Topic 6: Human health and physiology 6.1 Digestion 6.1.1 Explain why digestion of large food molecules is essential. Large food molecules are usually polymers, such as polysaccharides, proteins and lipids, which are too large to be absorbed from the digestive tract into the circulatory system for transport because they are simply too large to move across the membranes of small intestine epithelial cells. After digestion, polysaccharides are broken down into monosaccharides, polypeptides are broken down into amino acids, and lipids are broken down into glycerol and fatty acids. Monomers, such as monosaccharides, amino acids, glycerol, and fatty acids are small enough to be absorbed by small intestine epithelial cells, moving these substances by diffusion, facilitated diffusion, or active transport through membrane proteins. 6.1.2 Explain the need for enzymes in digestion. The need for increasing the rate of digestion at body temperature should be emphasized. At body temperature (37°C in mammals), reaction rates are too slow to be efficient at hydrolysis reactions of large food molecules Hydrolytic reactions in the digestion of large food molecules, such as polysaccharides, proteins and lipids into their monomers, are exothermic, but occur very slowly due to considerable activation energy Enzymes lower activation energy, catalyzing hydrolysis reactions of large food molecules into their monomers 6.1.3 State the source, substrate, products and optimum pH conditions for one amylase, one protease and one lipase. Any human enzymes can be selected. Details of structure or mechanisms of action are not required. Enzyme Salivary amylase Pepsin Pancreatic lipase Source salivary glands stomach pancreas Substrate starch proteins Products maltose polypeptides Optimum pH 7-8 1.5-2.5 Triglycerides (fats and oils) fatty acids and glycerol 7 6.1.4 Draw and label a diagram of the digestive system. The diagram should show the mouth, esophagus, stomach, small intestine, large intestine, anus, liver, pancreas and gall bladder. The diagram should clearly show the interconnections between these structures. 6.1.5 Outline the function of the stomach, small intestine and large intestine. Stomach: A large, expandable, muscular and glandular organ Stores and mixes food, aiding in both physical and chemical digestion gastric pits secrete: a) HCl, producing a stomach pH of about 2, facilitating pepsin activity, and killing foreign pathogens, such as bacteria b) pepsinogen, an inactive precursor which is converted to pepsin under acidic conditions c) pepsin catalyzes the hydrolysis of large proteins and polypeptides into smaller polypeptides d) mucus, which protects stomach cells from acidic conditions e) chyme = product of stomach digestion, an acid fluid released from stomach into small intestine via pyloric sphincter Small intestine: Digestion: a) pancreas releases bicarbonate = NaHCO3b) which neutralizes acidic chyme, producing a pH = 8, optimizing activities of intestinal enzymes c) enzymes from pancreas, and small intestine epithelial cells hydrolyze large molecules into smaller molecules d) polypeptides digested into amino acids e) polysaccharides & disaccharides digested into monosaccharides f) triglycerides digested into fatty acids and glycerol g) bile produced in liver, stored in gall bladder, released through pancreatic duct h) emulsifying fat droplets into smaller particles on which pancreatic lipase can act more efficiently motility by peristalsis: rhythmic contractions of circular and longitudinal smooth muscles lining small intestine slowly force chyme down intestinal tract absorption: lining of small intestine is folded, increasing surface area for absorption, and each fold is folded again into villi, with each villus acting an absorptive unit Large intestine: absorption of vitamin K produced by mutualistic bacteria reabsorption of water, Na+, K+ from intestinal lumen to capillaries motility by peristalsis: rhythmic contractions of circular and longitudinal smooth muscles lining large intestine slowly force fecal matter down intestinal tract 6.1.6 Distinguish between absorption and assimilation. absorption: movement of chemical substances from the lumen of the digestive tract across the membranes of cells lining the digestive tract by diffusion, facilitated diffusion, or active transport, and then either into the circulatory or lymphatic systems for distribution to all somatic cells assimilation: following digestion and absorption, nutrients are taken into somatic cells and converted to the biomass of the organism 6.1.7 Explain how the structure of the villus is related to its role in absorption and transport of the products of digestion. A. surface area: Folding: intestinal folding increases surface area by 3X; Villi: within each fold, a second set of folds creates a series of villi, with each villus being a finger-like projection, increasing intestinal surface area by an additional 10X; Microvilli: along the lumen side of each small intestine epithelial cell a brush border of microvilli additionally expands surface area by another 20X; Thus, the total surface area increase = 3 x 10 x 20 = 600x B. Membranes of epithelial cells: diffusion of fatty acids, monoglycerides, fat-soluble vitamins, some mineral ions through membrane phospholipid bilayer facilitated diffusion of some monosaccharides, some vitamins and mineral ions using membrane proteins active transport of amino acids, most monosaccharides, some mineral ions, using membrane proteins & ATP produced by mitochondria in epithelial cells C. Blood capillaries: oxygenated blood enters villus supplying oxygen for cellular respiration: cell growth replacing lost/injured cells ATP for active transport deoxygenated blood leaves villus rich in absorbed nutrients: amino acids, monosaccharides, mineral ions, vitamins D. Lacteals = branches of lymphatic system: fatty acids and glycerol are reformed into triglycerides in epithelial cell smooth ER/Golgi apparatus triglycerides, with phospholipids and cholesterol, aggregate into chylomicrons which are coated with proteins and then leave epithelial cells and enter lacteals 6.2 The transport system 6.2.1 Draw and label a diagram of the heart showing the four chambers, associated blood vessels, valves and the route of blood through the heart. Care should be taken to show the relative wall thickness of the four chambers. Neither the coronary vessels nor the conductive system are required. 6.2.2 State that the coronary arteries supply heart muscle with oxygen and nutrients. 6.2.3 Explain the action of the heart in terms of collecting blood, pumping blood, and opening and closing of valves. A basic understanding is required, limited to the collection of blood by the atria, which is then pumped out by the ventricles into the arteries. The direction of flow is controlled by atrio-ventricular and semilunar valves. Collecting of blood: deoxygenated blood enters the right atrium from the inferior and superior vena cava oxygenated blood enters the left atrium from the pulmonary vein Pumping of blood: contraction of the atria (right and left) pumps the blood into the ventricles (right and left) contraction of ventricles (right and left) pumps the blood into the pulmonary artery(right) and aorta (left) Opening and closing of valves: as a function of pressure differences, one-way valves prevent backflow of blood atrioventricular valves prevent backflow from ventricles into atria semilunar valves prevent backflow of blood from pulmonary artery into right ventricle and from aorta into left ventricle 6.2.4 Outline the control of the heartbeat in terms of myogenic muscle contraction, the role of the pacemaker, nerves, the medulla of the brain and epinephrine (adrenaline). Histology of the heart muscle, names of nerves or transmitter substances are not required. A. Heart beat: electrical impulses cause regular contractions of, first the two atria, and then the two ventricles B. Myogenic nature: the sino-atrial node (SAN), known as the pacemaker, is a specialized set of cells located on the right atrium SAN, not the brain, generates regular electrical impulses autonomously SAN impulses spread throughout both atria, causing simultaneous contraction impulse spread to ventricles only at the atrio-ventricular node (AVN) with a delay of about 0.1 seconds AVN transmits electrical signals to heart apex via bundles of His signals trigger powerful contractions of both ventricles from the apex toward the atria bundle of His transmits electrical signals throughout ventricles via Purkinje fibers, causing simultaneous contraction of ventricles C. Nerve stimulation: sympathetic nerves from brain increase heart rate parasympathetic nerves from brain via vagus nerve decrease heart rate D. Hormone stimulation: adrenaline (epinephrine) from adrenal medulla increase heart rate Myogenic Rhythm can be modified by the central nervous system to respond to cardio-vascular demands. Within the medulla region of the brain there are a specialised group of receptors and co-ordinators called the Cardiac Centre. These are connected to the the SAN via the two sets of nerves. a) Accelerator nerve that increases the rate SAN activity to produce faster heart rate. b) Decelerator nerve that decreases the rate SAN activity to slow heart rate. In addition the SAN is sensitive to hormones such as adrenaline that can directly stimulate heart rate. The brain is sensitive to a wide range of stimuli including pH and CO2 levels which reflect the demand of the tissues for oxygen. As an example, exercise produces more CO2 in the plasma. Detected by the cardiac centre this stimulates the accelerator nerve and therefore the SAN to increase heart rate. i.e. your heart beats faster when you exercise. 6.2.5 Explain the relationship between the structure and function of arteries, capillaries and veins. vessel artery structure function Thick outer layer of collagen and elastic fibres Thick wall Thick layers of elastic and muscle fibres Narrow lumen Thin outer layer of collagen and elastic fibres Thin wall To avoid bulges and leaks To withstand high pressures To help pump the blood after each heart beat To maintain high pressures Little danger of bursting Thin layers of elastic and muscle fibres Wide lumen Valves Wall consists of a single layer of thin cells surrounded by basement membrane Very narrow lumen Pores between cells in the wall vein capillary Allows vein to be pressed by adjacent muscles Blood does not flow in pulses, so vein walls cannot help it To accommodate slow flowing blood Prevent backflow of blood Small distance for diffusion of dissolved materials between blood & tissues Capillaries fit into small spaces Allow some of plasma to leak out and form tissue fluid 6.2.6 State that blood is composed of plasma, erythrocytes, leucocytes (phagocytes and lymphocytes) and platelets. 6.2.7 State that the following are transported by the blood: nutrients, oxygen, carbon dioxide, hormones, antibodies, urea and heat. 6.3 Defence against infectious disease 6.3.1 Define pathogen. Pathogen: an organism or virus that causes a disease. 6.3.2 Explain why antibiotics are effective against bacteria but not against viruses. Antibiotics block specific metabolic pathways found in bacteria. Viruses reproduce using the host cell’s metabolic pathways, which are not affected by antibiotics. 6.3.3 Outline the role of skin and mucous membranes in defence against pathogens. 1st line of defense = nonspecific skin: tightly bound barrier of dead, keratin-rich epidermal cells 1. tough, elastic, waterproof surface 2. sebum: oily secretions from sebaceous gland in hair follicles, preventing skin cracking 3. inhibiting growth of pathogens mucous membranes: linings of intestinal tract, respiratory tract, eyes, genitals 1. mucous traps microbes 2. lysozymes: antibacterial enzymes 3. cilia: clear respiratory tract 4. acidity: stomach: pH = 2; vagina pH = 5-6 6.3.4 Outline how phagocytic leucocytes ingest pathogens in the blood and in body tissues. damage to tissues allows invasion across 1st line of defense microbes successfully invade body fluids or tissues damaged cells release histamine and other chemicals initiating inflammation phagocytes attracted to site by chemotaxis toward histamine phagocytes recognize microbes as foreign by antigen recognition phagocytes endocytotically engulf microbes in phagosomes, which are digested by enzymes held in lysosomes digested microbe fragments are displayed on cell membrane phagocytes with microbe fragments displayed = antigen-presenting cells: APCs 6.3.5 Distinguish between antigens and antibodies. antigen: a molecule recognized as foreign by the immune system; it elicits an immune response antibody: (=immunoglobulin) a globular protein that recognizes an antigen by its complementary shape and charge, thus allowing it to attach to the antigen specifically, marking it for attack by the immune system 6.3.6 Explain antibody production. Many different types of lymphocyte exist. Each type recognizes one specific antigen and responds by dividing to form a clone. This clone then secretes a specific antibody against the antigen. macrophages, following phagocytotic digestion, display antigen on surface, becoming antigen-presenting cells = APCs macrophages activate only helper T-lymphocytes with receptor proteins specifically matching the antigen of the APCs only those B-lymphocytes with antibodies specifically matching helper T-lymphocytes receptor proteins are activated clonal selection of activated B-lymphocytes produces a large population of B-lymphocyte plasma cells and memory cells B-lymphocyte plasma cells produce massive quantities of antibodies (1000s/sec) during protein synthesis, releasing them by exocytosis into the surrounding humors = blood, tissue fluids, and lymph antibodies adhere to antigens, marking them for phagocytosis by macrophages memory B-lymphocytes & helper T-lymphocytes specific to the pathogen remain in the lymph nodes in elevated quantities, and upon subsequent exposure to the antigen, produce a rapid and intense response = secondary response 6.3.7 Outline the effects of HIV on the immune system. The effects of HIV should be limited to a reduction in the number of active lymphocytes and a loss of the ability to produce antibodies. reduction in the number of active lymphocytes loss of the ability to produce antibodies 6.3.8 Discuss the cause, transmission and social implications of AIDS. 6.4 Gas exchange 6.4.1 Distinguish between ventilation, gas exchange and cell respiration. VENTILATION = breathing, or the bulk movement of air into and out of the lungs, by: inhalation, which occurs when muscular contractions increase the volume of the lungs thus decreasing the pressure so air enters the lungs, exhalation, when muscular relaxation decreases the volume of the lungs thus increasing pressure so gases exit the lungs GAS EXCHANGE = the process whereby O2 is acquired and CO2 is removed between respiring cells and the environment; the gas exchange surface = alveoli CELL RESPIRATION = breakdown of glucose and other molecules in the mitochondria of cells creating a constant demand for O2 and a need to eliminate CO2 Click to view an animation showing gas exchange: http://www.airinfonow.org/html/lungattack/lungplay.htm 6.4.2 Explain the need for a ventilation system. A ventilation system is needed to maintain high concentration gradients in the alveoli. adequate lung ventilation is essential to gas exchange which is turn essential to cell respiration and the energy needs of cells, tissues, organs and organisms ventilation provides a continual supply of fresh air to the lungs and helps to maintain a large diffusion gradient for respiratory gases across the gas exchange surface of the alveoli O2 must be delivered regularly to supply the needs of respiring cells CO2 must be quickly eliminated from the body to reduce its toxic effects 6.4.3 Describe the features of alveoli that adapt them to gas exchange. This should include a large total surface area, a wall consisting of a single layer of flattened cells, a film of moisture and a dense network of capillaries. Alveoli = the millions of thin-walled, dead-ends of the bronchioles forming clusters of air sacs acting as the respiratory surface with features of: large surface area: surface area of the alveolar epithelium - 100 m2 thin: single cell layer of epithelium across which diffusion occurs moist: gasses need to dissolve before passing membranes rich blood supply: extensive net of capillaries for transport of gasses to and from alveoli Click to view an animation showing gas exchange: http://highered.mcgrawhill.com/sites/0072437316/student_view0/chapter44/animations.html# 6.4.4 Draw and label a diagram of the ventilation system, including trachea, lungs, bronchi, bronchioles and alveoli. Students should draw the alveoli in an inset diagram at a higher magnification. 6.4.5 Explain the mechanism of ventilation of the lungs in terms of volume and pressure changes caused by the internal and external intercostals muscles, the diaphragm and abdominal muscles. 6.5 Nerves, hormones and homeostasis 6.5.1 State that the nervous system consists of the central nervous system (CNS) and peripheral nerves, and is composed of cells called neurons that can carry rapid electrical impulses. The nervous system is divided into two main parts: 1. The central nervous system (CNS) is made of the brain and the spinal cord. The brain is enclosed inside the skull and the spinal cord is enclosed inside the vertebral column for protection. 2. The peripheral nervous system (PNS) is made of nerves that branch from the CNS. The cranial nerves branch from the brain and supply areas in the head such as the eyes, the facial muscles, the ears, and the nose. The CNS functions mostly in gathering sensory information from nerves of the PNS, processing this information, and then transmitting signals, again by the nerves of the PNS, to effectors, or target organs or tissues, to react to this sensory input. 6.5.2 Draw and label a diagram of the structure of a motor neuron. Include dendrites, cell body with nucleus, axon, myelin sheath, nodes of Ranvier and motor end plates. 6.5.3 State that nerve impulses are conducted from receptors to the CNS by sensory neurons, within the CNS by relay neurons, and from the CNS to effectors by motor neurons. 6.5.4 Define resting potential and action potential (depolarization and repolarization). The membrane potential of an excitable cell in a resting (unexcited) state is called resting potential. Cells can change their membrane potential in response to stimuli that can be received via gated ion channels. Stimuli can cause an electrical gradient to be conducted across the membrane, called hyperpolarization. Depolarization is a reduction in the electricial gradient across the membrane. In an excitable cell, such as a neuron, the response to a depolarizing stimulus is graded with stimulus intensity only up to a particular level of depolarization, called the threshold position. If a depolarization reaches the threshold, a different type of response called an action potential is triggered. It is important to note, however, that hyperpolarizing stimuli do not produce action potentials, but make it even more likely that an action potential will be triggered by making it more difficult for a depolarizing stimulus to reach threshold. The action potential, then, is the actual nerve impulse the cell transmits. The magnitude of the action potential is independent of the strength of depolarizing stimuli that triggers it. This whole sequence of events occurs in mere milliseconds. Repolarization is when the membrane potential returns from 6.5.5 Explain how a nerve impulse passes along a non-myelinated neuron. Include the movement of Na+ and K+ ions to create a resting potential and an action potential. The action potential takes place in the spot where the nerve is stimulated by a signal generated and transmitted from another axon cell in the sequence. Then it starts travelling in a wave form along the length of the axon until it reaches the opposite ends of the nerve endings. The travelling action is called a nerve impulse. When it reaches the end of the cell, the impulse enters another nerve cell in the sequence. 6.5.6 Explain the principles of synaptic transmission. Include the release, diffusion and binding of the neurotransmitter, initiation of an action potential in the post-synaptic membrane, and subsequent removal of the neurotransmitter. When the nerve impulse reaches the nerve endings it causes the presynaptic membrane to become more permeable to calcium. Calcium ions enter the presynaptic cell and causes the synaptic vesicles to move to the cell membranes and burst open. This is a form of exocytosis and the substance released from these vesicles is called a neurotransmitter. The neurotransmitter is released into the synaptic cleft and it binds with the receptor son the post synaptic membrane. This combination of the transmitter and the receptors causes the membrane to become more permeable to sodium. Sodium ions enter causing depolarization followed by an action potential. The action potential starts travelling from the dendrites to the cell body, to the axon to the nerve endings. The action of the neurotransmitter is terminated by the action of enzymes which break it down into other substances. These substances are then reabsorbed into the presynaptic membranes to be assembled again into neurotransmitters. The area that includes the presynaptic membrane, the synaptic cleft, and the postsynaptic membrane is called a synapse. 6.5.7 State that the endocrine system consists of glands that release hormones that are transported in the blood. 6.5.8 State that homeostasis involves maintaining the internal environment between limits, including blood pH, carbon dioxide concentration, blood glucose concentration, body temperature and water balance. The internal environment consists of blood and tissue fluid. 6.5.9 Explain that homeostasis involves monitoring levels of variables and correcting changes in levels by negative feedback mechanisms. set-point: a constant value to which a variable is constrained, such that any time the variable fluctuates outside a given set-point range, negative feedback takes actions to return the variable to its set-point sensors: sensors respond to stimuli, gathering information about a variable in question, signaling when its value fluctuates from the set-point control center: receives information from sensors, comparing the value to a set-point, and if necessary, directing actions to return the variable to its set-point effectors: a mechanism for taking action to return a variable to its set-point, switching on or off under the direction of the control center responses: the resulting action produced by an effector, returning a variable to its setpoint value 6.5.10 Explain the control of body temperature, including the transfer of heat in blood, and the roles of the hypothalamus, sweat glands, skin arterioles and shivering. set-point: core body temperature = 37°C SENSORS FOR TEMPERATURE: a. hypothalamus is sensitive to blood temperature b. skin warmth receptors c. skin cold receptors CONTROL CENTER: a. hypothalamus thermostat b. cerebral cortex EFFECTORS: IF Temperature is > 37°C 1) involuntary responses by sympathetic nervous system a) vasodilation => increases heat loss b) decreased basal metabolic rate => decreases heat production c) sweating => increases heat loss d) lethargy => decreases heat production 2) voluntary responses directed by cerebral cortex a) rest => decreases heat production b) behavioral responses (fanning, change to cooler clothing, cool drink) IF Temperature is < 37°C 1) involuntary responses by sympathetic nervous system a) vasoconstriction => decreases heat loss b) increased basal metabolic rate => increases heat production c) shivering => increases heat production d) piloerection (goose bumps) => decreases heat loss 2) voluntary responses directed by cerebral cortex a) rest => decreases heat loss b) behavioral responses (muscular activity, change to warmer clothing, warm drink, curling up, eating) RESPONSE: IF Temperature is < 37°C effectors: 1) increase heat production, 2) decrease heat loss 3) until T = 37°C IF Temperature is > 37°C effectors: 1) decrease heat production, 2) increase heat loss 3) until T = 37°C 6.5.11 Explain the control of blood glucose concentration, including the roles of glucagon, insulin and α and β cells in the pancreatic islets. Levels of blood glucose set-point: blood glucose = 90 mg/100 ml sensors: stimulus = blood glucose levels above and below 90 mg/100 ml Glucose detectors in pancreas islet beta cells detect high glucose levels Glucose detectors in pancreas islet alpha cells detect low glucose levels Control center: a. pancreas islet beta cells b. pancreas islet alpha cells Effectors: a. if blood glucose > 90 mg/100 ml, then pancreas beta cells produce and release insulin b. if blood glucose < 90 mg/100 ml, then pancreas alpha cells produce and release glucagon Response: If blood glucose > 90 mg/100 ml 1) insulin binds to receptors in muscle and liver cell membranes 2) moving glucose from the blood into liver and muscle cells 3) where glucose is either metabolized or stored as glycogen or fatty acids 4) in fat cells, insulin promotes glucose entry where it is converted to triglycerides 5) until blood glucose = 90 mg/100 ml If blood glucose < 90 mg/100 ml 1) glucagon binds to receptors in liver cell membranes 2) which activates a cascade of enzymes which degrade glycogen into glucose 3) glucose moves from the liver into the blood 4) until blood glucose = 90 mg/100 ml 6.5.12 Distinguish between type I and type II diabetes. Click to view an interactive tutorial about diabetes: http://www.diabetes.org/type-1-diabetes/wellbeing/LinkForLifeAd/link_for_life/main.html 6.6 Reproduction 6.6.1 Draw and label diagrams of the adult male and female reproductive systems. The relative positions of the organs is important. Do not include any histological details, but include the bladder and urethra. The male reproductive system The female rep roductive s ys tem The female reproductive system 6.6.2 Outline the role of hormones in the menstrual cycle, including FSH (follicle stimulating hormone), LH (luteinizing hormone), estrogen and progesterone. FSH: released by anterior pituitary promotes oogenesis in primary follicle in ovary Estrogen: promotes secondary sexual characteristics: o breast development o pubic hair o fatty deposits developing rounder hips o female behavior pattern inhibits milk production by mammary glands increases thickness of endometrium of uterus inhibits FSH production in anterior pituitary stimulates LH production in anterior pituitary LH: released by anterior pituitary in response to increasing estrogen levels stimulates ovulation: o release of secondary oocyte into oviduct o follicle remains in ovary and matures into corpus luteum Progesterone: inhibits milk production by mammary glands increases/maintains thickness of endometrium of uterus inhibits FSH production in anterior pituitary inhibits LH production in anterior pituitary 6.6.3 Annotate a graph showing hormone levels in the menstrual cycle, illustrating the relationship between changes in hormone levels and ovulation, menstruation and thickening of the endometrium. 6.6.4 List three roles of testosterone in males. Limit this to pre-natal development of male genitalia, development of secondary sexual characteristics and maintenance of sex drive. pre-natal development of male genetalia promotes development of sexual characteristics: o primary: development of genitalia, ducts, glands spermatogenesis o secondary: larynx growth facial, body, and pubic hair muscle and bone development male behavior pattern maintenance of sex drive 6.6.5 Outline the process of in vitro fertilization (IVF). hormone injections into female cause more than one follicle to mature secondary oocytes harvested from follicles at ovulation, via suction into syringe sperm donated from male mixed with eggs in petri dish, or injected directly into egg development to blastocyst stage in petri dish several embryos (up to 4) placed in uterus if implantation is successful, one or more embryos will develop additional embryos frozen for future use 6.6.6 Discuss the ethical issues associated with IVF. sperm donated may or may not be from legal marriage partner property of frozen embryos after divorce or death of parents problems of long-term storage of embryos post-menopausal pregnancy ethics of competition for sperm from elite males (eugenics) Syllabus details—AHL