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Physiology - NEETMDS- courses
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Physiology

Blood is a liquid tissue. Suspended in the watery plasma are seven types of cells and cell fragments.

  • red blood cells (RBCs) or erythrocytes
  • platelets or thrombocytes
  • five kinds of white blood cells (WBCs) or leukocytes
    • Three kinds of granulocytes
      • neutrophils
      • eosinophils
      • basophils
    • Two kinds of leukocytes without granules in their cytoplasm
      • lymphocytes
      • monocytes

Proteins:

  • about 50 - 60% of the dry mass of a typical cell
  • subunit is the amino acid & amino acids are linked by peptide bonds
  • 2 functional categories = structural (proteins part of the structure of a cell like those in the cell membrane) & enzymes

Enzymes are catalysts. Enzymes bind temporarily to one or more of the reactants of the reaction they catalyze. In doing so, they lower the amount of activation energy needed and thus speed up the reaction

Structure of a nerve:

A peripheral nerve is arranged much like a muscle in terms of its connective tissue. It has an outer covering which forms a sheath around the nerve, called the epineurium. Often a nerve will run together with an artery and vein and their connective coverings will merge. Nerve fibers, which are axons, organize into bundles known as fascicles with each fascicle surrounded by the perineurium. Between individual nerve fibers is an inner layer of endoneurium.

 

 The myelin sheath in peripheral nerves consists of Schwann cells wrapped in many layers around the axon fibers. Not all fibers in a nerve will be myelinated, but most of the voluntary fibers are. The Schwann cells are portrayed as arranged along the axon like sausages on a string. Gaps between the Schwann cells are called nodes of Ranvier. These nodes permit an impulse to travel faster because it doesn't need to depolarize each area of a membrane, just the nodes. This type of conduction is called saltatory conduction and means that impulses will travel faster in myelinated fibers than in unmyelinated ones.

The myelin sheath does several things:

1) It provides insulation to help prevent short circuiting between fibers.

2) The myelin sheath provides for faster conduction.

3) The myelin sheath provides for the possibility of repair of peripheral nerve fibers. Schwann cells help to maintain the micro-environments of the axons and their tunnel (the neurilemma tunnel) permits re-connection with an effector or receptor  CNS fibers, not having the same type of myelination accumulate scar tissue after damage, which prevents regeneration.

  • There Are 12 Pairs of Cranial Nerves

  • The 12 pairs of cranial nerves emerge mainly from the ventral surface of the brain
  • Most attach to the medulla, pons or midbrain
  • They leave the brain through various fissures and foramina of the skull
  •  Nerve

     Name

     Sensory

     Motor

     Autonomic
    Parasympathetic

     I

     Olfactory

     Smell

     

     

     II

     Optic

     Vision

     

     

     III

    Oculomotor

     Proprioception

     4 Extrinsic eye muscles

      Pupil constriction
    Accomodation
    Focusing

     IV

     Trochlear

     Proprioception

     1 Extrinsic eye muscle (Sup.oblique)

     

     V

     Trigeminal

     Somatic senses
    (Face, tongue)

     Chewing

     

     VI

    Abducens

     Proprioception

     1 Extrinsic eye muscle (Lat. rectus)

     

     VII

     Facial

     Taste
    Proprioception
     

     Muscles of facial expression

     Salivary glands
    Tear glands

     VIII

     Auditory
    (Vestibulocochlear)

    Hearing, Balance

     

     

     IX

     Glossopharyngeal

     Taste
    Blood gases

     Swallowing
    Gagging

     Salivary glands

     X

     Vagus

    Blood pressure
    Blood gases
     Taste

     Speech
    Swallowing Gagging

    Many visceral organs
    (heart, gut, lungs)

     XI

     Spinal acessory

     Proprioception

     Neck muscles:
    Sternocleidomastoid
    Trapezius

     

     XII

     Hypoglossal

     Proprioception

     Tongue muscles
    Speech

     

     

  • Many of the functions that make us distinctly human are controlled by cranial nerves: special senses, facial expression, speech.
  • Cranial Nerves Contain Sensory, Motor and Parasympathetic Fibers

     

Each hormone in the body is unique.  Each one is different in it's chemical composition, structure, and action.  With respect to their chemical structure, hormones may be classified into three groups: amines, proteins, and steroids.

 

 Amines- these simple hormones are  structural variation of the amino acid tyrosine.  This group includes thyroxine from the thyroid gland and epinephrine and norepinephrine from the adrenal medulla.

Proteins- these hormones are chains of amino acids.  Insulin from the pancreas, growth hormone from the anterior pituitary gland, and calcitonin from the thyroid gland are all proteins.  Short chains of amino acids are called peptides.  Antidiuretic hormone and oxytocin, synthesized by the hypothalamus, are peptide hormones.

Steroids- cholesterol is the precursor for the steroid hormones, which include cortisol and aldosterone from the adrenal cortex, estrogen and progesterone from the ovaries, and testosterone from the testes.

The bulk of the pancreas is an exocrine gland secreting pancreatic fluid into the duodenum after a meal. However, scattered through the pancreas are several hundred thousand clusters of cells called islets of Langerhans. The islets are endocrine tissue containing four types of cells. In order of abundance, they are the:

  • beta cells, which secrete insulin and amylin;
  • alpha cells, which secrete glucagon;
  • delta cells, which secrete somatostatin, and
  • gamma cells, which secrete a polypeptide of unknown function.

Beta Cells

Beta cells secrete insulin in response to a rising level of blood sugar

Insulin affects many organs. It

  • stimulates skeletal muscle fibers to
    • take up glucose and convert it into glycogen;
    • take up amino acids from the blood and convert them into protein.
  • acts on liver cells
    • stimulating them to take up glucose from the blood and convert it into glycogen while
    • inhibiting production of the enzymes involved in breaking glycogen back down (glycogenolysis) and
    • inhibiting gluconeogenesis; that is, the conversion of fats and proteins into glucose.
  • acts on fat (adipose) cells to stimulate the uptake of glucose and the synthesis of fat.
  • acts on cells in the hypothalamus to reduce appetite.

Diabetes Mellitus

Diabetes mellitus is an endocrine disorder characterized by many signs and symptoms. Primary among these are:

  • a failure of the kidney to retain glucose .
  • a resulting increase in the volume of urine because of the osmotic effect of this glucose (it reduces the return of water to the blood).

There are three categories of diabetes mellitus:

  • Insulin-Dependent Diabetes Mellitus (IDDM) (Type 1) and
  • Non Insulin-Dependent Diabetes Mellitus (NIDDM)(Type 2)
  • Inherited Forms of Diabetes Mellitus

Insulin-Dependent Diabetes Mellitus (IDDM)

IDDM ( Type 1 diabetes)

  • is characterized by little or no circulating insulin;
  • most commonly appears in childhood.
  • It results from destruction of the beta cells of the islets.
  • The destruction results from a cell-mediated autoimmune attack against the beta cells.
  • What triggers this attack is still a mystery, although a prior viral infection may be the culprit.

Non Insulin-Dependent Diabetes Mellitus (NIDDM)

Many people develop diabetes mellitus without an accompanying drop in insulin levels In many cases, the problem appears to be a failure to express a sufficient number of glucose transporters in the plasma membrane (and T-system) of their skeletal muscles. Normally when insulin binds to its receptor on the cell surface, it initiates a chain of events that leads to the insertion in the plasma membrane of increased numbers of a transmembrane glucose transporter. This transporter forms a channel that permits the facilitated diffusion of glucose into the cell. Skeletal muscle is the major "sink" for removing excess glucose from the blood (and converting it into glycogen). In NIDDM, the patient's ability to remove glucose from the blood and convert it into glycogen is reduced. This is called insulin resistance. NIDDM (also called Type 2 diabetes mellitus) usually occurs in adults and, particularly often, in overweight people.

Alpha Cells

The alpha cells of the islets secrete glucagon, a polypeptide of 29 amino acids. Glucagon acts principally on the liver where it stimulates the conversion of glycogen into glucose (glycogenolysis) which is deposited in the blood.

Glucagon secretion is

  • stimulated by low levels of glucose in the blood;
  • inhibited by high levels, and
  • inhibited by amylin.

The physiological significance of this is that glucagon functions to maintain a steady level of blood sugar level between meals.

Delta Cells

The delta cells secrete somatostatin. Somatostatin has a variety of functions. Taken together, they work to reduce the rate at which food is absorbed from the contents of the intestine. Somatostatin is also secreted by the hypothalamus and by the intestine.

Gamma Cells

The gamma cells of the islets secrete pancreatic polypeptide. No function has yet been found for this peptide of 36 amino acids.

Lipids:

  • about 40% of the dry mass of a typical cell
  • composed largely of carbon & hydrogen
  • generally insoluble in water
  • involved mainly with long-term energy storage; other functions are as structural components (as in the case of phospholipids that are the major building block in cell membranes) and as "messengers" (hormones) that play roles in communications within and between cells
  • Subclasses include:
    • Triglycerides - consist of one glycerol molecule + 3 fatty acids (e.g., stearic acid in the diagram below). Fatty acids typically consist of chains of 16 or 18 carbons (plus lots of hydrogens).
    • phospholipids - Composed of 2 fatty acids, glycerol, phosphate and polar groups , phosphate group (-PO4) substitutes for one fatty acid & these lipids are an important component of cell membranes

steroids - have 4 rings- cholesterol, some hormones, found in membranes include testosterone, estrogen, & cholesterol

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