Physiology 310 -- Oct. 20, 2007
STUDY/REVIEW OUTLINE II
You may need to review the first lectures' basic concepts & mechanisms, used ALL SEMESTER!

NOTE: Sample exam does not have Endocrine or Immune, which WILL be covered on Exam II in 2007.

SELF-REGULATING: Principles & Mechanisms
-A. HOMEOSTASIS--Key concepts=Negative feedback; variations=antagonistic, behavioral & tonic effectors
-B. REGULATED CHANGE--Key concepts=RESET Systems including temporary and cyclical work; and POSITIVE FEEDBACK
-C. ENHANCED REGULATION-- Key concepts=ANTICIPATION (feedforward) and ACCLIMATIZATION

HIERARCHY OF REGULATION
Local vs Higher regulation: know the logic/usefulness of this fundamental design feature 

EVOLVING--Principles--Proximate/mechanistic ("how it works") vs. Evolutionary ("why it evolved") and Teleological (purpose)--be able to apply! How this leads to less-than-logical features such as the VERTEBRATE RETINA, possible VESTIGES like the human Vomeronasal Organ.

MOLECULAR & CELLULAR PHYSIOLOGY: BASICS TO REVIEW

+Protein Structure/Function--basic features of primary to quaternary structure (e.g., alpha-helix)
+
PROTEIN REGULATION: allosteric , phosphorylation, voltage change, and physical distortion as ways of regulating/changing protein functions

--KEY POINT: MACROMOLECULES and WEAK BONDS lead  to WHOLE-ORGANISM HOMEOSTASIS

+GENE REGULATION: the response-element (=enhancer) and promoter aspects of gene regulation with specific transcription-activating proteins
+
MEMBRANES and movement mechanisms: know key parts about Diffusion, Conductance and Active Transport
+INTERCELLULAR COMMUNICATION
--basic mechanisms of receptor types (2nd messenger and internal receptor), types of signals, same-key-different-locks principle; drug effects ([ant]agonists)!

NEURONAL PHYSIOLOGY
GLIAL CELLS: roles; how MYELIN speeds up transmission by eliminating Capacitance except at Nodes.

NERVOUS  SYSTEMS

STUDY METHODS: from patch clamp to fMRI and TMS
EVOLUTION: HIERARCHY: recall the logic of local/intrinsic vs higher/extrinsic control. Here, all neural types are EXTRINSIC, but at many levels. The more advanced animals have at least 2 neural levels beyond intrinsic cell/organ regulation:
A. Simple Reflexes with few synapses: for common, crucial, simple homeostasis needs requiring 2 or more organs (e.g., sensor and muscle). Advanced animals still have these-- e.g., our withdrawal reflex from heat/pain. Know locations/functions of reflex integrators in spine, brainstem, hypothalamus
B. "Higher" Regulation: Evolution of centralized brains at front end, and longitudinal nerve cords; with AFFERENT sensory nerves coming in and EFFERENT nerves going out to Effectors. Brain can do anticipation, memory; coordinate multiple sensors/effectors; but lower reflexes still retained for some functions to reduce delays.

Vertebrate NEURAL ANATOMY
PERIPHERAL (PNS)--know basics of SOMATIC and AUTONOMIC: a) Parasympathetic: neurons usually inhibitory except for digestion; "rest and digest"; b) Sympathetic: neurons usually excitatory for "fight-or-flight" (supress digestion)
CENTRAL (CNS) includes SPINE and BRAIN -- know difference between GREY and WHITE matter, where found, and what PYRAMIDAL cells are

BRAIN--4 main regions: Know functions and major divisions of the 4 regions; basic layouts, relative sizes;
REGION 1 = CEREBRUM:
---a) CORTEXES
: basic cell layout and connections of pyramidal cells; 3 functional categories=Sensory, Motor and Associative cortexes!
--- b) Basal Nuclei have motor control/dampening; skip this
--- c) LIMBIC system
for initial primitive memory, primitive emotion--know hippocampus, amygdala roles below
REGION 2 = Diencephalon: a) THALAMUS (=sensory processing, relay) + Pineal gland (melatonin) ; ii) HYPOTHALAMUS with Pituitary gland=reflex integrators for many autonomic reflexes such as temperature, reproduction, sleep, appetite. . ..
REGION 3 = CEREBELLUM--pattern generators/procedural memory for coordination of motor skills: later
REGION 4 = BRAINSTEM--a) Pons & b) Medulla Oblongata-- reflex integrators for autonomic cardiovascular, respiratory reflexes

More on CNS EVOLUTION: major changes in vertebrate cortexes, and motor, sensory, associative areas

MORE on PNS; CNS-PNS BASIC WIRING!
+Efferent PNS: know roles of ACh and NE in somatic, parasympathetic and sympathetic neurons
+CNS-PNS WIRING: SPINE: basic connections =Sensory afferents via dorsal branches into spine/brainstem; Somatic Motor efferents via ventral output. BRAIN: know pathways from sensors to thalamus to sensory cortex, then to associative cortex; from motor cortex to skel. muscles. NOTE from LAB the implications of this as revealed by SYNAESTHESIA: Wiring is critical for our perception of "reality"! Brain "knows" what to sense/perceive according to thalamus relays to dedicated sensory cortexes, which perceive specific modalities (taste, light, etc.) by unknown mechanisms. All sensors except smell run signals first through thalamus (Smell also goes directly to LIMBIC). If information runs into the wrong area, perception is altered accordingly (Synaesthesia!)

HIERARCHY of REGULATION -- all are EXTRINSIC!!
A. Lower Level = Spine, Brainstem, Hypothalamus
REFLEXES--simple ancient homeostasis needs; have relatively low delay (though still some delay, as in breathing reflex during exercise if there is no anticipation).
1) SIMPLE REFLEXES: EXAMPLES
--a) Withdrawal somatic reflex: using skin pain sensors, spinal interneuron, muscle effector
--b) Position/Posture
reflex: how stretch sensors in muscles work via feedback to maintain posture with little delay
--c) Temperature reflex
: how this works from skin to hypothalamus to effectors
2) Reflex PATTERN GENERATORS 
a) Walking, swimming etc. Diagram of brain commanding lower Pattern Generator, which takes over to reduce delays
b) Breathing reflex: rhythmic in/out circuit in MEDULLA uses gas/pH sensors in arteries, breathing muscles as effectors
3)  Biological CLOCK: SCN of hypothalamus: anticipates regular environmental cycles. See ENDOCRINE

AN IMPORTANT ASIDE ON MEMORY:
1) Sensory:
2) Short-term: about 7-10 active registers!
3) Long term:
DECLARATIVE
= Images, names, facts, etc.--evolved for ANTICIPATION of future events, faster reactions, planning, etc.
NON-DECLARATIVE: i) PROCEDURAL--learning new non-reflex motor skills! Cerebellum, etc.;
-- ii) EMOTIONAL
--see Amygdala below
**WORKING MEMORY
: active register, thinking area that accesses CURRENT sensory info, SHORT-TERM Memory, and LONG-TERM memory to plan an action/decision.

B. MID_LEVEL=LIMBIC, CEREBELLUM
1. LIMBIC SYSTEM
evolved for declarative memory short-term and some basic long-term, with primitive emotional memory: basic learning for mating & survival, anticipating basic future needs/crises.
Know **hippocampus**
as basic 'ringmaster of memory' and the **amygdala** for fearful memories,  Know Neural PATHWAYS for amygdala & fight-or-flight!! How this aids survival.
2. CEREBELLUM--evolved for procedural memory = learning non-reflex, skilled movements. Learns then appears to anticipate (feedforward) each move in a skilled sequence to eliminate clumsiness-causing delays. Typically, MOTOR CORTEX makes the decision to move, then the cerebellum takes over for fine control …understand the reason why coaches often say "Don't think about it, just do it!"

C. TOP LEVEL=MAIN CORTEX: MOTOR , SENSORY, ASSOCIATIVE
1. SENSORY CORTEXES:
evolved for complex sensory processing; example of BODY MAP in the SOMATOSENSORY CORTEX!
2. MOTOR CORTEX: evolved for initiating motion, including new ones to be learned. EXAMPLES:
a) MOTOR Cortex CONTROL OF BREATHING vs REFLEX
--i) Anticipation to reduce delays by activating respiration just before muscle activity begins: GLUTAMATE neuron from motor cortex to medulla-oblongata respiratory reflex center. NO delay in oxygen delivery!!!!!
--ii)
RESET: Breathholding for swimming by inhibiting reflex homeostasis == GABA neuron from motor cortex to medulla-oblongata respiratory reflex center. Why can't you kill yourself by this conscious suppression???
b) CONTROL OF POSTURE vs MOTION: Negative feedback posture reflex: spindle stretch sensors put out certain AP frequency to hold its own muscle in place; increase if muscle is stretched, so reflex via spine contracts the muscle to bring back to original position: but !! an inhibitory GABA-type interneuron MUST SUPPRESS the opposing antagonistic muscle to PREVENT its reflex from interfering in the opposite direction!
--MOTOR CORTEX must Reset this for locomotion: motor cortex
nerve uses glutamate to activate a motor neuron, which fires and contracts muscle. But this STRETCHES the antagonistic muscle so: another neural branch triggers a GABA interneuron to the motor neuron of the antagonistic muscle, to prevent its posture reflex from interfering. What TETANUS toxin does to cause locked-up muscles!!!!!!

3. ASSOCIATIVE AREAS--evolved for complex learning/memory, understanding, planning, anticipation of future; "higher" emotions to reinforce these.
SUMMARY Example--KNOW DIAGRAM of typical PATHWAYS!! 1) Sensor  to 2) Thalamus to  3) Sensory Cortex for perceiving to 4) Sensory Associative Area for understanding sensory info;  may go to 5) WORKING memory for PLANNING then to 6) Motor Cortex to act. MEANWHILE, from Thalamus, information may go to 3b) HIPPOCAMPUS for short-term memory and 4b) Basal Forebrain for Long-term memory.; 5) WORKING memory in frontal lobe can access current, short and long-term info for making decisions!!!!

NEUROCHEMISTRY: MOLECULAR MECHANISMS of MEMORY: much unknown, works by reprogramming or "long-term potentiation" [LTP] of synapses (increased sensitivities)
1. Aplysia seaslug and Short-term memory: seaslug "learns" about approaching threat by sensitizing its gill-withdrawal mechanism when it is poked hard in the tail: How serotonin does this via 2nd messengers.
2. Mammal: a) Short-term: Glutamate mechanism of fast AMPA channel AND slower NMDA channel with Ca++ as 2nd messenger, activates enzyme for retrograde messenger NO. That enhances pre-synaptic vesicle release in nearby neurons, making that circuit easier to use (more sensitive).
--b. Long-term memory: Neuromodulators via receptors and 2nd Messengers alter gene activity! How one version works: cAMP-->protein-kinase-->CREB-->response element for genes ---> new mRNAs and proteins. Leads to more receptors, more dendrite branches/spines, and ??

More on NTs and NEUROMODULATORS
DEFINE Neurotransmitters (fast or slow; alter voltages) and Neuromodulators (slow; alter functions other than voltage itself)
. IN CNS: some NTs/NMs have general functions, some associated with specific functions
**Serotonin: good mood, serenity; helps with sleep; anti-anxiety: PROZAC and how it affects this!!!
**Endorphins / Enkephalins --role in analgesia and pleasure of the anti-pain type; what triggers this system ('runner's high'; wartime wounds; etc). How morphine affect this
**Endocannabinoids such as anandamide--appetite; some pleasure; and clearing out some short-term memories, dreams and fear memories. How THC in marijuana affects this
**Dopamine: paying attention to useful information/accomplishments and reward pleasure associated with that. COCAINE, METHAPHETAMINE, and RITALIN drugs! NOTE dopamine is also used in motor coordination/dampening circuits in basal nuclei; same-key-different-locks principle. Human Mental disorders and Evolutionary History! a "disorder" in modern society that might have been useful in the past --ADHD example!!
**Histamine -- maintains arousal in hypothalamus clock system; why some anti-histamines make you drowsy

FRONTIERS of NEUROSCIENCE
*PLASTICITY: use-it-or-lose phenomenon; *
GLIAL functions: new findings in the text list and reading
*Perception, Memory, Consciousness
: Neural Networks -- coordinated actions of 1000s of neurons probably; Prions possible role; SPINDLE Cells and 'humanity' --READING.
 NeuroTheology--can human ethics and spirituality be localized to specific brain circuits? READING

SENSORY PHYSIOLOGY

I. Basic Signal Transduction: stimulus-dependent channels or receptors: convert graded stimuli into graded currents = Receptor Potentials. Then must convert into frequency-coded APs
A. TYPES of sensors
: --Primary type: neuron dendrites ARE the sensors: know graded vs AP frequency parts. Secondary types have separate sensory cells --know signaling steps here also via NT/synapse first
B. Sensor ROLES:
1) Exteroceptors
: classic five senses, but with skin senses actually having a lot more: monitor external environment and incoming stimuli
2) Interoceptors
: monitor the internal environment for homeostasis
3) Proprioceptors
: monitor the body and limb positions and motions
C.
TYPES of Transductions: chemo, mechano, photo, thermo, noci; electro; magneto
D. "ADAPTATION" RESPONSES
--important evolutionary differences
-- i) Continuous = tonic sensors--e.g., pain, proprioceptors do not shut off as long as stimulus lasts
--ii) Adapting = phasic: shut off even if stimulus continues; know mechanisms of INTRINSIC inhibitory protein in cell as in SMELL; vs. EXTRINSIC neural inhibition by GABA neuron 
---- Evolutionary reasons for sensors that shut off like this !!! why ignore constant stimuli???
E. CONTRAST ENHANCEMENT: know how lateral inhibition (GABA) in touch, eye and cochlea neurons enhances contrast!! Strongly stimulated sensors suppress weakly stimulated neighbors--sharpens up the information.

II. SPECIFIC SENSOR TYPES--Uses & Mechanisms:
A. MECHANO-RECEPTION
: pressure, touch, stretch, vibration, gravity/position, acceleration
 =Primary sensor type: mechanogated channels-- "pull-chain" protein pops open gate.
=>Interoceptors for blood pressure; also stretch in the stomach, bladder
=>Exteroceptors in SKIN for touch, pressure: high area of dendritic branching
for sensitivity/leverage
=> PROPRIOception: stretch sensors in muscles, tendons, joints;
B. MECHANOreception: HAIR CELLS: Hairs = cilia with PACEMAKER activity when upright-- how cilia bending gives directional "stereo" information by increasing or decreasing gating; pull-chain protein on cilia hooked to channel gate. Used in
1
) FISH Lateral lines--current FLOW/pressure waves,
2) MAMMALIAN INNER EAR:
----
a) Vestibule--Saccule/Utricle: Linear Acceleration & Position sensors: how otoliths in gel work by pushing hair cells
---
-b) Semicircular Canals: Rotational Acceleration sensors--how 3D motions sensed (dizziness!)
----
c) Cochlea: Hearing; how basilar membrane distinguishes sound frequencies with protein fibers like piano wires; vibrates and pushes hair cells into tectorial membrane. Note also BRAIN can shut these off!

C. CHEMO-RECEPTION: chemicals open channels via receptors/2nd messengers, except for ions
INTEROceptors: most of these are chemoreceptors; monitor hormones, blood gases, glucose, etc.
EXTEROceptors=taste and smell

-1) GUSTATORY=TASTE = chemosensing of solid/liquid material in direct contact with sensors
Vertebrates: ciliated taste buds
--5 Primary tastes = salt, sour, bitter, sweet umami. Know teleological purposes for these; and the basic Mechanisms: direct channel for ions, and 2nd messenger type for organic molecules
--Also know the Hot/spicy TRPV1 channel for capsaicin
and heat
--Much detail still unsolved-- mysteries e.g. FAT TASTE; How artificial sweeteners
work. See the READINGs
-2) OLFACTORY=SMELL
=chemosensing of distant sources; accounts for most of "taste"
Mammals: i) olfactory bulb
& limbic system; ii) vomeronasal organ--READING from lab
--MECHANISM--Nobel Prize 2004: receptors with specific binding sites; cAMP system; shut-off mechanism
~900-1500 genes for unique receptors (many mutated OFF in humans =pseudogenes); but can distinguish 10,000+ odors. HOW? Know COMPARATIVE-Binding Combinatorial concept of odors binding to multiple receptors

D. PHOTO- reception: know basic vertebrate eye anatomy from lab.
ROD cell mechanism: i) retinene/opsin complex=RHODOPSIN: cis to trans change via photon absorption; ii) opsin-G-amplifier cascade destroys cyclicGMP: Na channels close =inhibition of GABA output!! --note that light REDUCES sensor voltage, but APs increase in downline neurons due to less GABA! Then fresh cis-retinene must enter opsin receptor to shut off the signal.
Color & CONES--how distinguished by comparative/combination mechanism with only 2-5 CONE types (red, green, blue, UV; 3 in humans, 4-5 in birds; 2 in most mammals, 1 in cetaceans.

E. Thermoreception: graph of warm TRP-V3 vs cold/menthol TRP-M8 receptor types with activations at different temperatures; uses. Role of TRPV1 and 2 in pain
F. Nociception
: 2 responses and 3 types of receptors (initial fast response = mechanical and extreme temperature TRPV2 & V1 reception; later persistent response is chemical and involves damage etc.)
G. Electroreception
: how shark ampullae are used, how they work
H. Magnetoreception: possible mechanism using magnetosomes, how used and in what animals

ENDOCRINE SYSTEMS

Evolved for slower regulation involving metabolism; mineral/water balance; growth and reproduction;

I. BASIC REGULATORY SYSTEM AND SIGNALS
A. Complexity of Function: see list in lecture and text
B. Three Signal Types: peptides/proteins
such as insulin; amines such as epinephrine; Steroids such as cortisol: made from cholesterol. 

C. Signaling MECHANISMS: 1. Lipophobic/hydrophilis
ones by 2nd messenger system; lipohilic ones usually via internal receptor and gene response element.

2. Active hormone levels depend on: secretion; activation; degradation; binding to blood proteins
3. Receptor UP- and DOWNregulation: see text pp259-260: example of overstimulated target cell!

II. Regulatory Patterns & Examples
EXO- VS. ENDOCRINE GLANDS: most EXOCRINE Glands are EFFECTORS, not regulators!! Have ducts for effector chemicals. ENDOCRINE glands do not have ducts
FEEDBACK LOOPS
A) SIMPLE: example 1. PANCREAS : simple negative feedback : From lecture and lab, know full Pancreatic Insulin-Glucagon system!! All parts, including how glucagon works via 2nd messenger-cAMP cascade, and insulin by tyrosine kinase system. How beta-cells "sense" rise in blood glucose to integrate

B. Complex NEUROEndocrine: HYPOTHALAMUS-PITUITARY
i) Posterior pituitary: direct neuroendocrine nerves from hypothalamus

ii) Anterior
pituitary: multistage, up to 3 hormones! #1Releasing hormones from neuroendocrine hypothalamus neurons got to pituitary, stimulate classic endocrine cells to release #2trophic hormone which stimulates either target organ or another gland, which releasing a #3final hormone to target organs.
 -- Often monitoring of downline hormones, not always the regulated state itself! 

EXAMPLE 2: GROWTH HORMONE/Somatomedin
: how this is stimulated via multiple steps for energy/growth; what the brain monitors for feedback; how hGH injections build the body but stop own system.
EXAMPLE 3: CORTISOL and CLOCK:
how this is stimulated via multiple steps for STRESS; what the brain monitors for feedback
; CLOCK control
Biological CLOCKS
--all eukaryotes have; even unicells; use clock genes. 
Definitions: circadian; circannual; circalunadian; Fig 7-6 example of CORTISOL--i) TEST: constant environment shows persistence of rhythmic behaviors--human example in mine shaft
--ii) Evolutionary Advantages/Teleological purpose: synchronize with and anticipate regular environmental cycles --e.g., clock prepares for daily or seasonal change ahead of time: Sleep/wake and CORTISOL example
--iii) MECHANISMS: Clock genes in single cells can run on their own, but need external signal to synchronize to outside world . Cell mechanism = positive and negative feedback loops among clock genes and proteins cycle up and down over 24 hrs. Clock genes have "clock response element" (specific promoter).
--Retina via special nerve to SCN of hypothalamus; sends signals to the cortex, and indirectly activate pineal gland, which secretes melatonin for sleep; these may activate adenosine-using neurons
. Open evolutionary question on SLEEP: why is it necessary at all? Repair, consolidate/delete memories, refuel?

DEFENSE: IMMUNE SYSTEMS

Overview: A. New view as a 3rd whole-body regulatory system

B. Functions = Defense from Pathogens ;         Clean-up debris; Anti-cancer (own cells gone bad

C. REGULATION: INNATE vs ACQUIRED : know basic differences and delay vs memory issues

D. SELF vs NON-SELF:

--1. Pattern-recognition receptor proteins (PRPs!!!) (called TOLL-like RECEPTORS [TLR] in vertebrates) and  phagocytes; and

--2. EFFECTOR PROTEINS: i) opsonins (tags), ii) antimicrobial peptides--often by pore formation

E. SENSORS-INTEGRATORS-EFFECTORS are often Cells/Proteins

I. INNATE OR NON-SPECIFIC IMMUNITY
A. Barrier TISSUES/ORGANS: 1st Line of Defense; have Passive and Active features!
-- 1) SKIN + glands (tear glands, antimicrobial dermcidin
);
-- 2) RESPIRATORY: mucus membranes —cilia; coughing/sneezing!
--3) DIGESTIVE: mucus; vomiting; stomach acid--how kills; symb. Bacteria; antimicrobial peptides

--4) UROGENITAL: mucus; symb. Bacteria; antimicrobial peptides
B. CELLS & PROTEINS: *CELLS: 1) PHAGOCYTES (Neutrophils; Monocytes/Macrophages)--mostly Effectors to kill invaders
---know how phagocytosis works
--2) Natural Killer Cells--innate destroyers of 'bad' body cells that have abnormal proteins on their membranes
--3) MAST CELLS--Integrators of inflammation
--4) Microglia-- BRAIN's own special immune cells --read 2005 article
* Defense PROTEINS: Complement series of proteins: 1) act as OPSONINS=tags of foreign objects to signal phagocytes; 2) Act as Antimicrobial Peptides -- see Attack Complex in text" make pores in bacterial membranes, cause ion leak with subsequent water osmosis-->pop!
C. INTEGRATION--NON-SPECIFIC REGULATORY RESPONSES
--1) INFLAMMATION: general reaction to attack/injury:
MAST
CELLS (sensor/integrators! like thermostats) release histamine to make capillaries dilate and leak so phagocytes and complement can get into the wound; and release chemotaxins to attract phagocytes (effectors). Complement tags (as opsonins) invaders for destruction by phagocytes. Positive feedback! Activated phagocytes make signals that attract more phagocytes.
Step 5: mast cells, wounded cells release prostaglandins
made by COX2 enzyme; these increase blood flow and trigger pain sensors. NSAIDS like aspirin block this!
--2) FEVER: interleukin-1 (= a cytokine, IL-1) released by active phagocytes goes to hypothalamus=>triggers local prostaglandin [made by Cox3, which acetaminophen/Tylenol blocks]; this resets the brain's thermostat setpoint UP; why this might be useful, but can be bad
--3) ANEMIA! phagocytes release IL-6 which triggers the liver to put out a hormone that reduces iron in the blood;; why this might be useful but also can be bad
II. ACQUIRED or SPECIFIC IMMUNITY
A. Tissues/Organs:** Cell development: thymus, bone marrow; ** Filters, traps: lymph and its nodes; spleen;  GALT --know functions of each
B. CELLS & PROTEINS: *CELLS: some in blood & spleen, lymph & node: 1) ANTIGEN-PRESENTING cells as SENSORS! 1) Dendritic cells in barrier tissues; 2) Macrophages in blood/lymph. How they act as key Sensors! 3) B-cells
--2) 3) Integrator/Effectors: B
- and T-lymphocytes: have random unique receptors (PRPs, here called Antigen or Ag receptors)!! Where each matures, and nature of the Ag receptors. These are integrators and effectors (see below)
• Defense PROTEINS:--i) ANTIBODIES as opsonins and antimicrobial peptides; and ii) PERFORINS as killer-pore peptides

Generating millions of Unique Receptors/Antibodies: i) DNA recombination: briefly how V, J, C gene segments  are recombined to code for millions of unique Ag receptors and antibody proteins. Ii) RNA editing and iii) hypermutation also contribute to variability

C. INTEGRATION: SPECIFIC REGULATORY RESPONSES... know all steps:
1) ANTIBODY-Mediated SYSTEM:  Self vs Non-Self markers = MHCI !!!
--a) Sensing by Antigen Presenting Cells!
: Dendritic cells in barrier tissues (and , in the blood/lymph, phagocytes) eat objects without self MHCI, and display antigens with MHCII; migrate to nodes; "present" to inactive helper-T-cells with correct PRP receptor; also 'prime' a B-cell with the same receptor
--b) Helper T-cells are integrators: become active helper-Ts
and quiescent/reserved memory-Ts
--c) Effector and memory B's: active helper-Ts activate the 'primed' B-cells; B's clone themselves into plasma = antibody-making effector B-cells, and into memory B-cells
--d) Antibodies made by effector ('plasma') B's
; bind to, aggregate, and 'tag' antigens/pathogens; attract phagocytes. Can kill directly with H-peroxide! [hypermutation can increase diversity also]
NOTE that active B-cells can 'hypermutate' their antibody gene codes to make slight variants of the antibody! Helps keep up with pathogen mutation
2) Cell-Mediated System = CYTOTOXIC (killer) T-lymphocytes: kill infected body cells presenting viral, or parasite fragments, or cancer-related abnormal proteins on MHCI. Helper-T cells with correct receptor detect and activate KILLER (CYTOTOXIC) T-cells, which kill the bad body cells, often using PERFORINS which form pores in cells.
REVIEW Self- vs. Non-Self: MHC-I
alone says "I am you; leave me be"; MHC-I with foreign protein says "I am bad; kill me"; MHCII on an APC says: "Go find and kill other cells with this protein"

E. PROBLEMS, MALFUNCTIONS

_1) Initial time delay: why there is a long delay in the acquired system the first time, and how memory cells help with this later. Role of dendritic cells in new vaccination approach (IOMAI Corp.)
_2) Overreactions: allergies, high fever, prolonged anemia. AND Uncontrolled Positive Feedback in inflammation may be lethal (anaphalactic shock)
_3) Autoimmune disease: what is, examples
_4) Male vs female: latter have better immunity, but also more autoimmune diseases--is this related??
_ 5) IMMUNITY and EVOLUTION
: Superbugs–reading

IV. NEURO-ENDOCRINE-IMMUNAL INTERACTIONS

Psychoneuroimmunology! ANY one system can be in whole-body control under certain circumstances
1. Neural-->Endocrine
:
hypothalamus-pituitary!
2. Immune-->Neural
: fever, lethargy
3. Neural-->Immune:
1980s findings of autonomic nerves to immune organs; functions unclear, but could explain 'mind-health' phenomena
4. Immune->Endocrine:
anemia
5. All 3 systems together=STRESS SYSTEMS:

-- a) SHORT-TERM: = "anticipation" for FIGHT-or-FLIGHT ADRENAL EPINEPHRINE system. Danger sensed, amygdala triggers hypothalamus stress center-->sympathetic neurons to adrenal-gland medulla--> epinephrine to blood--> effectors = heart (faster), lungs (dilate airways), muscle & liver energy (increased glycogen breakdown via cAMP cascade). Also boosts the immune system!! Mobilize immune cells to barrier tissues in anticipation of wound.
-- b) LONG-term
: = REPAIR/Recovery ADRENAL CORTISOL system. Prolonged danger sensed, hypothalamus triggered to release CRH to anterior pituitary which secretes ACTH--->adrenal cortex-->glucocorticoid/cortisol steroid hormones to blood--> Effectors=liver (glycogen breakdown), Adipose (fat breakdown), Muscle (protein breakdown). This makes building-block molecules for tissue repair. Also if goes on awhile, this INHIBITs the immune system! Why uncertain, but may have evolved as antagonist to positive-feedback inflammation etc. in case it gets out of hand. Thus medicine uses corticosteroid drugs at high levels to reduce inflammation. See chart of ancient and modern stressors in lecture handout! Unnatural stresses causes this system to turn on inappropriately.

SELF-SUPPORT/MOVEMENT: MUSCLE PHYSIOLOGY

 

I. SKELETAL MUSCLE (Striated)
A. Structure: 1) Organ [and Fascicles];2) Fibers=multinucleated Cells; 3) Fibrils=organelles; 4). Sarcomeres with highly organized filaments, Z-disc to anchor them; 5) Proteins filaments a) THICK = myosin in bipolar array: myosin head structure, 2 binding sites for ATP, actin; b) THIN = actin,tropomyosin,troponins
----6) Transverse tubule (TT)
& 7) Sarcoplasmic Reticulum (SR): arrangement, uses
B. MECHANISM: RESTING: Tropomyosin blocks myosin from binding actin : know molecular arrangements!
CONTRACTING: synapse with ACh nicotinic receptor lets Na+ in; APs go down T-tubes; & SR Ca++ channels open; Ca++ conducts in, binds to troponins, flip tropomyosin out of the way; myosin head binds to actin = crossbridge; head does power stroke; head disconnects using ATP, which then reenergizes the head. REPEAT the myosin steps until:
Relaxation: Ca++ ATPase pumps remove Ca++ back into SR; troponin/tropomyosin flips back to blocking position
Key concepts: ATP use in detaching/energizing myosin; one-way aspect opf bipolar myosin filament; why relaxation slower than contraction
C. NEURAL CONTROL: LAB!
--1. Fiber level: AP frequency controls twitch or tetanus: how tetanus is a normal function or disease
--2. ORGAN level: MOTOR units
provide graded contractions; HOW this works
D. Endocrine Control: temporary ENERGY RESET: epinephrine boosts muscle glucose via cAMP amplification
E. Energy: know all pathways and ATP roles!! LOCAL Intrinsic fuels 1) Creatine-phosphate + 2) muscle glycogen. External extrinsic fuels  = 3) liver glycogen, 4) adipose fat
-- Anaerobic vs. Aerobic uses!!! CP, local glycogen give fast energy with minimal diffusion time; but burn out quickly due to low energy yield
--liver glycogen and fat give long-lasting energy, but are slow due to distance to travel (and long breakdown pathways for fat) and oxygen diffusion limit

F. FIBER Specializations: compare three main types; use TABLE from lecture/text
Physiological Genomics-
-Know the 4 types of myosin genes given, their uses and expression in different animals!! E.g., IIb vs IIx
Fast Glycolytic (FG or IIx in humans, or IIb superfast in rodents
); Fast Oxidative/Glycolytic (FO or FOG or IIa); Slow Oxidative (SO or I): --how each differs in color, energy adaptations, usage & fatigue resistance; External energy sources for SO, local glycogen for FG
USAGE: Evolutionary adaptation of Fibers: a muscle organ can have up to all 3 types, depending on adaptive use. Some Examples to ponder: bottom fish; grazer (cow); wild migrators vs domestic birds; halibut vs tuna;
--Humans: limb muscles are mixtures of all 3 types, but vary by athletic styles/training
USAGE and CHANGES: what happens during various types of training to fibers size, types; some possible controls (myostatin vs testosterone, IGF, somatomedins for size; PPAR-delta…speed/energy source)

G. MECHANICS: from LAB! 1. tendons, ligaments as springs; 2. How antagonistic muscles work, and 3. LEVERAGE for speed or force

II. CARDIAC MUSCLE--has sarcomeres, but not multinucleated; has gap junctions
III. SMOOTH MUSCLE: no sarcomeres; meshlike, alternating actin/myosin filaments for churning/squeezing etc. CATCH muscle of scallop as example of use

FROM LABS
NERVES II: reinforce lecture on reflex vs.higher pathways, major brain regions & functions; how cocaine might alter synaptic "shut-off" system; how overstimulated neurons respond to this.
SENSES
: reinforce lecture: sensory "adaptation"; types of skin sensors; semicircular canals; how eyes work (blind spot); retinal bleaching; & evolutionary flaws in vertebrate eyes vs cephalopod eyes. What synaesthesia reveals.
INSULIN-GLUCAGON: reinforce lecture on pancreas feedback and diabetes; know also GLYCEMIC Index concept.
MUSCLES: How nerves control twitch and tetanus; what happens in fatigue; how neurons and motor units make graded contractions; how antagonistic muscles work; how Muscle-Bone LEVERS can amplify speed, or force, but not both; basic skeletal, cardiac, smooth differences

FROM HANDOUTS: READINGS TO PAY ATTENTION TO!
Lecture #11: "Exploring the Brain": how do fMRI and TMS work, and how are they used?
ii) "Brain Imaging.." what is the anti-terrorism proposal? iii) "Neuroethics Needed" what is NEUROETHICS and its concerns? iv) "Brain Reader.." why does this raise neuroethic concerns?; v) "An Evolutionary Squeeze.." what is the proposed limit to our brain size?
 Lecture #12
: i) "FOOD for Thought" how might cooking have boosted human brain evolution?
Lecture #13
: i) ) "Anatomy of Anxiety" role of the amygdala!!! ii) "Brain Storm"--how do teenage brains differ from adult brains, and what behaviors might result? iii) "..Our Messy Reptilian Brains" cause what kinds of problems? iv) "Conditioned Fear" says what about the roots and control of racism?
Lecture #14:
i) "Rose-scented Sleep" --what improves memory here? ii) "PRIONS.." might be beneficial how?
 iii)  MACOMB DAILY article: says what about racism?
Lecture #15:
i)&ii) BEHAVIOR and Anthropology articles: how might a mental "disorder" be an evolutionary adaptation? iii) "How our brains..MADNESS" what does anandamide do? iv) "Expression of Endorphin.." what is proposed about human evolution? v) "Natural Born Addicts" differ how? vi) "Humanity…WIRING" what are spindle cells and their possible role? vii) "BORN to be WILD" says what about brain maturation and implications? Viii) "NUNS..Brain Scanner" says what about brain wiring for religious experiences? ix) "Long unappreciated.." -- what are some recent findings about GLIAL cells?
Lecture #16:
i) "SENSES SPECIAL" -- why is the "five-senses" concept flawed?
Lecture #17:
i) "Look and Listen" --what does this reveal about limited brain power? ii) "Music Lovers…": what did we inherit from fish in terms of MUSIC? iii) "HEAR how they RUN" says what about the semicircular canals and evolution? iv) "Math Clears Up.." what about the spiral shape? v) "Making Sense" what is the proposed role of Proprioception in humans? vi) "Tongue Sensors..Fat" what was found about FAT taste?
Lecture #18
: i) "Don't Care for BROCCOLI?"--what is the evolutionary selection for a bitter gene to hate broccoli? ii) "LOOK MUM.." how is capsaicin being used here? iii) "MYOPIA Clarified"--how did this spread in humans?
Lecture #19
: i) "COLD COMFORT" makes use of TRP-M8 channel how? ii) ELECTROSENSORS: how do these shark sensors work? Iii) "For my Next Trick.." shows what about rattlesnake thermosensing?
Lecture #20:
i) "Body Clock..Prowess" says what about athletics? ii) "Slumber gene.." involves adenosine how?
iii) "PLASTIC CHEMICALS.." in what affect our hormones how? iv) "Why We SLEEP" says what?
Lecture #21
: i) IN DIABETES.." what are some recent complexities discovered? Ii) "The origins of Immunity" shows what? iii) SICK-Making BUgs..Deep" says what about VENTS? Iv) "Genes won't CLOCK" says what about clocks and genes? V) "BRAIN's Support Cells" says what about MICROGLIA? Vi) "Jawless Fish" says what?
Lecture #22: i)
"Your Bodies..Bacteria"--where are helpful bacteria found? Ii) "Homegrown Defender" what is this bladder protein? Iii) "Mast Cells Defang.." What new role for mast cells was found? iv) "A SPOONFUL.." how might this help against HIV? V) "FEVER.." helps how? vi) "NO PAIN, NO GAIN" says what about anti-inflammatory drugs?
Lecture #23:
i) "AN Immune..so Versatile.." what is the tradeoff with CANCER proposed? Ii) "Distraction Tactic.." helps allergies how? iii)  "Idle Hands"--what is the HYGEINE Hypothesis? Iv) "The INNER STRENGTH.." how do males and females compare? V) IOMAI--know their method!
Lecture #24:
i) What superbugs are emerging and why? ii) " UNDER STRESS" and "BOUTS OF TERROR": how is immunity HELPED? iii) "Survival of the SICKEST" says what about some common human diseases?
Lecture #25
: i) HYENA article says what about human evolution? ii) MR. UNIVERSE JR: what is myostatin? iii) "SUPERHUMAN.." what are some key genetic features of champion sprinters and marathoners? iv) " MARATHON MICE -- what is PPAR-delta and its effects here? v) "Scientists take.." what did they do with dark vs light meat?..