2,3-bisphosphoglycerate
Chapter 5A red-cell metabolite that binds haemoglobin and lowers its oxygen affinity. It changes over days in hypoxia, not during one pass of a red cell through a capillary.
ABO
Chapter 6The red-cell carbohydrate antigens A and B. Plasma already contains antibody against whichever of those antigens the person's own cells lack.
Acclimation
Chapter 1The laboratory form of acclimatisation, a reversible change in one animal produced by a single imposed variable.
Acclimatisation
Chapter 1A reversible adjustment acquired by one individual over days or months, such as the ventilatory and red-cell changes at altitude. It is not a heritable evolutionary adaptation.
Adaptation
Chapter 1A heritable trait of a population, shaped across generations. In these notes the word is not used for a change one animal acquires in its own lifetime.
ADH
Chapter 3Antidiuretic hormone, made in the hypothalamus and released from the posterior pituitary. It inserts aquaporin-2 into the apical membrane of the collecting duct so that water can be reabsorbed.
Adrenaline
Chapter 3The main catecholamine secreted into the blood by adrenal chromaffin cells, so that a sympathetic preganglionic signal becomes a circulating hormone.
Agglutination
Chapter 6Clumping of red cells when antibody meets the matching surface antigen.
Albumin
Chapter 6The principal plasma protein, which provides most of the colloid osmotic pressure and binds many poorly soluble molecules.
Aldosterone
Chapter 8The mineralocorticoid of the zona glomerulosa that increases principal-cell sodium reabsorption and potassium secretion by adding ENaC, sodium–potassium pumps, and apical potassium channels.
Alveolar gas equation
Chapter 5The relation that places alveolar PO2 from moist inspired PO2, alveolar PCO2, and the respiratory exchange ratio, so alveolar oxygen lies well below the inspired partial pressure.
Alveolar ventilation
Chapter 5The fresh-air volume that reaches exchanging lung each minute, equal to tidal volume minus dead space, multiplied by breathing frequency.
Ammonium
Chapter 8Urinary NH4+ generated from renal glutamine, which represents a net gain of bicarbonate only if the ammonium itself is excreted rather than reused in urea synthesis.
Angiotensin II
Chapter 8The peptide formed from angiotensin I that constricts resistance vessels, supports glomerular filtration, promotes proximal sodium reabsorption, and stimulates aldosterone, thirst, and ADH.
Anion gap
Chapter 8Plasma sodium minus the sum of chloride and bicarbonate. The gap widens when bicarbonate has been consumed and replaced by an unmeasured anion.
ANP
Chapter 8Atrial natriuretic peptide, released when the atrial wall is stretched. Through a guanylate-cyclase receptor it raises sodium excretion and opposes renin, aldosterone, and ENaC.
Anterior pituitary
Chapter 3The glandular lobe derived from oral ectoderm, whose hormones are controlled by hypothalamic peptides delivered in portal blood.
Antithrombin
Chapter 6A plasma inhibitor of thrombin and factor Xa, accelerated by heparan sulphate on intact endothelium so that clot formation is discouraged on healthy wall.
Aquaporin-2
Chapter 8The collecting-duct water channel stored in vesicles and inserted into the apical membrane when ADH acts on the V2 receptor.
Atrioventricular delay
Chapter 4Slow passage of the impulse through the atrioventricular node, which lets the atria finish adding to ventricular filling before the ventricle contracts.
Autoregulation
Chapter 4Local control that keeps blood flow, or glomerular filtration, nearly steady across a range of pressures, by myogenic contraction and by metabolites or tubuloglomerular feedback.
Baroreceptor
Chapter 4A stretch receptor in the carotid sinus or aortic arch that reports arterial pressure and corrects it within about a second. If pressure stays high, firing resets, so the reflex does not set the level over days.
Bile salt
Chapter 7A cholesterol-derived detergent that forms micelles with fat-digestion products and is reabsorbed in the terminal ileum for return to the liver.
Bohr effect
Chapter 5The decrease in haemoglobin's oxygen affinity caused by raised CO2, H+, temperature, or red-cell 2,3-bisphosphoglycerate, which favours unloading in working muscle. It is not the effect of oxygenation on carbon dioxide carriage.
Calcitonin
Chapter 9The hormone of thyroid C cells that inhibits osteoclasts when ionised calcium is high. In adult humans its day-to-day role is small beside PTH and vitamin D.
Calcitriol
Chapter 9The active vitamin D hormone made by the kidney, which increases intestinal absorption of both calcium and phosphate.
Calmodulin
Chapter 2The calcium-binding protein of smooth muscle. The calcium–calmodulin complex activates myosin light-chain kinase, and smooth muscle has no troponin switch.
Carbonic anhydrase
Chapter 5The red-cell enzyme that hydrates carbon dioxide fast enough for bicarbonate to be formed during a single capillary transit.
Cardiac output
Chapter 4The volume of blood ejected by one ventricle in a minute, the product of heart rate and stroke volume. Over time the right and left outputs must match.
Carotid body
Chapter 5The main peripheral chemoreceptor in humans. It senses dissolved arterial PO2, together with PCO2 and pH, and is not driven by a low oxygen content when PO2 itself is normal.
Central chemoreceptor
Chapter 5A medullary sensor of brain extracellular pH. Carbon dioxide crosses into that fluid and acidifies it; H+ itself does not cross promptly, so metabolic acidosis is not an immediate stimulus here.
Central command
Chapter 10Feed-forward drive from higher centres that raises heart rate and ventilation at the start of exercise, before metabolites from the muscle have reached the blood.
Chloride shift
Chapter 5Exchange, on band 3, of bicarbonate leaving the red cell for chloride entering, so that plasma carries most of the bicarbonate formed from CO2.
Cholecystokinin
Chapter 7The duodenal hormone released by fat and protein-digestion products. It contracts the gallbladder and, in humans, promotes pancreatic enzyme secretion largely through a vagal reflex.
Chromaffin cell
Chapter 3An adrenal-medullary cell, equivalent to a postganglionic sympathetic neuron, that secretes catecholamine into the blood when preganglionic acetylcholine arrives.
Chylomicron
Chapter 7The triglyceride-rich particle, carrying apolipoprotein B-48, that enterocytes release into lymph, so most absorbed fat bypasses the liver on its first circuit.
Clearance
Chapter 8The plasma volume completely freed of a substance per unit time, UV/P, where U and P are the urine and plasma concentrations and V is the urine flow.
Contractility
Chapter 4The force of cardiac contraction at a given end-diastolic length. Sympathetic stimulation raises this force without requiring a change in filling, which is the distinction from Frank–Starling.
Corpus luteum
Chapter 10The endocrine remnant of the ovulated follicle, secreting progesterone and oestradiol under LH, which regresses after about two weeks unless pregnancy maintains it.
Cortisol
Chapter 9The glucocorticoid of the zona fasciculata, secreted under ACTH. It supports hepatic glucose production and is required if catecholamines are to maintain vascular tone under stress.
Countercurrent
Chapter 5Antiparallel flow of the two exchanging streams, as in a fish gill, which keeps an oxygen gradient along the whole surface. It is the wrong description of the bird lung.
Countercurrent multiplier
Chapter 8The loop-of-Henle mechanism in which the water-impermeable thick ascending limb deposits salt, and the hairpin multiplies that single effect into a steep medullary osmotic gradient.
Cross-current
Chapter 5The bird arrangement in which successive capillaries meet through-flow parabronchial air at different points along the tube, rather than running antiparallel to the whole stream as gill blood does.
Dalton's law
Chapter 5The partial pressure of a gas equals its mole fraction times the total pressure, so a lower barometric pressure lowers inspired PO2 even though the oxygen fraction is unchanged.
Dead space
Chapter 5Ventilated volume that does not exchange gas, chiefly the conducting airways, which is subtracted from tidal volume before alveolar ventilation is obtained.
Deiodinase
Chapter 9An enzyme that converts T4 to active T3 or, in the case of the type 3 enzyme, to inactive reverse T3.
Effector
Chapter 1The muscle, gland, or organ that changes a regulated variable after the sensor's report has been compared with the defended value.
ENaC
Chapter 8The epithelial sodium channel of the principal-cell apical membrane, increased by aldosterone and inhibited by ANP.
Enteric nervous system
Chapter 7The myenteric and submucosal plexuses, which can still produce a coordinated gut reflex after connections to the central nervous system are cut.
Enteropeptidase
Chapter 7The duodenal brush-border enzyme that cuts trypsinogen to trypsin, after which trypsin activates the other pancreatic proteases in the lumen.
Erythropoietin
Chapter 6The hormone released by renal interstitial fibroblasts when local oxygen delivery falls, which increases red-cell production.
Feed-forward
Chapter 1Control that responds to a predicted disturbance, before the regulated variable has actually changed. The prediction can be wrong, so feedback is still required.
Ferguson reflex
Chapter 10Positive feedback in labour: cervical stretch releases oxytocin, contraction increases the stretch, and delivery of the fetus removes the stimulus so the loop stops.
Fetoplacental unit
Chapter 10Production of oestrogen that requires an androgen precursor from the fetal adrenal and aromatase in the placenta, so the output depends on fetus and placenta together.
FGF23
Chapter 9The osteocyte hormone that increases phosphate excretion and suppresses the renal step that makes calcitriol.
Fibrin
Chapter 6The polymer formed from fibrinogen and cross-linked by factor XIIIa, which stabilises the platelet plug.
Fick principle
Chapter 10Conservation applied to oxygen: cardiac output equals whole-body oxygen uptake divided by the arteriovenous difference in oxygen content.
Fight or flight
Chapter 9The pattern of sympathetic nerves and adrenal adrenaline, established within seconds, that speeds and strengthens the heart, redirects blood flow, and mobilises fuel. Cortisol supports fuel supply and vascular responsiveness later; it is not that fast limb.
Force–velocity
Chapter 2The fall in shortening speed as load rises, from a maximum at no load to zero when the force is isometric, so that power is greatest at an intermediate load.
Frank–Starling
Chapter 4The rise in stroke volume, within limits, as diastolic filling increases cardiac fibre length, which lets each ventricle pump the blood it receives.
Functional sympatholysis
Chapter 10Local metabolites in working muscle overriding sympathetic vasoconstriction, so flow to that muscle can increase while other beds constrict.
Gain
Chapter 1The size of the correction a feedback loop produces for a given error.
Gastrin
Chapter 7The antral hormone that stimulates acid secretion, chiefly by causing enterochromaffin-like cells to release histamine onto the parietal cell.
GFR
Chapter 8Glomerular filtration rate, the volume of plasma filtered at the glomeruli per unit time, equal to the clearance of inulin.
GIP
Chapter 9Glucose-dependent insulinotropic polypeptide, the incretin from upper-intestinal K cells. It amplifies insulin secretion when glucose is already high and does little when glucose is low.
GLP-1
Chapter 9Glucagon-like peptide-1, the incretin from distal L cells. It amplifies insulin secretion only when glucose is elevated, suppresses glucagon, and slows gastric emptying.
GnRH pulse
Chapter 10An episodic burst of gonadotrophin-releasing hormone, about once an hour in an adult man. Continuous exposure desensitises the gonadotroph, and LH and FSH then fall.
H+/K+ ATPase
Chapter 7The apical pump of the gastric parietal cell, which secretes H+ into the lumen in exchange for K+.
Haematocrit
Chapter 6The fraction of blood volume that is occupied by red cells.
Haemolytic disease of the newborn
Chapter 6Haemolysis of fetal red cells by maternal IgG, classically anti-D made after an earlier Rh-positive pregnancy. The sensitising pregnancy is usually spared, because that antibody response comes too late to destroy the fetal cells of that pregnancy.
Haldane effect
Chapter 5The effect of oxygenation on carbon dioxide carriage: deoxyhaemoglobin binds H+ and forms carbamino compounds more readily than oxyhaemoglobin. It is not the Bohr effect.
hCG
Chapter 10Human chorionic gonadotrophin, secreted by the syncytiotrophoblast, which binds the LH receptor and keeps the corpus luteum secreting until the placenta can maintain the pregnancy steroids itself.
Henry's law
Chapter 5The amount of a gas in solution equals its solubility times its partial pressure. Dissolved oxygen is therefore only a small part of arterial oxygen content.
Hepatic portal vein
Chapter 7The vein that delivers blood from the gut, pancreas, and spleen into a second capillary bed in the liver, so the liver sees absorbed sugars and amino acids before the rest of the body.
Histamine
Chapter 7In this course, the paracrine amplifier of gastric acid, released from enterochromaffin-like cells onto H2 receptors of the parietal cell.
Homeostasis
Chapter 1Cannon's name for the active defence of the internal environment by coordinated, often opposing, effectors, aimed at a range in which cells can work rather than at one unmoving number.
IGF-1
Chapter 9Insulin-like growth factor 1, made in the liver and locally in cartilage, through which growth hormone drives lengthening at the epiphyseal plate before that plate closes.
Incretin
Chapter 9A gut hormone that makes an oral glucose load release more insulin than the same amount of glucose given into a vein.
Integrator
Chapter 1The part of a control loop that compares the sensor's report with the value currently being defended.
Intercalated disc
Chapter 2The junction between cardiac muscle cells that couples them mechanically and, through gap junctions, electrically, so the myocardium contracts as a sheet.
Inulin
Chapter 8A substance that is freely filtered and neither reabsorbed nor secreted, so its plasma clearance equals GFR.
Latch
Chapter 2A smooth-muscle state in which dephosphorylated cross-bridges remain attached and hold force with very little ATP use.
Length–tension
Chapter 2The dependence of active force on sarcomere length through the overlap of thick and thin filaments. Skeletal muscle in the body sits near the plateau, whereas ordinary cardiac filling sits on the ascending limb, which is why extra filling raises stroke volume.
Leydig cell
Chapter 10The testicular cell that secretes testosterone under the control of LH.
LH surge
Chapter 10The ovulatory burst of LH released when oestradiol has been high for long enough, and progesterone is still low, to flip feedback from negative to positive. Ovulation removes that oestradiol signal, and rising progesterone restores inhibition.
Macula densa
Chapter 8Cells of the distal nephron that sense NaCl delivery. High delivery constricts the afferent arteriole; low delivery promotes renin release.
Mean arterial pressure
Chapter 4The time-averaged arterial pressure that drives flow through the systemic resistance. At rest it lies closer to diastolic pressure than to the arithmetic midpoint, because diastole lasts longer.
Micelle
Chapter 7A bile-salt aggregate that carries fatty acids and monoacylglycerols across the aqueous lumen to the brush border.
Milieu intérieur
Chapter 1Bernard's internal environment: the extracellular fluid in which the cells of a multicellular animal live, rather than the outside world.
Motor unit
Chapter 2One motor neuron and all of the skeletal-muscle fibres it innervates.
Multi-unit
Chapter 2Smooth muscle with little electrical coupling, each fibre more independently innervated and with little spontaneous activity, as in the iris and the large airways.
Muscarinic
Chapter 3G-protein-coupled acetylcholine receptors on organs supplied by parasympathetic postganglionic fibres, distinct from nicotinic receptors at ganglia.
Myosin light-chain kinase
Chapter 2The enzyme, switched on by calcium–calmodulin, that phosphorylates smooth-muscle myosin so cross-bridges can cycle.
Negative feedback
Chapter 1A control arrangement in which a rise in the measured variable produces a response that brings it back down.
Nicotinic
Chapter 3Ligand-gated acetylcholine receptors that excite autonomic ganglion cells, chromaffin cells, and the skeletal muscle endplate.
Noradrenaline
Chapter 3The transmitter released by most sympathetic postganglionic fibres onto adrenergic receptors. Sweat glands are the exception: their sympathetic supply is cholinergic.
Oxytocin
Chapter s 3 and 10A hypothalamic nonapeptide released from the posterior pituitary. It strengthens uterine contraction in labour and ejects milk, but it does not synthesise the milk.
P wave
Chapter 4The electrocardiographic deflection produced by atrial depolarisation.
PAH
Chapter 8Para-aminohippurate, which is filtered and almost completely secreted, so its clearance approximates renal plasma flow.
Parabronchus
Chapter 5A flow-through tube of the bird lung, ventilated in one direction by air-sac bellows during both inspiration and expiration. Exchange occurs in this tube, not in alveoli, which the bird lung does not use.
PepT1
Chapter 7The intestinal brush-border transporter that takes dipeptides and tripeptides into the enterocyte together with H+.
Peristalsis
Chapter 7A propulsive motor pattern, organised by the enteric plexuses, in which the gut contracts behind a bolus and relaxes in front of it.
Permissive effect
Chapter 9An action that allows another hormone to work, as when cortisol must be present for catecholamines to maintain vascular tone in stress.
Phosphocreatine
Chapter 2The high-energy store that creatine kinase uses to refill ATP during the first seconds of hard muscular work.
Plasmin
Chapter 6The protease, generated most effectively on fibrin itself, that cuts fibrin into soluble pieces and so removes clot locally.
Poiseuille
Chapter 4The relation in which resistance of a rigid tube rises with viscosity and length and falls with the fourth power of radius. Blood and vessels depart from those assumptions, so the relation is used here as a qualitative guide.
Portal system
Chapter 3Two capillary beds joined in series. The hypothalamic–pituitary version delivers releasing hormones to the anterior lobe before they are diluted in the general circulation.
Positive feedback
Chapter 1A loop that amplifies a change. It is used for a transition that must run to completion, such as labour or the upstroke of an action potential, and each such loop contains its own stop.
Posterior pituitary
Chapter 3Neural tissue of the pituitary that releases ADH and oxytocin made in hypothalamic cell bodies. Those hormones are not synthesised in the posterior lobe, and they have no releasing hormone.
Postganglionic
Chapter 3The second neuron of an autonomic path, with its cell body in a ganglion and its axon ending at the organ.
Preganglionic
Chapter 3The first neuron of an autonomic path, with its cell body in the brainstem or spinal cord and its synapse in a ganglion.
Prolactin
Chapter 10The anterior-pituitary hormone, held in check by dopamine, that maintains milk synthesis when suckling removes that inhibition. Ejection of the milk is oxytocin's job.
Protein C
Chapter 6A protease activated when thrombin is bound to thrombomodulin. With protein S it destroys factors Va and VIIIa and so limits further thrombin generation.
PTH
Chapter 9Parathyroid hormone, released when ionised calcium falls. It increases bone resorption and renal calcium reabsorption, decreases phosphate reabsorption, and stimulates formation of calcitriol.
QRS
Chapter 4The electrocardiographic complex of ventricular depolarisation, kept short because the Purkinje system activates a large muscle mass together.
Regulated range
Chapter 1The band within which opposing effectors hold a variable, rather than a single value that is never allowed to move.
Releasing hormone
Chapter 3A hypothalamic peptide carried in portal blood to control secretion of an anterior-pituitary hormone.
Renin
Chapter 8The enzyme released from the kidney when perfusion pressure or macula-densa NaCl falls, or when renal sympathetic activity rises. It cleaves angiotensinogen to angiotensin I and thereby starts the cascade that retains sodium.
Rh D
Chapter 6The D antigen of the Rh blood-group system. Anti-D is not present until a D-negative person is exposed, and the antibody that can then cross the placenta is IgG.
Secretin
Chapter 7The duodenal hormone released when the lumen is acid, which drives a bicarbonate-rich secretion from the pancreatic ducts.
Segmentation
Chapter 7The fed pattern of alternating ring contractions in the small intestine, which mixes chyme and moves it little net distance.
Sensor
Chapter 1The cell or receptor that reports a regulated variable, either as nerve impulses or as a hormone secretion.
Sertoli cell
Chapter 10The supporting cell of the seminiferous tubule, stimulated by FSH, which nurtures developing germ cells and secretes androgen-binding protein and inhibin.
Set point
Chapter 1A name for the value a control system is currently defending. It can move, as in fever or after baroreceptors reset, and it is not a fixed number inscribed in one neuron.
SGLT
Chapter 8The sodium-coupled glucose transporters of the proximal tubule. SGLT2 reabsorbs most of the filtered glucose and SGLT1 recovers what remains.
SGLT1
Chapter 7The sodium-coupled transporter of the intestinal brush border that takes up glucose and galactose from the lumen.
Single-unit
Chapter 2Smooth muscle joined by gap junctions so that activity spreads through the sheet, which can contract on spontaneous slow waves, as in the gut.
Sinoatrial node
Chapter 4The primary cardiac pacemaker, whose cells reach threshold by a slow spontaneous depolarisation and normally set the heart rate.
Size principle
Chapter 2The recruitment order in which smaller motor neurons, innervating slow oxidative fibres, fire before larger neurons that supply fast, more fatigable fibres.
Starling forces
Chapter 4The balance of hydrostatic and oncotic pressures that decides whether fluid filters from a capillary into the interstitium. This is not the Frank–Starling relation of stroke volume to cardiac filling.
Stroke volume
Chapter 4The volume of blood ejected by a ventricle in one beat, the difference between its end-diastolic and end-systolic volumes.
T wave
Chapter 4The electrocardiographic sign of ventricular repolarisation. It is upright because repolarisation finishes in the opposite order from depolarisation.
Tetanus
Chapter 2A sustained contraction produced when a second stimulus arrives before the twitch has relaxed, fused when the ripple disappears. Cardiac muscle cannot tetanise, because its refractory period outlasts the mechanical twitch and the ventricle must fill between beats.
Thick ascending limb
Chapter 8The medullary segment that reabsorbs NaCl through the apical NKCC2 transporter and is impermeable to water, which both dilutes the lumen and powers the countercurrent multiplier.
Thrombin
Chapter 6The protease that converts fibrinogen to fibrin and, on the platelet surface, accelerates coagulation by activating upstream factors.
Thrombomodulin
Chapter 6An endothelial protein that binds thrombin and redirects it to activate protein C, so thrombin on intact endothelium helps to stop the clot spreading.
Thromboxane A2
Chapter 6An eicosanoid released by activated platelets that recruits further platelets into the haemostatic plug.
Thyroglobulin
Chapter 9The large protein secreted into the thyroid follicle, on whose tyrosine residues iodine is attached and T4 and T3 are stored.
Tissue factor
Chapter 6The protein on cells not normally in contact with blood that, with factor VIIa, starts the coagulation cascade at a wound.
Titratable acid
Chapter 8Filtered buffer, chiefly phosphate, that carries secreted H+ out in the urine and thereby adds new bicarbonate to the blood.
Troponin
Chapter 2The thin-filament complex of skeletal and cardiac muscle. Calcium binding to troponin C moves tropomyosin and allows cross-bridges to form.
Twitch
Chapter 2The force transient that follows a single action potential, outlasting the electrical event because cross-bridge cycling and calcium removal are slower.
Two-cell model
Chapter 10Oestradiol synthesis in which theca cells make androgens under LH and granulosa cells aromatise those androgens under FSH.
Type I, IIa, IIx
Chapter 2The human skeletal fibre classes: slow oxidative, fast oxidative-glycolytic, and fast glycolytic, brought in from fatigue-resistant towards fatigable as force rises.
Vasa recta
Chapter 8Hairpin capillaries of the renal medulla that act as passive exchangers. They return solute to the interstitium and preserve the gradient only while their flow stays slow; they do not create the gradient.
von Willebrand factor
Chapter 6The plasma protein that tethers platelets, through glycoprotein Ib, to exposed collagen, especially where shear is high.
Windkessel
Chapter 4The elastic-artery reservoir that stores part of the stroke volume in systole and recoils during diastole, so flow continues while the aortic valve is shut.
Zymogen
Chapter 7An inactive protease precursor. Pancreatic proteases are secreted in this form so that the activating cut occurs in the intestinal lumen rather than inside the gland.