cell biology 6 Flashcards
(184 cards)
Epithelial cells
There are many different epithelial tissues in the body, including the G.I. tract, kidneys, all exocrine glands, gall bladder, choroid plexus, ciliary body, corneal epithelium, and mucous membranes (but not the lungs ). Epithelial cells are organized into sheets of cells, often forming tubular structures, like the epithelium lining the G.I. tract. The apical surface faces the ‘special’ fluid (e.g., food in the gut, urine in the kidney, saliva in the parotid duct) and usually contains the special transporters that endow the epithelium with its specialized transport properties. The basolateral surface is exposed to the interstitial fluid and usually has generic transport properties like the plasma membranes of non-epithelial cells (neurons, for example). Synonyms for apical include mucosal and lumenal; synonyms for basolateral include serosal and peritubular. The cells that compose the epithelial sheet are glued to their neighbors by tight junctions. The glue is indeed tight is some epithelia, such as sweat glands and the distal parts of kidney tubules, preventing virtually any substance from passing from one side to the other by passing in between the cells. In most epithelia, however, the tight junctions are not very tight. For example, tight junctions of the small and large intestine, gall bladder, and proximal part of the kidney tubules are relatively leaky, and provide a pericellular shunt pathway for the movement of water and solutes. Leaky tight junctions are somewhat selective in their leakiness; some are relatively more permeable to cations, others to anions.
transport in the lungs
The main task of the lungs is to transport O2 into and CO2 out of the blood. There are no membrane transporters (active or otherwise) for O2 and CO2; they are lipid soluble molecules that diffuse freely through all membranes. Thus, the endothelial cells in the lung that separate blood from air in the alveoli of the lungs do not possess special transporters like those in epithelia to transport O2 or CO2.
Epithelial Transport
In general, epithelia engaged in massive transport of substances are leaky, while those epithelia doing the finishing work (‘fine tuning’) are tight. Leaky epithelia cannot maintain energy gradients as large as those produced by tight epithelia, because solutes and water leak back across the epithelium through the pericellular shunt. Thus, to get across an epithelium, a substance must follow one (or both) of two possible routes: it may either cross two membranes by entering the epithelial cell on one side and leaving on the other, or it may cross no membranes at all by passing in between cells through the pericellular shunt pathway. The driving force for nearly all transport – water, salts, nutrients, non-volatile metabolic wastes – is the Na/K pump (always located in the basolateral membrane). By keeping intracellular sodium ion concentration low, the Na/K pump provides the energy to drive a host of secondary transporters. Protons are the main exception to the otherwise universal dependence of epithelial pumping on the Na/K pump, because primary active transporters have evolved for protons, most notably in the stomach (to secrete acid into the lumen of the stomach) and kidney (to excrete protons, which are a metabolic waste product.)
basolateral membrane
surface is exposed to the interstitial fluid and usually has generic transport properties like the plasma membranes of non-epithelial cells Note that the basolateral membrane is just like many other cells, containing relatively low sodium permeability and high potassium permeability. What value of membrane potential would you expect to record across the basolateral membrane? Answer: because it’s like the plasma membrane of a neuron, Vm would be about -70 mV. The basolateral membrane also contains some chloride channels, and the Na/K pump.
apical membrane
faces the ‘special’ fluid (e.g., food in the gut, urine in the kidney, saliva in the parotid duct) and usually contains the special transporters that endow the epithelium with its specialized transport properties. It is relatively highly permeable to sodium, not potassium. What would be the potential across this membrane? (Answer: Vm would be more positive, perhaps +10 mV.) In addition, there is no Na/K pump in the apical membrane.
how salt and water are transported from apical to basolateral solution
Assume that identical NaCl solutions are placed on either side of the epithelium. Sodium ions leak into the cell across the apical membrane, down their electrochemical gradient. They are then pumped out of the other side of the cell by the Na/K pump, across the basolateral membrane. This results in the net transport across the epithelium of a positive charge, and chloride follows passively, drawn by the electrical force. The net transport of NaCl produces an osmotic gradient, which in turn draws water along. What would happen to the transport if the Na/K pump were blocked? As the cell filled with sodium (leaking in across the apical membrane), the driving force for further sodium entry across the apical membrane would be reduced, and net transport of sodium, chloride, and water would decrease.
What is the transepithelial potential difference (transPD)?
TransPD = Vm (Basolateral) – Vm (Apical). Keep in mind a couple of rules: i) all membrane potentials are written as the potential of the inside of the cell with respect to the outside (i.e., outside = zero); ii) the transepithelial potential is written as the potential of the apical solution with respect to the basolateral (i.e., basolateral = zero); iii) the cell is isopotential (all voltage drops are at membranes, so all lines showing electric potential are horizontal – no change over distance, except across membranes). Start at the basolateral side. The basolateral solution is defined as zero. You are given that Vm (B) = -50 mV, so in crossing the basolateral membrane from outside to inside, you must drop down 50 mV. The cell is isopotential (this is only an approximation, but a good one), so the line across the cell is horizontal. In leaving the cell by crossing the apical membrane, you must change by 10 mV, because Vm (A) = +10 mV. Do you move up or down? Because the inside is 10 mV more positive than the outside, you must move down, emerging at a potential of - 60 mV, compared to the basolateral solution.
leaky epithelium
allows significant fluxes through the paracellular shunt pathway. This would be characteristic of an epithelium like the one lining the G.I. tract, where relatively large fluxes occur. The shunt pathway in this case is relatively more permeable to chloride than to sodium, but is by no means totally impermeable to sodium (the molecular mechanisms by which tight junctions achieve selective permeabilities are not well understood). The major difference is that the leaky epithelium is usually capable of moving a larger amount of material. In addition, the leaky tight junctions partially ‘short out’ the transepithelial potential difference, so that a lower transepithelial voltage would be measured.
electroneutral cotransporter
e.g. carries one potassium, two chloride, and one sodium ions into the cell each cycle (it sounds more like pinocytosis than membrane transport!). This transporter is found in several important epithelia, including the kidney loop of Henle and the respiratory tract. Qualitatively, though, the end result is no different than other scenerios.
Secretion of fluid by epithelia
Not all cells in a given epithelium are identical. On the contrary, individual cells may be highly specialized, some for absorption, some for secretion. The mechanisms described so far concern absorption by epithelia – moving solutes from lumen to blood. Things can travel the other direction, too. One secretion pathway is of special clinical importance, for it underlies important diseases, including some types of diarrhea (including the worst of all, cholera), and also cystic fibrosis. The key to understanding epithelial secretion in general and the main defect in those diseases is a chloride channel in the apical membrane (especially in the GI tract and lungs). Normally, in a resting cell, this Cl- channel is closed. However, when this Cl- channel is activated, the cell begins to secrete electrolytes and water into the lumen. The secretion is driven by Cl- leaking out of the cell into the lumen. The Cl- concentration in the cell is high, thanks to a Cl- pump in the basolateral membrane. The pump is a Na-K-2Cl cotransporter that uses the downhill leakage of Na+ into the cell to drive the uptake of Cl- from the interstitial fluid. As the Cl- leaks out of the cell into the lumen, the electrical negativity that it creates draws Na+ along passively. The Na+ flows mostly through the intercellular shunt pathway. The resulting osmotic gradient draws water along, too, giving a net secretion of an isotonic solution of NaCl.
Turning on the Cl- channel
So eptithelia have mechanisms both to absorb and to secrete. Which one wins? At rest, the apical Cl- channels are closed, so absorption wins. A variety of stimuli can open the Cl- channel and turn on secretion. In the GI tract, it happens physiologically during digestion (parasympathetic nerve stimulation, hormones in the blood), as chemicals activate receptors in the basolateral membrane (the signal is carried across the inside of the cell from the basolateral receptors to the apical membrane by ‘cell signaling’ mechanisms (Ca++ ions, activated protein kinases, cyclic AMP, etc.). Pathogens also can activate the Cl- channels. Cholera toxin, for example, acts by locking open this channel, causing a massive efflux of fluid from the cell, leading to profound diarrhea and dehydration. While there are probably multiple types of Cl- channels (different gene products) involved in fluid secretion by epithelia, one of the most important is the ‘Cystic Fibrosis Transmembrane Conductance Regulator.’ (CFTCR, or more commonly CFTR). Cystic fibrosis is a genetic disease; it is this Cl- channel that is mutated, which reduces the ability of epithelia to secrete ‘serous’ (watery) fluid, leading to thickened mucous secretions, infections, and other life-shortening complications.
Absorption of nutrients
In the G.I. tract, enzymes secreted by digestive glands hydrolyze ingested proteins and polysaccharides, and the resulting amino acids and sugars are pumped from the G.I. lumen into the blood by the G.I. epithelium. Virtually identical mechanisms operate in the kidney, where glucose and amino acids are reabsorbed by the epithelial cells of the proximal tubule after being filtered from the plasma in the glomerulus. each nutrient is pumped across the apical membrane, and then passively moves out of the cell into the interstitial fluid. The sugar and amino acid pumps are examples of sodium-dependent secondary active transport systems. If [Na+] in the mucosal solution is removed (replaced by non-permeating choline+), sugar and amino acid pumping stops. Conversely, removing sugars and amino acids reduces the movement of Na+ from mucosal to serosal fluid. The transporter captures some of the energy released as Na+ moves down its electrochemical gradient into the cell, and uses this energy to pump the sugar or amino acid against its gradient into the cell. Note that the transport of glucose by epithelial apical membranes is different from the transport across the plasma membranes of nonepithelial cells (e.g., muscle), where glucose is transported by “facilitated diffusion”, which is not a pump.
regulation of absorbing nutrients
In one sense, the transporters are not regulated, at least not by the ECF composition. Instead, they seem geared for maximum transport of nutrients any time, day or night. Thus, if a person drinks a glass of water, whether thirsty or not, all of the water will be absorbed by the G.I. epithelium and put into the blood. If a person eats five grams (that’s a lot) of table salt, virtually all of it enters the blood plasma. Same for glucose, and virtually all other common nutrients. (There is great chemical specificity of the transporters, however. For example, L-amino acids and D-sugars are selectively transported, but not their stereoisomers. Eating L-glucose or D-amino acids (which are not absorbed) is likely to produce an osmotic diarrhea as the unabsorbable solutes suck water into the GI lumen.) The G.I. tract works so avidly probably because the transport mechanisms evolved in far less abundant environments than the one we live in, nutritionally speaking, and it was adaptive to be able to absorb all available nutrients. By not regulating ECF composition at the input end, it falls by necessity to the kidneys, at the output end, to regulate the composition of the ECF. Not very efficient.
Transport of Water
It is curious, given the importance of water, that no water pumps exist in the body (or anywhere else). This means that water always moves passively down osmotic gradients. As described above, absorption (by active transport) of salts, sugars, amino acids, and other solutes by the G.I. tract epithelium is accompanied by water absorption (as the solutes are absorbed, the lumenal contents become slightly hypo-osmotic to plasma, and so water is absorbed, always passively). In a few places (sweat gland ducts, some parts of tubules in the kidney), epithelia are relatively impermeable to water. In these special cases, osmotic gradients can be maintained by pumping solute across the water-impermeable epithelium. Consider, for example, sweat glands. Their job is to ‘excrete heat’. To do that, they deliver water to the body surface where its evaporation (an endothermic process) cools the body. Nascent sweat forms deep in the gland (by a secretory process); it has a salt composition that is similar to plasma (about 300 mosM, mainly NaCl). As the fluid travels along the sweat duct on its way to the surface, NaCl is (re)absorbed by the epithelium lining the duct and returned to the blood. Because the ducts are impermeable to water, water cannot follow the salt, and the fluid in the lumen of the duct becomes more and more dilute (it can be as low as about 50 mosM). This is useful, because the solute in sweat does not help at all in the process of heat loss, and just leaves an unsightly white crust on your tee shirt.
Ridding the body of metabolic wastes
Each day the cells in an adult human produce about 15 moles of metabolic waste solute. That is enough to more than double the osmolarity of the body fluids! (45 liters of body fluids * 0.3 osmoles/liter = 13.5 osmoles present in body fluids at any one time). And yet, a rise in plasma osmolarity of a few percent is enough to make a person thirsty, and severe dehydration raises plasma osmolarity by less than ten percent. In other words, there is a stupendous amount of metabolic waste to get rid of each day. The problem is largely solved by an extraordinarily simple chemical fact: the end product of carbon metabolism, CO2, which composes 14.5 of the 15 moles of waste, is volatile. Consequently, it is simply exhaled via the lungs, and requires no special transporters at all (CO2 permeates all membranes easily, by dissolving in them). A little water - less than a liter – is lost as exhaled water vapor with the CO2 . What about the remaining 0.5 moles (500 mmoles) of metabolic waste? They are non- volatile molecules, and of course cannot be expelled by the lungs. Even though they account for a small fraction of the total, getting rid of these non-volatile metabolic waste products is a big problem. It falls to the magnificent kidney to solve the problem, and while it is responsible for many other tasks (such as regulating the concentration of just about everything in the ECF), the most important function of the kidney is to get rid of these non-volatile metabolic wastes, because no other organ can do it. When kidney function is lost, death from uremia can follow. Uremia literally means “urine in the blood.”
What kinds of metabolic waste molecules are non-volatile?
The majority (about 450 of the 500 mmoles) are the end product of nitrogen metabolism, urea. Most of the remainder (about 50 mmoles) are protons, H+.
How does the kidney do it?
The fundamental anatomical arrangement of the kidney is just like the lungs, which get rid of the volatile waste product, CO2. That is, in both the lungs and the kidney, blood capillaries pass close to the ends of dead-end tubules (glomeruli in the kidney, alveoli in the lungs), and various chemical substances move from the blood into the tubules, eventually becoming urine in the kidney, and expired air in the lungs. Functionally speaking, however, matters are entirely different in the two organs. In the lungs, CO2 diffuses passively from blood to air. The equivalent arrangement in the kidney would be to have molecular transporters at the blood-tubule interface, and have them pump metabolic wastes (mostly urea) out of the blood, into the tubules, and letting them, together with some water, pass on. However, urea transporters do not exist. Consequently, rather than trying selectively to pump waste products out of the plasma, it forms an ultrafiltrate of plasma in the glomerulus, which contains water, salts, sugars, amino acids, and all other beneficial compounds, as well as the non-volatile metabolic waste products. Then, as this plasma ultrafiltrate passes along the renal tubules, the epithelial cells lining the tubules reabsorb (pump back into the blood) the things that it wants to keep (glucose, salts, bicarbonate, etc), allowing the wastes to pass on. It’s incredibly expensive, energetically speaking, to do it this way, requiring a great deal of ATP to drive the reabsorbing pumps. That’s enough responsibility for any organ, but the kidney does so much more. Earlier we noted that the kidney regulates the ECF composition (by adjusting the activity of the transporters that do the reabsorbing). This additional chore arises because the undisciplined GI tract absorbs just about everything presented to it (see box below), regardless of the needs of the ECF. So the list of functions of the kidney includes excreting non-volatile metabolic wastes and regulating the composition of virtually all ECF solutes – nutrients and electrolytes – as well as water.
the GI tract
While its output, feces, comprises mainly bacteria and substances eaten but not absorbable, about 30 mmoles per day of non-volatile metabolic wastes are excreted via the G.I. tract (compared to 500 by the kidney). These wastes are mostly breakdown products of red blood cells (delivered from the liver to the GI lumen), and are highly toxic if not promptly eliminated. Moreover, as noted earlier, the transporters in the GI tract are incredibly specific. For example, the stereo isomer D-glucose in absorbed, but L-glucose is not. On the other hand, while most big molecules (e.g., whole proteins) that we eat are of course not absorbed intact, but are broken down (digested) to much smaller molecules (e.g., amino acids) before being absorbed into the blood, the most deadly substance on earth, botulinum toxin, if ingested in food-gone-bad, is absorbed as an intact protein (and it’s a big protein), and once in the blood it goes about its fiendish business.
water balance
Naturally, the kidney regulates water (like everything else) balance in the body. Getting rid of extra water is relatively easy: solutes in the lumen of the kidney tubule are reabsorbed as usual, but the epithelium is made water-impermeable, so water cannot follow the solutes osmotically. Thus, the extra water stays in the lumen, and passes into the urine. (The epithelium is made impermeable to water when the hypothalamus, sensing extra water on board as a drop in plasma osmolarity, stops secreting anti-diuretic hormone (vasopressin), which causes certain kidney epithelial cells to remove water channels (aquaporins) from their apical membranes, thereby reducing water reabsorption.) Conserving water in times of dehydration, like when stranded in the desert, is another matter altogether. Remember, there are no water pumps, so the kidney cannot just pump water back into the blood from the tubules. This makes for a huge physiological problem. You can guess what organ has had to solve the problem. Lacking water pumps, the renal tubules have had to evolve a far more complicated mechanism to conserve water. It works pretty well: human urine can be as concentrated as 1200 mosM.
Conserving water
Conceptually, the simplest way would be to pump water out of the ultrafiltrate in the renal tubules, back into the blood. But water pumps do not exist in biology, so a more complex process has evolved that accomplishes the same thing. It involves separating in space the removal of solute and the removal of water from the ultrafiltrate in the tubule. There are three steps to the process. First, NaCl is actively transported out of the ascending limb of the loop of Henle as it rises through the renal medulla. The tubule here has a very low permeability to water, so the fluid in the tubule lumen becomes hypo-osmotic to plasma (it’s about 50 mosM at the top of the loop). In addition, the surrounding interstitial fluid is poorly vascularized in the medulla, so the salt accumulates in the ECF and is not washed away, creating a hyperosmotic interstitium. This is a key point. Second, the distal tubule is permeable to water, and the interstitium here (in the renal cortex) is well vascularized. Consequently, water passively leaves the tubule and is returned to the blood. Thus, the fluid arriving at the end of the distal tubule is isosmotic with plasma (about 300 mosM). The volume of fluid in the lumen has been greatly reduced though. In other words, five- sixths of the salt was removed by the ascending loop of Henle (remember: no volume change, because no water movement), and five-sixths of the water (and volume) left the distal tubule and returned to the blood. to the blood. Third, the tubule (now called the collecting duct) plunges back down into the renal medulla, through the hyperosmotic interstitium. The fluid in the lumen is isosmotic with plasma as it begins its passage. But the collecting duct tubule is permeable to water, and so water leaves the lumen, thereby making the lumenal fluid (urine) hyperosmotic to plasma. (Of course, water leaving the collecting duct will dilute the medullary interstitium, partially defeating the system. But because most (about 5/6) of the water was previously removed, the amount of water entering the collecting duct is greatly reduced.) In summary, the keys to this ingenious device is that most salt and water are removed from the tubule at separate locations, and the salt is kept around to provide a special, hyperosmotic interstitium to draw a little extra water from the lumen of the collecting duct. All because there are no water pumps.
what happens is permeability for Na increases?
(this happens during an action potential). We can say right away that EK and ENa will not change (no changes in concentrations, at least in the short term). To say it in words, when PNa increases, Na+ ions are able to move into the cell much more easily; the inward movement of positive charge depolarizes the membrane. As Vm moves closer to ENa, the driving force on the Na+ ions is reduced, while the driving force on K+ is increased as Vm moves away from EK (remember, the driving force on any ion is just the difference between Vm and the ion’s equilibrium potential). The new steady potential is reached when the total amount of Na+ entering equals the total amount of K+ leaving the cell. In other words, when the Na+ and K+ currents are equal and opposite, Vm doesn’t change.
what happens if external Na is reduced? (that is, most Na+ is replaced with a nonpermeating cation, such as choline+)
ENa will move closer to zero, because the change in [Na+]o has made the Na+ concentrations in the ICF and ECF more nearly equal (when [Na+]o= [Na+]i, ENa= 0, because the log of 1 is zero). From the Nernst equation, ENa= 0 mV.
what happens if external K is increased?
Intuitively, we can see that an increase in [K+]o will reduce the efflux of K+ from the cell. Because less K+ leaves, the cell will depolarize. EK will move closer to zero (we have made the internal and external concentrations more nearly equal); from the Nernst equation: EK= -60 mV. That’s a big change (almost 30 mV), and reflects the fact that the ratio of [K+]o to [K+]i determines EK, and we have tripled the ratio with only a 10 mM change in [K+]o. Clinically, this can be very important. First, it’s easy to imagine how blood potassium could increase if a little bit of the K+ leaked out of cells (remember, over 98% of the total K+ in the body is in the ICF). And second, a 20-30 mV depolarization of cells in the heart can quickly lead to cardiac arrest. In summary, external Na+ has little effect, and external K+ has a marked effect on membrane potential in nerve and muscle cells. This is simply because the plasma membrane of nerve cells and muscle cells is much more permeable to K+ than to any other ion: wherever EK goes, Vm follows in these cells.
Clinical notes on Hyperkalemia
a rather modest rise in ECF potassium ion concentration has a big effect on Vm. This can have serious clinical consequences. The reason that such a small change (only 4 mM) has such a big effect goes back to the Nernst equation: the potassium equilibrium potential, EK, depends on the ratio of external to internal potassium ion concentrations, and the ECF potassium concentration has doubled. So we expect a big change in EK. In cells that have a relatively high potassium permeability, Vm will slavishly follow EK, and so the membrane potential will depolarize a lot. A large depolarization of cells can be life threatening. In acute hyperkalemia, the main danger concerns the reliable conduction of electircal signals (action potentials) in the heart. As you will study a little later, the heart relies on a special electrical conduction system (intrinsic to the heart) to coordinate the contraction of its muscle fibers each heartbeat. These synchronized electrical signals can become disrupted during acute hyperkalemia, causing cardiac arrhythmias as conduction blocks occur and maverick pacemakers arise in various locations of the conduction system. The causes of hyperkalemia, as you might expect (knowing that 98% of all of the potassium in the body fluids is in the ICF) mostly concern loss of potassium from cells. Crush injuries, burns, and other trauma that disrupt cell membranes can do it. So can immunological attack of red blood cells (causing hemolysis). One of the most important determinants of the clinical course of the hyperkalemia is the status of the kidney, whose normal job it is to excrete excess potassium. If kidney function is compromised, hyperkalemia can be much more serious than if the kidney is functioning normally.