Physiological Sciences 5
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- Cardiovascular diseases account for what percentage of US deaths?
- 40%
- Cancers are _______ most common cause of death.
- second
- _____________________ is fourth most common cause of death.
- Chronic obstructive pulmonary disease (bronchitis, emphysema, asthma, chronic airway obstruction)
- Diabetes is ______ most common cause of death.
- sixth
- In last 25 years, CV disease death has _________ and cancer death has __________. This is due to _________________.
- decreased, increased, development in treating CV but not in cancer.
- ________________ people die from CV diseases yearly.
- 900,000
- 300,000 deaths annually due to ___________.
- physical inactivity and poor diet
- Main causes of death in 1900 were _________________.
- influenza, pneumonia, tuberculosis
- According to CDC, only __% of causes of death today are curable by medicine.
- 12
- __%of deaths cannot be prevented by medicine. Of this __% can be controlled by lifestyle and __% are genetic.
- 88, 48, 24
- _______ is a major lifestyle disease. __% develop due to lifestyle.
- Cancer, 80
- __% of deaths are due to environment.
- 16
- ___________ are not cause of increase in chronic diseases (diabetes, heart attack, etc). They are result of _______________.
- mutations, Western lifestyle (poor diet, physical inactivity, smoking).
- __________________________ are diseases that develop over an entire lifetime.
- Degenerative diseases
- __% of young people are already developing CV disease.
- 70
- New diseases
- asthma, lupus, scleroderma, gulf war syndrome, reproductive problems, multiple chemical sensitivity (MCS)
- How does MCS affect various sysems?
-
nervous system - headaches, blurred vision, aggressiveness
immune system - allergic reactions to food and chemicals
endocrine system - females with continual menstruation or bleeding from breasts - VOC
- volatile organic chemicals
- __-__% of population is allergic to pesticides and fragrances.
- 20-30
- EPA
- Environmental Protection Agency
- __% of chemical company's income comes from ___________.
- 40, pesticides
- life expectancy
- how long people live on average
- life span
- how long population can survive (hasn't changed drastically sinc 1900)
- Life span remains about ___-___ years.
- 100-110
- 40% reduction in caloric intake in rats - __% increase in life expectancy and life span.
- 50
- Factors in reducing physiological age
-
1. Sleep
2. Food intake
3. Exercise
4. Not smoking
5. Moderate alcohol consumption
6. Stress - fats, carbs, proteins are the:
- 3 basic macronutrients
- Nathan Pritikin came up with the Pritikin diet in ____. _____ of the world consumes a diet like Pritikin's.
- 1947, half
- Levels of structural organization
- Chemical, Cellular, Tissue, Organ, System, Organism
- Most common atoms in body
- C, H, O, Na, N
- Most common molecules in body
- O2, H2O, NaCl
- Complex molecules in body
- carbs, proteins, fats, triglycerides
- 4 types of tissue
- epithelial, connective, muscle, nervous
- Organ:
- made of 2 or more different types of tissue and has a characteristic shape
- Life sustaining functions
-
1. Metabolism
2. Responsiveness
3. Conduction
4. Movement
5. Growth
6. Differentiation
7. Reproduction - 2 types of metabolism
- Catabolism, Anabolism
- responsiveness
- ability of tissue to respond to stimuli, associated with electrical activity of our cells, at rest cell is more negative on inside than outside
- conduction
- excitable cell relays signal from one part of body to another
- AP
- action potential - nerve impulse
- AP associated with changes in the _______________________________.
- permeability of the cell membrane
- Body can also communicate via _________. But it is a slower process.
- hormones
- 3 types of muscle tissue that can contract
- skeletal (main muscle tissues in body), cardiac (heart muscles), smooth (lining of arteries, intestinal tract, etc)
- 2 ways the body grows
-
hyperplasia (increase in cell number)
hypertrophy (increase in cell size) - blood glucose homeostasis
-
food intake - blood glucose level increases - pancreas releases insulin - stimulates primarily muscle to take up glucose - blood glucose decreases
fasting - pancreas releases GLUCAGON - stimulates liver to release glucose - blood glucose increases - hyperglycemia
- glucose too high - occurs in glucose intolerance/diabetes
- hypoglycemia
- glucose too low
- Important cellular structures
-
1. Membrane
2. Cytoplasm
3. Lysosome
4. Mitochondria
5. Nucleus
6. Ribosome - membrane
- plasma membrane contains lipids and proteins with lipids arranged in bilayer.
- phospholipids have ______ head groups.
- polar, hydrophilic
- hydrophobic
- repels water, fat is not soluble in water
- hydrophilic
- attracted to water, polar, soluble in water
- cytoplasm is location for functions such as:
- protein synthesis, glycolysis, storage of fat and glycogen, and contains electrolytes
- lysosome
- contains enzymes that break down and digest molecules
- Mitochondria is the location of ___ production by _____________________, where ________ is used to convert _________ derived from nutrients into _________ providing energy for ATP synthesis.
- ATP, oxidative metabolism, oxygen, hydrogen, water
- DNA organized into _________________________________.
- 23 rod like chromosome pairs
- ____ is made in the nucleus. It is used to produce new ___________.
- mRNA, proteins
- Ribosome is the organelle where __________ are assembled and packaged in the ___________________ and sent where needed.
- proteins, Golgi apparatus
- 2 forms of gene expression
- transcription, translation
- transcription
- code transferred from DNA to ribosomes for translation (DNA code is copied - called mRNA transcript - mRNA goes to ribosome)
- translation
- mRNA used to create new protein (protein assembly occurs at ribosome - amino acids in the cytoplasm are linked together in a sequence dictated by the mRNA - amino acids are delivered by tRNA - amino acids are linked by peptide bonds, performed by ribosome)
- functions of proteins
-
1. enzymes
2. cytoskeleton
3. muscle contraction - myosin and actin
4. hormones
5. antibodies
6. receptors
7. channels, transporters, pumps - enzymes
- biological catalysts that speed up chemical reactions in the body
- cytoskeleton
- supports and organizes cell components and controls their movement, like a scaffoliding for cell and railroad tracks for movement
- hormones
- signal molecules
- antibodies
- proteins produced in body in response to foreign substances
- receptors
- proteins imbedded in cell membrane - communicators between the outside and inside of the cell
- channels transporters and pumps
- in the cell membrane, allow for movement of molecules and ions from outside to inside and vice versa
- body cell division
- mitosis
- mitosis
- a complete set of genetic information is distributed to make 2 new daughter cells, provides new cels for growth, replenishment, and repair
- cell types that lose ability to divide
- nerve and muscle cells
- cell types that continue to divide
- blood cells, skin cells, etc
- cancer
- a complex disease characterized by abnormal cell division which results in tumor formation
- 2 types of tumors
- benign (non-cancerous), malignant (cancerous)
- benign tumors
- slow-growing, doesn't infiltrate surrounding tissue, can be surgically removed
- malignant tumors
- cells may multiply rapidly and spread to other tissues of the body, called METASTASIS
- mutant, cancer causing gene is called
- an oncogene
- oncogene
- has ability to transform a normal cell into a cancerous cell when activated
- proto-oncogene
- normal cellular gene that regulates growth and differentiation - when a mutation occurs, the growth control for the cell is deregulated
- tumor suppressor genes
- anti-oncogenes
- carcinogenesis
- multi-step process - initiation, promotion, progression
- carcinogens
- chemicals that increase frequency of mutations and cause cancer
- cigarette smoking causes __% if all cancer deaths
- 30
-
tobacco smoking/chewing
a.) lung cancer
b.) mouth cancer
c.) lip cancer
d.) greatly increased risk of cancer -
a.) cigarette smoke
b.) chewing tobacco
c.) cigar smoking
d.) combination of alcohol and smoking - heavy alcohol use associated with cancers of the:
- mouth, throat, esophagus, liver, and possibly breat
- alcohol increases stomach secretions, which can lead to ___________ which impairs _______________________
- gastritis, nutrient absorption
- types of carcinogens
- cigarette smoking, alcohol, diet, UV radiation, pollutants, pesticides
- free radicals
- molecules with unpaired electrons than can damage DNA
- ______________________ can block carcinogenic effect, found in _______________________.
- antioxidants, cruciferous vegetables
- co-carcinogens stimulate tumor growth in _________________ phase and include:
- promotion, hormones, growth genes, dietary fat
- how does diet affect tumor production/promotion?
- dietary fat/sugar incrase free radical formation
-
__-__% of cancer incidents stem from genetic causes.
__% of cancers are related to lifestyle
__-__% of cancers we cannot explain -
10-15
75
10-15 - Incidence of breast cancer has ____________, mortality has ______________.
- increased, remained constant
- major factors in development of breast cancer
- lifestyle and obesity
- __________________ also important in breast cancer
- estrogen
- aromatese
- steroid hormones -> E2 (estrogen)
- the more fat cells one has, the more __________ that is present to convert steroid hormones to ______________.
- aromatese, estrogen
- risk factors associated with breast cancer
- age, obesity, high-fat diet, early onset of menses, having no children, hacing 1st child after age 30, alcohol consumption, exposure to pesticides, lack of exercise, family history
- protective factors against breast cancer
- soy products, dietary fiber
- HRT
- estrogen replacement therapy - used for heart disease, but risk for breast cancer increases
- most common cancer assoc. with significant mortality in men
- prostate cancer
- prostate gland
- glad below bladder that secretes acidic solution that contributes to sperm motility and viability - tends to enlarge with age
- risk factors of prostate cancer
-
older men (60+)
obesity and high-fat diet
ethnicity (blacks 40% more risk than whites)
90% success rate in detecting and removing early - steps for early detection of prostate cancer
-
rectal exams at age 40
PSA test (prostate specific antigen) at age 50
biopsy performed in 1 and 2 indicate problem - some think _________ increases risk of prostate cancer - men on low fat diet see a __% decrease in it
- estrogen, 50
- a low-fat diet decreases ___________ whichis a stimulator of prostate tumor growth
- insulin
- estrogen stimulates growth of prostate cancer in vitro (in test tube) by __%
- 90
- colon cancer is ________ most common cancer in men and women
- third
- _________________________ comprises of 10-12% of all cancer deaths in US
- colon cancer
- colon cancer is associated with ___________ production
- bile acid
- Bile acid production depends on ___________________________
- fat consumed in diet
- ____________ stored in the liver is converted to __________ which are stored in the gall bladder. Eating a fatty meal releases these ___________ so they can break up the ___.
- Cholesterol, bile acids, bile acids, fat
- cholesterol - primary bile acids formed in _____________ - secondary bile acids formed in __________________.
- liver, intestines
- ________________________ cause more secondary bile acid formation.
- Anaerobic bacteria in intestines
- Regular aerobic exercise reduces colon cancer risk by __%
- 50
- NMSC
- non-melanoma skin cancer
- NMSC traits
-
low mortality
due to UV exposure
occurs more in males and light-skinned
discolored red patches that grow
normal seen in older people - most common cancer in US
- NMSC
- Melanoma
-
UV rays cause DNA damage
brown spots on skin enlarge - functions of bones
-
1. support the body
2. protect organs
3. movement
4. mineral storage sties for calcium and phosphorus
5. produce blood cells from stem cells in marrow - epiphysis
- end of bones
- diaphysis
- shaft of bone, contains marrow
- periosteum
- resilent outside layer that covers bone, white, shiny substance
- epiphyseal plate
- where bone lengthens during growth phase
- 2 types of cells that regulate bone
- osteoblasts, osteoclasts
- osteoblasts
- when blood calcium level is high, they deposit calcium and phosphorus into bone structure
- osteoclasts
- when blood calcium is low, they break down bone and release calcium and phosphorus
- ossification
- formation of bone
- osteoporosis
- excessive loss of calcium from the bones
- causes of osteoporosis
- lack of estrogen, dietary calcium deficiency, lack of regular exercise, activities that put force on bone, excessive protein intake, excessive alcohol intake, smoking, diabetes, medications
- 3 main types of joints
-
immovable - synarthrosis
slightly moveable - amphiarthosis
freely moveable - diarthrosis - synovial joints
- contain synovial fluid which lubricates joints
- patella
- sits on top of knee and protects it
- articular cartilage
- protective and connective tissue lying on ends of bone
- fibrous capsule
- encloses entire joint
- synovial membrane
- produces synovial fluid to lubricate the joint
- meniscus
- sponge-like tissue for shock absorbing
- ligaments
- connect bone to bone
- 3 types of arthritis
-
osteoarthritis
gouty arthritis
rheumatoid arthritis - osteoarthritis
-
degeneration of articular cartilage
end of bone exposed
calcium spurs accumulate at end of bone
likely due to diet or environment - gouty arthritis
-
uric acid crystals deposited in joints
uric acid result of DNA breakdown
genetic link
dietary factors cause problems for people with this genetic background - rheumatoid arthritis
-
genetically inherited
immune system attacks its own joint tissue and causes inflammation of synovial membrane
can be improved with diet and exercise
cold water fish can also help - spinal column made of __ bones
- 33
- pulmonary artery
- only artery that carries deoxygenated blood
- pulmonary vein
- only vein that carries oxygenated blood
- heart's autonomic nervous system
-
parasympathetic nervous system - decreases HR
sympathetic nervous system - increases HR - ischemic
- heart doesn't get oxygen - heart cells turn to scar tissue
- blood contains...
- water, blood cells (red/white blood cells, platelets), hormones, enzymes, signaling molecules, glucose, amino acids, fats
- CV system functions
-
deliver oxygen and nutrients to body cells
remove end products fo metabolism - heart operates in 2 phases
-
systole - eject blood (higher BP)
diastole - relaxes and fills with blood (lower BP) - diseases of the heart
-
1. valvular diseases
2. arrhythmias
3. ischemia - valvular diseases
-
stenosis (narrowing)
regurgiation (leaky valve that doesn't close all the way)
prolapse (valve pushed too far and becomes inside out) - arrhythmias
- chambers of heart do not beat in proper sequence
- ischemia
- lack of oxygen to heart
- myocardial infarction
- heart muscle dies and turns to scar tissue
- lumen
- hole in artery
- parts of artery
-
intima
media
adventitia - intima
- elastic endothelial layer that produces chemicals like nitric oxide
- media
- smooth muscle cells - control diameter of lumen
- adventitia
- connective tissue
- common sites of ischemia
-
coronary arteries
carotid arteries in neck
leg arteries - claudication - atherosclerosis
- accumulation of cholesterol in artery wall
- fatty streaks
- oxidized cholesterol and lipid accumulate in artery wall because endolethium is damaged
- intermediate lesion
- excessive cholesterol and fatty substances deposited as endothelial cells are damaged further by oxidized cholesterol - FIBROUS CAP forms
- advanced lesion
- calcium and phosphorous mineralized salts - hardening of lesion
- clinical event
-
heart attack/stroke
rupture of fibrous cap - functions of cholesterol
-
part of cell membrane structure
precursor to steroid hormones
constituent of bile acids - facts of cholesterol
-
converted to bile and goes to gall bladder, released when fat is ingested
released into blood to provide body cells with cholesterol
body absorbs lipoproteins from blood via LDL receptor - ways to lower cholesterol pool in liver
-
do not ingest saturated fat or partially hydrogenated oils
decrease production of endogenous cholesterol
increase water soluble fiber intake - how cholesterol and fats are packaged
- blood lipoproteins - lipids combined with proteins
- lipoproteins involved in triglyceride transport
-
chylomicrons - seen right after meal
VLDL (very low density lipoprotein) - produced in liver, very high in triglycerides - transport form of fats
- lipoproteins
- lipoproteins involved in cholesterol transport
-
LDL (low-density lipop) - BAD CHOLESTEROL, formed in bloodstream from VLDL
HDL (high density lipop) - GOOD, derived from liver - HMG-CoA reductase
-
rate-limiting enzyme endogenous cholesterol synthesis
FFA,glucose -> acetyl CoA -> HMG-CoA ---reductase stuff------> mevolonate ->-> cholesterol - stimulators of HMG-CoA
-
saturated fat
elevated insulin levels
trans fatty acids
testosterone - has greatest impact on cholesterol levels
- Saturated fat
- bile acid sequestrants
- bind to bile so both are excreted so less cholesterol is reabsorbed
- niacin, nicotinic acid
- inhibit liver's production of VLDV
- drugs reduce heart attacks by __%
- 33
- vasoconstriction
- high resistance
- vasodilation
- low resistance