Image shows a diagram of the heart with all chambers and major vessels labelled. Arrows indicate blood flow. Deoxygenated blood is brought the the right atrium by the superior and inferior vena cava. The right atrium moves blood into the right ventricle, which then sends blood to the lungs via the pulmonary arteries. Oxygenated blood returns to the heart from the lungs via the pulmonary veins and enters the left atrium. From there, blood is pumped into the left ventricle and then into the aorta for distribution to the body.

Image shows a female clinician dressed in scrubs listening to the heartbeat of a patient.

Created by CK-12 Foundation/Adapted by Christine Miller

The many chimneys on these houses are one way that the inhabitants of the home get rid of the wastes they produce. The chimneys expel waste gases that are created when they burn fuel in their furnace or fireplace. Think about the other wastes that people create in their homes and how we dispose of them. Solid trash and recyclables may go to the curb in a trash can, or in a recycling bin for pick up and transport to a landfill or recycling centre. Wastewater from sinks, showers, toilets, and the washing machine goes into a main sewer pipe and out of the house to join the community’s sanitary sewer system.

Like a busy home, your body also produces a lot of wastes that must be eliminated. Like a home, the way your body gets rid of wastes depends on the nature of the waste products. Some human body wastes are gases, some are solids, and some are in a liquid state. Getting rid of body wastes is called excretion, and there are a number of different organs of excretion in the human body.

Excretion is the process of removing wastes and excess water from the body. It is an essential process in all living things, and it is one of the major ways the human body maintains homeostasis. It also helps prevent damage to the body. Wastes include by-products of metabolism — some of which are toxic — and other non-useful materials, such as used up and broken down components. Some of the specific waste products that must be excreted from the body include carbon dioxide from cellular respiration, ammonia and urea from protein catabolism, and uric acid from nucleic acid catabolism.

Organs of excretion include the skin, liver, large intestine, lungs, and kidneys (see Figure 16.2.2). Together, these organs make up the excretory system. They all excrete wastes, but they don’t work together in the same way that organs do in most other body systems. Each of the excretory organs “does its own thing” more-or-less independently of the others, but all are necessary to successfully excrete the full range of wastes from the human body.

Skin

The skin is part of the integumentary system, but it also plays a role in excretion through the production of sweat by sweat glands in the dermis. Although the main role of sweat production is to cool the body and maintain temperature homeostasis, sweating also eliminates excess water and salts, as well as a small amount of urea. When sweating is copious, as in Figure 16.2.3, ingestion of salts and water may be helpful to maintain homeostasis in the body.

Liver

The liver (shown in Figure 16.2.4) has numerous major functions, including secreting bile for digestion of lipids, synthesizing many proteins and other compounds, storing glycogen and other substances, and secreting endocrine hormones. In addition to all of these functions, the liver is a very important organ of excretion. The liver breaks down many substances in the blood, including toxins. For example, the liver transforms ammonia — a poisonous by-product of protein catabolism — into urea, which is filtered from the blood by the kidneys and excreted in urine. The liver also excretes in its bile the protein bilirubin, a byproduct of hemoglobin catabolism that forms when red blood cells die. Bile travels to the small intestine and is then excreted in feces by the large intestine.

Large Intestine

The large intestine is an important part of the digestive system and the final organ in the gastrointestinal tract. As an organ of excretion, its main function is to eliminate solid wastes that remain after the digestion of food and the extraction of water from indigestible matter in food waste. The large intestine also collects wastes from throughout the body. Bile secreted into the gastrointestinal tract, for example, contains the waste product bilirubin from the liver. Bilirubin is a brown pigment that gives human feces its characteristic brown colour.

Lungs

The lungs are part of the respiratory system (shown in Figure 16.2.5), but they are also important organs of excretion. They are responsible for the excretion of gaseous wastes from the body. The main waste gas excreted by the lungs is carbon dioxide, which is a waste product of cellular respiration in cells throughout the body. Carbon dioxide is diffused from the blood into the air in the tiny air sacs called alveoli in the lungs (shown in the inset diagram). By expelling carbon dioxide from the blood, the lungs help maintain acid-base homeostasis. In fact, it is the pH of blood that controls the rate of breathing. Water vapor is also picked up from the lungs and other organs of the respiratory tract as the exhaled air passes over their moist linings, and the water vapor is excreted along with the carbon dioxide. Trace levels of some other waste gases are exhaled, as well.

Kidneys

The paired kidneys are often considered the main organs of excretion. The primary function of the kidneys is the elimination of excess water and wastes from the bloodstream by the production of the liquid waste known as urine. The main structural and functional units of the kidneys are tiny structures called nephrons. Nephrons filter materials out of the blood, return to the blood what is needed, and excrete the rest as urine. As shown in Figure 16.2.6, the kidneys are organs of the urinary system, which also includes the ureters, bladder, and urethra — organs that transport, store, and eliminate urine, respectively.

By producing and excreting urine, the kidneys play vital roles in body-wide homeostasis. They maintain the correct volume of extracellular fluid, which is all the fluid in the body outside of cells, including the blood and lymph. The kidneys also maintain the correct balance of salts and pH in extracellular fluid. In addition, the kidneys function as endocrine glands, secreting hormones into the blood that control other body processes. You can read much more about the kidneys in section 16.4 Kidneys.

Figure 16.2.3

As per caption.

Created by CK-12 Foundation/Adapted by Christine Miller

Did you ever hear of a person looking at something or someone with a “jaundiced eye”? It means to take a negative view, such as envy, maliciousness, or ill will. The expression may be based on the antiquated idea that liver bile is associated with such negative emotions as these, as well as the fact that excessive liver bile causes jaundice, or yellowing of the eyes and skin. Jaundice is likely a sign of a liver disorder or blockage of the duct that carries bile away from the liver. Bile contains waste products, making the liver an organ of excretion. Bile has an important role in digestion, which makes the liver an accessory organ of digestion, too.

Accessory organs of digestion are organs that secrete substances needed for the chemical digestion of food, but through which food does not actually pass as it is digested. Besides the liver, the major accessory organs of digestion are the gallbladder and pancreas. These organs secrete or store substances that are needed for digestion in the first part of the small intestine — the duodenum — where most chemical digestion takes place. You can see the three organs and their locations in Figure 15.6.2.

Liver

The liver is a vital organ located in the upper right part of the abdomen. It lies just below the diaphragm, to the right of the stomach. The liver plays an important role in digestion by secreting bile, but the liver has a wide range of additional functions unrelated to digestion. In fact, some estimates put the number of functions of the liver at about 500! A few of them are described below.

Structure of the Liver

The liver is a reddish brown, wedge-shaped structure. In adults, the liver normally weighs about 1.5 kg (about 3.3 lb). It is both the heaviest internal organ and the largest gland in the human body. The liver is divided into four lobes of unequal size and shape. Each lobe, in turn, is made up of lobules, which are the functional units of the liver. Each lobule consists of millions of liver cells, called hepatic cells (or hepatocytes). They are the basic metabolic cells that carry out the various functions of the liver.

As shown in Figure 15.6.3, the liver is connected to two large blood vessels: the hepatic artery and the portal vein. The hepatic artery carries oxygen-rich blood from the aorta, whereas the portal vein carries blood that is rich in digested nutrients from the GI tract and wastes filtered from the blood by the spleen. The blood vessels subdivide into smaller arteries and capillaries, which lead into the liver lobules. The nutrients from the GI tract are used to build many vital biochemical compounds, and the wastes from the spleen are degraded and excreted.

Functions of the Liver

The main digestive function of the liver is the production of bile. Bile is a yellowish alkaline liquid that consists of water, electrolytes, bile salts, and cholesterol, among other substances, many of which are waste products. Some of the components of bile are synthesized by hepatocytes. The rest are extracted from the blood.

As shown in Figure 15.6.4, bile is secreted into small ducts that join together to form larger ducts, with just one large duct carrying bile out of the liver. If bile is needed to digest a meal, it goes directly to the duodenum through the common bile duct. In the duodenum, the bile neutralizes acidic chyme from the stomach and emulsifies fat globules into smaller particles (called micelles) that are easier to digest chemically by the enzyme lipase. Bile also aids with the absorption of vitamin K. Bile that is secreted when digestion is not taking place goes to the gallbladder for storage until the next meal. In either case, the bile enters the duodenum through the common bile duct.

Besides its roles in digestion, the liver has many other vital functions:

• The liver synthesizes glycogen from glucose and stores the glycogen as required to help regulate blood sugar levels. It also breaks down the stored glycogen to glucose and releases it back into the blood as needed.
• The liver stores many substances in addition to glycogen, including vitamins A, D, B12, and K. It also stores the minerals iron and copper.
• The liver synthesizes numerous proteins and many of the amino acids needed to make them. These proteins have a wide range of functions. They include fibrinogen, which is needed for blood clotting; insulin-like growth factor (IGF-1), which is important for childhood growth; and albumen, which is the most abundant protein in blood serum and functions to transport fatty acids and steroid hormones in the blood.
• The liver synthesizes many important lipids, including cholesterol, triglycerides, and lipoproteins.
• The liver is responsible for the breakdown of many waste products and toxic substances. The wastes are excreted in bile or travel to the kidneys, which excrete them in urine.

The liver is clearly a vital organ that supports almost every other organ in the body. Because of its strategic location and diversity of functions, the liver is also prone to many diseases, some of which cause loss of liver function. There is currently no way to compensate for the absence of liver function in the long term, although liver dialysis techniques can be used in the short term. An artificial liver has not yet been developed, so liver transplantation may be the only option for people with liver failure.

The gallbladder is a small, hollow, pouch-like organ that lies just under the right side of the liver (see Figure 15.6.5). It is about 8 cm (about 3 in) long and shaped like a tapered sac, with the open end continuous with the cystic duct. The gallbladder stores and concentrates bile from the liver until it is needed in the duodenum to help digest lipids. After the bile leaves the liver, it reaches the gallbladder through the cystic duct. At any given time, the gallbladder may store between 30 to 60 mL (1 to 2 oz) of bile. A hormone stimulated by the presence of fat in the duodenum signals the gallbladder to contract and force its contents back through the cystic duct and into the common bile duct to drain into the duodenum.

Pancreas

The pancreas is a glandular organ that is part of both the digestive system and the endocrine system. As shown in Figure 15.6.6, it is located in the abdomen behind the stomach, with the head of the pancreas surrounded by the duodenum of the small intestine. The pancreas is about 15 cm (almost 6 in) long, and it has two major ducts: the main pancreatic duct and the accessory pancreatic duct. Both of these ducts drain into the duodenum.

As an endocrine gland, the pancreas secretes several hormones, including insulin and glucagon, which circulate in the blood. The endocrine hormones are secreted by clusters of cells called pancreatic islets (or islets of Langerhans). As a digestive organ, the pancreas secretes many digestive enzymes and also bicarbonate, which helps neutralize acidic chyme after it enters the duodenum. The pancreas is stimulated to secrete its digestive substances when food in the stomach and duodenum triggers the release of endocrine hormones into the blood that reach the pancreas via the bloodstream. The pancreatic digestive enzymes are secreted by clusters of cells called acini, and they travel through the pancreatic ducts to the duodenum. In the duodenum, they help to chemically break down carbohydrates, proteins, lipids, and nucleic acids in chyme. The pancreatic digestive enzymes include:

• Amylase, which helps digest starch and other carbohydrates.
• Trypsin and chymotrypsin, which help digest proteins.
• Lipase, which helps digest lipids.
• Deoxyribonucleases and ribonucleases, which help digest nucleic acids.

 

Attributions

Figure 15.6.1

Scleral_Icterus by Sheila J. Toro on Wikimedia Commons is used under a  CC BY 4.0 (https://creativecommons.org/licenses/by/4.0) license.

Figure 15.6.2

Blausen_0428_Gallbladder-Liver-Pancreas_Location by BruceBlaus on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

Figure 15.6.3

Diagram_showing_the_two_lobes_of_the_liver_and_its_blood_supply_CRUK_376.svg by Cancer Research UK on Wikimedia Commons is used under a CC BY-SA 4.0  (https://creativecommons.org/licenses/by-sa/4.0) license.

Figure 15.6.4

Gallbladder by NIH Image Gallery on Flickr is used CC BY-NC 2.0 (https://creativecommons.org/licenses/by-nc/2.0/) license.

Figure 15.6.5

Gallbladder_(organ) (1) by BruceBlaus on Wikimedia Commons is used under a CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0) license. (See a full animation of this medical topic at blausen.com.)

Figure 15.6.6

Blausen_0698_PancreasAnatomy by BruceBlaus on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

References

Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436.

nature video. (2018, December 19). Scar wars: Repairing the liver. YouTube. https://www.youtube.com/watch?v=a0d1yvGcfzQ&feature=youtu.be

TED-Ed. (2014, November 25). What does the liver do? - Emma Bryce. YouTube. https://www.youtube.com/watch?v=wbh3SjzydnQ&feature=youtu.be

TED-Ed. (2015, February 19). What does the pancreas do? - Emma Bryce. YouTube. https://www.youtube.com/watch?v=8dgoeYPoE-0&feature=youtu.be

Image shows a person's elbows with a rash that has caused redness and scabbing.

Image shows a detailed labelled diagram of a kidney. There is a tough outer layer called the capsule. The cortex contains blood vessels and the medulla contains nephrons. The renal artery brings blood from the heart to the kidney, and this blood is returned to the heart via the renal vein.

 

One Piano, Four Hands

Did you ever see two people play the same piano? How do they coordinate all the movements of their own fingers — let alone synchronize them with those of their partner? The peripheral nervous system plays an important part in this challenge.

The peripheral nervous system (PNS) consists of all the nervous tissue that lies outside of the central nervous system (CNS). The main function of the PNS is to connect the CNS to the rest of the organism. It serves as a communication relay, going back and forth between the CNS and muscles, organs, and glands throughout the body.

The PNS is mostly made up of cable-like bundles of axons called nerves, as well as clusters of neuronal cell bodies called ganglia (singular, ganglion). Nerves are generally classified as sensory, motor, or mixed nerves based on the direction in which they carry nerve impulses.

• Sensory nervesno post transmit information from sensory receptors in the body to the CNS. Sensory nerves are also called afferent nerves. You can see an example in the figure below.
• Motor nerves transmit information from the CNS to muscles, organs, and glands. Motor nerves are also called efferent nerves. You can see one in the figure below.
• Mixed nerves contain both sensory and motor neurons, so they can transmit information in both directions. They have both afferent and efferent functions.

 

The PNS is divided into two major systems, called the autonomic nervous system and the somatic nervous system. In the diagram below, the autonomic system is shown on the left, and the somatic system on the right. Both systems of the PNS interact with the CNS and include sensory and motor neurons, but they use different circuits of nerves and ganglia.

Somatic Nervous System

The somatic nervous system primarily senses the external environment and controls voluntary activities about which decisions and commands come from the cerebral cortex of the brain. When you feel too warm, for example, you decide to turn on the air conditioner. As you walk across the room to the thermostat, you are using your somatic nervous system. In general, the somatic nervous system is responsible for all of your conscious perceptions of the outside world, as well as all of the voluntary motor activities you perform in response. Whether it’s playing a piano, driving a car, or playing basketball, you can thank your somatic nervous system for making it possible.

Somatic sensory and motor information is transmitted through 12 pairs of cranial nerves and 31 pairs of spinal nerves. Cranial nerves are in the head and neck and connect directly to the brain. Sensory components of cranial nerves transmit information about smells, tastes, light, sounds, and body position. Motor components of cranial nerves control skeletal muscles of the face, tongue, eyeballs, throat, head, and shoulders. Motor components of cranial nerves also control the salivary glands and swallowing. Four of the 12 cranial nerves participate in both sensory and motor functions as mixed nerves, having both sensory and motor neurons.

Spinal nerves emanate from the spinal column between vertebrae. All of the spinal nerves are mixed nerves, containing both sensory and motor neurons. The areas of skin innervated by the 31 pairs of spinal nerves are shown in the figure below. These include sensory nerves in the skin that sense pressure, temperature, vibrations, and pain. Other sensory nerves are in the muscles, and they sense stretching and tension. Spinal nerves also include motor nerves that stimulate skeletal muscles to contract, allowing for voluntary body movements.

Autonomic Nervous System

The autonomic nervous system primarily senses the internal environment and controls involuntary activities. It is responsible for monitoring conditions in the internal environment and bringing about appropriate changes in them. In general, the autonomic nervous system is responsible for all the activities that go on inside your body without your conscious awareness or voluntary participation.

Structurally, the autonomic nervous system consists of sensory and motor nerves that run between the CNS (especially the hypothalamus in the brain), internal organs (such as the heart, lungs, and digestive organs), and glands (such as the pancreas and sweat glands). Sensory neurons in the autonomic system detect internal body conditions and send messages to the brain. Motor nerves in the autonomic system affect appropriate responses by controlling contractions of smooth or cardiac muscle, or glandular tissue. For example, when sensory nerves of the autonomic system detect a rise in body temperature, motor nerves signal smooth muscles in blood vessels near the body surface to undergo vasodilation, and the sweat glands in the skin to secrete more sweat to cool the body.

The autonomic nervous system, in turn, has three subdivisions: the sympathetic division, parasympathetic division, and enteric division. The first two subdivisions of the autonomic system are summarized in the figure below. Both affect the same organs and glands, but they generally do so in opposite ways.

• The sympathetic division controls the fight-or-flight response. Changes occur in organs and glands throughout the body that prepare the body to fight or flee in response to a perceived danger. For example, the heart rate speeds up, air passages in the lungs become wider, more blood flows to the skeletal muscles, and the digestive system temporarily shuts down.
• The parasympathetic division returns the body to normal after the fight-or-flight response has occurred. For example, it slows down the heart rate, narrows air passages in the lungs, reduces blood flow to the skeletal muscles, and stimulates the digestive system to start working again. The parasympathetic division also maintains internal homeostasis of the body at other times.
• The enteric division is made up of nerve fibres that supply the organs of the digestive system. This division allows for the local control of many digestive functions.

Disorders of the Peripheral Nervous System

Unlike the CNS — which is protected by bones, meninges, and cerebrospinal fluid — the PNS has no such protections. The PNS also has no blood-brain barrier to protect it from toxins and pathogens in the blood. Therefore, the PNS is more subject to injury and disease than is the CNS. Causes of nerve injury include diabetes, infectious diseases (such as shingles), and poisoning by toxins (such as heavy metals). PNS disorders often have symptoms like loss of feeling, tingling, burning sensations, or muscle weakness. If a traumatic injury results in a nerve being transected (cut all the way through), it may regenerate, but this is a very slow process and may take many months.

Two other diseases of the PNS are Guillain-Barre syndrome and Charcot-Marie-Tooth disease.

• Guillain-Barre syndrome is a rare disease in which the immune system attacks nerves of the PNS, leading to muscle weakness and even paralysis. The exact cause of Guillain-Barre syndrome is unknown, but it often occurs after a viral or bacterial infection. There is no known cure for the syndrome, but most people eventually make a full recovery. Recovery can be slow, however, lasting anywhere from several weeks to several years.
• Charcot-Marie-Tooth disease is a hereditary disorder of the nerves, and one of the most common inherited neurological disorders. It affects predominantly the nerves in the feet and legs, and often in the hands and arms, as well. The disease is characterized by loss of muscle tissue and sense of touch. It is presently incurable.

The autonomic nervous system is considered to be involuntary because it doesn't require conscious input. However, it is possible to exert some voluntary control over it. People who practice yoga or other so-called mind-body techniques, for example, can reduce their heart rate and certain other autonomic functions. Slowing down these otherwise involuntary responses is a good way to relieve stress and reduce the wear-and-tear that stress can place on the body. Such techniques may also be useful for controlling post-traumatic stress disorder and chronic pain. Three types of integrative practices for these purposes are breathing exercises, body-based tension modulation exercises, and mindfulness techniques.

Breathing exercises can help control the rapid, shallow breathing that often occurs when you are anxious or under stress. These exercises can be learned quickly, and they provide immediate feelings of relief. Specific breathing exercises include paced breath, diaphragmatic breathing, and Breathe2Relax or Chill Zone on MindShift™ CBT, which are downloadable breathing practice mobile applications, or "Apps". Try syncing your breathing with Eric Klassen's "Triangle breathing, 1 minute" video:

https://www.youtube.com/watch?v=u9Q8D6n-3qw

Triangle breathing, 1 minute, Erin Klassen, 2015.

Body-based tension modulation exercises include yoga postures (also known as “asanas”) and tension manipulation exercises. The latter include the Trauma/Tension Release Exercise (TRE) and the Trauma Resiliency Model (TRM). Watch this video for a brief — but informative — introduction to the TRE program:

https://www.youtube.com/watch?v=67R974D8swM&feature=youtu.be

TRE® : Tension and Trauma Releasing Exercises, an Introduction with Jessica Schaffer, Jessica Schaffer Nervous System RESET, 2015.

Mindfulness techniques have been shown to reduce symptoms of depression, as well as those of anxiety and stress. They have also been shown to be useful for pain management and performance enhancement. Specific mindfulness programs include Mindfulness Based Stress Reduction (MBSR) and Mindfulness Mind-Fitness Training (MMFT). You can learn more about MBSR by watching the video below.

https://www.youtube.com/watch?v=0TA7P-iCCcY&feature=youtu.be

Mindfulness-Based Stress Reduction (UMass Medical School, Center for Mindfulness), Palouse Mindfulness, 2017.

Attributions

Figure 8.6.1

Kid’s piant duet by PJMixer on Flickr is used under a CC BY-NC-ND 2.0 (https://creativecommons.org/licenses/by-nc-nd/2.0/) license.

Figure 8.6.2

Nervous_system_diagram by ¤~Persian Poet Gal  on Wikimedia Commons is released into the public domain (https://en.wikipedia.org/wiki/Public_domain).

Figure 8.6.3

Afferent_and_efferent_neurons_en.svg by Helixitta on Wikimedia Commons is used under a CC BY-SA 4.0   (https://creativecommons.org/licenses/by-sa/4.0) license.

Figure 8.6.4

Autonomic and Somatic Nervous System by Christinelmiller on Wikimedia Commons is used under a CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0) license.

Figure 8.6.5

Dermatoms.svg by Ralf Stephan (mailto:ralf@ark.in-berlin.de) on Wikimedia Commons is released into the public domain (https://en.wikipedia.org/wiki/Public_domain).

Figure 8.6.6

The_Autonomic_Nervous_System by Geo-Science-International on Wikimedia Commons is used and adapted by Christine Miller under a CC0 1.0 Universal
Public Domain Dedication license (https://creativecommons.org/publicdomain/zero/1.0/).

References

Erin Klassen. (2015, December 15). Triangle breathing, 1 minute. YouTube. https://www.youtube.com/watch?v=u9Q8D6n-3qw&feature=youtu.be

Jessica Schaffer Nervous System RESET. (2015, January 15). TRE® : Tension and trauma releasing exercises, an Introduction with Jessica Schaffer. YouTube. https://www.youtube.com/watch?v=67R974D8swM&feature=youtu.be

Mayo Clinic Staff. (n.d.). Charcot-Marie-Tooth disease [online article]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/symptoms-causes/syc-20350517

Mayo Clinic Staff. (n.d.). Diabetes [online article]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444

Mayo Clinic Staff. (n.d.). Guillain-Barre syndrome [online article]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/guillain-barre-syndrome/symptoms-causes/syc-20362793

Mayo Clinic Staff. (n.d.). Shingles [online article]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054

Mayo Clinic Staff. (n.d.). Stroke [online article]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/stroke/symptoms-causes/syc-20350113

Palouse Mindfulness. (2017, March 25).  Mindfulness-based stress reduction (UMass Medical School, Center for Mindfulness), YouTube. https://www.youtube.com/watch?v=0TA7P-iCCcY&feature=youtu.be

Plethrons, (2015, March 23). Phantom limbs explained. YouTube. https://www.youtube.com/watch?v=ySIDMU2cy0Y&feature=youtu.be

Reactions. (2015, December 1). Why do hot peppers cause pain? YouTube. https://www.youtube.com/watch?v=73yo5nJne6c&feature=youtu.be

 

 

 

Created by CK-12 Foundation/Adapted by Christine Miller

Fashion Statement

This colourful hairstyle makes quite a fashion statement. Many people spend a lot of time and money on their hair, even if they don’t have an exceptional hairstyle like this one. Besides its display value, hair actually has important physiological functions.

What is Hair?

Hair is a filament that grows from a hair follicle in the dermis of the skin. It consists mainly of tightly packed, keratin-filled cells called keratinocytes. The human body is covered with hair follicles, with the exception of a few areas, including the mucous membranes, lips, palms of the hands, and soles of the feet.

Structure of Hair

The part of the hair located within the follicle is called the hair root. The root is the only living part of the hair. The part of the hair that is visible above the surface of the skin is the hair shaft. The shaft of the hair has no biochemical activity and is considered dead.

Follicle and Root

Hair growth begins inside a follicle (see Figure 10.5.2 below). Each hair follicle contains stem cells that can keep dividing, which allows hair to grow. The stem cells can also regrow a new hair after one falls out. Another structure associated with a hair follicle is a sebaceous gland that produces oily sebum. The sebum lubricates and helps to waterproof the hair. A tiny arrector pili muscle is also attached to the follicle. When it contracts, the follicle moves, and the hair in the follicle stands up.

 

Shaft

The hair shaft is a hard filament that may grow very long. Hair normally grows in length by about half an inch a month. In cross-section, a hair shaft can be divided into three zones, called the cuticle, cortex, and medulla.

• The cuticle (or outer coat) is the outermost zone of the hair shaft. It consists of several layers of flat, thin keratinocytes that overlap one another like shingles on a roof. This arrangement helps the cuticle repel water. The cuticle is also covered with a layer of lipids, just one molecule thick, which increases its ability to repel water. This is the zone of the hair shaft that is visible to the eye.
• The cortex is the middle zone of the hair shaft, and it is also the widest part. The cortex is highly structured and organized, consisting of keratin bundles in rod-like structures. These structures give hair its mechanical strength. The cortex also contains melanin, which gives hair its colour.
• The medulla is the innermost zone of the hair shaft. This is a small, disorganized, and more open area at the center of the hair shaft. The medulla is not always present. When it is present, it contains highly pigmented cells full of keratin.

Characteristics of Hair

Two visible characteristics of hair are its colour and texture. In adult males, the extent of balding is another visible characteristic. All three characteristics are genetically controlled.

Hair Colour

All natural hair colours are the result of melanin, which is produced in hair follicles and packed into granules in the hair. Two forms of melanin are found in human hair: eumelanin and pheomelanin. Eumelanin is the dominant pigment in brown hair and black hair, and pheomelanin is the dominant pigment in red hair. Blond hair results when you have only a small amount of melanin in the hair. Gray and white hair occur when melanin production slows down, and eventually stops.

Figure 10.5.3 Variation in hair colouration. Which types of melanin are present for each hair colour shown?

Hair Texture

Hair exists in a variety of textures. The main aspects of hair texture are the curl pattern, thickness, and consistency.

• The shape of the hair follicle determines the shape of the hair shaft. The shape of the hair shaft, in turn, determines the curl pattern of the hair. Round hair shafts produce straight hair. Hair shafts that are oval or have other shapes produce wavy or curly hair .
• The size of the hair follicle determines the thickness of hair. Thicker hair has greater volume than thinner hair.
• The consistency of hair is determined by the hair follicle volume and the condition of the hair shaft. The consistency of hair is generally classified as fine, medium, or coarse. Fine hair has the smallest circumference, and coarse hair has the largest circumference. Medium hair falls in between these two extremes. Coarse hair also has a more open cuticle than thin or medium hair does, which causes it to be more porous.
  

  

Functions of Hair

In humans, one function of head hair is to provide insulation and help the head retain heat. Head hair also protects the skin on the head from damage by UV light.

The function of hair in other locations on the body is debated. One idea is that body hair helps keep us warm in cold weather. When the body is too cold, arrector pili muscles contract and cause hairs to stand up (shown in Figure 10.5.5), trapping a layer of warm air above the epidermis. However, this is more effective in mammals that have thick hair or fur than it is in relatively hairless human beings.

Human hair has an important sensory function, as well. Sensory receptors in the hair follicles can sense when the hair moves, whether it moves because of a breeze, or because of the touch of a physical object. The receptors may also provide sensory awareness of the presence of parasites on the skin.

 

Some hairs, such as the eyelashes, are especially sensitive to the presence of potentially harmful matter. The eyelashes grow at the edge of the eyelid and can sense when dirt, dust, or another potentially harmful object is too close to the eye. The eye reflexively closes as a result of this sensation. The eyebrows also provide some protection to the eyes. They protect the eyes from dirt, sweat, and rain. In addition, the eyebrows play a key role in nonverbal communication (see Figure 10.5.6). They help express emotions such as sadness, anger, surprise, and excitement.

Hair in Human Evolution

Among mammals, humans are nearly unique in having undergone significant loss of body hair during their evolution. Humans are also unlike most other mammals in having curly hair as one variation in hair texture. Even non-human primates (see Figure 10.5.7) all have straight hair. This suggests that curly hair evolved at some point during human evolution.

Loss of Body Hair

One hypothesis for the loss of body hair in the human lineage is that it would have facilitated cooling of the body by the evaporation of sweat. Humans also evolved far more sweat glands than other mammals, which is consistent with this hypothesis, because sweat evaporates more quickly from less hairy skin. Another hypothesis for human hair loss is that it would have led to fewer parasites on the skin. This might have been especially important when humans started living together in larger, more crowded social groups.

These hypotheses may explain why we lost body hair, but they can’t explain why we didn’t also lose head hair and hair in the pubic region and armpits. It is possible that head hair was retained because it protected the scalp from UV light. As our bipedal ancestors walked on the open savannas of equatorial Africa, the skin on the head would have been an area exposed to the most direct rays of sunlight in an upright hominid. Pubic and armpit hair may have been retained because they served as signs of sexual maturity, which would have been important for successful mating and reproduction.

Evolution of Curly Hair

Greater protection from UV light has also been posited as a possible selective agent favoring the evolution of curly hair. Researchers have found that straight hair allows more light to pass into the body through the hair shaft via the follicle than does curly hair. In this way, human hair is like a fibre optic cable. It allows light to pass through easily when it is straight, but it impedes the passage of light when it is kinked or coiled. This is indirect evidence that UV light may have been a selective agent leading to the evolution of curly hair.

Social and Cultural Significance of Hair

Hair has great social significance for human beings. Body hair is an indicator of biological sex, because hair distribution is sexually dimorphic. Adult males are generally hairier than adult females, and facial hair in particular is a notable secondary male sex characteristic. Hair may also be an indicator of age. White hair is a sign of older age in both males and females, and male pattern baldness is a sign of older age in males. In addition, hair colour and texture can be a sign of ethnic ancestry.

Hair also has great cultural significance. Hairstyle and colour may be an indicator of social group membership and for better or worse can be associated with specific stereotypes. Head shaving has been used in many times and places as a punishment, especially for women. On the other hand, in some cultures, cutting off one’s hair symbolizes liberation from one’s past. In other cultures, it is a sign of mourning. There are also many religious-based practices involving hair. For example, the majority of Muslim women hide their hair with a headscarf. Sikh men grow their hair long and cover it with a turban. Amish men (like the one pictured in Figure 10.5.8) grow facial hair only after they marry — but just a beard, and not a mustache.

Unfortunately, sometimes hairstyle, colour and characteristics are used to apply stereotypes, particularly with respect to women.  "Blonde jokes" are a good example of how negative stereotypes are maintained despite having no actual truth behind them.  Many stereotypes related to hair are hidden, even from persons perpetrating the stereotype.  Often a hairstyle is judged by another as having ties to gender, sexuality, worldview and/or socioeconomic status; even when these inferences are woefully inaccurate.  It is important to be aware of our own biases and determine if these biases are appropriate - take a look at the collage in Figure 10.5.9.  What are your initial reactions?  Are these reactions founded in fact?  Do you harbor an unfair bias?

Figure 10.5.9 What are your biases?  Are they fair?

 

Attributions

Figure 10.5.1

Hair by jessica-dabrowski-TETR8YLSqt4 [photo] by Jessica Dabrowski on Unsplash is used under the Unsplash License (https://unsplash.com/license).

Figure 10.5.2

Blausen_0438_HairFollicleAnatomy_02 by BruceBlaus on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

Figure 10.5.3

• Standing tall by Ilaya Raja on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Blond-haired woman smiling by Carlos Lindner on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Smith Mountain Lake redhead by Chris Ross Harris on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Through the look of experience by Laura Margarita Cedeño Peralta on Unsplash is used under the Unsplash License (https://unsplash.com/license).

Figure 10.5.4

Curly hair by chris-benson-clvEami9RN4 [photo] by Chris Benson on Unsplash is used under the Unsplash License (https://unsplash.com/license).

Figure 10.5.5

1024px-PilioerectionAnimation by AnthonyCaccese on Wikimedia Commons is used under a CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0/deed.en) license.

Figure 10.5.6

Pout by alexander-dummer-Em8I8Z_DwA4 [photo] by Alexander Dummer on Unsplash is used under the Unsplash License (https://unsplash.com/license).

Figure 10.5.7

Cotton_top_tamarin_monkey._(12046035746) by Bernard Spragg. NZ, from Christchurch, New Zealand on Wikimedia Commons is used under a CC0 1.0 Universal
Public Domain Dedication license (https://creativecommons.org/publicdomain/zero/1.0/deed.en).

Figure 10.5.8

Amish hairstyle by CK-12 Foundation is used under a CC BY-NC 3.0 (https://creativecommons.org/licenses/by-nc/3.0/) license.
©CK-12 Foundation Licensed under  • Terms of Use • Attribution
Figure 10.5.9

• Rainbow Hair Bubble Man by Behrouz Jafarnezhad on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Pink hair in Atlanta, United States by Tammie Allen on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Magdalena 2 by Valerie Elash on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Perfect Style by Daria Volkova on Unsplash is used under the Unsplash License (https://unsplash.com/license)
• Stay Classy by Fayiz Musthafa on Unsplash is used under the Unsplash License (https://unsplash.com/license)
• Take your time by Jan Tinneberg on Unsplash is used under the Unsplash License (https://unsplash.com/license)

References

Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436.

Brainard, J/ CK-12 Foundation. (2016). Figure 7 This style of facial hair is adopted by most Amish men after they marry [digital image]. In CK-12 College Human Biology (Section 12.5) [online Flexbook]. CK12.org. https://www.ck12.org/book/ck-12-college-human-biology/section/12.5/

Sony Pictures Animation. (2019, December 5). Hair love | Oscar®-winning short film (Full) | Sony Pictures Animation. YouTube. https://www.youtube.com/watch?v=kNw8V_Fkw28

TED-Ed. (2015, August 25). Why do some people go bald? – Sarthak Sinha. YouTube. https://www.youtube.com/watch?v=8diYLhl8bWU

TEDx Talks. (2015, February 4). Why do we care about hair | Naomi Abigail | TEDxBaDinh. YouTube. https://www.youtube.com/watch?v=hDW5e3NR1Cw

Image shows three competing rowing teams in the 2016 Rio Summer Olympics. Each rowboat holds two women. In the photo are Canada, France and China.

Jasmin discovered that her extreme fatigue, muscle pain, vision problems, and vomiting were due to problems in her mitochondria, like the damaged mitochondria shown in red in Figure 4.14.1. Mitochondria are small, membrane-bound organelles found in eukaryotic cells that provide energy for the cells of the body. They do this by carrying out the final two steps of aerobic cellular respiration: the Krebs cycle and electron transport. This is the major way that the human body breaks down the sugar glucose from food into a form of energy cells can use, namely the molecule ATP.

Because mitochondria provide energy for cells, you can understand why Jasmin was experiencing extreme fatigue, particularly after running. Her damaged mitochondria could not keep up with her need for energy, particularly after intense exercise, which requires a lot of additional energy. What is perhaps not so obvious are the reasons for her other symptoms, such as blurry vision, muscle spasms, and vomiting. All of the cells in the body require energy in order to function properly. Mitochondrial diseases can cause problems in mitochondria in any cell of the body, including muscle cells and cells of the nervous system, which includes the brain and nerves. The nervous system and muscles work together to control vision and digestive system functions, such as vomiting, so when they are not functioning properly, a variety of symptoms can emerge. This also explains why Jasmin’s niece, who has a similar mitochondrial disease, has symptoms related to brain function, such as seizures and learning disabilities. Our cells are microscopic, and mitochondria are even tinier — but they are essential for the proper functioning of our bodies. When they are damaged, serious health effects can occur.

 

One seemingly confusing aspect of mitochondrial diseases is that the type of symptoms, severity of symptoms, and age of onset can vary wildly between people — even within the same family! In Jasmin’s case, she did not notice symptoms until adulthood, while her niece had more severe symptoms starting at a much younger age. This makes sense when you know more about how mitochondrial diseases work.

Inherited mitochondrial diseases can be due to damage in either the DNA in the nucleus of cells or in the DNA in the mitochondria themselves. Recall that mitochondria are thought to have evolved from prokaryotic organisms that were once free-living, but were then infected or engulfed by larger cells. One of the pieces of evidence that supports this endosymbiotic theory is that mitochondria have their own, separate DNA. When the mitochondrial DNA is damaged (or mutated) it can result in some types of mitochondrial diseases. However, these mutations do not typically affect all of the mitochondria in a cell. During cell division, organelles such as mitochondria are replicated and passed down to the new daughter cells. If some of the mitochondria are damaged, and others are not, the daughter cells can have different amounts of damaged mitochondria. This helps explain the wide range of symptoms in people with mitochondrial diseases — even ones in the same family — because different cells in their bodies are affected in varying degrees. Jasmin’s niece was affected strongly and her symptoms were noticed early, while Jasmin’s symptoms were more mild and did not become apparent until adulthood.

There is still much more that needs to be discovered about the different types of mitochondrial diseases. But by learning about cells, their organelles, how they obtain energy, and how they divide, you should now have a better understanding of the biology behind these diseases.

Apply your understanding of cells to your own life. Can you think of other diseases that affect cellular structures or functions. Do they affect people you know? Since your entire body is made of cells, when cells are damaged or not functioning properly, it can cause a wide variety of health problems.

Attributions

Figure 4.14.1

Mitochondrial Disease muscle sample by Nephron is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0) license.

Figure 4.14.2

Aunt and Niece by Tatiana Rodriguez on Unsplash is used under the Unsplash License (https://unsplash.com/license).

Reference

Wikipedia contributors. (2020, June 6). Mitochondrial disease. In Wikipedia.  https://en.wikipedia.org/w/index.php?title=Mitochondrial_disease&oldid=961126371

inflammation of the epididymis, which may be acute or chronic

Image shows a diagram of the cross sectional layering of heart tissues. As described in the preceding paragraph, the endocardium is a thin layer on the inside of the heart chambers, and myocardium is an extremely thick layer of cardiac muscle, and the pericardium consists of two membranes separated by fluid. The visceral pericardium envelopes the myocardium and the parietal pericardium envelopes the entire heart structure.

A biological process which converts sugars such as glucose, fructose, and sucrose into cellular energy, producing ethanol and carbon dioxide as by-products.

Created by CK-12 Foundation/Adapted by Christine Miller

Nineteen-year-old Malcolm is about to take his first plane flight. Shortly after he boards the plane and sits down, a man in his late sixties sits next to him in the aisle seat. About half an hour after the plane takes off, the pilot announces that she is turning the seat belt light off, and that it is safe to move around the cabin.

The man in the aisle seat — who has introduced himself to Malcolm as Willie — immediately unbuckles his seat belt and paces up and down the aisle a few times before returning to his seat. After about 45 minutes, Willie gets up again, walks some more, then sits back down and does some foot and leg exercises. After the third time Willie gets up and paces the aisles, Malcolm asks him whether he is walking so much to accumulate steps on a pedometer or fitness tracking device. Willie laughs and says no. He is actually trying to do something even more important for his health — prevent a blood clot from forming in his legs.

Willie explains that he has a chronic condition: heart failure. Although it sounds scary, his condition is currently well-managed, and he is able to lead a relatively normal lifestyle. However, it does put him at risk of developing other serious health conditions, such as deep vein thrombosis (DVT), which is when a blood clot occurs in the deep veins, usually in the legs. Air travel — and other situations where a person has to sit for a long period of time — increases the risk of DVT. Willie’s doctor said that he is healthy enough to fly, but that he should walk frequently and do leg exercises to help avoid a blood clot.

As you read this chapter, you will learn about the heart, blood vessels, and blood that make up the cardiovascular system, as well as disorders of the cardiovascular system, such as heart failure. At the end of the chapter you will learn more about why DVT occurs, why Willie has to take extra precautions when he flies, and what can be done to lower the risk of DVT and its potentially deadly consequences.

Attribution

Figure 14.1.1

aircraft-1583871_1920 [photo] by olivier89 from Pixabay is used under the Pixabay License (https://pixabay.com/de/service/license/).

Image shows systole and diastole of the heart. In diastole, the ventricles of the heart are relaxed and are able to receive blood from the atria. In systole, both ventricles contract, squeezing the blood out and into the pulmonary trunk and aorta.

As described in the caption.

As per caption

Image shows a diagram of the location of the sinoatrial and atrioventricular nodes. The SA node is located at the top right corner of the right atrium, and the AV node is in left wall of the right atrium, very close to the tricuspid AV valve.

Created by: CK-12/Adapted by Christine Miller

Like Pushing a Humvee Uphill

You can tell by their faces that these airmen (Figure 4.8.1) are expending a lot of energy trying to push this Humvee up a slope. The men are participating in a competition that tests their brute strength against that of other teams. The Humvee weighs about 13 thousand pounds (about 5,897 kilograms), so it takes every ounce of energy they can muster to move it uphill against the force of gravity. Transport of some substances across a plasma membrane is a little like pushing a Humvee uphill — it can't be done without adding energy.

Some substances can pass into or out of a cell across the plasma membrane without any energy required because they are moving from an area of higher concentration to an area of lower concentration. This type of transport is called passive transport. Other substances require energy to cross a plasma membrane, often because they are moving from an area of lower concentration to an area of higher concentration, against the concentration gradient. This type of transport is called active transport. The energy for active transport comes from the energy-carrying molecule called ATP (adenosine triphosphate). Active transport may also require proteins called pumps, which are embedded in the plasma membrane. Two types of active transport are membrane pumps (such as the sodium-potassium pump) and vesicle transport.

The sodium-potassium pump is a mechanism of active transport that moves sodium ions out of the cell and potassium ions into the cells — in all the trillions of cells in the body! Both ions are moved from areas of lower to higher concentration, so energy is needed for this "uphill" process. The energy is provided by ATP. The sodium-potassium pump also requires carrier proteins. Carrier proteins bind with specific ions or molecules, and in doing so, they change shape. As carrier proteins change shape, they carry the ions or molecules across the membrane. Figure 4.8.2 shows in greater detail how the sodium-potassium pump works, as well as the specific roles played by carrier proteins in this process.

• Sodium is the principal ion in the fluid outside of cells. Normal sodium concentrations are about ten times higher outside of cells than inside of cells.  To move sodium out of the cell is moving it against the concentration gradient
• Potassium is the principal ion in the fluid inside of cells. Normal potassium concentrations are about 30 times higher inside of cells than outside of cells. To move potassium into the cell is moving it against the concentration gradient.

These differences in concentration create an electrical and chemical gradient across the cell membrane, called the membrane potential. Tightly controlling the membrane potential is critical for vital body functions, including the transmission of nerve impulses and contraction of muscles. A large percentage of the body's energy goes to maintaining this potential across the membranes of its trillions of cells with the sodium-potassium pump.

Some molecules, such as proteins, are too large to pass through the plasma membrane, regardless of their concentration inside and outside the cell. Very large molecules cross the plasma membrane with a different sort of help, called vesicle transport. Vesicle transport requires energy input from the cell, so it is also a form of active transport. There are two types of vesicle transport: endocytosis and exocytosis. Both types are shown in Figure 4.8.3.

Endocytosis

Endocytosis is a type of vesicle transport that moves a substance into the cell. The plasma membrane completely engulfs the substance, a vesicle pinches off from the membrane, and the vesicle carries the substance into the cell. When an entire cell or other solid particle is engulfed, the process is called phagocytosis. When fluid is engulfed, the process is called pinocytosis.

Exocytosis

Exocytosis is a type of vesicle transport that moves a substance out of the cell (exo-, like "exit"). A vesicle containing the substance moves through the cytoplasm to the cell membrane. Because the vesicle membrane is a phospholipid bilayer like the plasma membrane, the vesicle membrane fuses with the cell membrane, and the substance is released outside the cell.

Maintaining the proper balance of sodium and potassium in body fluids by active transport is necessary for life itself, so it's no surprise that getting the right balance of sodium and potassium in the diet is important for good health. Imbalances may increase the risk of high blood pressure, heart disease, diabetes, and other disorders.

If you are like the majority of North Americans, sodium and potassium are out of balance in your diet. You are likely to consume too much sodium and too little potassium. Follow these guidelines to help ensure that these minerals are balanced in the foods you eat:

• Total sodium intake should be less than 2,300 mg/day. Most salt in the diet is found in processed foods, or added with a salt shaker. Stop adding salt and start checking food labels for sodium content. Foods considered low in sodium have less than 140 mg/serving (or 5 per cent daily value).
• Total potassium intake should be 4,700 mg/day. It's easy to add potassium to the diet by choosing the right foods — and there are plenty of choices! Most fruits and vegetables are high in potassium. Potatoes, bananas, oranges, apricots, plums, leafy greens, tomatoes, lima beans, and avocado are especially good sources. Other foods with substantial amounts of potassium are fish, meat, poultry, and whole grains. The collage below shows some of these potassium-rich foods.

Figure 4.8.5 Potassium power! 

Attributions

Figure 4.8.1

Humvee challenge by Airman 1st Class Collin Schmidt on Wikimedia Commons is released into the public domain (https://en.wikipedia.org/wiki/Public_domain).

Figure 4.8.2

Sodium Potassium Pump by Christine Miller is used under a CC BY 4.0  (https://creativecommons.org/licenses/by/4.0/) license.

Figure 4.8.3

Cytosis by Manu5 on Wikimedia Commons is used under a CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0) license.

Figure 4.8.4 

Endocytosis and Exocytosis by Christine Miller is used under a CC BY 4.0  (https://creativecommons.org/licenses/by/4.0/) license.

Figure 4.8.5

• Canteloupes. Image Number K7355-11 by Scott Bauer/ USDA on Wikimedia Commons is in the public domain (https://en.wikipedia.org/wiki/Public_domain).
• Spinach by chiara conti on Unsplash is used under the Unsplash license (https://unsplash.com/license).
• Eleven long purple eggplants by JVRKPRASAD on Wikimedia commons is used under a  CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0/deed.en) license.
• Bananas by Marco Antonio Victorino on Pexels is used under the Pexels license (https://www.pexels.com/license/).
• Potato picking by Nic D on Unsplash is used under the Unsplash license (https://unsplash.com/license).
• Maldives by Sebastian Pena Lambarri on Unsplash is used under the Unsplash license (https://unsplash.com/license).

Figure 4.8.6

Active Transport by Christine Miller is released into the public domain (https://en.wikipedia.org/wiki/Public_domain).

References

Amoeba Sisters. (2016, June 24). Cell transport [digital image]. YouTube. https://www.youtube.com/watch?v=Ptmlvtei8hw&feature=youtu.be

ImmiflexImmuneSystem. (2013). Neutrophil phagocytosis - White blood cell eats staphylococcus aureus bacteria. YouTube. https://www.youtube.com/watch?v=Z_mXDvZQ6dU

Mayo Clinic Staff. (n.d.). Diabetes [online]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444

Mayo Clinic Staff. (n.d.). High blood pressure (hypertension) [online]. MayoClinic.org. https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410

Mayo Clinic Staff. (n.d.). Heart disease [online]. MayoClinic.org.  https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118

Wikipedia contributors. (2020, June 19). Ouabain. In Wikipedia.  https://en.wikipedia.org/w/index.php?title=Ouabain&oldid=963440756

A rigid organ that constitutes part of the vertebrate skeleton in animals.

As per caption.

Image shows before and after xrays and photos of a patient who has been using a brace to treat their condition. The change in spinal curvature improved from 56 degrees to 27 degrees; possibly preventing the need for surgery.

Groups of connected cells form tissues. The cells in a tissue may all be the same type, or they may be of multiple types. In either case, the cells in the tissue work together to carry out a specific function, and they are always specialized to be able to carry out that function better than any other type of tissue.  There are four main types of human tissues: connective, epithelial, muscle, and nervous tissues. We use tissues to build organs and organ systems.  The 200 types of cells that the body can produce based on our single set of DNA can create all the types of tissue in the body.

Epithelial Tissue

Epithelial tissue is made up of cells that line inner and outer body surfaces, such as the skin and the inner surface of the digestive tract. Epithelial tissue that lines inner body surfaces and body openings is called mucous membrane. This type of epithelial tissue produces mucus, a slimy substance that coats mucous membranes and traps pathogens, particles, and debris. Epithelial tissue protects the body and its internal organs, secretes substances (such as hormones) in addition to mucus, and absorbs substances (such as nutrients).

The key identifying feature of epithelial tissue is that it contains a free surface and a basement membrane.  The free surface is not attached to any other cells and is either open to the outside of the body, or is open to the inside of a hollow organ or body tube.  The basement membrane anchors the epithelial tissue to underlying cells.

Epithelial tissue is identified and named by shape and layering.  Epithelial cells exist in three main shapes: squamous, cuboidal, and columnar.  These specifically shaped cells can, depending on function, be layered several different ways: simple, stratified, pseudostratified, and transitional.

Epithelial tissue forms coverings and linings and is responsible for a range of functions including diffusion, absorption, secretion and protection.  The shape of an epithelial cell can maximize its ability to perform a certain function.  The thinner an epithelial cell is, the easier it is for substances to move through it to carry out diffusion and/or absorption.  The larger an epithelial cell is, the more room it has in its cytoplasm to be able to make products for secretion, and the more protection it can provide for underlying tissues. Their are three main shapes of epithelial cells: squamous (which is shaped like a pancake- flat and oval), cuboidal (cube shaped), and columnar (tall and rectangular).

Figure 7.4.2 The shape of epithelial tissues is important.  

Epithelial tissue will also organize into different layerings depending on their function.  For example, multiple layers of cells provide excellent protection, but would no longer be efficient for diffusion, whereas a single layer would work very well for diffusion, but no longer be as protective; a special type of layering called transitional is needed for organs that stretch, like your bladder.  Your tissues exhibit the layering that makes them most efficient for the function they are supposed to perform. There are four main layerings found in epithelial tissue: simple (one layer of cells), stratified (many layers of cells), pseudostratified (appears stratified, but upon closer inspection is actually simple), and transitional (can stretch, going from many layers to fewer layers).

Figure 7.4.3 The layerings found in epithelial tissues is important.  

See Table 7.4.1 for a summary of the different layering types and shapes epithelial cells can form and their related functions and locations.

Table 7.4.1

Summary of Epithelial Tissue Cells

So far, we have identified epithelial tissue based on shape and layering.  The representative diagrams we have seen so far are helpful for visualizing the tissue structures, but it is important to look at real examples of these cells.  Since cells are too tiny to see with the naked eye, we rely on microscopes to help us study them.  Histology is the study of the microscopic anatomy and cells and tissues.  See Table 7.4.2 to see some examples of slides of epithelial tissues prepared for the purpose of histology.

Table 7.4.2

Epithelial Tissues and Histological Samples

 

Epithelial Tissue Type	Tissue Diagram	Histological Sample
Stratified squamous (from skin)
Simple cuboidal (from kidney tubules)
Pseudostratified ciliated columnar (from trachea)

Connective Tissue

Bone and blood are examples of connective tissue. Connective tissue is very diverse. In general, it forms a framework and support structure for body tissues and organs. It's made up of living cells separated by non-living material, called extracellular matrix, which can be solid or liquid. The extracellular matrix of bone, for example, is a rigid mineral framework. The extracellular matrix of blood is liquid plasma.

The key identifying feature of connective tissue is that is is composed of a scattering of cells in a non-cellular matrix. There are three main categories of connective tissue, based on the nature of the matrix. They  look very different from one another, which is a reflection of their different functions:

1. Fibrous connective tissue: is characterized by a matrix which is flexible and is made of protein fibres including collagen, elastin and possibly reticular fibres.  These tissues are found making up tendons, ligaments, and body membranes.
2. Supportive connective tissue: is characterized by a solid matrix and is what is used to make bone and cartilage.  These tissues are used for support and protection.
3. Fluid connective tissue: is characterized by a fluid matrix and includes both blood and lymph.

Fibrous Connective Tissue

Fibrous connective tissue contains cells called fibroblasts.  These cells produce fibres of collagen, elastin, or reticular fibre which makes up the matrix of this type of connective tissue.  Based on how tightly packed these fibres are and how they are oriented changes the properties, and therefore the function of the fibrous connective tissue.

 

• Loose fibrous connective tissue:  composed of a loose and disorganized weave of collagen and elastin fibres, creating a tissue that is thin and flexible, yet still tough.  This tissue, which is also sometimes referred to as "areolar tissue", is found in membranes and surrounding blood vessels and most body organs.  As you can see from the diagram in Figure 7.4.4, loose fibrous connective tissue fulfills the definition of connectives tissue since it is a scattering of cells (fibroblasts) in a non-cellular matrix (a mesh of collagen and elastin fibres).  There are two types of specialized loose fibrous connective tissue: reticular and adipose.  Adipose tissue stores fat and reticular tissue forms the spleen and lymph nodes.
  
• Dense Fibrous Connective Tissue: composed of a dense mat of parallel collagen fibres and a scattering of fibroblasts, creating a tissue that is very strong.  Dense fibrous connective tissue forms tendons and ligaments, which connect bones to muscles and/or bones to neighbouring bones.
  

Supportive Connective Tissue

Supportive connective tissue exhibits the defining feature of connective tissue in that it is a scattering of cells in a non-cellular matrix; what sets it apart from other connective tissues is its solid matrix.  In this tissue group, the matrix is solid- either bone or cartilage.  While fibrous connective tissue contained cells called fibroblasts which produced fibres, supportive connective tissue contains cells that either create bone (osteocytes) or cells that create cartilage (chondrocytes).

Cartilage

Chondrocytes produce the cartilage matrix in which they reside.  Cartilage is made up of protein fibres and chondrocytes in lacunae.  This is tissue is strong yet flexible and is used many places in the body for protection and support.  Cartilage is one of the few tissues that is not vascular (doesn't have a direct blood supply) meaning it relies on diffusion to obtain nutrients and gases; this is the cause of slow healing rates in injuries involving cartilage.  There are three main types of cartilage:

• Hyaline cartilage: a smooth, strong and flexible tissue.  Found at the ends of ribs and long bones, in the nose, and comprising the entire fetal skeleton.
• Fibrocartilage: a very strong tissue containing thick bundles of collagen.  Found in joints that need cushioning from high impact (knees, jaw).
• Elastic cartilage: contains elastic fibres in addition to collagen,  giving support with the benefit of elasticity.  Found in earlobes and the epiglottis.
  

  

Bone

Osteocytes produce the bone matrix in which they reside.  Since bone is very solid, these cells reside in small spaces called lacunae.  This bone tissue is composed of collagen fibres embedded in calcium phosphate giving it strength without brittleness.  There are two types of bone: compact and spongy.

• Compact bone: has a dense matrix organized into cylindrical units called osteons.  Each osteon contains a central canal (sometimes called a Harversian Canal) which allows for space for blood vessels and nerves, as well as concentric rings of bone matrix and osteocytes in lacunae, as per the diagram here.  Compact bone is found in long bones and forms a shell around spongy bone.

• Spongy bone: a very porous type of bone which most often contains bone marrow.  It is found at the end of long bones, and makes up the majority of the ribs, shoulder blades and flat bones of the cranium.

Fluid Connective Tissue

Fluid connective tissue has a matrix that is fluid; unlike the other two categories of connective tissue, the cells that reside in the matrix do not actually produce the matrix. Fibroblasts make the fibrous matrix, chondrocytes make the cartilaginous matrix, osteocytes make the bony matrix, yet blood cells do not make the fluid matrix of either lymph or plasma.  This tissue still fits the definition of connective tissue in that it is still a scattering of cells in a non-cellular matrix.

There are two types of fluid connective tissue:

• Blood: blood contains three types of cells suspended in plasma, and is contained in the cardiovascular system.
  • Eryththrocytes, more commonly called red blood cells, are present in high numbers (roughly 5 million cells per mL) and are responsible for delivering oxygen from to the lungs to all the other areas of the body. These cells are relatively small in size with a diameter of around 7 micrometres and live no longer than 120 days.
  • Leukocytes, often referred to as white blood cells, are present in lower numbers (approximately 5 thousand cells per mL) are responsible for various immune functions.  They are typically larger than erythrocytes, but can live much longer, particularly white blood cells responsible for long term immunity.  The number of leukocytes in your blood can go up or down based on whether or not you are fighting an infection.
  • Thrombocytes, also known as platelets, are very small cells responsible for blood clotting.  Thrombocytes are not actually true cells, they are fragments of a much larger cell called a megakaryocyte.
• Lymph: contains a liquid matrix and white blood cells and is contained in the lymphatic system, which ultimately drains into the cardiovascular system.

Figure 7.4.11 A stained lymphocyte surrounded by red blood cells viewed using a light microscope. 

Muscular Tissue

Muscular tissue is made up of cells  that have the unique ability to contract- which is the defining feature of muscular tissue.  There are three major types of muscle tissue, as pictured in Figure 7.4.12 skeletal, smooth, and cardiac muscle tissues.

Skeletal Muscle

Skeletal muscles are voluntary muscles, meaning that you exercise conscious control over them.  Skeletal muscles are attached to bones by tendons, a type of connective tissue. When these muscles shorten to pull on the bones to which they are attached, they enable the body to move. When you are exercising, reading a book, or making dinner, you are using skeletal muscles to move your body to carry out these tasks.

Under the microscope, skeletal muscles are striated (or striped) in appearance, because of their internal structure which contains alternating protein fibres of actin and myosin.  Skeletal muscle is described as multinucleated, meaning one "cell" has many nuclei.  This is because in utero, individual cells destined to become skeletal muscle fused, forming muscle fibres in a process known as myogenesis.  You will learn more about skeletal muscle and how it contracts in the Muscular System.

Smooth Muscle

Smooth muscles are nonstriated muscles- they still contain the muscle fibres actin and myosin, but not in the same alternating arrangement seen in skeletal muscle.   Smooth muscle is found in the tubes of the body - in the walls of blood vessels and in the reproductive, gastrointestinal, and respiratory tracts. Smooth muscles are not under voluntary control meaning that they operate unconsciously, via the autonomic nervous system.  Smooth muscles move substances through a wave of contraction which cascades down the length of a tube, a process termed peristalsis. 

Watch the YouTube video "What is Peristalsis" by Mister Science to see peristalsis in action.

https://www.youtube.com/watch?v=kVjeNZA5pi4

What is Peristalsis, Mister Science, 2018.

 

 

Cardiac Muscle

Cardiac muscles work involuntarily, meaning they are regulated by the autonomic nervous system.  This is probably a good thing, since you wouldn't want to have to consciously concentrate on keeping your heart beating all the time! Cardiac muscle, which is found only in the heart, is mononucleated and striated (due to alternating bands of myosin and actin). Their contractions cause the heart to pump blood. In order to make sure entire sections of the heart contract in unison, cardiac muscle tissue contains special cell junctions called intercalated discs, which conduct the electrical signals used to "tell" the chambers of the heart when to contract.

Nervous Tissue

Nervous tissue is made up of neurons and a group of cells called neuroglia (also known as glial cells).  Nervous tissue makes up the central nervous system (mainly the brain and spinal cord) and peripheral nervous system (the network of nerves that runs throughout the rest of the body).  The defining feature of nervous tissue is that it is specialized to be able to generate and conduct nerve impulses.  This function is carried out by neurons, and the purpose of neuroglia is to support neurons.

A neuron has several parts to its structure:

• Dendrites which collect incoming nerve impulses
• A cell body, or soma, which contains the majority of the neuron's organelles, including the nucleus
• An axon, which carries nerve impulses away from the soma, to the next neuron in the chain
• A myelin sheath, which encases the axon and increases that rate at which nerve impulses can be conducted
• Axon terminals, which maintain physical contact with the dendrites of neighbouring neurons

 

Attributions

Figure 7.4.1

• Construction man kneeling in front of wall by Charles Deluvio on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Beige wooden frame by Charles Deluvio on Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Tambour on green by Pierre Châtel-Innocention Unsplash is used under the Unsplash License (https://unsplash.com/license).
• Tags: Construction Studs Plumbing Wiring by JWahl on Pixabay is used under the Pixabay License (https://pixabay.com/es/service/license/).

Figure 7.4.2 and Figure 7.4.3

• Simple columnar epithelium tissue by Kamil Danak on Wikimedia Commons is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/deed.en) license. 
• Simple cuboidal epithelium by Kamil Danak on Wikimedia Commons is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/deed.en) license.
• Simple squamous epithelium by Kamil Danak on Wikimedia Commons is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/deed.en) license. 

Figure 7.4.4

Loose fibrous connective tissue by CNX OpenStax. Biology. on Wikimedial Commons is used under a CC BY 4.0. (https://creativecommons.org/licenses/by/4.0) license.

Figure 7.4.5

Connective Tissue: Loose Aerolar by Berkshire Community College Bioscience Image Library on Flickr is used under a CC0 1.0 Universal public domain dedication (https://creativecommons.org/publicdomain/zero/1.0/) license.

Figure 7.4.6

Dense Fibrous Connective Tissue by by CNX OpenStax. Biology. on Wikimedial Commons is used under a CC BY 4.0. (https://creativecommons.org/licenses/by/4.0) license.

Figure 7.4.7

Dense_connective_tissue-400x by J Jana on Wikimedia Commons is used under a  CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0/deed.en) license.

Figure 7.4.8

Types_of_Cartilage-new by OpenStax College on Wikipedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license. 

Figure 7.4.9

Compact_bone_histology_2014 by Athikhun.suw on Wikimedia Commons is used under a  CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0/deed.en) license.

Figure 7.4.10

Bone_normal_and_degraded_micro_structure by Gtirouflet on Wikimedia Commons is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/deed.en) license.

Figure 7.4.11

Lymphocyte2 by NicolasGrandjean on Wikimedia Commons is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/deed.en) license.  [No machine-readable author provided. NicolasGrandjean is assumed, based on copyright claims.]

Figure 7.4.12

Skeletal_muscle_横纹肌1 by 乌拉跨氪 on Wikimedia Commons is used under a CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0/deed.en) license.

Figure 7.4.13

Smooth_Muscle_new by OpenStax on Wikimedia Commons is used under a CC BY 4.0  (https://creativecommons.org/licenses/by/4.0/deed.en) license.

Figure 7.4.14

Peristalsis by OpenStax on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/deed.en) license.

Figure 7.4.15

400x Cardiac Muscle by Jessy731 on Flickr is used and adapted by Christine Miller under a CC BY-NC 2.0 (https://creativecommons.org/licenses/by-nc/2.0/) license.

Figure 7.4.16

Neuron.svg by User:Dhp1080 on Wikimedia Commons is used under a CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/deed.en) license.

Figure 7.4.17

400x Nervous Tissue  by Jessy731 on Flickr is used under a CC BY-NC 2.0 (https://creativecommons.org/licenses/by-nc/2.0/) license.

Table 7.4.1

Summary of Epithelial Tissue Cells, by OpenStax College on Wikipedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license. 

Table 7.4.2

• Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160) by
  Berkshire Community College Bioscience Image Library on Wikimedia Commons is used under a  CC0 1.0 Universal Public Domain Dedication (https://creativecommons.org/publicdomain/zero/1.0/) license.
• Simple cuboidal epithelial tissue histology by Berkshire Community College on Flickr is used under a  CC0 1.0 Universal Public Domain Dedication (https://creativecommons.org/publicdomain/zero/1.0/) license.
• Pseudostratified_Epithelium by OpenStax College on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

References

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure 4.8 Summary of epithelial tissue cells [digital image].  In Anatomy and Physiology (Section 4.2). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/4-2-epithelial-tissue

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure 4.16 Types of cartilage [digital image].  In Anatomy and Physiology (Section 4.3). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/4-3-connective-tissue-supports-and-protects

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure 10.23 Smooth muscle [digital micrograph].  In Anatomy and Physiology (Section 10.8). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/10-8-smooth-muscle (Micrograph provided by the Regents of University of Michigan Medical School © 2012)

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure 22.5 Pseudostratified ciliated columnar epithelium [digital micrograph].  In Anatomy and Physiology (Section 22.1). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/22-1-organs-and-structures-of-the-respiratory-system

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure 23.5 Peristalsis [diagram]. In Anatomy and Physiology (Section 23.2). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/23-2-digestive-system-processes-and-regulation

Mister Science. (2018). What is peristalsis? YouTube. https://www.youtube.com/watch?v=kVjeNZA5pi4

MoomooMath and Science. (2017, May 18). Types of human body tissue. YouTube. https://www.youtube.com/watch?v=O0ZvbPak4ck&feature=youtu.be

Open Stax. (2016, May 27). Figure 6 Loose connective tissue [digital image]. In OpenStax Biology (Section 33.2). OpenStax CNX. https://cnx.org/contents/GFy_h8cu@10.53:-LfhWRES@4/Animal-Primary-Tissues

Open Stax. (2016, May 27). Figure 7 Fibrous connective tissue from the tendon [digital image]. In OpenStax Biology (Section 33.2). OpenStax CNX. https://cnx.org/contents/GFy_h8cu@10.53:-LfhWRES@4/Animal-Primary-Tissues

TED-Ed. (2019, October 17). How to 3D print human tissue - Taneka Jones. YouTube. https://www.youtube.com/watch?v=uHbn7wLN_3k&feature=youtu.be

TED-Ed. (2020, January 27). How bones make blood - Melody Smith. YouTube. https://www.youtube.com/watch?v=1Qfmkd6C8u8&feature=youtu.be

 

 

A sequence of nucleotides in DNA or RNA that codes for a molecule that has a function.

 

Three weeks ago, 20-year-old Erica came down with symptoms typical of the common cold. She had a runny nose, fatigue, and a mild cough. Her symptoms were starting to improve, but recently, her cough has been getting worse. She is coughing up a lot of thick mucus, her throat is sore from frequent coughing, and her chest feels very congested. According to her grandmother, Erica has a “chest cold.” Erica is a smoker and wonders if her habit is making her cough worse. She decides that it's time to see a doctor.

Dr. Choo examines Erica and asks about her symptoms and health history. She checks the level of oxygen in Erica’s blood by attaching a device called a pulse oximeter to Erica’s finger.

Dr. Choo concludes that Erica has bronchitis, which is an infection that commonly occurs after a person has a cold or flu. Bronchitis is sometimes referred to as a “chest cold,” so Erica’s grandmother was right! Bronchitis causes inflammation and a build up of mucus in the bronchial tubes in the chest.

Because bronchitis is usually caused by viruses and not bacteria, Dr. Choo tells Erica that antibiotics are not likely to help. Instead, she recommends that Erica try to thin out and remove the mucus by drinking plenty of fluids and using a humidifier or spending time in a steamy shower. She recommends that Erica get plenty of rest as well.

Dr. Choo also tells Erica some things not to do — most importantly, to stop smoking while she is sick, and to try to quit smoking in the long-term. She explains that smoking can make people more susceptible to bronchitis and can hinder recovery. Finally, she advises Erica to avoid taking over-the-counter cough suppressant medication.

As you read this chapter about the respiratory system, you will be able to better understand what bronchitis is, and why Dr. Choo made the treatment recommendations that she did. At the end of the chapter, you will learn more about acute bronchitis, which is the type that Erica has. This information may come in handy to you personally, because chances are high that you will get this common infection at some point in your life — there are millions of cases of bronchitis every year!

Figure 13.1.1

Cold/ Look into my eyes forever [photo] by Spencer Backman on Unsplash is used under the Unsplash License (https://unsplash.com/license).

Figure 13.1.2

Wrist-oximeter by UusiAjaja on Wikimedia Commons is used under a CC0 1.0 Universal Public Domain Dedication (https://creativecommons.org/publicdomain/zero/1.0/deed.en) license.

Reference

Mayo Clinic Staff. (n.d.). Bronchitis [online article]. Mayoclinic.org. https://www.mayoclinic.org/diseases-conditions/bronchitis/symptoms-causes/syc-20355566

Created by CK-12 Foundation/Adapted by Christine Miller

Pictured in Figure 16.4.1 is a steak and kidney pie; this savory dish is a British favorite. When kidneys are on a menu, they typically come from sheep, pigs, or cows. In these animals (as in the human animal), kidneys are the main organs of excretion.

The two bean-shaped kidneys are located high in the back of the abdominal cavity, one on each side of the spine. Both kidneys sit just below the diaphragm, the large breathing muscle that separates the abdominal and thoracic cavities. As you can see in the following figure, the right kidney is slightly smaller and lower than the left kidney. The right kidney is behind the liver, and the left kidney is behind the spleen. The location of the liver explains why the right kidney is smaller and lower than the left.

Kidney Anatomy

The shape of each kidney gives it a convex side (curving outward) and a concave side (curving inward). You can see this clearly in the detailed diagram of kidney anatomy shown in Figure 16.4.3. The concave side is where the renal artery enters the kidney, as well as where the renal vein and ureter leave the kidney. This area of the kidney is called the hilum. The entire kidney is surrounded by tough fibrous tissue — called the renal capsule — which, in turn, is surrounded by two layers of protective, cushioning fat.

Internally, each kidney is divided into two major layers: the outer renal cortex and the inner renal medulla (see Figure 16.4.3 above). These layers take the shape of many cone-shaped renal lobules, each containing renal cortex surrounding a portion of medulla called a renal pyramid. Within the renal pyramids are the structural and functional units of the kidneys, the tiny nephrons. Between the renal pyramids are projections of cortex called renal columns. The tip, or papilla, of each pyramid empties urine into a minor calyx (chamber). Several minor calyces empty into a major calyx, and the latter empty into the funnel-shaped cavity called the renal pelvis, which becomes the ureter as it leaves the kidney.

The renal circulation is an important part of the kidney’s primary function of filtering waste products from the blood. Blood is supplied to the kidneys via the renal arteries. The right renal artery supplies the right kidney, and the left renal artery supplies the left kidney. These two arteries branch directly from the aorta, which is the largest artery in the body. Each kidney is only about 11 cm (4.4 in) long, and has a mass of just 150 grams (5.3 oz), yet it receives about ten per cent of the total output of blood from the heart. Blood is filtered through the kidneys every 3 minutes, 24 hours a day, every day of your life.

As indicated in Figure 16.4.4, each renal artery carries blood with waste products into the kidney. Within the kidney, the renal artery branches into increasingly smaller arteries that extend through the renal columns between the renal pyramids. These arteries, in turn, branch into arterioles that penetrate the renal pyramids. Blood in the arterioles passes through nephrons, the structures that actually filter the blood. After blood passes through the nephrons and is filtered, the clean blood moves through a network of venules that converge into small veins. Small veins merge into increasingly larger ones, and ultimately into the renal vein, which carries clean blood away from the kidney to the inferior vena cava.

Figure 16.4.4 gives an indication of the complex structure of a nephron. The nephron is the basic structural and functional unit of the kidney, and each kidney typically contains at least a million of them. As blood flows through a nephron, many materials are filtered out of the blood, needed materials are returned to the blood, and the remaining materials form urine. Most of the waste products removed from the blood and excreted in urine are byproducts of metabolism. At least half of the waste is urea, a waste product produced by protein catabolism. Another important waste is uric acid, produced in nucleic acid catabolism.

Components of a Nephron

Figure 16.4.5 shows in greater detail the components of a nephron. Each nephron is composed of an initial filtering component that consists of a network of capillaries called the glomerulus (plural, glomeruli), which is surrounded by a space within a structure called glomerular capsule (also known as the Bowman's capsule). Extending from glomerular capsule is the renal tubule. The proximal end (nearest glomerular capsule) of the renal tubule is called the proximal convoluted (coiled) tubule. From here, the renal tubule continues as a loop (known as the loop of Henle) (also known as the loop of the nephron), which in turn becomes the distal convoluted tubule. The latter finally joins with a collecting duct. As you can see in the diagram, arterioles surround the total length of the renal tubule in a mesh called the peritubular capillary network.

Function of a Nephron

The simplified diagram of a nephron in Figure 16.4.6 shows an overview of how the nephron functions. Blood enters the nephron through an arteriole called the afferent arteriole. Next, some of the blood passes through the capillaries of the glomerulus. Any blood that doesn’t pass through the glomerulus — as well as blood after it passes through the glomerular capillaries — continues on through an arteriole called the efferent arteriole. The efferent arteriole follows the renal tubule of the nephron, where it continues playing a role in nephron functioning.

 

Filtration

As blood from the afferent arteriole flows through the glomerular capillaries, it is under pressure. Because of the pressure, water and solutes are filtered out of the blood and into the space made by glomerular capsule, almost like the water you cook pasta is is filtered out through a strainer. This is the filtration stage of nephron function. The filtered substances — called filtrate — pass into glomerular capsule, and from there into the proximal end of the renal tubule.  Anything too large to move through the pores in the glomerulus, such as blood cells, large proteins, etc., stay in the cardiovascular system.  At this stage, filtrate (fluid in the nephron) includes water, salts, organic solids (such as nutrients), and waste products of metabolism (such as urea).

Reabsorption and Secretion

As filtrate moves through the renal tubule, some of the substances it contains are reabsorbed from the filtrate back into the blood in the efferent arteriole (via peritubular capillary network). This is the reabsorption stage of nephron function and it is about returning "the good stuff" back to the blood so that it doesn't exit the body in urine. About two-thirds of the filtered salts and water, and all of the filtered organic solutes (mainly glucose and amino acids) are reabsorbed from the filtrate by the blood in the peritubular capillary network. Reabsorption occurs mainly in the proximal convoluted tubule and the loop of Henle, as seen in Figure 16.4.7.

At the distal end of the renal tubule, some additional reabsorption generally occurs. This is also the region of the tubule where other substances from the blood are added to the filtrate in the tubule. The addition of other substances to the filtrate from the blood is called secretion. Both reabsorption and secretion (shown in Figure 16.4.7) in the distal convoluted tubule are largely under the control of endocrine hormones that maintain homeostasis of water and mineral salts in the blood. These hormones work by controlling what is reabsorbed into the blood from the filtrate and what is secreted from the blood into the filtrate to become urine. For example, parathyroid hormone causes more calcium to be reabsorbed into the blood and more phosphorus to be secreted into the filtrate.

Collection of Urine and Excretion

By the time the filtrate has passed through the entire renal tubule, it has become the liquid waste known as urine. Urine empties from the distal end of the renal tubule into a collecting duct. From there, the urine flows into increasingly larger collecting ducts. As urine flows through the system of collecting ducts, more water may be reabsorbed from it. This will occur in the presence of antidiuretic hormone from the posterior pituitary gland. This hormone makes the collecting ducts permeable to water, allowing water molecules to pass through them into capillaries by osmosis, while preventing the passage of ions or other solutes. As much as 75% of the water may be reabsorbed from urine in the collecting ducts, making the urine more concentrated.

Urine finally exits the largest collecting ducts through the renal papillae. It empties into the renal calyces, and finally into the renal pelvis. From there, it travels through the ureter to the urinary bladder for eventual excretion from the body. An average of roughly 1.5 litres (a little over 6 cups) of urine is excreted each day. Normally, urine is yellow or amber in colour (see Figure 16.4.8). The darker the colour, generally speaking, the more concentrated the urine is.

 

Besides filtering blood and forming urine for excretion of soluble wastes, the kidneys have several vital functions in maintaining body-wide homeostasis. Most of these functions are related to the composition or volume of urine formed by the kidneys. The kidneys must maintain the proper balance of water and salts in the body, normal blood pressure, and the correct range of blood pH. Through the processes of absorption and secretion by nephrons, more or less water, salt ions, acids, or bases are returned to the blood or excreted in urine, as needed, to maintain homeostasis.

Blood Pressure Regulation

The kidneys do not control homeostasis all alone. As indicated above, endocrine hormones are also involved. Consider the regulation of blood pressure by the kidneys. Blood pressure is the pressure exerted by blood on the walls of the arteries. The regulation of blood pressure is part of a complex system, called the renin-angiotensin-aldosterone system. This system regulates the concentration of sodium in the blood to control blood pressure.

The renin-angiotensin-aldosterone system is put into play when the concentration of sodium ions in the blood falls lower than normal. This causes the kidneys to secrete an enzyme called renin into the blood. It also causes the liver to secrete a protein called angiotensinogen. Renin changes angiotensinogen into a proto-hormone called angiotensin I. This is converted to angiotensin II by an enzyme (angiotensin-converting enzyme) in lung capillaries.

Angiotensin II is a potent hormone that causes arterioles to constrict. This, in turn, increases blood pressure. Angiotensin II also stimulates the secretion of the hormone aldosterone from the adrenal cortex. Aldosterone causes the kidneys to increase the reabsorption of sodium ions and water from the filtrate into the blood. This returns the concentration of sodium ions in the blood to normal. The increased water in the blood also increases blood volume and blood pressure.

Other Kidney Hormones

Hormones other than renin are also produced and secreted by the kidneys. These include calcitriol and erythropoietin.

• Calcitriol is secreted by the kidneys in response to low levels of calcium in the blood. This hormone stimulates uptake of calcium by the intestine, thus raising blood levels of calcium.
• Erythropoietin is secreted by the kidneys in response to low levels of oxygen in the blood. This hormone stimulates erythropoiesis, which is the production of  erythrocytes in bone marrow. Extra red blood cells increase the level of oxygen carried in the blood.

Kidney failure is a complication of common disorders including diabetes mellitus and hypertension. It is estimated that approximately 12.5% of Canadians have some form of kidney disease.  If the disease is serious, the patient must either receive a donated kidney or have frequent hemodialysis, a medical procedure in which the blood is artificially filtered through a machine. Transplant generally results in better outcomes than hemodialysis, but demand for organs far outstrips the supply. The average time on the organ donation waitlist for a kidney is four years.  There are over 3,000 Canadians on the wait list for a kidney transplant and some will die waiting for a kidney to become available.

For the past decade, Dr. William Fissell, a kidney specialist at Vanderbilt University, has been working to create an implantable part-biological and part-artificial kidney. Using microchips like those used in computers, he has produced an artificial kidney small enough to implant in the patient’s body in place of the failed kidney. According to Dr. Fissell, the artificial kidney is “... a bio-hybrid device that can mimic a kidney to remove enough waste products, salt, and water to keep a patient off [hemo]dialysis.”

The filtration system in the artificial kidney consists of a stack of 15 microchips. Tiny pores in the microchips act as a scaffold for the growth of living kidney cells that can mimic the natural functions of the kidney. The living cells form a membrane to filter the patient’s blood as a biological kidney would, but with less risk of rejection by the patient’s immune system, because they are embedded within the device. The new kidney doesn’t need a power source, because it uses the natural pressure of blood flowing through arteries to push the blood through the filtration system. A major part of the design of the artificial organ was devoted to fine tuning the fluid dynamics so blood flows through the device without clotting.

Because of the potential life-saving benefits of the device, the implantable kidney was given fast-track approval for testing in people by the U.S. Food and Drug Administration. The artificial kidney is expected to be tested in pilot trials by 2018. Dr. Fissell says he has a long list of patients eager to volunteer for the trials.

Attributions

Figure 16.4.1

Steak and Kidney Pie by Charles Haynes on Flickr is used under a CC BY-SA 2.0 (https://creativecommons.org/licenses/by-sa/2.0/) license.

Figure 16.4.2

Gray Kidneys by Henry Vandyke Carter (1831-1897) on Wikimedia Commons is in the  public domain (https://en.wikipedia.org/wiki/public_domain). (Bartleby.com: Gray’s Anatomy, Plate 1120).

Figure 16.4.3

Blausen_0592_KidneyAnatomy_01 by BruceBlaus on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

Figure 16.4.4

Diagram_showing_how_the_kidneys_work_CRUK_138.svg by Cancer Research UK on Wikimedia Commons is used under a CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0) license.

Figure 16.4.5

Blood_Flow_in_the_Nephron by OpenStax College on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

Figure 16.4.6

1024px-Physiology_of_Nephron by Madhero88 on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

Figure 16.4.7

Nephron_Secretion_Reabsorption by OpenStax College on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

Figure 16.4.8

Urine by User:Markhamilton at English Wikipedia on Wikimedia Commons is in the public domain (https://en.wikipedia.org/wiki/Public_domain).

Figure 16.4.9

Renin_Angiotensin_System-01 by OpenStax College on Wikimedia Commons is used under a CC BY 3.0 (https://creativecommons.org/licenses/by/3.0) license.

References

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure 25.10 Blood flow in the nephron [digital image].  In Anatomy and Physiology (Section 25.3). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/25-3-gross-anatomy-of-the-kidney

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure 25.17 Locations of secretion and reabsorption in the nephron [digital image].  In Anatomy and Physiology (Section 25.6). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/25-6-tubular-reabsorption

Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure 26.14 The renin-angiotensin system [digital image].  In Anatomy and Physiology (Section 26.3). OpenStax. https://openstax.org/books/anatomy-and-physiology/pages/26-3-electrolyte-balance

Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436

Hamada Abass. (2013). Urine formation. YouTube. https://www.youtube.com/watch?v=es-t8lO1KpA&feature=youtu.be

TED-Ed. (2015, February 9). How do your kidneys work? - Emma Bryce. YouTube. https://www.youtube.com/watch?v=FN3MFhYPWWo&feature=youtu.be

TED-Ed. (2013, March 15). Printing a human kidney - Anthony Atala. YouTube. https://www.youtube.com/watch?v=bX3C201O4MA&feature=youtu.be

 

A substance that takes part in and undergoes change during a chemical reaction.