University of Gondar College of Medicine and Health Sciences Department of Medical Physiology
University of Gondar College of Medicine and Health Sciences Department of Medical Physiology
1
Objectives
At the end of this chapter the student will be able to:
1. Define physiology
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Introduction to Physiology…
Physiology
Knowledge of nature
4
Introduction to Physiology…
Fields of physiology
Ranges from
Simple micro organismal physiology to the most complex
human physiology
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Introduction to Physiology…
Human physiology
Explain the specific characteristics and mechanisms of the
human body that make it a living being.
We remain alive as a result of complex control systems
and specific characteristics like
Example
– Hunger makes us seek food, and
– fear makes us seek refuge.
– Sensations of cold make us look for warmth.
these special attributes allow us to exist under widely varying
conditions, which otherwise would make life impossible.
6
Introduction to Physiology…
An important part of physiology is understanding
how different parts of the body are controlled,
how they interact, and
how they adapt to changing conditions
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Historical background of physiology
Aristotle (384-322 B.C.)
Physiology- the functioning of all living organisms
Hippocrates (460-377 B.C.)
• Father of medicine
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Historical background of physiology…
William Harvey in 1628
Blood was pumped out of the heart through one set of vessels and
Described that every cell in body is bathed with the fluid env’t
called extracellular fluid(ECF).
• He defines homeostasis as
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Relationship b/n Physiology and other sciences
Physiology has a strong link with other disciplines
Biochemistry
Pathology
Pharmacology etc
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Levels of the Organization of the Human Body
1. Chemical level
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Levels of the Organization of the Human Body…
Chemical level cell tissue organ system organism
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2. Cellular level
1. Cell
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The entire body contains about 100 trillion cells
Each type of cell is specially adapted to perform one or
a few particular functions
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2. Tissue
When many identical cells are organized together it is called a tissue
1. Epithelial tissue
2. Connective tissue
3. Muscle tissue
4. Nervous tissue
3. Organ
Organs are structures that are made of two or more different types of
tissues
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4. System
Consists of related organs that have a common function.
There are 11 organ systems in the body
1. Respiratory System
2. Cardiovascular System
3. Digestive System
4. Urinary System
5. Reproductive System
6. Skeletal System
7. Muscular System
8. Integumentary System
9. Nervous System
10. Endocrine System
11. Lymphatic & Immune System
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Renal Skeletal Muscular
CVS GIT RS System System system
-2 Subdivisions:
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Transcellular fluid
Special type of ECF
It includes
CSF
28
Normal values of ECF & ICF
29
ECF & ICF differ strikingly in terms of their electrolyte
composition
ECF
Blood plasma,
stasis=condition
Example Example
Heat • Abnormalities in
Cold visceral organs
Lack of 02 • Abnormal
Pathogens & toxins growth of cells
• Autoimmune
diseases
• Inherited
disorders
32
Homeostasis…
Cells of multicellular animals do not tolerate much change in ECF
and depend on the constancy of ECF to maintain normal function.
Therefore, when any factor starts to move the ECF away from
normal range of values
Nutrients, gases
Electrolytes, water
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Homeostasis…
Essentially all organs of the body perform their functions to
maintain constant conditions in the ECF. For example
Respiratory system(RS)
Carbon dioxide is released from the blood into the lung alveoli
for exhalation
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Homeostasis…
Cardiovascular System(CVS)
CVS-provides
Nutrients (glucose,aa,lipids),
Gases (O2)
Signaling molecules (hormones)
and
Removal of wastes (urea,
creatinine, CO2),
36
Homeostasis…
Gastrointestinal system
Renal system
Musculoskeletal System
Integumentary System.
cover, cushion, & protect the deeper tissues and organs of the body
Reproductive system
Has less role for homeostasis
Help maintain homeostasis by generating new beings to take the
place of those that are dying. 38
Regulatory Systems of Homeostasis
2. Endocrine system
Receptor
NTs
Receptor
Effector cell
39
Control pathways
• Any control system has three basic parts
1. Input signal
– consists of
• Regulated variable and
• Sensor
• Sensory pathway
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Control pathways
2. Controller
• Programmed to respond to certain input signals
• Receive and evaluates the incoming signal
3. Output signal
• Coordination of the reaction lies outside the organ that carries out
the response
to
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Long-distance pathways/Reflex Control
Hormone
Nerve Impulse
Receptor
NTs
Receptor
Effector cell
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Homeostatic control systems
1. Feed-forward control
Used for responses made in anticipation of a change
Established before the change is developed
Correction is by anticipation
Example
- HR and RR before actual exercise
- Digestive juice before food inter into GIT
- insulin while meal is still in the GIT(before digestion)
Used to adapt & rapid rate of response to the change
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2. Feedback control
Responses made after a change has been detected
47
Negative Feedback Mechanism (NFM)
It works by producing an effect which opposes the previous
condition (the initiating stimulus) of the organ
Elements of negative feedback mechanism
48
NFM…
Most homeostatic values of the body are controlled by
NFM
Example: control of
2. Body Temperature
3. Calcium
49
Control of Blood Glucose Level
50
Ca2+-homeostasis
51
Human thermoregulation
52
Positive Feedback Mechanism (PFM)
It works by producing an effect which enhances or repeats
the same action like that of the starting stimulus.
The response of the system makes the deviation more
greater
PFMs are not homeostatic and are rare in healthy
individuals.
Positive feedback can sometimes be useful.
Examples
1. Blood clotting
2. Labor during child birth
3. Generation and propagation of the action potential
4. LH surge
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1. Labor during child birth
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PFM..
2. Blood clotting is an example of a very valuable use of PFM.
• This process continues until the hole in the vessel is plugged and
bleeding no longer occurs
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PFM..
3. Generation and propagation of the action potential.
Stimulated nerve fiber
56
PFM..
• Positive feedback can sometimes cause vicious cycles and
death
What would occur if blood pressure is controlled by
PFM?
57
If the person is suddenly bleed 2L blood
the cycle repeats itself again and again until death occurs. 58
PFM…
59
Homeostatic values
1. Body fluid volume(TBW) = 42 L
ICF = 28L(2/3rd of TBW)
ECF = 14L(1/3rd of TBW)
Interstitial fluid = 11 L(3/4th of ECF)
Plasma fluid = 3 L (1/4th of ECF)
2. Osmolality = 300 mosm/L, (285 – 300 mosm/L)
3. Body T. = 36.5 – 37.4OC
4. pH = 7.35 – 7.45
5. Blood Gases - PCO2 = 35 – 45 mm Hg
PO2 = 40 – 104 mm Hg
6. Electrolytes (ECF)
Ca2+ = 10 mg/dL or 5 meq/L
K+ = 4 meq/L
Na+ = 142 meq/L
Cl- = 103 meq/L
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HCO3- = 27 meq/L
Homeostatic values
7. Waste Products
Bilirubin = 0.5 mg/dl
Creatinine = 0.6 – 1.5 mg/dL
Blood urea nitrogen (BUN) = 8 – 25 mg/dL
Uric acid (s): Women = 2.3 – 6.6 mg/dL
Men = 3.6 – 8.5 mg/dL
8. Blood Glucose level (fasting): 70 – 110 mg/dL
9. Arterial Blood pressure (systemic circulation).
Systolic pressure = 120 mm Hg (90 – 140 mm Hg)
Diastolic pressure = 80 mm Hg (60 – 90 mm Hg)
Pulse pressure = 40 mm Hg
Mean BP = 96 mm Hg
Pulmonary AP = 25/10 mm Hg
Cardiac output = 5 L/min
Blood Flow = 5 L /min
10. RBC count = 4-6 millions/mm3
11. WBC count = 4000-11,000/mm3
12. Hb = 12-18 g/dl in F, 14-20 g/dl in M
13. Platelets = 150,000-450,000 61
Disturbances of homeostasis
When there is lose in homeostasis, the organism tries to
compensate it.
– If compensation succeeds, wellness happens
64
Nucleus
It is the control center for the cells
Proteins
enzymes, and
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Nucleus…
Nucleoli- site for Ribosomal RNA synthesis.
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Nucleus…
Nucleus coordinates protein synthesis in ribosomes
Transcription phase of protein synthesis occur there
transcription translation
DNA RNA Protein synthesis
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Cellular organelles
• inner organs embedded within the cytoplasm of the cell.
These include
– Ribosomes
– Golgi apparatus
– Mitochondria
– Lysosomes and
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Cell organelles may be:
Non-membrane-limited Membrane-limited
Nucleoli Nucleus
Microfilaments Lysosomes
Centrioles Mitochondria
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Ribosomes:
Are the sites of protein synthesis in the cell
Found in two forms:
1. Attached to the wall of ER or
2. As free ribosomes. They are found in two forms
I. Scattered in the cytoplasm and
II. Clustered (aggregated) to form functional units
called polyribosomes
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Endoplasmic reticulum (ER)
It is an extensive membranous structure that
connects various parts of the inner cell.
ER is also connected with the nuclear membrane.
There are two types of ER:
1. Rough ER(rER)- site of protein synthesis
2. Smooth ER(sER)- is free of ribosome.
Function of sER
1. Synthesis of fatty acids, steroids, and lipids
2. Glycogen storage
3. Calcium storage
4. Drug metabolism (detoxification)
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Golgi Complex
It acts as a receptacle/container for hormones and others
substances that the ER produces.
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Mitochondria
• Mitochondria are the site of most ATP generation,
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Mitochondria…
• Major site of
ATP production
Oxygen utilization
76
Lysosomes
Lysosomes are vesicular organelles that form by breaking
off from the Golgi apparatus and then dispersing
throughout the cytoplasm.
Example
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Cytoskeleton
• The cytoskeleton is a flexible scaffolding of
– intermediate filaments
– microtubules
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Functions of cytoskeletal
1. provides mechanical strength to the cell and
determining the shape of the cell
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Membrane Physiology
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Plasma membrane/cell membrane
It composed of proteins, lipids and carbohydrates in proportion of
1.Proteins (55 %)
2. Lipids (42 %)
Phospholipids -25 %
Cholesterol -13 %
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Function of the plasma membrane
1. Separates cellular contents from the ECF
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Function of the plasma membrane…
3. It provides receptors for NTs, hormones and drugs
– Communication between the cell and its environment.
4. It is a means of cell to cell contact.
5. Structural support
– Proteins in the cell membrane hold the cytoskeleton
– Cell-cell and cell-matrix junctions stabilize the structure
of tissues.
5. For generation & transmission of electrical impulse in
nerves & muscle.
85
Components of cell membrane
1. Lipid
Lipids form the basic structure of the membrane.
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Phospholipids
• Polar Phosphate head
– Hydrophilic(soluble in water) Phosphate
• Fatty acid tails “attracted to water”
– Hydrophobic(that does not mix
with water ) Fatty acid
• Arranged as a bilayer
“repelled by water”
87
Fluid mosaic model of a plasma membrane
Phospholipids…
The physical orientation of the lipid
bilayer structures is that the
nonpolar
hydrophobic impermeable to polar molecules
tails
polar
hydrophilic
heads
waste lipids
89
ICF
Permeability to polar molecules?
Membrane becomes semi-permeable via protein
channels
– Specific channels allow specific material across cell
membrane
ECF
salt 90
NH3
ICF
Fat soluble substances such as
So such substances enter cells with more difficulty or may not enter at
all.
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2. Membrane Proteins
• Membrane Proteins Function as
1. Structural proteins
92
2. Membrane Proteins…
2. Enzymes
3. Receptors
4. Transporters
• Channels
• Carriers
93
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Types of membrane proteins
A. Intrinsic/Integral proteins
Exist as globular units running through the width of the cell
membrane;
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Intrinsic/Integral proteins…
97
1. The molecule binds to
the carrier on one side
of the membrane
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What controls the opening and closing of gated channels?
1. Voltage-gated channels
-Are opened or closed by changes in membrane potential.
2. Chemically gated channels
-Are opened or closed by hormones, or NTs.
3. Mechanically gated channels-
• respond to stretching or other mechanical deformation
e.g-Many channels associated with the sense of
touch(somatosensation)
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102
3. Carbohydrates(Membrane carbohydrates)
Found exclusively on external surface of cell attached with protruded
1. Proteins (glyco-proteins)
2. Lipid (glyco-lipid )
Function
• Cell recognition
105
Transport through cell membrane…
Such a membrane is referred to as "selective permeable“
("semipermeable")
106
Transport through cell membrane…
I. Transport of ions and small solute molecules across the plasma membrane.
1. Passive transport
Do not require energy (ATP) from the cell
– Uses only the energy of molecular movement of substances/Uses the
kinetic energy inherent in molecules. It includes
Simple diffusion
Facilitated diffusion
Osmosis
2. Active transport
Require energy (ATP) from the cell's reserves to "power" transport of
substances. It includes
Primary active transport
Secondary active transport
107
Transport through the cell membrane…
II. Transports large particles via a vesicle-like sac across
PM takes place by vesicular transport
1. Endocytosis
2. Exocytosis
108
1.Simple Diffusion
Diffusion is passive movement of uncharged substances down
their concentration gradient.
110
2. Facilitated diffusion
Do not need energy
Glucose
Transports substances down their
concentration gradient
ECF
Is more rapid than simple diffusion.
Cell membrane
Is carrier-mediated and therefore
ICF
exhibits specificity and saturation
111
Facilitated diffusion…
Unlike simple diffusion the
rate of facilitated diffusion
increases as the
concentration gradient
increases until all of the
carrier sites are filled.
At this point, the rate of
diffusion can no longer
increase with increasing
particle concentration.
This is called saturation, Fig. Effect of concentration of a substance on
rate of diffusion by simple diffusion and
facilitated diffusion.
112
3. Osmosis
It is movement of H2O from an area of
higher amount of water to an area of
lower amount of water through the semi
permeable membrane.
114
Tonicity
• It is the ability of a solution to change the shape of a cell
immersed in it due to changes in the cell’s water volume.
same tonicity
Cells exposed to such solution retain their normal shape
and exhibit no net gain or loss of water.
2. Hypotonic solution
A solution that has a lesser concentration of solute than the
solution it is compared to.
3. Hypertonic solution
A solution that has a greater concentration of solute than the
solution it is compared to. 116
Active transport
Substances are transported against concentration
gradient, up hill direction.
Used for the transport of Na+, K+, Ca2+, Fe2+, H+, Cl-
117
Active transport…
Common examples of primary active transport
118
Active transport…
• Many primary active transporters are known as ATPases
– Because primary active transport uses ATP as its energy source,.
119
Examples of primary active transport
1. Na-K-Pump/Na+ - K+ ATPase
It is a carrier protein that is made up of two
subunits.
It has 3 binding sites for Na+ inside and
2 binding sites for K+ on the outside
It pumps 3Na+ outward and 2K+ inward
It maintains electropositive outside and
electro negativity inside.
Both Na and k are transported against their
electrochemical gradients.
It has ATPase activity inside.
ATP = ADP + ---P + energy.
Energy brings conformational change of
the pump so that Na+ pumped outward and
K+ inward.
Creates an electrical potential across the cell
membrane
120
Examples of primary active transport…
121
Mechanism of the Na*-K*-ATPase
Examples of primary active transport…
2. Calcium pumps/Ca2+-ATPases
– Its role in the kidney is to secrete H+ ions into the urine, when
blood pH falls, and to reabsorb K+ ions 123
Examples of primary active transport…
4. H+-ATPases/Proton pumps
124
2. Secondary/indirect active
transport
Carrier protein is
involved
Consumes energy
125
Mechanism of the SGLT transporter.
126
Active transport…
• So secondary active transport uses potential energy stored
in the concentration gradient of one molecule to push
other molecules against their concentration gradient.
127
• The mechanism for both types of active transport appears
to be similar to that for facilitated diffusion.
ECF
ICF
129
Transport through the cell…
membrane…
130
Vesicular transport
• What happens to the many macromolecules that are too
large to enter or leave cells through protein channels or
carriers?
1. Endocytosis
• Pinocytosis- cell drinking
• Phagocytosis: cell eating
• Receptor-mediated endocytosis
2. Exocytosis
131
Vesicular transport…
1. Endocytosis:-
cells internalize extracelluar material
Engulfing of materials by invaginating the outer part of a
cell membrane until it buds off within the cytoplasm
a. Phagocytosis: cell eating
Is the process by which bacteria, dead tissue, or other material
are engulfed by cells.
substance is a solid
Phagocytic cell(macrophages)
are almost equal size to engulfed sub.
132
b. Pinocytosis- cell drinking :
Is a similar process like phagocytosis but
the substances ingested are in solution.
the vesicles are much smaller in size
Invagination occurs into cell and pinches off to form
boundary of an intracellular vesicle, vacuole or
tubule.
133
2. Exocytosis - “Cell vomiting”
E.g. Releases of NTs, digestive
enzymes and some hormones.
Types of junctions
– Anchoring junctions
135
1. Tight junctions
Helps PM of adjacent cells to fuse together
Forming an impermeable junction
137
2. Gap Junctions
• They are the simplest cell-cell junctions
• The adjacent PMs are very close, and the cells are connected by
hollow cylinders called connexons
– chemical & electrical signals pass rapidly from one cell to the next
• The channels are able to open and close, regulating the movement of
small molecules and ions through them.
138
Gap Junctions…
139
3. Anchoring junctions
• They are like buttons or zippers that tie cells together and
hold them in position within a tissue.
• They attach
141
Anchoring junctions…
Desmosomes
– localized patches that hold two cells tightly together
– They are the strongest cell-cell junctions
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143
Membrane Potential
144
Excitable Tissues
2. Muscle tissue
145
Neurons
147
Neuron…
• 3. Axons:
• Originates from axon hillock
• Transmit APs from soma toward the end of the axon where it cause NT
release
The tips of most axon terminals swell into synaptic end bulbs.
These bulb-shaped structures contain synaptic vesicles
The NT molecules released from synaptic vesicles are the means of
communication at a synapse.
148
Membrane potential
All cells have a voltage difference across their plasma membrane.
• This is called membrane potential.
151
Basic terms
Stimulus :
Any change in the environment (internal or external
environmental condition of the cell).
Excitability:
The ability to respond to a stimulus and convert it
into an action potential
Threshold stimulus:
Any stimulus strong enough to initiate nerve impulse 152
Basic terms…
Depolarization:
Membrane potential becomes less negative than RMP
(-70 mV)
Repolarization:
When the membrane returns to RMP following
depolarization
Hyperpolarization:
Membrane potential become more negative than RMP
153
• There are two basic forms of electrical signals:
1. Graded potentials
154
Current Flow During a Graded Potential
Graded Potential
158
Action potential…
• Axon membrane has high density
of voltage gated sodium channels.
• This molecular distinction enables
axon to generate and conduct APs.
• The region of membrane where
APs are normally generated is
called the spike initiation zone.
The arrow indicates direction of
AP propagation.
Action potential
Action potential/ Spike/ Firing potential
Action potential is a Rapid , conductive , and
Reversible change of the membrane
potential(Vm) after the cell is stimulated.
Brief & large changes in Vm that
conveys information within the
nervous system & muscles
AP travels along the PM undiminished
160
Action Potentials
Voltage-Gated Sodium Channels
2. Depolarization/rising phase
3. Repolarization/falling phase
164
Phases of AP
• Resting Stage.
165
Phases of AP…
• Depolarization Stage/Rising
Rising phase/ depolarization
phase
– When the change in Vm reaches
threshold level voltage-gated Na
Falling
channels open (Na+ activation gate phase/repolarizatio
n
opens) and
166
Phases of AP…
• Repolarization Stage/falling phase
– When it reaches +35, Na+ inactivation gate closes/inactivated
– Voltage-gated K channels open up, K efflux occurs-
Repolarization occurs
– On return to resting potential, Na+ activation gate closes and
inactivation gate opens, resetting channel to respond to another
depolarizing triggering event
– Further outward movement of K+ through still-open K+ channel
briefly hyperpolarizes membrane, which generates after
hyperpolarization.
K+ channels are slow to open and slow to close. This causes
hyperpolarization
• K+ activation gate closes, and membrane returns to resting
potential. 167
• The Na+/K+ pump gradually restores the concentration
gradients disrupted by action potentials.
168
Phases of action
potential:
1. Resting phase
2. Depolarization
3. Repolarization
169
Voltage-Gated Na+ Channels
2 gates
1
1. Activation gates
Voltage-dependent
Opens with depolarization
Fast opening
––
170
Voltage-Gated Na+ Channels
2. Inactivation gates
Voltage-dependent
Closes with depolarization
Slow opening
171
Voltage-Gated K+ Channels
• One gate
• Voltage-dependent (sensitive
to depolarization)
• Time-dependent
– Opens more slowly than Na
channels
• Slow closing results in
hyperpolarization
172
Refractory Periods
173
ARP…
The reason for this restriction is
that after the AP is initiated, the
sodium channels become
inactivated and even extra +35
174
2. Relative refractory period
Follows ARP
During hyperpolarization phase, Na+
channels begin to recover from
inactivation.
As a result, even though, there is still +35
outside
inside
175
Refractory period
176
Action potential is an ALL OR NONE EVENT (It happens
completely or it does not occur at all).
– Unmyelinated neurons
– Myelinated neurons
Occurs in unmyelinated
axons.
182
Saltatory (Jumping) Conduction
Nodes of Ranvier
• Region of concentrated voltage-gated Na channels.
184
Factors affecting rate of AP conduction …
1. Neuroneuronal junction
2. Neuromuscular junction
3. Neuroglandualr junction
187
Synaptic Transmission
– Chemical synapses
1. Electrical synapses
Allow current to flow from one excitable cell to the next via gap
junctions(b/n the pre- and postsynaptic neurons)
Characteristics
189
2. Chemical Synapses
More common than electrical synapse
One neuron will transmit impulse to
another neuron or
muscle or by releasing chemicals(NTs)
gland cell
Acts slower than electrical synapses
b/c the NT must diffuse across the synaptic cleft to
bind the receptor.
190
Components of AxoSomatic synapse
1. Presynaptic terminal
contains neurotransmitter (NT)
2. Synaptic cleft
contains ECF and Enzymes
3. Postsynaptic neuron
contains receptor for the action of
NT
191
Mechanism of Chemical Synaptic Transmission
• NTs diffuse across the synaptic cleft and then bind to specific
receptors on the postsynaptic membrane and initiate postsynaptic
potentials.
192
Mechanism of Chemical Synaptic Transmission…cont’d
• When the NT-R combination triggers
the opening of ligand gated Na-
channels, this leads to membrane
depolarization, EPSP.
e.g. Ach on Nicotinic receptor
• When the NT-R combination triggers
the opening of ligand gated K or Cl-
channels, this leads to membrane
hyperpolarization, IPSP.
e.g. GABA on GABAb receptor
193
Excitatory Vs Inhibitory Synapses
• Excitatory
- Occurs when there is opening of Na channel
- depolarization
• Inhibitory
• hyperpolarizes the cell (less likely to have action potential)
– K moves out
Produce IPSP
– Cl moves in
194
Excitatory Synapses Inhibitory Synapses
195
Properties of chemical synaptic transmission
Unidirectional conduction
Synaptic delay (0.5 -1.0m/s)
o The time required for the multiple steps in chemical
neurotransmission to occur.
Fatigue
- Decrease in response of postsynaptic neurons after
repetitive stimulation by the presynaptic neurons possibly
resulting from Depletion of NT stores from the
presynaptic terminal. 196
Factors Affecting Synaptic transmission
PH
Drugs
↑Synaptic transmission
communication by
1. autocrine
2. paracrine
3. endocrine &
4. neurocrine controls
199
Cell to Cell communication…
1. Endocrine signals
2. Paracrine signals
200
3. Autocrine signaling
• Affect only cells that are of the same cell type as the emitting cell.
201
Cellular transduction process
• Cellular transduction process-
– will be covered by your biochemistry course
2. Inositol-triphosphate
3. Diacyl glycerol
202
THANK YOU!!
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