Physiology from Midterm 2 to Final Flashcards
1
Q
What is digestion a combination of?
A
Mechanical and enzymatic processes
2
Q
Where does digestion occur?
A
Mouth, stomach, and small intestine
3
Q
What is the point of chewing food?
A
Exposes more surface area for enzymes
4
Q
What does the emulsification of fat via bile do?
A
Exposes more surface area for enzymes
5
Q
What is absorption?
A
Crossing the gut epithelium
6
Q
Where does most digestion occur?
A
Small intestine
7
Q
Where does most absorption occur?
A
Mostly in small intestine (some ions and water absorbed in large intestine)
8
Q
Does fat enter the bloodstream?
A
NO, enters lymph as lacteals
9
Q
What part of the GI system is directly regulated?
A
Motility and secretion, which are regulated by hormones, nervous system, and local mechanisms
10
Q
Order of absoprtion in small intestine?
A
Lumen –> apical membrane –> epithelial cell (enterocyte) –> basolateral membrane –? interstitium –> capillary in hte villi or the lymph (fat)
11
Q
What do goblet cells do in the small intestine?
A
Secrete mucous
12
Q
What do crypt cells do in the SI?
A
secrete ions and water
13
Q
What constitutes approx. 50% of our diet?
A
Carbs…mostly starch and sucrose (table sugar), followed by glycogen, cellulose, glucose, fructose, etc.
14
Q
Membrane transporters for carbs can transport what>
A
MONOsaccharides
15
Q
How do artificial sweeteners work?
A
Typically interact with “sweet” receptors, but cannot be digested to a form that can cross into enterocytes (have Cl- instead of OH- groups)
16
Q
What enzyme breaks down starch to maltose?
A
Amylase
17
Q
What breaks down disaccharides?
A
Disaccharidases (maltase, sucrase, and lactase) found on brush border
18
Q
Glucose enters the intestinal enterocytes via what transporter and leaves via what transporter?
A
Enters with Na+ via SGLT and exits on GLUT2
19
Q
Fructose enters SI enterocytes via what transporter and leaves on what?
A
Enters via GLUT5 and exits on GLUT2
20
Q
Where are the Na+/K+ ATPase pumps found on intestinal cells?
A
Basolateral side
21
Q
What are endopeptidases?
A
Attack peptide bonds in the interior of the AA chain and break long peptide chains into smaller segments
22
Q
Examples of endopeptidases?
A
Pepsin (stomach) and Trypsin/chymotrypsin (pancreas)
23
Q
What are exopeptidases?
A
Release single AA from peptides by chopping them off the ends, one at a time
24
Q
Examples of exopeptidases?
A
Carboxypeptidase and aminopeptidase from the pancrease
25
Products of protein digestion?
Free AAs, di and tripeptides
26
How are di and tripeptides absorbed?
Cotransport with H+ on the apical and basolateral membranes
27
How are amino acids absorbed?
Cotransport with Na+ on apical side (like glucose) and antiport with Na+ on basolateral side
28
How do babies reabsorb immunoglobulins during the first few days after birth?
The small peptides are carried intact across the cell by transcytosis
29
Most of the fat calories in our diet come from?
Trigylcerides because it is the major lipid in both animals and plants...cholesterol, phospholipids, long chain fatty acids, fat soluble vitamins
30
Why is the digestion of fats complicated?
Because it isn't soluble in water...have low surface area for digestion in stomach
31
What are bile salts?
Amphipathic derivatives from cholesterol that break down fats
32
How do bile salts work?
Bile salts coat lipids to make emulsions of large droplets. The hydrophobic side associates with lipids, and the polar side chains/hydrophilic side associates with water.
33
What do pancreatic lipases do?
Can act on trigylcerides, in droplets, aided by colipase from pancreas
34
What are micelles?
Smaller droplets of fat that contain smaller components of fat, except cholesterol.. Micelles can then move close to surface of enterocytes and lipids can diffuse across apical membrane into cells.
35
Steps in fat absorption?
1. Bile salts coat fat droplets 2. Pancreatic lipase and colipase break down fats into monoglycerides and fatty acids stored in micelles 3. Monoglycerides and fatty acids diffuse from micelles and cross cell membranes 4. Cholesterol is actively transported into cells 5. Absorbed fats combine with cholesterol and proteins in intestinal cells to form chylomicrons 5. Chylomicrons removed by lymphatic system, and short fatty acids can travel solo, entering capillaries rather than lymph
36
Steps in nucleic acid digestion?
Digested into nucleotides, then bases, and monosaccharides. Bases absorbed via ACTIVE transport. Sugars absorbed via same transporters as other monosaccharides
37
How are fat soluble vitamins reabsorbs?
Absorbed in SI with fats
38
Fat soluble vitamins?
A, D, E, K
39
How are water soluble vitamins absorbed?
Typically absorbed in SI via membrane transporters
40
Water soluble vitamins?
C, most Bs
41
Where is Vitamin B12 absorbed?
In the ileum
42
What does vitamin B12 require to be absorbed in the ileum?
Requires protein secreted by gastric parietal cells called intrinsic factor
43
What does deficiency of intrinsic factor lead to?
Deficiency of B12 that cannot be corrected by oral B12 supplemenntation
44
What 2 substances are homeostatically regulated in SI?
Iron and Calcium...decreased levels --> detectors --> signal --> increased intestinal uptake
45
How is absorption of ions and water caused in the small and large intestine?
Ions (esp Na+) move across apical side via various transporters; main driver in basolateral side in Na/K ATPase; water follows by osmosis
46
In the regulation of GI function, what are long reflexes?
Reflexes integrated in the CNS; sensory from GI tract to CNS and feedforward relfexes that originate outside the GI tract
47
What are cephalic reflexes?
Long reflexes that occur completely outside the digestive system...feedforward responses in response to sight, smell, thought of food, effects of emotion
48
What limb of the autonomic nervous system is excitatory in the GI tract?
Parasympthathetic
49
What are short reflexes in the GI tract?
Integrated within the gut in the enteric nervous system
50
WHat do neurons in submucosal plexus do?
Receive signals from lumen, regulate secretion
51
What do neurons in the myenteric plexus do?
Regulate motility
52
Reflexes involving gut peptides act where, and effect what?
Can act locally (paracrine) or travel via blood (endocrine) and can effect motility (altered peristalsis, gastric emptying, etc) and effec both exocrine and endocrine secretion...some gut peptides can also act on brain or are produced there
53
What are the parallels between the enteric and central nervous systems?
Intrinsic neurons lie entirely within gut, similar to interneurons within gut and autonomic neurons that bring signals from CNS to gut are extrinsic neurons 2. Release more than 30 different NT and neuromodulators that are not NE/E/Ach, similar to those in CNS 3. Has glial cupport cells, similar to astrocytes in CNS 4. Diffusion barries with capillaries surrounding glanglia that are not very permeable, like blood-brain barrier 5. Acts as an integrating centre, gut function can be regulated without CNS
54
What did the Bayliss and Starling experiment determine?
Acidic chyme entering the small intestine caused pancreatic secretion even when all nerves to the pancreas were cut. Applied extract of duodenum to pancreas, and it caused pancreatic secretion. Therefore, the factor from the intestine that stimulated secretion was called secretin.
55
3 families of gut hormones?
Gastrin family, secretin family, and motilin
56
Gastin family gut hoemones?
Gastrin, CCK, et al.
57
Targets of the gastrin family hormones?
Stomach for gastrin and intestine and accessory organs for CCK
58
Secretin family gut hormones?
Secretin, vasoactive intentestinal peptide (VIP), gastric inhibitory peptide (GIP), glucagon like peptide (GLP-1)
59
Targets of secretin family?
BOth endocrine and exocrine
60
What is motilin and what does it do?
Family of gut hormone that acts on gut smooth muscle and regulates migrating motor complexes
61
Role of oral cavity and esophagus in GI function?
M: swallowing, chewing S: saliva D: carbs (salivary amylase) A: none
62
Role of stomach in GI function?
M: mixing and propulsion (peristalsis) S: HCl, pepsinogen and gastric lipase, mucus and HCO3-, gastrin, histamine D: proteins and fasts A: lipid soluble substances such as alcohol and aspirin
63
Role of SI in GI function?
M: mixing and propulsion mostly by segmentation S: enzymes, HCO3-, bile, mucus, CCK, secretin, GIP, etc. D: carbs, fats, polypeptides, nucleic acids A: peptides, AA, glucose, fructose, fats, water, ions, minerals, vitamins
64
Role of large intestine in GI function?
M: segmental mixing; mass movement for propulsion S: mucus D: none, except for my bacteria A: ions, water, minerals, vitamins, small organicc molecules produced by bacteria
65
What is the cephalic phase of GI function?
Anticipation of food/presence of food in mouth --> activation of neurons in medulla --> efferent signals to salivary glands and autonomic signals via vagus to enteric nervous system --> increase in motility and secretion in stomach, intestine, and accessory organs
66
When do short reflexes in the GI tract occur?
When food hits the stomach/distension
67
Where does digestion begin?
In the mouth
68
What controls the secretion of saliva?
Autonomic nervous system
69
What does saliva do?
Softens and lubricates food. Chemical digestion via salivary amylase and some lipase. Also, antimicorbial through lysozyme and immunoglobulins.
70
What is the proper name of chewing?
Mastication
71
What is the proper name for swallowing?
Deglutition
72
Steps in the swallowing reflex?
1. Tngue pushes bolus against soft palate and back of mouth, triggering swallowing reflex. Soft palate elevates closing off nasopharynx. 2. Breathing inhibited as bollus passes airway. Epiglottis folds down to help keep swallowed material out of airways, and upper esophageal sphincter relaxes.
73
Where is the swallowing reflex integrated?
The medulla. Sensory afferents in cranial nerve IX and somatic motor neuron and autonomic neurons mediate reflex.
74
What is gastroesophageal reflux disease?
Heartburn. Caused by the splashing up of acid from the stomach into lower esophagus during respiration (intrathoracic pressure drops) or during churning of the stomach.
75
What initiates digestive activity in stomach?
Long vagal reflex of the cephalic phase. Once food enters the stomach, series of short reflexes constitute gastric phase.
76
3 functions of the stomach?
1. Storage 2. Digestion 3. Protection
77
Why is the storage function of the stomach so important?
Its neurally mediated receptive relaxation of upper stomach helps to keep undigested food blasting into the SI, which causes numerous problems (dumping syndrome)
78
Do secretions happen before food arrives?
Yeah
79
How does the stomach offer protection?
Antimicrobial via acid, and self-protection through teh mucus-bicarb barrier
80
What cells secrete gastric acid?
Parietal cells in tummy
81
What does gastric acid do?
Activates pepsin, denatures proteins to make them more accessible to pepsin, and acts as an anti-microbial agent
82
What cells secrete pepsinogen?
Chief cells
83
What is pepsinogen cleaved into?
Pepsin
84
What does pepsinogen do?
An endopeptidase that is particulary effective on collagen (meat digestion)
85
What cells secrete gastric lipase?
Chief cells...co-secreted with pepsinogen
86
What does gastric lipase do?
MINOR contribution to fat digestion
87
What cells secrete histamine in the GI tract?
Enterochromaffin-like cells (ECL)
88
What does histamine do in the GI tract?
Binds to H2 receptors in parietal cells, which promotes acid secretion
89
What cells secrete somatostatin?
D cells
90
What does somatostatin do?
Shits down secretion of acid and pepsinogen
91
What cells secrete gastrin?
G cells
92
What triggers the release of gastrin?
Both long and short loop reflexes
93
Steps in the integration of cephalic and gastric phases?
1. Food or cephalic reflexes initiate gastric secretion 2. Gastrin stimulates acid secretion by direct action on parietal cells or indirectly through histamine 3. Acid stimulates short reflex secretion of pepsinogen 4. Somatostatin release by H+ is negative feedback signal that modulates acid and pepsin release.
94
What is the mucus bicarb barrier in the stomach?
Gastric mucous cells produce mucus that lies in a layer above the cells, allowing the pH to be 7 at the cell surface vs. pH 2 in lumen of stomach
95
What is a peptic ulcer>
Acid and pepsin damage mucosal surface, creating holes that extend into submucosa and muscularis layers
96
Prevention and treatment of peptic ulcers?
1. Ingestion of anti-acids that neutralize gastric acid 2. H2 receptor antagonists that block the action of histamine, so parietal cells don't release H+ 3. Proton pump inhibitors that block the H+/K+ ATPase
97
Method of acid secretion in parietal cells?
H+/K+ ATPase on apical membrane exports H+ in exchange for K+. HCO3-/Cl- on basolateral side pumps in CL- in exchange for bicarb. Cl- leaves parietal cells via a open CL- channel
98
What begins the intestinal phase of GI function?
Controlled entry of chyme into small intestine. Sensors in duodenum feed back to stomach to control dilvery of chyme, feed forward to intestine to promote digestion, motility and nutrient utilization
99
What is secreted during the intenstinal phase of GI function?
Bicarb, mucus, bile, and enzymes as zymogens
100
Carbs in the small intestine activate what hormones?
GIP and GLP-1
101
What do GIP and GLP-1 stimulate?
Release of insulin from pancrease
102
What do fats and proteins in the SI activate?
CCK release
103
What does CCK secretion activate?
Pancreatic enzyme secretion
104
What does secretin do?
Activates pancreatic bicarb secretion
105
What stimulates the release of bibarb from the pancreas' duct cells?
Neural signals and secretin
106
What is the function of bicarb in GI function?
Neutralize chyme
107
What is the stimulus of release of mucus from goblet cells?
Increase inflammation...for protection and lubrication
108
What stimulates the release of bile from gall bladder?
CCK, presence of fats and proteins
109
Purpose of bile>
Fat digestion
110
Where is bile reabsorbed?
In the ileum, enters circulation, and travels back to liver. Recycled several times during a meal.
111
Steps in activation of pancreatic zymogens?
1. Pancreatic secretions including zymogens enters small intestine through the pancreatic duct 2. Enteropeptidases in brush border activate trpysinogen into trypsin 3. Trypsin activates zymogens (chymotrypsinogen/chymotrypsin, procarboxypeptidase/carboxypeptidase, procolipase/colipase, and prophospholipase/phospholipase)
112
Where is most fluid absorbed?
Small intestine
113
What causes absorption in the SI?
Transport of organic nutrients and ions create osmotic gradient
114
Where do most nutrients absorbed in small intestine go?
Move into capillaries in villi, then into hepatic portal vein. Fats go into lymphatic systems. Xenobiotics must first pass through the liver before reaching the systemic circulation
115
Where does food enter the large intestine?
Iliocecal valve
116
What are the incomplete muscles on the LI that create haustra called?
Tenia coli
117
What is the main role of the large intestine?
Removes most of remaining water and forms feces
118
What is the motility like in the large intestine?
Iliocecal valce relaxes each time a peristalic waves reaches it and contracts when food leaves stomach (gastroileal reflex). Segmental contractions with little forward movement except when mass movements occur (3-4 times/day). Waves of contraction send bolus forward and triggerdistension of rectum...defacation reflex
119
What is osmotic diarrhea?
Unabsorbed, osmotically active solutes such as undigested lactose, sorbitol, olestra, or osmotic laxatives draw water into large intestine and cause excessive defecation
120
Secretory diarrhea?
Bacterial toxins, such as cholera, increase Cl- secretion. Diarrhea can be adaptive but can also lead to dehydration and metabolic acidosis
121
To be absorbed in the SI, carbs must be broken down to ______ and moved across the apical membrane of intestinal epithelium by ______
Monosaccharide units and 2ndary active transport
122
Order of protein digestion
Acid denaturation, endopeptidases, exopeptidases
123
Bile salts are...
Amphipathic derivatives of cholesterol that are stored in and secreted by the gall bladder
124
What is homeostatic eating?
Eating when energy fuels are depleted and not eating when energy fuels are sufficient...metabolically driven eating
125
What is non-homeostatic eating?
Eating in the complete absence of hunger, and eating despite large fat reserves. Involves cognitive, reward, and emotional factors. Also, has neural parallels with addiction mechanisms. "Hedonic" eating.
126
What are the two control centres for homeostatic eating, and where are they located?
Hunger/feeding centre and satiety centre in the hyopthalamus
127
What is the glucostatic theory?
Food intake is regulated by glucose levels, monitored by centres in the hypothalamus. When plasma glucose is low, satiety centre is depressed and feeding centre is dominant.
128
What is the lipostatic theory?
Signal from fat stores to the brain modulates eating behaviour. Leptin, synthesized in white adipose tissue, tells the brain to stop eating.
129
What happens if the "ob" gene is knocked out?
There is a mutation in making leptin, which means leptin isn't produced, so no signal to stop eating, causing extreme obesity and voracious eaters/
130
What happens id the db/db receptor is knocked out?
No receptor for leptin, so you don't stop eating.
131
Peptides that increase food intake and their location?
Ghrelin, released from cells in an emptystomach. Neuropeptide Y, released from hypothalamus. Orexins, released from hypothalamus.
132
Singals from the gut that decrease appetite and their location?
Inc. stretch of stomach and acid secretion in stomach. Increased CCK and increased glucose in lumen of upper SI. Increased GLP-1 in the lower small intestine/colon.
133
Energy input comes from?
Diet (hunger/appetite, satiety, and social/psychological factors)
134
How much of the energy output comes from heat? Work?
50% for both
135
What is the energy output for work used for?
Transport across membranes, mechanical work (movement), Chemical work (synthesis for growth and maintenance, energy storage, such as ATP and PCr, and chemical bonds, such as glycogen and fat)
136
How is metabolic rate estimated?
Rate of oxygen consumption and CO2 production, and how much O2 is produced fro macronutrients other than glucose.
137
Equation for reaction of glucose to yield energy?
C6H1206 + O2 + ADP + Pi ---> CO2 + H2O + ATP + heat
138
Factors affecting metabolic rate?
Age, sex, lean muscle mass (muscle has higher O2 consumption than adipose at rest), activity level, diet (heat production increases after eating, extent depends on what was eaten), hormones, gut peptides, and genetics/
139
3 fates of ingested biomolecules?
1. Energy to do mechanical work 2. Synthesis for growth and maintenance 3. Storage as glycogen (liver, skeletal muscles) or fat
140
2 states of metabolism?
1. Fed/absorptive state 2. Fasted/postabsorptive state
141
What is the fed/absorptive state?
Anabolic, products of digestion being absorbed and used or stored
142
What is the fasted/postabsorptive state?
Catabolic, body taps into stores to maintain blood glucose levels, even though no food is coming into the body.
143
What are the nutrient pools that are available for immediate use (mostly in plasma)?
Glucose pool, amino acid pool, and free fatty acid pool
144
In the fed-state what enzymes are active and which are deactivated?
Insulin is active, leading to net glycogen synthesis, whereas enzymes for glycogen breakdown are inhibited.
145
In the fasated-state metabolism, what enzymes are active, and which are inactive?
Glucagon is active, and enzymes that break down glycogen are more active. Enzymes for glycogen synthesis are inhibited.
146
In the fed state, how much of the absorbed glucose in the liver passes through to brain, muscles, and other tissues?
Approx. 70%
147
In the fed-state, how much of the absorbed glucose in the liver travels into the interstitium and then into hepatic cells via GLUT transporters?
Apprx. 30%
148
Glucose that moves into hepatic cells via GLUT transporters during the fed state is used for?
1. ATP synthesis or 2. Stored as glycogen or fat
149
What is the main source of glucose in the post-absorptive state?
Glycogen
150
How many hours of energy does liver glycogen provide?
Apprx 4 hours
151
In the fed state, where do absorbed AAs travel to?
To the liver, where some pass through, used for synthesis of structural proteins, enzymes, hormones, amines, and others move into interstitium then into hepatic cells for synthesis of liver enzymes, plasma proteins, and lipoproteins.
152
What happens to excess proteins?
Converted to FAT
153
Where are chlyomicrons formed?
Enterocytes
154
What makes up a chylomicron?
Cholesterol, TGs, phospolipids plus lipid binding proteins (apoproteins)
155
What happens to chylomicrons ater they enter the circulation from lymphatic drainage?
Acted upon by lipases in capillary endothelium---FFA can be oxidized for energy (most cells), FFA plus glycerol can be re-esterfied and stores as TG (adipose), and remaining particles (HDL, chylomicron remnants) taken up by liver
156
What can the liver do in regards to fat?
Metabolize fat, store fat as TGs, use cholesterol to form bile salts, which are released into gut lumen, and package FFA and cholesterol as LDL particles, which are releaed into circulation as sources of cholesterol and FAs
157
How are LDL-C particles taken into the cell?
By receptor mediated endocytosis when apoproteins interact with receptors.
158
Steps in Fat Synthesis
1. Glycerol can be made from glucose through glycolysis 2. Fatty acids made when 2-carbon acyl units from acetyl CoA link together 3. One glycerol plus 3 FAs ---> triglyceride (happens in smooth ER) 4. Even with 0 dietary cholesterol, colesterol can and will be synthesized from Acetyl CoA (HMG Co-Reductase)
159
During the fasted-state, what pathways are used to maintain plasma glucose levels?
Glycogenolysis, lipolysis, amino acids, and gluconeogenesis
160
What is glycogenesis?
Making glycogen from glucose molecules via glycogen synthase
161
What is glycogenolysis?
Breaking down glycogen into glucosyl units via phosphorylase
162
What is glycolysis?
Forming 2, 3C pyruvates from glucose
163
Steps in the overview of fasted-state metabolism?
1. Liver releases glucose from stored glycogen 2. TGs in adipose broken down into FFAs and glycerol 3. Glycogen used for energy in muscle. Muscles also used FAs and break down their proteins to amino acids that enter the blood in extreme cases 4. Brain can only use glucose and ketone bodies
164
How can muscle contribute to plasma glucose?
Only indirectly by exporting pyruvate or lactate. Cannot release glucose because it doesn't have glucose-6-phosphatase
165
2 options for formation of G-6-P from glycogen?
1. Splitting off glucose by addition of Pi (90% of the time) 2. Splitting off glucose then spending an ATP to phosphorylate (only 10% of the time)
166
Amino acids are deaminated, giving rise to intermediates that can be?
Directly sent to glycolysis or TCA cycle or be sent to the liver to be converted to glucose (gluconeogenesis)
167
Proteolysis occurs when?
During extended fasts. Free AA pool is normally used for ATP production during fasted state.
168
What causes the formation of ketone bodies?
If lipolysis occurs faster than acetyl CoA can be used in TCA cycle, ketone bodies are formed. They can enter blood and serve as energy substrates for brain during times of starvation.
169
What type of diet increases ketone production?
Low carb/high fat, protein diets
170
Why can ketogenesis become dangerous?
Certain ketone bodies (acetoaceti acid, beta-hydroxybutyric acid) are strong metabolic acids that can disrupt acid-base balance
171
With respect to regulation of GI function, "long reflexes" refer to...
PNS efferent info from brainstem to GI tract that stimulates GI activity and cephalic relfexes of digestion such that the sight, smell, or through of food stimulate GI activity
172
Gastric acid secretion is stimulated by...
Histamine from ECL cells, PNS stimulation, and gastrin from G cells
173
Which secreted products of the intestine inhibit gastric acis secretion?
CCK, Secretin, and GLP-1
174
Which digestive hormone stimulates gall bladder contraction and pancreatic enzyme secretion?
CCK
175
Insulin is release in response to...
Presence of carbs in SI, which stimulates GIP and GLP-1
176
What is metabolism?
Whether transformations of energy substrates (carbs, fats, proteins) are biased toward storage/anabolism or breakdown/catabolism
177
How is metabolism regulated?
Primarily through endocrine pancreas (insulin and glucagon) and neural (regulation of food intake and autonomic innervation of endocrine pancreas)
178
What is the endocrine pancreas?
Endocrine cells found in Islets of Langerhans
179
What do alpha cells in the endocrine pancreas to?
Secrete glucagon
180
What do beta cells do in the endocrine pancreas?
Secrete insulin
181
What do D cells do in the endocrine pancreas?
Secrete somatostatin
182
What processes does insulin increase?
Glucose oxidation, glycogen synthesis, fat synthesis, and protein synthesis
183
What processes does glucagon increase?
Glycogenolysis, gluconeogenesis, and ketogenesis
184
What is insulin's structure?
51 amino acids, A and B chains linked by two disulfide bridges. Tends to form dimers (A+B) x2, and hexamers in solution
185
What is insulin secreted as?
Preproinsulin
186
What is proinsulin cleaved into?
C peptide and insulin peptide
187
What form of insulin can bind to receptors?
Only monomers
188
Factors affecting release of insulin?
Increased plasma glucose (greater than 100 mg/dL), plasma AAs, GLP-1 and GIP, and parasympathetic activity (inhibited by SNS)
189
Targets of insulin?
Striated muscle, fat, liver (NOT brain, kidney, intestine)
190
Actions of insulin in adipose and muscle?
Increase glucose transport into cells, increase glucose metabolism, glycogenesis, fat synthesis, and protein synthesis
191
Actions of insulin on hepatocytes?
Increase glucose metabolism, increased glyocgenesis, fat synthesis, and protein synthesis
192
How is insulin release stimulated in pancreation beta cells?
1. High blood glucose 2. Metabolism within hepatocyte increases 3. Increase ATP 4. ATP gated K+ channels close 5. Cell depolarizes and calcium channels open 6. Ca2+ enters 7. Exocytosis of insulin
193
GLUT transporters found in hepatocytes?
GLUT-2
194
Does insulin cause a recruitment of GLUT transporters to the membrane in the liver?
NO. Insulin activates hexokinase, to add a phoshpate to glucose, which maintains low [glucose] in cell and starts glycolysis/energy production
195
How does the insulin receptor work?
Enzyme coupled receptor tyrosine kinase. When activated, RTKs transfer phosphate groups to insulin receptor substrates, which alter protein/enzyme activity, causing cell responses
196
Where does insulin bind on its receptor?
The 2 alpha sub-units located extracellularly
197
What are the beta subunits in the insulin receptor?
Penetrate through the membrane...ATP-binding and tyrosine kinase domains found there
198
Steps in insulin mechanism of action
1. Insulin binds to tyrosine kinase receptor 2. Receptor phosphorylates insulin-receptor substrates (IRS) 3. Seconds messenger pathways alter protein synthesis and existing proteins 4. Membrane transport is modified 5. Cell metabolism is changed
199
What is the effect of insulin on adipose and muscle cells?
1. Insulin binds to receptor 2. Singal transduction cascade 3. GLUT4 inserted to membrane 4. Glucose enters the cell
200
Role of liver in a fasted state (no insulin)?
Hepatocytes make glucose and export it via GLUT2 transporters
201
Effects of insulin in liver?
Gardient favours glucose import into hepatocyte via GLUT2. Insulin signalling activates hexokinase to start glycolysis/energy storage and making processes, and also keeps free glucose low in cell to maintain gradient)
202
Insulin activates enzymes that enhance?
glycolysis (glucose oxidation), glycogenesis (storage), AA utilization/protein synthesis, lipogenesis (conversion of excess glucose and AA into triglycerides)
203
Insulin inhibits enzymes that enhance?
Glucogoneogenesis, glycogenolysis, proteolysis, ketogenesis, lipolysis, and beta-oxidation of fatty acids
204
When insulin is low or absent, what type of pathways dominate?
Catabolic
205
Glucagon is a member of what gut hormone family?
Secretin, along with secretin, GIP, and GLP-1
206
What is the main trigger of glucagon release?
Low plasma blood glucose
207
What is the main target of glucagon?
Liver
208
What type of receptor does glucagon work on?
G protein-coupled receptors, cyclic AMP
209
What is the main function of glucagon?
To prevent hypoglycemia
210
During an overnight fast, how much glucose from the liver comes from glyocogenolysis and glucoenogenesis?
75% and 25%
211
Why do AAs stimulate insulin and glucagon release?
If a meal containing protein, but no carbs is ingested, insulin will lower blood sugar, even though there are no carbs to replace the lost blood glucose, so glucagon is released to insure blood glucose doens't drop too low
212
Type 1 diabetes?
Inadequate insulin secretion
213
Type 2 diabetes?
Inadequate insulin secretion and/or abnormal target cell respsonsivenss
214
What is metabolic syndrome?
At least 3 of: central obesity, hypertension, fasting blood glucose greater than 110 mg/dL, elevated fasting triglycerides, and low plasma HDL-cholesterol
215
Is there ketoacidosis in Type 2 diabetes?
Not usually, because insulin IS still present, so liver can uptake glucose, meaning it doesn't increase ketone production
216
During the absoptive state in a person at rest, the liver...
forms glycogen
217
CCK, a hormone from the SI...
slows gastric activity, decreases appetite, and increases secretion of enzymes from pancreatic acini cells
218
Possible fats of FAs include...
beta-oxidation for energy, being re-esterified to TAGs and stored in adipose, or circulating in blood with lipoprotein particles
219
What is the most readily available pool of lipids?
LDL
220
During the fasting/post asborbitive state, muscle can contribute to maintenance of blood glucose levels by...
breaking down proteins and exporting AAs as gluconeogenic substrates to the liver, carrying out glycogenesis and sending pyruvate as glucoenogeneic substrate to the liver
221
Ketogenesis occurs in a situation in which...
more acetyl CoA is formed than can be oxidized and rates of lipolysis are high
222
A human with the same condition as an ob/ob mouse would be...
obese and would respond to treatment with exogenous leptin
223
the sequence that best describes the path of a triglyceride as it is digested and absorbed.
Fat droplet, micelle, smooth ER of enterocyte, chylomicron, interstitium, lacteal
224
Order of the layers of the adrenal gland starting with the outermost layer?
Capsule, Zona glimerulosa, Zone fasciculata, Zone reitcularis, and adrenal medulla
225
What is made in the zona glomerulosa?
Aldosterone
226
What is made in the zona fasciculata?
Glucocorticoids (cortisol and cotricosterone)
227
What is made in the zona reticularis?
Sex hormones (various weak androgens)
228
What is made in the adrenal medulla?
Mostly epinephrine
229
Order of hormones made in the adrenal gland from the zona glomerulosa to the adrenal medulla?
Aldosterine, glucocorticoids, sex hormones, catecholamines
230
What enzyme changes progesterone into glucocorticoids?
21-hydroxylase
231
What is the first biologically active hormone?
Progesterone
232
Hypothalamic-Pituitary-Adrenal Axis for cortisol?
Circadian rhythm, stress, or low blood glucose ---> CRH in hypothalamus ---> ACTH (from POMC) in ant. pit. ---> cortisol in adrenal cortex (zona fasciculata) ---> immunse system, liver, muscle, and adipose tissue
233
Cortisol effect on immune system?
Supression
234
Cortisol effect on liver?
Gluconeogenesis
235
Cortisol effect on muscle?
Protein catabolism
236
Cortisol effect on adipose tissue?
Lipolysis
237
When do cortisol level peak>
early morning (4 - 8 am)
238
What cells express glucocorticoid receptors?
All nucleated cells
239
Whatt type of efects do glucocorticoids have?
Mostly longer term/genomic effects such as increased expression of enzymes and increased expression for other regulatory hormones.
240
What are the main effects of glucocorticoids?
1. Prevention of hypoglycemia/catabolism (lipolysis, proteolysis, and gluconeogenesis) 2. Supress immune response
241
What are the 3 main targets of glucocorticoids?
Adipose, muscle, and liver
242
What hormones is cortisol permissive for?
Glucagon and epinephrine
243
What are the 3 generic responses to stress that Selye found>
1. Adrenal hypertophy 2. Atrophy of thymus/lymph nodes 3. GI ulcers
244
How long is the half life of epinephrine?
2 minutes
245
What does the adrenal medulla act like?
Sympathetic post-ganglionic neurons
246
What are the metabolic effects of epinephrine?
Dec insulin and inc glucagon, lipolysis, glycogenolysis in muscle, and glycogenolysis and gluconeogenesis in liver
247
How are glucagon and epinephrine and cortisol similar and different?
Have similar metabolic effects, but cortisol and epinephrine have receptors expressed on a broader range of target cells
248
What is primary hypercortisolism?
Cortisol-secreting adrenal hormones that are not regulated by ACTH
249
What is secondary hypercortisolism/Cushing's Syndrome?
Pituitary tumour that over-secretes ACTH
250
What is iatrogenic hypercortisolism?
Secondary to cortisol therapy for other conditions
251
What is hypocortisolism/Addison's disease?
Primaray adrenal insufficiency, often immune problem that attacks cells in adrenal gland. Caused by mutations in key enzymes such as Hydroxylase 21
252
What is ACTH synthesized from?
Pro-opiomelanocortin (POMC)
253
What is alpha MSH used for?
Melanin synthesis, immune response, decreased food intake
254
What other effects does CRH have?
Effects on food intake and mood disorders
255
What cells of the thyroid gland secrete thyroid hormone?
Follicular cells
256
What is the colloid?
the glycoprotein matrix in the thryoid gland
257
What does the thyroid gland secrete?
Thyroid hormones and calitonin
258
What is thyroid hormone made from?
Tyrosin and iodine
259
What type of hormone mechanism is thyroid hormone similar to?
More like steroids...binds to nuclear receptor
260
How does thyroid hormones travel in the blood?
Bound to thyroid-binding globulin because it is lipophilic
261
What is hte main circulating form of thyroid hormone?
T4
262
What is the most active form of thyroid hormone?
T3
263
How is T4 converted to T3 at target cell?
Deiodinases remove an iodine
264
Steps in thyroid hormone synthesis?
1. Na+/I= symporter brings I- into the cell 2. Pendrin transporter moves I- into colloid 3. Follicular cell makes enzymes and thyroglobulin for colloid 4. Thyroid peroxidase adds idoine to tyrosine to make T3 and T4 5. Thyroglobulin is taken back into cell in vesicles with the iodines attached 6. Intracellular enzymes separate T3 and T4 from thyroglobulin 7. Free T3 and T4 enter circulation
265
What is thyroid hormone essential for?
Normal growth and development, expecially the nervous system
266
Wha tis the main function of thyroid hormone?
Provide substrates for oxidative metabolism...increase O2 consumption and generation of heat (thermogenesis) in most tissues and increase activity of Na+/K+ ATPase and interact with other hormones to modulate carbohydrate, protein, and lipid metabolism
267
Symptoms of hyperthyroidism?
Increased O2 consumption, increased heat production (intolerant of heat), muscle weakness (protein catabolism), and neurological and cardiac effects
268
What is the most common cause of thyroid pathologies?
Graves disease. Autoantibodies that resemble TSH overstimulate thyroid gland (not subject to negative feedback regulation)
269
What are the sympthoms of hypothyroidism?
Decreased O2 consumption, increased heat production (intolerant to cold), neurological effects, fatigue, effects on skin, nails, and hair
270
Most common cause of hypotyroidism?
Iodine deficiency
271
Control of growth depends on?
Growth hormone, plus many other direct and permissive roles such as insulin, thyroid hormones, sex steroids, adequate nutrition, absence of chronic stress, and genetics
272
What are the effects of growth hormones can be either what or what?
Effects can be direct (target cells express GH receptor) or indirect (mediated by insulin like growth factors produced by the lover or the target cells themselves)
273
Metabolic effects of growth hormone?
Carbohydrates = indirect effect leads to inc. in plasma glucose Fat = incr. lipolysis and beta oxidation Protein = inc. AA uptake, inc protein synthesis, dec oxidation of protein for energy
274
With respect to CHOs and fat, the metabolic effect of growth hormone are?
Catabolic/"anti-insulin"
275
In respect to prtein, the effects of growth hormone are?
Anabolic/"pro-insulin"
276
Deficiency in growth hormones due to GH hyposecretion or GH receptor mutations causes?
Dwarfism (although GH issues are not a common cause)
277
Excess growth hormones beforce closure of growth plates of long bones causes?
Giantism
278
Excess growth hormones after closure of growth plates in long bones causes?
Acromegaly...elongated chin
279
The EXOCRINE pancreas produces...
Digestive enzymes
280
Insulin lowers plasma by...
promoting fat synthesis, enhancing cellular utilization of AA, increasing glucose transport into most cells, and enhancing cellular utilization and storage of glucose
281
Why are insulin and glucagon released in response to AA in blood?
Co-release of glucagon and insulin following ingestion of a pure protein meal will prevent hypoglycemia
282
Diabetics who require exogenous insulin usually inject it rather than taking it as a pill, why?
Insulin is a protein and will therefore be broken down by the digetive system before it goes to the tissues.
283
Hypothalamic-Pituitary Axis for thyroid hormone?
TRH --> TSH --> Thyroid gland --> Thyroid Hormone (T3 and T4)
284
Hypothalamic-Pituitary Axis for cortisol?
CRH --> ACTH --> adrenal cortex (zona fasculata) --> cortisol
285
Hypothalamix-Pituitary Axis for insulin like growth factors?
GHRH --> GH --> Liver --> insulin like growth factors --> many tissues
286
How is soft tissue growth assessed?
Assessed by weight...involves both hypertrophy and hyperplasia (proliferation of cells)
287
What does soft tissue growth require?
Requires GH (IGFs), thyroid hormone, and insulin. GH synergistic with thyroid hormone for protein synthesis and nervous system development. Insulin permissive for many GH effects.
288
How is bone growth assessed?
Assessed by height
289
What does bone growth require?
Hormonal support, protein, and sufficient calcium.
290
What is the ECM of bone made of?
Calcium-phosphate crystals precipitated on collagen-based lattice.
291
What is bone growth influenced by?
Calcium homeostasis
292
What is the purpose of compact bone?
Dense, used for support
293
What is the purpose of spongy bone?
Trabecular, spongy bone, forms calcified lattice
294
What is the diaphysis?
The shaft of a bone
295
Steps in the growth of long bones
1. Proliferating columns of chondrocytes at epiphyseal plate secrete collagen and other ECM components 2. Older chondrocytes degenerate, leaving spaces 3. Osteoblasts invade spaces, lay down Ca-PO4 matrix (hydroxypatite) on cartilage base 4. Osteoblasts revert to less active form (osteocytes)
296
How are bones continually remodelled?
Carbonic anhydrase makes H+ and HCO3- from CO2 and H2O. HCO3- is antiported with CL- on the basolateral membrane. Cl- flows through channel on apicl membrane to area of bone resorption. H+ pumped out apical membrane via active transport. H+ and Cl- and enzymes dissolve bone in the area of bone resorption.
297
Where is calcium found in the ECM?
Matrix of bones and teeth
298
What is calcium's purpose in the ECF?
NT release, secretion/exocytosis, cardiac/smooth muscle, and for the clotting cascade
299
Where is calcium found intracellularly, and what is it used for?
Found in the cytosol, SR, and mitochondria. Used for muscle contraction and signalling pathways.
300
What is another name for calcitrol?
Vitamin D3
301
Where is the largest reservoir of calcium in the body?
Bone, but very little is ionized and available for exchange. This small pool is in equilibrium with Ca2+ in interstitial fluid.
302
How much of ingested calcium is absorbed?
1/3
303
How is calcium abosrobed?
By paracellular and transcellular routes. Transcellular = apical Ca2+ channels, basolateral Na+-Ca2+ exchangers and Ca2+-ATPases
304
What accounts for Ca2+ output?
Primarily via the kidneys + urine. Freely filtered and most reabsorbed. Hormonally controlled reabsorption at distal nephron only (transcellular only, similar transporters to those in gut)
305
What is PTH released in response to?
Drop in plasma calcium
306
Where does PTH act?
Kidney, bone, intestine
307
What is PTH's action on the kidney?
Increase Ca2_ reabsoprtion (at the expense of PO4-)
308
PTH effect at bone?
Increased osteoclast activity
309
PTH effect at gut?
Increaed Ca2+ absorption (via vitamin D3)
310
Endocrine control of Ca2+ homeostasis?
Endogenous precursors/Diet --> Vitamin D --> liver --> calcitriol --> kidney (PTH works here, too) --> calcitriol/active vitamin D3 --> bones, distal nephron, and intestine --> increased plasma Ca2+, negative feedback to PTH
311
How is phosphate homestasis parallel to Ca2+ homepstasis?
1. Absorbed in gut (enhanved by vitamon D3) 2. Filtered and reabsorbed in kidneys (excretion enhanced by PTH, reabsorption enhanced by D3)
312
Although glucagon, epinephrine, and cortisol are similar in their effects on metabolism, what effect is unique to cortisol?
Suppression of the immune system
313
A person with primary hypercortisolism would have///
Elevated cortisol and decreaed ACTH (primary = cortisol secreting tumour not under regulation of ACTH)
314
Graves' disease is caused by auto-antiobdies that act as TSH agonists, which are not affected by usual feedback loops. What will happen to the size of the thyroid gland?
It will increase
315
A person with a mutation in the 21-hydroxylase enzyme would have ____ ACTH levels and _____ adrenals.
high, enlarged
316
What determines the sex of a baby?
The the sex determining transciption factor on the sperm
317
Steps in sexual differentiation
1. Build generic gonads (weeks 3-6 of gestation, gonad is "indifferent") 2. Differentiate gonads down either male of female pathways (clearly testes by 7 weeks, clearly ovaries by 8 weeks) 3. Build appropriate internal duct work for internal transport of gametes 4. Build appropriate external genitalia for receipt/delivery of male gametes.
318
3 sets of kidneys built during development
1. Pronephros 2. Mesonephros+mesonephric ducts (Wolffian...male) 3. Para-mesonephric duct (Mullerian, female)
319
Hormone responsible for the regression of the Mullerian duct in males?
AMH (anti Mullerian hormone)
320
Somatic cell types in female reproductive system?
Granulosa and theca cells
321
Somatic cells in testis?
Sertoli and Leydig cells (express Sry)
322
Wolffian derivatives in males?
Epididymis, vas deferens, and accessory sex glands
323
Mullerian derivatives in females?
Fallopian tubes, uterus, cervix, upper vagina
324
What is the most potent androgen?
Dihydrotestosterone (DHT)
325
What hormone is needed or external genitalia development in men?
DHT
326
What are largest cells in the body?
Oocytes (non motile)
327
How do eggs move?
Must be transported via smooth muscle conrtraction or movement of cilia within reproductive tract
328
What is the smallest cell in the body?
Spermatozoa (also only flagellated cells_
329
Timeline of gamete formation in females?
Mitosis in stmel cells starts nad ends in fetal life. Enter meiosis, arrest in late prophase of meiosis I (in fetal life) Females are born with all the oocytes they will ever have. Resume meiosis when "selected" for ovulation, arrest (again) until fertilized)
330
Timelone of gamete formation in males?
Beginning at puberty, mitosis in "stem" cells (spermatogonia) shortly followed by meiosis and differentiation into functional sperm. Males produce fresh gametes throughout life.
331
The differentiation of gonads down either the male or female pathway is under the control of?
SRY, which is contained on the Y chromosome
332
In order for male external genitalia to develop, what must be present?
DHT
333
In order for the Wolffian duct to be retained, what must be present?
Testosterone
334
The Mulleriam duct is made from what kidney?
Para-medonephric duct
335
The Wolffian duct is made from what kidney?
Mesonephric ducts
336
One primary spermatocyte yields how many sperm?
4 sperm
337
One primary oocyte yields how many eggs?
1 (+ 2 polar bodies)
338
Hypothalamic-Pituitary-Gonadal Axis?
Int. and Ext. environmental stimuli --> GnRH from hypothalamus --> LH and FSH from ant. pit --? LH acts on endocrine cells in gonads to produce steroid and peptide hormones --> FSH acts gonads for gamete production
339
Main hormone product of testes?
Testosterone (peripheral conversion to DHT)
340
Main hormone products of ovaries?
Estradiol (estrogen) and Progesterone (progestin)
341
All gonasal steroids mediate what tpe of feedback at the hypothalamus and anterior pituitary?
Mediate negative feedback with the exception of estradiol under certain conditions
342
What is the LH surge, and what does it do?
As a result of enhanced pituitary responsiveness to GnRH, LH secretion increases dramatically. Causes meiosis to resume in the developing follicle with the first meiotic division, which converts the primary oocyte into a secondary oocyte (egg) and a polar body
343
How is GnRH usually released?
In pulses, with each pulse being followed by a pulse in LH/FSH
344
What does the exposure to steady/non pulsatile levels of GnRH do?
Causes gonadotropin-releasing cells in the pituitary to shut down (down regulation or desensitization).
345
Why is steady exposure to GnRH agonists used as a treatment for hormone-dependent cancers?
Constant levels of GnRH agonists = shut down GnRH release from ant. pit. = less FSH and LH = less androgens or estrogen = less cancer
346
What causes the testicular migration into scrotal sac?
Testosterone
347
Why are the testes outside the body?
Normal spermatogenesis requires temperatures 2-3 degrees less than body temperature
348
What is the failure of the testes to descend called?
Crytorchidism
349
What are the male accessory glands highly dependent on?
DHT support (if you don't have DHT, won't become a female, but accessory glands will be tiny)
350
What provides the majority of the volume of semen?
The accessory sex glands (apprx 99%)
351
Endocrine approaches of treating prostate cancer?
GnRH agonists (shuts down HPG axis), 5alpha reductase inhibitors (don't make DHT = atrophy of prostate), and androgen antagonists (androgens cannot bind )
352
Order of the testes' layers from interstitial to tubular sides?
Intersitiium, tubule wall, lumen
353
Spermatogonia?
Mitotic germ cells
354
Primary spermatocyte?
Has entered Meiosis I (23 homologous chromosomes)
355
Secondary spermatocyte?
Has entered Meiosis II (homologous chromosomes split into sister chromatids)
356
Spermatid?
Completed meiosis but has not yet undergone cell remodelling
357
What forms the "blood-testes barrier?"
Basal lamina + cells associated with basal lamina + tight junctions between Sertoli cells....allows sperm through easily, but not large cells
358
What is the acrosome?
Region at head of spermatozoan that contains enzymes to aid in fertilization
359
Mature sperm waiting for ejaculation are found in?
Caudal epipididymis
360
How long does it take from spermatogonium ot release into lumen of seminiferious tubule?
64 days
361
How long does it take for spermatozoan to travel down epipidymis from lumen to out of body?
12 days
362
Endocrine control of spermatogensis?
GnRH --> FSH and LH --> LH works on Leydig cells in interstitium to produce testosterone to be used on Sertoli cells and the body -- FSH on Sertoli cells to synthesize paracrine molecules needed fro spermatogonia mitosis and spermatogenesis and production of androgen-binding protein and inhibin
363
What does androgen binding protein do?
Secreted by Sertoli cells into seminiferous tubule lumen where it binds to testoerone to make it less lipophilic so that it cannot diffuse out of tubule lumen
364
Primary sex characteristics due to effects of testicular androgens?
Development and maintenance of internal and external genitalia. Support of spermatogenesis
365
Secondary sex characteristics due to effects of testicular androgens?
Protein synthesis/muscle growth
366
Effects of testicular androgens?
1. Primary sex characteristics 2. Secondary sexual characteristics 3. Behaviour
367
DHT (versus testosterone) is responsible for...
1. Differentiation of external genitalia during development 2. Development and support of accessory sex glands 3. Male pattern baldness, acne, facial hair
368
What does metrium mean?
Uterus
369
What is the endometrium?
Inner lining of uterus consisting of glandular epithelium and lamina propria
370
Myometrium?
Smooth muscle of uterus
371
Layers of uterus from superficial to deep?
Myometrium, endometrium, lumen of uterus
372
What is the broad ligament?
Holds female reproductive parts in place
373
What is the fimbriae?
Extension of the Fallopian tubes that wrap around ovary, making sure that when an egg is released, it will get picked up in the Fallopian Tube
374
Layers of follicle from superficial to deep?
Surface epithelium, theca, basal lamina, granulosa cells, antrum
375
Stages of follicular development?
Primary follicle, secondary follicle, mature follicle with oocyte, ruptured follicle, ovulated oocyte. Follicle becomes corpus luteum and then regresses if pregnancy doesn't occur.
376
What does the corpus luteum secrete?
Progesterone to get the uterus ready for pregnancy
377
3 phases of ovarian cycle
1. Follicular phase 2. Ovulation 3. Lutueal phase
378
3 phases of uterine cycle
Menses, proliferative phase, secretory phase
379
KNOW HOW UTERINE AND OVARIAN CYCLE ALIGN
The menses and proliferative phases of the uterine cycle correspond to the follicular phase and ovulation; the secretory uterine phase corresponds with the luteal phase
380
What causes menses?
Luteal regression = drop in estrongen and progesterone = menses
381
Source of estrogen in menstrual cycle?
Follicle
382
Strongest regulator of uterine growth?
Estrogen
383
The product of the SRY gene is...
a transciption factor that allows for the development of the testes
384
In human males, mitotic divisions in germ cells...
begin at puberty and continue until late in life
385
During meiosis, the chromosome number is halved as the result of...
as a result of the first meiotic division
386
An XX individual with a mutation leading to loss of 21-hydroylase activity would be expected to have...
enlarged adrenal glands, ovaries (because she has no SRY), and masculinized/ambiguous genitalia (overproduction of weak adrenal androgens = masculine external genitalia)
387
An XY individual with a mutation resulting in a non-dunctional androgen receptor would be expected to have...
testes (has SRY), female external genitalia (no androgen receptor = no DHT response to form penis)
388
What is the most variable phase of the menstrual cycle?
The follicular phase
389
What begins the follicular phase, and what does it trigger?
Begins with luteal regression, which triggers menses
390
During the follicular phase, what is going on in the ovaries?
Follicles begin to grow, and the "selected" follicle grows the most. Follicles not selected to ovulate will degenerate/undergo atresia. Sustained exposure to high estrogen causes massive release of gonadotroponins...LH surge = ovulation. Maturing follicle secretes estrogen.
391
During the folliclular phase, what is occurring in the uterus?
Part of the endometrial lining sheds due to steroid withdrawal (luteal regression), which is the beginning of menses. Rising estrogen (from maturing follicle) stimulates regrowth of lining..."proliferative phase"
392
What does the luteal phase begin with?
Begins with LH surge, which triggers ovulation
393
What does the LH sruge cause in oocytes?
Oocyte escapes ovary, completes Meiosis I in response to LH surge, arrests again in Meiosis 2
394
During the luteal phase, what happens to the granulosa and theca of ovulatory follicle?
Transformed into luteal cells...solid, progesterone-secreting structure "luteinzation"
395
What prevents the growth of large follicles during the luteal phase?
High ovarian steroids (progesertone especially, and some estrogen) suppress gonadotropins, preventing this growth
396
In the absence of pregnancy, what causes luteal regression?
Occurs after approx. 12 days
397
During the luteal phase, what is happening in the uterus?
Under the influence of progesterone and estrogen, the uterus continues to prepare for pregnancy "secretory phase"
398
What triggers menses at the end of the luteal phase/beginning of follicular phase?
Steroid withdrawal/luteal regression
399
The pathway sperm travels during fertilization?
Vagina, cervix, uterus, oviduct
400
After the sperm arrives at the oocyte, what must occur?
Sperm penetrates through layer of granulosa cells and glycoprotein layer (zona pellucida) through assistance by enzymes released from acrosomal cap
401
What does the fusion of the sperm membrane and the oocyte membrane cause?
Fusion of membranes acctivates oocyte, triggering completion of Meiosis 2, closely followed by syngamy with sperm and preparation for first mitotic division. Diploidy (23 pairs of chromosomes is re-established) Also triggers cortical granule reactions, an important mechanism for the prevention of polyspermy.
402
What is cortical granule reaction?
After membrane fusion of egg and sperm, cortical granules in the peripheral cytoplasm of the egg release their contents into the space just outside the egg membrane. These chemicals rapidly alter the membrane and surrounding zona pellucida so that additional sperm cannot penetrate or bind.
403
What is the zona pellucida?
A protective glycoprotein coat of the egg
404
Steps in fertilization
1. Membrane fusion of sperm and oocyte (cortical granule reaction) 2. Sperm nucleus moves into cytoplasm of egg 3. Oocyte completes second meiotic division 4. Union of sperm and eff nuclei to form diploid zygote nucleus (second polar body expelled)
405
How long does it take for blastocyte (about 100 cels) to travel from the oviduct where it was fertilized to the uterus?
4-5 days after fertilization
406
How long after fertilization does it take for the blastocyte to implant in the uterus?
5-9 days
407
What are the first differentiated cell types in mammalian embryo?
Inner cell mass versus trophectoderm
408
What does the inner cell mass give rise to?
Embryo proper
409
What does the trophectoderm give rise to?
All extra-embryonic membranes
410
Order of extraembryonic membranes from superficial to deep
Placenta, chorion, amnion
411
What carries oxygenated blood to fetus?
Umbilical VEIN
412
What returns fetal blood to the placenta (de-oxygenated)?
Umbilical arteries
413
How does maternal blood exchange oxygen and nutrients with fetal blood?
Through the maternal-fetal interface vis the chorionic villi contained in embryonic blood vessels.
414
Does maternal and fetal blood mix?
NO!!
415
What hormones does the placenta secrete?
Chorionic-gonadotropin, estrogen and progesterone, and placental lactogen
416
What is hCG, and what does it do?
Chorionic gonadotropin. LH-like molecule produced by extra-embryonic tissues (chorion) that prevents luteal regression, which maintains progeststional environment by keeping progesterone levels high
417
Where does the estrogen and progesterone during pregnancy come from?
the placenta, not the ovary
418
What is hPL, and what does it do?
Placental lactogen. It is a protein related to GH and prolactin that modifies maternal intermediary metabolism to support fetal growth.
419
Steps in parturition
1. Cervical ripening/softening 2. Initiation of rhythmic uterine contactions 3. Delivery of the baby 4. Expulsion of placenta
420
What controls parturition?
A sequential cascade of hormones that has considerable variation among species. Consistent finding, though, is positive feedback/neuroendocrine reflex involving oxytocin
421
Positive feedback cycle of labour
Fetus drops lower in uterus --> stimulates oxytocin release --> causes uterine contractions --? push baby agaisnt cervix --> causing cervical stretch, and it begins again. Delivery of baby ends cycle.
422
Where is oxytocin released from?
Posterior pituitary
423
At puberty, what influences breat development in females?
Estrogen...growth and branching of ducts
424
During pregnancy, what furthers the development of mammary glands?
Estrogen, GH, cortisol. Progesterone is needed for the final development step, which converts duct epithelium into a secretory epithelium. This process is similar to progesterone's effect on the uterus, in which progesterone makes the endometrium into a secretory tissue during the luteal phase.
425
During late pregnancy, what hormones cause the production of colostrum?
Progesterone and estrogen, and prolactin
426
What does prolactin do throughout lactation?
Ongoing support of milk synthesis
427
During lactation, what does oxytocin do?
Milk secretion ("let down reflex")...contraction of myoepithelia cells of mammary gland
428
What is luteinizaition?
Formation of the corpus luteum, following ovulation
429
What indices completion of the first meiotic division in an oocyte?
LH surge. 2nd is due to fusion of sperm membrane to egg membrane
430
A female taking an oral contraceptive of estrogen and progesterone would have...
low FSH and low LH
431
If a male had a vasectomy, what would be an effect?
Ejaculate would not contain any sperm. However, testosterone would be be affected, and the ejaculate volume would not be affected.
432
During the mid follicular phase of the cycle, the uterus is in what phase, and what are progesterone levels like?
Uterus is in the proliferative phase, and progesterone levels are low.
433
What marks the transition from the follicular phase to the luteal phase?
Ovulation
434
A man taking a 5-alpha reductase inhibitor to treat his male pattern baldness could expect the following side effects?
Shrinkage of prostate gland and lack of facial hair. (DHT affects accessory sex organs, facial hair, and causes baldness and acne).
