GRADMED Bio OHPs 3rd session (Rebecca Wills's conflicted copy 2013-10-09).ppt
Transcript of GRADMED Bio OHPs 3rd session (Rebecca Wills's conflicted copy 2013-10-09).ppt
Blood Vessels1) heart2) liver3) gut4) kidney
A: Arteries1) carotid artery2) subclavian artery3) pulmonary artery4) hepatic artery5) aorta6) mesenteric artery7) renal artery8) iliac artery
B: Veins13) jugular vein14) subclavian vein15) hepatic vein16) vena cava17) hepatic portal vein18) renal vein19) iliac vein
The Double Circulatory System
oxygenated blood
deoxygenated blood
Arteries, Veins and Capillaries
Microscopic Structure
Blood in the Circulatory System
pressure
speed
total cross-sectional area of the vessels
Capillary Exchange
lymph
tissue fluid
tissue cells
capillary
blood
lymph capillary
A B
C D
Tissue Fluid region Ψp
(kPa)Ψs
(kPa)net
pressure
(kPa)A 4.5 -3.3 +1.2
B 1.8 -3.3 -1.5
C 1.0 -1.3 -0.3
D 1.0 -1.3 -0.3
tissue fluid
blood flow
A B
C D
• At the arterial end – formation of tissue fluid
• At the venous end - return of tissue fluid
• Improved exchange with tissues
• Excess fluid returns – as lymph - in the lymphatic system
The Lymphatic System • a drainage system
• part of the immune system
• assists absorption of lipids in the intestine
Blood Plasma (55%) -
– water– proteins (e.g. albumin, globulin,
fibrinogen)– salts (e.g. NaCl, K+, Ca++,
Mg++, PO4-)– transported substances (e.g.
glucose, urea)
Cells (45%) –– erythrocytes (red blood cells)– leucocytes (white blood cells)
• neutrophils: granular phagocytes.
• lymphocytes: produce antibodies.
• monocytes: agranular phagocytes.
• eosinophils and basophils: granular cells concerned with inflammation reactions.
– thrombocytes (platelets): cell fragments
thrombocytes
erythrocytes
lymphocyte
neutrophil
Defence Against Disease1: preventing entry
• skin• tears, saliva and
mucus• lysozyme • stomach acid. • clotting
mechanism to repair skin damage - - - - -
thromboplastin from damaged
tissues
prothrombin(plasma protein)
fibrin(insoluble)
fibrinogen(soluble plasma
protein)
thrombin
Ca++ andplasma enzymes
fibres trap blood cells and platelets to form
a clot
Defence Against Disease2: phagocytosis
The phagocytic cell recognises a foreign particle...
...and engulfs it...
...forming a phagosome.
The particle is digested inside the phagosome...
...and the cell may become an antigen-presenting cell.
Defence Against Disease3: specific immune response
antigen-binding site
antigen-binding site
variable region
constant region
light chain
heavy chain
“hinge” disulphide bridges
antigen-antibody
complexes
specific antibodies
antigen macrophage(antigen-presenting cell)
B-lymphocyte
T-lymphocyte
clonal expansionclonal expansion
antigen presentation
clonal selection clonal selection
T-helper cells
T memory cells
plasma cells
cytotoxic T cells
cytokines
B memory cells
antibodies
humoral immune response
cellular immune
response
Primary & Secondary Immune Responses
Types of ImmunityNatural immunity: normal biological processes - NOT human intervention.
Artificial immunity: due to human (medical) intervention.
Active immunity: the body is exposed to antigen. The immune system produces memory cells giving long-term protection.
E.g., you do not suffer from chicken-pox twice
E.g., vaccination against measles
Passive immunity: the body receives ready-made antibodies. Protection is only short-term.
E.g., antibodies cross the placenta from mother to fetus
E.g., injection of tetanus antitoxin
Rejection – the ABO Blood Group System –
recipient
donor
O A B ABO - - - -A + - + -B + + - -AB + + + -
+ = agglutination occurs- = agglutination does not occur
Haemolytic Disease of the Newborn
• First pregnancy:– No blood-blood contact, so
anti-D antibodies are not formed.
• At birth:– There may be blood-blood
contact, and the mother may form anti-D antibodies.
• Second pregnancy:– The mother already has anti-D
antibodies. These can cross the placenta, and attack the red blood cells of the fetus.
Antibiotic Action
. . ..
. . ..
DNA RNA
ribosomes
inhibition of cell wall synthesis eg penicillin *
inhibition of transcription eg rifampicin *
inhibition of protein synthesis
eg tetracycline †
interference with metabolic reactions eg sulpha drugs † change in membrane
permeability eg polymyxin *
*bacteriostatic antibiotics stop/slow bacterial growth†bacteriocidal antibiotics kill bacteria
Antibiotic Resistance
. . ..
. . ..
cell wall surrounded by impermeable outer envelope (eg in gram negative bacteria)
extra quantities of blocked chemicalsare synthesised
phosphorylation of antibioticprevents it binding to ribosomes/enzymescell membrane
impermeableto antibiotic
enzyme destroysthe antibiotic(eg penicillinase)
blocked chemicalsare absorbed fromthe environment
The Digestive System
Balanced Diet Substance FunctionsCarbohydrates (Sugars/starch)
Energy release (substrates for respiration). Excess energy stored (as glycogen) or converted to fat.
Lipidsfats (solids) and oils (liquids).
Energy/energy storage. Also thermal/electrical insulation, mechanical protection, membrane synthesis (essential fatty acids)
Proteins Growth/repair (structural proteins), enzymes, etc, etc
Mineral ions Various inorganic ions, needed in small amounts for miscellaneous functions.
Vitamins Various organic molecules, needed in small amounts for miscellaneous functions.
Water A constituent of all body fluids, including cytoplasm; water losses (in sweat etc) must be replaced.
Dietary fibremostly cellulose.
Indigestible material - maintains peristalsis.
Important mineral ions needed in the diet
Mineral Food
sourcesFunctions Deficiency
Calcium (Ca++)
Dairy foods, bread
Bones & teeth; muscle contraction, blood clotting, synapses.
Rickets, osteomalacia
Iron (Fe++) Meat; green vegetables.
In haemoglobin; also in electron carriers.
Simple anaemia
Phosphate(PO4
3-)In nearly all
foodsIn bones & teeth; also for ATP, nucleic
acids, cell membranes.-
Magnesium (Mg++)
Green vegetables, etc.
In bones & teeth; also as an enzyme activator in respiration.
Weakening of bones.
Sodium chloride (NaCl)
Table salt, meat.
In blood etc; essential for nerve & muscle action; lost in sweat.
Muscle cramp
Potassium (K+)
In nearly all foods
Enzyme co-factor; essential for nerve & muscle action.
-
Iodine (I-) Seafood In thyroxine. Goitre
Important vitamins needed in the diet
Vitamin Food sources Functions Effect of
deficiencyA: Retinol, or carotene (pro-vitamin A)
Fish oils, liver, dairy produce; and green vegetables
Maintenance of epithelia, esp. mucous membranes; rhodopsin synthesis (in the retina).
Night blindness; drying of epithelia; xerophthalmia.
B1: Thiamine Vegetables, wholemeal cereals, meat.
A co-enzyme for decarboxylation in respiration
Beriberi (nerve & muscle affected).
B2 :Riboflavin Eggs, dairy produce. Synthesis of FAD. Causes sores in/around the mouth.
B3: Nicotinic acid(niacin)
Wholemeal cereals, potatoes, meat.
Synthesis of NAD. Pellagra (skin rashes, diarrhoea).
B9: Folic acid Green vegetables, fish, liver.
Formation of nucleic acids; cell division (esp. red blood cells formation).
Anaemia (esp. during pregnancy)
B12: Cobalamin Meat, liver, dairy produce, eggs.
Formation of nucleic acids; cell division (esp. red blood cells formation).
Pernicious anaemia.
C: Ascorbic acid Most fruits and vegetables
Maintenance of connective tissue. Synthesis of collagen fibres.
Scurvy (bleeding & weakening of gums & skin).
D: Calciferol Egg yolk, dairy produce. [Also can be synthesised in the skin in sunlight.]
Absorption of calcium and phosphate from the gut, and deposition of these minerals in bones and teeth
Rickets in children (bones fail to calcify); osteomalacia (softening of the bones) in adults.
Digestion in the Alimentary Canal
• Physical digestion (chewing, etc): – increases surface area
• Chemical digestion: – hydrolysis of large molecules to soluble products
Polysaccharides Monosaccharides
Lipids Fatty acids & glycerol
Proteins Amino-acids
(INSOLUBLE) (SOLUBLE)
Digestive Secretions
Gland Secretion Enzymes etc Effectsalivary
glands saliva amylase starch → maltose (partly)
gastric glands
gastric juice pepsinogen (endopeptidase)
prorennin
protein → polypeptides [must be converted to pepsin first]
in infants: coagulates milk (caseinogen → casein) [must be converted to rennin first]
HCl pepsinogen → pepsinprorennin → rennin
pancreas pancreatic juice
amylaselipase
starch → maltose (completed)fats → fatty acids & glycerol
trypsinogen (endopeptidase) larger polypeptides → smaller polypeptides [must be
converted to trypsin first]exopeptidases polypeptides → amino-acids
liver bile bile salts emulsify fatsintestinal
glands intestinal juice exopeptidases
enterokinasepolypeptides → amino-acidstrypsinogen → trypsin
maltasesucrase lactase
maltose → glucosesucrose → glucose + fructoselactose → glucose + galactose
Control of Digestive SecretionsBuccal cavity• nervous control - simple reflex • conditioned reflexes
Gastric secretion• cephalic phase –
– presence of food in the buccal cavity– simple neural reflex
• gastric phase 1 – – presence of food in the stomach– local neural reflex
• gastric phase 2 –– presence of food in the stomach– hormonal secretion from stomach wall – gastrin – operates via the blood stream
• intestinal phase –– entry of food into the duodenum– hormonal secretion from duodenal wall –
enterogastrone– inhibitory
Secretion into the small intestine • triggered by presence of food in the duodenum• local neural reflex stimulates secretion of intestinal juice• secretion of hormones into the blood -
– pancreozymin causes secretion of pancreatic enzymes– secretin causes secretion of alkali from the pancreas &
liver– cholecystokinin (CCK) causes contraction of the gall
bladder
• prevents auto-digestion
• prevents wasteful secretion
Absorption of NutrientsMost nutrients are absorbed in the lower part of the small
intestine – Features to note – • large surface area
– villi– microvilli (in cell
membranes of the epithelial cells)
• single-celled epithelium
• dense capillary network
• lacteals for absorption of fats
Mechanism of Absorption• Partly by diffusion• Assisted by active transport – e.g. co-transport
Carbohydrates• some absorbed as monosaccharides (glucose, etc)• some disaccharides absorbed onto the cell membranes, followed by
enzymic hydrolysis
Proteins • absorbed partly as amino-acids• some dipeptides/tripeptides taken onto the cell membranes, with digestion
completed by the epithelial cell.
Lipids • absorbed as fatty acids & glycerol, also as emulsified mono-/di-/tri-
glycerides• mostly absorbed into lacteals – some into the capillaries
Food that has been absorbed into the bloodstream is transported first to the LIVER, in the hepatic portal vein.
Assimilation of Food in the Liver
Homeostasis • The maintenance of an approximately
constant internal environment.
• Homeostasis is important because – – It prevents the denaturing of enzymes– It provides the optimum conditions for metabolic
processes– It makes organisms independent of conditions in the
external environment– Species with efficient homeostatic processes are able to
exploit a wider range of habitats than others.
Homeostatic mechanisms use negative feedback
SET POINT
TOO HIGH
TOO LOW
Sensor
Sensor
Effector
Regulator
Regulator
Effector
external environmen
t
increase
decrease
decrease
increase