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【兔兔系列12】生理学名词解释和其他资料,自己总结的,感觉都是重点吧 [复制链接]

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Physiology 生理学

Physiology is one of the biological sciences dealing with normal life phenomena of all living organisms.

 

Human Physiology人体生理学

Human Physiology (人体生理学) is one of the biological sciences dealing with normal life phenomena of human being.

 

Organ Physiology器官生理学 Integrative Physiology 整合生理学)

How things work together at different    levels of organs as a whole organism.

 

Internal Environment 内环境

Extracellular fluid directly baths body cells

Internal environment = Extracellular fluid  

 

Homeostasis  稳态)

Homeostasis means a condition in which physical and chemical properties of internal environment is kept at a “dynamic constancy”.

 

Regulation 调节

Regulation- the ability of an organism to maintain a stable internal conditions in a constantly changing environment

 

Nervous Regulation  神经调节

a process in which body functions are controlled by the nerve system.

Pathway:    nerve reflex

Structure basis:   reflex arc

Types: unconditioned reflex and conditioned reflex

 

Hormonal Regulation体液调节

  a regulatory process performed by hormones or active chemical substances  in blood or tissue.

 

Auto-regulation 自身调节

direct response of the organ to stimulus,  independent of nervous and hormonal control.

 

Feedback Control System反馈控制系统

   a process in which a part of output (feedback signal) from controlled organ returns to affect or modify the action of the control system.   closed loop system  very important control system

 

Negative feedback 负反馈

If the feedback signals produce effect opposite to action of control system, this type of feedback is called negative feedback.

 

Positive feedback 正反馈

   If the feedback signals from controlled system increase the action of the control system, this type of feedback is called positive feedback.   

 

Feed-Forward Control 前馈控制

a direct effect of stimulus  (interference or disturbance  signal 干扰信号) on control system before action of the feedback signal occurs

 

Fluid Mosaic Model 液态镶嵌模型)

FluidTo be able to flow freely as gases or liquids.

Mosaic: a special material that can be inlaid into a picture or patchwork.

Cell membrane consists of a double layer of lipid molecules (lipid bilayer ) , in which globular protein molecules are inlaid.

 

 

Simple Diffusion 单纯扩散

a random thermal movement of the substances across membrane down concentration gradient

Substances:  O2   CO2    N2   H2  steroids    fatty acid    alcohol     H2O

 

Facilitated Diffusion 异化扩散

a diffusion process of lipid insoluble or water soluble substances across cell membrane down their concentration or potential gradients by aid of membrane proteins.

Substances:   ions: K+    Na Ca2+    glucose, amino acid, urea

 

Primary Active Transport 原发性主动转运

It is a process, in which the membrane moves substances uphill against their chemical or  electrical gradients by directly expending  energy (ATP).

Substances:  ions:      Na+,  K+,  Ca2+,  Cl-,  H+ , I-    etc.

Mechanism:  ion pump /ATPase  (离子泵/ATP)

 

Secondary Active Transport / cotransport 继发性主动转运

It is one of the active transportsin which process the expending energy is supplied indirectly from ATP.

Substances: glucose,  amino acid, Ca2+, H+ etc.

Mechanism: symporter→symport,  antiporter or exchanger→antiport

Examples: Na+ - Glucose symporter, Na+-Ca2+ exchanger

 

Phagocytosis吞噬

 “cellular eating” 吞噬 cell engulfs a particle and packages it with a food vacuole.

 

Pinocytosis 吞饮

  ”cellular drinking” (胞饮)cell gulps droplets of fluid by forming tiny vesicles. (unspecific) including fluid-phase endocytosis and receptor-mediated endocytosis

 

Endocytosis 入胞

The big molecules or the big particles go into the cell with phagocytic vesicles or pinocytic vesicles.

 

Exocytosis出胞

Vesicle containing the secretory protein fuses with plasma membrane, to remove contents from cell.

 

Electrotonic potential 电紧张电位

The membrane potential whose distribution decides by the passive electronic properties of the membrane.

 

Resting Potential (RP) 静息电位

It is an electrical potential difference across cell membrane in a resting cell

 

Polarization 极化

( -70 mV, A) (极化 It is a state in which membrane is negative inside and positive outside at rest.

 

Depolarization 去极化

( A to B ) (去极化) Membrane potential becomes less negative than resting level.

 

Hyperpolarization 超极化

( A to C ) (超极化) Membrane potential becomes  more negative than resting level.

 

Repolarization 复极化

( B to A ) (复极化)restoration of polarization state

 

Reverspolarization 反极化

( B to D )(反极化) reversal of polarization

 

Action Potential 动作电位

a rapid, reversible and conductive change in membrane potential after cell is stimulated. 

Threshold / threshold intensity:阈强度

It is the minimal or smallest intensity of stimulus to induce action potential when its wave and duration are fixed.

 

Threshold potential 阈电位

It is a critical membrane potential level at which an action potential can occur.

Value: 15 - 20 mV

How to reach it Threshold stimulus depolarizes the membrane to this level.

 

Threshold stimulus:阈刺激

 The stimulus with the intensity equal to threshold

 

Subthreshold stimulus: 阈下刺激

The stimulus with the intensity weaker than the threshold

 

Suprathreshold stimulus:阈上刺激

 The stimulus with the intensity greater than the threshold.

 

 

local response:局部反应

a small local change in membrane potential caused by a subthreshold stimulus.

 

Electrochemical driving force 电化学驱动力

The summation of the difference of concentration and the difference of potential which are both the driving force of the ionic transmembrane movement.

 

Excitation: 兴奋

The process of the cell to generate the action potential

 

Excitability:兴奋性

 The ability of the cell to generate the action potential

 

Excitable cells: 可兴奋细胞

Cells that generate action potential during stimulus.in excitable cells (muscle, nerve, secretery cells), the action potential is the marker of excitation.

 

a cross bridge cycling  横桥周期

  Myosin head is energized.

  Attachment of cross bridge to actin.

 Power stroke causes contraction.

  Detachments of heads from actin.

  Myosin head is energized again.

 

Power stoke 扭动

One angular movement of each cross bridge is called a “power stroke” of the myosin head.

 

Excitation –Contraction Coupling   兴奋-收缩耦联

It is an intermediary process to link excitation with contraction of the skeletal muscle.

 

Mechanics   收缩力学

Mechanics refers to the study of effects of some factors on muscle shortening or force.

 

Load     负荷

a force exerted on muscle by an object (or a weight ).

 

preload 前负荷

The force exerted on muscle by an object (or a weight ) before the muscle contraction. It affects the initial length.

 

afterload后负荷

The force exerted on muscle by an object (or a weight ) during the muscle contraction. It affects the velocity of the contraction.

 

Twitch 单收缩

a brief contraction caused by an action potential at low frequency stimulation.

 

Tetanus 强直收缩               

 a summation of twitches that occurs at high frequency stimulation.

 

Isometric contraction  等长收缩

a type of contraction that  only produces an increase of  tension, without shortening. 

 

Isotonic contraction   等张收缩

 muscle shortening against a constant load,  without change in tension

 

Contractility (inotropic state  变力状态,肌力作用      

It means the intrinsic function state of the contractile elements in the muscle cell.

 

At optimal initial  length (最适初长度Lo)

 a maximum  tension is developed.

 

 

Hematocrit (Ht ) 血细胞比容

   percentage of blood volume occupied by all blood cells 40% ~ 50% in men,

 37% ~ 48% in women  (45 %)

 

Suspension Stability of RBC ( 红细胞悬浮稳定性

a phenomenon that RBC are stable in plasma suspension.

 

Plasma Osmotic Pressure   (血浆渗透压)

Osmotic pressure : a force produced in higher concentration side to attract H2O in lower side.

 

Crystal Osmotic Pressure  (晶体渗透压)

It is the osmotic pressure caused by crystal substances.

Maintain H2O balance between plasma and intracellular fluid to keep cells in normal volume and shape 维持细胞内外水平衡及正常

 

Colloid  Osmotic Pressure  (胶体渗透压)

It is the osmotic pressure caused by colloid substances.

Role:Maintain H2O balance across blood vascular wall to keep normal blood volume.

维持血管内外水平衡及正常血量

 

Physiological Hemostasis

It is a process of clot formation in the damaged vascular wall to prevent bleeding   (Gannong)
 

 It is a process to arrest bleeding by clot formation automatically.  (Guyton)

 

Blood Coagulation blood clotting  血液凝固)

a process of conversion of circulating blood to jelly like clot.            

 

Clotting Factors:  (凝血因子)

    a series of substances in plasma or tissues to participate in blood coagulation.

Two types  

  Extrinsic factor (only one, TF or FIII)(外源性凝血因子)(It comes from extravascular damaged tissue )

  Intrinsic factors ( factors in blood)  (内源性凝血因子)

 

Fibrinolysis(纤维蛋白溶解 纤溶)

Lysis of blood clot.

 

Blood Groups 血型

The types of antigens on surface of RBC.

 

Blood Typing     (查血型)

It is determined by types of agglutinogens (antigen) on RBC surface.

 

Blood circulation: 血液循环

circulation system is made up of the heart and vessels in which blood is flowing in certain direction , going round and begin again.

血液循环:心脏和血管组成机体的循环系统,血液在其中按一定方向流动,周而复始。

 

Fast Response Cell快反应细胞

The cardiac cell whose action potential causes by the opening of voltage –sensitive fast sodium channels, the regenerative process of sodium channels entering the cell quickly.

 

Slow Response Cell 慢反应细胞

The cardiac cell whose action potential causes by the opening of voltage –sensitive slow Ca2+channel.

 

inward integration 内向整流

The K+ permeability decreases during the process of depolarization of  I K1 channel.

 

Excitability:兴奋性

    It is ability of the excitable cells to develop action potential after stimulated.

 

Effective refractory period (ERP) 有效不应期 0 – -60mV

No excitability, Na+ channel is in inactivation, or only little reactivated. Stronger stimulation than normal cannot induce a premature potential. 

 

Absolute refractory period (ARP)  绝对不应期:0 – -55mV

No excitability, Na+ channel is in inactivation. Stronger stimulation than normal cannot induce a premature potential.

 

Local response (no AP)局部反应期 -55 – -60 mV 

No excitability, Na+ channel is only little reactivated. Stronger stimulation than normal cannot induce a premature potential.

 

Relative refractory period (RRP)相对不应期   -60 – -80mV

Excitability lower than normal, Na+ channel is in reactivation, but not fully reactivated. Stronger stimulation than normal induces a premature potential. 

 

Supra-normal period (SNP) :超长期    -80  – -90mV

  Excitability is higher than normal, Vm at this period is less negative than normal RP,   and its distance to threshold potential is shorter than normal. The new AP is still smaller than normal. 

 

The premature systole (extrasystole)期前收缩

If an irritable ectopic focus discharge, the result is a beat that occurs before the cardiac rhythm.

 

Compensatory pause 代偿间歇

If the normal impulse reaches the ventricles, they are still in the refractory period following depolarization from the ectopic focus.The second succeeding impulse from the SA node produces a normal beat. Thus ventricular premature beats are followed by a compensatory pause.

 

Phase 4 spontaneous depolarization 4期自动去极化

during phase 4  the membrane potential is unsteadiness a slow  and  spontaneous depolarization(缓慢自动去极化)occurs.

 

Autorhythmicicty(自律性)

Some tissues or cell have the ability to   produce spontaneous rhythmic excitation without external stimulus.this kind of ability is called Autorhythmicicty.

组织、细胞能够在没有外来刺激的条件下,自动发生节律性兴奋的特性称为自律性。)

 

Latent pacemaker:潜在起搏细胞

  Normally, normal pacemaker discharge of SA node is more rapid than their rate of spontaneous discharge, so the His bundle and Purkinji system are called the latent pacemaker.

 

Ectopic pacemaker:异位起搏细胞

In abnormal conditions, the His bundle or Purkinji system or myocardial fibers may discharge spontaneously.

 

capture effect (抢先占领)

  normal pacemaker discharge of SA node is most rapid.

 

overdrive suppression (超速驱动压抑)

  The larger difference of excitation frequency between two pacemakers, the stronger suppression.

 

Calcium-induced calcium release 钙诱导钙释放

  In cardiac muscle, it is opened by Ca2+ entering the cell through L-type of Ca2+ channel on the T tubul (calcium induced calcium release , CICR).

 

Cardiac Cycle 心动周期

It is the period from end of one cardiac contraction to the end of next.

(1)systole  is the period of ventricular   contraction within one cardiac cycle.

(2)diastole is the period of ventricular  relaxation within one cardiac cycle.

 

period of isovolumic contraction 等容收缩期

bicuspid valve closed二尖瓣关闭semilunar valve closed 半月瓣关闭         Ap <VpAOp >Vp,心室肌强烈收缩,有张力无缩短。Closure of AV valves :first heart sound 房室瓣关闭:第一心音

Characteristc:The amplitude of intraventricular pressure pressure increases greatly and sharply .This phase lasts about 0.05s.               室内压大幅度升高,且升高速率很快。

 

period of rapid ejection 快速射血相

semilunar valve open 半月瓣开启bicuspid valve closed        二尖瓣关闭   Ap<VpAop<Vp  心室向主动脉快速射血,室内压迅速上升到峰值。

Characteristic:   The time course takes about 1/3 of the whole ejection period ,and the ejection volume takes about 2/3 of the whole ejection volume.This phase lasts about 0.10s.

时间占射血相1/3左右,射血量占总射血量 2/3左右。

 

period of slow ejection 减慢射血相

semilunar valve open半月瓣开启 bicuspid valve closed二尖瓣关闭            Ap<VpAop>Vp    心室射血速度减慢, Ap Aop都由峰值下降。

Characteristic: The time course takes about 2/3 of the whole ejection period ,about 0.15s.The  intraventricular pressure and  aortic pressure begins to decrease from peak amplitude gradually.

   时间占射血相2/3左右,约0.15s。心室内压  和主动脉压都相应由峰值逐步下降。

 

period of isovolumic relaxation  等容舒张相

semilunar valve closed半月瓣关闭 bicuspid valve closed 二尖瓣关闭

 Ap<VpAOp>Vp  心室继续舒张, Vp快速下降,心室容积不变。

  Closure of aortic valves and pulmonary valves : second  heart sound 主动脉瓣和肺动脉瓣关闭:第二心音

Characteristc:  The intraventricular pressure pressure decreases sharply .This phase lasts about 0.06s-0.08s .

心室内压急剧下降,心室容积保持不变。持续时间约 0.06s-0.08s

 

period of rapid filling  快速充盈相

bicuspid valve open二尖瓣开启semilunar valve closed             半月瓣关闭  Ap > VpAOp>Vp  血液快速进入心室,心室容积迅速增大。Characteristic:  The phase takes 1/3 of diastole period ,lasts about 0.11s .The filling volume takes  about 2/3 of the whole filling volume .      

 

period of reduced filling   减慢充盈相

bicuspid valve open二尖瓣开启semilunar valve closed 半月瓣关闭

 Ap > VpAOp>Vp   血液缓慢流入心室,心室容积进一步扩大。

Characteristic:  The filling volume takes about 2/3 of the whole filling volume .Which lasts about 0.22s. Following this phase the cardiac enters into next cardiac cycle.

特点:占总充盈量的1/3,持续时间约 0.22s。此后心脏进入下一个心动周期。

stroke volume (搏出量)

The blood volume expelled (pumped out ) by one ventricle at each  heart  beat. LV=RV,70ml

 

Cardiac  Output 心输出量  minute  volume    (每分输出量)

  The output of each ventricle per minute is called the cardiac output. (LV=RV)   Cardiac Output = Heart Rate×Stroke  Volume               

                     CO=HR×SV

                          =75 × 70

                          =5250ml

ejection fraction EF,射血分数):

The percentage  of left ventricular end diastolic volume   (LVEDV) occupied by stroke volume.  


                    

 

 

 

               (搏出量占心室舒张末期容量的百分比。)

cardiac  index  (CI 心指数)

   The cardiac output per square meter (m2)  of the body  surface  area. (以单位平方米体表面积计算的心输出量。)                   It averages 3.0-3.5L/min.m2

 

Cardiac  Reserve (心力储备)

It is a capacity of the heart  to  increase cardiac output with the needs of enhanced metabolism.

1Stroke Reserve       2.Haert Rate Reserve

Heterometric  Autoregulation  (异长调节)   (Starling law) (i.e, effect of preload)

  It means a kind of regulation that contraction force or tension is controlled by changes of myocardial initial length  (i.e, preload, LVEDV, LVEDP)

 

Frank-Starling Mechanism

   During one specific scopethe bigger the LVEDV, the longer the initial length, and the stronger the strength of the cardiac contraction the larger the stoke volume and stoke work .

在一定范围内,心室舒张末期容积(压力)越大,

初长度越长,收缩力量越强,搏出量和搏功越大。

 

contractidlity (inotropic State,变力状态)心肌收缩能力

Through this mechanism the cardiac  output may be greatly -increased  without changing initial length.

 (指心肌不依赖于前、后负荷而改变其力学活动的一种内在特性。)

 

homometric regulation 心肌收缩能力的调节等长调节

 

Blood Pressure  (血压, BP)

It is a force exerted by the blood against unit area of the vascular wall.               intensity of pressure)压强

 

mean circulatory filling pressure  MCFP

(循环系统内血液充盈的程度可用循环系统平均充盈压表示)

 when heart beat is stoped, the pressure in any point of cardiovascular system is equal. This pressure is called MCFP.

 

 

SystoIic  Pressure 收缩压

 The highest value of aortic blood  pressure in systole.

指心室收缩主动脉压达到的最高值。

 

Diastolic Pressure舒张压

   The lowest value of aortic blood  pressure in diastole.

心室舒张时,主动脉压下降,在心舒末期动脉血压的最低值。

 

The mean arterial pressure (MAP) 平均动脉压

is the average pressure throughout the cardiac cycle



Central venous pressure CVP)中心静脉压        

It is the pressure in right atrium or large vein in thorax. 腔静脉 (4~12cmH20)

 

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离线Undead Adams
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Microcirculation微循环

Microcirculation is the blood circulation between arteriole and  veinule.

   The microcirculation is the place where the blood and interstitial fluid to carry out the exchange of substances.

    微循环是指微动脉和微静脉之间的血液循环。

    微循环是血液和组织之间进行物质交换的场所。

 

Thoroughfare channel (直捷通路)

   Arterioles metarteriole后微动脉→ thoroughfare capillaries venules  

Function: The thoroughfare capillaries bypass the exchange areas, and the blood return the heart rapidly.

 

Effective filtration pressure  有效滤过压

   EP= ( Pc +pif ) – (pp + Pif )

Pc capillary blood pressure

 pif colloid osmotic pressure of  interstitial fluid  

 pp plasma colloid osmotic pressure

 Pif interstitial hydrostatic pressure

 p     以大气压为单位的渗透压

有效滤过压=   (毛细血管血压+组织液胶渗压)-

             (血浆胶体渗透压+组织液静水压)

 

respiration:呼吸

 gas exchange between cells (organization) and external environment

 

Pulmonary Ventilation肺通气

the gas exchange process between lungs and environment.

 

Respiratory movement:呼吸运动

 The expansion and contraction of thoracic cage caused by the contraction and relaxation of respiratory muscles are named respiratory movement.

   Inspiration movement    Expiration movement

 

Alveolar pressure (Palv): 肺泡内压

the pressure inside the lung alveoli (also called alveoli pressure). 肺内压是指肺泡内的压力

 

 

Intrapulmonary pressure 肺内压

is equal to atmospheric pressure when apnea , vocal cord is open, respiratory tract is smooth.

 

Interpleural Pressure( Pip,  Ppl).胸膜腔内压

Intrapleural pressure is the pressure of the fluid in the narrow space between the lung pleura and the chest wall pleura.

 

compliance of lungs肺顺应性(CL



式中跨肺压是指肺内压与胸膜内压之差。

 transpulmonary pressure is the difference between

 intrapulmonary pressure and pleural pressure.

CL is defined as the change of lung volume (DV) produced by a given change in the transpulmonaty pressure (DPtp).

CL = D V / DPtp

DP = Palv – Pip

CL = D V / Palv – Pip = D V / Pip = D V / Pes

CL = 0.2L/cmH2O

Lung compliance is a good indicator for evaluating elastic property of  the lung.

 

 

 

Pulmonary surfactant肺表面活性物质

Surfactant is a surface active agent, which means that when it spreads over the surface of a fluid, it greatly reduces the surface tension. Surfactant is a mixture of phospholipids .

-synthesized in alveolar type II cells

-main ingredient is dipalmitoyl phosphatidyl choline (DPPC)

 

Tidal volume (TV, VT): 潮气量

 The volume of air inspired or expired with a normal breath (.400-600 ml).

 

Inspiratory Reserve Volume (IRV): 补吸气量

the maximum amount of air that can be inspired after a normal inspiration. (.1500-2000 ml).

 

Expiratory Reserve Volume (ERV):补呼气量

 the maximum amount of air that can be expired after a normal expiration. It averages around (.900-1200 ml).

 

Residual Volume (RV): 残气量

the volume of air remaining after a maximal expiratory effort (.900-1200 ml). *Can not be removed from lungs.

 

Lung capacity肺容量

Two or more summary of the volume above

 

Inspiratory Capacity (IC): 深吸气量

the maximum amount of air that can be inspired after a normal expiration.

Tidal volume plus inspiratory reserve volume (TV + IRV)

Functional Residual Capacity (FRC): 功能残气量

 the amount of air remaining in the lungs at the end of a normal tidal expiration (lungs at rest). At FRC the chest wall and lungs are recoiling in equal and opposite directions. * The FRC is important to lung function.

Expiratory reserve volume plus the residual volume (ERV + RV)

 

Vital Capacity (VC): 肺活量

the maximal volume of air that a person can expire after a maximal inspiration(male 3500ml, female 2500ml ).

Sum of inspiratory reserve volume, tidal volume, and expiratory reserve volume (IRV + TV + ERV)

     VC is one of most important of all clinical respiratory measurements for assessing the progress of disease. Decrease compliance=decrease VC.

 

Total Lung Capacity (TLC): 肺总量

the maximum volume to which the lungs can be expanded with the greatest possible inspiratory effort. ( male 5000ml, female 3500ml ).

Sum of inspiratory and expiratory reserve volumes plus the tidal volume and residual volume(TV+IRV+ERV+RV).

 

Forced Vital Capacity (the timed vital capacity, FVC):用力肺活量or时间肺活量

 is the maximum amount of air that can be expired as fast as possible following a maximum inspiration.

 

Forced expiratory volume in one second (FEV1): 用力呼气量

The volume of air expelled during the first second of forced expiration is called the forced expiratory volume in one second (FEV1). It is normally in excess of 83% of the FVC.

The person takes a maximal inspiration and then expired maximally as fast as possible, to measure the volume expired in 3 s (FEV1, FEV2, FEV3) and ratio of FEV1 (FEV2, FEV3) to forced vital capacity. The important value is the fraction of the total “forced vital capacity expired in 1 s. Normal individuals can expire 83 percent of the vital capacity in this time. FEV1/FVC 83%, FEV2/FVC 96%, FEV3/FVC 99%       

 

Minute ventilation volume(VE): 肺通气量

total amount of air moved into or out of the respiratory passages per minute.

      VE = VT × f ; 500 x 12(18) =6000 ml /min.(6L-9L)

 

Maximal ventilation volume or maximal voluntary ventilation(Mv): 70-150L/min.最大随意通气量

 

Alveolar Ventilation(VA): 肺泡通气量

The total volume of fresh air (available for gas exchange) entering the alveoli per minute is called the alveolar ventilation.

   Therefore, VA = (VT - dead space) x f; (500 - 150) x 12=4.2L/min.

 

Anatomical dead space:解剖无效腔

 Air entering the respiratory system during each inspiration never reaches the alveoli but is merely moved in and out of the airways. Because these airways do not permit gas exchange with the blood, the space within them is termed the anatomic dead space. The normal dead space air in a young man is about 150 ml.

 

Alveolar dead space肺泡无效腔

 Some fresh inspired air is not used for gas exchange with the blood even though it reaches the alveoli because some alveoli, for various reasons, have little or no blood supply. This volume of air is known as alveolar dead space.

 

physiologic dead space生理无效腔

The sum of the anatomic and alveolar dead spaces is known as the physiological dead space.

physiological dead space = anatomical dead space + alveolar dead space

 

The ventilation / perfusion ratio通气/血流比值

     If blood flow decreases and gas exchange are normal--the exchange total amount decreases. So alveolar ventilation and blood flow must keep an appropriate ratio.

     The ventilation-perfusion ratio is expressed as VA/Q.

     VA (alveolar ventilation each minute, normal 4.2L);

     Q (pulmonary perfusion per minute, normal 5L).

     VA/Q = 0.84.

 

Pulmonary diffusion capacity (DL)肺扩散容量

Pulmonary diffusion capacity is defined as the volume of a gas that diffuses through the membrane each minute for a pressure difference of 1 mmHg.

 

Respiratory center:呼吸中枢

 Respiratory center is composed of several groups of nerve cells which produce and regulate respiratory movement in central nervous system

 

Central Chemoreceptor 中枢化学感受器

     The central chemoreceptors, is located at a depth of about 200 m beneath the ventrolateral surface of the medulla and now also known to be distributed throughout many regions of the brainstem.

Three areas of central chemoreceptor

Area (R)—it has chemistry receptivity.

Area (I)—locate between Area (R) and Area (C). It has no chemistry receptivity.and it is the transforming point of synapse.

Area (C)—it has chemistry receptivity.

 

Pulmonary stretch reflex (Hering-Breuer reflex)肺牵张反射

Located in the muscular portions of the walls of the bronchi and bronchioles throughout the lungs are stretch receptors that transmit signals through the vagi into the dorsal respiratory group neurons when the lungs become overstretched to stop further inspiration.This reflex is called pulmonary stretch reflex (Hering – Breuer reflex).

pulmonary inflation reflex initiates a reflex which terminates inspiration and starts expiration. Conversely, pulmonary deflation reflex terminates expiration and promotes inspiration.

 

Digestion消化

The digestion is a process by which the different foods in the alimentary tract are resolved into small molecular components.

Mechanical Digestion

chewing, swallowing, peristalsis, segmentation

Chemical Digestion

 

Absorption 吸收

The absorption is a process by which the digested foods, water, electrolytes, and vitamins move across the digestive tract mucosa into blood and lymph

 

Gastrointestinal Motility:胃肠运动

Movements that mix and circulate the gastrointestinal contents and propel them along the length of the tract

 

Secretion: 分泌

Process by which the glands associated with the gastrointestinal tract release water and substance into the tract

 

Slow wave potential or basic electric rhythm 慢波

The smooth muscle membrane slowly depolarizes and repolarizes in a cyclic fashion, these electric activity is called the slow wave or basic electric rhythm

 

GI hormone or the gut hormone  胃肠激素

The GI mucosa contains a variety of endocrine cells, the various hormones secreted by these endocrine cells are collectively called the GI hormone or the gut hormone

 

Brain-gut peptide脑肠肽

Many peptides called the gut hormone are also the transmitter of neurons in certain regions of central nervous system, these double distributing peptides are collectively called the brain-gut peptide

 

Intrinsic factor 内因子

  Combines with vitamin B12 to make it absorbable

 

Receptive relaxation 容受性舒张

 During chewing and swallowing food, the stimulation of food to the receptors in mouth, pharynx, and esophagus reflexly causes the smooth muscle of the fundus and body of the stomach to relax, which is called the gastric receptive relaxation. This process allows the stomach to accommodate a large amounts of food and fluid.

 

Gastric peristalsis胃蠕动

Peristalsis is wave-like propulsive movement carried out by a cooperating movement of the longitudinal muscle and circular muscle in the alimentary tract.

 

MMC(Migrating motor complex, occurs on fasting)移行性复合运动

During fasting, the stomach and small intestine exhibit a periodical movement that is characterized by strong propulsive contraction and having longer quiescent period, which is called migrating motor complex (MMC). moves any undigested material still remaining in the small intestine into the large intestine ; prevents bacteria from remaining in the small intestine long enough to grow and multiply excessively.   

 

Gastric emptying胃排空

 The process by which the chyme is expelled from the stomach into the duodenum is called the gastric emptying.

 

Mucus-bicarbonate barrier粘液碳酸氢盐屏障

The insoluble mucus and bicarbonate construct a barrier protecting the stomach mucosa from injury by hydrochloric acid and pepsin, which prevent hydrogen ions from diffusing to the mucosal layer. The barrier is called mucus bicarbonate barrier.

 

Cephalic phase of gastric secretion头期胃分泌

When food is being eaten, the sensory receptors activating the reflex of gastric secretion are located on the head, this is called cephalic phase of gastric secretion. 

Gastric phase of gastric secretion胃期胃分泌

After entering the stomach, food stimulates the mechanical and chemical receptors in the stomach wall, thus causing continuously gastric secretion, which is called gastric phase of gastric secretion.

 

Intestinal phase of gastric secretion 肠期胃分泌

The presence of food in the upper portion of the small intestine can cause the stomach to secrete small amount of gastric juice, which is called the intestinal phase of gastric secretion.

 

Segmentation contractions分节运动

 When a portion of the small intestine becomes distended with chyme, the stretch of the intestinal wall elicits a rhythmical contraction and relaxation of localized circular muscles spaced at intervals along the intestine, which is called the segmentation contraction.

 

Enteroheptic circulation of bile salt胆汁酸的肠肝循环

 About 95% of the bile salts emptied into duodenum are reabsorbed by the terminal ileum. These bile salts are then returned by the portal vein to the liver, where they are removed from the blood and re-secreted into the bile. This recycling of bile salts between the liver and small intestine is called the enteroheptic circulation of bile salts

 

Energy Metabolism能量代谢

Energy metabolism means the liberation, transformation, storage and utilization of the energy produced by the material metabolism in the body.

 

Thermal Equivalent of Food食物的热价

Calories liberated by 1g of food oxidized in bodyor burned out of body.

biological thermal equivalentoxidized in body

physical thermal equivalent burned out of body

 
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Thermal Equivalent of Oxygen氧热价

In the process of oxidizing food, Calories liberated per liter O2 consumed



Respiratory Quotient(RQ)呼吸商

In the process of oxidizing food, the ratio of carbon dioxide produced to oxygen used

CO2 produced (ml )

RQ = ————————

O2 used(ml)



Non-Protein Respiratory Quotient(NPRQ)非蛋白呼吸商

In the process of oxidizing the carbohydrate mixed with fat in different proportion, the ratio of carbon dioxide produced to oxygen used



Specific Dynamic Action of protein 食物的特殊动力效应

After a meal that contains a large quantity of carbohydrates or fats, the metabolic rate usually increases only about 4 per cent. However, after a high-protein meal, the metabolic rate usually begins rising within 1 hour, reaching a maximum about 30 per cent above normal, and this lasts for 3 to 12 hours. This effect of protein on the metabolic rate is called the specific dynamic action of protein.

Protein: 30%; Mixed Food: 10%; Carbohydrate and Fat: 4-6%.



Basal Metabolism基础代谢

the basal Metabolism is the metabolism that occurs under the basal conditions.



basal metabolic rate (BMR)基础代谢率

The metabolic rate is usually measured under so-called basal conditions; the metabolic rate then measured is called the basal metabolic rate (BMR).



Body temperature体温

Body temperature means the average temperature in the “core” of the body, also called core temperature.



Radiation:辐射

loss of heat by radiation means loss in the form of invisible infrared heat rays, a type of electromagnetic wave. The quantity of heat lost by radiation is positively proportional to the temperature difference between the skin surface and surrounding object and the effective radiation area of the body surface.



Conduction:传导

the quantity of heat are normally lost from the body by direct conduction from the surface of the body to other cold objects. Affecting factors as follows



Convection:对流

The removal of heat from the body by convection air currents is commonly called heat loss by convection.

The wind velocity.



Evaporation: 蒸发

-insensible perspiration and sweating(sensible evaporation).

Evaporation means the loss of heat in the form of perspiration of water.

When the environment temperature≥skin temperature,evaporation is the only way of heat loss.



Insensible Evaporation:不感蒸发

also called insensible perspiration. Heat loss results from continual diffusion of water molecules through the skin and respiratory surfaces.



Sweating: or Sensible Evaporation. 发汗or 可感蒸发

Sweating means that the sweat gland secretes the sweat.



Thermal sweating:温热性发汗

The secretion of sweat by the small sweat glands in various parts of the body under hot environment is called thermal sweating.



Mental sweating:精神性发汗

The mental sweating means secretion of sweat by the sweat glands in special parts of the body, palm and sole of foot, during looking nervous and exciting.



Excretion:排泄

Loss of fluid from body in form of urine



Glomerular filtration:肾小球滤过作用

As blood flows through the glomerular capillary, the water and low-molecular weight solute in plasma,under driving of glomerular effective filtration pressure, move through filtration membrane into the Bowman’s capsule , this process is termed as glomerular filtration.



Glomerular filtration rate (GFR): 肾小球滤过率

The quantity of ultrafiltrate formed by both kidneys per unit time (each minute) is called GFR. In normal adult human , GFR average 125ml /min , 180L/day.



Filtration fraction (FF): 滤过分数

The ratio between glomerular filtration rate and renal plasma flow per minute is termed as FF.

FF = GFR/RPF(renal plasma flow). In normal human , FF is 19~20%



Filtration Membrane滤过膜

GFM consists of three layers- capillary endothelium, basement membrane, and epithelial cell (podocytes). They are both structural base and barrier of glomerular filtration .



Effective filtration pressure (GEFP)有效滤过压

GEFP is the net dynamics of glomerular filtration.

GEFP = glomerular capillary hydrostatic pressure (GCHP)

– glomerular capillary plasma colloid osmotic pressure ( GCOP)

– Bowman’s capsula hydrostatic pressure



Filtration equilibrium滤过平衡

When the force opposing filtration become equal to the force driving filtration, the GEFP is zero, filtration ceases, which is called filtration equilibrium .



Reabsorbtion 重吸收

Process of returning filtered material to bloodstream



Secretion分泌

Material added to lumen of kidney from blood



Osmotic diuresis 渗透性利尿

When large amount of solute are present in tubular fluid, the increased osmotic pressure produced by the solute retards reabsorption of water and sodium, as a result, the quantity of urine increases, which is called osmotic diuresis.



water diuresis水利尿

Drinking a large amount of water causes the quantity of urine to increase, which is called water diuresis.



renal glucose threshold肾糖阈

When the plasma concentration of glucose is increased to a value, glucose first appear in urine, this value is called as renal glucose threshold, it is about 160~180 mg /100ml .



Glomerulotubular Balance球管平衡

The constant fraction (about 65% - 70%) of the filtered Na+ and water are reabsorbed in the proximal tubular, despite variation of GFR. This phenomenon is called glomerulotubular balance.



Tubuloglomerular feedback (TGF)管球反馈

The tubular fluid can feedback control the Glomerular filtration rate (GFR) and the renal blood flow (RBF).



Urine concentration: 尿浓缩

When there is a deficit of water and extracellular fluid osmolarity is high, the kidneys excretes a hyperosmotic urine and the quantity of urine decreases, which is called urine concentration.



Urine dilution: 尿稀释

When there is excess water in the body and body fluid osmolarity is decreased , the kidneys excrete a large volume of hypoosmotic urine , which is called urine dilution .



Sensory receptor 感受器

Sensory receptor is the specialized neural structures that receives the stimulus from the external world and transforms stimulus energy into electrical energy.

Including mechanoreceptor, thermoreceptor, nociceptor, electromagnetic receptor, chemoreceptor



adequate stimulus适宜刺激

The unique stimulus that activates a specific receptor at a low energy level.





The sensory threshold 感觉阈值

 the minimum stimulus amplitude that generates action potentials in a sensory nerve.



Stimulus Transduction: 换能作用

 The process by which specific stimulus energy is converted into an electrical signal;



receptor potential感受器电位

The electrical signal produced by the receptor is termed the receptor potential



Receptors Adaptation:感受器适应

if the stimulus persists for several minutes without a change in position or amplitude, its intensity diminishes and sensation is lost. It is an important neural basis of perceptual adaptation in which a constant stimulus fades from consciousness.



The Pupillary Light Reflex瞳孔对光反射

The pupil change its diameter with changing the amount of light entering the eye. When the light is strong, the diameter is small.



Near reflex of the pupil瞳孔近光反射

Pupillary constriction occurs reflexly when the eye accommodates for near vision.



Rhodopsin视紫红质

Rhodopsin is formed when 11-cis-retinal is combined with a glycoprotein. When rhodopsin absorbs light, it is “boosted” to a higher energy level. This boost cause isomerization of 11-cis-retinal to all-trans-retinal. The separation of all-trans-retinal from opsin causes bleaching of the visual pigment, that is, the pigment loses its purple color.



Light adaptation: 明适应

a reduction in the amount of rhodopsin, which in turn reduces visual sensitivity; occurs rapidly within seconds, favors cone vision because the rhodopsin in rods bleaches more readily than do the cone pigments.



Dark adaptation:暗适应

a process that results in an increase in visual sensitivity. the regeneration of photopigment. Cones adapt more rapidly to darkness than do rods, but their adapted threshold is relatively high. Thus, cones do not function when the ambient light level is low.Rods adapt to darkness slowly, but their sensitivity increases. Within 10 min in a dark room, rod vision is more sensitive than cone vision.



Visual Acuity:视力

The ability of the eye to distinguish between two nearby points.



The Visual Field: 视野

the extent of the space seen by one eye.



nerve impulses神经冲动

The action potentials that transmit along a nerve is called nerve impulses.



Axoplasmic transport轴浆运输

The process of various organelles and materials are moved from the cell body to the axon and its terminals.



saltatory conducton跳跃性传导

Action potentials jump from node to node without depolarizing the region under the myelin sheath - called saltatory conduction.



orthodromic and antidromic conduction双向传导与单向传导

antidromic: when an AP is initiated in the middle of an axon, two impulses travels in opposite directions by electro tonic depolarization on either side of the initial current sink.

orthodromic. in a living animal, impulses normally pass in one direction only, i.e., from synaptic junctions or receptors along axons to their termination.



anterograde axoplasmic transport顺向轴浆运输

The process of various organelles and materials are moved from the cell body to the axon and its terminals.



retrograde axoplasmic transport反向轴浆运输

Axon transport of certain materials are from the axon terminals to the cell body. 205mm/d, NGF, tetanus toxin, horseradish peroxidase (HRP).



Neurotrophins神经营养因子

The proteins that are necessary for survival and growth of neurons.

The neurotrophins are products of the muscles or other structures that the neurons innervate, and astrocytes.

These proteins bind to receptors at the endings of a neuron. They are internalized and then transported by retrograde transport to the neuronal cell body, where they foster the production of proteins associated with neuronal development, growth, and survival.

Other neurotrophins are procduced in neurons and transported anterogradely to the nerve ending, where they maintain the integrity of the postsynaptic neuron.

Nerve growth factor (NGF), Brain-derived neurotrophic factor (BDNF), and Neurotrophin 3 (NT-3/4/5).



Synapse突触

The junction point from one neuron to the next.

Chemical synapse Electrical synapse Inhibitory synapse

Excitatory synapse



Excitatory postsynaptic potential (EPSP):兴奋性突触后电位

The excitatory neurontransmitters produce a depolarization of the post-synaptic membrane.



Inhibitory postsynaptic potential (IPSP):抑制性突触后电位

Inhibitory neurotransmitters produces a hyperpolarization of the postsynaptic membrane.



Postsynaptic inhibition 突触后抑制

the effect of inhibitory synapses on the postsynaptic membrane.



Recurrent inhibition 回返性抑制

Neurons may also inhibit themselves in a negative feedback fashion. Each spinal motor neuron regularly gives off a recurrent collateral that synapses with an inhibitory interneuron (a Renshaw cell) which terminates on the cell body of the spinal neuron and other spinal motor neurons. The inhibitory interneuron to secrete inhibitory mediator, slows and stops the discharge of the motor neuron.



Pre-synaptic inhibition突触前抑制

A process that the inhibition occurs at the presynaptic terminals before the signal ever reaches the synapse.



Presynaptic facilitation: 突触前易化

This is produced when the AP is prolonged and Ca 2+ channels are open for a longer period. (serotonin in the sea snail Aplysia, released at an axo-axonal ending, resulting phosphorylation of one group of K+ channels closes the channels, slowing repolarization and prolonging the AP.



Stimulus intensity: 刺激强度

The frequency of AP in a single receptor. Increased stimulus strength means a larger receptor receptor potential and a higher frequency of AP firing.



Referred pain 牵涉痛

 The pain usually is initiated in one of the visceral organs and referred to an area on the body surface



The endocrine system内分泌系统

The endocrine system consists of endocrine glands and cells that secrete hormones in various tissues.



Endocrine glands: 内分泌腺

Glands that do not use ducts to convey the secretion to a neighboring target, they are also called ductless glands.



hormone 激素

--chemical substance

--is secreted into the internal body fluids by one specialized cell or a group of cells and

--has a physiological control effect on other cells of the body.



Endocrines (telecrine 远距分泌)

hormones that are released into the bloodstream and interact with distinct target cells



Paracrines (gut hormone)旁分泌

local hormones that act on nearby cells



Autocrines (PG)自分泌

local hormones that act on the cell that released them



Synergistic effects.协同效应

When two or more hormones work together to produce particular result their effect are said to be synergistic.

These effects may be additive or complementary.

Additive: Same effect of the hormones on one target organ, for example, epinephrine and norepinephrine on the heart rate

Complementary: Work on different stages of a physiological procedure, for example, FSH (initiation) and testosterone (maintenance) on spermatogenesis



Permissive effect. 允许效应

A hormone is said to have a permissive effect on the action of a second hormone when it enhances the responsiveness of a target organ to the second hormone or when it increases the activity of the second hormone.



Antagonistic action拮抗作用

In some situations the actions of one hormone antagonize the effects of another.



Second messenger systems 第二信使系统

Receptors for the water soluble hormones are found on the surface of the target cell, on the plasma membrane. These types of receptors are coupled to various second messenger systems which mediate the action of the hormone in the target cell



Hypothalamic regulatory peptide下丘脑调节肽

Hypothalamic regulatory peptide for anterior pituitary hormones

The hypothalamic regulatory hormones (hypophysiotropic hormone) are secreted at nerve endings of peptidergic neurons in the median eminence and transported to anterior pituitary by hypothalamic hypophyseal portal vessels, acting on the glandular cells to control their secretion.



Milk ejection reflex射乳反射

(Unconditioned and conditioned reflex)suckling infant stimulates nerve cells to the hypothalamus to cause the release of oxytocin , which cause milk ejection of breast (breast usually requires stimulation of about 1 minute until the release of oxytocin).















减压反射







血脑屏障







心血管交感紧张
离线Undead Adams
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1. Importance of Homeostasis
1). It can maintain the composition of the body in fairly strict limits. ( ion concentrations, pH, blood gasses, T℃ etc).
2). It results in normal functions.      

2. How is the homeostasis achieved ?
This is done by several regulation mechanisms, particularly the feedback control.
3. 3 patterns of regulation:
        Nervous Regulation    (神经调节)
        Hormonal Regulation   (体液调节)
        Autoregulation         (自身调节)
4. Nervous Regulation  Characteristics:  
① It responses fast.
② It acts exactly.
③ Duration is short.
5. Hormonal Regulation    Characteristics :
① It responses slowly.
② It acts extensively.
③ It lasts for long time.
6. Auto-regulation Characteristics:
① Amplitude of its effect is
    smaller than other two types.
② Extension of its effect is
     smaller than other two types.
Role: only a supplement to the actionsof other two types of regulations.
7. Negative feedback Significance:
    Reverse effect of original stimulus.     Prevent small changes from becoming  too large.
Help maintain homeostasis. This is the most common and important control mechanism in the body.
8. Positive feedback Significance:
amplify changes or response and enhance or reinforce action of original stimulus so as  to   promote an activity to finish. sometime useful ,But sometime it is known as vicious cycle (恶性循环)because it can lead to instability or even death !
9. Interaction between two types of feedback
Normally the negative feedback can overcome the positive feedback, thus a vicious circle fails to develop.
10. Feed-Forward Control  Significance
It makes human body to foresee and adapt the environment promptly and exactly.
   an adaptive control
11 . Summary of Control of Body Function
    ① Homeostasis is kept by feedback control.
    ② Negative feedback minimizes the changes, leading to stability.
    ③ Positive feedback does not favor stability. But,it can promote activity, useful.
    ④ Feed-forward makes human body to foresee and adapt the environment promptly.
    ⑤ Dysfunction of homeostasis will lead to sickness or death.
12. Types of transport via membrane
   1)Simple diffusion ( 单纯扩散 )      
   2)Transport mediated by membrane proteins
  Facilitated diffusion  (易化扩散)
   Active transport   (主动转运)
   Endocytosis and exocytosis (入胞、出胞)
13. Lipid Bilayer Characteristics:
① It has fluidity ② Proteins flow literally in it. ③ It has selective permeability.
  Functions:①stand(支架)②barrier(屏障)③participation in signal transduction  (PIP2)
14. Membrane Proteins Characteristics :
①  It is globular in shape.② It is floating in bilayer.  ③ It combines with lipid in two forms.  
15. Membrane Proteins Forms and Functions:
   1) Integral protein (整合蛋白)  
  channel          通道
 carrier      载体
 pump       离子泵
  transporter 转运体
  controller (G-p)
   2) Peripheral protein (表面蛋白)
enzymes  酶
controllers
16. Membrane Carbohydrates
①    Glycoprotein (糖蛋白)  
②    Glycolipid (糖脂)
   Functions
   ①charged negatively.(荷负电)      
   ②function  as receptor or antigen.(受体,抗原)
1)    Negatively charged, let the cell to repel negative objects
2)    Attach cells one to another
3)    Acts as receptor substance for binding hormone such as insulin
4)    Participate in immune reaction as antigen
17. Major function of the cell membrane
     Act as a barrier
    Receive information
    Import and export  
    Move and expand
It acts as a selective barrier to transport substances.
18. Simple Diffusion Mechanism
    *  a physical  process
*  driving force:   Potential energy (势能) of molecules themselves. does not need ATP!      
19. Factors effecting simple diffusion
.    The magnitude of concentration gradient.
–    Driving force of diffusion.
.    Permeability of the membrane.
–    Lipid solubility.
–    Molecular weight
–    Charged
.    Temperature.
–    Higher temperature, faster diffusion rate.
.    Surface area of the membrane.
–    Microvilli increase surface area.
20. Facilitated Diffusion
[ Mechanism ] 1. by channel protein 2.  by carrier protein
[ Types ] A. Facilitated diffusion via carrier B. Facilitated diffusion via channel
   Facilitated Diffusion via Carrier
   [Definition] diffusion carried out by carrier protein.
   [Substances]  glucose,  amino acid.
   [Mechanism] a “ferry ” or “shuttling ” process.
   [Characteristics ]① Down concentration  gradient ② Chemical specificity
                 ③ Saturation ④Competitive inhibition
   Facilitated Diffusion via Channel
   [Substances]  ions:  Na+,  K+,  Ca2+, Cl-
   [Definition] diffusion carried out by channel protein
             Channel, also called ion channel or channel proteins, It is one of the  integral
        proteins with aqueous pore , through which ions can flow in or out .
        gate---aqueous pathway or  aqueous pore
   [Characteristics of the channel]
   1) Ionic selectivity: ion channel are often selectively permeable to certain substances
     Na+ channel,  K+ channel,  Ca2+ channel, Cl- channel
   2) Gating channel: many of the channels can be opened or closed by gates
Voltage gated channel
  The molecular conformation of the gate responds to the electrical potential across the cell    
membrane, this type of channel is called voltage gated (or dependent) channel.
Chemically gated channel
  Some protein channel gates are opened by the binding of another molecule with the
protein;this causes a conformational change in the protein molecule that opens or closes the
gate.This type of channel is called chemically-gated (or dependent) channel
Mechanically gated channel
   Some protein channel gates may be opened by the mechanical deformation of the cell
membrane. This type of channel is called mechanically-gated channel.
Organ of Corti: hair cells
No gated channel
   3) Functional states change:    
   Close  
   Resting, Non-conducting conformation(s). Gate will open when stimulated.
   Open or activation
   Activation, conducting conformation. Gate is open. Ion flow in or out.
Inactivation
Inactivation, Another Non-conducting Conformation. Gate still closed even stimulated.
   4) Time dependence
21. the Na+/K+ ATPase  Na+ pump
   Characteristic of α-subunit
  Spans the cell membrane , 3 receptors for binding Na+ inside,  2 receptors for binding K+ outside.    1 site for binding ATP inside, ATP enzyme that can converts ATP  to ADP and Pi
Characteristics of the Transport by Na+ pump
1)    Directional transport
2)    Coupling process
3)    ATP is directly required
4)    Electrogenic process
Importance of the Na+-K+ Pump
.    Maintain high intracellular K+ concentration gradients across the membrane.
.    Develop and Maintain Na+ and K+ concentration gradients across the membrane
.    Control cell volume and phase
.    Maintain normal pH inside cell
.    Electrogenic action influences membrane potential
.    Provides energy for secondary active transport
22. Summary of Active Transport
1). It occurs uphill against the chemical gradient by expending ATP.
2). Two forms:  primary and secondary active transport.
3). Primary active transport uses ATP directly.  
4). Secondary active transport uses ATP indirectly    
5). It can create and maintain chemical gradient.
23. Transport of ions and small molecules
PassiveTransport : Simple diffusion  Facilitated diffusion  
Down chemical gradient  Decrease ionic gradient   ATP is not needed
Active Transport: Primary active transport   Secondary active transport
Against chemical gradient ,Create & maintain gradient ,Expend energy(ATP)
24. Resting Potential Property
  1 Stable direct current
2 Negative inside, positive outside.
3 Values differ in cells neuron: - 70~- 90 mv skeletal muscle: -90 mv
myocardium:- 40~- 90 mv
25. Ionic Mechanisms of RP
1) Two basic conditions for RP
.    Na+ and Cl- are more concentrated outside the cell
.    K+ and organic anions (organic proteins) are more concentrated inside.
2) different membrane permeability for ions
3) Driving force for ion transmembrane diffusion Electrochemical driving force                                            
   K+ equilibrium potential
① Concentration differences of Na+ and K+ across the membrane exist.  
     ②  At rest, membrane is only permeable to K+ ion by leak channel.                  
③ Resting membrane potential is closer to equilibrium potential of K+ ions.
26. Factors that affect resting potential
1. Difference of K+ ion concentration across the membrane
2 .Permeability of the membrane to Na+ and K+.
3. Action of Na+ pump
27. Action Potential Property
1  It is an “all or none” phenomenon.  
   Threshold / suprathreshold stimulus causes a complete action potential.
“All or none” means that action potentials occur maximally or not at all.
There is no such thing as a partial or weak action potential.
2  It can be transmitted in two directions.
3  The wave form and amplitude do not reduce with its propagation
28. Types of stimulus:
Threshold stimulus: The stimulus with the intensity equal to threshold
Subthreshold stimulus: The stimulus with the intensity weaker than the threshold
Suprathreshold stimulus: The stimulus with the intensity greater than the threshold.
29.  Initiation of an Action Potential
  ① Depolarization stage Na+ inflow
② Repolarization stage K+ outflow    
Summary
Threshold stimulus cause the depolarization of membrane potential to "threshold" level leads to opening of Na+ channels, allowing Na+ to enter the cell
Interior becomes positive
Next K+ channels open, K+ leaves the cell and the interior again becomes negative.
The Na+ channels then close automatically followed by a period of inactivation.
Process lasts about 1/1000th of a second.
30. Propagation of the Action Potential(Signal Transmission along Nerve Fiber)
      “ local current flow ” theory   局部电流学说
   Factors that affect the propagation
1) Bioelectric properties of the membrane
2) Velocity and amplitude of membrane depolarization
31. Ion Permeability during the AP
.    gNa increases quickly, but then inactivation kicks in and it decreases again.
.     gK increases more slowly, and only decreases once the voltage has decreased.
.     The Na+ current is autocatalytic. An increase in V increases  gNa , which increases the Na+ current, and increases V, etc.
.     Hence, the threshold for action potential initiation is where the inward Na+ current exactly balances the outward K+ current.
.    During subthreshold stimulus, inward Na+ current does not balance the outward K+ current, which causes local response.
32. Local response Property
  1 It is a graded potential (not all or none). 等级性电位
  2 Its propagation is electrotonic propagation 电紧张式传导
3 It can be summed (summation). 总和现象
   Spatial summation: 空间总和
   Temporal summation: 时间总和
33. Local Potential Role
1 It may facilitate the cell.   易化作用
2 It may cause cell to excite with its summation. 经总和引起兴奋    
34. difference between action potential and local potential

Action Potential                   Local Potential

1. Caused by             threshold /                     subthreshold
                       suprathreshold stimulus             stimulus                                                          
2. Amplitude of
depolarization          high                             low
3. All or none             Yes                            No ( graded )
4. Transmission
       distance:         long                            short  
       pattern:         no attenuated                    electrotonic                                                                            
5. Summation            No                              Yes
6. Significance    
   sign/mark:           Yes                               No
        role:           elicit cell function                   facilitate cell
7. Others:
 refractory period       Yes                               No        

35. Threshold Stimulation and Excitability
Threshold ↑ → Excitability↓
Threshold ↓ → Excitability↑
Threshold stimulus / threshold intensity is the index for value excitability
36. Four periods
      Absolute refractory period
      Relative refractory period
      Supranormal period
      Subnormal period
37. Factors that Determine the Excitability
1 The difference between resting potential and threshold potential
2 State of ion channel
38. Illustration of the Neuromuscular Junction (NMJ)
(1) Nerve terminal,
voltage gated Ca2+ channel mediates neurotransmitter release synaptic vesicle (Ach)    quantum release of ACh
The amount of ACh contained in one vesicle is called a quantum of ACh. About 10000 ACh molecules    250 vesicles ACh by an action potential
(2) Space of junction,
   50nm Extracellular fluid
(3) End plate membrane,  
N2 -ACh channel End plate potential (EPP)
a local depolarization at end plate membrane due to Na+ inflow  
ACh enzyme (ACHE, AChase) (Acetylcholinesterase)It can break down ACh  in a few ms.
(4) Normal membrane
voltage gated Na+ channels
voltage gated K+ channels
excitation (action potential)
39. Neuromuscular Transmission:
Step by Step
Nerve action potential invades axon terminal
Depolarization of terminal opens Ca channels
Ca+2 induces fusion of vesicles with nerve terminal membrane.
ACh is released and diffuses across synaptic cleft.
ACh binds to its receptor on the postsynaptic membrane
Binding of ACh opens channel pore that is permeable to Na+ and K+.
The movement of Na+ and K+ depolarizes muscle membrane potential (EPP)
ACh unbinds from its receptor
so the channel closes
ACh is hydrolyzed by AChE into Choline and acetate
Choline is taken up into nerve terminal
Choline resynthesized into ACh and repackaged into vesicle
40. Steps of Transmission at the Junction
① Nerve action potential invades axon terminal
② Depolarization of terminal opens Ca2+ channel
③ Ca2+ induces fusion of vesicles with nerve terminal membrane.
④ ACh is released and diffuses across synaptic cleft.
⑤ ACh binds to its receptor on the postsynaptic membrane
⑥ The movement of Na+ and K+ depolarizes muscle membrane potential (EPP)
⑦ Excitation of whole normal membrane.
41. Properties of Transmission
① a chemical process. 化学传递 ( 1:1)
② unidirectional     单向
③ It has time delay. 时间延搁  ( 20nm/0.5-1 ms)
④ It is easily affected by drugs and some factors. 易受影响
42. Sarcotubular system 肌管系统
①    Transverse tubule  ( T管 )传导兴奋
②    Sarcoplasm reticulum (SR)  
    JSR(Cisterna): 终池  Ca2+ pool  
     Ca release channel
     LSR:  Ca2+ pump  钙泵
③ Triad  三联管   兴奋收缩耦联


43. Characteristics of Sarcomeres
    ① It is made of filaments
    ② It is rich in membrane tubule system
    ③ Sarcomere is the basic contractile unit
44. Molecular Characteristics of Filaments
Thick filament   粗肌丝 :myosin (肌凝蛋白)  
① 2 binding sites(结合点)to ATP and to actin
                    ② ATP enzyme
Thin filament   细肌丝    3 types of molecules  
                  actin   (肌动蛋白)binding site to cross bridge
tropomyosin (原肌凝蛋白)
                  troponin (T,C,I) (肌钙蛋白 T,C,I)
Attachment of cross bridge to actin   a cross bridge cycling 横桥周期
45. Process of Muscle Contraction
   Sliding filament theory  肌丝滑行学说    
a cross bridge cycling    横桥周期
①  Myosin head is energized.
②  Attachment of cross bridge to actin.
③  Power stroke causes contraction.
④  Detachments of heads from actin.
⑤  Myosin head is energized again.
46. Summary of Mechanism of Muscle Contraction
   ①  Sarcomere is the basic contractile unit.
   ②  Two types of proteins:
           Contractile proteins:  Actin     Myosin
           Control proteins:    Tropomyosin    Troponin    
   ③  Cross bridge cycle includes 4 steps.
   ④  Contraction & relaxation expend ATP.                              
47. Two results of filament sliding   滑行结果
① force or tension   ② shortening
48. How many roles does ATP play in Muscle contraction
    ATP plays 3 roles in contraction
  Induce attachments and provide energy for power stroke .  
  actin, initiating a new cross bridge cycle.  
Provide energy for Ca2+ pump to low intracellular Ca2+ , causing relaxation.
49. Steps of the Excitation –Contraction Coupling
.     AP moves down the t-tubule
.    voltage change detected by DHP receptors
–    DHP receptor is essentially a voltage-gated Ca channel
.    DHP receptors is communicated to the ryanodine receptor which opens to allow Ca out of SR
–    activates contraction
Control of the Cytosol Ca2+ Concentration
(1)Release by Ca2+ releasing channel
(2)Reuptake  by Ca2+ pump
Ca2+ releasing channel  =Ryanodine receptor,Ry-R = Ryanodine channel
Ca2+ releases by Ryanodine channel in skeletal muscle differ with/from myocardium.
50. Skeletal muscle骨骼肌  and   Myocardium    心肌                          
Skeletal
.     The trigger for SR release appears to be voltage (Voltage Induced Calcium Release- VICR)
.    The t-tubule membrane has a voltage sensor (DHP receptor)
.    The ryanodine receptor is the SR Ca release channel
.    Ca release is proportional to membrane voltage
Cardiac
    The trigger for SR release appears to be calcium (Calcium Induced Calcium Release - CICR)
    The t-tubule membrane has a Ca channel (DHP receptor)
    The ryanodine receptor is the SR Ca release channel
    The ryanodine receptor is Ca-gated & Ca release is proportional to Ca entry
51. Summary of Excitation-Contraction Coupling
①    It is an intermediary process to link action
       potential with filament sliding.
② It includes 4 steps.
③ 52Coupling structure is triad.
      Coupler is Ca2+ ion.
④ Sources of Ca2+ for contraction differ in muscles.
          99% of Ca2+ is stored in cistern of skeletal muscle.
          80-90% Ca2+ ions is stored in myocardial cell.
Initiation of skeletal muscle contraction

Transmission of a Motor Signals at N-M Junction

Excitation of Muscle Cell

Excitation - Contraction Coupling
〔 Control of [Ca2+] i  〕

Filament sliding  → Cross bridge cycle
[ Contraction and relaxation  ]
52. Factors affecting Performance of Contraction  ( Mechanics   收缩力学)(Biophysical properties of skeletal muscle)
Muscle cells are specialized cells for conversion of chemical energy into mechanical energy (ATP).
Objective
Types of muscle contraction     收缩的形式
   Effect of load on contraction   负荷的影响
53. Load     负荷
Type: ① preload  前负荷 影响初长度  initial length
② afterload   后负荷  影响缩短速度 velocity
54. Forms of muscle contraction  收缩形式
Single twitch           ( 单收缩 )
tetanus              (强直收缩)
isometric contraction   (等长收缩)
isotonic contraction      (等张收缩)
55. Factors affecting Performance of Contraction
1. Effect of Preload on Isometric Contraction
2. Effect of Afterload on Isometric Contraction
3. Effect of Contractility on Contraction
4. Summation of Contraction
56. Effect of Preload on Isometric Contraction
      ( Length-Tension Curve ) ( L-T Curve )
Relations between preload (or initial length) and tension
    ① In a limited range,   tension caused by  isometric contraction is  increased with the length.
② At optimal initial  length (最适初长度,Lo) a maximum tension is developed.
③Tension declines when the length is longer or  shorter than the optimal  initial length.
57. Effect of Afterload on  Isotonic Contraction  
(Tension-Velocity Curve) (T-V Curve)
① Muscle contracts  rapidly  against no load. The velocity is called maximal velocity (Vmax).
② Increasing  afterload decreases velocity. Muscle performs work.
③ At maximal afterload maximum tension (P0) occurs, Velocity becomes 0 and muscle does not work.
④ Maximum work will be done   against a moderate afterload.
58. Effect of Contractility on Muscle Contraction (收缩性对收缩的影响)
     [ Contractility ] (inotropic state)
     [ Intrinsic factors ]  
① Source of energy ATP.
② Sarcoplasmic [Ca2+ ]i
③ Properties of proteins.
        ATPase activity of cross bridge
         Affinity of Tc to Ca2+  
④Excitation-contraction coupling
59. Types of summation
① Multiple fiber summation- “size principle ”
② Frequency summation and tetanization
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