NEET MDS Lessons
Physiology
Hormones are carried by the blood throughout the entire body, yet they affect only certain cells. The specific cells that respond to a given hormone have receptor sites for that hormone.
This is sort of a lock and key mechanism. If the key fits the lock, then the door will open. If a hormone fits the receptor site, then there will be an effect. If a hormone and a receptor site do not match, then there is no reaction. All of the cells that have receptor sites for a given hormone make up the target tissue for that hormone. In some cases, the target tissue is localized in a single gland or organ. In other cases, the target tissue is diffuse and scattered throughout the body so that many areas are affected.
Hormones bring about their characteristic effects on target cells by modifying cellular activity. Cells in a target tissue have receptor sites for specific hormones. Receptor sites may be located on the surface of the cell membrane or in the interior of the cell.
In general those protein hormones are unable to diffuse through the cell membrane and react with receptor sites on the surface of the cell. The hormone receptor reaction on the cell membrane activates an enzyme within the membrane, called adenyl cyclase, which diffuses into the cytoplasm. Within the cell, adenyl cyclase catalyzes or starts the process of removal of phosphates from ATP to produce cyclic adenosine monophosphate or c AMP. This c AMP activates enzymes within the cytoplasm that alter or change the cellular activity. The protein hormone, which reacts at the cell membrane, is called the first messenger. c Amp that brings about the action attributed to the hormone is called the second messenger. This type of action is relatively rapid because the precursors are already present and they just needed to be activated in some way.
Cells, cytoplasm, and organelles:
- Cytoplasm consists of a gelatinous solution and contains microtubules (which serve as a cell's cytoskeleton) and organelles
- Cells also contain a nucleus within which is found DNA (deoxyribonucleic acid) in the form of chromosomes plus nucleoli (within which ribosomes are formed)
- Organelles include:
- Endoplasmic reticulum : 2 forms: smooth and rough; the surface of rough ER is coated with ribosomes; the surface of smooth ER is not , Functions include: mechanical support, synthesis (especially proteins by rough ER), and transport
- Golgi complex consists of a series of flattened sacs (or cisternae) functions include: synthesis (of substances likes phospholipids), packaging of materials for transport (in vesicles), and production of lysosomes
- Lysosome : membrane-enclosed spheres that contain powerful digestive enzymes , functions include destruction of damaged cells & digestion of phagocytosed materials
- Mitochondria : have double-membrane: outer membrane & highly convoluted inner membrane
- inner membrane has folds or shelf-like structures called cristae that contain elementary particles; these particles contain enzymes important in ATP production
- primary function is production of adenosine triphosphate (ATP)
- Ribosome-:composed of rRNA (ribosomal RNA) & protein , primary function is to produce proteins
- Centrioles :paired cylindrical structures located near the nucleas , play an important role in cell division
- Flagella & cilia - hair-like projections from some human cells
- cilia are relatively short & numerous (e.g., those lining trachea)
- a flagellum is relatively long and there's typically just one (e.g., sperm)
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- Villi Projections of cell membrane that serve to increase surface area of a cell (which is important, for example, for cells that line the intestine)
Properties of cardiac muscle
Cardiac muscle is a striated muscle like the skeletal muscle , but it is different from the skeletal muscle in being involuntary and syncytial .
Syncytium means that cardiac muscle cells are able to excite and contract together due to the presence of gap junctions between adjacent cardiac cells.
Cardiac muscle has four properties , due to which the heart is able to fulfill its function as a pumping organ. Studying and understanding these properties is essential for students to understand the cardiac physiology as a whole.
1. Rhythmicity ( Chronotropism )
2. Excitability ( Bathmotropism )
3. Conductivity
4. Contractility
Functions of the nervous system:
1) Integration of body processes
2) Control of voluntary effectors (skeletal muscles), and mediation of voluntary reflexes.
3) Control of involuntary effectors ( smooth muscle, cardiac muscle, glands) and mediation of autonomic reflexes (heart rate, blood pressure, glandular secretion, etc.)
4) Response to stimuli
5) Responsible for conscious thought and perception, emotions, personality, the mind.
The hypothalamus is a region of the brain. It secretes a number of hormones.
- Thyrotropin-releasing hormone (TRH)
- Gonadotropin-releasing hormone (GnRH)
- Growth hormone-releasing hormone (GHRH)
- Corticotropin-releasing hormone (CRH)
- Somatostatin
- Dopamine
All of these are released into the blood, travel immediately to the anterior lobe of the pituitary, where they exert their effects.
Two other hypothalamic hormones:
- Antidiuretic hormone (ADH) and
- Oxytocin
travel in neurons to the posterior lobe of the pituitary where they are released into the circulation.
Tubular secretion:
Involves transfer of substances from peritubular capillaries into the tubular lumen. It involves transepithelial transport in a direction opposite to that of tubular absorption.
Renal tubules can selectively add some substances that have not been filtered to the substances that already have been filtered via tubular secretion.
Tubular secretion mostly function to eliminate foreign organic ions, hydrogen ions ( as a contribution to acid base balance ), potassium ions ( as a contribution to maintaining optimal plasma K+ level to assure normal proceeding of neural and muscular functions), and urea.
Here we will focus on K+ secretion and will later discuss H+ secretion in acid base balance, while urea secretion will be discussed in water balance.
K+ is filtered in glomerular capillaries and then reabsorbed in proximal convoluted tubules as well as in thick ascending limb of loop of Henley ( Na-2Cl-K symporter)
K+ secretion takes place in collecting tubules (distal nephron) . There are two types of cells in distal nephron:
- Principal cells that reabsorb sodium and secrete K+ .
- Intercalated cells that reabsorb K+ in exchange with H+.
Mechanism of secretion of K+ in principal cells : Two steps
- K+ enters tubular cells by Na/K ATPase on the basolateral membrane.
- K+ leaves the tubular cells via K+ channels in apical membrane.
Aldosterone is a necessary regulatory factor.
If there is increased level of K+ in plasma,excessive K+ is secreted , some of which is reabsorbed back to the plasma in exchange with H+ via the intercalated cells.
Neurons :
Types of neurons based on structure:
a multipolar neuron because it has many poles or processes, the dendrites and the axon. Multipolar neurons are found as motor neurons and interneurons. There are also bipolar neurons with two processes, a dendrite and an axon, and unipolar neurons, which have only one process, classified as an axon.. Unipolar neurons are found as most of the body's sensory neurons. Their dendrites are the exposed branches connected to receptors, the axon carries the action potential in to the central nervous system.
Types of neurons based on function:
- motor neurons - these carry a message to a muscle, gland, or other effector. They are said to be efferent, i.e. they carry the message away from the central nervous system.
- sensory neurons - these carry a message in to the CNS. They are afferent, i.e. going toward the brain or spinal cord.
- interneuron (ie. association neuron, connecting neuron) - these neurons connect one neuron with another. For example in many reflexes interneurons connect the sensory neurons with the motor neurons.