Compendium Review Unit 2- The Body- Internal Maintenance
Topic One- Oxygen/ Microbes/ Immunity
Chapter 5: Cardiovascular System: Heart and Blood Vessels
5.1- Overview of the Cardiovascular System
5.2- The Types of Blood Vessels
5.3- The Heart is Double Pump
5.4- Features of the Cardiovascular System
5.5- Two Cardiovascular Pathways
5.6- Exchange at the Capillaries
5.7- Cardiovascular Disorders
5.1 Overview of the Cardiovascular System
The heart and blood vessels are the two parts that make up the cardiovascular system.
Blood circulation depends on the beating of the heart and also is what service the cells. Blood does not exchange substances with cells but with tissue fluid. Blood removes waste from tissue fluid and it brings oxygen and nutrients to tissue fluid. Blood is refreshed in the lungs, at the intestines and at the kidneys. Oxygen enters blood at the lungs while carbon dioxide leaves it. The kidneys rid the blood of wastes and nutrients enter the blood at the intestines.
The largest organ of the body which is the liver takes the amino acids from the blood returns proteins to it. The liver removes poisons from blood.
Blood pressure is done with contractions of the heart which allows blood to move through the blood vessels. Blood moves from the heart to the arteries, capillaries and veins before returning back to the heart.
The lymphatic system assists the cardiovascular system because lymphatic vessels collect excess tissue fluid and return it to the cardiovascular system. Once fluid enters the lymphatic vessels it is called lymph which is a tissue fluid.
5.2 The Types of Blood Vessels
Three types of blood vessels are arteries, capillaries and the veins all of which are important to the function of the heart.
The strong walls of the artery are able to give it support when blood enters under pressure. Blood pressure is regulated when arterioles constrict or dilate, the more vessels dilated the lower the blood pressure.
Arterioles branch into capillaries. Blood moves from arteriole to venule by an arteriovenous shunt.
Venules are small veins that drain blood from capillaries and then join to form a vein. Some veins have valves which when the valve is open it allows blood to flow toward the heart and when closed it prevents backflow. Veins that carry blood against the force of gravity are the ones that have valves. Venule and vein walls consist of three layered walls thin inner epithelium, thick smooth muscle layer and outer connective tissue.
5.3 The Heart is Double Pump
Myocardium is the largest part of the heart consists of cardiac muscle tissue. Pericardium is what surrounds the heart, it is a thick membranous sac that supports and protects the heart.
The heart has a right and left side which is separated by the septum. Heart consists of four chambers. Two are the upper, thin walled atrium- the left and right atrium and two lower chambers- thick walled ventricles- the left and right ventricle. External Heart Anatomy:
Blood travels from the right to the left side of the heart. The right ventricle sends blood through the lungs and the and the left ventricle sends blood throughout the body, this is why the heart is a double pump.
Systole is the working phase of the heart which is the contraction of the chambers. The resting phase is known as diastole which is relaxation of the chambers. The heart beats about 70 times a minute.
The heartbeat is controlled by the SA node and the AV node. The SA node can usually keep the heartbeat regular also known as the pacemaker. There is also a cardiac control center in our brains known as the medulla oblongata which is the external way of regulating the heart beat.
And ECG or electrocardiogram records electrical changes that occur in the myocardium. ECG’s help to detect abnormalities of the heart.
5.4 Features of the Cardiovascular System
Blood is sent into the aorta under pressure when the left ventricle contracts. Blood pressure is highest in the aorta and lowest in the venae cavae.
A pulse is when blood entering the arteries causes their walls to stretch and then recoil and can be felt in arteries close to the body’s surface. Pulse rate = heart rate. Blood pressure moves blood in the arteries and drops off in the capillaries where exchange takes place. Blood pressure is the pressure of blood against the blood vessel wall. Systolic pressure is when blood is ejected from the heart and is the highest arterial pressure. The lowest arterial pressure is diastolic pressure which is when the heart ventricles are relaxing. Hypotension= low blood pressure. Hypertension= high blood pressure.
Blood moves slowly through capillaries because this allows time for exchange of substances between blood in the capillaries and surrounding tissues. Blood flow in veins returns blood to the heart with the skeletal muscle pump, respiratory pump and the valves in veins, which help prevent backflow.
5.5 Two Cardiovascular Pathways
Two circuits in which blood flows are pulmonary circuit- circulates blood through lungs and the systemic circuit- serves needs of body tissues. The pulmonary circuit deals with the exchange of gases, O-2 poor and O-2 rich. The systemic circuit exchanges with tissue fluid. The heart pumps through 60,000 miles of blood vessels. Aorta is the largest artery in the systemic system and receives blood from the heart and largest veins the superior and inferior venae cavae retrun blood to the heart.
Coronary arteries serve the heart muscle. These are the first branches off the aorta. The coronary capillary beds join to form venules which converge to form cardiac veins which empty into the right atrium.
The hepatic portal vein takes blood from the capillary bed to the digestive tract to a capillary bed in the liver. Portal systems always lay between capillary beds. The hepatic vein leaves the liver and enters the inferior cava.
5.6 Exchange at the Capillaries
Blood pressure and osmotic pressure control movement of fluid through the capillary wall. Oxygen and nutrients diffuse out of the capillary while carbon dioxide and wastes diffuse into the capillary.
5.7 Cardiovascular Disorders
The leading cause of untimely death in the Western countries is CVD or cardiovascular disease. Disorders if the blood vessels consist of hypertension which can cause a stroke and possibly an aneurysm which is a bursted blood vessel.
High blood pressure can cause heart attacks, stroke and even kidney failure. When the systolic pressure is greater than 140 or the diastolic pressure is greater than 90 then hypertension is present. Plaque- soft masses of fatty materials including cholesterol beneath inner linings of arteries. If a clot stays still it is called thrombus and when moving through the blood is called embolus.
Strokes can cause some of the brain to die due to lack of oxygen and are usually brought on by a cranial artery bursting. Heart attacks occur when some of the heart muscle dies due to lack of oxygen. And an aneurysm is the ballooning of a blood vessel.
Blood clots can be dissolved with a biotechnology drug known as t-PA and clogged arteries can be treated with open heart surgery.
Heart failure is a disorder of the heart, this occurs when the heart can no longer pump normally. Heart transplants can help this disorder or a left ventricular assist device known as LVAD can help with heart failure.
Chapter 6- Cardiovascular System: Blood
6.1- Blood: An Overview
6.2- Red Blood Cells and Transport of Oxygen
6.3- White Blood Cells and Defense Against Disease
6.4- Platelets and Blood Clotting
6.5- Blood Typing and Transfusions
6.6- Homeostasis
6.1 Blood: An Overview
Blood transports, defends and regulates. The body contains 5 liters of blood which the heart pumps all of this with every beat. Blood delivers oxygen from the lungs and nutrients from the digestive tract to tissues. Blood defends by destroying pathogens and producing antibodies. Blood clots when we are injured to prevent blood loss. Blood regulates body temperature transporting heat throughout the body. It also regulates the pH.
Blood is a liquid tissue made up of cells and cell fragments called formed elements. These are suspended in plasma, a liquid. Red blood cells, white blood cells and platelets make up the formed elements. They are produced in red bone marrow.
Plasma carries different substances in the blood, about 91% of plasma is water the other 9% is different salts and organic molecules. Plasma proteins are organic molecules which the liver produces. Osmotic pressure is what keeps excessive loss of plasma from the capillaries into tissue fluid.
6.2 Red Blood Cells and Transport of Oxygen
Red blood cells transport oxygen. Hemoglobin makes red blood cells and blood the color red. Red blood cells can carry over a billion copies of oxygen. Once blood picks up carbon dioxide 7% dissolves in plasma and hemoglobin transports 25% of CO-2 and the rest is transported as bicarbonate ion in the plasma. Red blood cells live only for 120 days they are destroyed in the liver and spleen. Hemoglobin is released when red blood cells are broken down.
A method of increasing the normal supply of red blood cells is known as blood doping. Athletes use this sometimes.
Anemia is a blood disorder that occurs when there is not enough red blood cells or they don’t have enough hemoglobin. Hemolysis is when red blood cells rupture. Sickle cell disease is hereditary and red blood cells are sickle shaped that tend to rupture when passing through the narrow capillaries.
6.3 White Blood Cells and Defense Against Disease
White blood cells are bigger than red blood cells, are fewer than red blood cells and lack hemoglobin. Colony stimulating factor is the protein that regulates production of each type of white blood cell. White blood cells fight infection and therefore are important to the immune system. White blood cells live for a few days although some live for months or years. White blood cells fight infection with phagocytosis, or producing antibodies which combine with antigens and mark them for destruction.
Granular leukocytes and agranular leukocytes classify white blood cells. Neutrophils are 50-70% of white blood cells and are first to respond to a bacterial infection, they suck up unwanted substances. Pus is the result of their death when in large amounts. Eosinophils increase when a parasitic worm infection or an allergic reaction occurs. Basophils and mast cells release histamine associated with allergic reactions.
Agranular leukocytes are lymphocytes and monocytes. Lymphocytes make up 25-35% of white blood cells and are responsible for specific immunity to particular pathogens and their toxins. B cells and T cells are two types of lymphocytes. T cells destroy pathogens directly and B cells produce antibodies to protect us. Monocytes- largest of white blood cells stimulate white blood cells to defend the body.
Disorders involving white blood cells include one of the most common human viruses, Epstein-Barr virus which is a member of the herpes virus family. When the body lacks the enzyme adenosine deaminase the body is unable to fight any infections, this disease is known as severe combined immunodeficiency disease. Leukemia which is white blood is cancer due to uncontrolled cell growth.
6.4 Platelets and Blood Clotting
Platelets are made of fragments of large cells known as megakaryocytes made in the red bone marrow. 200 billion platelets are made a day and they help in blood clotting. Platelets clump at the puncture site and seal the break.
Prothrombin activator which converts the plasma protein prothrombin to thrombin which acts as an enzyme that severs 2 short amino acid chains from each fibrinogen molecule. Activated fragments go end to end forming fibrin which winds around the platelet and plug the damaged area.
Disorders related to blood clotting include thrombocytopenia which is an insufficient number of platelets and hemophilia which is inherited is deficiency in clotting. Slightest bump can cause bleeding in the joint in hemophilia.
6.5 Blood Typing and Transfusions
Blood typing is important so that the clumping of red blood cells (agglutination) does not occur. Type A blood has anti-B antibodies and person with type B blood has anti-A antibodies. Person with type O blood has both antibodies.
Blood must be compatible for blood transfusion. Antibodies in plasma must not combine with antigens on surface of red blood cells or agglutination will occur. Agglutination will not occur with type O, the universal donor. Rh blood groups- Rh- people don not have antibodies to Rh factor but make them when exposed to the Rh factor, like a fetus. If mother is Rh- and child is Rh+ then the Rh+ can cross the placenta into mom’s bloodstream. Rh+ antigens cause mom to make anti-Rh antibodies. Hemolytic disease of the newborn is the result of another Rh+ pregnancy which destroys the child’s red blood cells.
The injection of Rh immunoglobulin contains anti- Rh antibodies that will attack the child’s red blood cells in the mothers blood before her immune system will form antibodies. Timing of this injection is important, must be given within 72 hours after giving birth to an Rh+ child.
6.6 Homeostasis
For homeostasis to happen the cardiovascular system has to deliver oxygen from the lungs and nutrients from the digestive system to, and take away metabolic wastes from the tissue fluid that surrounds cells and the lymphatic system returns tissue fluid to the bloodstream.
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Chapter 7: Lymphatic System and Immunity
7.1- Microbes, Pathogens, and You
7.2- The Lymphatic System
7.3- Nonspecific Defenses
7.4- Specific Defenses
7.5- Acquired Immunity
7.6- Hypersensitivity Reactions
7.1 Microbes, Pathogens, and You
We eat foods produced by bacteria everyday. Bacteria helps to produce cheese, yogurt, bread, beer, wine & pickled foods. Pathogens are bacteria & viruses that can cause infectious diseases. Our bodies defend us against this with barriers to their entry such as our skin and mucous membranes, 1st responders like white blood cells and specific defenses that can stop infection by killing the disease causing agents.
Bacteria are single cell prokaryotes that have 3 shapes; bacillus which are rod shaped, spirillum are curved and coccus are in sphere shapes. Some are surrounded by capsules (thick, gummy consistency) which helps bacteria to stick to places and keep white blood cells from killing them. Stiff fibers or fimbriae help bacteria to adhere to places and gain access to the body. The pilus transfers DNA. Plasmid contains genes that help bacteria to be resistant to antibiotics.
Viruses are alive when they replicate inside cells. They are acellular. Viruses can cause herpes, AIDS, colds, flu and more. Viruses consist of 2 parts, an outer capsid that has protein units and an inner core of nucleic acid. Viruses carry genetic info to reproduce itself. Some different viruses are the Ebola virus that can cause tissue damage, internal bleeding, organ failure and death. The Lassa virus causes hemorrhagic fever. The West Nile virus is moving across the country. Viral diseases are caused by insect to person.
Prions are proteinaceous infectious particles that cause Creutzfeldt-Jakob disease and mad cow disease. Caused by ingestion of brain & nerve tissues from infected animals. When certain proteins change their shape is when disease can occur, with the wrong shape they cannot function.
7.2- The Lymphatic System
Lymphatic vessels and lymphatic organs make up the lymphatic system. There are 4 main functions that help with homeostasis 1- excess tissue fluid is absorbed and returned to the bloodstream by the lymphatic capillaries, 2- lacteals which are lymphatic capillaries absorb fat in the form of lipoproteins and get them to the bloodstream, 3- production, maintenance, and distribution of lymphocytes and 4- helps defend against pathogens.
Lymph is the fluid inside the lymphatic vessels. Lymph is taken to the cardiovascular veins by a one-way system capillaries, vessels and then ducts. Red bone marrow and the thymus gland are the primary lymphatic organs. Red bone marrow is what produces all types of blood cells. In adults its production is limited to certain bones (sternum, ribs, pelvic girdle..) and in children its produced in all bones. The thymus gland makes thymic hormones and helps immature T lymphocytes to migrate and mature. The thymus is critical to immunity. The secondary lymphatic organs are lymph nodes and spleen, they stand guard over the lymph and blood and purify. The spleen filters blood, without a spleen a person is more susceptible to infections. Lymph nodes filter lymph, macrophages filter lymph as it moves through the sinuses and engulf pathogens and debris. Lymphocytes fight infection and attack cancer cells.
7.3- Nonspecific Defenses
The ability to fight diseases and cancer is called immunity. Two lines of defense are the entry barriers and phagocytic white blood cells, neutrophils, and macrophages. A special reaction that the body has when first invaded is known as inflammatory response.
Entry barriers are skin and mucous membranes such as obviously all of our skin and the mucous membranes that line our digestive, respiratory, reproduction and urinary tracts. Barriers that kill or weaken bacteria on the skin are called chemical barriers- oil gland secretions. Lysozyme is an antibacterial enzyme found in saliva, tears and sweat. Acid pH of the stomach presents growth or kills many types of bacteria, same with the acidity of the vagina which stops pathogens. Resident bacteria or normal flora keeps potential pathogens from taking up residence.
Cytokines are reinforcements for neutrophils attracting white blood cells like monocytes which are longer lived cells that become macrophages. These are stronger than neutrophils.
Protective proteins include the complement system which helps with certain immune responses.
7.4- Specific Defenses
Specific defenses take action when nonspecific ones have failed at beating an infection. Antigens are foreign to the body and the immune system can see this. B or T cells have plasma membrane receptor proteins. B cells characteristics include production and maturation in bone marrow, recognizing antigens and undergoing clonal selection. Clonal expansion makes antibody secreting plasma cells. T cells characteristics include being produced in bone marrow and maturing in the thymus. Cytotoxic T cells destroy nonself antigen bearing cells and secrete cytokines that control the immune response.
Structure of an antibody is shown below:
Antibodies consist of five different classes- IgG- major in blood, less in lymph and tissue fluid. They bind to pathogens and toxins. IgM- pentamers- are first antibodies produced by a newborn’s body, first to appear in blood after an infection begins and first to disappear before its over. IgA- are monomers or dimers with two Y shaped structures. These are the main antibodies on body secretions. IgD- antigen receptors on immature B cells. IgE- prevent parasitic worm infections.
7.5- Acquired Immunity
Immunity happens naturally through infection or artificially with medical intervention. Two types include active where a person can produce antibodies and passive where a person gets an injection of prepared antibodies. Immunizations help active immunity with vaccines. Presence of memory B cells and memory T cells are what active immunity relies on. Passive immunity is not long term. Gamma globulin injections are given to people who are unexpectedly exposed to an infectious disease.
Antibodies secreted from the same B cells to fight a specific antigen are called monoclonal antibodies. All are made by plasma cells derived from the same B cell and all are the same.
Cytokines are being tested for therapy for cancer and AIDS. Interleukins made by white blood cells have been used to help enhance T cells to fight cancer.
7.6- Hypersensitivity Reactions
Hypersensitivity reactions occur when the immune system responds in a way that harms the body. Allergies are a hypersensitivity reaction, allergens usually include tissue damage. Anaphylactic shock occurs when the allergen enters the blood stream. Tissue rejection is when cytotoxic T cells respond by attacking cells of transplanted tissue. The use of animal organs instead of human organs is known as xenotransplantation.
Disorders of the immune system include MS and rheumatoid arthritis and others. Autoimmune disease occurs when cytotoxic T cells or antibodies attack the body’s own cells by mistake.
AIDS Supplement:
S.1- Origin and Prevalence of HIV
S.2- Phases of an HIV Infection
S.3- HIV Structure and Life Cycle
S.1- Origin and Prevalence of HIV
AIDS- acquired immunodeficiency syndrome caused by a virus. Human immunodeficiency virus- HIV. Two types of HIV are HIV-1 and HIV-2, 1 is more widespread. Helper T cells and macrophages are infected and destroyed by HIV. HIV started in Africa around 1959 and has spread around the world since. An estimated 38.6 million people in the world have HIV.
S.2- Phases of an HIV Infection
HIV-1C occurs more in Africa, HIV-1B is more common in the U.S. In an acute phase a person is asymptomatic and highly infectious. First few weeks a person becomes infected they can have flu like symptoms that can last two weeks, then can have no symptoms for years. It takes twenty-five days for HIV antibodies to be detected in body fluids. Chronic phase although not yet considered AIDS comes with a lot of symptoms and the number of HIV particles are on the rise. The final phase is AIDS, a person won’t die from the HIV infection but from some other opportunistic disease such as Kaposi’s sarcoma, toxoplasmic encephalitis and pneumonia.
S.3- HIV Structure and Life Cycle
The matrix which helps protect the HIV virus consists of three important enzymes; reverse transcriptase, integrase and protease. The reproductive cycle of HIV is attachment, fusion, entry, reverse transcription, integration, biosynthesis and cleavage, assembly and budding…shown below:
Blood, semen, vaginal fluids and breast-milk all can transmit HIV. Abstinence is the best way to prevent this. Hugging, toilet seats, door knobs, pets, and casual kissing are ways that will not spread this.
Therapy is now available to prevent early death, although there is no cure for AIDS.