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69 Cards in this Set

  • Front
  • Back
Molecules in the extracellular fluid can function as messenger molecules. These molecules:
A. Function as hormones.
B. Function as neurotransmitters
C. Function to provide cell to cell communication.
D. All of the above
D all of the above
What type of molecule requires channels to pass through cell membranes, lipid soluble or water soluble?
water soluble
Do lipid soluble molecules work slowly or quickly?
slowly, 2-24 hours
Lipid soluble material passes through cell membrane and binds to an _______________. The " "-ligand binds to ______ and thus turns on _______ synthesis.
intracellular receptor
DNA
mRNA
What 2 things to water soluble molecules do to a cell?
Pass through a channel
Bind to surface receptors
-couple directly to ion channels
-couple to coupling proteins (G proteins)
-Couple to autophosphorylation activated receptors
What 3 enzymes does arachadonic acid split up into?
cyclooxengenase
lipoxygenase
epoxygenase
What do you get from cyclooxengenase?
prostaglandins
thromboxanes
prostacyclin
What do you get from lipoxygenase?
HETEs
leukotrienes
What do you get from epoxygenase?
epoxides
Material acts on a receptor that is linked to an enzyme or channel through a coupling protein-
G proteins
What toxin is a good example that involves the inhibitory protein Gi
Pertussis toxin directly inactivates the inhibitory coupling protein
What increases adenylyl cyclase activity and therefore increases the intracellular concentration of cAMP?
Gs protein
What toxin activates Gs?
cholera
What breaks down cAMP?
phosphodieterases
What are examples of phosphodiesterases?
caffeine and theophylline
What do phospholipases release?
arachidonic acid
What is sPLA2?
phospholipases that are secreted
What is cPLA2?
phospholipases that are in the fluid of the cell
What are leukotrienes and what do they do?
They are fatty signaling molecules. Function: trigger contractions in the smooth muscles lining the trachea; their overproduction is a major cause of inflammation in asthma and allergic rhinitis.
________ inhibits phospholipase A2.
Cortisol
What pain relief medication isn't a COX inhibitor?
acetaminophen/tylenol
What do COX inhibitors increase the risk of?
Probability of renal and GI problems and with the exception of low doses of aspirin heart attacks and strokes.
All cyclooxygenase inhibitors increase lipooxygenase products that may cause _______
asthma
What does the phospholipase C hydrolysis of phospholipids proudce?
diacylglycerol and phosphates of the phospholipid head group.
Hydrolysis of PIP2 produces: 2 things
inositol trisphosphates and diacylglycerol
Diacylglycerol activates the enzyme:
protein kinase C
What does Protein kinase C do?
phosphorylates many proteins including the proteins involved in regulating cellular division.
What does inositol trisphosphate do?
release calcium from intracellular sources and causes calcium to enter the cell. This increases intracellular calcium which regulated cellular activity.
Explain autophosphorylation
When these receptors bind to a substance, the receptor or receptor complex becomes phosphorylated which permits the receptor to modify the activity of other intracellular enzymes.
What is an agonist, give an example
a chemical that binds to a receptor and causes the same cellular effects as the natural substance is called an agonist.
Acetylcholine
What is an antagonist?
A chemical that binds to a receptor but has no effect on the cell. Because antagonists bind to the reecptors, other chemicals cannot bind to the receptors. Thus, receptor antagonists are receptor blockers.
Ex: animal venoms
What are the products of glycolysis?
pyruvate
2 ATP
1 NADH
What are the products of the Kreb's cycle?
Citrate
2 CO2
GTP, NADH, FADH2
What can alter cell and tissue biology?
adaptation, injury, cancer/neoplasia, aging, death
What are normal changes to the tissues?
callus, tan, uterus and breast changes during pregnancy, adrenal glands grow larger under stress
What are abnormal changes to the tissue?
cell death due to burn, mole or wart, cataracts, cancer
atrophy
smaller cells
hypertrophy
larger cells
hyperplasia
more cells
metaplasia
replacement of one cell type by another cell type. Often the new cell type is not as differentiated.
Dysplasia (atypical hyperplasia)
cells lose normal organization, shape, and size. This is often a pre-cancer condition
What is hypoxia?
What causes it?
lack of oxygen to the tissues.
blockage of blood flow due to poor circulation (heart failure), low BP, blockage of a blood vessel with a clot, occlusion of blood vessels due to pressure injury, lack of proper oxygen in the atmosphere or a failure of the respiratory system
What changes start to occur with hypoxia?
aerobic -> anaerobic
lactic acid levels increase
production of ATP decreases
ion pumps stop working
cells swell and organelles become damaged
What happens with ATP in the cells during hypoxia?
low ATP, broken down to ADP, then AMP, then adenosine; adenosine leaks out of the cells and is metabolized; cell gets oxygen again and can't make ATP due to lack of adenosine
Adenosine synthesis is a very _____ process that may require ___ hours to return a cell to normal adenosine concentrations following hypoxia.
slow
72 hours
*thus full damage caused by hypoxia is often not evident until 24-48 hours following the hypxia
What is reperfusion injury
excess blood flow, excess oxygen in the tissues -> highly reactive oxygen is produced which cause membrane damage
Bacterial endotoxins/ lipopolysaccharides are produced by gram-________ bacteria.
LPS causes increased production or __________.
*specific or non-specific?
negative
cytokines
non-specific
What are produced by gram-positive bacteria?
What does it target?
exotoxins
specific molecules or processes
What do bacterial enzymes do?
digest the host cell
What is bacteremia/septicemia?
growth of bacteria in the blood, destroy blood cells, increase in cytokines, decrease in BP results
Viral replication?
as a virus replicates, it turns cellular components of normal cells into more viruses
What does radiation do to cells?
excites atoms which can break the bonds between atoms and thus cause a molecule to become unstable
What kind of molecules does radiation target?
large molecules like DNA,
What kind of cells are most affected by radiation?
rapidly growing cells: GI cells, cells of a fetus, bone marrow cells, lymph node cells, skin cells, and cells associated with the hair follicle
Small amounts of radiation consequences
primarily affect DNA
little to no cell death
mutations in cells
can cause cancer or genetic mutations
effects are long-term
consequences of moderate radiation
causes sufficient DNA damage to cause slow cell death (days to years)
sores develop that do not heal or heal slowly
if sufficient cell death has occured the patient may die
consequences of large amounts of radiation
cause damage to RNA and DNA
large burn-like sores develop one to two days later
the tissue in the area of exposure dies quickly
patient dies of several days
consequences of extreme radiation
destroys protein, RNA and DNA
tissue rapidly develops a burn-like sore
the patient dies within seconds to days
Temp extremes:
heat-
cold
severe cold
heat-denatures proteins
mild cold-like hypoxia decreases ATP
severe cold-ice punctures cells
mechanical trauma of cells
cells destroyed by pressure or cutting of the cell membrane. Cellular destruction releases molecules which are pro-inflammatory
Manifestations of cellular injury: 6 things
1. cell swelling due to inhibition of the ion pumps
2. increase entry of calcium into the cell. High concentrations of calcium are toxic to the cell
3. swelling of endoplasmic reticulum and shedding of ribosomes
4. swelling of mitochondria
5. accumulation of lipids, carbs, calcium etc. in the cells or tissue
6. disruptions of nuclear membrane and autolysis occurs if cells die
What are the five types of necrosis?
coagulative
liquefactive
caseous
fat necrosis
gangrenous necrosis
coagulative necrosis
denatured material is gelatinous to a firm opaque
liquefactive necrosis
dead tissue is walled off and becomes a liquid
caseous necrosis
cottage cheese like appearance of tissues generally caused by TB, found in soft tissues of the body
fat necrosis
lipids of the cell break down. These lipids combine with calcium ions to form soap. The tissue is firm and has a chalk like appearance
what are the 3 types of gangrene, give the symptoms
dry-tissues dry, wrinkle, become dark, found in areas of poor blood flow. Coagulative necrosis results
wet-found in areas of good blood flow. Neutrophils invade the tissue and produce a liquefactive necrosis. Tissue is red and inflamed
gas- clostridium infection of injured tissue. bubbles of foul-smelling gas are produced by the bacteria and a foul odor results. Increase in cytokines, cardiovascular collapse can result.
How do you treat gangrene?
Keep it sterile to prevent infection, use moist, sterile bandages
Remove dead tissues
Give antibiotics
hyperbaric chamber to promote wound healing
Define apoptosis
programmed cell death, natural process, occurs in ovary, during development (webbed fingers), production of specific T and B lymphocytes, immune system kills cells infected with a virus or cancer cells