Physiology is the science of studying the functional activities and its mechanisms in the biological body. For example: why can the heart automatically beat? Physiology derived from two Greek words - physis = nature; logos = study.
Words, names and terms are very important in any discipline because most often they carry precise meaning in them. Knowing and understanding the relationships of the meanings of these words will help tremendously in remembering and comprehending the information in a much deeper way. This information will also stay with you long after the course is over, and you will recognize important elements in other disciplines when you connect to the deeper meanings.
The etymology (word origin) of the term Physiology comes from the 1560’s French which comes directly from Latin physiologia, meaning “The study and description of natural objects, natural philosophy". This is derived from ‘physios’ meaning "nature, natural, physical"; and ‘logia’ meaning "study". This gives us the fuller meaning of Physiology as the "Science of the normal function of living things". When studying physiology, it is imperative that we also understand the basic anatomy involved, as anatomy (structure) and physiology (function) go hand in hand.
The etymology (word origin) of the term Anatomy comes from the Late 1300’s terms in both Latin, anatomia and Greek, anatome. These words are derived from ana which means "up"; and tomos (or temnein) which means "to cut". Together this gives "a cutting up", which is clearly involved in dissection! In general, anatomy is considered the “Study or knowledge of the structure (form) and function of the human body“. Courses and textbooks for anatomy and physiology are different, but are inextricably connected to each other.
Another useful concept related to the importance of words in physiology (and anatomy) is knowing the etymology (origin of the word) of the vast array of scientific terms used in the health care field. Since many of these words are derived from Latin and Greek, it is incredibly helpful to know the origins and ‘translations’ of these terms. Becoming aware of the origins of words will greatly help students to: 1) understand what the term means; and 2) assist you in predicting what a brand new term means when you first encounter it.
Along the way in this physiology course we will encounter many of these terms that, once we know the origin and meaning of, will help us figure out newer terms with ease and familiarity. Anyone who has taken a medical terminology course will know the value of understanding the meaning of roots, prefixes, and suffixes.
There is a diagnosis of pancytopenia. (Hint: there are 3 terms here: pan, cyto and penia).
Please feel free to use any reference resource available to you, and remember there is a Glossary of Anatomy and Physiology Etymology terms provided in this text (page 649) to help find out what this diagnosis literally means.
As we look to understand the central themes of physiology, an important concept is how to ask questions about what’s occurring in the human body. In general, there are two basic approaches to physiology: 1) We can ask Functional Questions; and 2) We can ask Process Questions.
These are related to Why something occurs. For example, what is the purpose of the heart beating? These can often be answered without much detail.
Q: Why does blood flow?
A: To transport nutrients, wastes and gases around the body.
Q: Why do RBCs transport O₂?
A: To deliver O₂ to the body tissue that need it.
Q: Why do we breathe?
A: To extract the oxygen (O₂) from inhaling atmosphere air and also to release carbon dioxide (CO₂) when exhaling air back out of the body.
These are related to How something occurs. For example, how does the heart actually beat? Often these issues are answered in a detailed step-by-step manner.
Q: How does blood flow?
A: The tissue fluid pressures and the ventricles of the heart act in coordination to generate a pressure gradient down which blood flows throughout the body.
Q: How do RBCs transport O₂?
A: Inside the red blood cells (RBCs) the heme portion of the molecule hemoglobin has a high affinity for O₂ when the partial pressure of the surroundings for O₂ is high, and a low affinity for O₂ when the surrounding partial pressure for O₂ is low.
Q: How do we breathe?
A: Changes can be made in the volume of the thoracic cavity by the contraction and relaxation of the skeletal muscles of respiration. This causes inverse changes in the pressure of the thoracic cavity, causing air to move down its pressure gradient.
Notice the How part (process) requires more details and also involves a sort of ‘pathway’ approach. It is more like story telling compared to the less detailed functional aspects. The more arduous component of physiology is the detailed processes. This is the reason we need to take our time and fully understand the fundamentals before we delve into intricate details.
What most students recognize about physiology is that it is more conceptual than anatomy because there is often a process to describe in a step by step manner. There are usually two sides to the functions discussed in physiology. This is because at the center of the human body is balance, which provides the equilibrium necessary to function properly. When we explain the mechanism of how we breathe in, we must also explain how we breathe out. Often once you master one side of the story, the other side falls into place more easily.
Holistically, we will examine Human Physiology as it relates the foundational basics of how a multi-system living organism functions as a single coordinated entity. The basic functions are listed below:
What we will find is that all of the systems we will study in this course will contain many if not all of these functions embedded in them.
A body system (also called an organ system) is an integrated collection of organs in the body that work together to perform a specific vital function. The truth is that all systems are intimately connected, but it is useful to study them separately, even though they are not separate at all. With all of our body systems operating constantly, it is necessary to have a system in place to maintain stability and equilibrium across the integrated systems. This unifying element in physiology is called homeostasis.
This is the outer boundary of the cell, a thin, flexible, and selectively permeable (or semipermeable) barrier. It's primarily composed of a phospholipid bilayer, with embedded proteins, carbohydrates, and cholesterol.
The cytoplasm is everything inside the cell membrane but outside the nucleus. It consists of:
Usually the largest organelle, the nucleus is enclosed by a double membrane (the nuclear envelope) with pores. Inside, it contains:
Tiny, granular organelles made of ribosomal RNA (rRNA) and protein. They are the "protein factories" of the cell, reading the mRNA code to assemble amino acids into proteins (a process called translation). They can be free ribosomes (making proteins for use within the cell) or bound ribosomes (attached to the ER, making proteins for export or for other organelles).
An extensive network of interconnected membranes that extends throughout the cytoplasm, continuous with the nuclear envelope.
Studded with ribosomes. Its function is to synthesize proteins destined for secretion or insertion into membranes, and to fold and modify them (e.g., glycosylation).
Lacks ribosomes. Its functions include lipid and steroid hormone synthesis, detoxification of drugs (abundant in the liver), and calcium storage (crucial for muscle contraction).
A stack of flattened membranous sacs (cisternae). It acts as the "Post Office" or "Packaging and Shipping Center" of the cell.
Oval-shaped organelles enclosed by a double membrane: a smooth outer membrane and an inner membrane highly folded into cristae to increase surface area. The fluid-filled space within is the matrix.
The primary site of aerobic cellular respiration, converting fuel molecules like glucose into ATP (adenosine triphosphate), the main energy currency of the cell.
Spherical sacs containing powerful hydrolytic (digestive) enzymes. They act as the "Recycling Centers," breaking down ingested substances, worn-out organelles (autophagy), and cellular debris.
Smaller sacs containing oxidative enzymes like catalase. They act as the "Detoxification Squad," neutralizing harmful free radicals and alcohol, and also break down fatty acids.
An intricate network of protein filaments extending throughout the cytoplasm, providing shape, support, and pathways for transport. It consists of three main types:
| Organelle | Key Functions |
|---|---|
| Plasma Membrane | Selective barrier, cell recognition, communication |
| Nucleus | Genetic control, DNA replication, transcription |
| Ribosomes | Protein synthesis (translation) |
| Rough ER (RER) | Synthesis & modification of proteins for export/membranes |
| Smooth ER (SER) | Lipid synthesis, detoxification, Ca²⁺ storage |
| Golgi Apparatus | Modifies, sorts, and packages proteins and lipids |
| Mitochondria | Cellular respiration, ATP synthesis (powerhouse) |
| Lysosomes | Intracellular digestion, waste removal |
| Peroxisomes | Detoxification (free radicals), fatty acid breakdown |
| Cytoskeleton | Cell shape, support, intracellular transport, motility |
| Centrosomes | Organize mitotic spindle during cell division |
| Cilia / Flagella | Move substances across cell surface or propel the cell |
Biological membranes are dynamic, fluid structures that define the boundaries of cells (plasma membrane) and organelles. They are essential for maintaining cellular integrity, regulating transport, facilitating communication, and housing vital enzymatic reactions. The most widely accepted model describing membrane structure is the Fluid Mosaic Model.
Proposed by Singer and Nicolson in 1972, this model describes the cell membrane as a fluid lipid bilayer where proteins are embedded or attached, much like a mosaic.
The central, structural framework of the membrane is a fluid lipid bilayer, predominantly made of phospholipids and cholesterol.
Phospholipids are the most abundant lipids in the membrane. They are amphipathic, meaning they have a hydrophilic (water-loving) polar head and two hydrophobic (water-fearing) non-polar fatty acid tails. In water, they spontaneously form a bilayer where the hydrophobic tails face inward, away from the water, and the hydrophilic heads face the watery environments inside and outside the cell.
Cholesterol molecules are rigid, ring-shaped lipids inserted between the phospholipids. They act as a membrane buffer, regulating fluidity. At body temperature, cholesterol reduces fluidity, making the membrane stronger. At low temperatures, it increases fluidity by preventing phospholipids from packing too tightly and solidifying.
Proteins are the workhorses of the membrane, performing most of its specific functions.
Tightly bound proteins that span the entire membrane. They can only be removed by disrupting the bilayer. They function as channels, carriers, pumps, receptors, and enzymes.
Loosely bound to the membrane's surface (either inside or outside). They do not penetrate the core and are easily detached. They often function as enzymes or cytoskeletal anchors.
Carbohydrates are always found on the external surface of the plasma membrane. They are attached to lipids (forming glycolipids) or proteins (forming glycoproteins). This entire "sugar coat" is called the glycocalyx, which serves as a unique molecular signature for each cell type.
The composition and arrangement of lipids, proteins, and carbohydrates give the cell membrane its essential properties:
This is the most important property. The membrane precisely regulates which substances can enter or leave the cell. The hydrophobic core acts as the primary barrier. Small, nonpolar molecules (O₂, CO₂) and lipid-soluble molecules pass directly, while ions and large polar molecules (glucose) require specific transport proteins.
The membrane is not rigid; its components are in constant motion. Fluidity is influenced by temperature, cholesterol (which acts as a buffer), and the saturation of fatty acid tails. This property is essential for membrane fusion, cell division, and protein function.
The two faces (inner and outer leaflets) of the plasma membrane are structurally and functionally different. For example, carbohydrates are only on the outer surface (glycocalyx), and specific lipids and proteins are oriented in a particular direction. This is vital for directional signaling and cell recognition.
Due to hydrophobic interactions, if the membrane is punctured, it has a natural tendency to re-seal itself, preventing leakage of cytoplasmic contents. This is crucial for maintaining cell integrity.
Before looking at how things move across the membrane, it's essential to understand that there's an electrical difference, or voltage, across the cell membrane. This is called the membrane potential.
Membrane Potential is the difference in electrical charge (or potential energy) between the inside and outside of a cell. By convention, the inside of the cell is measured as being negative relative to the outside.
There are different concentrations of ions (charged particles) inside and outside the cell.
The cell membrane is not equally permeable to all ions. At rest, it is much more permeable to K⁺ than to Na⁺, allowing K⁺ to leak out down its concentration gradient, which makes the inside of the cell more negative.
This active transport pump constantly ejects 3 Na⁺ ions out of the cell for every 2 K⁺ ions it pumps in. Since it pumps out more positive charge than it brings in, this pump is electrogenic and contributes directly to the negative charge inside the cell.
In a resting (non-stimulated) neuron or muscle cell, the steady-state potential established by these factors is called the Resting Membrane Potential. It is typically around -70 mV (millivolts).
The resting membrane potential is not just a passive state; it's a form of stored energy crucial for:
Membrane transport is a fundamental physiological process that governs the movement of substances across biological membranes. It's essential for maintaining cellular homeostasis, acquiring nutrients, expelling waste products, and facilitating cell-to-cell communication. Substances cross the membrane via two general mechanisms: Passive Transport and Active Transport.
Passive transport is the movement of substances across a cell membrane without the direct expenditure of cellular metabolic energy (ATP). This movement is always down the electrochemical gradient of the substance. The energy for this movement comes from the inherent kinetic energy of the molecules and the potential energy stored in the concentration gradient.
In simple diffusion, substances move directly through the lipid bilayer without the help of membrane proteins.
The driving force is the concentration gradient. Random molecular motion (kinetic energy) results in a net movement from an area of higher concentration to an area of lower concentration until equilibrium is reached.
This process uses integral membrane proteins (channels or carriers) to facilitate the movement of specific substances down their electrochemical gradient. It is still passive as no ATP is directly consumed.
A. Channel Proteins (Pores)These proteins form a water-filled pore across the membrane, allowing incredibly rapid passage of specific ions or water. Most channels are gated, meaning they open or close in response to specific stimuli:
Examples include ion channels (Na⁺, K⁺, Cl⁻, Ca²⁺) and aquaporins, which are specialized water channels.
B. Carrier Proteins (Transporters)These proteins bind to a specific molecule, undergo a conformational (shape) change, and release the molecule on the other side. This process is much slower than channel-mediated transport.
Examples include Glucose Transporters (GLUT proteins) and amino acid transporters.
Osmosis is the net movement of water across a selectively permeable membrane, from an area of higher water concentration (lower solute concentration) to an area of lower water concentration (higher solute concentration). The driving force is the water potential gradient, determined by the difference in solute concentration.
Osmotic pressure is the "pulling" force a solution with a higher solute concentration exerts on water. Tonicity refers to the effect of a solution on cell volume:
Active transport is the process of moving substances across a cell membrane against their electrochemical gradient (i.e., from a region of lower concentration to a region of higher concentration). This "uphill" movement necessitates the direct or indirect expenditure of cellular metabolic energy, almost invariably derived from the hydrolysis of ATP.
Primary active transporters are integral membrane proteins that function as ATPases, directly binding and hydrolyzing ATP to power the movement of solutes. These transporters are often called "pumps."
Found in virtually all animal cells, this vital pump moves 3 Na⁺ ions out of the cell and 2 K⁺ ions into the cell for every ATP hydrolyzed. It is electrogenic (creates a charge imbalance) and is fundamental for maintaining Na⁺/K⁺ gradients, establishing the resting membrane potential, regulating cell volume, and driving secondary active transport.
These pumps maintain the extremely low intracellular Ca²⁺ concentration. SERCA pumps Ca²⁺ into the sarcoplasmic/endoplasmic reticulum for storage (crucial for muscle relaxation), while PMCA pumps Ca²⁺ directly out of the cell.
Located in the parietal cells of the stomach, this pump secretes H⁺ into the stomach lumen, creating the highly acidic environment (pH 1-2) necessary for digestion. It is the target of Proton Pump Inhibitor (PPI) drugs.
A huge superfamily of transporters that move a vast array of substrates. Examples include MDR1 (P-glycoprotein), which causes multidrug resistance in cancer cells by pumping out chemotherapy drugs, and the CFTR protein, a Cl⁻ channel whose mutation causes Cystic Fibrosis.
Secondary active transport does not directly hydrolyze ATP. Instead, it uses the potential energy stored in an existing electrochemical gradient (typically the Na⁺ gradient created by the Na⁺/K⁺ pump) to drive the transport of a second substance against its own gradient.
Both the driving ion (e.g., Na⁺) and the transported solute move in the same direction. Examples include the Na⁺-Glucose Symporter (SGLT) in the intestine and kidneys, which absorbs glucose against its gradient.
The driving ion and the transported solute move in opposite directions. Examples include the Na⁺-Ca²⁺ Exchanger (NCX), crucial for removing Ca²⁺ from cardiac muscle cells, and the Na⁺-H⁺ Exchanger (NHE) for regulating intracellular pH.
Vesicular transport is used for moving large molecules, macromolecules, and particulate matter into or out of the cell. It involves the formation and fusion of membrane-bound sacs called vesicles and always requires energy (ATP).
Endocytosis is the process by which cells internalize substances. The plasma membrane invaginates and pinches off to form an intracellular vesicle.
Exocytosis is the process by which cells release substances. Intracellular vesicles fuse with the plasma membrane, releasing their contents to the outside.
The precise control over what enters and exits a cell underlies virtually every physiological process.
| Process | Energy Req. | Gradient | Transporter Req. | What Moves? | Examples/Notes |
|---|---|---|---|---|---|
| Passive Processes | |||||
| Simple Diffusion | No | Down | No | Small, lipid-soluble molecules | O₂, CO₂, steroids |
| Facilitated Diffusion | No | Down | Yes (Channel/Carrier) | Ions, glucose, amino acids | Glucose transporters, ion channels |
| Osmosis | No | Down | (Aquaporins) | Water | Red blood cells in different tonic solutions |
| Active Processes | |||||
| Primary Active Tpt. | Yes (ATP) | Up | Yes (Pump) | Ions | Na⁺/K⁺ pump, Ca²⁺ pump |
| Secondary Active Tpt. | No (uses ion gradient) | Up | Yes (Co-transporter) | Ions, glucose, amino acids | Na⁺-glucose co-transporter |
| Vesicular Transport | Yes (ATP) | N/A | No | Large particles, macromolecules, fluids | Phagocytosis, exocytosis, transcytosis |
A quiz on Cell Physiology and Membrane Transport.
1. Which characteristic best distinguishes facilitated diffusion from simple diffusion?
Correct (c): Facilitated diffusion relies on a finite number of carrier proteins. Once all transporters are occupied, the transport rate cannot increase further, a phenomenon known as saturation kinetics.
Incorrect (a): It is a passive process and does not use ATP.
Incorrect (b): It moves substances down their concentration gradient.
Incorrect (d): It is highly specific due to the nature of the protein transporters.
2. A cell placed in a solution swells and eventually lyses. This solution is most likely:
Correct (c): A hypotonic solution has a lower solute concentration than the cell, causing water to rush in, leading to swelling and lysis.
Incorrect (a): An isotonic solution has the same solute concentration, causing no net water movement.
Incorrect (b): A hypertonic solution has a higher solute concentration, causing water to leave the cell and the cell to shrink.
3. Which of the following is an example of an electrogenic pump that directly contributes to the resting membrane potential?
Correct (c): The Na+/K+ ATPase pumps 3 Na+ ions out for every 2 K+ ions in, creating a net outward movement of positive charge, which directly contributes to the negative resting membrane potential.
Incorrect (a, b): While these transporters move ions, they are not the primary electrogenic force establishing the resting potential.
Incorrect (d): Aquaporins transport water, an uncharged molecule.
4. A drug inhibits dynamin. Which cellular process would be most directly impaired?
Correct (c): Dynamin is a GTPase that "pinches off" clathrin-coated vesicles from the plasma membrane during receptor-mediated endocytosis. Inhibiting it would halt this process.
Incorrect (a, b, d): Exocytosis, simple diffusion, and facilitated diffusion do not involve vesicle formation with dynamin.
5. Which transport uses energy from an ion gradient to move a second solute against its gradient?
Correct (b): Secondary active transport (co-transport) uses the potential energy stored in an ion gradient (like Na+) to power the "uphill" movement of another substance, without directly using ATP.
Incorrect (a): Primary active transport directly hydrolyzes ATP.
Incorrect (c): Passive transport moves substances down their gradient.
6. The ability of glucose to enter intestinal epithelial cells against its concentration gradient is primarily mediated by:
Correct (b): SGLT proteins use the steep Na+ gradient to actively transport glucose into the cell against its gradient.
Incorrect (a): GLUT transporters facilitate glucose transport down its concentration gradient.
Incorrect (c, d): Glucose is too large and polar for simple diffusion, and pinocytosis is non-specific bulk uptake.
7. Which statement about ion channels is TRUE?
Correct (d): Most ion channels have "gates" that open or close in response to stimuli like voltage changes or ligand binding, allowing precise control of ion flow.
Incorrect (a): They facilitate passive transport down the gradient.
Incorrect (c): They are much faster than carrier proteins.
8. The process of a cell engulfing large particles like bacteria is known as:
Correct (d): Phagocytosis is specifically "cell eating," where a cell engulfs large particles like microorganisms or cellular debris.
Incorrect (a): Pinocytosis is "cell drinking," the non-specific uptake of extracellular fluid.
Incorrect (b): Exocytosis is the process of releasing substances from the cell.
9. Which organelle's acidification is primarily driven by V-type H+ ATPases?
Correct (d): Lysosomes require an acidic environment (pH ~4.5-5.0) for their digestive enzymes to function. V-type H+ ATPases actively pump protons into the lysosome to maintain this acidity.
10. The blood-brain barrier's ability to limit drug entry is often attributed to which transporters?
Correct (c): ABC transporters, like MDR1 (P-glycoprotein), function as efflux pumps that actively transport many drugs back into the bloodstream, limiting their penetration into the brain.
11. Which process requires a specific ligand binding to a receptor on the cell surface to initiate uptake?
Correct (d): Receptor-mediated endocytosis is defined by its specificity, requiring extracellular ligands to bind to specific receptors to trigger the formation of clathrin-coated vesicles.
12. The rapid repolarization phase of a neuron's action potential is primarily due to the efflux of which ion?
Correct (b): During repolarization, voltage-gated K+ channels open, allowing K+ ions to flow out of the cell (efflux), making the inside of the membrane more negative and returning it to rest.
Incorrect (a): Influx of Na+ causes depolarization (the rising phase).
13. Which statement accurately describes the function of SNARE proteins?
Correct (c): SNARE proteins (v-SNAREs on vesicles and t-SNAREs on target membranes) form a complex that pulls the two membranes together, mediating the fusion process during exocytosis.
14. A defect in the CFTR protein, an ABC transporter, leads to Cystic Fibrosis. This protein primarily functions as a:
Correct (c): Although structurally an ABC transporter, CFTR's primary function is to act as an ATP-gated channel for chloride ions (Cl-).
15. Which of the following is NOT a direct consequence of Na+/K+ ATPase activity?
Correct (d): The Na+/K+ ATPase consumes ATP to power its pump activity; it does not synthesize ATP.
Incorrect (a, b, c): The pump's activity directly generates the resting potential, maintains the Na+ gradient, and provides the energy for secondary active transport.
16. The primary driving force for water movement across a selectively permeable membrane is the _________ gradient.
17. Channel proteins are characterized by a much _________ transport rate compared to carrier proteins.
18. The process by which cells release neurotransmitters into the synaptic cleft is a specific example of regulated _________.
19. Epithelial cells use the Na+/K+ ATPase and a secondary active transporter like a _________ to absorb nutrients.
20. If a cell is in a hypertonic solution, water will move _________ the cell, causing it to shrink.
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