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125 Cards in this Set

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What is extracellular matrix comprised of (2 components)

What makes the matrix?
proteoglycans

insoluable protein fibers like collagen fibers, fibronectin, laminin

that type of matrix's cell is in charge of secreting and making the matrix
i.e. chondroblasts make cartilage matrix
contrast a tight junction with a desmosome.
tight junctions are the stitching

desmosomes are the rivets between adjecent cells
what are tight junctions, desmosomes and gap junctions made of?
specialized membrane proteins
What does epithelium cover?
Body surfaces.

Either to exterior (skin)

or interior (glands, organs, vessels)
what is simple squamous good for?
filtration, diffusion, absorption

no wear and tear
what is stratified epithelium good for?
wear and tear

lots of layers and cell replacement
What is transitional epithlieum good for?
expanding and contracting

bladder
what type of epithelium is in the kidney tubules
ducts
ovary surface
think of what secretes and absorbs



simple cuboidal epitheliurm
What types of epithelium are in the aveoli,
renal corpuseles
plueral cavities?
think diffusion
think filtration
think thin covering



simple squamous epithelium
What type of epithelium will you find in the GI tract
glands
gallbladder?
non-cilliated simple columnar

secretion and absorbtion
What type of epithelium will you find in bronchi,
uterine tubes,
parts of uterus?
secretions and movement of stuff




ciliated simple columnar
What epithelium is mucous secretion associated with and where in the body will you find it?
psuedo-stratified columnar epi

trachea
upper respiratory tract
What type of epithelium will you find in the vag, mouth, esophogus and skin?
wear and tear

stratified squamous
When you think of cells that secrete and protect, what type of epithelium does this bring to mind? Where will you find this in the body?
stratified columnar epi



male urethra

large ducts of glands
What types of glands are derived from epithelial tissue?
exocrine glands
(DUCTS)
How are exocrine glands classified (named)?
# of branches
ie simple branched or compound branches

what the secretory region of the gland looks like
ie. tubular vs alveolar secretory region
what are 3 types of secretion mechanism of glands?
merocrine--exocytosis

holocrine--cell ruptures

apocrine--part of cell breaks off
compare epithelial tissue to connective tissue
epithelial
basement mem
avascular
little matrix--mostly cells
tight cell-cell junctions

CT
few cells, lots of matrix
highly vascularized
cells widely scattered throughout matrix
Name 4 CT's?
CT proper
Blood
Bone
Cartilage
Name the cells you'd find in CT matrix
macrophages

melanocytes

Fibroblasts

Plasma cells

Mast cells

Fat cells
what's the role of plasma cells in matrix?
immune function

make antibodies
B-cell immunity
What fibers will you find in CT matrix?
reticular
collagen
elastin

amount of each dependent on where this CT is and what it's function is
What is the ground substance comprised of in CT matrix?
viscous gel like material

hyaluronic acid
mucopolysacharide
mucoproteins
What are the CT proper tissue types?
Loose--cushion
Adipose--energy
Reticular--lymph
Dense--tendons
What are the different types of cartilage?
hyaline--joints
elastic--ear
fibro--tensile strenght and compression absorption (intervertebral disks)
Besides structural support, protection, muscle attachment, what else is bone good for?
calcium homeostasis

blood cell formation
Why is the matrix for blood as a CT tissue different than other CT types?
blood cells do not secrete plasma, therefore they do not make their own matrix
what is a cell membrane comprised of?
phospholipid bilayer where the hydrophobic talis come together and the polar hydrophilic heads lay opposite eachother
is cholesterol hydrophobic or philic?

So where is cholesterol in cell membranes?
hydrophobic

you'll find cholesterol intercalated between the hydrophobic tails of the phospholipid bilayers.
What is the significance on the charges of proteins with regard to cell membranes?
The charge will tell you how they are attached or oriented in plasma membrane
What would the amino acids have to be in a protein that is integral in the plasma membrane?
folded in such a way that the hydrophobic AA's are in contact with the tails of the phospholipids and the hydrophilic AA's are embedded away from this region
How are peripheral proteins associated with plasma membranes?
attached to outside proteins peripheral to the actual membrane
How are lipid anchored proteins held in place on plasma membrane?
via covalent bonds to lipids
What are the bad boys on the cell membrane that make the antigen for blood types
glycoproteins or glycolipids
What are some things that will impact diffusion across a plasma membrane?
hydrophobicity of the molecule making the crossing. It has to transverse the hydrophobic inner layer of membrane. Hydrophobic things truck right through
(steroids, lipids,)

Water, although polar, will diffuse, but to different extents based on the composition of the membrane. High cholesterol containing membrane? less water gets across
So water is polar, won't super easily go through that hydrophobic layer. How do you explain the quickness with which water gets across membranes?
aquaporins

proteins make channels and these types of channels are mostly open all the time
What determines the speed through which a molecule goes through a channel?
the size of the channel and the internal charge of the channel
Name some ways channels are opened or closed in membranes?
chemical gates bind the "key"

voltage gates are affected by electrical state of cell

pressure can open or close a gate
What is facilitated diffusion? Does it require energy?
membrane protein undergoes conformational change when molecule binds to it. Closes the gate to the ECF and opens it to ICF and releases molecule

Not external energy required
What is an antiport carrier?
carrier protein that moves more than one molecule at a time in different directions
What is a symport carrier?
protein in cell membrane that moves more than one molecule at a time in the same direction
What type of transport requires energy?
active transport

moves molecules against their concentration gradient
How does Na-K pump move molecules against their concentration gradient?
Has to cleave ATP to ADP and Pi
Explain how SGLT uses secondary active transport
First the cells using SGLT create a concentration gradient of Na using an ATP-ase active transport of Na outside the cell. Then the glucose follows the Na against it's own concentration gradient as Na goes down the gradient it just made.
What are characteristics of carrier-mediated transporters?

Why is this important?
specific for that one molecule they transport

Drugs. Compete with the specific molecules used by these transporters and you can impact pathways
What happens to transport of a certain molecule that uses carrier-mediated channels when the environment is saturated?
transport slows. There are only so many receptors for this transport and once they are saturated no more transport can occur
Where does vesicular transport occur?
phagocytes do phagocytosis

endocytosis in many cells
What are the receptor mediators in endocytosis?
clathin or caveloae pits
Explain Fick's law.
Higher the concentration gradient the faster the diffusion rate.

Also, the larger the surface area of membrane, the faster the diffusion.
What are we trying to do when we are balancing to achieve homoestasis?
we want to maintain 4 things:

fluid volume

concentration of ions

osmolarity

pH (acid-base balance)
what's the typical input and output of water per day?
2500 ml
How do solutes generate osmotic pressure?
greater concentration of solutes means there is less water present in that solution. When placed next to a hyposolute solution (more water, less solutes in this one) the water wants to go from where it's water concentration is greater to where it's concentration is less (the solution with more solutes).

The force needed to withstand this movement (or the force with which the water wants to move) is osmotic pressure.
What are the normal concentrations of ions in ECF?
Na+ 140 mEq/L

Cl- 110 mEq/L

HCO3- 35 mEq/L

protein 20 mEq/L

small amounts of K+, Ca2+, Phosphates are also EC
What are the normal concentrations of ions in the ICF
K+ 145 mEq/L

Mg++ 15 mEq/L

PO4 / organic anions 135 mEq/L

Protein 50 mEq/L
What are non-electrolyte solutes found in plasma and their relative amounts?
Lipids
glucose
urea
creatinine

90% of plasma is composed of these solutes
What is 60% of ISF?
non-electrolyte solutes like proteins
lipids
cholesterol
What is ICF 97% comprised of ?
non-electrolyte solutes like proteins, lipids, cholesterol, phospholipids, neutral fats
Why is the concentration of Ca++ 2.1-2.8 mmol/L when the concentration is 4.3-5.3 mEq/L?
mmol/L measures weight of solute (Ca++)

mEq/L measures charge of solute

mEq/L multiplies the mmol/L value by the charges on the individual ions.
what is osmolality units?
mOsm / kg of H2O
What is the units for osmolarity?
mOsm / L of H2O
what is the value for plasma osmolarity?

osmolality?

How do you keep them straight?
osmolarity
280-300 mOsm/L H20

osmolality
28-300 mOsm/Kg H20

/L=inverse L (for osmolaRity)
/Kg = (osmolaLity)
what is the osmolarity of an isoosmotic solution to plasma?
280-300 mOsm / L H2O
What could be the osmolarity of a solution hypoosmotic to plasma?
250 mOsm/L of H2O

Hypo=less
hypososmotic = low osmolarity=less solutes=more water
What could be the osmolarity of a solution that is hyperosmotic to plasma?
325 (anything above 300)

hyper = higher osmolarity =more solutes=less water
When you think of body fluid balance and regulation what should come to mind?
hormones!!

ADH, vasopressin

Aldosterone (renin-angio-aldos)

Natriuretic peptides (AN and brain N
What changes in plasma activate the thirst center (hypothalamus)?
decrease in plasma vol 10-15%

increase in plasma osmolarity
1-2 %

drop in bp
What will tell the posterior pituitary to release ADH?
increased blood osmolality

decreased bp or atrial volume receptors indicated lower blood volume
What does ADH do?
anti-diuretic hormone.

Tells the kidney tubules to become more permeable to water and to hold onto Na+ to hold water in body.

makes more concentrated urine
what is a + Na balance?
more Na in ECF therefore water follows Na, so increase in ECF volume = increased bp
go thru renin-angiotensigen II-aldosterone system.
kidneys detect decrease in bp, release renin

renin stimulates angiotensinogen -->angiotensin I in bloodstream

angiotensin I is converted to angiotensin II (via ACE) in lung

Angiotensin II promotes vasoconstriction and adrenal cortex to release aldosterone

aldosterone retains Na and thus water in kidneys

bp rises
What is the role of atrial natriuretic peptide and brain natriuretic peptide?
Increases the excretion of Na to lower bp
what are three things angiotensin II does?
tells hypothalamus THIRST

tells post. pituitary GO ADH

tells renal cortex GO ALDOSTERONE

(aldosterone tells kidney, keep Na and thus H2O)
What type of epithelial tissue is the epidermis comprised of?

What does this type mean about its function?
stratified squamous keratinzed epithelium

stratified=wear and tear

keratinized = prevent water loss / protection
What is the major cell type of the epidermis?
keratinocytes
What are keratinocyte stem cells?
the makers of the first row of cube to columnar shaped kerationcytes on the basal lamina (basment membrane level).
The closer keratinocytes are to the basale lamina, what happens in these cells actively?
mitosis
What are lamellar bodies in keratinocytes?
lipids that get released to form a lipid layer
What's happening in keratinocytes that are flattening out in the stratum granulosum?
They have granules and are releasing the lamellar bodies to make a water barrier.
What do the most superficial keratinocytes look like?
no more nucleus

flattened.

translucent

packed with keratin filaments
What's the turnover in epidermis from basale lamina to desquamation?
20-30 days
what's a tonofilament?
The precursor to keratin filaments in epidermis cells
How long does it take for keratinization?
4-6 hours
What are ichthyoses?
diseases related to thickening of roughest outermost keratinocytes--stratum corneum

won't desquam

don't make good keratin

overactive mitosis of basal keratinocytes
psoriasis
overactive mitosis and proliferation

increased thickness of epidermis

7 day renewal cycle
what could be causing psoriasis?

4 things:
1. adenyl cyclase is missing the off switch

2. overactive growth factors

3. abnormal papillary vasculature

4. abnormal T-cell infiltration to epidermis
how is psoriasis treated?
corticosteroids, emollients, keratolytic agents

biologically targeting of limiting the T-cell activity also decreases lesion formations
What are the major keratin monomers of the epidermis?
K5 and K14 (basal keratinocytes)

K1 and K10 (stratum spinosum that replace K5 and K14)
What are some diseases that are due to keratin defects?
EBS (epidermolysis bullosa simplex) =weak keratin K5 and K14 filaments that lyse easily. Small blisters form on skin

EH (Epidermolytic Hyperkeratosis)
defective K10 keratin
thick scaly blisters
What are melanocytes?
pigment producing cells of skin

make melanin via tyrosinase and use cytocrine secretion to inject keratinocyte with the melanin

shields nucleus and DNA from UV
What are Langerhans cells?
phagocytes (T cell stimulators)

antigen presenting cells (think allergic rxs
Explain the structural characteristics of dermis.
vascularized
lots of matrix (irregular collagenous CT--mostly extracellular collagen and elastic fibers)

have fibroblasts
What are dermal papillae?
fingerlike projections of dermis into epidermis.

increase surface area to strengthen interface between dermis and epidermis and provide blood source
compare the papillary layer with the reticular layer of the dermis?
papillary is loose irregular collagenous CT, has ridges and papillae

reticular layer has dense irregular collagenous CT with much thicker collagen bundles. Thicker than papillary layer
Describe the dermal blood supply.

Why is it structured this way?
cutaneous plexus and subpapillary plexus

capillary loops arise from subpap and extend into dermal papilla

convective heat loss (heat gets carried to surface and released through all the loops)
nutrients get delivered via the dermal blood supply to the epidermis here
Describe how an arteriovenous shunt works to help with thermoregulation?
these shunts are innervated by sympathetic nerves.

They will vasoconstrict and the blood won't reach the surface and thus will retain heat in response to cold.
What are Meissner's corpuscles?
"stacks" of cells in dermal papillae-- mechanoreceptors sensitive to light touch
What are the sensory cells in the dermis?
meissner's corpuscles

pacinian corpuscles
Where are pacinian corpuscles located and what do they do?
reticular layer of dermis and they are deep pressure receptors
What are ruffini's corpuscles?
deep dermis sensory receptors

mechanoreceptors that respond to tension
What is hair made out of?
keratin
what is the hair papillae?
the bulb of dermis that bulges into the hair root to feed it blood and make it divide
hair root sheath...
is a soft keratin little blanket for the forming hair. Stops at sebaceous gland
anagen

catagen

telogen
anagen=hair growth

catagen=brief period when growth is halted

telogen= long rest period ~3 months
sebaceous glands
develop as an outgrowth of hair root sheath

lobular, ducted

holocrine excretion (cell dies and releases its junk, Lipids (sebum) in this case
Eccrine sweat glands
simple coiled tubular exocrine glands all over the body in the dermis

thermoregulation
apocrine sweat glands
coiled tubular exocrine glands

axillary, areolar and anal regions

BO--sympathetic innervation. Not heat related
what is an "effective" osmole?
a molecule that creates osmotic pressure because it is impermeable to the membrane
explain how a penetrating solute can change the tonicity of an isotonic solution.
even if you put a cell in an isosmotic solution (both cell and solution have same number of solutes) if one is permeable to the membrane it will do down it's concentration gradient and change the osmolarity of that compartment and H2O will adjust accordingly.
What is the equilibrium potential for Na+?
+60 mv
What is the equilibrium potential for K+
-90mV
What is the equilibrium potential for Ca2+?
>100mV
What is the equilibrium potential for Cl-?
-50mV
Why is Resting potential of most cells ~ -70mV?
It is due to the varying permeablities of Na, K and Cl. Combining all of their equilibrium potentials brings you to ~ -70mV
In membrane potential, which ion is the most dominant permeable contributor?
K due to constantly open K channels
What is happening during depolarization?
inside of membrane is becoming more positive (less negative, towards the threshold number
What is happening during hyperpolarization-?
inside of membrane is becoming more negative > -70 mV
What is happening during repolarization?
the membrane is settling back down to resting membrane potential numbers. Inside is becoming more negative
What is conductance?
how easily an ion flows through it's respective channel through a membrane
What is periodic paralysis due to?
mutation in skeletal muscle Na+ channels
What is malignant hyperpyrexia?
Ca2+ channels are mutated, results in hypermetabolic state
How is cystic fibrosis related to membrane channels?
defective Cl- channels mess with exocrine function of epithelial lung cells
What type of channel has a mutation in epilepsy?
Na+ channels
What is the trigger zone on an axon?

What type of channel is there?

What's the mV value?
axon hillock

Na+ voltage gated channels
(activation and inactivation)

threshold is -55 mV
Describe the pathology behind hypo and hyper kalemia with regard to action potentials.
hypokalemia means a more intense stimulus is required to hit threshold. stimulus that should fire an AP don't.

Hyperkalemia is the opposite. Things that shouldn't fire, do.
what is saltatory conduction?
conduction of AP seems to "jump" between nodes on myelinated axons due to less charge leakage by myelinated regions and also less Na+ Channels to open.