adult
Definition
5.5 litres
Term
Composition of blood
Definition
Plasma - 3 litres
Formed elements - 2.5 litres
Red Cells (Erythrocytes)
White cells (Leukocytes)
Platelets (Thrombocytes)
Term
Haematocrit
Definition
Fresh blood with anticoagulant spun un centrifuge for 10 mins at 2000 rpm, 45% of whole blood volume normally, Lower = anaemia, higher = polycthaemia, higher but lower overall volume = dehydration
Term
Causes of anaemia
Definition
Blood loss, diet, haemolytic disease
Term
Causes of polycytheaemia
Definition
Physiologically e.g. altidute
Polycythaemia vera (bone marrow tumours)
Term
Symptoms and variations of polcythaemia
Definition
ruddy complexion, headache, blurred/patchy vision, confusion, stroke/coma
Absolute erythrocytosis = raised red cell mass, normale volume
Apparant erthrocytosis = normal cell mass, reduced volume
Treatment = venesection
Term
Plasma components
Definition
Water - 90%
Protein - 8%
Albumin - 60% of total protein
Globulins - 36 % of total protein
Fibrinogen
Others
Term
Proteins in the plasma
Definition
Albumins- osmotic pressure and carriers
Globulins - Enzymes, clotting factors
Fibrinogen - Clotting
Transferin - Iron transfer
Term
Hypotonic
Hypertonic
Definition
Cells swell and lose shpae
Cells collapse but cytoskeleton stays intact
Term
Solutes in plasma
Definition
Nitrogenous waste
Organic nutrients
Eletrolytes
Cations and anions
Respiratory gases
Term
Erthrocytes
Definition
Red blood cells, no nucleus or organelles, biconcave disk
Term
Leukocytes
Definition
White blood cells, defenders
Term
Neutrophils
Definition
Multilobed nucleus, phagocytes
Term
Eosinophils
Definition
Bilobed nucleus, kills parasites
Term
Basophils
Definition
Multilobed nucleus, Secrete chemical mediators in inflammation and allergic reactions
Term
Monocytes
Definition
large kidney shaped nucleus, phagocytosis, mature into macrophages
Term
Lymphocytes
Definition
Large nucleus almost no cytoplasm
B cells - secrete antibodies
T cells - secrete cytokines
Others - kill infected or tumour cells
Term
Platelets
Definition
Haemostasis
Term
Hypotonic
Hypertonic
Definition
Cells swell and lose shpae
Cells collapse but cytoskeleton stays intact
Term
Solutes in plasma
Definition
Nitrogenous waste
Organic nutrients
Eletrolytes
Cations and anions
Respiratory gases
Term
Erthrocytes
Definition
Red blood cells, no nucleus or organelles, biconcave disk, diameter = 8um, thickness = 2um, highly flexible, live only 120 days
Term
Leukocytes
Definition
White blood cells, defenders
Term
Neutrophils
Definition
Multilobed nucleus, phagocytes
Term
Eosinophils
Definition
Bilobed nucleus, kills parasites
Term
Basophils
Definition
Multilobed nucleus, Secrete chemical mediators in inflammation and allergic reactions
Term
Monocytes
Definition
large kidney shaped nucleus, phagocytosis, mature into macrophages
Term
Lymphocytes
Definition
Large nucleus almost no cytoplasm
B cells - secrete antibodies
T cells - secrete cytokines
Others - kill infected or tumour cells
Term
Platelets
Definition
Haemostasis
Term
Bone marrow
Definition
In adults, most of the bone marrow is yellow, and unable to produce cells, except in ribs, sternum and the upper ends of limb bones. Children have entirely red marrow.
Term
Erythropoiesis
Definition
Kidneys detect reduced O2 capacity in the blood and secrete hormone erythropoietin, stimulating erythropoiesis by the bone marrow.
Term
Globin
Definition
protein made of four polypeptide chains
Term
Haem groups
Definition
Iron containing non-protein groups bound to polypeptides
Term
haemoglobin affinity for CO
Definition
240 times higher than oxygen
Term
Vascular spasm
Definition
Blood vessels constrict after damage, increasing resistance to blood flow, damage activates the sympathetic nervous system, which further triggers constriction
Term
Platelets
Definition
Break off from megakaryotes, smaller than erythrocytes, only contain mitochondria, SER and cytoplasmic granules, secrete von willibrand factor, which binds to exposed collagen, and platelets, forming a plug, the platelets then begin to secrete serotonin, epinephrine and ADP
Term
Platelet-derived growth factor
Definition
promotes healing by attracting fibroplasts and smooth muscle cells
Term
During clot formation endothelial cells release... which...
Definition
heparin and antithrombin III, prevent further clots
Term
Coumarin anticoagulants
Definition
warfarin, heparin, aspirin, block action of vitamin K
Term
Coagulation disorders
Definition
Cause easy bruising and bleeding, bleeding into the joints is painful, into the brain can be fatal, its caused by liver disease such as hepatits or cirrhosis, or vitamin k deficiency, haemophilia or low blood platelets
Term
Haemophilia
Definition
multiple forms, factors in the coagulation cascade are missing or defective, haemophilia A- factor VIII deficiency , sex linked, only affects males
Haemophilia B - factor IX deficiency,
Term
Non specific immune response
Definition
Physical barriers, neutrophils, macrophages, natural killer cells
Term
Natural killer cells
Definition
eliminate virus infected and tumour cells, secrete interferons, which prevent viral replication and activate other immune cells
Term
Inflammatory response
Definition
Histadenes cause swelling, vasodilation and edema, Interleukins cause fever and make blood vessels more permeable to white blood cells and proteins, acute-phase proteins
Bradykinin causes pain and swelling
Term
Membrane attack complex
Definition
Complement proteins create a pore in the membranes of pathogens, allowing water to enter and the cell lyses
Term
B lymphocytes
Definition
Can be antibodies, plasma or memory cells
Term
Antibodies
Definition
Five vlasses, IgG, IgA, IgE, IgM, IgD, light and heavy chains, fab region variable, fc region constant
Term
IgG
Definition
75% of total antibody, produced in secondary immune response, during pregnancy protect the fetus, activate complement
Term
IgA
Definition
Found in external secretion such as saliva, tears, disables pathogens before they reach the internal environment
Term
IgE
Definition
Associated with allergic responses, found in blood plasma, allow mast cells to bind and release chemical mediators
Term
IgM
Definition
Primary immune response and react to blood group antigens, acitvate complement
Term
IgD
Definition
Found on the surface of b-lymphocytes, role unclear
Term
T-lymphocytes
Definition
Cell activated by antigen
Term
T-helper cells
Definition
Activate b lymphocytes
Term
Antigens possible on red blood cells
Definition
A, B, AB or none (O)
Term
Rhesus factor is normally only a problem if there is a
Definition
negative mother and positive baby
Term
Graves disease
Definition
Antibodies produced against thyroid stimulating receptor
Term
Insulin dependant diabetes meelitus
Definition
antigens produced against pancreatic beta cell antigens
Term
Multiple sclerosis
Definition
antigens produced against myelin of CNS neurons
Term
Myasthenia gravis
Definition
antigens produced against acetylcholine receptor of motor endplate
Term
Rheumatoid arthiritis
Definition
antigens produced against collagen
Term
Systemic lupus erythematosus
Definition
antigens produced against nucleic acid complexes
Term
Guillain-barre syndrome
Definition
antigens produced against myelin of peripheral nerves
Term
Causes of aneamia
Definition
accelerated blood cell loss caused by membrane or enzyme defects or abnormal haemoglobin or parasites, drugs or autoimmune reactions, or decreased production of red blood cells thanks to aplastic anaemia, caused by drugs or raditation, or inadequate diet
Term
Sickle cell disease
Definition
glutamate to valine, abnormal haemoglobin crtystallizes when releasing O2, causing a sickle shape, cells tangle together causing tissue damage and pain from hypoxia
Term
Issues with blood transfusion
Definition
wastage, shortage, storage and transportation, typing and cross matching, transmission of disease, need of human donors
Term
Haemoglobin extracted from waste blood
Definition
Cheap, but waste blood is diminishing
Term
Haemoglobin from cow blood
Definition
Cheap, plentiful, but long term affects are unknown and worries about transferance of BSE turning into CJD
Term
Haemoglobin Microorganisms
Definition
Not from humans or animals so no religous objection, infinite supply, potentially pure haemoglobin, but high cost
Term
Haemoglobin from transgenic animals
Definition
Potentially unlimited supply, but difficulties with extraction and ethical objections
Term
PFCs
Definition
Pleurofleurocarbon haemoglobin substitutes
Term
Advantages of PFCs
Definition
dissolve large volumes of oxygen and CO2, nor risk of disease, near infinite supply, highyl stable, chemically inert, easily sterilisable, low cost
Term
Disadvantages of PFCs
Definition
Cant mix with water, need high oxygen levels, can cause flu-like symptoms
Term
Leukaemia
Definition
Maglignant derivatives of non-pigmented hematopoiectic cell lineages that move freely thought the circulation, causes reduced platelets, abnormal bruising, suppressed white cells, increased risk of infection, red blood cell deficiency, aneamia, fever, shills, loss of appetite, swollen, bleeding gums, night sweats, bone or joint pain, neurological symptoms, skin problems
Term
Four types of Leukaemia
Definition
Acute -> rapid, normally occurs while young
Chronic -> slower progression
Lymphoid -> affects lymphoid cells
Myeloid ->affects myeloid cells
Term
Acute leukaemias are normally caused by
Definition
chromosomal translocation
Term
Standard treatment for leukaemia
Definition
chemotherapy to stop cells divind, steroid therapy to restimulate bone marrow, growth factors applied after chemotherapy helps immature blood cell types mature, radiotherapy, bone marrow or stem cell treatment
Term
Donor types
Definition
Autologous -donate to yourself
Syngeneic -Monozygotic (identical twin)
Allogenic - human donor
Xenogenic - alien donor
Term
Two major parts of GI system
Definition
GI tract and accesory glands
Term
Gi system
Definition
provides body with a continual supply of water, electrolyters and nutrients
Term
Autotrophs
Heterotrophs
Definition
Synthesis organic from inorganic
Require organic compounds
Term
Eight essential amino acids
Definition
tryptopha, methionine, valine, thronine, phenylalanine, leucine, isoleucine and lycine
Term
Parts of the GI tract
Definition
Oral cavity, oesaphagus, stomach, small and large intestines, rectum, anus
Term
Layers of Gi tract
Definition
mucosa, submucosa, muscularis externa, serosa
Term
The mucosa
Definition
mucous membrane -> absorbative cells, exocrine cells secrete materials, goblet cells secrete mucus, endocrine cells secrete hormones
lamina propria -> contains blood vessels and lymphoid tissue needed for protection from bacterial infection
muscularis mucosae -> thin layer of smooth muscle to allow the mucosa to fold and stir lumenal content
Term
The submucosa
Definition
connective tissue -> provides the GI tract with its distensibility and elasticity
Enteric nervous system -> regulates GI functions independantly
Term
muscularis externa
Definition
two separate layers of smooth muscle, inner layer circular, slow wave contraction, outer layer longitudanal shorten the GI tract
Term
The serosa
Definition
Inner layer of fibrous connective tissue, outer layer secretes water lubrication to allow organs to slide past each other, continuous with mesenteries and peritoneum
Term
The mouth
Definition
masticcation, secretes saliva, which is a lubricant and contains salivary amylase
Term
The esophagus
Definition
Muscular tube from pharynx to stomach, upper 1//3 skeletal muscle, lower 2/3 smooth muscle
Term
The swallowing reflex
Definition
Tongue pushes bolus to soft palate at back of mouth triggering reflec, upper eosphageal sphincter relaces, epiglottis closes to protect airways, food moves down propelled by gravity and peristaltic waves
Term
Stomach
Definition
Empty volume= 50ml, full = 1000ml, secretes gastric juice, slowly releases food into intestine, regulated by the pyloric sphincter
Term
pH of stomach
Definition
2
Term
Gastric pits
Definition
pepsinogen secreted by chief cells, hydrogen ions and intrinsic factor secreted by parietal cells, gastrin secreted from G cells, mucus secreted from neck cells
Term
Small intestine structure
Definition
coiled hollow tube, 8-10feet long, primary site of digestion and absorption, three divisions, duodenum, jejunum, ileum
Term
Secretions into the duodenum
Definition
Pancreatic juice, digestive enzymes, bicarbonate to neutralize acidic chyme, bile
Term
Absorption in the small intestine
Definition
completed in first 20% of intestine length
Term
Small intestine wall
Definition
Villi increase surface area of epithelium, contain blood vessels and lacteal for absorption, microvillia increase surface area, form brush border
Term
Crypts of leiberkuhn
Definition
Epithelial cells secrete bicarbonate-rich fluid, secreted in proximal small intestine, absorbed in distal small intestine
Term
role of liver in absorption
Definition
nutrients travel in blood to liver first to detoxify and be processed
Term
Blood supply to liver
Definition
hepatic portal system delivers nutrients to be processed, hepatic artery provides liver with oxygen, hepatic vein takes nurtients to heart and general circulation
Term
Large intestine
Definition
cecum, colon and rectum, ileocecal sphincter is between ileum and colon, colon is a hollow tube from small intestine to rectum which concentrates waste into feces, absorption of most water, stores feces until defecation, teniae coli are bands of longitudinal smooth muscle
Term
Four sections of the colon
Definition
Ascending, transverse, descending, sigmoid
Term
Rectum and anus
Definition
Colon empties into rectum, feces excreted through anus, internal anal sphincter = smooth muscle, external anal sphincter = skeletal muscle, both sphincters must relax to excrete
Term
GI gland types
Definition
surface glands, mucosa and submucosa glands, deep tubular glands, specialised glands
Term
Accessory glands
Definition
secrete products via ducts into the lumen of the Gi tract
Term
Gastric juice contains
Definition
Hydrochloric acid, pepsinogen, mucous, pH is between 1 and 3.5
Term
Mucous neck cells
Definition
Secrete bicarbonate and mucus to provide physical barries and prevent acid damage
Term
Parietal cells
Definition
secrete gastric acid and intrinsic factor to activate pepsin, kill bacteria and complex with vitamin B12 to permit absorption
Term
Enterochromaffinlike cell
Definition
secretes histamine to stimulate gastric acid secretion
Term
Chief cells
Definition
secrete pepsinogen and gastric lipase to digest proteins and fats
Term
D cells
Definition
secrete somatostatin to inhibit gastric acid secretion
Term
G cells
Definition
secrete gastrin to stimulate gastric acid secretion
Term
Causes of ulcers
Definition
excess acidity/pepsin, poor mucous secretions, irritation of mucosa or infection of mucosa
Term
Symptoms of peptic ulcer disease
Definition
Stomach pain, possible bleeding
Term
Helicobacter pylori
Definition
Gram negative, found in 40% of population, found in the mucus lining and duodenum, activates ulcers by causing immune response, which destroys tissues, making them vulnerable to acid and pepsin
Term
Treatment of ulcers
Definition
antacids, histimine or proton pump inhibitors
Term
The pancreas
Definition
Has excocrine and endocrine portions, produces pancreatic juice, rich in bicarbonate, produces pancreatic amylase, proteases, lipases and nucleases
Term
Zymogens
Definition
Inactive forms of digestive enzymes, stored in zymogen granules of acinar cells, activated by proteolytic enzymes in intestinal tract lumen
Term
Endocrine pancreas
Definition
isolated islands of endocrine tissue, islets of langerhand, produce hormones - insulin and glucagon, exocrine and endocrine portion derived from different tissues during development
Term
Liver functions
Definition
secrete bile, process nurtrients, stores glycogen, fats, iron copper and vitamins, removes old red blood cells, eliminates wastes and toxins, synthesises plasma proteins, secretes and modifies hormones
Term
Biliary system
Definition
liver, gall bladder and associated ducts, liver synthesizes bile, gallbladder stores bile, common bile duct transports bile from liver and/or gallbladder to duodenum, joins with pancreatic duct to form ampulla of vater sphincter of Oddi, regulates flow from pancreas and gallbladder to duodenum
Term
Liver anatomy
Definition
Materials to make bile taken up from blood in sinusoids into hepatocytes, hepatocytes secrete bil into the bile canliculi on side opposite of sinusoids, canaliculi drain into bile ducts, bile ducts drain into common hepatic duct
Term
Protein amount needed and eaten
Definition
needed, 40-50grams a day, eaten 125 a day
(average)
Term
Endopeptidases
Definition
Split polypeptides at interior peptide bonds
Term
Exopeptidases
Definition
cleave amino acids from one end of polypeptide
Term
Absorption of amino acids
Definition
Cross apical membrane by sodium-linked secondary active transport or facilitated diffusion, cross basolateral membrane by facilitated diffusion, dipeptides and try peptides cross the same way, except cant cross apical membrane by facilitated diffusion
Term
Lipids
Definition
typical diet = 25 -160grams of lipids, 90% are triglycerides, lipids are hard to digest and absorb as they are not water soluble and do not mix with stomach contents
Term
Absorption of monoglycerides and fatty acids
Definition
absorbed by simple diffusion, processed in smooth ER and golgi apparatus, then chylomicrons are secreted by exocytosis into interstitial fluid, chylomicrons enter lymphatic system via lacteal
Term
Absorption of minerals: Na+, Cl-, and K+
Definition
sodium = solvent drag with water reabsorption, actively absorbed
Chloride, passively follows sodium reabsorption
Potassium, passively absorbed
Term
Absorption of calcium
Definition
actively absorbed in duodenum and jejunum, transported into epithelial cell, transported across basolateral membrane by Ca2+ pump
Term
Absorption of iron
Definition
transferrin secreted by enterocytes into lumen of small intestine, transferrin binds iron, transferrin iron complex binds receptor, taken into cell by receptor mediated endocytosis, some iron stored in enterocyte as ferritin, some iron transferred into blood, transported in blood bound to transferrin
Term
Apsorbtion and secretion of bicarbonate
Definition
jejenum passively absorbs bicarbonate ions,
Ileum and colon secrete bicarbonate in exchange for chloride ions
Term
Malabsorption syndromes
Definition
Failure of substances to reach absorbing epithelium, absorbing substances unavailable, loss of absorptive surface
Term
Feeding/fasting cycle
Definition
lateral hypothalamus = feeding centre (promotes eatin)
Ventromedial hypothalamus = satiety centre = inhibits eating
Term
Lesions and stimulationg of hypothalamus areas
Definition
Lesions in ventromedial = voracious eating
Lesions in Lateral = cessation of eating
Stimulus in ventromedial = cessation of eating
Stimulus in lateral = voracious eating
Term
Satiety signals
Definition
nervous-reflexes initiated by distension
hormonal-feedback by cholecystokinin
chemical-glucostatic: central and peripheral effects lipostatic: release of leptin from fat cells
Term
Peptides that increase food intake
Definition
Neuropeptide, orexins, galanin, melanin-concentrating hormone, ghrelin. All but ghrelin produced in hypothalamus, ghrelin produced in stomach
Term
Peptides that decrease food intake
Definition
CCK, Corticotropin-releasing hormone, alpha melanocyte-stimulating hormone, CART, glucagon-like peptide-1, CCK produced in small intestines and neurones, glucagon-like and PYY3-36 produced in intestines, others in hypothalamus
Term
Gastrin
Definition
stimulates gastrin secretion and motility, stimulates ileal motility, relaxes ileocecal sphincter
Term
Cholecystokinin
Definition
inhibits gastric secretion and motility, potentiates actions of secretin, stimulates pancreatic enzyme secretion and bile secretion, stimulates gallbaldder contraction, relaxes sphincter of Oddi
Term
Secretin
Definition
Inhibits gastric secretion and motility, stimulates bicarbonate secretion, potentiates CCK, stimulates bile secretion
Term
Glucose-dependant insulinotropic peptide
Definition
inhibits gastric secretion and motility, stimulates insulin secretion
Term
Cephalic phase of GI control
Definition
originates in head, thought taste, smell, requires input from central nervous system
Term
Phases of gastronintestinal control-Gastric phase
Definition
stimuli originate in stomach
Term
phases of gastrointestinal control-intestinal phase
Definition
stimuli originate in intestine
Term
Difference between parasympathetic and sympathetic stimulation of salivary glands
Definition
para=watery saliva
ssympa= thick saliva + mucus
Term
Gastri acid secretion
Definition
parietal cells produce HCl, carbonic anhydrase catalyzes production of bicarbonate and H+, H+ actively secreted into stomach, bicarbonate transported into interstitial fluid for Cl-, which diffuses into lumen of stomach
Term
CCK stimulates
Definition
acinar cells to secrete enzymes
Term
Secretin stimulates
Definition
duct cells to secrete bicarbonate
Term
Electrical activity in GI smooth muscle
Definition
slow waves of depolarization = slow waves
Term
Peristalsis
Definition
propels stomach contents forwards, requires circular and longitudinal contractions
Term
segmentation
Definition
Mix stomach contents, only requires cicular muscle, mixes chyme, alternating contractions between intestinal segments
Term
Chewing cycle
Definition
Food enters mouth, jaw muscles inhibited, jaw dropping relieves pressure of food, jaw contracts, pressure from food added again, jaw drops
Term
Bolus
Definition
saliva and chewed food
Term
integration centre
Definition
swallowing centre of the medulla oblongata
Term
Swallowing reflex
Definition
bolus descends in pharynx, presses on epiglottis, epiglottis covers glottis to protect pharynx, inspiration inhibited, bolus stretches esophagus, triggering peristalsis, bolus arrives at stromach, triggers relaxation of lower esophagul sphincter
Term
Vomiting stimuli
Definition
illness, emotion, pain, distension in GI tract, rotaction of head, ingestion of emetic substances
Term
Vomiting reflex
Definition
nerve impulse triggers reverse peristalsis in the duodenum, pyloric sphincter relxes, diaphragm and abdominal muscles contract and gastro-oesaphageal sphincter relaxes, gastric and intestinal contents forcibly expelled through mouth
Term
Neural communication
Definition
Neurotransmitters released at synaptic junction
Term
Paracrine communication
Definition
Cell products diffuse to nearby cells
Term
Endocrine communication
Definition
Hormones in blood stream
Term
Ligand
Source
Target
Definition
Chemical messenger
Cell that produces ligand
target of ligand
Term
Lipophobic ligand
Definition
needs pummps or channels to pass cell membrane, normal action of target response is enzyme activation or membrane permeability changes, synthesized independant of demand, stored in vesicles until needed then released by exocytosis
Term
Lipophilic ligand
Definition
Easily crosses cell membrane, receptor location within cell, normally acts by activating a gene, Made on demand and instantly released
Term
Amine messengers
Definition
most lipophobic, except for thyroid hormones, target receptors on cell membrane, made for aor derived from an amino acid, contain an amine group
Term
Peptide and protein messengers
Definition
abundant, lipophpobic, target receptors on cell membrane
Term
Steroid ligands
Definition
Lipophilic, intracellular target receptors, derived from cholesterol, all function as hormones
Term
Amine synthesis
Definition
produced in cytosol of source and stored in vesicles until release by exocytosis
Term
Half-lives
Definition
time for a chemical to decrease in concentration by half, messengers dissolves in plasma have a short half life, bound to plasma protein have a long one
Term
Receptor binding
Definition
Specificity, binding is brief and reversible, affinity=strength of binding, one messenger may bind many receptor, one target may have many receptors, no# of receptors per cell varies
Term
Agonist
Definition
Chemical binds to receptor and mimics normal response
Term
Antagonist
Definition
bind to receptor and no response occurs
Term
G proteins
Definition
regulatory, link ECF messenger to ion channels or amplifier enzymes, action is indirect
Term
GCPRs
Definition
intracellular messenger, triggered by first messenger activating G protein, which activvates amplifier enzyme, which activates secondary messenger
Term
Cyclic adenosine monophosphate (cAMP)
Definition
secondary messenger, activates protein kinase A
Term
Cyclic guanosine monophosphate cGMP
Definition
secondary messenger, activates protein kinase G
Term
Diacylglycerol DAG
Definition
secondary messenger, activates protein kinase C
Term
Inositol triphosphate IP3
Definition
secondary messenger, stimulates calcium release
Term
Calcium
Definition
secondary messenger, binds to calmodulin and activates a protein kinase
Term
Signal amplification
Definition
small amounts of ligand can cause a huge reponse in target, each step recruiting more participants
Term
Organs of the pituatary
Definition
INFUNDIBUULUM, POSterior and anterior pituitary
Term
Infundibulum,
Definition
stalk that connects pituatary to the brain
Term
Postery pituitary
Definition
extension of neural tissue
Term
Anterior pituitary
Definition
an endocrine gland
Term
Posterior pituitary hormones
Definition
Andidiuretic hormone = water balance
Oxytocin =supraoptic nucleus, milk ejection
Term
Pituatary portal system
Definition
Two capillary beds linked
Term
Tropic hormones
Definition
Affect release or inhibition of other hormones, target endocrine glands
Term
Control of hypothalamnic tropic hormone release
Definition
negative feed back
Term
Pineal gland
Definition
unknown/ no purpose, but secretes melatonin
Term
T4 and T3
Definition
thyroid hormones that regulate metabolism
Term
parathyroid hormone
Definition
regulates calcium level in blood
Term
The thymus
Definition
secretes thymosin and regulates T cell function
Term
the adrenal hormones
Definition
Mineralocorticoids, glucocorticoids, sex hormones
Term
mineralocorticoids
Definition
aldosterone, secreted from zona glomerulosa, regulates sodium and potassium levels
Term
Glucocorticoids
Definition
cortisol, secreted from zonae fasciculata and reticularis, regulates bodies response to stress and metabolism
Term
sex hormones
Definition
androgens, secreted from zonae fasciculata and reitcularis, regulate reproductive function
Term
Andrenal medulla
Definition
Secretory cells = chromaffin cells, under neural control
Term
Addisons disease
Definition
inability to produce adrenaline, caused by mutation, defective adrenal medulla, inability to synthesize ACTH
Term
Primary endocrine organs
Definition
pineal gland, hypothalamus, pituitary gland, thyroid gland, parathyroid glands, thymus, adrenal gland, pancreas, ovaries/testes, placenta(if pregnant)
Term
Secondary endocrine organs
Definition
Heart, kidney, stomach, liver, small intestine, skin
Term
Pancreas cells
Definition
Endocrine cells: Alpha cells, beta cells, delta cells, f cells,
Exocrine cells: acinar cells, duct cells
Term
Alpha cells
Definition
secrete glucagon
Term
Beta cells
Definition
secrete insulin
Term
Delta cells
Definition
secrete somatostatin
Term
F cells
Definition
secrete pancreatic polypeptide
Term
Acinar cells and duct cells
Definition
make up the exocrine pancreas
Term
Hormones produced by testes
Definition
Testosterone and androstenedione
Term
Hormones produced by ovaries
Definition
Estradiol, progesterone
Term
Hormones produced by placenta while active
Definition
Estrogens and progesterone
Term
Hormones produced by GI tract
Definition
Cgolecystokinin, secretin, gastrin and more
Term
Hormones produced by heart
Definition
atrial natriuretic peptide
Term
Hormones produced by kidney
Definition
erythropoietin
Term
Hormones produced by liver
Definition
Insulin-like growth factors ( somatomedins)
Term
Hormones produced by skin and kidneys
Definition
calcitrols
Term
Neural control
Definition
Stress-> hypothalamus -> increased corticotropin releasing hormone secretion -> Anterior pituitary -> increased adrenocorticotropic hormone secretion -> adrenal cortex -> increased cortisol secretion
Term
Humoral control starting at blood glucose
Definition
higher blood glucose -> increased insulin secretion in the beta cells of the pancreas -> increased glucose uptake -> lower blood glucose
Term
Humoral control starting at blood K+
Definition
Increased blood K+-> increased aldosterone secretion in the adrenal cortex-> increased K+ excretion in the kidneys -> lower blood K+
Term
Hydrophilic hormones
Definition
peptides, catecholamines, dissolved in plasma
Term
Hydropobic hormones
Definition
steroid/ thyroid hormones, bound to carrier proteins, need to unbind to bind to receptor or be metabolized, longer half life
Term
Praimry versus secondary secretion disorders
Definition
Primary = abnormality in endocrine organ secreting hormone
Secondary= Abnormality in tropic hormone
Term
How is abnormal secretion normally dealt with
Definition
negative feedback
Term
Exogenous medication
Definition
replaces and exceeds normal, causes atrophy of gland
Term
Synergism
Definition
Effect of two hormones facour each other and the net = more than the sum
Term
Permissiveness
Definition
One hormone needed for another to exert its effects
Term
Delivery of lipids to cells
Definition
transported in blood from GI to liver, adipose tissue and other cells in chylomicrons, from liver to body cells in VLDLs
Term
Lipoprotein lipase is located
Definition
ON INNER surface of capillaries
Term
Energy output =
Definition
60% heat, 40% work
Term
Basal metabolic rate
Definition
rate of energy expenditure of a person awake, resting, lying down and fasted for 12 hours
Term
Affects of insulin
Definition
Increased glucose and amino acids in plasma
Term
Glucagon
Definition
peptide hormone secreted from alpha cells
promotes breakdown of energy storage molecules, promotes glucose sparing for nervous system
Term
Drugs for treating diabetes
Definition
Sulfonylureas and meglitinides, alpha glucosidase inhibitors, biguanides, PPAR activators, amylin analogs, Incretin, Inhaled insulin
Term
Sulfonylureas and megilitinides
Definition
Stimulates insulin secretion by closing beta cell Katp channels and depolarizing the cell
Term
Glucosidase inhibitor
Definition
decrease intestinal glucose uptake by blocking intestinal enzymes that digest complex carbohydrates
Term
Biguanides
Definition
reduce plasmaglucose by decreasing hepatic gluconeogenesis, mechanism of action unsure
Term
PPAR activators
Definition
Increase gene transcription for proteins that promote glucose utilization and fatty acid metabolism, work by activating PPAR gamma, a nuclear receptor activator
Term
Amylin analogs
Definition
reduce plasma glucose by delaying gastric emptying, supress glucagon secretion and promote satiety
Term
Inhaled Insulin
Definition
same as endogenous insulin
Term
Growth
Definition
Increased number and size of cells and increase bone length and thickness
Term
Hormones of growth
Definition
HGH, somatomedins, insulin, thyroid hormones, sex hormones
Term
Action of growth hormone
Definition
Increase cell size and number, inhibit glucose uptake into adipose tissue and skeletal muscle, stimulate lipolysis in adipose tissue, stimulate gluconeogenesis in liver, increase amino acid uptake in cells
Term
Factors increasing GHRH release
Definition
decrease in fatty acids or glucose, increasing amino acids, sleep, exercise stress, circadian rhythm
Term
Bone
Definition
= calcium phosphate crystals
Term
Cells in bone
Definition
Osteoblasts = bone makers (deposition)
Osteoclasts = bone breakers (resorption)
Osteocyts = bone maintainers
Term
Formation of bone
Definition
Osteoblasts lay down osteoid, calcification, osteoblast becomes immobilized then becomes osteocyte, osteocyte maintains surrounding osteoid
Term
Resorption of bone
Definition
Osteoclasts secrete acid and enzymes, acid dissolves calcium phosphate crystals, enzymes degrade osteoid, calcium and phosphate released into blood
Term
bone growth
Definition
Increase in width: osteoblasts lay down ner bone on outer surface, osteoclasts resorb bone in inner surface
Inrease in length: osteoblasts lay down new bone at epiphyseal plates
Term
Structure of a long bone
Definition
Epiphyseal plate, marrow cavity, epiphysis(ends)
Term
Long bone growth
Definition
Chondrocytes produce new cartilage in epiphyseal plate, epiphyseal plate widens causing bone to length, chondrocytes die and are replaced by osteoblasts which lay down bone, epiphyseal plate closes permanently during puberty
Term
Extracellular matrix
Definition
99% of body calcium, calcified matrix of bone
Term
Parathyroid glands
Definition
alters reabsorption of Ca2+, initiates protein synthesis in osteoclasts
Term
Calcitonin
Definition
Produced in thyroid glands, prevents bone resoption and enhances kidney excretion
Term
Dwarfism, gigantism and acromegaly
Definition
decreased gh secretion in children, increased gh secretion in children, increased gh secretion in adutls
Term
Follicular cells in the thyroid
Definition
synthesize thyroid hormones, which are stored in collloid until secretion
Term
Thyroglobulin in thyroid hormone synthesis
Definition
precursor for thyroid hormones, contains tyrosine residues, found in colloid
Term
Iodide in thyroid hormone synthesis
Definition
Added to thyroglobulin to form thyroid hormones, actively transported from blood to colloid
Term
T4 hormones
Definition
Most abundant form of thyroid hormones, but last active, provides long loop negative feed back, converted to T3 at taraget tissue
Term
T3 hormones,
Definition
not as much made, but more active
Term
Hyperthyroidism
Definition
Increases oxygen consumption and metabolic heat production, increases protein catabolism, may cause muscle weakness, hyperexcitable reflexes and pyscological disturbances, influence betaadrenergenic receptors in heart
Term
Hypothyroidism
Definition
Slow metabolic rate and oxygen consumption, decreases protein synthesis, slowed reflexes, causes cretinism in infants, bradycardia
Term
Exophthalmus
Definition
hypertrophy of tissues in eye socket, caused by hyperthyroidism
Term
Treatment for excess thyroid hormones secretion
Definition
Surgery, radioactive iodine. anti-thyroid drugs
Term
Role of cortisol in stress response
Definition
Mobilizes energy stores, suppresses immune response
Term
Effects of abnormal clucocorticoid secretion
Definition
Cushings syndrome causes hyperglycemia and protein deplection, addisons disease
Term
Gonads
Definition
produce gametes and secrete sex hormones
Term
Gametogenesis
Definition
meiosis
Term
Sry gene
Definition
code for testis determining factor, if present, causes fetus to develop testes
Term
Bipotential structures
Definition
structures that develop differently depending on the gender
Term
Genital tubercule
Definition
Male -> glans penis
Female -> Clitoris
Term
Ureathral folds and groove
Definition
Male -> Shaft of penis
Female-> labia minora, opening of vagina and urethra
Term
Labioscrotal swellings
Definition
Female -> Labia majora
Male -> Shaft of penis and scrotum
Term
Gonad (cortex)
Definition
Female-> Forms ovary
Male->regresses
Term
Gonad (medulla)
Definition
male-> forms testes
female -> regresses
Term
Wolfian duct
Definition
Male- becomes epididymis, vas deferens and seminal vesicle
Female ->regresses
Term
Mullerian duct
Definition
Female-> becomes fallopian tube, uterus, cervix and upper 1/3 of vagina
Male-> regresses
Term
Cells of the testis
Definition
leydig cells->secrete testosterone
sertoli cells->support sperm development
Term
Effects of testosterone
Definition
Masculinizes reproductive tract and maintains it, essential for spermatogenesis, induces male pattern of hair growth, thickens vocal cords, promotes muscle and bone strength, can cause aggressiveness (unsure how much is due to testosterone)
Term
Functions of sertoli cells
Definition
support sperm development, secrete luminal fluid, secrete androgen binding protein, stimulate spermatogenesis, secrete inhibitin
Term
Penis
Definition
male copulatory organ, sperm ejects through urethra
Term
Scrotum
Definition
Suspended below penis, houses testes, 2-3degrees cooler than body temp
Term
Reproductive tract
Definition
seminiferous tubules->rete testis->efferent ductules->epididymus-> vas deferens
Term
Seminal vesicles
Definition
Secrete alkaline fluid, fructose, enzymes and prostaglandins
Term
Prostate gland
Definition
Secretes citrus and enzymes
Term
Bulbourethral glands
Definition
secrete viscous fluid with mucus
Term
FSH in males
Definition
stimulates gametogenesis
Term
LH in males
Definition
stimulates androgen secretion
Term
Effects of androgen in males
Definition
stimulate spermatogeneis, promote development of secondary sex characteristics during puberty, increase sex drive, promote protein synthesis, stimulate growth hormone secretion
Term
Sperm
Definition
Chromosomes, acrosome contains enzymes needed for penetration, midpiece, mitochondria
Term
Granulosa cells
Definition
target of estrogen and FSH, secrete inhibin, transports nutrients to oocytes, secrete estrogens
Term
Cervix
Definition
canal leading to vagina
Term
Birth canal
Definition
Cervix and vagina
Term
Uterine tubes
Definition
also called fallopian tubes, site of fertilisation, ova transported from ovaries to uterus
Term
Infundibulum and fimbriae
Definition
pick up released ovum
Term
how is the ovum moved through the uterine tube
Definition
peristaltic contractions and ciliary actions, duration, 4 days to uterus
Term
oogonia
Definition
oogenesis turns oogonia into iva, number of oogenia fixed
Term
Ovarian cycle
Definition
Follicular phase - menstruation to ovulation, around 14 days,
Luteal phase - ovulation to just before menstruation, 14 days
Term
Follicular phase
Definition
Follicles begin to develop from primordial follicles, oocye grows, granulosa cells proliferate, zona pellucida and antrum form, dominant follicle continues development, rest regress, corona radiata develops, graafian follice = mature follicle, ovulation, FSH and estrogens stimulate follicle growth and development
Term
Ovulation
Definition
wall of graafian follicle ruptures, antral fluid with oocyte flows to ocary surface and is released, ova enters fimbrae, LH surge triggers ovulation and development of corpus luteum in luteal phase
Term
Luteal phase
Definition
degeneration-> decrease estrogens and progesterone->menstruation
Term
Menstrual phase
Definition
shedding of uterina lining causes menstrual flow, hormones decrease when corpus leuteum degenerates
Term
Proliferative phase
Definition
Uterus prepares for fertilized ovum, endometrial lining develops and grows, endometrial glands enlarge, smooth muscle layer thickens, cervical glands secrete mucus, estrogens stimulate development of uterine lining
Term
Secretory phase
Definition
endometrium prepared for implantation, blood supply increased, glands enlarge and secrete glycogen-rich fluids, cervical secretions more sticky forming a plug
Term
Hormone changes during menstruation
Definition
Estrogen secreted from follicle, then corpus luteum, progesterone also secreted from corpus luteum, lh and fsh secreted from anterior pituitary, estrogens and progesterone inhibit LH and fsh secretion
Term
FSH
Definition
granulosa cells to theca cells
Term
estrogens
Definition
lh receptors on granulosa, progesterone receptors on endometrial cells
Term
Progesterone in females
Definition
promotes secretory phase uterine conditions, suppresses uterine contractile activity
promotes growth of glandular tissue in breasts
supresses milk production
Term
Menopause
Definition
Estrogen levels decrease, reversal of some secondary sex characteristics, hot flushes, increased risk of heart disease and osteoporosis
Term
eostrogen pill
Definition
inhibit ovulation, prevents follicles developing, no ova release
Term
depo provera
Definition
progesterone injection, lasts three months
Term
vaginal rings/patches,
Definition
worn three weeks out of four, slowly release hormones
Term
oral contraceptive risks
Definition
increased risk of cv diseases, mood change, change in glucose tolerance, weight gain (linked to glucose tolerance?)
Term
Other contraceptive methods (other than barrier)
Definition
natural contraceptives such as breast feeding (NOT reliable) suckling activated mechano receptors which stimulate prolactin release, which inhibits FSH and LH production
Term
Post-coital contraception
Definition
levonorgestrel, competitvely inhibits progesterone, implanted embryo lost
Term
Infertility treatment
Definition
hormonal disturbances, and for males vascular problems
Term
fertilisation
Definition
several sperm reach ovum and try penetrating corana radiata, when one does and binds to sperm binding protein, the egg membranes harden, preventing more from binding, also sperm binding proteins inactivate, sperm membrane disintegrates, fusion stimulates 2nd meiotic division, chromosomes migrate from sperm and ovum to centre
Term
Blastocyst
Definition
4-5 days after fertilization, lost zona pellucida, three cell layers, trophoblast, inner cell mass and blastocoel
Term
Zygote
Definition
After chromosome replication
Term
Implantation
Definition
occurs 6-7 days post fertilisation, trophoblast secretes enzymes that digest endometrial cells to provide nutrients for embryo, secretes paracrines that stimulate decidual response, infiltrates endometrial tissue to develop into placenta
Term
ectopic pregnancy
Definition
fertilised ovum implants in fallopian tube, grows and ruptures tube, fetus must be killed, either through drugs or surgical removal
Term
First trimester
Definition
weeks 1-14, weight gain, increased metabolic action, increased breast and uterus size, morning sickness
Term
Second trimester
Definition
loss of waistline, heartburn and constiparion, improvement of well being, return of libido and improved skin tone, baby starts to move
Term
Third trimester
Definition
weeks 29- birth, deeper breats, tired, anxious, uterus contractions in preparation
Term
Eclampsia
Definition
:arge and rapid increase in blood pressure, compromises blood flow to fetus, requires bed rest, possible sedation, and antihypersensitive agents, or termination of fetus to protect mother
Term
parturition
Definition
birth
Term
First 24 hrs of parturition
Definition
dilation of cervical canal, waters breaking lubricants cervical canal, increasing myometrial contractions
Term
Second stage of labour
Definition
30-90 minutes, cervical dilation complete, head of fetus activates cervical stretch receptors, baby delivered connected to umblical cord, cord tied first, then severed.
Term
Third stage of labour
Definition
30 minutes post partum, expel placenta, continued contraction to prevent haemorrhage, fall in progesterone and eostrogen
Term
Trigger for parturition
Definition
Unknown, but possible a signal from fetus
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