{"id":5360,"date":"2019-06-24T17:46:23","date_gmt":"2019-06-24T17:46:23","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/20-6-structures-of-the-female-reproductive-system-3\/"},"modified":"2023-11-30T23:25:58","modified_gmt":"2023-11-30T23:25:58","slug":"20-6-structures-of-the-female-reproductive-system-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/20-6-structures-of-the-female-reproductive-system-3\/","title":{"raw":"18.6\u00a0Structures of the Female Reproductive System","rendered":"18.6\u00a0Structures of the Female Reproductive System"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_5234\" align=\"aligncenter\" width=\"400\"]<img class=\"wp-image-5234\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/1024px-Cattien_stone_yoni-2.png\" alt=\"18.6.1\" width=\"400\" height=\"302\" \/> <em>Figure 18.6.1 Yep, that's a vagina.<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Fertility Symbol<\/h1>\r\n<\/div>\r\nThe geometric design on the ancient stone carving in Figure 18.6.1 represents a powerful symbol of female fertility: the [pb_glossary id=\"5143\"]vagina[\/pb_glossary]. The symbol is called <em>yoni<\/em> in Hindu, and it reflects the value placed by Hindu culture on the ability of females to give birth. The vagina is one of several organs in the\u00a0female reproductive system.\r\n<div>\r\n<h1>Female Reproductive Organs<\/h1>\r\n<\/div>\r\nThe female reproductive system is made up of internal and external organs that function to produce haploid female gametes called ova (or oocytes), secrete female sex hormones (such as [pb_glossary id=\"5995\"]estrogen[\/pb_glossary]), and carry and give birth to a [pb_glossary id=\"5086\"]fetus[\/pb_glossary]. The internal female reproductive organs include the vagina, [pb_glossary id=\"5102\"]uterus[\/pb_glossary], [pb_glossary id=\"5101\"]oviduct<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">, and [pb_glossary id=\"3487\"]ovaries[\/pb_glossary]. The external organs \u2014 collectively called the [pb_glossary id=\"5152\"]vulva[\/pb_glossary] \u2014 include the [pb_glossary id=\"5153\"]clitoris[\/pb_glossary] and [pb_glossary id=\"5154\"]labia[\/pb_glossary].<\/span>\r\n\r\nThe\u00a0<strong>[pb_glossary id=\"5143\"]vagina[\/pb_glossary]<\/strong> is an elastic, muscular canal leading from its opening in the vulva to the neck of the uterus, called the [pb_glossary id=\"5235\"]cervix[\/pb_glossary]. It is about 7.5 cm (about 3 in) long at the front, and about 9 cm (3.5 in) long at the back. The vagina accommodates the penis and is the site where [pb_glossary id=\"2506\"]sperm[\/pb_glossary] are usually ejaculated during sexual intercourse. In the context of pregnancy and natural (vaginal) childbirth, the vagina is referred to as the birth canal. In addition, it channels the flow of menstrual blood from the [pb_glossary id=\"5102\"]uterus[\/pb_glossary].\r\n<h2>Structure of the Vagina<\/h2>\r\nMuscles and ligaments support the vagina within the [pb_glossary id=\"2992\"]pelvic cavity[\/pb_glossary]. The vagina itself is made up of several layers of fibrous and muscular tissues and lined with [pb_glossary id=\"3538\"]mucous membrane<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">. Folds in the mucosa provide the vagina with extra surface area so it can stretch in both length and width during intercourse or childbirth. The elasticity of the vagina and the extra mucosa allow it to stretch to many times its normal diameter in order to deliver a baby.<\/span>\r\n<h2>Bacteria\u00a0and\u00a0pH\u00a0in the Vagina<\/h2>\r\nA healthy [pb_glossary id=\"5143\"]vagina[\/pb_glossary] is home to many [pb_glossary id=\"5819\"]symbiotic[\/pb_glossary]\u00a0[pb_glossary id=\"2588\"]bacteria[\/pb_glossary] that help prevent pathogens (such as yeast) from colonizing the vagina. The [pb_glossary id=\"4330\"]pH[\/pb_glossary] in the vagina is normally between 3.8 and 4.5, and this acidity also helps keep pathogenic microorganisms from colonizing it. The vagina constantly sheds its epithelium, so it is considered self-cleaning. As a consequence, there is no need for douching to clean it. Physicians actually discourage the practice, as it may upset the normal bacterial and pH balance in the vagina, although washing the vulva with a mild soap is good practice.\r\n<div>\r\n<h1>Uterus<\/h1>\r\n<\/div>\r\nThe\u00a0<strong>[pb_glossary id=\"5102\"]uterus[\/pb_glossary]<\/strong> (commonly called the womb) is a pear-shaped, muscular organ that is about 7.6 cm (about 3 in) long. It is located above the vagina and behind the [pb_glossary id=\"4731\"]bladder[\/pb_glossary] in the centre of the pelvis. The position of the uterus in the pelvis is stabilized by several ligaments and bands of supportive tissue. The uterus is where a fetus develops during gestation, and the organ provides mechanical protection and support for the developing offspring. Contractions of the muscular wall of the uterus are responsible for pushing the fetus out of the uterus during childbirth.\r\n\r\n[caption id=\"attachment_5240\" align=\"alignright\" width=\"368\"]<img class=\" wp-image-5240\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1000px-Gray1167.svg_-2.png\" alt=\"18.6.2 Uterus and Vagina\" width=\"368\" height=\"400\" \/> <em>Figure 18.6.2 The cervix of the uterus opens into the vagina. The body of the uterus lies above the cervix.<\/em>[\/caption]\r\n<h2>Parts of the Uterus<\/h2>\r\nAs shown in Figure 18.6.2, the lower end of the uterus forms the <strong>[pb_glossary id=\"5235\"]cervix[\/pb_glossary],<\/strong> which is also called the neck of the uterus. The cervix is about 2.5 cm (almost 1 in) long and protrudes downward into the vagina. A small canal runs the length of the cervix, connecting the uterine cavity with the lumen of the vagina. This allows semen deposited in the vagina to enter the uterus, and a baby to pass from the uterus into the vagina during birth. Glands in the cervix secrete mucus that varies in water content and thickness, so it can function either as a barrier to keep [pb_glossary id=\"5775\"]microorganism<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0out of the uterus during\u00a0pregnancy, or as a transport medium to help\u00a0sperm\u00a0enter the uterus around the time of [pb_glossary id=\"5239\"]ovulation[\/pb_glossary]. The rest of the uterus above the cervix is called the body of the uterus. The upper end of the uterus is connected with the two [pb_glossary id=\"5101\"]oviduct<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\">[\/pb_glossary]<\/span><span style=\"font-size: 1em; text-align: initial;\">.<\/span>\r\n<h2>Tissues of the Uterus<\/h2>\r\nAs indicated in Figure 18.6.3, the uterus consists of three tissue layers, called the endometrium, myometrium, and perimetrium.\r\n<ul>\r\n \t<li>The\u00a0<strong>[pb_glossary id=\"5241\"]endometrium[\/pb_glossary]<\/strong> is the innermost tissue layer of the uterus. It consists of epithelial tissue, including mucous membranes. This layer thickens during each menstrual cycle and, unless an egg is fertilized, sloughs off during the following menstrual period. If an ovum is fertilized, the thickened endometrium is maintained by hormones and provides nourishment to the embryo. As gestation progresses, the endometrium develops into the maternal portion of the placenta.<\/li>\r\n \t<li>The <strong>[pb_glossary id=\"5242\"]placenta[\/pb_glossary]<\/strong>\u00a0is a temporary organ that consists of a mass of maternal and fetal\u00a0blood vessels\u00a0through which the mother\u2019s and fetus\u2019s\u00a0blood\u00a0exchange substances.<\/li>\r\n \t<li>The\u00a0<strong>[pb_glossary id=\"5243\"]myometrium[\/pb_glossary]<\/strong>\u00a0is the middle layer of the uterus. It consists mostly of a thick layer of smooth muscle tissue. Powerful contractions of the smooth muscle allow the uterus to contract and expel an infant during childbirth.<\/li>\r\n \t<li>The\u00a0<strong>[pb_glossary id=\"5244\"]perimetrium[\/pb_glossary]<\/strong>\u00a0is the outermost layer of the uterus. It covers\u00a0the\u00a0outer surface of the uterus. This layer actually consists of two layers of epithelium that secrete fluid into the space between them. The fluid allows for small movements of the uterus within the pelvis, without\u00a0causing it to rub\u00a0against other organs.<\/li>\r\n<\/ul>\r\n[caption id=\"attachment_5245\" align=\"aligncenter\" width=\"380\"]<img class=\"wp-image-5245 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Uterine_anatomy.-e1593113913396-2.jpg\" alt=\"18.6.3 Layers of the Uterus\" width=\"380\" height=\"260\" \/> <em>Figure 18.6.3 The thick walls of the uterus are composed of layers of tissues known as endometrium, myometrium, and perimetrium (not shown in this image).<\/em>[\/caption]\r\n\r\n<div>\r\n\r\n<span style=\"font-size: 1.424em;\">Oviducts<\/span>\r\n\r\n<\/div>\r\nThe\u00a0<strong>[pb_glossary id=\"5101\"]oviduct<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/strong><span style=\"text-align: initial; font-size: 1em;\"> (often referred to as Fallopian tubes) are two thin tubes that lie between the [pb_glossary id=\"3487\"]ovaries[\/pb_glossary] and the [pb_glossary id=\"5102\"]uterus[\/pb_glossary]. The oviducts are not attached to the ovaries, but their broad upper ends \u2014 called infundibula \u2014 lie very close to the ovaries. The infundibula also have fringe-like extensions called [pb_glossary id=\"5247\"]fimbriae[\/pb_glossary] that move in a waving motion to help guide eggs from the ovaries into the oviducts. The lower ends of the oviducts are attached to the upper part of the body of the [pb_glossary id=\"5102\"]uterus[\/pb_glossary] on either side of the body. They open into the uterus.<\/span>\r\n\r\nThe oviducts are made up of multiple tissue layers. The innermost layer consists of mucosal epithelium. The epithelium is covered with [pb_glossary id=\"1597\"]cilia[\/pb_glossary], which can move in a sweeping motion to help ova move through the tube from the ovary to the uterus. In between the ciliated cells of the epithelium are cells that secrete a fluid called tubular fluid. This fluid contains nutrients for sperm, ova, and zygotes. The secretions in tubular fluid also remove certain molecules from the [pb_glossary id=\"5489\"]plasma membrane[\/pb_glossary] of sperm so they are better able to penetrate an egg. Other layers of the oviducts consist of connective tissue and smooth muscle. Contractions of the [pb_glossary id=\"2982\"]smooth muscle[\/pb_glossary] allow [pb_glossary id=\"2890\"]peristalsis[\/pb_glossary] to help move eggs through the tubes.\r\n<div>\r\n<h1>Ovaries<\/h1>\r\n<\/div>\r\nLike the [pb_glossary id=\"3486\"]testes[\/pb_glossary] in males, the\u00a0<strong>[pb_glossary id=\"3487\"]ovaries[\/pb_glossary]<\/strong>\u00a0in females are [pb_glossary id=\"3408\"]gonad<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0that produce [pb_glossary id=\"6023\"]gamete<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\">[\/pb_glossary]<\/span><span style=\"font-size: 1em; text-align: initial;\"> and secrete sex [pb_glossary id=\"5661\"]hormones[\/pb_glossary]. The gametes produced by the ovaries are called [pb_glossary id=\"5099\"]ova[\/pb_glossary], or oocytes. The main sex hormone secreted by the ovaries is [pb_glossary id=\"5995\"]estrogen[\/pb_glossary]. The position of the paired ovaries relative to the other reproductive system organs is shown in Figure 18.6.4. Each ovary lies along one side of the uterus and is about 4 cm (a little more than 1.5 in) long. Fibrous ligaments attach one end of each ovary to its nearby oviduct and the other and to its side of the uterus. These ligaments keep the ovaries in place within the pelvis.<\/span>\r\n\r\n[caption id=\"attachment_5251\" align=\"aligncenter\" width=\"689\"]<img class=\"wp-image-5251 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Sites_of_tubo_ovarian_abscess-e1593120204450-2.png\" alt=\"18.6.4 Placement of the Ovaries\" width=\"689\" height=\"482\" \/> <em>Figure 18.6.4 The placement of the two ovaries within the pelvis allows eggs from each ovary to enter a Fallopian tube and travel to the uterus.<\/em>[\/caption]\r\n<h2>Ovarian Follicles<\/h2>\r\nThe ovary consists of two main layers, called the ovarian medulla (the inner layer) and the ovarian cortex (the outer layer). The ovary also contains\u00a0[pb_glossary id=\"5835\"]blood[\/pb_glossary]\u00a0and lymphatic vessels. The ovarian cortex consists primarily of the functional units of the ovaries, which are called\u00a0<strong>[pb_glossary id=\"5253\"]ovarian follicle<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary].<\/strong><span style=\"text-align: initial; font-size: 1em;\"> The follicles are nests of epithelial cells, within each of which is an ovum. The photomicrograph in Figure 18.6.5 shows an ovarian follicle and the developing ovum inside it. If an ovum and follicle complete maturation, the follicle ruptures and the ovum is released from the ovary. This event is called [pb_glossary id=\"5239\"]ovulation[\/pb_glossary].<\/span>\r\n\r\n[caption id=\"attachment_5254\" align=\"aligncenter\" width=\"800\"]<img class=\"size-full wp-image-5254\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Ovarian_follicle-2.png\" alt=\"18.6.4 Ovarian Follicle\" width=\"800\" height=\"480\" \/> <em>Figure 18.6.5 An ovum within its nest of follicular cells inside an ovary.<\/em>[\/caption]\r\n<h2>Ova in the Ovaries<\/h2>\r\nWhereas the male [pb_glossary id=\"3486\"]testes[\/pb_glossary] produce sperm continuously after\u00a0[pb_glossary id=\"5155\"]puberty[\/pb_glossary], the female ovary already contains all the ova it will ever produce by the time a female is born. At birth, a baby girl\u2019s [pb_glossary id=\"3487\"]ovaries[\/pb_glossary] contain at least a million eggs, each of which is contained within a [pb_glossary id=\"5253\"]follicle[\/pb_glossary]. Only about 500 of these eggs will eventually mature and be ovulated. This process starts at puberty and typically continues at monthly intervals until [pb_glossary id=\"5255\"]menopause[\/pb_glossary] occurs around age 52. The remaining eggs never mature, and their number declines as the woman ages. By menopause, a woman\u2019s reserve of eggs is nearly depleted, and [pb_glossary id=\"5239\"]ovulation[\/pb_glossary] no longer occurs.\r\n<div>\r\n<h1>Vulva<\/h1>\r\n<\/div>\r\nThe\u00a0<strong>[pb_glossary id=\"5152\"]vulva[\/pb_glossary]<\/strong> is a general term for all of the external female reproductive organs. The vulva includes the clitoris, labia, and external openings for the urethra and vagina.\r\n<h2>Labia<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"5154\"]labia[\/pb_glossary]<\/strong> (singular, labium) refer to the \u201clips\u201d of the vulva, which are folds of tissue that contain and protect the other, more delicate structures of the vulva (as shown in Figure 18.6.6). There are two pairs of labia: the outer and larger labia majora, and the inner and smaller labia minora. The labia minora contain numerous sebaceous glands. These glands release secretions that help lubricate the labia and vulvar area.\r\n\r\n[caption id=\"attachment_5256\" align=\"aligncenter\" width=\"361\"]<img class=\" wp-image-5256\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/HumanVulva-NewText-PhiloViv-2.jpg\" alt=\"18.6.5 Vulva Labeled\" width=\"361\" height=\"256\" \/> <em>Figure 18.6.6 The vulva includes the external features of the female reproductive system including the labia, clitoris and clitoral hood, and the openings from the urethra and to the vagina.<\/em>[\/caption]\r\n<h2>Clitoris<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"5153\"]clitoris[\/pb_glossary],<\/strong>\u00a0is located at the front of the [pb_glossary id=\"5152\"]vulva[\/pb_glossary] where the labia minora meet. The visible portion of the clitoris is called the glans clitoris. It is roughly the size and shape of a pea. It is highly sensitive, because it contains many nerve endings. A hood of tissue called the clitoral hood (shown in Figure 18.6.5 above), or prepuce, normally covers and protects the clitoris. The clitoris is the homologue to the male penis, and they both contain spongy tissue.\u00a0\u00a0<span style=\"font-size: 1em;\">Stimulation of the glans clitoris during sexual activity generally results in sexual arousal in females, and may lead to orgasm.<\/span><span style=\"font-size: 1em;\"> The glans clitoris is the only part of the overall clitoris visible externally, but this spongy tissue extends down either side of the openings to the urethra and vagina, as seen in Figure 18.6.7.<\/span>\r\n\r\n[caption id=\"attachment_5257\" align=\"aligncenter\" width=\"729\"]<img class=\"size-full wp-image-5257\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Vulva-2.jpg\" alt=\"18.6.6 Clitoris\" width=\"729\" height=\"428\" \/> <em>Figure 18.6.7 While the glans clitoris is the only externally visible part of the clitoris, this spongy tissue extends dorsally into the corpus cavernosum, which flanks the left and right sides of the opening to the vagina.<\/em>[\/caption]\r\n<h2>Other Vulvar Structures<\/h2>\r\nThe area between the two labia minora is called the vestibule of the vulva. Both the [pb_glossary id=\"4732\"]urethra[\/pb_glossary] and [pb_glossary id=\"5143\"]vagina[\/pb_glossary] have openings to the outside of the body in the vestibule. As you can see in Figure 18.6.7 above, the urethral opening (or meatus) is located just in front of, and is much smaller than, the vaginal opening. Both openings are protected by the labia. Two glands \u2014 called Bartholin\u2019s glands \u2014 open on either side of the vaginal opening. These glands secrete mucus and a vaginal and vulvar lubricant.\r\n<div>\r\n<h1>Breasts<\/h1>\r\n<\/div>\r\n\r\n[caption id=\"attachment_5258\" align=\"alignright\" width=\"350\"]<img class=\"size-full wp-image-5258\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Breast-Diagram-3.gif\" alt=\"18.6.7 Breasts\" width=\"350\" height=\"274\" \/> <em>Figure 18.6.8 The breasts are not really reproductive organs, but they play a reproductive role as mammary glands that can produce milk to feed an infant.<\/em>[\/caption]\r\n\r\nThe breasts are not directly involved in\u00a0reproduction, but because they contain\u00a0<strong>[pb_glossary id=\"3432\"]mammary gland<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\">[\/pb_glossary],<\/strong><span style=\"text-align: initial; font-size: 1em;\"> they can provide nourishment to an infant after birth. The breasts overlay major muscles in the chest from which they project outward in a conical shape. The two main types of tissues in the breast are adipose (fat) tissue and glandular tissue that produces milk. As shown in Figure 18.6.8, each mature breast contains many lobules, where milk is produced and stored during pregnancy. During breastfeeding (or lactation), the milk drains into ducts and sacs, which in turn converge at the nipple. Milk exits the breast through the nipple in response to the suckling action of an infant and is regulated by a [pb_glossary id=\"2962\"]positive feedback loop[\/pb_glossary]. The nipple is surrounded by a more darkly pigmented area called the areola. The areola contains glands that secrete an oily fluid, which lubricates and protects the nipple during breastfeeding.<\/span>\r\n<div>\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.6 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>The\u00a0female reproductive system\u00a0is made up of internal and external organs that function to produce [pb_glossary id=\"2484\"]haploid[\/pb_glossary] female [pb_glossary id=\"6023\"]gametes[\/pb_glossary] called ova, secrete female sex hormones (such as [pb_glossary id=\"5995\"]estrogen[\/pb_glossary]), and carry and give birth to a [pb_glossary id=\"5086\"]fetus[\/pb_glossary].<\/li>\r\n \t<li>The [pb_glossary id=\"5143\"]vagina[\/pb_glossary] is an elastic, muscular canal that can accommodate the [pb_glossary id=\"5091\"]penis[\/pb_glossary]. It is also where sperm are usually ejaculated during [pb_glossary id=\"5149\"]sexual intercourse[\/pb_glossary]. The vagina is the birth canal, and it channels the flow of menstrual blood from the [pb_glossary id=\"5102\"]uterus[\/pb_glossary]. A healthy vagina has a balance of [pb_glossary id=\"5819\"]symbiotic[\/pb_glossary] [pb_glossary id=\"2588\"]bacteria[\/pb_glossary] and an [pb_glossary id=\"5691\"]acidic[\/pb_glossary] [pb_glossary id=\"4330\"]pH[\/pb_glossary].<\/li>\r\n \t<li>The [pb_glossary id=\"5102\"]uterus[\/pb_glossary] is a muscular organ above the [pb_glossary id=\"5143\"]vagina[\/pb_glossary] where a [pb_glossary id=\"5086\"]fetus[\/pb_glossary] develops. Its muscular walls contract to push out the fetus during childbirth. The [pb_glossary id=\"5235\"]cervix[\/pb_glossary] is the neck of the uterus that extends down into the vagina. It contains a canal connecting the vagina and uterus for sperm, or for an infant to pass through. The innermost layer of the uterus \u2014 the [pb_glossary id=\"5241\"]endometrium[\/pb_glossary] \u2014 thickens each month in preparation for an [pb_glossary id=\"5262\"]embryo[\/pb_glossary], but is shed in the following menstrual period if\u00a0fertilization does not occur.<\/li>\r\n \t<li>The [pb_glossary id=\"5101\"]oviducts[\/pb_glossary]\u00a0extend from the uterus to the ovaries. Waving [pb_glossary id=\"5247\"]fimbriae[\/pb_glossary] at the ovary ends of the oviducts guide ovulated eggs into the tubes where [pb_glossary id=\"6009\"]fertilization[\/pb_glossary] may occur as the ova travel to the uterus. [pb_glossary id=\"1597\"]Cilia[\/pb_glossary] and [pb_glossary id=\"2890\"]peristalsis[\/pb_glossary] help ova move through the tubes. Tubular fluid helps nourish sperm as they swim up the tubes toward ova.<\/li>\r\n \t<li>The [pb_glossary id=\"3487\"]ovaries[\/pb_glossary] are [pb_glossary id=\"3408\"]gonads[\/pb_glossary] that produce ova and secrete sex hormones, including [pb_glossary id=\"5995\"]estrogen[\/pb_glossary]. Nests of cells called [pb_glossary id=\"5253\"]follicles[\/pb_glossary] in the ovarian cortex are the functional units of ovaries. Each follicle surrounds an immature ovum. At birth, a baby girl\u2019s ovaries contain at least a million ova, and they will not produce any more during her lifetime. During a woman\u2019s reproductive years, one ova typically matures and is ovulated each month.<\/li>\r\n \t<li>The [pb_glossary id=\"5152\"]vulva[\/pb_glossary] is a general term for external female reproductive organs. The vulva includes the [pb_glossary id=\"5153\"]clitoris[\/pb_glossary], two pairs of [pb_glossary id=\"5154\"]labia[\/pb_glossary], and openings for the [pb_glossary id=\"4732\"]urethra[\/pb_glossary] and [pb_glossary id=\"5143\"]vagina[\/pb_glossary]. Secretions from mucosal glands near the vaginal opening lubricate the vulva.<\/li>\r\n \t<li>The breasts are not technically reproductive organs, but their [pb_glossary id=\"3432\"]mammary glands[\/pb_glossary] produce milk to feed an infant after birth. Milk drains through ducts and sacs, and out through the nipple when a\u00a0 baby sucks during breastfeeding.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.6 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>[h5p id=\"648\"]<\/li>\r\n \t<li>State the general functions of the female reproductive system.<\/li>\r\n \t<li>Describe the vagina and its reproductive functions.<\/li>\r\n \t<li>Outline the structure and basic functions of the uterus.<\/li>\r\n \t<li>What is the endometrium? How does it change during the monthly cycle?<\/li>\r\n \t<li>Why are breasts included in discussions of reproduction, if they are not organs of the female reproductive system?<\/li>\r\n \t<li>What is the function of the folds in the mucous membrane lining of the vagina?<\/li>\r\n \t<li>What are two ways in which the female reproductive system protects itself from pathogens?<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.6 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/youtu.be\/SkB4gG8ke7Q\r\n<p style=\"text-align: center;\">The uncomplicated truth about women's sexuality | Sarah Barmak, TED, 2019.<\/p>\r\nhttps:\/\/youtu.be\/9rs2gNchQig\r\n<p style=\"text-align: center;\">Human Physiology - Functional Anatomy of the Female Reproductive System, Janux, 2015.<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"content\" class=\"site-content\"><section class=\"standard post-956 chapter type-chapter status-publish hentry focusable\" data-type=\"chapter\">\r\n<h2>Attributes<\/h2>\r\n<strong>Figure 18.6.1<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Cattien_stone_yoni.png\" rel=\"cc:attributionURL\">1024px-Cattien_stone_yoni<\/a> by <a title=\"User:Binh Giang\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Binh_Giang\">Binh Giang<\/a> on Wikimedia Commons is in the \u00a0<a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/en:public_domain).\r\n\r\n<strong>Figure 18.6.2<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Gray1167.svg\" rel=\"cc:attributionURL\">1000px-Gray1167.svg<\/a> by <a href=\"https:\/\/en.wikipedia.org\/wiki\/Henry_Vandyke_Carter\">Henry Vandyke Carter<\/a>\u00a0(1831-1897) on Wikimedia Commons is in the \u00a0<a class=\"extiw\" title=\"en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a>\u00a0(https:\/\/en.wikipedia.org\/wiki\/public_domain). (<a class=\"extiw\" title=\"en:Bartleby.com\" href=\"https:\/\/en.wikipedia.org\/wiki\/Bartleby.com\">Bartleby.com<\/a>:\u00a0<a class=\"external text\" href=\"http:\/\/www.bartleby.com\/107\/\" rel=\"nofollow\">Gray\u2019s Anatomy<\/a>, <a class=\"external text\" href=\"http:\/\/www.bartleby.com\/107\/illus1167.html\" rel=\"nofollow\">Plate 1167<\/a>).\r\n\r\n<strong>Figure 18.6.3<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Uterine_anatomy..jpg\" rel=\"cc:attributionURL\">Uterine_anatomy.<\/a> from <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK27042\/bin\/Teixeira01.jpg\">Uterine Stem cells<\/a> by <a href=\"http:\/\/www.stembook.org\">The Stem Cell Research Community, StemBook<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\r\n\r\n<strong>Figure 18.6.4<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Sites_of_tubo_ovarian_abscess.PNG\" rel=\"cc:attributionURL\">Sites_of_tubo_ovarian_abscess<\/a> by <a title=\"User:Bfpage\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Bfpage\">Bfpage<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.\r\n\r\n<strong>Figure 18.6.5<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Ovarian_follicle.png\" rel=\"cc:attributionURL\">Ovarian_follicle<\/a> by <a title=\"User:TiagoLubiana\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:TiagoLubiana\">TiagoLubiana<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.\r\n\r\n<strong style=\"text-align: initial; font-size: 1em;\">\r\nFigure 18.6.6<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:HumanVulva-NewText-PhiloViv.jpg#file\" rel=\"cc:attributionURL\">HumanVulva-NewText-PhiloViv<\/a> by <a title=\"User:Amphis\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Amphis\">Amphis<\/a> (edited) on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license. (<span style=\"text-align: initial; font-size: 1em;\">Original \u00a0<a class=\"extiw\" title=\"en:Image:HumanVulva-NoText-PhiloVivero.jpg\" href=\"https:\/\/en.wikipedia.org\/wiki\/Image:HumanVulva-NoText-PhiloVivero.jpg\">en:Image:HumanVulva-NoText-PhiloVivero.jpg<\/a> by <\/span><a class=\"extiw\" style=\"text-align: initial; font-size: 1em;\" title=\"en:user:PhiloVivero\" href=\"https:\/\/en.wikipedia.org\/wiki\/user:PhiloVivero\">en:user:PhiloVivero<\/a>)\r\n\r\n<strong>Figure 18.6.7<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_28_02_02.jpg\" rel=\"cc:attributionURL\">Vulva<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/27-2-anatomy-and-physiology-of-the-female-reproductive-system\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\r\n\r\n<strong>Figure 18.6.8<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Breast-Diagram.gif\" rel=\"cc:attributionURL\">Breast-Diagram<\/a> by <a href=\"https:\/\/www.womenshealth.gov\/cancer\/breast-cancer\">Women's Health<\/a> (NCI\/ NIH) on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:en:Public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/en:Public_domain).\r\n\r\n&nbsp;\r\n<div class=\"media-atttributions\">\r\n\r\n<span style=\"font-size: 1.424em; font-weight: bold; color: #333333;\">References<\/span>\r\n\r\n<\/div>\r\n<\/section><\/div>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\">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\u00a0<\/span><span class=\"os-number\">27.10<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"33336\" class=\"os-title\" data-type=\"title\">The vulva [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 27.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/27-2-anatomy-and-physiology-of-the-female-reproductive-system<\/span><\/p>\r\n<p class=\"hanging-indent\">Janux. (2015, January 10). Human physiology - Functional anatomy of the female reproductive system. YouTube. https:\/\/www.youtube.com\/watch?v=9rs2gNchQig&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">TED. (2019, March 22). The uncomplicated truth about women's sexuality | Sarah Barmak. YouTube.\u00a0 https:\/\/www.youtube.com\/watch?v=SkB4gG8ke7Q&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">Teixeira, J., Rueda, B.R., and Pru, J.K. (September 30, 2008). Figure 1 Uterine anatomy. In <em>Uterine Stem Cells<\/em> (StemBook, ed.). The Stem Cell Research Community, StemBook, doi\/10.3824\/stembook.1.16.1, http:\/\/www.stembook.org<\/p>","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_5234\" aria-describedby=\"caption-attachment-5234\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5234\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/1024px-Cattien_stone_yoni-2.png\" alt=\"18.6.1\" width=\"400\" height=\"302\" \/><figcaption id=\"caption-attachment-5234\" class=\"wp-caption-text\"><em>Figure 18.6.1 Yep, that&#8217;s a vagina.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Fertility Symbol<\/h1>\n<\/div>\n<p>The geometric design on the ancient stone carving in Figure 18.6.1 represents a powerful symbol of female fertility: the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a>. The symbol is called <em>yoni<\/em> in Hindu, and it reflects the value placed by Hindu culture on the ability of females to give birth. The vagina is one of several organs in the\u00a0female reproductive system.<\/p>\n<div>\n<h1>Female Reproductive Organs<\/h1>\n<\/div>\n<p>The female reproductive system is made up of internal and external organs that function to produce haploid female gametes called ova (or oocytes), secrete female sex hormones (such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5995\">estrogen<\/a>), and carry and give birth to a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5086\">fetus<\/a>. The internal female reproductive organs include the vagina, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5101\">oviduct<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3487\">ovaries<\/a>. The external organs \u2014 collectively called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5152\">vulva<\/a> \u2014 include the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5153\">clitoris<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5154\">labia<\/a>.<\/span><\/p>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a><\/strong> is an elastic, muscular canal leading from its opening in the vulva to the neck of the uterus, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5235\">cervix<\/a>. It is about 7.5 cm (about 3 in) long at the front, and about 9 cm (3.5 in) long at the back. The vagina accommodates the penis and is the site where <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2506\">sperm<\/a> are usually ejaculated during sexual intercourse. In the context of pregnancy and natural (vaginal) childbirth, the vagina is referred to as the birth canal. In addition, it channels the flow of menstrual blood from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a>.<\/p>\n<h2>Structure of the Vagina<\/h2>\n<p>Muscles and ligaments support the vagina within the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2992\">pelvic cavity<\/a>. The vagina itself is made up of several layers of fibrous and muscular tissues and lined with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3538\">mucous membrane<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">. Folds in the mucosa provide the vagina with extra surface area so it can stretch in both length and width during intercourse or childbirth. The elasticity of the vagina and the extra mucosa allow it to stretch to many times its normal diameter in order to deliver a baby.<\/span><\/p>\n<h2>Bacteria\u00a0and\u00a0pH\u00a0in the Vagina<\/h2>\n<p>A healthy <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a> is home to many <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5819\">symbiotic<\/a>\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2588\">bacteria<\/a> that help prevent pathogens (such as yeast) from colonizing the vagina. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4330\">pH<\/a> in the vagina is normally between 3.8 and 4.5, and this acidity also helps keep pathogenic microorganisms from colonizing it. The vagina constantly sheds its epithelium, so it is considered self-cleaning. As a consequence, there is no need for douching to clean it. Physicians actually discourage the practice, as it may upset the normal bacterial and pH balance in the vagina, although washing the vulva with a mild soap is good practice.<\/p>\n<div>\n<h1>Uterus<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a><\/strong> (commonly called the womb) is a pear-shaped, muscular organ that is about 7.6 cm (about 3 in) long. It is located above the vagina and behind the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4731\">bladder<\/a> in the centre of the pelvis. The position of the uterus in the pelvis is stabilized by several ligaments and bands of supportive tissue. The uterus is where a fetus develops during gestation, and the organ provides mechanical protection and support for the developing offspring. Contractions of the muscular wall of the uterus are responsible for pushing the fetus out of the uterus during childbirth.<\/p>\n<figure id=\"attachment_5240\" aria-describedby=\"caption-attachment-5240\" style=\"width: 368px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5240\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1000px-Gray1167.svg_-2.png\" alt=\"18.6.2 Uterus and Vagina\" width=\"368\" height=\"400\" \/><figcaption id=\"caption-attachment-5240\" class=\"wp-caption-text\"><em>Figure 18.6.2 The cervix of the uterus opens into the vagina. The body of the uterus lies above the cervix.<\/em><\/figcaption><\/figure>\n<h2>Parts of the Uterus<\/h2>\n<p>As shown in Figure 18.6.2, the lower end of the uterus forms the <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5235\">cervix<\/a>,<\/strong> which is also called the neck of the uterus. The cervix is about 2.5 cm (almost 1 in) long and protrudes downward into the vagina. A small canal runs the length of the cervix, connecting the uterine cavity with the lumen of the vagina. This allows semen deposited in the vagina to enter the uterus, and a baby to pass from the uterus into the vagina during birth. Glands in the cervix secrete mucus that varies in water content and thickness, so it can function either as a barrier to keep <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5775\">microorganism<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0out of the uterus during\u00a0pregnancy, or as a transport medium to help\u00a0sperm\u00a0enter the uterus around the time of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5239\">ovulation<\/a>. The rest of the uterus above the cervix is called the body of the uterus. The upper end of the uterus is connected with the two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5101\">oviduct<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">.<\/span><\/p>\n<h2>Tissues of the Uterus<\/h2>\n<p>As indicated in Figure 18.6.3, the uterus consists of three tissue layers, called the endometrium, myometrium, and perimetrium.<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5241\">endometrium<\/a><\/strong> is the innermost tissue layer of the uterus. It consists of epithelial tissue, including mucous membranes. This layer thickens during each menstrual cycle and, unless an egg is fertilized, sloughs off during the following menstrual period. If an ovum is fertilized, the thickened endometrium is maintained by hormones and provides nourishment to the embryo. As gestation progresses, the endometrium develops into the maternal portion of the placenta.<\/li>\n<li>The <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5242\">placenta<\/a><\/strong>\u00a0is a temporary organ that consists of a mass of maternal and fetal\u00a0blood vessels\u00a0through which the mother\u2019s and fetus\u2019s\u00a0blood\u00a0exchange substances.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5243\">myometrium<\/a><\/strong>\u00a0is the middle layer of the uterus. It consists mostly of a thick layer of smooth muscle tissue. Powerful contractions of the smooth muscle allow the uterus to contract and expel an infant during childbirth.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5244\">perimetrium<\/a><\/strong>\u00a0is the outermost layer of the uterus. It covers\u00a0the\u00a0outer surface of the uterus. This layer actually consists of two layers of epithelium that secrete fluid into the space between them. The fluid allows for small movements of the uterus within the pelvis, without\u00a0causing it to rub\u00a0against other organs.<\/li>\n<\/ul>\n<figure id=\"attachment_5245\" aria-describedby=\"caption-attachment-5245\" style=\"width: 380px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5245 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Uterine_anatomy.-e1593113913396-2.jpg\" alt=\"18.6.3 Layers of the Uterus\" width=\"380\" height=\"260\" \/><figcaption id=\"caption-attachment-5245\" class=\"wp-caption-text\"><em>Figure 18.6.3 The thick walls of the uterus are composed of layers of tissues known as endometrium, myometrium, and perimetrium (not shown in this image).<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;\">Oviducts<\/span><\/p>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5101\">oviduct<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\"><\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\"> (often referred to as Fallopian tubes) are two thin tubes that lie between the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3487\">ovaries<\/a> and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a>. The oviducts are not attached to the ovaries, but their broad upper ends \u2014 called infundibula \u2014 lie very close to the ovaries. The infundibula also have fringe-like extensions called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5247\">fimbriae<\/a> that move in a waving motion to help guide eggs from the ovaries into the oviducts. The lower ends of the oviducts are attached to the upper part of the body of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a> on either side of the body. They open into the uterus.<\/span><\/p>\n<p>The oviducts are made up of multiple tissue layers. The innermost layer consists of mucosal epithelium. The epithelium is covered with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_1597\">cilia<\/a>, which can move in a sweeping motion to help ova move through the tube from the ovary to the uterus. In between the ciliated cells of the epithelium are cells that secrete a fluid called tubular fluid. This fluid contains nutrients for sperm, ova, and zygotes. The secretions in tubular fluid also remove certain molecules from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5489\">plasma membrane<\/a> of sperm so they are better able to penetrate an egg. Other layers of the oviducts consist of connective tissue and smooth muscle. Contractions of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2982\">smooth muscle<\/a> allow <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">peristalsis<\/a> to help move eggs through the tubes.<\/p>\n<div>\n<h1>Ovaries<\/h1>\n<\/div>\n<p>Like the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3486\">testes<\/a> in males, the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3487\">ovaries<\/a><\/strong>\u00a0in females are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3408\">gonad<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0that produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_6023\">gamete<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\"> and secrete sex <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5661\">hormones<\/a>. The gametes produced by the ovaries are called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5099\">ova<\/a>, or oocytes. The main sex hormone secreted by the ovaries is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5995\">estrogen<\/a>. The position of the paired ovaries relative to the other reproductive system organs is shown in Figure 18.6.4. Each ovary lies along one side of the uterus and is about 4 cm (a little more than 1.5 in) long. Fibrous ligaments attach one end of each ovary to its nearby oviduct and the other and to its side of the uterus. These ligaments keep the ovaries in place within the pelvis.<\/span><\/p>\n<figure id=\"attachment_5251\" aria-describedby=\"caption-attachment-5251\" style=\"width: 689px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5251 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Sites_of_tubo_ovarian_abscess-e1593120204450-2.png\" alt=\"18.6.4 Placement of the Ovaries\" width=\"689\" height=\"482\" \/><figcaption id=\"caption-attachment-5251\" class=\"wp-caption-text\"><em>Figure 18.6.4 The placement of the two ovaries within the pelvis allows eggs from each ovary to enter a Fallopian tube and travel to the uterus.<\/em><\/figcaption><\/figure>\n<h2>Ovarian Follicles<\/h2>\n<p>The ovary consists of two main layers, called the ovarian medulla (the inner layer) and the ovarian cortex (the outer layer). The ovary also contains\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5835\">blood<\/a>\u00a0and lymphatic vessels. The ovarian cortex consists primarily of the functional units of the ovaries, which are called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5253\">ovarian follicle<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\"><\/a>.<\/strong><span style=\"text-align: initial; font-size: 1em;\"> The follicles are nests of epithelial cells, within each of which is an ovum. The photomicrograph in Figure 18.6.5 shows an ovarian follicle and the developing ovum inside it. If an ovum and follicle complete maturation, the follicle ruptures and the ovum is released from the ovary. This event is called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5239\">ovulation<\/a>.<\/span><\/p>\n<figure id=\"attachment_5254\" aria-describedby=\"caption-attachment-5254\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5254\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Ovarian_follicle-2.png\" alt=\"18.6.4 Ovarian Follicle\" width=\"800\" height=\"480\" \/><figcaption id=\"caption-attachment-5254\" class=\"wp-caption-text\"><em>Figure 18.6.5 An ovum within its nest of follicular cells inside an ovary.<\/em><\/figcaption><\/figure>\n<h2>Ova in the Ovaries<\/h2>\n<p>Whereas the male <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3486\">testes<\/a> produce sperm continuously after\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5155\">puberty<\/a>, the female ovary already contains all the ova it will ever produce by the time a female is born. At birth, a baby girl\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3487\">ovaries<\/a> contain at least a million eggs, each of which is contained within a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5253\">follicle<\/a>. Only about 500 of these eggs will eventually mature and be ovulated. This process starts at puberty and typically continues at monthly intervals until <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5255\">menopause<\/a> occurs around age 52. The remaining eggs never mature, and their number declines as the woman ages. By menopause, a woman\u2019s reserve of eggs is nearly depleted, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5239\">ovulation<\/a> no longer occurs.<\/p>\n<div>\n<h1>Vulva<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5152\">vulva<\/a><\/strong> is a general term for all of the external female reproductive organs. The vulva includes the clitoris, labia, and external openings for the urethra and vagina.<\/p>\n<h2>Labia<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5154\">labia<\/a><\/strong> (singular, labium) refer to the \u201clips\u201d of the vulva, which are folds of tissue that contain and protect the other, more delicate structures of the vulva (as shown in Figure 18.6.6). There are two pairs of labia: the outer and larger labia majora, and the inner and smaller labia minora. The labia minora contain numerous sebaceous glands. These glands release secretions that help lubricate the labia and vulvar area.<\/p>\n<figure id=\"attachment_5256\" aria-describedby=\"caption-attachment-5256\" style=\"width: 361px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5256\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/HumanVulva-NewText-PhiloViv-2.jpg\" alt=\"18.6.5 Vulva Labeled\" width=\"361\" height=\"256\" \/><figcaption id=\"caption-attachment-5256\" class=\"wp-caption-text\"><em>Figure 18.6.6 The vulva includes the external features of the female reproductive system including the labia, clitoris and clitoral hood, and the openings from the urethra and to the vagina.<\/em><\/figcaption><\/figure>\n<h2>Clitoris<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5153\">clitoris<\/a>,<\/strong>\u00a0is located at the front of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5152\">vulva<\/a> where the labia minora meet. The visible portion of the clitoris is called the glans clitoris. It is roughly the size and shape of a pea. It is highly sensitive, because it contains many nerve endings. A hood of tissue called the clitoral hood (shown in Figure 18.6.5 above), or prepuce, normally covers and protects the clitoris. The clitoris is the homologue to the male penis, and they both contain spongy tissue.\u00a0\u00a0<span style=\"font-size: 1em;\">Stimulation of the glans clitoris during sexual activity generally results in sexual arousal in females, and may lead to orgasm.<\/span><span style=\"font-size: 1em;\"> The glans clitoris is the only part of the overall clitoris visible externally, but this spongy tissue extends down either side of the openings to the urethra and vagina, as seen in Figure 18.6.7.<\/span><\/p>\n<figure id=\"attachment_5257\" aria-describedby=\"caption-attachment-5257\" style=\"width: 729px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5257\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Vulva-2.jpg\" alt=\"18.6.6 Clitoris\" width=\"729\" height=\"428\" \/><figcaption id=\"caption-attachment-5257\" class=\"wp-caption-text\"><em>Figure 18.6.7 While the glans clitoris is the only externally visible part of the clitoris, this spongy tissue extends dorsally into the corpus cavernosum, which flanks the left and right sides of the opening to the vagina.<\/em><\/figcaption><\/figure>\n<h2>Other Vulvar Structures<\/h2>\n<p>The area between the two labia minora is called the vestibule of the vulva. Both the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4732\">urethra<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a> have openings to the outside of the body in the vestibule. As you can see in Figure 18.6.7 above, the urethral opening (or meatus) is located just in front of, and is much smaller than, the vaginal opening. Both openings are protected by the labia. Two glands \u2014 called Bartholin\u2019s glands \u2014 open on either side of the vaginal opening. These glands secrete mucus and a vaginal and vulvar lubricant.<\/p>\n<div>\n<h1>Breasts<\/h1>\n<\/div>\n<figure id=\"attachment_5258\" aria-describedby=\"caption-attachment-5258\" style=\"width: 350px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5258\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Breast-Diagram-3.gif\" alt=\"18.6.7 Breasts\" width=\"350\" height=\"274\" \/><figcaption id=\"caption-attachment-5258\" class=\"wp-caption-text\"><em>Figure 18.6.8 The breasts are not really reproductive organs, but they play a reproductive role as mammary glands that can produce milk to feed an infant.<\/em><\/figcaption><\/figure>\n<p>The breasts are not directly involved in\u00a0reproduction, but because they contain\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3432\">mammary gland<\/strong><strong style=\"font-size: 1em;\">s<\/strong><strong style=\"text-align: initial; font-size: 1em;\"><\/a>,<\/strong><span style=\"text-align: initial; font-size: 1em;\"> they can provide nourishment to an infant after birth. The breasts overlay major muscles in the chest from which they project outward in a conical shape. The two main types of tissues in the breast are adipose (fat) tissue and glandular tissue that produces milk. As shown in Figure 18.6.8, each mature breast contains many lobules, where milk is produced and stored during pregnancy. During breastfeeding (or lactation), the milk drains into ducts and sacs, which in turn converge at the nipple. Milk exits the breast through the nipple in response to the suckling action of an infant and is regulated by a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2962\">positive feedback loop<\/a>. The nipple is surrounded by a more darkly pigmented area called the areola. The areola contains glands that secrete an oily fluid, which lubricates and protects the nipple during breastfeeding.<\/span><\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.6 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The\u00a0female reproductive system\u00a0is made up of internal and external organs that function to produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2484\">haploid<\/a> female <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_6023\">gametes<\/a> called ova, secrete female sex hormones (such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5995\">estrogen<\/a>), and carry and give birth to a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5086\">fetus<\/a>.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a> is an elastic, muscular canal that can accommodate the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5091\">penis<\/a>. It is also where sperm are usually ejaculated during <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5149\">sexual intercourse<\/a>. The vagina is the birth canal, and it channels the flow of menstrual blood from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a>. A healthy vagina has a balance of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5819\">symbiotic<\/a> <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2588\">bacteria<\/a> and an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5691\">acidic<\/a> <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4330\">pH<\/a>.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5102\">uterus<\/a> is a muscular organ above the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a> where a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5086\">fetus<\/a> develops. Its muscular walls contract to push out the fetus during childbirth. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5235\">cervix<\/a> is the neck of the uterus that extends down into the vagina. It contains a canal connecting the vagina and uterus for sperm, or for an infant to pass through. The innermost layer of the uterus \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5241\">endometrium<\/a> \u2014 thickens each month in preparation for an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5262\">embryo<\/a>, but is shed in the following menstrual period if\u00a0fertilization does not occur.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5101\">oviducts<\/a>\u00a0extend from the uterus to the ovaries. Waving <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5247\">fimbriae<\/a> at the ovary ends of the oviducts guide ovulated eggs into the tubes where <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_6009\">fertilization<\/a> may occur as the ova travel to the uterus. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_1597\">Cilia<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">peristalsis<\/a> help ova move through the tubes. Tubular fluid helps nourish sperm as they swim up the tubes toward ova.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3487\">ovaries<\/a> are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3408\">gonads<\/a> that produce ova and secrete sex hormones, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5995\">estrogen<\/a>. Nests of cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5253\">follicles<\/a> in the ovarian cortex are the functional units of ovaries. Each follicle surrounds an immature ovum. At birth, a baby girl\u2019s ovaries contain at least a million ova, and they will not produce any more during her lifetime. During a woman\u2019s reproductive years, one ova typically matures and is ovulated each month.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5152\">vulva<\/a> is a general term for external female reproductive organs. The vulva includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5153\">clitoris<\/a>, two pairs of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5154\">labia<\/a>, and openings for the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4732\">urethra<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5143\">vagina<\/a>. Secretions from mucosal glands near the vaginal opening lubricate the vulva.<\/li>\n<li>The breasts are not technically reproductive organs, but their <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3432\">mammary glands<\/a> produce milk to feed an infant after birth. Milk drains through ducts and sacs, and out through the nipple when a\u00a0 baby sucks during breastfeeding.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.6 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-648\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-648\" class=\"h5p-iframe\" data-content-id=\"648\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"18.6 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>State the general functions of the female reproductive system.<\/li>\n<li>Describe the vagina and its reproductive functions.<\/li>\n<li>Outline the structure and basic functions of the uterus.<\/li>\n<li>What is the endometrium? How does it change during the monthly cycle?<\/li>\n<li>Why are breasts included in discussions of reproduction, if they are not organs of the female reproductive system?<\/li>\n<li>What is the function of the folds in the mucous membrane lining of the vagina?<\/li>\n<li>What are two ways in which the female reproductive system protects itself from pathogens?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">18.6 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"The uncomplicated truth about women&#39;s sexuality | Sarah Barmak\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/SkB4gG8ke7Q?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">The uncomplicated truth about women&#8217;s sexuality | Sarah Barmak, TED, 2019.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"Human Physiology - Functional Anatomy of the Female Reproductive System\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/9rs2gNchQig?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Human Physiology &#8211; Functional Anatomy of the Female Reproductive System, Janux, 2015.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"content\" class=\"site-content\">\n<section class=\"standard post-956 chapter type-chapter status-publish hentry focusable\" data-type=\"chapter\">\n<h2>Attributes<\/h2>\n<p><strong>Figure 18.6.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Cattien_stone_yoni.png\" rel=\"cc:attributionURL\">1024px-Cattien_stone_yoni<\/a> by <a title=\"User:Binh Giang\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Binh_Giang\">Binh Giang<\/a> on Wikimedia Commons is in the \u00a0<a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/en:public_domain).<\/p>\n<p><strong>Figure 18.6.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Gray1167.svg\" rel=\"cc:attributionURL\">1000px-Gray1167.svg<\/a> by <a href=\"https:\/\/en.wikipedia.org\/wiki\/Henry_Vandyke_Carter\">Henry Vandyke Carter<\/a>\u00a0(1831-1897) on Wikimedia Commons is in the \u00a0<a class=\"extiw\" title=\"en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a>\u00a0(https:\/\/en.wikipedia.org\/wiki\/public_domain). (<a class=\"extiw\" title=\"en:Bartleby.com\" href=\"https:\/\/en.wikipedia.org\/wiki\/Bartleby.com\">Bartleby.com<\/a>:\u00a0<a class=\"external text\" href=\"http:\/\/www.bartleby.com\/107\/\" rel=\"nofollow\">Gray\u2019s Anatomy<\/a>, <a class=\"external text\" href=\"http:\/\/www.bartleby.com\/107\/illus1167.html\" rel=\"nofollow\">Plate 1167<\/a>).<\/p>\n<p><strong>Figure 18.6.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Uterine_anatomy..jpg\" rel=\"cc:attributionURL\">Uterine_anatomy.<\/a> from <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK27042\/bin\/Teixeira01.jpg\">Uterine Stem cells<\/a> by <a href=\"http:\/\/www.stembook.org\">The Stem Cell Research Community, StemBook<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 18.6.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Sites_of_tubo_ovarian_abscess.PNG\" rel=\"cc:attributionURL\">Sites_of_tubo_ovarian_abscess<\/a> by <a title=\"User:Bfpage\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Bfpage\">Bfpage<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 18.6.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Ovarian_follicle.png\" rel=\"cc:attributionURL\">Ovarian_follicle<\/a> by <a title=\"User:TiagoLubiana\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:TiagoLubiana\">TiagoLubiana<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nFigure 18.6.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:HumanVulva-NewText-PhiloViv.jpg#file\" rel=\"cc:attributionURL\">HumanVulva-NewText-PhiloViv<\/a> by <a title=\"User:Amphis\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Amphis\">Amphis<\/a> (edited) on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license. (<span style=\"text-align: initial; font-size: 1em;\">Original \u00a0<a class=\"extiw\" title=\"en:Image:HumanVulva-NoText-PhiloVivero.jpg\" href=\"https:\/\/en.wikipedia.org\/wiki\/Image:HumanVulva-NoText-PhiloVivero.jpg\">en:Image:HumanVulva-NoText-PhiloVivero.jpg<\/a> by <\/span><a class=\"extiw\" style=\"text-align: initial; font-size: 1em;\" title=\"en:user:PhiloVivero\" href=\"https:\/\/en.wikipedia.org\/wiki\/user:PhiloVivero\">en:user:PhiloVivero<\/a>)<\/p>\n<p><strong>Figure 18.6.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_28_02_02.jpg\" rel=\"cc:attributionURL\">Vulva<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/27-2-anatomy-and-physiology-of-the-female-reproductive-system\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 18.6.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Breast-Diagram.gif\" rel=\"cc:attributionURL\">Breast-Diagram<\/a> by <a href=\"https:\/\/www.womenshealth.gov\/cancer\/breast-cancer\">Women&#8217;s Health<\/a> (NCI\/ NIH) on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:en:Public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/en:Public_domain).<\/p>\n<p>&nbsp;<\/p>\n<div class=\"media-atttributions\">\n<p><span style=\"font-size: 1.424em; font-weight: bold; color: #333333;\">References<\/span><\/p>\n<\/div>\n<\/section>\n<\/div>\n<p class=\"hanging-indent\"><span class=\"os-title-label\">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\u00a0<\/span><span class=\"os-number\">27.10<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"33336\" class=\"os-title\" data-type=\"title\">The vulva [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 27.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/27-2-anatomy-and-physiology-of-the-female-reproductive-system<\/span><\/p>\n<p class=\"hanging-indent\">Janux. (2015, January 10). Human physiology &#8211; Functional anatomy of the female reproductive system. YouTube. https:\/\/www.youtube.com\/watch?v=9rs2gNchQig&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED. (2019, March 22). The uncomplicated truth about women&#8217;s sexuality | Sarah Barmak. YouTube.\u00a0 https:\/\/www.youtube.com\/watch?v=SkB4gG8ke7Q&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Teixeira, J., Rueda, B.R., and Pru, J.K. (September 30, 2008). Figure 1 Uterine anatomy. In <em>Uterine Stem Cells<\/em> (StemBook, ed.). The Stem Cell Research Community, StemBook, doi\/10.3824\/stembook.1.16.1, http:\/\/www.stembook.org<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_5360_5143\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5143\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div>\n<figure id=\"attachment_4539\" aria-describedby=\"caption-attachment-4539\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4539\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Bread-by-sergio-arze-cWXibBbXx44-unsplash-scaled-3.jpg\" alt=\"15.1.1 Bread\" width=\"400\" height=\"274\" \/><figcaption id=\"caption-attachment-4539\" class=\"wp-caption-text\"><em>Figure 15.1.1 Bread \u2014 Are you a glutton for gluten?<\/em><\/figcaption><\/figure>\n<h1>Case Study: Please Don\u2019t Pass the Bread<\/h1>\n<\/div>\n<p>Angela and Saloni are college students who met in physics class. They decide to study together for their upcoming midterm, but first, they want to grab some lunch. Angela says there is a particular restaurant she would like to go to, because they are able to accommodate her dietary restrictions. Saloni agrees and they head to the restaurant.<\/p>\n<p>At lunch, Saloni asks Angela what is special about her diet. Angela tells her that she can\u2019t eat <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4541\">gluten<\/a>. Saloni says, \u201cMy cousin did that for a while because she heard that gluten is bad for you. But it was too hard for her to not eat bread and pasta, so she gave it up.\u201d Angela tells Saloni that avoiding gluten isn\u2019t optional for her \u2014 she has <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4542\">celiac disease<\/a>. Eating even very small amounts of gluten could damage her <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5969\">digestive system<\/a>.\u00a0 It can be difficult for people living with celiac disease to find foods when eating out.<\/p>\n<p>You have probably heard of gluten, but what is it, and why is it harmful to people with celiac disease? Gluten is a protein present in wheat and some other grains (such as barley, rye, and oats), so it is commonly found in foods like bread, pasta, baked goods, and many packaged foods, like the ones pictured in Figure 15.1.2.<\/p>\n<div id=\"h5p-618\">\n<div class=\"h5p-content\" data-content-id=\"618\"><\/div>\n<\/div>\n<p><em>Figure 15.1.2 Gluten is a protein present in foods like bread, pasta, and baked goods.<\/em><\/p>\n<p>For people with celiac disease, eating gluten causes an autoimmune reaction that results in damage to the small, finger-like <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4543\">villi<\/a> lining the small intestine, causing them to become inflamed and flattened (see Figure 15.1.3). This damage interferes with the digestive process, which can result in a wide variety of symptoms including diarrhea, anemia, skin rash, bone pain, depression, and anxiety, among others. The degree of damage to the villi can vary from mild to severe, with more severe damage generally resulting in more significant symptoms and complications. Celiac disease can have serious long-term consequences, such as osteoporosis, problems in the nervous and reproductive systems, and the development of certain types of cancers.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4544\" aria-describedby=\"caption-attachment-4544\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img class=\"size-full wp-image-4544\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease-2.jpg\" alt=\"15.1.2\" width=\"1024\" height=\"576\" \/><figcaption id=\"caption-attachment-4544\" class=\"wp-caption-text\"><em>Figure 15.1.3 How celiac disease can affect the villi of the small intestine. Here, the villi on the right represent the expected structure of healthy villi. The villi on the bottom right are celiac-affected villi; inflammation has caused them to deform, reducing their ability to function efficiently, if at all.<\/em><\/figcaption><\/figure>\n<p>Why does\u00a0celiac disease cause so many different types of symptoms and have such significant negative health consequences? As you read this chapter and learn about how the digestive system works, you will see just how important the villi of the small intestine are to the body as a whole. At the end of the chapter, you will learn more about celiac disease, why it can be so serious, and whether it is worth avoiding gluten for people who do not have a diagnosed medical issue with it.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">Chapter Overview: Digestive System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the digestive system, which processes food so that our bodies can obtain nutrients. Specifically, you will learn about:<\/p>\n<ul>\n<li>The structures and organs of the gastrointestinal (GI) tract through which food directly passes. This includes the mouth, pharynx, esophagus, stomach, small intestine, and large intestine.<\/li>\n<li>The functions of the GI tract, including mechanical and chemical digestion, absorption of nutrients, and the elimination of solid waste.<\/li>\n<li>The accessory organs of digestion \u2014 the liver, gallbladder, and pancreas \u2014 which secrete substances needed for digestion into the GI tract, in addition to performing other important functions.<\/li>\n<li>Specializations of the tissues of the digestive system that allow it to carry out its functions.<\/li>\n<li>How different types of nutrients (such as carbohydrates, proteins, and fats) are digested and absorbed by the body.<\/li>\n<li>Beneficial bacteria that live in the GI tract and help us digest food, produce vitamins, and protect us from harmful pathogens and toxic substances.<\/li>\n<li>Disorders of the digestive system, including inflammatory bowel diseases, ulcers, diverticulitis, and gastroenteritis (commonly known as \u201cstomach flu\u201d).<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read this chapter, think about the following questions related to celiac disease:<\/p>\n<ol>\n<li>What are the general functions of the small intestine? What do the villi in the small intestine do?<\/li>\n<li>Why do you think celiac disease causes so many different types of symptoms and potentially serious complications?<\/li>\n<li>What are some other autoimmune diseases that involve the body attacking its own digestive system?<\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/cWXibBbXx44\" rel=\"cc:attributionURL\">Bread<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@sergich\">Sergio Arze<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.1.2<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/7zfQ6sbWVyE\">Paste cu sos de ro\u0219ii<\/a> by <a href=\"https:\/\/unsplash.com\/@inasestrjevitovschii\">Sestrjevitovschii Ina<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/dLNu65g0jMA\">Cookies and More<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@sarah_elizabeth\">Sarah Shaffer<\/a>\u00a0on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/vWjvnhkjziI\">Raspberry waffles<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@belleam\">Izabelle Acheson<\/a>\u00a0on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/d4hPtKyQkoc\">Homemade croissant &amp; pain au chocolat<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@crispinto\">Cristiano Pinto<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<\/ul>\n<p><strong>Figure 15.1.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease.jpg\" rel=\"cc:attributionURL\">Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease<\/a>\u00a0by <a href=\"https:\/\/www.scientificanimations.com\/wiki-images\/\">www.scientificanimations.com<\/a> (image 140\/191) on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5995\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5995\"><div tabindex=\"-1\"><p>The female sex hormone secreted mainly by the ovaries.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5086\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5086\"><div tabindex=\"-1\"><p>As per caption.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5102\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5102\"><div tabindex=\"-1\"><p>Image shows a diagram labeling the major arteries of the body.  Some of these include the carotid artery which provides blood to the neck and head, the brachiocephalic artery which supplies blood to the arms and head, the renal artery supplying blood to the kidneys, the mesenteric arteries supplying blood to the intestines, the femoral arteries supplying blood to the legs.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5101\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5101\"><div tabindex=\"-1\"><\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_3487\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_3487\"><div tabindex=\"-1\"><p>A testable proposed explanation for a phenomenon.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5152\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5152\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<figure id=\"attachment_4547\" aria-describedby=\"caption-attachment-4547\" style=\"width: 415px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4547\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Ice-Cream-by-mark-cruz-Ov0u44CyGdM-unsplash-scaled-e1606264432394-2.jpg\" alt=\"The hands of 3 friends, each holding an ice cream cone.\" width=\"415\" height=\"500\" \/><figcaption id=\"caption-attachment-4547\" class=\"wp-caption-text\"><em>Figure 15.2.1 We all scream for ice cream!<\/em><\/figcaption><\/figure>\n<div>\n<h1>We All Scream for Ice Cream<\/h1>\n<\/div>\n<p>If you\u2019re an ice cream lover, then just the sight of this yummy ice cream cone may make your mouth\u00a0water. The \u201cwater\u201d in your mouth is actually saliva, a fluid released by glands that are part of the digestive system. Saliva contains digestive\u00a0enzymes, among other substances important for digestion. When your mouth waters at the sight of a tasty treat, it\u2019s a sign that your digestive system is preparing to digest food.<\/p>\n<div>\n<h1>What Is the Digestive System?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5969\">digestive system<\/a><\/strong> consists of organs that break down food, absorb its nutrients, and expel any remaining waste. Organs of the digestive system are shown in <em>Figure 15.2.2.<\/em>\u00a0Most of these organs make up the gastrointestinal (GI) tract, through which food actually passes. The rest of the organs of the digestive system are called accessory organs. These organs secrete enzymes and other substances into the GI tract, but food does not actually pass through them.<\/p>\n<figure id=\"attachment_4548\" aria-describedby=\"caption-attachment-4548\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4548\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0316_DigestiveSystem-2.png\" alt=\"15.2.2\" width=\"400\" height=\"400\" \/><figcaption id=\"caption-attachment-4548\" class=\"wp-caption-text\"><em>Figure 15.2.2 The components of the digestive system include the gastrointestinal tract and accessory organs of digestion. Find the organs of the digestive system in this diagram as you read about them below.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Functions of the Digestive System<\/span><\/p>\n<\/div>\n<p>The digestive system has three main functions relating to food: digestion of food, absorption of\u00a0nutrients\u00a0from food, and elimination of\u00a0solid\u00a0food waste.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4549\">Digestion<\/a><\/strong>\u00a0is the process of breaking down food into components the body can absorb. It consists of two types of processes: mechanical digestion and chemical digestion.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">Mechanical digestion<\/a><\/strong>\u00a0is the physical breakdown of chunks of food into smaller pieces, and it takes place mainly in the mouth and stomach.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">Chemical digestion<\/a><\/strong>\u00a0is the chemical breakdown of large, complex food molecules into smaller, simpler nutrient molecules that can be absorbed by body fluids (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2702\">blood<\/a>\u00a0or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4552\">lymph<\/a>). This type of digestion begins in the mouth and continues in the stomach, but occurs mainly in the\u00a0small intestine.<\/p>\n<p>After food is digested, the resulting\u00a0nutrients\u00a0are absorbed.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4553\">Absorption<\/a><\/strong>\u00a0is the process in which substances pass into the bloodstream or lymph system to circulate throughout the body. Absorption of nutrients occurs mainly in the\u00a0small intestine. Any remaining matter from food that is not digested and absorbed passes out of the body through the anus in the process of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4554\"><strong>elimination<\/strong><\/a>.<\/p>\n<div id=\"h5p-619\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-619\" class=\"h5p-iframe\" data-content-id=\"619\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"15.2 Functions of the Digestive System\"><\/iframe><\/div>\n<\/div>\n<div>\n<h1>Gastrointestinal Tract<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4555\">gastrointestinal (GI) tract<\/a><\/strong> is basically a long, continuous tube that connects the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a> with the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4556\">anus<\/a>. If it were fully extended, it would be about nine metres long in adults. It includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4296\">pharynx<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4557\">esophagus<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4560\">large<\/a> intestines. Food enters the mouth, and then passes through the other organs of the GI tract, where it is digested and\/or absorbed. Finally, any remaining food waste leaves the body through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4556\">anus<\/a> at the end of the large intestine. It takes up to 50 hours for food or food waste to make the complete trip through the GI tract.<\/p>\n<h2>Tissues of the GI Tract<\/h2>\n<p>The walls of the organs of the GI tract consist of four different tissue layers, which are illustrated in Figure 15.2.3: mucosa, submucosa, muscularis externa, and serosa.<\/p>\n<ol>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4561\">mucosa<\/a><\/strong>\u00a0is the innermost layer surrounding the lumen (open space within the organs of the GI tract). This layer consists mainly of epithelium with the capacity to secrete and absorb substances.\u00a0The epithelium can secret digestive\u00a0enzymes\u00a0and mucus, and it can absorb nutrients and\u00a0water.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4562\">submucosa<\/a><\/strong> layer consists of connective tissue that contains\u00a0blood and lymph vessels, as well as nerves. The vessels are needed to absorb and carry away nutrients after food is digested, and nerves help control the\u00a0muscles\u00a0of the GI tract organs.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4563\">muscularis externa<\/a><\/strong>\u00a0layer contains two types of smooth muscle: longitudinal muscle and circular muscle. Longitudinal muscle runs the length of the GI tract organs, and circular muscle encircles the organs. Both types of\u00a0muscles\u00a0contract to keep food moving through the tract by the process of peristalsis, which is described below.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4564\">serosa<\/a><\/strong>\u00a0layer is the outermost layer of the walls of GI tract organs. This is a thin layer that consists of connective tissue and separates the organs from surrounding cavities and tissues.<\/li>\n<\/ol>\n<table style=\"border-collapse: collapse; width: 76.413%;\" border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 40.6725%;\">\n<figure id=\"attachment_4566\" aria-describedby=\"caption-attachment-4566\" style=\"width: 502px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4566\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Intestinal_layers-2.png\" alt=\"15.2.3\" width=\"502\" height=\"251\" \/><figcaption id=\"caption-attachment-4566\" class=\"wp-caption-text\"><em>Figure 15.2.3 This cross-sectional diagram of the wall of a typical GI tract organ shows the layers that comprise it.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 35.7786%;\">\n<figure id=\"attachment_4567\" aria-describedby=\"caption-attachment-4567\" style=\"width: 259px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4567\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/512px-Normal_gastric_mucosa_intermed_mag-2.jpg\" alt=\"15.2.4 GI Cross section histology\" width=\"259\" height=\"388\" \/><figcaption id=\"caption-attachment-4567\" class=\"wp-caption-text\"><em>Figure 15.2.4 Can you match the layers in this pictomicrograph to the diagram on the left?<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 style=\"margin-top: 2.14286em; margin-bottom: 1.42857em; line-height: 1.28571em;\">Peristalisis in the GI Tract<\/h2>\n<p>The muscles in the walls of GI tract organs enable peristalsis, which is illustrated in Figure 15.2.5. <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">Peristalsis<\/a><\/strong>\u00a0is a continuous sequence of involuntary\u00a0muscle contraction\u00a0and relaxation that moves rapidly along an organ like a wave, similar to the way a wave moves through a spring toy. Peristalsis in organs of the GI tract propels food through the tract.<\/p>\n<figure id=\"attachment_4569\" aria-describedby=\"caption-attachment-4569\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4569\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/f-d_336ab46447bfb7c6da55d47fc12cc19783994991cbee6cd347338bd1IMAGE_THUMB_POSTCARD_TINYIMAGE_THUMB_POSTCARD_TINY-2.png\" alt=\"15.2.5\" width=\"500\" height=\"259\" \/><figcaption id=\"caption-attachment-4569\" class=\"wp-caption-text\"><em>Figure 15.2.5 Peristalsis pushes food through the GI tract.<\/em><\/figcaption><\/figure>\n<p>Watch the video \"What is peristalsis?\" by Mister Science to see peristalsis in action:<\/p>\n<p>https:\/\/youtu.be\/kVjeNZA5pi4<\/p>\n<p style=\"text-align: center;\">What is peristalsis?, Mister Science, 2018.<\/p>\n<h2>Immune Function of the GI Tract<\/h2>\n<p>The GI tract plays an important role in protecting the body from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5799\">pathogen<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">. The surface area of the GI tract is estimated to be about 32 square metres (105 square feet), or about half the area of a badminton court. This is more than three times the area of the exposed skin of the body, and it provides a lot of area for pathogens to invade the tissues of the body. The innermost mucosal layer of the walls of the GI tract provides a barrier to pathogens so they are less likely to enter the blood or lymph circulations. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4571\">mucus<\/a> produced by the mucosal layer, for example, contains <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5659\">antibodies<\/a> that mark many pathogenic microorganisms for destruction. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5757\">Enzyme<\/span><span style=\"font-size: 1em;\">s<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">\u00a0in some of the secretions of the GI tract also destroy pathogens. In addition, stomach acids have a very low <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4330\">pH<\/a> that is fatal for many microorganisms that enter the stomach.<\/span><\/p>\n<h2>Divisions of the GI Tract<\/h2>\n<p>The GI tract is often divided into an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4574\">upper GI tract<\/a> and a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4575\">lower GI tract<\/a>. For medical purposes, the upper GI tract is typically considered to include all the organs from the mouth through the first part of the\u00a0small intestine, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4576\">duodenum<\/a>. For our instructional purposes, it makes more sense to include the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a> through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a> in the upper GI tract, and all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small intestine<\/a> \u2014 as well as the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4560\">large intestine<\/a>\u00a0\u2014 in the lower GI tract.<\/p>\n<h3>Upper GI Tract<\/h3>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a> is the first digestive organ that food enters. The sight, smell, or taste of food stimulates the release of digestive enzymes and other secretions by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4577\">salivary gland<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0inside the mouth. The major salivary gland\u00a0enzyme\u00a0is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4578\">amylase<\/a>. It begins the chemical digestion of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5655\">carbohydrates<\/a>\u00a0by breaking down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5459\">starch<\/span><span style=\"font-size: 1em;\">es<\/span><span style=\"font-size: 1em; text-align: initial;\"><\/a><\/span><span style=\"font-size: 1em; text-align: initial;\">\u00a0into <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_316\">sugar<\/a>. The mouth also begins the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">mechanical digestion<\/a> of food. When you chew, your teeth break, crush, and grind food into increasingly smaller pieces. Your tongue helps mix the food with saliva and also helps you swallow.<\/span><\/p>\n<p>A lump of swallowed food is called a\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4579\">bolus<\/a>.<\/strong>\u00a0The bolus passes from the mouth into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4296\">pharynx<\/a>, and from the pharynx into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4557\">esophagus<\/a>. The esophagus is a long, narrow tube that carries food from the pharynx to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a>. It has no other digestive functions. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">Peristalsis<\/a> starts at the top of the esophagus when food is swallowed and continues down the esophagus in a single wave, pushing the bolus of food ahead of it.<\/p>\n<p>From the esophagus, food passes into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a>, where both <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">mechanical<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">chemical digestion<\/a> continue. The muscular walls of the stomach churn and mix the food, thus completing mechanical digestion, as well as mixing the food with digestive fluids secreted by the stomach. One of these fluids is hydrochloric acid (HCl). In addition to killing pathogens in food, it gives the stomach the low pH needed by digestive enzymes that work in the stomach. One of these enzymes is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4581\">pepsin<\/a>, which chemically digests proteins. The stomach stores the partially digested food until the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small intestine<\/a> is ready to receive it. Food that enters the small intestine from the stomach is in the form of a thick slurry (semi-liquid) called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4582\">chyme<\/a>.<\/strong><\/p>\n<h3>Lower GI Tract<\/h3>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small intestine<\/a> is a narrow, but very long tubular organ. It may be almost seven metres long in adults. It is the site of most <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">chemical digestion<\/a> and virtually all absorption of nutrients. Many digestive <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5757\">enzyme<span style=\"font-size: 1em;\">s<\/span><span style=\"text-align: initial; font-size: 1em;\"><\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0are active in the small intestine, some of which are produced by the small intestine itself, and some of which are produced by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3197\">pancreas<\/a>, an accessory organ of the digestive system. Much of the inner lining of the small intestine is covered by tiny finger-like projections called <\/span><strong style=\"text-align: initial; font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4543\">villi<\/a>,<\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0each of which is covered by even tinier projections called\u00a0<\/span><strong style=\"text-align: initial; font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4583\">microvilli<\/a>.<\/strong><span style=\"text-align: initial; font-size: 1em;\"> These projections, shown in the drawing below (Figure 15.2.6), greatly increase the surface area through which nutrients can be absorbed from the small intestine.<\/span><\/p>\n<div>\n<figure id=\"attachment_4584\" aria-describedby=\"caption-attachment-4584\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4584\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Villi__microvilli_of_small_intestine.svg_-2.png\" alt=\"14.2.6\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-4584\" class=\"wp-caption-text\"><em>Figure 15.2.6 Each tiny projection (villus) of the lining of the small intestine is also covered with tiny projections (microvilli).<\/em><\/figcaption><\/figure>\n<\/div>\n<p>From the small intestine, any remaining nutrients and food waste pass into the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4560\">large intestine<\/a>. The large intestine is another tubular organ, but it is wider and shorter than the small intestine. It connects the small intestine and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4556\">anus<\/a>. Waste that enters the large intestine is in a\u00a0liquid\u00a0state. As it passes through the large intestine, excess\u00a0water\u00a0is absorbed from it. The remaining\u00a0solid\u00a0waste \u2014 called feces \u2014 is eventually eliminated from the body through the anus.<\/p>\n<div>\n<h1>Accessory Organs of the Digestive System<\/h1>\n<\/div>\n<figure id=\"attachment_4585\" aria-describedby=\"caption-attachment-4585\" style=\"width: 178px\" class=\"wp-caption alignright\"><img class=\" wp-image-4585\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0428_Gallbladder-Liver-Pancreas_Location-3.png\" alt=\"15.2.7 Accessory Organs of the Digestive System\" width=\"178\" height=\"356\" \/><figcaption id=\"caption-attachment-4585\" class=\"wp-caption-text\"><em>Figure 15.2.7 This diagram shows the locations of the accessory organs of digestion: the liver, gallbladder, and pancreas.<\/em><\/figcaption><\/figure>\n<p>Accessory organs of the digestive system are not part of the GI tract, so they are not sites where digestion or absorption take place. Instead, these organs secrete or store substances needed for the chemical digestion of food. The accessory organs include the liver, gallbladder, and pancreas. They are shown in Figure 15.2.7 and described in the text that follows.<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2989\">liver<\/a><\/strong>\u00a0is an organ\u00a0with\u00a0multitude of functions. Its main digestive function is producing and secreting a fluid called bile, which reaches the small intestine through a duct. Bile breaks down large globules of\u00a0lipids\u00a0into smaller ones that are easier for enzymes to chemically digest. Bile is also needed to reduce the acidity of food entering the small intestine from the highly acidic stomach, because enzymes in the small intestine require a less acidic environment in order to work.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4586\">gallbladder<\/a><\/strong>\u00a0is a small sac below the liver that stores some of the bile from the liver. The gallbladder also concentrates the bile by removing some of the water from it. It then secretes the concentrated bile into the small intestine as needed for fat digestion following a meal.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3197\">pancreas<\/a><\/strong>\u00a0secretes many digestive enzymes, and releases them into the small intestine for the chemical digestion of\u00a0carbohydrates,\u00a0proteins, and\u00a0lipids. The pancreas also helps lessen the acidity of the small intestine by secreting bicarbonate, a basic substance that neutralizes\u00a0acid.<\/li>\n<\/ul>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.2 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5969\">digestive system<\/a> consists of organs that break down food, absorb its nutrients, and expel any remaining food waste.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4549\">Digestion<\/a> is the process of breaking down food into components that the body can absorb. It includes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">mechanical digestion<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">chemical digestion<\/a>. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4553\">Absorption<\/a> is the process of taking up nutrients from food by body fluids for\u00a0circulation\u00a0to the rest of the body. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4554\">Elimination<\/a> is the process of excreting any remaining food waste after\u00a0digestion and absorption\u00a0are finished<em>.<\/em><\/li>\n<li>Most digestive organs form a long, continuous tube called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4555\">gastrointestinal (GI) tract<\/a>. It starts at the mouth, which is followed by the pharynx, esophagus, stomach, small intestine, and large intestine. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4574\">upper GI tract<\/a> consists of the mouth through the stomach, while the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4575\">lower GI tract<\/a> consists of the small and large intestines.<\/li>\n<li>Digestion and\/or absorption take place in most of the organs of the GI tract. Organs of the GI tract have walls that consist of several tissue layers that enable them to carry out these functions.\u00a0The inner <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4561\">mucosa<\/a> has\u00a0cells\u00a0that secrete digestive enzymes and other digestive substances, as well as cells that absorb nutrients. The muscle layer of the organs enables them to contract and relax in waves of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">peristalsis<\/a> to move food through the GI tract.<\/li>\n<li>Three digestive organs \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2989\">liver<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4586\">gallbladder<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3197\">pancreas<\/a> \u2014 are\u00a0accessory organs of digestion. They secrete substances needed for chemical digestion into the small intestine.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.2 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the digestive system?<\/li>\n<li>What are the three main functions of the digestive system? Define each function.<\/li>\n<li>\n<div id=\"h5p-620\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-620\" class=\"h5p-iframe\" data-content-id=\"620\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"15.2 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Relate the tissues in the walls of GI tract organs to the functions the organs perform.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">15.2 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/Og5xAdC8EUI<\/p>\n<p style=\"text-align: center;\">How your digestive system works - Emma Bryce, TED-Ed, 2017.<\/p>\n<p>https:\/\/youtu.be\/YVfyYrEmzgM<\/p>\n<p style=\"text-align: center;\">How does your body know you're full? - Hilary Coller, TED-Ed, 2017.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.2.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/Ov0u44CyGdM\" rel=\"cc:attributionURL\">Ice Cream<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@mark_crz\">Mark Cruz<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.2.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0316_DigestiveSystem.png\" rel=\"cc:attributionURL\">Blausen_0316_DigestiveSystem<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 15.2.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Intestinal_layers.png\" rel=\"cc:attributionURL\">Intestinal_layers<\/a> by <a class=\"new\" title=\"User:Boumphreyfr (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Boumphreyfr&amp;action=edit&amp;redlink=1\">Boumphreyfr<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/p>\n<p><strong>Figure 15.2.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Normal_gastric_mucosa_intermed_mag.jpg\" rel=\"cc:attributionURL\">512px-Normal_gastric_mucosa_intermed_mag<\/a> by Nephron on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/p>\n<p><strong>Figure 15.2.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.2\/\" rel=\"cc:attributionURL\">Peristalsis pushes food through the GI tract<\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.2\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/?_ga=2.235351745.1988667202.1598996862-1392032960.1592870652\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 15.2.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Villi_%26_microvilli_of_small_intestine.svg\" rel=\"cc:attributionURL\">Villi_&amp;_microvilli_of_small_intestine.svg<\/a> by <a title=\"User:BallenaBlanca\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BallenaBlanca\">BallenaBlanca<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\">Figure 15.2.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0428_Gallbladder-Liver-Pancreas_Location.png\" rel=\"cc:attributionURL\">Blausen_0428_Gallbladder-Liver-Pancreas_Location<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a>\u00a0 on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 4 Peristalsis pushes food through the GI tract. [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 17.2) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.2\/<\/p>\n<p class=\"hanging-indent\">Mister Science. (2018). What is peristalsis? YouTube. https:\/\/www.youtube.com\/channel\/UCxTlkZfjArUobBAeVwzJjYg\/videos<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, November 13). How does your body know you're full? - Hilary Coller. YouTube. https:\/\/www.youtube.com\/watch?v=YVfyYrEmzgM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, December 14). How your digestive system works - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=Og5xAdC8EUI&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5153\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5153\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4547\" aria-describedby=\"caption-attachment-4547\" style=\"width: 415px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4547\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Ice-Cream-by-mark-cruz-Ov0u44CyGdM-unsplash-scaled-e1606264432394-2.jpg\" alt=\"The hands of 3 friends, each holding an ice cream cone.\" width=\"415\" height=\"500\"><figcaption id=\"caption-attachment-4547\" class=\"wp-caption-text\"><em>Figure 15.2.1 We all scream for ice cream!<\/em><\/figcaption><\/figure>\n<div>\n<h1>We All Scream for Ice Cream<\/h1>\n<\/div>\n<p>If you\u2019re an ice cream lover, then just the sight of this yummy ice cream cone may make your mouth\u00a0water. The \u201cwater\u201d in your mouth is actually saliva, a fluid released by glands that are part of the digestive system. Saliva contains digestive\u00a0enzymes, among other substances important for digestion. When your mouth waters at the sight of a tasty treat, it\u2019s a sign that your digestive system is preparing to digest food.<\/p>\n<div>\n<h1>What Is the Digestive System?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2913\">digestive system<\/a><\/strong> consists of organs that break down food, absorb its nutrients, and expel any remaining waste. Organs of the digestive system are shown in <em>Figure 15.2.2.<\/em>\u00a0Most of these organs make up the gastrointestinal (GI) tract, through which food actually passes. The rest of the organs of the digestive system are called accessory organs. These organs secrete enzymes and other substances into the GI tract, but food does not actually pass through them.<\/p>\n<figure id=\"attachment_4548\" aria-describedby=\"caption-attachment-4548\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4548\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0316_DigestiveSystem-2.png\" alt=\"15.2.2\" width=\"400\" height=\"400\"><figcaption id=\"caption-attachment-4548\" class=\"wp-caption-text\"><em>Figure 15.2.2 The components of the digestive system include the gastrointestinal tract and accessory organs of digestion. Find the organs of the digestive system in this diagram as you read about them below.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Functions of the Digestive System<\/span><\/p>\n<\/div>\n<p>The digestive system has three main functions relating to food: digestion of food, absorption of\u00a0nutrients\u00a0from food, and elimination of\u00a0solid\u00a0food waste.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4549\">Digestion<\/a><\/strong>\u00a0is the process of breaking down food into components the body can absorb. It consists of two types of processes: mechanical digestion and chemical digestion.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">Mechanical digestion<\/a><\/strong>\u00a0is the physical breakdown of chunks of food into smaller pieces, and it takes place mainly in the mouth and stomach.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">Chemical digestion<\/a><\/strong>\u00a0is the chemical breakdown of large, complex food molecules into smaller, simpler nutrient molecules that can be absorbed by body fluids (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2702\">blood<\/a>\u00a0or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4552\">lymph<\/a>). This type of digestion begins in the mouth and continues in the stomach, but occurs mainly in the\u00a0small intestine.<\/p>\n<p>After food is digested, the resulting\u00a0nutrients\u00a0are absorbed.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4553\">Absorption<\/a><\/strong>\u00a0is the process in which substances pass into the bloodstream or lymph system to circulate throughout the body. Absorption of nutrients occurs mainly in the\u00a0small intestine. Any remaining matter from food that is not digested and absorbed passes out of the body through the anus in the process of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4554\"><strong>elimination<\/strong><\/a>.<\/p>\n<div id=\"h5p-182\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-182\" class=\"h5p-iframe\" data-content-id=\"182\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Prokaryote vs. Eukaryote T\/F\"><\/iframe><\/div>\n<\/div>\n<div>\n<h1>Gastrointestinal Tract<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4555\">gastrointestinal (GI) tract<\/a><\/strong> is basically a long, continuous tube that connects the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a> with the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4556\">anus<\/a>. If it were fully extended, it would be about nine metres long in adults. It includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4296\">pharynx<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4557\">esophagus<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4560\">large<\/a> intestines. Food enters the mouth, and then passes through the other organs of the GI tract, where it is digested and\/or absorbed. Finally, any remaining food waste leaves the body through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4556\">anus<\/a> at the end of the large intestine. It takes up to 50 hours for food or food waste to make the complete trip through the GI tract.<\/p>\n<h2>Tissues of the GI Tract<\/h2>\n<p>The walls of the organs of the GI tract consist of four different tissue layers, which are illustrated in Figure 15.2.3: mucosa, submucosa, muscularis externa, and serosa.<\/p>\n<ol>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4561\">mucosa<\/a><\/strong>\u00a0is the innermost layer surrounding the lumen (open space within the organs of the GI tract). This layer consists mainly of epithelium with the capacity to secrete and absorb substances.\u00a0The epithelium can secret digestive\u00a0enzymes\u00a0and mucus, and it can absorb nutrients and\u00a0water.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4562\">submucosa<\/a><\/strong> layer consists of connective tissue that contains\u00a0blood and lymph vessels, as well as nerves. The vessels are needed to absorb and carry away nutrients after food is digested, and nerves help control the\u00a0muscles\u00a0of the GI tract organs.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4563\">muscularis externa<\/a><\/strong>\u00a0layer contains two types of smooth muscle: longitudinal muscle and circular muscle. Longitudinal muscle runs the length of the GI tract organs, and circular muscle encircles the organs. Both types of\u00a0muscles\u00a0contract to keep food moving through the tract by the process of peristalsis, which is described below.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4564\">serosa<\/a><\/strong>\u00a0layer is the outermost layer of the walls of GI tract organs. This is a thin layer that consists of connective tissue and separates the organs from surrounding cavities and tissues.<\/li>\n<\/ol>\n<table style=\"border-collapse: collapse;width: 76.413%\" border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 40.6725%\">\n<figure id=\"attachment_4566\" aria-describedby=\"caption-attachment-4566\" style=\"width: 502px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4566\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Intestinal_layers-2.png\" alt=\"15.2.3\" width=\"502\" height=\"251\"><figcaption id=\"caption-attachment-4566\" class=\"wp-caption-text\"><em>Figure 15.2.3 This cross-sectional diagram of the wall of a typical GI tract organ shows the layers that comprise it.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 35.7786%\">\n<figure id=\"attachment_4567\" aria-describedby=\"caption-attachment-4567\" style=\"width: 259px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4567\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/512px-Normal_gastric_mucosa_intermed_mag-2.jpg\" alt=\"15.2.4 GI Cross section histology\" width=\"259\" height=\"388\"><figcaption id=\"caption-attachment-4567\" class=\"wp-caption-text\"><em>Figure 15.2.4 Can you match the layers in this pictomicrograph to the diagram on the left?<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 style=\"margin-top: 2.14286em;margin-bottom: 1.42857em;line-height: 1.28571em\">Peristalisis in the GI Tract<\/h2>\n<p>The muscles in the walls of GI tract organs enable peristalsis, which is illustrated in Figure 15.2.5. <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">Peristalsis<\/a><\/strong>\u00a0is a continuous sequence of involuntary\u00a0muscle contraction\u00a0and relaxation that moves rapidly along an organ like a wave, similar to the way a wave moves through a spring toy. Peristalsis in organs of the GI tract propels food through the tract.<\/p>\n<figure id=\"attachment_4569\" aria-describedby=\"caption-attachment-4569\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-4569\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/f-d_336ab46447bfb7c6da55d47fc12cc19783994991cbee6cd347338bd1IMAGE_THUMB_POSTCARD_TINYIMAGE_THUMB_POSTCARD_TINY-2.png\" alt=\"15.2.5\" width=\"500\" height=\"259\"><figcaption id=\"caption-attachment-4569\" class=\"wp-caption-text\"><em>Figure 15.2.5 Peristalsis pushes food through the GI tract.<\/em><\/figcaption><\/figure>\n<p>Watch the video \"What is peristalsis?\" by Mister Science to see peristalsis in action:<\/p>\n<p>https:\/\/youtu.be\/kVjeNZA5pi4<\/p>\n<p style=\"text-align: center\">What is peristalsis?, Mister Science, 2018.<\/p>\n<h2>Immune Function of the GI Tract<\/h2>\n<p>The GI tract plays an important role in protecting the body from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_271\">pathogen<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">. The surface area of the GI tract is estimated to be about 32 square metres (105 square feet), or about half the area of a badminton court. This is more than three times the area of the exposed skin of the body, and it provides a lot of area for pathogens to invade the tissues of the body. The innermost mucosal layer of the walls of the GI tract provides a barrier to pathogens so they are less likely to enter the blood or lymph circulations. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4571\">mucus<\/a> produced by the mucosal layer, for example, contains <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_390\">antibodies<\/a> that mark many pathogenic microorganisms for destruction. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_304\">Enzyme<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">\u00a0in some of the secretions of the GI tract also destroy pathogens. In addition, stomach acids have a very low <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4330\">pH<\/a> that is fatal for many microorganisms that enter the stomach.<\/span><\/p>\n<h2>Divisions of the GI Tract<\/h2>\n<p>The GI tract is often divided into an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4574\">upper GI tract<\/a> and a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4575\">lower GI tract<\/a>. For medical purposes, the upper GI tract is typically considered to include all the organs from the mouth through the first part of the\u00a0small intestine, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4576\">duodenum<\/a>. For our instructional purposes, it makes more sense to include the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a> through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a> in the upper GI tract, and all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small intestine<\/a> \u2014 as well as the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4560\">large intestine<\/a>\u00a0\u2014 in the lower GI tract.<\/p>\n<h3>Upper GI Tract<\/h3>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4297\">mouth<\/a> is the first digestive organ that food enters. The sight, smell, or taste of food stimulates the release of digestive enzymes and other secretions by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4577\">salivary gland<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0inside the mouth. The major salivary gland\u00a0enzyme\u00a0is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4578\">amylase<\/a>. It begins the chemical digestion of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_288\">carbohydrates<\/a>\u00a0by breaking down starch<\/span><span style=\"font-size: 1em\">es<\/span><span style=\"font-size: 1em;text-align: initial\"><\/span><span style=\"font-size: 1em;text-align: initial\">\u00a0into <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_316\">sugar<\/a>. The mouth also begins the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">mechanical digestion<\/a> of food. When you chew, your teeth break, crush, and grind food into increasingly smaller pieces. Your tongue helps mix the food with saliva and also helps you swallow.<\/span><\/p>\n<p>A lump of swallowed food is called a\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4579\">bolus<\/a>.<\/strong>\u00a0The bolus passes from the mouth into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4296\">pharynx<\/a>, and from the pharynx into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4557\">esophagus<\/a>. The esophagus is a long, narrow tube that carries food from the pharynx to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a>. It has no other digestive functions. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">Peristalsis<\/a> starts at the top of the esophagus when food is swallowed and continues down the esophagus in a single wave, pushing the bolus of food ahead of it.<\/p>\n<p>From the esophagus, food passes into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4558\">stomach<\/a>, where both <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">mechanical<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">chemical digestion<\/a> continue. The muscular walls of the stomach churn and mix the food, thus completing mechanical digestion, as well as mixing the food with digestive fluids secreted by the stomach. One of these fluids is hydrochloric acid (HCl). In addition to killing pathogens in food, it gives the stomach the low pH needed by digestive enzymes that work in the stomach. One of these enzymes is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4581\">pepsin<\/a>, which chemically digests proteins. The stomach stores the partially digested food until the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small intestine<\/a> is ready to receive it. Food that enters the small intestine from the stomach is in the form of a thick slurry (semi-liquid) called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4582\">chyme<\/a>.<\/strong><\/p>\n<h3>Lower GI Tract<\/h3>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4559\">small intestine<\/a> is a narrow, but very long tubular organ. It may be almost seven metres long in adults. It is the site of most <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">chemical digestion<\/a> and virtually all absorption of nutrients. Many digestive <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_304\">enzyme<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0are active in the small intestine, some of which are produced by the small intestine itself, and some of which are produced by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3197\">pancreas<\/a>, an accessory organ of the digestive system. Much of the inner lining of the small intestine is covered by tiny finger-like projections called <\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4543\">villi<\/a>,<\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0each of which is covered by even tinier projections called\u00a0<\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4583\">microvilli<\/a>.<\/strong><span style=\"text-align: initial;font-size: 1em\"> These projections, shown in the drawing below (Figure 15.2.6), greatly increase the surface area through which nutrients can be absorbed from the small intestine.<\/span><\/p>\n<div>\n<figure id=\"attachment_4584\" aria-describedby=\"caption-attachment-4584\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4584\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Villi__microvilli_of_small_intestine.svg_-2.png\" alt=\"14.2.6\" width=\"800\" height=\"600\"><figcaption id=\"caption-attachment-4584\" class=\"wp-caption-text\"><em>Figure 15.2.6 Each tiny projection (villus) of the lining of the small intestine is also covered with tiny projections (microvilli).<\/em><\/figcaption><\/figure>\n<\/div>\n<p>From the small intestine, any remaining nutrients and food waste pass into the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4560\">large intestine<\/a>. The large intestine is another tubular organ, but it is wider and shorter than the small intestine. It connects the small intestine and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4556\">anus<\/a>. Waste that enters the large intestine is in a\u00a0liquid\u00a0state. As it passes through the large intestine, excess\u00a0water\u00a0is absorbed from it. The remaining\u00a0solid\u00a0waste \u2014 called feces \u2014 is eventually eliminated from the body through the anus.<\/p>\n<div>\n<h1>Accessory Organs of the Digestive System<\/h1>\n<\/div>\n<figure id=\"attachment_4585\" aria-describedby=\"caption-attachment-4585\" style=\"width: 178px\" class=\"wp-caption alignright\"><img class=\" wp-image-4585\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0428_Gallbladder-Liver-Pancreas_Location-3.png\" alt=\"15.2.7 Accessory Organs of the Digestive System\" width=\"178\" height=\"356\"><figcaption id=\"caption-attachment-4585\" class=\"wp-caption-text\"><em>Figure 15.2.7 This diagram shows the locations of the accessory organs of digestion: the liver, gallbladder, and pancreas.<\/em><\/figcaption><\/figure>\n<p>Accessory organs of the digestive system are not part of the GI tract, so they are not sites where digestion or absorption take place. Instead, these organs secrete or store substances needed for the chemical digestion of food. The accessory organs include the liver, gallbladder, and pancreas. They are shown in Figure 15.2.7 and described in the text that follows.<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2989\">liver<\/a><\/strong>\u00a0is an organ\u00a0with\u00a0multitude of functions. Its main digestive function is producing and secreting a fluid called bile, which reaches the small intestine through a duct. Bile breaks down large globules of\u00a0lipids\u00a0into smaller ones that are easier for enzymes to chemically digest. Bile is also needed to reduce the acidity of food entering the small intestine from the highly acidic stomach, because enzymes in the small intestine require a less acidic environment in order to work.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4586\">gallbladder<\/a><\/strong>\u00a0is a small sac below the liver that stores some of the bile from the liver. The gallbladder also concentrates the bile by removing some of the water from it. It then secretes the concentrated bile into the small intestine as needed for fat digestion following a meal.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3197\">pancreas<\/a><\/strong>\u00a0secretes many digestive enzymes, and releases them into the small intestine for the chemical digestion of\u00a0carbohydrates,\u00a0proteins, and\u00a0lipids. The pancreas also helps lessen the acidity of the small intestine by secreting bicarbonate, a basic substance that neutralizes\u00a0acid.<\/li>\n<\/ul>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.2 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2913\">digestive system<\/a> consists of organs that break down food, absorb its nutrients, and expel any remaining food waste.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4549\">Digestion<\/a> is the process of breaking down food into components that the body can absorb. It includes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4550\">mechanical digestion<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4551\">chemical digestion<\/a>. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4553\">Absorption<\/a> is the process of taking up nutrients from food by body fluids for\u00a0circulation\u00a0to the rest of the body. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4554\">Elimination<\/a> is the process of excreting any remaining food waste after\u00a0digestion and absorption\u00a0are finished<em>.<\/em><\/li>\n<li>Most digestive organs form a long, continuous tube called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4555\">gastrointestinal (GI) tract<\/a>. It starts at the mouth, which is followed by the pharynx, esophagus, stomach, small intestine, and large intestine. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4574\">upper GI tract<\/a> consists of the mouth through the stomach, while the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4575\">lower GI tract<\/a> consists of the small and large intestines.<\/li>\n<li>Digestion and\/or absorption take place in most of the organs of the GI tract. Organs of the GI tract have walls that consist of several tissue layers that enable them to carry out these functions.\u00a0The inner <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4561\">mucosa<\/a> has\u00a0cells\u00a0that secrete digestive enzymes and other digestive substances, as well as cells that absorb nutrients. The muscle layer of the organs enables them to contract and relax in waves of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">peristalsis<\/a> to move food through the GI tract.<\/li>\n<li>Three digestive organs \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2989\">liver<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4586\">gallbladder<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3197\">pancreas<\/a> \u2014 are\u00a0accessory organs of digestion. They secrete substances needed for chemical digestion into the small intestine.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.2 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the digestive system?<\/li>\n<li>What are the three main functions of the digestive system? Define each function.<\/li>\n<li>\n<div id=\"h5p-183\">\n<div class=\"h5p-content\" data-content-id=\"183\"><\/div>\n<\/div>\n<\/li>\n<li>Relate the tissues in the walls of GI tract organs to the functions the organs perform.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">15.2 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/Og5xAdC8EUI<\/p>\n<p style=\"text-align: center\">How your digestive system works - Emma Bryce, TED-Ed, 2017.<\/p>\n<p>https:\/\/youtu.be\/YVfyYrEmzgM<\/p>\n<p style=\"text-align: center\">How does your body know you're full? - Hilary Coller, TED-Ed, 2017.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 15.2.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/Ov0u44CyGdM\" rel=\"cc:attributionURL\">Ice Cream<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@mark_crz\">Mark Cruz<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 15.2.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0316_DigestiveSystem.png\" rel=\"cc:attributionURL\">Blausen_0316_DigestiveSystem<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 15.2.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Intestinal_layers.png\" rel=\"cc:attributionURL\">Intestinal_layers<\/a> by <a class=\"new\" title=\"User:Boumphreyfr (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Boumphreyfr&amp;action=edit&amp;redlink=1\">Boumphreyfr<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/p>\n<p><strong>Figure 15.2.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Normal_gastric_mucosa_intermed_mag.jpg\" rel=\"cc:attributionURL\">512px-Normal_gastric_mucosa_intermed_mag<\/a> by Nephron on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/p>\n<p><strong>Figure 15.2.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.2\/\" rel=\"cc:attributionURL\">Peristalsis pushes food through the GI tract<\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.2\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/?_ga=2.235351745.1988667202.1598996862-1392032960.1592870652\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 15.2.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Villi_%26_microvilli_of_small_intestine.svg\" rel=\"cc:attributionURL\">Villi_&amp;_microvilli_of_small_intestine.svg<\/a> by <a title=\"User:BallenaBlanca\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BallenaBlanca\">BallenaBlanca<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 15.2.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0428_Gallbladder-Liver-Pancreas_Location.png\" rel=\"cc:attributionURL\">Blausen_0428_Gallbladder-Liver-Pancreas_Location<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a>\u00a0 on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 4 Peristalsis pushes food through the GI tract. [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 17.2) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/17.2\/<\/p>\n<p class=\"hanging-indent\">Mister Science. (2018). What is peristalsis? YouTube. https:\/\/www.youtube.com\/channel\/UCxTlkZfjArUobBAeVwzJjYg\/videos<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, November 13). How does your body know you're full? - Hilary Coller. YouTube. https:\/\/www.youtube.com\/watch?v=YVfyYrEmzgM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, December 14). How your digestive system works - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=Og5xAdC8EUI&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5154\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5154\"><div tabindex=\"-1\"><p>Image shows a man participating in a hot-dog eating contest.  His mouth is so full of hot dog that he can't close his lips.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5235\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5235\"><div tabindex=\"-1\"><p>Image shows a side view diagram of the male and female pelvis.  The male urethra is much longer because it extends through the penis, and in women it exits through the pelvic floor.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2506\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2506\"><div tabindex=\"-1\"><p>A biological process which converts sugars such as glucose, fructose, and sucrose into cellular energy, producing ethanol and carbon dioxide as by-products.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2992\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2992\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1241\" aria-describedby=\"caption-attachment-1241\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4373\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/humidifier-on-pxfuel.com-1-scaled-1.jpg\" alt=\"13.7.1 Humidifier\" width=\"400\" height=\"267\"><figcaption id=\"caption-attachment-1241\" class=\"wp-caption-text\"><em>Figure 13.7.1 Humidifier or light show?<\/em><\/figcaption><\/figure>\n<h1>Case Study Conclusion: Cough That Won't Quit<\/h1>\n<p>Inhaling the moist air from a humidifier or steamy shower can feel particularly good if you have a respiratory system infection, such as bronchitis. The moist air helps to loosen and thin mucus in the respiratory system, allowing you to breathe easier.<\/p>\n<p>In the beginning of this chapter, you learned about Erica, who developed acute bronchitis after getting a cold. She had a worsening cough, a sore throat due to coughing, and chest congestion. She was also coughing up thick mucus.<\/p>\n<figure id=\"attachment_1241\" aria-describedby=\"caption-attachment-1241\" style=\"width: 238px\" class=\"wp-caption alignleft\"><img class=\"wp-image-1241 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bronchitis-e1591985479820.jpg\" alt=\"13.7.2 Bronchitis\" width=\"238\" height=\"445\"><figcaption id=\"caption-attachment-1241\" class=\"wp-caption-text\"><em>Figure 13.7.2 The function of mucus is to trap pathogens and other potentially dangerous particles that enter the respiratory system from the air. However, when too much mucus is produced in response to an infection (as in the case of bronchitis), it can interfere with normal airflow. The body responds by coughing as it tries to rid itself of the pathogen-laden mucus.<\/em><\/figcaption><\/figure>\n<p>Acute bronchitis usually occurs after a cold or flu, usually due to the same <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4283\">viruses<\/a> that cause cold or flu. Because bronchitis is not usually caused by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2588\">bacteria<\/a> (although it can be), in most cases, antibiotics are not an effective treatment.<\/p>\n<p>Bronchitis affects the bronchial tubes, which, as you have learned, are air passages in the lower respiratory tract. The main bronchi branch off of the trachea and then branch into smaller bronchi, and then bronchioles. In bronchitis, the walls of the bronchi become inflamed, which makes them narrower. There is also excessive production of mucus in the bronchi, which further narrows the pathway where air can flow through. Figure 13.7.2, shows how bronchitis affects the bronchial tubes.<\/p>\n<p>The treatment for most cases of bronchitis involves thinning and loosening the mucus so that it can be effectively coughed out of the airways. This can be done by drinking plenty of fluids, using humidifiers or steam, and \u2014 in some cases \u2014 using over-the-counter medications (such as expectorants). Dr. Choo recommended some of these treatments to Erica, and also warned against using cough suppressants. Cough suppressants work on the nervous system to suppress the cough reflex. When a patient has a \u201cproductive\u201d cough (which means they are coughing up mucus), doctors generally advise them not to take cough suppressants, so that they can cough the mucus out of their bodies.<\/p>\n<p>When Dr. Choo was examining Erica, she used a pulse oximeter to measure the oxygen level in her blood. Why did she do this? As you have learned, the bronchial tubes branch into bronchioles, which ultimately branch into the alveoli of the lungs. The alveoli are where gas exchange occurs between the air and the blood to take in oxygen and remove carbon dioxide and other wastes. By checking Erica\u2019s blood oxygen level, Dr. Choo was making sure that her clogged airways were not impacting her level of much-needed oxygen.<\/p>\n<p>Erica has acute bronchitis, but you may recall that\u00a0<em>chronic<\/em> bronchitis was discussed earlier in this chapter (<a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/chapter\/15-5-disorders-of-the-respiratory-system\/\">Section 13.5<\/a>) as a term that describes the symptoms of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4354\">chronic obstructive pulmonary disease<\/a> (COPD). COPD is often due to tobacco smoking, and it causes damage to the walls of the alveoli. Acute bronchitis, on the other hand, typically occurs after a cold or flu, and involves inflammation and mucus build-up in the bronchial tubes. As implied by the difference in their names, chronic bronchitis is an ongoing, long-term condition, while acute bronchitis is likely to resolve relatively quickly with proper rest and treatment.<\/p>\n<p>Erica uses e-cigarettes (vaping), so she is more likely to develop chronic respiratory conditions, such as COPD. As you have learned, smoking damages the respiratory system, along with many other systems of the body. Smoking and vaping increases the risk of respiratory infections, including bronchitis and flu, due to its damaging effects on the respiratory and immune systems. Dr. Choo strongly encouraged Erica to quit vaping, not only so that her acute bronchitis resolves, but so that she can avoid future infections and other negative health outcomes associated with vaping and smoking, including COPD and lung cancer.<\/p>\n<p>As you have learned in this chapter, the respiratory system is critical to carry out the gas exchange necessary for life\u2019s functions, and to protect the body from pathogens and other potentially harmful substances in the air. But this ability to interface with the outside air has a cost. The respiratory system is prone to infections, as well as damage and other negative effects from allergens, mold, air pollution, cigarette smoke and vaping. While exposure to most of these things cannot be avoided, not smoking is an important step you can take to protect this organ system \u2014 as well as many other systems of your body.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1><span style=\"color: #ffffff\">Chapter 13 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you learned about the respiratory system. Specifically, you learned that:<\/p>\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4286\">Respiration<\/a> is the process in which oxygen moves from the outside air into the body, and carbon dioxide and other waste gases move from inside the body to the outside air. It involves two subsidiary processes: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4287\">ventilation<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4288\">gas exchange<\/a>.<\/li>\n<li>The organs of the respiratory system form a continuous system of passages, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4289\">respiratory tract<\/a>. It has two major divisions: the upper respiratory tract and the lower respiratory tract.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4290\">upper respiratory tract<\/a> includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4295\">nasal cavity<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4296\">pharynx<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4298\">larynx<\/a>. All of these organs are involved in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4294\">conduction<\/a>, or the movement of air into and out of the body. Incoming air is also cleaned, humidified, and warmed as it passes through the upper respiratory tract. The larynx is also called the voice box, because it contains the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4320\">vocal cords<\/a>, which are needed to produce vocal sounds.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4291\">lower respiratory tract<\/a> includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4304\">trachea<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4309\">bronchi<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4310\">bronchioles<\/a>, and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2990\">lungs<\/a>. The trachea, bronchi, and bronchioles are involved in conduction. Gas exchange takes place only in the lungs, which are the largest organs of the respiratory tract. Lung tissue consists mainly of tiny air sacs called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4311\">alveoli<\/a>, which is where gas exchange takes place between air in the alveoli and the blood in capillaries surrounding them.<\/li>\n<\/ul>\n<\/li>\n<li>The respiratory system protects itself from potentially harmful substances in the air by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4318\">mucociliary escalator<\/a>. This includes mucus-producing cells, which trap particles and pathogens in incoming air. It also includes tiny hair-like <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_1597\">cilia<\/a> that continually move to sweep the mucus and trapped debris away from the lungs and toward the outside of the body.<\/li>\n<li>The level of carbon dioxide in the blood is monitored by cells in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2554\">brain<\/a>. If the level becomes too high, it triggers a faster rate of breathing, which lowers the level to the normal range. The opposite occurs if the level becomes too low. The respiratory system exchanges gases with the outside air, but it needs the cardiovascular system to carry the gases to and from cells throughout the body.<\/li>\n<li>Breathing, or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4287\">ventilation<\/a>, is the two-step process of drawing air into the lungs (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4325\">inhalation<\/a>) and letting air out of the lungs (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4326\">exhalation<\/a>). Inhaling is an active process that results mainly from contraction of a muscle called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4292\">diaphragm<\/a>. Exhaling is typically a passive process that occurs mainly due to the elasticity of the lungs when the diaphragm relaxes.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Breathing is one of the few vital bodily functions that can be controlled consciously, as well as unconsciously. Conscious control of breathing is common in many activities, including swimming and singing. However, there are limits on the conscious control of breathing. If you try to hold your breath, for example, you will soon have an irrepressible urge to breathe.<\/li>\n<li>Unconscious breathing is controlled by respiratory centers in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3075\">medulla<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3076\">pons<\/a> of the brainstem. They respond to variations in blood <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4330\">pH<\/a> by either increasing or decreasing the rate of breathing as needed to return the pH level to the normal range.<\/li>\n<li>Nasal breathing is generally considered to be superior to mouth breathing, because it does a better job of filtering, warming, and moistening incoming air. It also results in slower emptying of the lungs, which allows more oxygen to be extracted from the air.<\/li>\n<\/ul>\n<\/li>\n<li>Gas exchange is the biological process through which gases are transferred across <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2169\">cell membranes<\/a>\u00a0to either enter or leave the blood. Gas exchange takes place continuously between the blood and cells throughout the body, and also between the blood and the air inside the lungs.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Gas exchange in the lungs takes place in alveoli. The pulmonary artery carries deoxygenated blood from the heart to the lungs, where it travels through pulmonary capillaries, picking up oxygen and releasing carbon dioxide. The oxygenated blood then leaves the lungs through pulmonary veins.<\/li>\n<li>Gas exchange occurs by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_1655\">diffusion<\/a> across cell membranes. Gas molecules naturally move down a concentration gradient from an area of higher concentration to an area of lower concentration. This is a passive process that requires no energy.<\/li>\n<li>Gas exchange by diffusion depends on the large surface area provided by the hundreds of millions of alveoli in the lungs. It also depends on a steep concentration gradient for oxygen and carbon dioxide. This gradient is maintained by continuous blood flow and constant breathing.<\/li>\n<\/ul>\n<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4348\">Asthma<\/a> is a chronic inflammatory disease of the airways in the lungs, in which the airways periodically become inflamed. This causes swelling and narrowing of the airways, often with excessive mucus production, leading to difficulty breathing and other symptoms. Asthma is thought to be caused by a combination of genetic and environmental factors. Asthma attacks are triggered by allergens, air pollution, or other factors.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4351\">Pneumonia<\/a> is a common inflammatory disease of the respiratory tract in which inflammation affects primarily the alveoli, which become filled with fluid that inhibits gas exchange. Most cases of pneumonia are caused by viral or bacterial infections. Vaccines are available to prevent pneumonia. Treatment often includes prescription antibiotics.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4354\">Chronic obstructive pulmonary disease<\/a> (COPD) is a lung disease characterized by chronic poor airflow, which causes shortness of breath and a productive cough. It is caused most often by tobacco smoking, which leads to breakdown of connective tissues in the lungs. Alveoli are reduced in number and elasticity, making it impossible to fully exhale air from the lungs. There is no cure for COPD, but stopping smoking may reduce the rate at which COPD worsens.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4356\">Lung cancer<\/a> is a malignant tumor characterized by uncontrolled cell growth in tissues of the lung. It results from accumulated DNA damage, most often caused by tobacco smoking. Lung cancer is typically diagnosed late, so most cases cannot be cured. It may be treated with surgery, chemotherapy, and\/or radiation therapy.<\/li>\n<li>Smoking is the single greatest cause of preventable death worldwide. It has adverse effects on just about every body system and organ. Tobacco smoke affects not only smokers, but also non-smokers who are exposed to secondhand smoke. The nicotine in tobacco is highly addictive, making it very difficult to quit smoking.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>A major health risk of smoking is\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4356\">lung cancer<\/a>. Smoking also increases the risk of many other types of cancer. Tobacco smoke contains dozens of chemicals that are known carcinogens.<\/li>\n<li>Smoking is the primary cause of COPD. Chemicals \u2014 such as carbon monoxide and cyanide in tobacco smoke \u2014 reduce the elasticity of alveoli so the lungs can no longer fully exhale air.<\/li>\n<li>Smoking and\/or vaping damages the cardiovascular system and increases the risk of high blood pressure, blood clots, heart attack, and stroke. Smoking also has a negative impact on blood lipid levels.<\/li>\n<li>A wide diversity of additional adverse health effects \u2014 such as erectile dysfunction, female infertility, and slow wound healing \u2014 are attributable to smoking.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>As you have learned, the respiratory system brings in oxygen to the body and removes waste gases to the atmosphere \u2014 but these molecules wouldn\u2019t get to where they need to go without the cardiovascular system to transport them via the bloodstream. Read the next chapter to learn about how the cardiovascular system carries out these critical functions.<\/p>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 13 Review<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-249\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-249\" class=\"h5p-iframe\" data-content-id=\"249\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Chapter 13 Review\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the relationship between the bronchi, secondary bronchi, tertiary bronchi, and bronchioles.<\/li>\n<li>Deoxygenated and oxygenated blood both travel to the lungs. Describe what happens to that blood when it gets to the lungs.<\/li>\n<li>Explain the difference between ventilation and gas exchange.<\/li>\n<li>Which way do oxygen and carbon dioxide flow during gas exchange in the lungs, and why?\u00a0Which way do oxygen and carbon dioxide flow during gas exchange between the blood and the body\u2019s cells, and why?<\/li>\n<li>Why does the body require oxygen, and why does it emit\u00a0carbon dioxide as a waste product?<\/li>\n<li>What do coughing and sneezing have in common?<\/li>\n<li>COPD can cause\u00a0too much carbon dioxide in the blood. Answer the following questions about this:\n<ol type=\"a\">\n<li>How does COPD cause there to be too much carbon dioxide in the blood?<\/li>\n<li>What does this do to the blood pH?<\/li>\n<li>How does the body respond to this change in blood pH?<\/li>\n<\/ol>\n<\/li>\n<li>What are three different types of things that can enter the respiratory system and cause illness or injury? Describe the negative health effects of each in your answer.<\/li>\n<li>Where are the respiratory centers of the brain located?\u00a0What is the main function of the respiratory centers of the brain?<\/li>\n<li>Smoking increases the risk of getting influenza, commonly known as the flu. Explain why this could lead to a greater risk of pneumonia.<\/li>\n<li>If a person has a gene that caused them to get asthma, could changes to their environment (such as more frequent cleaning) help their asthma? Why or why not?<\/li>\n<li>Explain why nasal breathing generally stops particles from entering the body at an earlier stage than mouth breathing does.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 13.7.1<\/strong><\/p>\n<p><a href=\"https:\/\/pixabay.com\/de\/photos\/%C3%A4therische-%C3%B6le-aroma-diffusor-4074315\/\">Tags: Essential Oils Aroma Diffuser Diffuse Led<\/a> by <a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/de\/users\/asundermeier-448808\/\">asundermeier<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/unsplash.com\/license\">Pixabay License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 13.7.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bronchitis.jpg\" rel=\"cc:attributionURL\">Bronchitis<\/a> by <a href=\"https:\/\/www.nhlbi.nih.gov\/health-topics\/bronchitis\">National Heart Lung and Blood Institute<\/a> on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:en:Public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_3538\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_3538\"><div tabindex=\"-1\"><p>The space occurring between two or more membranes. In cell biology, it's most commonly described as the region between the inner membrane and the outer membrane of a mitochondrion or a chloroplast.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5819\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5819\"><div tabindex=\"-1\"><p>Any type of a close and long-term biological interaction between two different biological organisms.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2588\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2588\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4378\" aria-describedby=\"caption-attachment-4378\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4378\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/aircraft-1583871_1920-1.jpg\" alt=\"14.1.1 Airplane Exercise\" width=\"400\" height=\"226\"><figcaption id=\"caption-attachment-4378\" class=\"wp-caption-text\"><em>Figure 14.1.1 Got to keep that blood moving!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: Flight Risk<\/h1>\n<\/div>\n<p>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.<\/p>\n<p>The man in the aisle seat \u2014 who has introduced himself to Malcolm as Willie \u2014 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 \u2014 prevent a blood clot from forming in his legs.<\/p>\n<p>Willie explains that he has a chronic condition: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4219\">heart failure<\/a>. Although it sounds scary, his condition is currently well-managed, and he is able to lead a relatively normal lifestyle. However, it <em>does<\/em> 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 \u2014\u00a0and\u00a0other situations where a person has to sit for a long period of time \u2014 increases the risk of DVT. Willie\u2019s 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.<\/p>\n<p>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.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter Overview: Cardiovascular System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the cardiovascular system, which transports substances throughout the body. Specifically, you will learn about:<\/p>\n<ul>\n<li>The major components of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3835\">cardiovascular system<\/a>: the heart, blood vessels, and blood.<\/li>\n<li>The functions of the cardiovascular system, including transporting needed substances (such as oxygen and nutrients) to the cells of the body, and picking up waste products.<\/li>\n<li>How blood is oxygenated through the pulmonary circulation, which transports blood between the heart and lungs.<\/li>\n<li>How blood is circulated throughout the body through the systemic circulation.<\/li>\n<li>The components of blood \u2014 including plasma, red blood cells, white blood cells, and platelets \u2014 and their specific functions.<\/li>\n<li>Types of blood vessels \u2014 including arteries, veins, and capillaries \u2014 and their functions, similarities, and differences.<\/li>\n<li>The structure of the heart, how it pumps blood, and how contractions of the heart are controlled.<\/li>\n<li>What blood pressure is and how it is regulated.<\/li>\n<li>Blood disorders, including anemia, HIV, and leukemia.<\/li>\n<li>Cardiovascular diseases (including heart attack, stroke, and angina), and the risk factors and precursors \u2014 such as high blood pressure and atherosclerosis \u2014 that contribute to them.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read the chapter, think about the following questions:<\/p>\n<ol>\n<li>What is heart failure?Why\u00a0do you think it increases the risk of DVT?<\/li>\n<li>What is a blood clot? What are possible health consequences of blood clots?<\/li>\n<li>Why do you think sitting for long periods of time increases the risk of DVT? Why does walking and exercising the legs help reduce this risk?<\/li>\n<\/ol>\n<\/div>\n<h2>Attribution<\/h2>\n<p><strong>Figure 14.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/pixabay.com\/photos\/aircraft-interior-seats-1583871\/\" rel=\"cc:attributionURL\">aircraft-1583871_1920<\/a> [photo] by <a href=\"https:\/\/pixabay.com\/users\/olivier89-3075816\/?utm_source=link-attribution&amp;utm_medium=referral&amp;utm_campaign=image&amp;utm_content=1583871\" rel=\"dc:creator\">olivier89<\/a> from <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/de\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/de\/service\/license\/).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_4330\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_4330\"><div tabindex=\"-1\"><h1 style=\"margin-top: 2.14286em; margin-bottom: 1.42857em; line-height: 1.28571em;\"><span style=\"font-size: 1.424em;\">What Are You Made of?<\/span><\/h1>\n<figure id=\"attachment_250\" aria-describedby=\"caption-attachment-250\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img class=\"wp-image-250 size-medium\" style=\"color: #373d3f; font-weight: bold; font-size: 1em;\" title=\" Arawalk Cay, The Bahamas, by Gregory Culmer, on Unsplash, is used under the Unsplash license\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Man-sitting-2.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><figcaption id=\"caption-attachment-250\" class=\"wp-caption-text\"><em>Figure 3.2.1 What are we?<\/em><\/figcaption><\/figure>\n<p>Your entire body is made of cells and cells are made of molecules.If you look at your hand, what do you see? Of course, you see skin, which consists of <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5665\">cells<\/a><\/strong>. But what are skin cells\u00a0<em>made<\/em>\u00a0of? Like all living\u00a0cells, they are made of matter. In fact,\u00a0<em>all<\/em>\u00a0things are made of matter.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5635\">Matter<\/a><\/strong>\u00a0is anything that takes up space and has mass. Matter, in turn, is made up of chemical substances. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5731\">chemical substance<\/a><\/strong>\u00a0is matter that has a definite\u00a0composition\u00a0that is\u00a0consistent\u00a0throughout. A chemical substance may be either an\u00a0element\u00a0or a\u00a0compound.<\/p>\n<h1>Elements and Atoms<\/h1>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5747\">element<\/a><\/strong>\u00a0is a\u00a0pure substance. It cannot be broken down into other types of substances. Each\u00a0element\u00a0is made up of just one type of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5711\">atom<\/a><\/strong>.<\/p>\n<h2>Structure of an\u00a0Atom<\/h2>\n<figure id=\"attachment_253\" aria-describedby=\"caption-attachment-253\" style=\"width: 226px\" class=\"wp-caption alignright\"><img class=\"wp-image-253\" title=\"Lithium Atom diagram, by AG Caesar, is used under a CC BY-SA 4.0 International license\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Atom-diagram-2.png\" alt=\"Diagram of a lithium atom. Three protons and four neutrons are in the nucleus, and three electrons are orbiting the nucleus.\" width=\"226\" height=\"226\" \/><figcaption id=\"caption-attachment-253\" class=\"wp-caption-text\"><em>Figure 3.2.2 An atom consists of three subatomic components: protons, neutrons and electrons.<\/em><\/figcaption><\/figure>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5711\">atom<\/a><\/strong> is the smallest particle of an element that still has the properties of that element. Every substance is composed of atoms. Atoms are extremely small, typically about a ten-billionth of a metre in diametre. However, atoms <em>do not<\/em> have well-defined boundaries, as suggested by the atomic model shown\u00a0below.<\/p>\n<div>\n<p><span style=\"text-align: initial; font-size: 1em;\">Every <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5711\">atom<\/a><\/strong> is composed of a central area \u2014 called the\u00a0<\/span><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5717\">nucleus<\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\">\u00a0\u2014 and one or more subatomic particles called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5751\">electrons<\/a><\/strong>, which move around the nucleus. The nucleus\u00a0<\/span><em style=\"text-align: initial; font-size: 1em;\">also<\/em><span style=\"text-align: initial; font-size: 1em;\">\u00a0consists of subatomic particles. It contains one or more <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5823\">proton<\/a><\/strong>s and typically a similar number of <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5795\">neutrons<\/a><\/strong>. The number of protons in the\u00a0<\/span>nucleus<span style=\"text-align: initial; font-size: 1em;\">\u00a0determines the type of element an atom represents. An atom of hydrogen, for example, contains just one\u00a0<\/span>proton<span style=\"text-align: initial; font-size: 1em;\">. Atoms of the same element may have different numbers of neutrons in the nucleus. Atoms of the same element with the same number of protons \u2014 but different numbers of neutrons \u2014 are called\u00a0<\/span><strong style=\"text-align: initial; font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5767\">isotopes<\/a>.<\/strong><\/p>\n<\/div>\n<p>Protons have a positive electric charge and neutrons have no electric charge. Virtually all of an atom's mass is in the protons and neutrons in the\u00a0nucleus. Electrons surrounding the nucleus have almost no mass,\u00a0as well as\u00a0a negative electric charge. If the number of protons and electrons in an atom are equal, then an atom is electrically neutral, because the positive and negative charges cancel each other out. If an atom has more or fewer electrons than protons, then it has an overall negative or positive charge, respectively, and it is called an\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5765\">ion<\/a><\/strong><strong>.<\/strong><\/p>\n<p>The negatively-charged electrons of an atom are attracted to the positively-charged protons in the nucleus by a force called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5745\">electromagnetic force<\/a>,<\/strong>\u00a0for which opposite charges attract. Electromagnetic force between protons in the nucleus causes these subatomic particles to repel each other, because they have the same charge. However, the protons and neutrons in the nucleus are attracted to each other by a different force, called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5787\">nuclear force<\/a>,<\/strong>\u00a0which is usually stronger than the electromagnetic force. Nuclear force repels the positively-charged protons from each other.<\/p>\n<h2>Periodic Table of the Elements<\/h2>\n<p>There are almost 120 known elements. As you can see in the Periodic Table of the Elements shown\u00a0below, the majority of elements are\u00a0metals. Examples of metals are iron (Fe) and copper (Cu). Metals are shiny and good conductors of electricity and\u00a0heat. Nonmetal elements are far fewer in number. They include hydrogen (H) and oxygen (O). They lack the properties of metals.<\/p>\n<div>\n<p>\u00a0The periodic table of the elements arranges elements in groups based on their properties. The element most important to life is carbon (C). Find carbon in the table. What type of element is it: metal or nonmetal?<\/p>\n<\/div>\n<div>\n<figure id=\"attachment_259\" aria-describedby=\"caption-attachment-259\" style=\"width: 573px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-259\" title=\"Periodic Table Armtuk3 by Armtuk, is used under CC BY-SA 3.0 license.\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Periodic-table-2.png\" alt=\"The Periodic Table of Elements\" width=\"573\" height=\"470\" \/><figcaption id=\"caption-attachment-259\" class=\"wp-caption-text\"><em>Figure 3.2.3 The Periodic Table of Elements.<\/em><\/figcaption><\/figure>\n<h2>Compounds and Molecules<\/h2>\n<\/div>\n<p>A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5733\">compound<\/a><\/strong>\u00a0is a unique substance that consists of two or more elements combined in fixed proportions. This means that the\u00a0composition\u00a0of a\u00a0compound\u00a0is always the same. The smallest particle of most compounds in living things is called a\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5779\">molecule<\/a>.<\/strong><\/p>\n<figure id=\"attachment_285\" aria-describedby=\"caption-attachment-285\" style=\"width: 256px\" class=\"wp-caption alignright\"><img class=\"wp-image-285 size-full\" title=\"Water molecule, by Sakurambo, is released into the public domain.\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Water-molecule-1-2.png\" alt=\"Image shows a model of a water molecule. A large central oxygen atom is connected to two adjacent, smaller white hydrogen atoms.\" width=\"256\" height=\"184\" \/><figcaption id=\"caption-attachment-285\" class=\"wp-caption-text\"><em>Figure 3.2.4 A molecule of water consists of one atom of oxygen and two atoms of hydrogen connected by covalent bonds.<\/em><\/figcaption><\/figure>\n<p>Consider\u00a0water\u00a0as an example. A molecule of water always contains one atom of oxygen and two atoms of hydrogen. The\u00a0composition\u00a0of water is expressed by the\u00a0chemical formula\u00a0H<sub>2<\/sub>O. A model of a water molecule is shown in Figure 3.2.4.<\/p>\n<p>What causes the atoms of a\u00a0water\u00a0molecule to \u201cstick\u201d together? The answer is\u00a0<em>chemical bonds<\/em>. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5727\">chemical bond<\/a><\/strong>\u00a0is a force that holds together the atoms of molecules. Bonds in molecules involve the sharing of electrons among atoms. New\u00a0chemical bonds\u00a0form when substances react with one another. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5729\">chemical reaction<\/a><\/strong>\u00a0is a process that changes some chemical substances into others. A\u00a0chemical reaction\u00a0is needed to form a compound, and another chemical reaction is needed to separate the substances in that compound.<\/p>\n<p>&nbsp;<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">3.2 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>All <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5635\"><strong>matter<\/strong><\/a> consists of chemical substances. A <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5731\"><strong>chemical substance<\/strong><\/a> has a definite composition\u00a0which is consistent\u00a0throughout. A chemical substance may be either an element or a compound.<\/li>\n<li>An <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5747\"><strong>element<\/strong><\/a> is a\u00a0pure substance\u00a0that cannot be broken down into other types of substances.<\/li>\n<li>An <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5711\"><strong>atom<\/strong><\/a> is the smallest particle of an element that still has the properties of that element. Atoms, in turn, are composed of subatomic particles, including negative <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5751\"><strong>electrons<\/strong><\/a>, positive <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5823\"><strong>protons<\/strong><\/a>, and neutral <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5795\"><strong>neutrons<\/strong><\/a>. The number of protons in an atom determines the element it represents.<\/li>\n<li>Atoms have equal numbers of electrons and protons, so they have no charge. Ions are atoms that have lost or gained electrons,\u00a0and as a result\u00a0have either a positive or negative charge. Atoms with the same number of protons \u2014 but different numbers of neutrons \u2014 are called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5767\"><strong>isotopes<\/strong><\/a>.<\/li>\n<li>There are almost 120 known elements. The majority of elements are\u00a0metals. A smaller number are\u00a0nonmetals. The latter include carbon, hydrogen, and oxygen.<\/li>\n<li>A compound is a substance that consists of two or more elements in a unique composition. The smallest particle of a compound is called a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5779\"><strong>molecule<\/strong><\/a>.\u00a0Chemical bonds\u00a0hold together the atoms of molecules. Compounds can form only in\u00a0chemical reactions, and they can break down only in other chemical reactions.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">3.2 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-454\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-454\" class=\"h5p-iframe\" data-content-id=\"454\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Label the atom\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>What is an element? Give three examples.<\/li>\n<li>Define <em>compound<\/em>. Explain how compounds form.<\/li>\n<li>Compare and contrast atoms and molecules.<\/li>\n<li>The compound called water can be broken down into its constituent elements by applying an electric current to it. What ratio of elements is produced in this process?<\/li>\n<li>Relate ions and isotopes to elements and atoms.<\/li>\n<li>What is the most important element to life?<\/li>\n<li>Iron oxide is often known as rust \u2014 the reddish substance you might find on corroded metal. The chemical formula for this type of iron oxide is Fe<sub>2<\/sub>O<sub>3<\/sub>. Answer the following questions about iron oxide and briefly explain each answer.\n<ol type=\"a\">\n<li>Is iron oxide an element or a compound?<\/li>\n<li>Would one particle of iron oxide be considered a molecule or an atom?<\/li>\n<li>Describe the relative proportion of atoms in iron oxide.<\/li>\n<li>What causes the Fe and O to stick together in iron oxide?<\/li>\n<li>Is iron oxide made of metal atoms, metalloid atoms, nonmetal atoms, or a combination of any of these?<\/li>\n<\/ol>\n<\/li>\n<li>14C is an isotope\u00a0of carbon used in the radiocarbon dating of organic material. The most common isotope of carbon is\u00a012C. Do you think\u00a014C and\u00a012C have different numbers of neutrons or protons? Explain your answer.<\/li>\n<li>Explain why ions have a positive or negative charge.<\/li>\n<li>Name the three subatomic particles described in this section.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">3.2 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=yQP4UJhNn0I&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center;\">Just how small is an atom? TED-Ed, 2012<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 3.2.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/z7uU0C-4iUo\">Man Sitting<\/a>, by <a href=\"https:\/\/unsplash.com\/@junkanoo_media\">Gregory Culmer<\/a>, on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a>, is used under the <a href=\"https:\/\/unsplash.com\/license\">Unsplash license<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 3.2.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Atom_Diagram.svg\">Lithium Atom diagram<\/a>, by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:AG_Caesar?uselang=bn\">AG Caesar<\/a>, is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\">CC BY-SA 4.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en)<\/p>\n<p><strong>Figure 3.2.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Periodic_Table_Armtuk3.svg\">Periodic Table Armtuk3<\/a>, by <a href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Armtuk&amp;action=edit&amp;redlink=1\">Armtuk<\/a>, is used under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">)<\/a>\u00a0license.<\/p>\n<p><strong>Figure 3.2.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Water_molecule.svg\">Water molecule<\/a>, by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Sakurambo~commonswiki\">Sakurambo<\/a>, is released into the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">TED-Ed. (2012, April 16). Just how small is an atom. YouTube. https:\/\/www.youtube.com\/watch?v=yQP4UJhNn0I&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_4731\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_4731\"><div tabindex=\"-1\"><p>Image shows a diagram of the negative feedback loops that maintain homeostasis of body temperature.  When body temperature falls, blood vessels constrict so that heat is conserved, sweat glands do not secrete fluid, and shivering generates body heat, which warms the body.  When body temperature rises, blood vessels dilate, resulting in heat loss to the environment, sweat glands release fluid and as the fluid evaporates, heat is lost from the body.  <\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5775\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5775\"><div tabindex=\"-1\"><p>An organisms that is so small it is invisible to the human eye.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5239\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5239\"><div tabindex=\"-1\"><p>Image shows a diagram comparing a healthy nephron and its blood supply and one with diabetic nephropathy.  The diseased one has blood vessels that look deformed and fragile.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5241\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5241\"><div tabindex=\"-1\"><p>Image shows a diagram of the process of hemodialysis.  Blood is removed from the patient from a location on the arm.  Blood enters the hemodialysis apparatus and is run through dialyser to clean wastes from the blood.  There are mechanisms to maintain blood tonicity and pressure, to prevent clotting,  and ensure no air enters the bloodstream.  The cleaned blood is returned to the patient in their arm, proximal to the place where the blood was first removed.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5242\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5242\"><div tabindex=\"-1\"><p>Image shows a photograph of a kidney stone.  It has a crystal structure, with irregular sharp edges and points.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5243\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5243\"><div tabindex=\"-1\"><p>Image shows a diagram of the kidney with several kidney stones, which have accumulated in the renal pelvis and are blocking the exit to the ureter.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5244\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5244\"><div tabindex=\"-1\"><p>As per caption<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5247\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5247\"><div tabindex=\"-1\"><p>Image shows  a photograph of several wine bottles on a shelf.  The image has been deliberately blurred to simulate the effects of drunkeness.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_1597\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_1597\"><div tabindex=\"-1\"><p>Image shows an operating room.  There are several surgeons in gowns, masks and gloves.    They are operating on a patient.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5489\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5489\"><div tabindex=\"-1\"><p>A semi-permeable lipid bilayer that separates the interior of all cells from their surroundings.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2982\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2982\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4169\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Look-by-ali-yahya-155huuQwGvA-unsplash-scaled-1.jpg\" alt=\"12.3.1 Eyes\" width=\"333\" height=\"500\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.1 \"Eye\" can see you.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Work Those Eye Muscles!<\/h1>\n<\/div>\n<p>Imagine the man in Figure 12.3.1 turns his eyes in your direction. This is a very small movement, considering the conspicuously large and strong external eye muscles that control eyeball movements. These muscles have been called the strongest muscles in the human body relative to the work they do. However, the external eye muscles actually do a surprising amount of work. Eye movements occur almost constantly during waking hours, especially when we are scanning faces or reading. Eye muscles are also exercised nightly during the phase of sleep called rapid eye movement sleep. External eye muscles can move the eyes because they are made mainly of muscle tissue.<\/p>\n<div>\n<h1>What is Muscle Tissue?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2817\">Muscle tissue<\/a><\/strong>\u00a0is a soft tissue that makes up most of the tissues in the muscles of the human muscular system. Other tissues in muscles\u00a0are\u00a0connective tissues, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4166\">tendons<\/a>\u00a0that attach\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2981\">skeletal muscles<\/a>\u00a0to\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2552\">bones<\/a>\u00a0and sheaths of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2815\">connective tissues<\/a>\u00a0that cover or line muscle tissues. Only muscle tissue <em>per se<\/em>, has cells with the ability to contract.<\/p>\n<p>There are three major types of muscle tissues in the human body: skeletal, smooth, and cardiac muscle tissues. Figure 12.3.2 shows how the three types of muscle tissues appear under magnification. When you read about each type below, you will learn why the three types appear as they do.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 535px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-511\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Skeletal_Smooth_Cardiac.jpg\" alt=\"12.3 Muscle types\" width=\"535\" height=\"900\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.2 These magnified images show (a) skeletal muscle tissue, (b) smooth muscle tissue, and (c) cardiac muscle tissue.<\/em><\/figcaption><\/figure>\n<div>\n<h2>Skeletal Muscle Tissue<\/h2>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2981\">Skeletal muscle<\/a><\/strong>\u00a0is muscle tissue that is attached to\u00a0bones\u00a0by\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4166\">tendons<\/a>, <\/strong>which are bundles of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3970\">collagen<\/a> fibres. Whether you are moving your eyes or running a marathon, you are using skeletal muscles. Contractions of skeletal muscles are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3004\">voluntary<\/a>, or under conscious control of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2579\">central nervous system<\/a> via the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3014\">somatic nervous system<\/a>. Skeletal muscle tissue is the most common type of muscle tissue in the human body. By weight, an average adult male is about 42% skeletal muscles, and the average adult female is about 36% skeletal muscles. Some of the major skeletal muscles in the human body are labeled in Figure 12.3.3 below.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 387px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Anterior_and_Posterior_Views_of_Muscles-scaled.jpg\"><img class=\"wp-image-4171\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Anterior_and_Posterior_Views_of_Muscles-scaled-1.jpg\" alt=\"12.4.3 Major Skeletal muscles\" width=\"387\" height=\"900\"><\/a><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.3 Major skeletal muscles of the body. View this image full size here: <a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Anterior_and_Posterior_Views_of_Muscles-scaled.jpg\" aria-label=\"Image of Major Skeletal muscles\">http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Anterior_and_Posterior_Views_of_Muscles-scaled.jpg<\/a> <br \/><\/em><\/figcaption><\/figure>\n<h2>Skeletal Muscle Pairs<\/h2>\n<p>To move bones in opposite directions, skeletal muscles often consist of muscle pairs that work in opposition to one another, also called antagonistic muscle pairs.\u00a0 For example, when the biceps muscle (on the front of the upper arm) contracts, it can cause the elbow joint to flex or bend the arm, as shown in Figure 12.3.4. When the triceps muscle (on the back of the upper arm) contracts, it can cause the elbow to extend or straighten the arm. The biceps and triceps muscles, also shown in Figure 12.3.4, are an example of a muscle pair where the muscles work in opposition to each other.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-1072\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Antagonistic-Muscle-Pair-by-CK-12-Foundation.jpg\" alt=\"12.3 Antagonistic Muscle Pair\" width=\"500\" height=\"427\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\">Figure 12.3.4 Triceps and biceps muscles in the upper arm are opposing muscles that move the arm at the elbow in opposite directions.<\/figcaption><\/figure>\n<h2>Skeletal Muscle Structure<\/h2>\n<p>Each skeletal muscle consists of hundreds \u2014 or even\u00a0<em>thousands<\/em> \u2014 of skeletal muscle fibres, which are long, string-like cells. As shown in Figure 12.3.5 below, skeletal muscle fibres are individually wrapped in connective tissue called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4173\">endomysium<\/a><\/strong>. The skeletal muscle fibres are bundled together in units called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4174\">muscle fascicles<\/a><\/strong>, which\u00a0are surrounded by sheaths of connective tissue\u00a0called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4175\">perimysium<\/a><\/strong>. Each fascicle contains between ten and 100 (or even more!) skeletal muscle fibres. Fascicles, in turn, are bundled together to form individual skeletal muscles, which are wrapped in connective tissue called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4176\">epimysium<\/a><\/strong>. The connective tissues in skeletal muscles have a variety of functions. They support and protect muscle fibres, allowing them to withstand the forces of contraction by distributing the forces applied to the muscle. They also provide pathways for nerves and blood vessels to reach the muscles. In addition, the epimysium anchors the muscles to tendons.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 675px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1074 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Muscle_Fibes_large.jpg\" alt=\"11.3.5 Muscle Fibers Structure\" width=\"675\" height=\"741\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.5 Each skeletal muscle has a structure of bundles within bundles. Bundles of muscle fibres make up a muscle fascicle, and bundles of fascicles make up a skeletal muscle. At each level of bundling, a connective tissue membrane surrounds the bundle.<\/em><\/figcaption><\/figure>\n<p>The same bundles-within-bundles structure is replicated within each muscle fibre. As shown in Figure 12.3.6, a muscle fibre consists of a bundle of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4180\">myofibrils<\/a>, which are themselves bundles of protein filaments. These protein filaments consist of thin filaments of the protein <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4181\"><strong>actin<\/strong><\/a>, which are anchored to structures called Z discs, and thick filaments of the protein <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4182\"><strong>myosin<\/strong><\/a>. The filaments are arranged together within a myofibril in repeating units called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4179\">sarcomeres<\/a>,<\/strong> which run from one Z disc to the next. The sarcomere is the basic functional unit of skeletal and cardiac muscles. It contracts as actin and myosin filaments slide over one another. Skeletal muscle tissue is said to be striated, because it appears striped. It has this appearance because of the regular, alternating A (dark) and I (light) bands of filaments arranged in sarcomeres inside the muscle fibres. Other components of a skeletal muscle fibre include multiple nuclei and mitochondria.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 801px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-1075\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Muscle_Fibers_small.jpg\" alt=\"11.3 Sarcomere\" width=\"801\" height=\"642\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.6 Bundles of protein filaments form a myofibril, and bundles of myofibrils make up a single muscle fibre. I and A bands refer to the positioning of myosin and actin fibres in a myofibril. Sarcoplasmic reticulum is a specialized type of endoplasmic reticulum that forms a network around each myofibril. It serves as a reservoir for calcium ions, which are needed for muscle contractions. H zones and Z discs are also involved in muscle contractions, which you can read about in the concept Muscle Contraction.<\/em><\/figcaption><\/figure>\n<h2>Slow- and Fast-Twitch Skeletal Muscle Fibres<\/h2>\n<p>Skeletal muscle fibres can be divided into two types, called slow-twitch (or type I) muscle fibres and fast-twitch (or type II) muscle fibres.<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4184\">Slow-twitch muscle fibres<\/a><\/strong> are dense with capillaries and rich in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2383\">mitochondria<\/a> and myoglobin, which is a protein that stores oxygen until needed for muscle activity. Relative to fast-twitch fibres, slow-twitch fibres can carry more oxygen and sustain aerobic (oxygen-using) activity. Slow-twitch fibres can contract for long periods of time, but not with very much force. They are relied upon primarily in endurance events, such as distance running or cycling.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4185\">Fast-twitch muscle fibres<\/a><\/strong> contain fewer capillaries and mitochondria and less myoglobin. This type of muscle fibre can contract rapidly and powerfully, but it fatigues very quickly. Fast-twitch fibres can sustain only short, anaerobic (non-oxygen-using) bursts of activity. Relative to slow-twitch fibres, fast-twitch fibres contribute more to muscle strength and have a greater potential for increasing in mass. They are relied upon primarily in short, strenuous events, such as sprinting or weightlifting.<\/li>\n<\/ul>\n<p>Proportions of fibre types vary considerably from muscle to muscle and from person to person. Individuals may be genetically predisposed to have a larger percentage of one type of muscle fibre than the other. Generally, an individual who has more slow-twitch fibres is better suited for activities requiring endurance, whereas an individual who has more fast-twitch fibres is better suited for activities requiring short bursts of power.<\/p>\n<div>\n<h1>Smooth Muscle<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2982\">Smooth muscle<\/a><\/strong>\u00a0is muscle tissue in the walls of internal organs and other internal structures such as\u00a0blood vessels. When smooth muscles contract, they help the organs and vessels carry out their functions.\u00a0When smooth muscles in the stomach wall contract, for example, they squeeze the food inside the stomach, helping to mix and churn the food and break it into smaller pieces. This is an important part of digestion. Contractions of smooth muscles are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3005\">involuntary<\/a>, so they are not under conscious control. Instead, they are controlled by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2935\">autonomic\u00a0nervous system<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2218\">hormones<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3056\">neurotransmitters<\/a>, and other physiological factors.<\/p>\n<h2>Structure of Smooth Muscle<\/h2>\n<p>The\u00a0cells\u00a0that make up smooth muscle are generally called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4157\">myocytes<\/a>. <\/strong>Unlike the muscle fibres of striated muscle tissue, the myocytes of smooth muscle tissue do not have their filaments arranged in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4179\">sarcomeres<\/a>. Therefore, smooth tissue is not striated. However, the myocytes of smooth muscle do contain <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4180\">myofibrils<\/a>, which in turn contain bundles of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4182\">myosin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4181\">actin<\/a> filaments. The filaments cause contractions when they slide over each other, as shown in Figure 12.3.7.<\/p>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1076 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Smooth_Muscle_Contraction.jpg\" alt=\"11.3.7 Smooth Muscle Contraction\" width=\"1024\" height=\"212\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.7 The basic mechanism of muscle contraction in smooth muscle is the same as that in other types of muscle tissue.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Functions of Smooth Muscle<\/span><\/p>\n<\/div>\n<p>Unlike striated muscle, smooth muscle can sustain very long-term contractions. Smooth muscle can also stretch and still maintain its contractile function, which striated muscle cannot. The elasticity of smooth muscle is enhanced by an extracellular matrix secreted by myocytes. The matrix consists of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4187\">elastin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3970\">collagen<\/a>, and other stretchy fibres. The ability to stretch and still contract is an important attribute of smooth muscle in organs such as the stomach and uterus (see Figures 12.3.8 and 12.3.9), both of which must stretch considerably as they perform their normal functions.<\/p>\n<table class=\"no-lines aligncenter\" style=\"border-collapse: collapse;width: 51.6508%;height: 383px\" border=\"0\">\n<tbody>\n<tr style=\"height: 473px\">\n<td style=\"width: 675.063px;text-align: center;height: 473px\">\n<figure id=\"attachment_1079\" aria-describedby=\"caption-attachment-1079\" style=\"width: 358px\" class=\"wp-caption alignleft\"><img class=\"wp-image-1079\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0747_Pregnancy.png\" alt=\"11.3.8 Uterus Smooth Muscle\" width=\"358\" height=\"358\"><figcaption id=\"caption-attachment-1079\" class=\"wp-caption-text\"><em>Figure 12.3.8 The muscular uterine wall stretches to a great extent to accommodate a growing fetus, yet it can still contract with great force during the labour that precedes childbirth. At that time, it can exert up to 100 pounds of force.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 676.063px;height: 473px\">\n<figure id=\"attachment_1080\" aria-describedby=\"caption-attachment-1080\" style=\"width: 320px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1080\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Size_of_Uterus_Throughout_Pregnancy-02.jpg\" alt=\"12.3.9 Growing uterus.\" width=\"320\" height=\"427\"><figcaption id=\"caption-attachment-1080\" class=\"wp-caption-text\"><em>Figure 12.3.9 The uterus will continue to expand further into the abdominal cavity as pregnancy progresses.<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: left\">The following list indicates where many smooth muscles are found, along with some of their specific functions.<\/p>\n<ul>\n<li>Walls of organs of the gastrointestinal tract (such as the esophagus, stomach, and intestines), moving food through the tract by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2890\">peristalsis<\/a><\/li>\n<li>Walls of air passages of the respiratory tract (such as the bronchi), controlling the diameter of the passages and the volume of air that can pass through them<\/li>\n<li>Walls of organs of the male and female reproductive tracts; in the uterus, for example, pushing a baby out of the uterus and into the birth canal<\/li>\n<li>Walls of structures of the\u00a0urinary system, including the urinary bladder, allowing the bladder to expand so it can hold more urine, and then contract as urine is released<\/li>\n<li>Walls of\u00a0blood vessels, controlling the diameter of the vessels and thereby affecting\u00a0blood\u00a0flow and\u00a0blood pressure<\/li>\n<li>Walls of lymphatic vessels, squeezing the fluid called lymph through the vessels<\/li>\n<li>Iris of the\u00a0eyes, controlling the size of the pupils and thereby the amount of light entering the eyes<\/li>\n<li>Arrector pili in the skin, raising hairs in\u00a0hair\u00a0follicles in the\u00a0dermis<\/li>\n<\/ul>\n<div>\n<h1>Cardiac Muscle<\/h1>\n<\/div>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 441px\" class=\"wp-caption alignright\"><img class=\" wp-image-1082\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1024px-Blausen_0470_HeartWall.png\" alt=\"11.3 Cardiac Muscle\" width=\"441\" height=\"441\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.10 The thick wall of the heart consists mainly of cardiac muscle tissue called myocardium.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2568\">Cardiac muscle<\/a><\/strong> is found only in the wall of the heart. It is also called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4191\">myocardium<\/a>. As shown in Figure 12.3.10, myocardium is enclosed within connective tissues, including the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4193\">endocardium<\/a> on the inside of the heart and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4194\">pericardium<\/a> on the outside of the heart. When cardiac muscle contracts, the heart beats and pumps blood. Contractions of cardiac muscle are involuntary, like those of smooth muscles. They are controlled by electrical impulses from specialized cardiac muscle cells in an area of the heart muscle called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4195\">sinoatrial node<\/a>.<\/p>\n<p>Like skeletal muscle, cardiac muscle is striated because its filaments are arranged in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4179\">sarcomeres<\/a> inside the muscle fibres. However, in cardiac muscle, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4180\">myofibrils<\/a> are branched at irregular angles rather than arranged in parallel rows (as they are in skeletal muscle). This explains why cardiac and skeletal muscle tissues look different from one another.<\/p>\n<p>The cells of cardiac muscle tissue are arranged in interconnected networks. This arrangement allows rapid transmission of electrical impulses, which stimulate virtually simultaneous contractions of the cells. This enables the cells to coordinate contractions of the heart muscle.<\/p>\n<p>The heart is the muscle that performs the greatest amount of physical work in the course of a lifetime. Although the power output of the heart is much less than the maximum power output of some other muscles in the human body, the heart does its work continuously over an entire lifetime without rest. Cardiac muscle contains a great many <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2383\">mitochondria<\/a>, which produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2072\">ATP<\/a> for\u00a0energy\u00a0and help the heart resist fatigue.<\/p>\n<div>\n<h1>Feature: Human Biology in the News<\/h1>\n<\/div>\n<figure id=\"attachment_1085\" aria-describedby=\"caption-attachment-1085\" style=\"width: 330px\" class=\"wp-caption alignleft\"><img class=\" wp-image-1085\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Tipet_e_kardiomiopative.png\" alt=\"12.3 Types of Cardiomyopathy\" width=\"330\" height=\"456\"><figcaption id=\"caption-attachment-1085\" class=\"wp-caption-text\"><em>Figure 12.3.11 Cardiomyopathy results in decreased ability of the heart to circulate blood properly through the body. There are several types of cardiomyopathy.<\/em><\/figcaption><\/figure>\n<p>Cardiomyopathy is a disease in which the muscles of the heart are no longer able to effectively pump blood to the body \u2014 extreme forms of this disease can lead to heart failure.\u00a0 There are four main types of cardiomyopathy (also illustrated in Figure 12.3.11):<\/p>\n<ul>\n<li>Dilated (congestive) cardiomyopathy: the left ventricle (the chamber itself) of the heart becomes enlarged and can't pump blood our to the body.\u00a0 This is normally related to coronary artery disease and\/or heart attack<\/li>\n<li>Hypertrophic cardiomyopathy: abnormal thickening of the muscular walls of the left ventricle make the chamber less able to work properly.\u00a0 This condition is more common in patients with a family history of the disease.<\/li>\n<li>Restrictive cardiomyopathy: the myocardium becomes abnormally rigid and inelastic and is unable to expand in between heartbeats to refill with blood.\u00a0 Restrictive cardiomyopathy typically affects older people.<\/li>\n<li>Arrhythmogenic right ventricular cardiomyopathy: the right ventricular muscle is replaced by adipose or scar tissue, reducing elasticity and interfering with normal heartbeat and rhythm.\u00a0 This disease is often caused by genetic mutations.<\/li>\n<\/ul>\n<p>Cardiomyopathy is typically diagnosed with a physical exam supplemented by medical and family history, an angiogram, blood tests, chest x-rays and electrocardiograms.\u00a0 In some cases your doctor would also requisition a CT scan and\/or genetic testing.<\/p>\n<p>When treating cardiomyopathy, the goal is to reduce symptoms that affect everyday life.\u00a0 Certain medications can help regularize and slow heart rate, decrease chances of blood clots and cause vasodilation in the coronary arteries.\u00a0 If medication is not sufficient to manage symptoms, a pacemaker or even a heart transplant may be the best option.\u00a0 Lifestyle can also help manage the symptoms of cardiomyopathy \u2014 people living with this disease are encouraged to avoid drug and alcohol use, control high blood pressure, eat a healthy diet, get ample rest and exercise, as well as reduce stress levels.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">12.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2817\">Muscle tissue<\/a> is a soft tissue that makes up most of the tissues in the muscles of the human muscular system. It is the only type of tissue that has cells with the ability to contract.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2981\">Skeletal muscle<\/a> tissue is attached to bones by tendons. It allows <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3004\">voluntary<\/a> body movements.<\/li>\n<li>Skeletal muscle\u00a0is the most common type of muscle tissue in the human body. To move <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2552\">bones<\/a>\u00a0in opposite directions, skeletal muscles often consist of pairs of muscles that work in opposition to one another to move bones in different directions at\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3949\">joints<\/a>.<\/li>\n<li>Skeletal muscle fibres are bundled together in units called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4174\">muscle fascicles<\/a>, which are bundled together to form individual skeletal muscles. Skeletal muscles also have connective tissue supporting and protecting the muscle tissue.<\/li>\n<li>Each skeletal muscle fibre consists of a bundle of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4180\">myofibrils<\/a>, which are bundles of protein filaments. The filaments are arranged in repeating units called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4179\">sarcomeres<\/a>, which are the basic functional units of skeletal muscles. Skeletal muscle tissue is striated because of the pattern of sarcomeres in its fibres.<\/li>\n<li>Skeletal muscle fibres can be divided into two types, called<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4184\"> slow-twitch<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4185\">fast-twitch fibres<\/a>. Slow-twitch fibres are used mainly in aerobic endurance activities, such as long-distance running. Fast-twitch fibres are used mainly for non-aerobic, strenuous activities, such as sprinting. Proportions of the two types of fibres vary from muscle to muscle and person to person.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2982\">Smooth muscle<\/a> tissue is found in the walls of internal organs and vessels. When smooth muscles contract, they help the organs and vessels carry out their functions. Contractions of smooth muscles are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3005\">involuntary<\/a> and controlled by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2935\">autonomic\u00a0nervous system<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2218\">hormones<\/a>, and other substances.<\/li>\n<li>Cells of smooth muscle tissue are not striated because they lack sarcomeres, but the cells contract in the same basic way as striated muscle cells. Unlike striated muscle, smooth muscle can sustain very long-term contractions and maintain its contractile function, even when stretched.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2568\">Cardiac muscle<\/a> tissue is found only in the wall of the heart. When cardiac muscle contracts, the heart beats and pumps blood. Contractions of cardiac muscle are involuntary, like those of smooth muscles. They are controlled by electrical impulses from specialized cardiac cells.<\/li>\n<li>Like skeletal muscle, cardiac muscle is striated because its filaments are arranged in sarcomeres inside the muscle fibres. However, the myofibrils are branched instead of arranged in parallel rows, making cardiac and skeletal muscle tissues look different from one another.<\/li>\n<li>The heart is the muscle that performs the greatest amount of physical work in the course of a lifetime. Its cells contain a great many <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2383\">mitochondria<\/a> to produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2072\">ATP<\/a> for\u00a0energy\u00a0and help the heart resist fatigue.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">12.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is muscle tissue?<\/li>\n<li>\n<div id=\"h5p-220\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-220\" class=\"h5p-iframe\" data-content-id=\"220\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"12.3 Muscular Tissue Flashcards\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-221\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-221\" class=\"h5p-iframe\" data-content-id=\"221\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"12.3 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Where is skeletal muscle found, and what is its general function?<\/li>\n<li>Why do many skeletal muscles work in pairs?<\/li>\n<li>Describe the structure of a skeletal muscle.<\/li>\n<li>Relate muscle fibre structure to the functional units of muscles.<\/li>\n<li>Why is skeletal muscle tissue striated?<\/li>\n<li>Where is smooth muscle found? What controls the contraction of smooth muscle?<\/li>\n<li>Where is cardiac muscle found? What controls its contractions?<\/li>\n<li>The heart muscle is smaller and less powerful than some other muscles in the body. Why is the heart the muscle that performs the greatest amount of physical work in the course of a lifetime? How does the heart resist fatigue?<\/li>\n<li>Give one example of connective tissue that is found in muscles. Describe one of its functions.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">12.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=3_PYnWVoUzM<\/p>\n<p style=\"text-align: center\">What happens during a heart attack? - Krishna Sudhir, TED-Ed, 2017.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=bwOE1MEginA&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Three types of muscle | Circulatory system physiology | NCLEX-RN | KhanAcademyMedicine, 2012.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 12.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/155huuQwGvA\" rel=\"cc:attributionURL\">Look by ali-yahya-155huuQwGvA<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@ayahya09\">Ali Yahya<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 12.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:414_Skeletal_Smooth_Cardiac.jpg\" rel=\"cc:attributionURL\">Skeletal_Smooth_Cardiac<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1105_Anterior_and_Posterior_Views_of_Muscles.jpg\" rel=\"cc:attributionURL\">Anterior_and_Posterior_Views_of_Muscles<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/11-2-naming-skeletal-muscles\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/21.3\/\" rel=\"cc:attributionURL\">Antagonistic Muscle Pair<\/a> by <span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\">Laura Guerin at <\/span><\/span><span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\"><a href=\"https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/21.3\/\">CK-12 Foundation<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a><\/span><\/span><span class=\"ImageAttribution__Details-sc-133gw9p-2 dJAIm\"><span class=\"ImageAttribution__Value-sc-133gw9p-5 gaNGPC\">\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.\u00a0<\/span><\/span><\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 12.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1007_Muscle_Fibes_(large).jpg\" rel=\"cc:attributionURL\">Muscle_Fibes_(large)<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle\">OpenStax <\/a>on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1022_Muscle_Fibers_(small).jpg\" rel=\"cc:attributionURL\">Muscle_Fibers_(small)<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1028_Smooth_Muscle_Contraction.jpg\" rel=\"cc:attributionURL\">Smooth_Muscle_Contraction<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 12.3.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0747_Pregnancy.png\" rel=\"cc:attributionURL\">Blausen_0747_Pregnancy<\/a> by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2917_Size_of_Uterus_Throughout_Pregnancy-02.jpg\" rel=\"cc:attributionURL\">Size_of_Uterus_Throughout_Pregnancy-02<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/28-4-maternal-changes-during-pregnancy-labor-and-birth\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.10<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0470_HeartWall.png\" rel=\"cc:attributionURL\">1024px-Blausen_0470_HeartWall<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 12.3.11<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Tipet_e_kardiomiopative.png\" rel=\"cc:attributionURL\">Tipet_e_kardiomiopative<\/a>\u00a0by <a class=\"extiw\" title=\"en:User:Npatchett\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Npatchett\">Npatchett<\/a> at English Wikipedia on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license. (Work derived from <a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0165_Cardiomyopathy_Dilated.png\">Blausen 0165 Cardiomyopathy Dilated<\/a>\u00a0by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus)<\/a><\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">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). <span class=\"os-title-label\">Figure\u00a0<\/span><span class=\"os-number\">4.18<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"26615\" class=\"os-title\" data-type=\"title\">Muscle tissue<\/span> [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.4). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion<\/p>\n<p class=\"hanging-indent\">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 28.18 Size of uterus throughout pregnancy [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 28.4). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/28-4-maternal-changes-during-pregnancy-labor-and-birth<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">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. (2016, May 18). <\/span><\/span><\/span>Figure 10.3 The three connective tissue layers <span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">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. (2016, May 18). Figure\u00a0<span class=\"os-number\">10.4<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"30047\" class=\"os-title\" data-type=\"title\">Muscle fiber <\/span><\/span><\/span><\/span><span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-2-skeletal-muscle<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">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. (2016, May 18). <\/span><\/span><\/span>Figure 10.24 Muscle contraction <span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.8). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">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. (2016, May 18). Figure\u00a0<span class=\"os-number\">11.5<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"94180\" class=\"os-title\" data-type=\"title\">Overview of the muscular system<\/span><\/span><\/span><\/span><span id=\"94180\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1596597506261\" data-highlight-id=\"f552fda7-3392-4a0a-aece-7927947757b3\" data-highlighted=\"true\"><span class=\"search-highlight text\" data-timestamp=\"1596597506359\" data-highlight-id=\"ee4f675e-15b6-447b-bbd6-a729a2b5f3dc\" data-highlighted=\"true\">\u00a0[digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 11.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/11-2-naming-skeletal-muscles<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\">Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2012). Figure 5 Triceps and biceps muscles in the upper arm are opposing muscles. [digital image]. In <em>CK-12 Biology<\/em> (Section 21.3) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-biology\/section\/21.3\/ (Last modified August 11, 2017.)<\/p>\n<p class=\"hanging-indent\">khanacademymedicine. (2012, October 19). Three types of muscle | Circulatory system physiology | NCLEX-RN | Khan Academy. YouTube.<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2017, February 14).\u00a0 What happens during a heart attack? - Krishna Sudhir. YouTube. https:\/\/www.youtube.com\/watch?v=3_PYnWVoUzM&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2890\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2890\"><div tabindex=\"-1\"><p id=\"x-ck12-NDJmYTczYjUzYjNkNmFjNDNhMGRmYWU0YWJjZmQzMzY.-0ah\">Created by CK-12\/Adapted by Christine Miller<\/p>\n<p>As you read in the beginning of this chapter, new parents Samantha and Aki left their pediatrician\u2019s office still unsure whether or not to vaccinate baby James. Dr. Rodriguez gave them a list of reputable sources where they could look up information about the safety of vaccines,\u00a0including\u00a0the Centers for Disease Control and Prevention (CDC). Samantha and Aki read that the consensus within the scientific community is that there is no link between vaccines and autism. They find a long list of studies published in peer-reviewed scientific journals that disprove any link. Additionally, some of the studies are \u201cmeta-analyses\u201d that analyzed the findings from many individual studies. The new parents are reassured by the fact that many different researchers, using a large number of subjects in numerous well-controlled and well-reviewed studies, all came to the same conclusion.<\/p>\n<figure id=\"attachment_2260\" aria-describedby=\"caption-attachment-2260\" style=\"width: 300px\" class=\"wp-caption alignright\"><img class=\"wp-image-2260\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/avel-chuklanov-DUmFLtMeAbQ-unsplash-scaled-2.jpg\" alt=\"\" width=\"300\" height=\"200\"><figcaption id=\"caption-attachment-2260\" class=\"wp-caption-text\"><em>Figure 1.8.1 Do your research!<\/em><\/figcaption><\/figure>\n<p id=\"x-ck12-MWQzNDU3ZWI2Y2U1ODJhYjNhODU5MWRkYTc4YzI0YTQ.-jpt\">Samantha also went back to the web page that originally scared her about the safety of vaccines. She found that the author was not a medical doctor or scientific researcher, but rather a self-proclaimed \u201cchild wellness expert.\u201d He sold books and advertising on his site, some of which were related to claims of vaccine injury. She realized that he was both an unqualified and potentially biased source of information.<\/p>\n<p id=\"x-ck12-Mzc1ZWJjM2E0MTllZDM2ZTU5ZDYzZjI3YTFiYjIzYTk.-sry\">Samantha also realized that some of his arguments were based on correlations between autism and vaccines, but, as the saying goes, \u201ccorrelation does not imply causation.\u201d For instance, the recent rise in autism rates may have occurred during the same time period as an increase in the number of vaccines given in childhood, but Samantha could think of many other environmental and social factors that have also changed during this time period. There are just too many variables to come to the conclusion that vaccines, or anything else, are the cause of the rise in autism rates based on that type of argument alone. Also, she learned that the age of onset of autism symptoms happens to typically be around the time that the MMR vaccine is first given, so the apparent association in the timing may just be a coincidence.<\/p>\n<p id=\"x-ck12-NDI2ZDk3MTRkZTk4ODdjNGRmNjFkZTA2NWVmZDRjMjQ.-crs\">Finally, Samantha came across news about\u00a0 a measles outbreak in Vancouver, British Columbia in the winter of 2019. Measles wasn\u2019t just a disease of the past! She learned that measles and whooping cough, which had previously been rare thanks to widespread vaccinations, are now on the rise, and that people choosing not to vaccinate their children seems to be one of the contributing factors. She realized that it is important to vaccinate her baby against these diseases, not only to protect him from their potentially deadly effects, but also to protect others in the population.<\/p>\n<p id=\"x-ck12-YzI1YTFhNDI3MTVkOGYzYjljZTNiOTE0NWYxNTNhNjI.-ets\">In their reading, Samantha and Aki learn that scientists do not yet know the causes of autism, but they feels reassured by the abundance of data that disproves any link with vaccines. Both parents think that the potential benefits of protecting their baby\u2019s health against deadly diseases outweighs any unsubstantiated claims about vaccines. They will be making an appointment to get baby James his shots soon.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 1 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p id=\"x-ck12-NjMwMjU4MjIwNDc5OWNjOGU4YWY1N2Y5NGM2OGNjMWU.-hbt\">In this chapter, you learned about some of the same concepts that helped Samantha and Aki make an informed decision. Specifically:<\/p>\n<ul id=\"x-ck12-YjJiMzQyYTM5NjU2OGQyYzlmN2U2YjdkMWIzYTdhOGQ.-yap\">\n<li>Science is a distinctive way of gaining knowledge about the natural world that is based on the use of evidence to logically test ideas. As such, science is\u00a0a\u00a0process,\u00a0as well as\u00a0a body of knowledge.<\/li>\n<li>A scientific theory, such as the germ theory of disease, is the highest level of explanation in science. A theory is a broad explanation for many phenomena that is widely accepted because it is supported by a great deal of evidence.<\/li>\n<li>The scientific\u00a0investigation is the cornerstone of science as a process. A scientific investigation is a systematic approach to answering questions about the physical and natural world. An investigation may be observational or experimental.<\/li>\n<li>A scientific experiment is a type of scientific investigation in which the researcher manipulates variables under controlled conditions to test expected outcomes. Experiments are the gold standard for scientific investigations and can establish causation between variables.<\/li>\n<li>Nonexperimental scientific investigations such as observational studies and modeling may be undertaken when experiments are impractical, unethical, or impossible. Observational studies generally can establish correlation \u2014 but not causation \u2014 between variables.<\/li>\n<li>A pseudoscience, such as astrology, is a field that is presented as scientific but that does not adhere to scientific standards and methods. Other misuses of science include deliberate hoaxes, frauds, and fallacies made by researchers.<\/li>\n<li>Strict guidelines must be followed when using human subjects in scientific research. Among the most important protections is the requirement for informed consent.<\/li>\n<\/ul>\n<p id=\"x-ck12-ZjkwMmVhNTI0YzVjODU2OGEyNjNkZDI4YjAwNGE1MTM.-grg\">Now that you know about the nature and process of science, you can apply these concepts in the next chapter to the study of human biology.<\/p>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 1 Review<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li id=\"x-ck12-MzhmMWVhNTkyNTM3NzIwMTNjZmQ5YmMwNGYzMmYwNTY.-fvj\">\n<div id=\"h5p-11\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-11\" class=\"h5p-iframe\" data-content-id=\"11\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Scientific Method and &quot;Doing&quot; Science\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Why does a good hypothesis have to be falsifiable?<\/li>\n<li id=\"x-ck12-ZWNiZGI2YTgwM2FlMTkxYmM1NjQ1YjE3YzdhYzc4MzI.-ko2\">Name one scientific law.<\/li>\n<li>Name one scientific theory.<\/li>\n<li>Give an example of a scientific idea that was later discredited.<\/li>\n<li>A statistical measurement called a P-value is often used in science to determine whether or not a difference between two groups is actually significant or simply due to chance. A P-value of 0.03 means that there is a 3% chance that the difference is due to chance alone. Do you think a P-value of 0.03 would indicate that the difference is likely to be significant? Why or why not?<\/li>\n<li>Why is it important that scientists communicate their findings to others? How do they usually do this?<\/li>\n<li>What is a \u201ccontrol group\u201d in science?<\/li>\n<li>In a scientific experiment, why is it important to only change one variable at a time?<\/li>\n<li>Which is the <em style=\"text-align: initial;font-size: 1em\">dependent variable<\/em><span style=\"text-align: initial;font-size: 1em\"> \u2013 the variable that is manipulated or the variable that is being affected by the change?<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">You see an ad for a \u201cmiracle supplement\u201d called NQP3 that claims the supplement will reduce belly fat. They say it works by reducing the hormone cortisol and by providing your body with missing unspecified \u201cnutrients\u201d, but they do not cite any peer-reviewed clinical studies. They show photographs of three people who appear slimmer after taking the product. A board-certified plastic surgeon endorses the product on television. Answer the following questions about this product.<\/span><\/li>\n<\/ol>\n<p id=\"x-ck12-ZTkxNDRjODFiZjIwODEzNjc5MjYwMWZmN2U2ZDkyMzk.-o4e\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">a. Do you think that because a doctor endorsed the product, it really works? Explain your answer.<\/p>\n<p id=\"x-ck12-NTgwZmIwM2ExNjcwOGFkM2E5N2RjZDUzMDQwZDkzMWU.-7mz\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">b. What are two signs that these claims could actually be pseudoscience instead of true science?<\/p>\n<p id=\"x-ck12-NTliOGZkOGFlM2YzZjE5NzM2YWEwNmUzYTUxNTEzZjI.-spq\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">c. Do you think the photographs are good evidence that the product works? Why or why not?<\/p>\n<p id=\"x-ck12-Yjc0YTIxZGZkNzYyZTkyYzYwNGNjMTM2ODg5OWRkNmI.-aiy\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">d. If you wanted to do a strong scientific study of whether this supplement does what it claims, what would you do? Be specific about the subjects, data collected, how you would control variables, and how you would analyze the data.<\/p>\n<p id=\"x-ck12-Zjg5MjRhOTIzY2FhZTVmYjhkODFmODQ3YjAzOWMxOGU.-604\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">e. What are some ways that you would ensure that the subjects in your experiment in part d are treated ethically and according to human subjects protections regulations?<\/p>\n<\/div>\n<\/div>\n<h2 id=\"x-ck12-YzhkZDM1NjIyZWY2OTkxNDVlODQ3NzVmZGJkNzkyYmY.-wlj\">Attribution<\/h2>\n<p><strong>Figure 1.8.1<\/strong><\/p>\n<p>[<a href=\"https:\/\/unsplash.com\/photos\/DUmFLtMeAbQ\">Photo of person sitting in front of personal computer<\/a>] by <a href=\"https:\/\/unsplash.com\/@chuklanov\">Avel Chuklanov<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_3486\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_3486\"><div tabindex=\"-1\"><p>a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_3408\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_3408\"><div tabindex=\"-1\"><p>A type of disease in which cells of the central nervous system stop working or die. Neurodegenerative disorders usually get worse over time and have no cure. They may be genetic or be caused by a tumor or stroke.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_6023\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_6023\"><div tabindex=\"-1\"><p>A mature haploid male or female germ cell which is able to unite with another of the opposite sex in sexual reproduction to form a zygote.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5661\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5661\"><div tabindex=\"-1\"><p>A hormone is a signaling molecule produced by glands in multicellular organisms that target distant organs to regulate physiology and behavior.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5099\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5099\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<figure id=\"attachment_4406\" aria-describedby=\"caption-attachment-4406\" style=\"width: 267px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4406\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Dr.-with-Stethoscope-from-PIXNIO-47572-3006x4500-1-scaled-3.jpg\" alt=\"14.3.1 Stethoscope\" width=\"267\" height=\"400\" \/><figcaption id=\"caption-attachment-4406\" class=\"wp-caption-text\">Figure 14.3.1 Healthy hearts are happy hearts. What do you hear?<\/figcaption><\/figure>\n<p><em><em>\u00a0<\/em><\/em><\/p>\n<div>\n<p>http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/human-heartbeat-daniel_simon.mp3<\/p>\n<h1>Lub, Dub<\/h1>\n<\/div>\n<p>Lub dub, lub dub, lub dub... That\u2019s how the sound of a beating heart is typically described. Those are also the only two sounds that should be audible when listening to a normal, healthy heart through a stethoscope, as in Figure 14.3.1. \u00a0If a doctor hears something different from the normal lub dub sounds, it\u2019s a sign of a possible heart abnormality. What causes the heart to produce the characteristic lub dub sounds? Read on to find out.<\/p>\n<div>\n<h1>Introduction to the Heart<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2987\">heart<\/a><\/strong>\u00a0is a muscular organ behind the sternum (breastbone), slightly to the left of the center of the chest. A normal adult heart is about the size of a fist. The function of the heart is to pump\u00a0blood\u00a0through\u00a0blood vessels\u00a0of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5927\">cardiovascular system<\/a>. The continuous flow of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2702\">blood<\/a> through the system is necessary to provide all the\u00a0cells\u00a0of the body with oxygen and\u00a0nutrients, and to remove their metabolic wastes.<\/p>\n<div>\n<h1>Structure of the Heart<\/h1>\n<\/div>\n<p>The heart has a thick muscular wall that consists of several layers of tissue. Internally, the heart is divided into four chambers through which\u00a0blood\u00a0flows. Because of heart valves, blood flows in just one direction through the chambers.<\/p>\n<h2>Heart Wall<\/h2>\n<figure id=\"attachment_4407\" aria-describedby=\"caption-attachment-4407\" style=\"width: 424px\" class=\"wp-caption alignright\"><img class=\"wp-image-4407\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0470_HeartWall-2.png\" alt=\"14.3.2 Layers of the Heart Wall\" width=\"424\" height=\"424\" \/><figcaption id=\"caption-attachment-4407\" class=\"wp-caption-text\"><em>Figure 14.3.2 The wall of the heart is made up mainly of myocardium, which consists largely of cardiac muscle.<\/em><\/figcaption><\/figure>\n<p>As shown in Figure 14.3.2, the wall of the heart is made up of three layers, called the endocardium, myocardium, and pericardium.<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4193\">endocardium<\/a><\/strong>\u00a0is the innermost layer of the heart wall. It is made up primarily of simple epithelial\u00a0cells. It covers the heart chambers and valves. A thin layer of connective tissue joins the endocardium to the myocardium.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4191\">myocardium<\/a><\/strong> is the middle and thickest layer of the heart wall. It consists of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5925\">cardiac muscle<\/a> surrounded by a framework of collagen. There are two types of cardiac muscle cells in the myocardium: cardiomyocytes \u2014 which have the ability to contract easily \u2014 and pacemaker cells, which conduct electrical impulses that cause the cardiomyocytes to contract. About 99 per cent of cardiac muscle cells are cardiomyocytes, and the remaining one per cent is pacemaker cells. The myocardium is supplied with blood vessels and nerve fibres via the pericardium.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4194\">pericardium<\/a><\/strong>\u00a0is a protective sac that encloses and protects the heart. The pericardium consists of two membranes (visceral pericardium and parietal pericardium), between which there is a fluid-filled cavity. The fluid helps to cushion the heart, and also lubricates its outer surface.<\/li>\n<\/ul>\n<h2>Heart Chambers<\/h2>\n<p>As shown in Figure 14.3.3 the four chambers of the heart include two upper chambers called <strong>atria (singular, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4408\">atrium<\/a>)<\/strong>, and two lower chambers called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4409\">ventricles<\/a>.<\/strong> The atria are also referred to as receiving chambers, because blood coming into the heart first enters these two chambers. The right atrium receives deoxygenated blood from the upper and lower body through the superior <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4410\">vena cava<\/a> and inferior vena cava, respectively. The left atrium receives oxygenated blood from the lungs through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4411\">pulmonary veins<\/a>. The ventricles are also referred to as discharging chambers, because blood leaving the heart passes out through these two chambers. The right ventricle discharges blood to the lungs through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4412\">pulmonary artery<\/a>, and the left ventricle discharges blood to the rest of the body through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4413\">aorta<\/a>. The four chambers are separated from each other by dense connective tissue consisting mainly of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3970\">collagen<\/a>.<\/p>\n<figure id=\"attachment_4414\" aria-describedby=\"caption-attachment-4414\" style=\"width: 663px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4414 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Diagram_of_the_human_heart_cropped.svg_-2.png\" alt=\"Figure 14.3.3 Anatomy of the Heart\" width=\"663\" height=\"651\" \/><figcaption id=\"caption-attachment-4414\" class=\"wp-caption-text\"><em>Figure 14.3.3 This cross-sectional diagram of the heart shows its four chambers and four valves. The white arrows indicate the direction of blood flow through the heart chambers.<\/em><\/figcaption><\/figure>\n<h2>Heart Valves<\/h2>\n<figure id=\"attachment_4423\" aria-describedby=\"caption-attachment-4423\" style=\"width: 370px\" class=\"wp-caption alignleft\"><img class=\" wp-image-4423\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Heart_Valves-2.jpg\" alt=\"14.3.4 Heart Valves\" width=\"370\" height=\"295\" \/><figcaption id=\"caption-attachment-4423\" class=\"wp-caption-text\"><em>Figure 14.3.4 If the veins and arteries of the heart were removed, a top-down view of the heart would reveal the four valves that are critical in preventing backflow of blood. Note the three cusps of the tricuspid AV valve and the 2 cusps of the bicuspid AV valve. Also note the size difference between the AV valves and the semilunar valves.<\/em><\/figcaption><\/figure>\n<p>Figure 14.3.4 shows the location of the heart's four valves in a top-down view, looking down at the heart as if the arteries and veins feeding into and out of the heart were removed. The heart valves allow blood to flow from the atria to the ventricles, and from the ventricles to the pulmonary artery and aorta. The valves are constructed in such a way that blood can flow through them in only one direction, thus preventing the backflow of blood. Figure 14.3.5 shows how valves open to let blood into the appropriate chamber, and then close to prevent blood from moving in the wrong direction and the next chamber contracts.\u00a0 The four valves are the:<\/p>\n<ol>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4415\">Tricuspid atrioventricular valve<\/a><\/strong>, (can be shortened to tricuspid AV valve) which allows blood to flow from the right atrium to the right ventricle.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4416\">Bicuspid atrioventricular valve<\/a> <\/strong>(also know as the mitral valve), which allows blood to flow from the left atrium to the left ventricle.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4417\">Pulmonary semilunar valve<\/a><\/strong>, which allows blood to flow from the right ventricle to the pulmonary artery.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4418\">Aortic semilunar valve<\/a><\/strong>, which allows blood to flow from the left ventricle to the aorta.<\/li>\n<\/ol>\n<figure id=\"attachment_4419\" aria-describedby=\"caption-attachment-4419\" style=\"width: 411px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4419\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/CG_Heart-2.gif\" alt=\"14.3.4 Heart Animation\" width=\"411\" height=\"308\" \/><figcaption id=\"caption-attachment-4419\" class=\"wp-caption-text\"><em>Figure 14.3.5 The valves of the heart prevent backflow of blood. The open when the chamber before them contracts (systole) and then close when that chamber relaxes (diastole).<\/em><\/figcaption><\/figure>\n<div>\n<figure id=\"attachment_4426\" aria-describedby=\"caption-attachment-4426\" style=\"width: 384px\" class=\"wp-caption alignright\"><img class=\"wp-image-4426\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Heart_tee_four_chamber_view-2.jpg\" alt=\"14.3.6 Chordae Tendoneae\" width=\"384\" height=\"301\" \/><figcaption id=\"caption-attachment-4426\" class=\"wp-caption-text\"><em>Figure 14.3.6 The chordae tendoneae, shown in this diagram in white, play a critical role in reinforcing the AV valves of the heart.<\/em><\/figcaption><\/figure>\n<p>The two atrioventricular (AV) valves prevent backflow when the ventricles are contracting, while the semilunar valves prevent backflow from vessels.\u00a0 This means that the AV valves must withstand much more pressure than do the semilunar valves.\u00a0 In order to withstand the force of the ventricles contracting (to prevent blood from backflowing into the atria), the AV valves are reinforced with structures called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4424\">chordae tendineae<\/a> \u2014 tendon-like cords of connective tissue which anchor the valve and prevent it from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4425\">prolapse<\/a>.\u00a0 Figure 14.3.6 shows the structure and location of the chordae tendoneae.<\/p>\n<p>The chordae tendoneae are under such force that they need special attachments to the interior of the ventricles where they anchor.\u00a0 <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4430\">Papillary muscles<\/a> are specialized muscles in the interior of the ventricle that provide a strong anchor point for the chordae tendineae.<\/p>\n<h1>Coronary\u00a0Circulation<\/h1>\n<\/div>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5631\"><strong>cardiomyocyte<\/strong><\/a>s of the muscular walls of the heart are very active cells, because they are responsible for the constant beating of the heart. These cells need a continuous supply of oxygen and\u00a0nutrients. The carbon dioxide and waste products they produce also must be continuously removed. The\u00a0blood vessels\u00a0that carry blood to and from the heart muscle cells make up the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4421\">coronary\u00a0circulation<\/a>. Note that the blood vessels of the coronary circulation supply heart tissues with blood, and are different from the blood vessels that carry blood to and from the chambers of the heart as part of the general circulation.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4422\">Coronary arteries<\/a> <\/strong>supply oxygen-rich blood to the heart muscle cells. Coronary veins remove deoxygenated blood from the heart\u00a0muscles\u00a0cells.<\/p>\n<ul>\n<li>There are two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4422\">coronary arteries<\/a> \u2014 a right coronary artery that supplies the right side of the heart, and a left coronary artery that supplies the left side of the heart. These arteries branch repeatedly into smaller and smaller arteries and finally into capillaries, which exchange gases,\u00a0nutrients, and waste products with cardiomyocytes.<\/li>\n<li>At the back of the heart, small cardiac veins drain into larger veins, and finally into the great cardiac vein, which empties into the right atrium. At the front of the heart, small cardiac veins drain directly into the right atrium.<\/li>\n<\/ul>\n<div>\n<h1>Blood Circulation Through the Heart<\/h1>\n<\/div>\n<p>Figure 14.3.7 shows how blood circulates through the chambers of the heart. The right atrium collects blood from two large veins, the superior vena cava (from the upper body) and the inferior vena cava (from the lower body). The blood that collects in the right atrium is pumped through the tricuspid valve into the right ventricle. From the right ventricle, the blood is pumped through the pulmonary valve into the pulmonary artery. The pulmonary artery carries the blood to the lungs, where it enters the pulmonary circulation, gives up carbon dioxide, and picks up oxygen. The oxygenated blood travels back from the lungs through the pulmonary veins (of which there are four), and enters the left atrium of the heart. From the left atrium, the blood is pumped through the mitral valve into the left ventricle. From the left ventricle, the blood is pumped through the aortic valve into the aorta, which subsequently branches into smaller arteries that carry the blood throughout the rest of the body. After passing through capillaries and exchanging substances with cells, the blood returns to the right atrium via the superior vena cava and inferior vena cava, and the process begins anew.<\/p>\n<figure id=\"attachment_4431\" aria-describedby=\"caption-attachment-4431\" style=\"width: 3000px\" class=\"wp-caption alignnone\"><img class=\"wp-image-4431 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Circulation-of-blood-through-the-heart-2.png\" alt=\"Figure 14.3.7 Path of blood through the heart\" width=\"3000\" height=\"2000\" \/><figcaption id=\"caption-attachment-4431\" class=\"wp-caption-text\"><em>Figure 14.3.7 The flow chart in this diagram summarizes the pathway blood takes as it flows into, through, and out of the heart. Trace the path of blood flow in the diagram of the heart as you follow it through the flow chart.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Cardiac Cycle<\/h1>\n<\/div>\n<p>The cardiac cycle refers to a single complete heartbeat, which includes one iteration of the lub and dub sounds heard through a stethoscope. During the cardiac cycle, the atria and ventricles work in a coordinated fashion so that blood is pumped efficiently through and out of the heart. The cardiac cycle includes two parts, called diastole and systole, which are illustrated in the diagrams in Figure 14.3.8.<\/p>\n<ul>\n<li>During\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4442\">diastole<\/a>,<\/strong>\u00a0the atria contract and pump blood into the ventricles, while the ventricles relax and fill with blood from the atria.<\/li>\n<li>During\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4443\">systole<\/a>,<\/strong>\u00a0the atria relax and collect blood from the lungs and body, while the ventricles contract and pump blood out of the heart.<\/li>\n<\/ul>\n<figure id=\"attachment_4444\" aria-describedby=\"caption-attachment-4444\" style=\"width: 495px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4444\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Human_healthy_pumping_heart_en.svg_-2.png\" alt=\"14.3.8 Systole and Diastole\" width=\"495\" height=\"336\" \/><figcaption id=\"caption-attachment-4444\" class=\"wp-caption-text\"><em>Figure 14.3.8 Diastole is referred to the filling stage, because this is when the ventricles fill with blood. Systole is referred to the pumping stage because this is when the ventricles pump blood out of the heart.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Electrical Stimulation of the Heart<\/span><\/p>\n<p>The normal, rhythmical beating of the heart is called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4445\">sinus rhythm<\/a>.<\/strong>\u00a0It is established by the heart\u2019s\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4446\">pacemaker<\/a><\/strong> cells, which are located in an area of the heart called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4195\">sinoatrial node<\/a> (shown in Figure 14.3.9). The pacemaker cells create electrical signals with the movement of electrolytes (sodium, potassium, and calcium ions) into and out of the cells. For each <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4447\">cardiac cycle<\/a>, an electrical signal rapidly travels first from the sinoatrial node, to the right and left atria so they contract together. Then, the signal travels to another node, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4448\">atrioventricular node<\/a> (Figure 14.3.9), and from there to the right and left ventricles (which also contract together), just a split second after the atria contract.<\/p>\n<figure id=\"attachment_4449\" aria-describedby=\"caption-attachment-4449\" style=\"width: 416px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4449\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cardiac_Conduction_System-2.jpg\" alt=\"14.3.9 SA and AV Nodes\" width=\"416\" height=\"372\" \/><figcaption id=\"caption-attachment-4449\" class=\"wp-caption-text\"><em>Figure 14.3.9 The sinoatrial (SA) node causes the atria to contract and then signals the atrioventricular (AV) nodes to initiate the contraction of the ventricles.<\/em><\/figcaption><\/figure>\n<p>The normal <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4445\">sinus rhythm<\/a> of the heart is influenced by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2935\">autonomic\u00a0nervous system<\/a>\u00a0through sympathetic and parasympathetic nerves. These nerves arise from two paired cardiovascular centers in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3075\">medulla<\/a> of the brainstem. The parasympathetic nerves act to decrease the heart rate, and the sympathetic nerves act to increase the heart rate. Parasympathetic input normally predominates. Without it, the pacemaker cells of the heart would generate a resting heart rate of about 100 beats per minute, instead of a normal resting heart rate of about 72 beats per minute. The cardiovascular centers receive input from receptors throughout the body, and act through the sympathetic nerves to increase the heart rate, as needed.\u00a0Increased physical activity, for example, is detected by receptors in\u00a0muscles,\u00a0joints, and tendons. These receptors send\u00a0nerve impulses\u00a0to the cardiovascular centers, causing sympathetic nerves to increase the heart rate, and allowing more blood to flow to the muscles.<\/p>\n<p>Besides the autonomic\u00a0nervous system, other factors can also affect the heart rate. For example, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2958\">thyroid<\/a> hormones and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5869\">adrenal<\/a> hormones (such as epinephrine) can stimulate the heart to beat faster. The heart rate also increases when\u00a0blood pressure\u00a0drops or the body is dehydrated or overheated. On the other hand, cooling of the body and relaxation \u2014 among other factors \u2014 can contribute to a decrease in the heart rate.<\/p>\n<div>\n<h1>Feature: Human Biology in the News<\/h1>\n<\/div>\n<p>When a patient\u2019s heart is too diseased or damaged to sustain life, a heart transplant is likely to be the only long-term solution. The first successful heart transplant was undertaken in South Africa in 1967. There are over 2,200 Canadians walking around today because of life-saving heart transplant surgery.\u00a0 Approximately 180 heart transplant surgeries are performed each year, but there are still so many Canadians on the transplant list that some die while waiting for a heart. The problem is that far too few hearts are available for transplant \u2014 there is more demand (people waiting for a heart transplant) than supply (organ donors). Sometimes, recipient hopefuls will receive a device called a Total Artificial Heart (see Figure 14.3.10), which can buy them some time until a donor heart becomes available.<\/p>\n<figure id=\"attachment_7737\" aria-describedby=\"caption-attachment-7737\" style=\"width: 1023px\" class=\"wp-caption alignnone\"><img class=\"wp-image-7737 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Graphic_of_the_SynCardia_temporary_Total_Artificial_Heart_beside_a_human_heart-e1597182868278-2.jpg\" alt=\"14.3.10 Total Artificial Heart\" width=\"1023\" height=\"598\" \/><figcaption id=\"caption-attachment-7737\" class=\"wp-caption-text\"><em>Figure 14.3.10 A Total Artificial Heart, shown here, can be used for short periods of time in order to maintain a patient until a donor heart becomes available.<\/em><\/figcaption><\/figure>\n<p>Watch the video below \"Total artificial heart option...\" from Stanford Health Care to see how it works:<\/p>\n<p>https:\/\/youtu.be\/1PtxaxcPnGc<\/p>\n<p style=\"text-align: center;\">Total artificial heart option at Stanford (Includes surgical graphic footage), Stanford Health Care, 2014.<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">14.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2987\">heart<\/a> is a muscular organ behind the sternum and slightly to the left of the center of the chest. Its function is to pump blood through the blood vessels of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5927\">cardiovascular system<\/a>.<\/li>\n<li>The wall of the heart consists of three layers. The middle layer, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4191\">myocardium<\/a>, is the thickest layer and consists mainly of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5925\">cardiac muscle<\/a>. The interior of the heart consists of four chambers, with an upper <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4408\">atrium<\/a> and lower <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4409\">ventricle<\/a> on each side of the heart. Blood enters the heart through the atria, which pump it to the ventricles. Then the ventricles pump blood out of the heart. Four valves in the heart keep blood flowing in the correct direction and prevent backflow.<\/li>\n<li>The coronary circulation consists of blood vessels that carry blood to and from the heart muscle cells, and is different from the general circulation of blood through the heart chambers. There are two coronary arteries that supply the two sides of the heart with oxygenated blood. Cardiac veins drain deoxygenated blood back into the heart.<\/li>\n<li>Deoxygenated blood flows into the right atrium through veins from the upper and lower body (superior and inferior <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4410\">vena cava<\/a>, respectively), and oxygenated blood flows into the left atrium through four pulmonary veins from the lungs. Each atrium pumps the blood to the ventricle below it. From the right ventricle, deoxygenated blood is pumped to the lungs through the two pulmonary arteries. From the left ventricle, oxygenated blood is pumped to the rest of the body through the aorta.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4447\">cardiac cycle<\/a> refers to a single complete heartbeat. It includes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4442\">diastole<\/a> \u2014 when the atria contract \u2014 and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4443\">systole<\/a>, when the ventricles contract.<\/li>\n<li>The normal, rhythmic beating of the heart is called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4445\">sinus rhythm<\/a>. It is established by the heart\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4446\">pacemaker cells<\/a> in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4195\">sinoatrial node<\/a>. Electrical signals from the pacemaker cells travel to the atria, and cause them to contract. Then, the signals travel to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4448\">atrioventricular node<\/a> and from there to the ventricles, causing them to contract. Electrical stimulation from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2935\">autonomic\u00a0nervous system<\/a>\u00a0and hormones from the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5985\">endocrine system<\/a>\u00a0can also influence heartbeat.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">14.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the heart, where is located, and what is its function?<\/li>\n<li>\n<div id=\"h5p-613\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-613\" class=\"h5p-iframe\" data-content-id=\"613\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"14.3 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the coronary circulation.<\/li>\n<li>Summarize how blood flows into, through, and out of the heart.<\/li>\n<li>Explain what controls the beating of the heart.<\/li>\n<li>What are the two types of cardiac muscle cells in the myocardium?\u00a0What are the differences between these two types of cells?<\/li>\n<li>Explain why the blood from the cardiac veins empties into the right atrium of the heart. Focus on function (rather than anatomy) in your answer.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">14.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=1bnzVjOJ6NM<\/p>\n<p style=\"text-align: center;\">Noel Bairey Merz: The single biggest health threat women face, TED, 2012.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=jJm7zBcN6-M<\/p>\n<p style=\"text-align: center;\">Watch a Transcatheter Aortic Valve Replacement (TAVR) Procedure at St. Luke's in Cedar Rapids, Iowa, UnityPoint Health - Cedar Rapids, 2018.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=zU6mmix04PI<\/p>\n<p style=\"text-align: center;\">A Change of Heart: My Transplant Experience | Thomas Volk | TEDxUWLaCrosse, TEDx Talks, 2018.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=biGuwQhuAsk<\/p>\n<p style=\"text-align: center;\">Heart Transplant Recipient Meets Donor Family For The First Time, WMC Health, 2018.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 14.3.1<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/pixnio.com\/science\/medical-science\/female-clinician-dressed-in-scrubs-using-a-stethoscope#\" rel=\"cc:attributionURL\">Female clinician dressed in scrubs using a stethoscope<\/a> by Amanda Mills, USCDCP, on <a href=\"http:\/\/pixnio.com\">Pixnio<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/publicdomain\/\">CC0<\/a> public domain certification license (https:\/\/creativecommons.org\/licenses\/publicdomain\/).<\/li>\n<li><a href=\"http:\/\/soundbible.com\/2162-Human-Heartbeat.html\">Human heart beating loud and strong<\/a> (audio) by Daniel Simion on Soundbible.com is used under a <a style=\"text-align: initial; font-size: 1em;\" href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a><span style=\"text-align: initial; font-size: 1em;\"> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/span><\/li>\n<\/ul>\n<p><strong>Figure 14.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0470_HeartWall.png\" rel=\"cc:attributionURL\">Blausen_0470_HeartWall<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 14.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Diagram_of_the_human_heart_(cropped).svg\" rel=\"cc:attributionURL\">Diagram_of_the_human_heart_(cropped).svg<\/a> by <a class=\"extiw\" title=\"w:en:User:Wapcaplet\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:User:Wapcaplet\">Wapcaplet<\/a> on Wikimedia Commons is used under a <a href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\" rel=\"license\">CC BY-SA 3.0 <\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/p>\n<p><strong>Figure 14.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2011_Heart_Valves.jpg\" rel=\"cc:attributionURL\">Heart_Valves<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/19-1-heart-anatomy#fig-ch20_01_04\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 14.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:CG_Heart.gif\" rel=\"cc:attributionURL\">CG_Heart Valve Animation<\/a> by <a title=\"User:DrJanaOfficial\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:DrJanaOfficial\">DrJanaOfficial<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nFigure 14.3.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Heart_tee_four_chamber_view.jpg\" rel=\"cc:attributionURL\">Heart_tee_four_chamber_view<\/a> by Patrick J. Lynch, medical illustrator from Yale University School of Medicine, on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.5\">CC BY 2.5<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.5) license.<\/p>\n<p><strong>Figure 14.3.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Circulation_of_blood_through_the_heart.png\" rel=\"cc:attributionURL\">Circulation of blood through the heart<\/a> by <a title=\"User:Christinelmiller\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Christinelmiller\">Christinelmiller<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license. [<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Diagram_of_the_human_heart_(cropped).svg\">Original image<\/a> in the bottom right is by <a class=\"extiw\" title=\"w:en:User:Wapcaplet\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:User:Wapcaplet\">Wapcaplet<\/a> \/ <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/)]<\/p>\n<p><strong>Figure 14.3.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Human_healthy_pumping_heart_en.svg\" rel=\"cc:attributionURL\">Human_healthy_pumping_heart_en.svg<\/a>\u00a0by Mariana Ruiz Villarreal [<a title=\"User:LadyofHats\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:LadyofHats\">LadyofHats<\/a>] on Wikimedia Common is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a>\u00a0(https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 14.3.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Cardiac_Conduction_System.jpg\" rel=\"cc:attributionURL\">Cardiac_Conduction_System<\/a> by <a class=\"new\" title=\"User:Cypressvine (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Cypressvine&amp;action=edit&amp;redlink=1\">Cypressvine<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 1.424em; font-weight: bold;\">References<\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1597074058640\" data-highlight-id=\"6f6ea518-e89c-4ecf-8f62-1a5b1d683d84\" data-highlighted=\"true\">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 <\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1597074058640\" data-highlight-id=\"6f6ea518-e89c-4ecf-8f62-1a5b1d683d84\" data-highlighted=\"true\">19.12<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"25683\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1597074058640\" data-highlight-id=\"6f6ea518-e89c-4ecf-8f62-1a5b1d683d84\" data-highlighted=\"true\">Heart valves <\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last\" data-timestamp=\"1597074058640\" data-highlight-id=\"6f6ea518-e89c-4ecf-8f62-1a5b1d683d84\" data-highlighted=\"true\">with the atria and major vessels removed [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 19.1). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/19-1-heart-anatomy#fig-ch20_01_04<\/span><\/span><\/p>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p>Heart and Stroke Foundation of Canada. (n.d.). https:\/\/www.heartandstroke.ca\/<\/p>\n<p class=\"hanging-indent\">Sliwa, K., Zilla, P. (2017, December 7). 50th anniversary of the first human heart transplant\u2014How is it seen today? <em>European Heart Journal, 38<\/em>(46)<em>:<\/em>3402\u20133404. https:\/\/doi.org\/10.1093\/eurheartj\/ehx695<\/p>\n<p class=\"hanging-indent\">Stanford Health Care. (2014, December 3). Total artificial heart option at Stanford (Includes surgical graphic footage). YouTube. https:\/\/www.youtube.com\/watch?v=1PtxaxcPnGc&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED. (2012, March 21). Noel Bairey Merz: The single biggest health threat women face. YouTube. https:\/\/www.youtube.com\/watch?v=1bnzVjOJ6NM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TEDx Talks. (2018, April 18). A change of heart: My transplant experience | Thomas Volk | TEDxUWLaCrosse. YouTube. https:\/\/www.youtube.com\/watch?v=zU6mmix04PI&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">UMagazine. (2015, Fall). The cutting edge: Patient first to bridge from experimental total artificial heart to transplant. UCLA Health. https:\/\/www.uclahealth.org\/u-magazine\/patient-first-to-bridge-from-experimental-total-artificial-heart-to-transplant<\/p>\n<p class=\"hanging-indent\">UnityPoint Health - Cedar Rapids. (2018, February 7). Watch a transcatheter aortic valve replacement (TAVR) Procedure at St. Luke's in Cedar Rapids, Iowa. YouTube.\u00a0 https:\/\/www.youtube.com\/watch?v=jJm7zBcN6-M&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">WMC Health. (2018, September 13). Heart transplant recipient meets donor family for the first time. YouTube. https:\/\/www.youtube.com\/watch?v=biGuwQhuAsk&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5835\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5835\"><div tabindex=\"-1\"><p>A hollow, tube-like structure through which blood flows in the cardiovascular system; vein, artery, or capillary.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5253\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5253\"><div tabindex=\"-1\"><p>Image shows a photo of a young man.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5155\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5155\"><div tabindex=\"-1\"><p>Image shows a diagram of all the locations that chemical and mechanical digestion take place along the GI tract.  In the mouth and pharynx, mechanical digestion includes chewing and swallowing and chemical digestion of carbohydrates and fats occurs.  In the stomach, mechanical digestion includes peristaltic mixing and propulsion, and the chemical digestion of proteins and fats occurs.  In the small intestine, mechanical digestion includes mixing and propulsion, and chemical digestion of carbohydrates, fats, polypeptides and nucleic acids takes place.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5255\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5255\"><div tabindex=\"-1\"><p>&nbsp;<\/p>\n<figure id=\"attachment_4803\" aria-describedby=\"caption-attachment-4803\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4803\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Lymph-nodes-2.png\" alt=\"17.1.1 Checking Lymph Nodes\" width=\"400\" height=\"380\" \/><figcaption id=\"caption-attachment-4803\" class=\"wp-caption-text\"><em>Figure 17.1.1 Health practitioners will often check your lymph nodes for unusual lumps.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: Defending Your Defenses<\/h1>\n<\/div>\n<figure id=\"attachment_4807\" aria-describedby=\"caption-attachment-4807\" style=\"width: 291px\" class=\"wp-caption alignright\"><img class=\" wp-image-4807\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/mitchell-luo-ymo_yC_N_2o-unsplash-scaled-3.jpg\" alt=\"17.1.2 Hakeem\" width=\"291\" height=\"437\" \/><figcaption id=\"caption-attachment-4807\" class=\"wp-caption-text\"><em>Figure 17.1.2 Hakeem is concerned about his health - he has been unusually tired, has been losing weight and most recently, found an unexpected lump on the side of his neck.<\/em><\/figcaption><\/figure>\n<p>Twenty-six-year-old Hakeem wasn\u2019t feeling well. He was more tired than usual, dragging through his workdays despite going to bed earlier, and napping on the weekends. He didn\u2019t have much of an appetite, and had started losing weight. When he pressed on the side of his neck, like the doctor is doing in Figure 17.1.1, he noticed an unusual lump.<\/p>\n<p>Hakeem went to his doctor, who performed a physical exam and determined that the lump was a swollen lymph node. Lymph nodes are part of the immune system, and they will often become enlarged when the body is fighting off an infection. Dr. Hayes thinks that the swollen lymph node and fatigue could be signs of a viral or bacterial infection, although he is concerned about Hakeem\u2019s lack of appetite and weight loss. All of those symptoms combined can indicate a type of cancer called lymphoma. An infection, however, is a more likely cause, particularly in a young person like Hakeem. Dr. Hayes prescribes an antibiotic in case Hakeem has a bacterial infection, and advises him to return in a few weeks if his lymph node does not shrink, or if he is not feeling better.<\/p>\n<p>Hakeem returns a few weeks later. He is not feeling better and his lymph node is still enlarged. Dr. Hayes is concerned, and orders a biopsy of the enlarged lymph node. A lymph node biopsy for suspected lymphoma often involves the surgical removal of all or part of a lymph node. This helps to determine whether the tissue contains cancerous cells.<\/p>\n<figure id=\"attachment_4808\" aria-describedby=\"caption-attachment-4808\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4808\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Lymph-node-biopsy-by-US-Army-in-Africa-on-Flickr-2.jpg\" alt=\"17.1.3 Lymph Node Biopsy\" width=\"400\" height=\"314\" \/><figcaption id=\"caption-attachment-4808\" class=\"wp-caption-text\"><em>Figure 17.1.3 Surgeons performing a lymph node biopsy.<\/em><\/figcaption><\/figure>\n<p>The initial results of the biopsy indicate that Hakeem does have lymphoma. Although lymphoma is more common in older people, young adults and even children can get this disease. There are many types of lymphoma, with the two main types being <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/hodgkins-lymphoma\/symptoms-causes\/syc-20352646\">Hodgkin's lymphoma<\/a> and <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/non-hodgkins-lymphoma\/symptoms-causes\/syc-20375680\">non-Hodgkin's lymphoma<\/a>. Non-Hodgkin lymphoma (NHL), in turn, has many subtypes. The subtype depends on several factors, including which cell types are affected. Some subtypes of NHL, for example, affect immune system cells called B cells, while others affect different immune system cells called T cells.<\/p>\n<p>Dr. Hayes explains to Hakeem that it is important to determine which type of lymphoma he has, in order to choose the best course of treatment. Hakeem\u2019s biopsied tissue will be further examined and tested to see which cell types are affected, as well as which specific cell-surface proteins \u2014 called antigens \u2014 are present. This should help identify his specific type of lymphoma.<\/p>\n<p>As you read this chapter, you will learn about the functions of the immune system, and the specific roles that its cells and organs \u2014 such as B and T cells and lymph nodes \u2014 play in defending the body. At the end of this chapter, you will learn what type of lymphoma Hakeem has and what some of his treatment options are, including treatments that make use of the biochemistry of the immune system to fight cancer with the immune system itself.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">Chapter Overview: Immune System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the immune system \u2014 the system that defends the body against infections and other causes of disease, such as cancerous cells. Specifically, you will learn about:<\/p>\n<ul>\n<li>How the immune system identifies normal cells of the body as \u201cself\u201d and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5799\">pathogens<\/a> and damaged cells as \u201cnon-self.\u201d<\/li>\n<li>The two major subsystems of the general immune system: the innate immune system \u2014 which provides a quick, but non-specific response \u2014 and the adaptive immune system, which is slower, but provides a specific response that often results in long-lasting immunity.<\/li>\n<li>The specialized immune system that protects the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5915\">brain<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3010\">spinal cord<\/a>, called the neuroimmune system.<\/li>\n<li>The organs, cells, and responses of the innate immune system, which includes physical barriers (such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3521\">skin<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_4571\">mucus<\/a>), chemical and biological barriers, inflammation, activation of the complement system of molecules, and non-specific cellular responses (such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_1680\">phagocytosis<\/a>).<\/li>\n<li>The lymphatic system \u2014 which includes white blood cells called lymphocytes, lymphatic vessels (which transport a fluid called lymph), and organs (such as the spleen, tonsils, and lymph nodes) \u2014 and its important role in the adaptive immune system.<\/li>\n<li>Specific cells of the immune system and their functions, including B cells, T cells, plasma cells, and natural killer cells.<\/li>\n<li>How the adaptive immune system can generate specific and often long-lasting immunity against pathogens through the production of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_5659\">antibodies<\/a>.<\/li>\n<li>How vaccines work to generate immunity.<\/li>\n<li>How cells in the immune system detect and kill cancerous cells.<\/li>\n<li>Some strategies that pathogens employ to evade the immune system.<\/li>\n<li>Disorders of the immune system, including allergies, autoimmune diseases (such as diabetes and multiple sclerosis), and immunodeficiency resulting from conditions such as HIV infection.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read the chapter, think about the following questions:<\/p>\n<ol>\n<li>What are the functions of lymph nodes?<\/li>\n<li>What are B and T cells? How do they relate to lymph nodes?<\/li>\n<li>What are cell-surface antigens? How do they relate to the immune system and to cancer?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 17.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/vimeo.com\/271958333\" rel=\"cc:attributionURL\">Lymph nodes\/Is it a Cold or the Flu\u00a0<\/a> by <a href=\"https:\/\/vimeo.com\/leehealth\">Lee Health<\/a> on Vimeo is used under <a href=\"https:\/\/vimeo.com\/terms#licenses\">Vimeo's Terms of Service<\/a> (https:\/\/vimeo.com\/terms#licenses).<\/p>\n<p><strong>Figure 17.1.2<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/ymo_yC_N_2o\" rel=\"cc:attributionURL\">mitchell-luo-ymo_yC_N_2o-unsplash<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@mitchel3uo\">Mitchell Luo<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 17.1.3<\/strong><\/p>\n<p><a href=\"https:\/\/flic.kr\/p\/qMacvT\" rel=\"cc:attributionURL\">Lymph node biopsy<\/a> by <a class=\"owner-name truncate\" title=\"Go to US Army Africa's photostream\" href=\"https:\/\/www.flickr.com\/photos\/usarmyafrica\/\" data-track=\"attributionNameClick\">US Army Africa<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Hodgkin's lymphoma [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/hodgkins-lymphoma\/symptoms-causes\/syc-20352646<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Non-Hodgkin's lymphoma [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/non-hodgkins-lymphoma\/symptoms-causes\/syc-20375680<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_4732\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_4732\"><div tabindex=\"-1\"><p>As described in the caption.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_3432\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_3432\"><div tabindex=\"-1\"><p>Genes causing a trait or disorder which are present on the X sex determining chromosome.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2962\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2962\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<div>\n<figure id=\"attachment_753\" aria-describedby=\"caption-attachment-753\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-753\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Breastfeeding.jpg\" alt=\"Figure 9.4.1 Breastfeeding\" width=\"333\" height=\"500\"><figcaption id=\"caption-attachment-753\" class=\"wp-caption-text\"><em>Figure 9.4.1 Mother's milk is best for infants.<\/em><\/figcaption><\/figure>\n<h1>Milk on Demand<\/h1>\n<\/div>\n<p>This adorable nursing infant (Figure 9.4.1) is part of a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2962\">positive feedback loop<\/a>. When he suckles on the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3433\">nipple<\/a>, it sends nerve impulses to his mother\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2937\">hypothalamus<\/a>. Those nerve impulses \u201ctell\u201d her <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2938\">pituitary gland<\/a> to release the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3431\">prolactin<\/a> into her bloodstream. Prolactin travels to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3432\">mammary glands<\/a> in the breasts and stimulates milk production, which motivates the infant to keep suckling.<\/p>\n<div>\n<h1>What Is the Pituitary Gland?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2938\">pituitary gland<\/a><\/strong>\u00a0is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2648\">endocrine system<\/a>, which is the system of glands that secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2218\">hormones<\/a> into the bloodstream.\u00a0Endocrine hormones\u00a0control virtually all physiological processes. They control growth, sexual maturation,\u00a0reproduction, body\u00a0temperature,\u00a0blood pressure, and metabolism. The pituitary gland is considered the master gland of the endocrine system, because it controls the rest of the endocrine system. Many pituitary hormones either promote or inhibit\u00a0hormone\u00a0secretion by other\u00a0endocrine glands.<\/p>\n<div>\n<h1>Structure and Function of the Pituitary Gland<\/h1>\n<\/div>\n<p>The pituitary gland is about the size of a pea. It protrudes from the bottom of the hypothalamus at the base of the inner brain (see Figure 9.4.2). The pituitary is connected to the hypothalamus by a thin stalk (called the infundibulum). Blood vessels and nerves in the stalk allow direct connections between the hypothalamus and pituitary gland.<\/p>\n<figure id=\"attachment_755\" aria-describedby=\"caption-attachment-755\" style=\"width: 759px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-755\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Hypothalamus-Pituitary_Complex.jpg\" alt=\"Hypothalamus and Pituitary Gland\" width=\"759\" height=\"441\"><figcaption id=\"caption-attachment-755\" class=\"wp-caption-text\"><em>Figure 9.4.2 The pituitary gland in the endocrine system is closely connected to the hypothalamus in the brain. Both anterior and posterior lobes of the pituitary gland are directly connected to the hypothalamus by capillaries (anterior lobe) and nerve axons (posterior lobe).<\/em><\/figcaption><\/figure>\n<h2>Anterior Lobe<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2518\">anterior pituitary<\/a><\/strong> is the lobe is at the front of the pituitary gland. It synthesizes and releases hormones into the blood. Table 9.4.1 shows some of the endocrine hormones released by the anterior pituitary, including their targets and effects.<\/p>\n<p><strong>Table 9.4.1<\/strong><\/p>\n<p><em>Endocrine Hormones Released by the Anterior Pituitary, and Their Targets and Effects.<\/em><\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 77.5925%;height: 337px\" border=\"0\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\"><strong>Anterior Pituitary Hormone<\/strong><\/td>\n<td style=\"width: 33.3333%;height: 14px\"><strong>Target<\/strong><\/td>\n<td style=\"width: 33.3333%;height: 14px\"><strong>Effect<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Adrenocorticotropic hormone (ACTH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Adrenal glands<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the cortex of each adrenal gland to secrete its hormones.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Thyroid-stimulating hormone (TSH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Thyroid gland<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the thyroid gland to secrete thyroid hormone.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Growth hormone (GH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Body cells<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates body cells to synthesize proteins and grow.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Follicle-stimulating hormone (FSH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Ovaries, testes<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the ovaries to develop mature eggs.\u00a0 stimulates the testes to produce sperm.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Luteinizing hormone (LH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Ovaries, testes<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the ovaries and testes to secrete sex hormones; stimulates the ovaries to release eggs.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Prolactin (PRL)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Mammary glands<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the mammary glands to produce milk.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2521\">anterior pituitary gland<\/a> is regulated mainly by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2218\">hormones<\/a> from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2937\">hypothalamus<\/a>. The hypothalamus secretes hormones (called releasing hormones and inhibiting hormones) that travel through capillaries directly to the anterior lobe of the pituitary gland. The hormones stimulate the anterior pituitary to either release or stop releasing particular pituitary hormones. Several of these hypothalamic hormones and their effects on the anterior pituitary are shown in the table below.<\/p>\n<p><strong>Table 9.4.2 <\/strong><\/p>\n<p><em>Hypothalamic Hormones and Their Effects on the Anterior Pituitary<\/em><\/p>\n<table class=\"grid\" style=\"width: 77.5925%;height: 236px\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\"><strong>Hypothalamic Hormone<\/strong><\/td>\n<td style=\"width: 784.375px;height: 14px\"><strong>Effect on Anterior Pituitary<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Thyrotropin releasing hormone (TRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of thyroid stimulating hormone (TSH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Corticotropin releasing hormone (CRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of adrenocorticotropic hormone (ACTH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Gonadotropin releasing hormone (GnRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Growth hormone releasing hormone (GHRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of growth hormone (GH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Growth hormone inhibiting hormone (GHIH) (Somatostatin)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Stopping of growth hormone release<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Prolactin releasing hormone (PRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of prolactin<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Prolactin inhibiting hormone (PIH) (Dopamine)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Stopping of prolactin release<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Posterior Lobe<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3447\">posterior pituitary<\/a><\/strong> is the lobe is at the back of the pituitary gland. This lobe does not synthesize any hormones. Instead, the posterior lobe stores hormones that come from the hypothalamus along the axons of nerves connecting the two structures (also shown in Figure 9.4.2). The posterior pituitary then secretes the hormones into the bloodstream as needed. Hypothalamic hormones secreted by the posterior pituitary include vasopressin and oxytocin.<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3448\">Vasopressin<\/a><\/strong>\u00a0(also called antidiuretic hormone, or ADH) helps maintain\u00a0homeostasis\u00a0in body\u00a0water. It stimulates the\u00a0kidneys\u00a0to conserve water by producing more concentrated urine. Specifically, vasopressin targets ducts in the kidneys and makes them more permeable to water. This allows more water to be resorbed by the body, rather than excreted in urine.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3093\">Oxytocin<\/a><\/strong>\u00a0(OXY) targets\u00a0cells\u00a0in the uterus to stimulate uterine contractions, as in childbirth. It also targets cells in the breasts of a nursing mother to stimulate the letdown of milk.<\/li>\n<\/ul>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.4 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2938\">pituitary gland<\/a> is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2648\">endocrine system<\/a>, because most of its <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2218\">hormones<\/a> control other\u00a0endocrine glands.<\/li>\n<li>The pituitary gland is at the\u00a0base\u00a0of the brain, where it is connected to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2937\">hypothalamus<\/a> by nerves and capillaries. It has an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_2521\">anterior<\/a> (front) lobe that synthesizes and secretes pituitary hormones and a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3401\">posterior<\/a> (back) lobe that stores and secretes hormones from the hypothalamus.<\/li>\n<li>Hormones synthesized and secreted by the anterior pituitary include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3415\">growth hormone<\/a>, which stimulates cell growth throughout the body, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3429\">thyroid stimulating hormone<\/a> (TSH), which stimulates the thyroid gland to secrete its hormones.<\/li>\n<li>Hypothalamic hormones stored and secreted by the posterior pituitary gland include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3448\">vasopressin<\/a>, which helps maintain homeostasis in body water, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_5360_3093\">oxytocin<\/a>, which stimulates uterine contractions during birth, as well as the letdown of milk during lactation.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-157\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-157\" class=\"h5p-iframe\" data-content-id=\"157\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.4 Vocab\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-158\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-158\" class=\"h5p-iframe\" data-content-id=\"158\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.4 Review Questions\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain why the pituitary gland is called the master gland of the endocrine system.<\/li>\n<li>Compare and contrast the two lobes of the pituitary gland and their general functions.<\/li>\n<li>Identify two hormones released by the anterior pituitary, their targets, and their effects.<\/li>\n<li>Explain how the hypothalamus influences the output of hormones by the anterior lobe of the pituitary gland.<\/li>\n<li>Name and give the function of two hypothalamic hormones released by the posterior pituitary gland.<\/li>\n<li>Answer the following questions about prolactin releasing hormone (PRH) and prolactin inhibiting hormone (PIH).\n<ol type=\"a\">\n<li>Where are these hormones produced?<\/li>\n<li>Where are their target\u00a0cells located?<\/li>\n<li>What are their effects on their target cells?<\/li>\n<li>What are their ultimate effects on milk production? Explain your answer.<\/li>\n<li>When a baby nurses, which of these hormones is most likely released in the mother? Explain your answer.<\/li>\n<\/ol>\n<\/li>\n<li>For each of the following hormones, state whether it is synthesized in the pituitary or the hypothalamus.\n<ol type=\"a\">\n<li>gonadotropin releasing hormone\u00a0(GnRH)<\/li>\n<li>growth hormone (GH)<\/li>\n<li>oxytocin<\/li>\n<li>adrenocorticotropic hormone\u00a0(ACTH)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=jUKQFkmBuww&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Common Pituitary Diseases, Swedish, 2012.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=v41AJGP-XmI&amp;amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Diagnosing and Treating Pituitary Tumors - California Center for Pituitary Disorders at UCSF, UCSF Neurosurgery, 2015.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 9.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Breastfeeding.jpg\" rel=\"cc:attributionURL\">Breastfeeding<\/a> by <a href=\"https:\/\/www.publicdomainpictures.net\/en\/browse-author.php?a=1&amp;fbclid=IwAR2-Y2yR8Jl9sznSsCeJtPvpVBi-M7w3jVIsRHzBpeSv5StJ9FHd2nfALbk\">Petr Kratochvil\u00a0<\/a>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\">CC0 1.0<\/a> Universal<br \/>\nPublic Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en) license.<\/p>\n<p><strong>Figure 9.4.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1806_The_Hypothalamus-Pituitary_Complex.jpg\" rel=\"cc:attributionURL\">The_Hypothalamus-Pituitary_Complex<\/a> by OpenStax College on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">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 17.7 Hypothalamus\u2013pituitary complex [digital image]. In <em>Anatomy and Physiology<\/em> (Section 17.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/17-3-the-pituitary-gland-and-hypothalamus<\/p>\n<p class=\"hanging-indent\">Swedish. (2012, April 19). Common pituitary diseases. YouTube. https:\/\/www.youtube.com\/watch?v=jUKQFkmBuww&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">UCSF Neurosurgery. (2015, May 13). Diagnosing and treating pituitary tumors - California Center for Pituitary Disorders at UCSF. YouTube. https:\/\/www.youtube.com\/watch?v=v41AJGP-XmI&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_2484\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_2484\"><div tabindex=\"-1\"><p>Image shows a man at an oxygen bar.  There are several erlenmeyer flasks of differently scented oxygen with tubes coming out of the top of each.  The man is wearing a nasal cannula (tube that blows air into your nostrils).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5091\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5091\"><div tabindex=\"-1\"><p>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.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5149\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5149\"><div tabindex=\"-1\"><p>Image shows a diagram illustrating how peristalsis pushes food through the digestive tract by squeezing just behind the food, pushing it forward.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5691\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5691\"><div tabindex=\"-1\"><p>Having a higher proportion of hydronium ions than hydroxide ions; having the properties of an acid; having a pH below 7.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_5262\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_5262\"><div tabindex=\"-1\"><p>Image shows a diagram of the four steps of a white blood cell phagocytizing a bacterium.  In the first stage, the white blood cell extends its plasma membrane to surround the bacteria and trap it inside a vesicle, very similar to endocytosis.  In the next stage, a lysosome merges with the vesicle containing the bacterium; the digestive enzymes break down the bacterium, and the white blood cell absorbs the resulting nutrients.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_5360_6009\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_5360_6009\"><div tabindex=\"-1\"><p>The fusion of haploid gametes, egg and sperm, to form the diploid zygote.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":6,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-5360","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":5313,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5360\/revisions"}],"predecessor-version":[{"id":6515,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5360\/revisions\/6515"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/5313"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/5360\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=5360"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=5360"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=5360"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=5360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}