Human Body Systems

Course Detail

Human Body Systems

List of Contents

Circulatory System

The circulatory system consists of a pump (heart), blood (medium) and the blood vessels (channels). There are two types of circulatory system: Open and Closed.

The Open circulatory system consists of a heart and several open ended blood vessels. It is effective in small animals like insects.

The Closed circulatory system consists of the heart, blood and vessels that enclose the blood and allow effective transport of the blood based on building and maintaining pressure. This system is more effective and is present in larger organisms such as humans.



The functions of the circulatory system generally include:

  • Transport: substances such as gases, nutrients, waste material, therapeutics, and hormones.
  • Immune response: The circulatory system contains cells and molecules that help defend against invading organisms.
  • Thermoregulation: Distribution of heat throughout the body.
The heart

An illustration of the morphology of the heart.

The heart is a muscular organ located in the chest cavity and responsible for pumping blood to the lungs and to the rest of the body. It consists of two sides, the left and the right side, separated by a muscular wall called a Septum. The sides are named left and right in reference to the person facing the reader, so that the right side is actually on the left side of the webpage.

The right side pumps blood to the lungs and the left side pumps blood to the body. Each side is also split into two chambers for a total of 4 chambers. The upper chambers are called left and right atria, the lower chambers are called the Left and right ventricles. The ventricles are separated from the atria by valves, whose main purpose is to prevent backflow of blood.

Parts of the heart. Legend: A: Aorta, PA: Pulmonary Artery, PV: Pulmonary Vein, LA: Left Atrium, MV: Mitral Valve, AV: Aortic Valve, LV: Left Ventricle, P: Pericardium, IVC: Inferior Vena Cava, RV: Right ventricle, PV: Pulmonary Vein, TV: Tricuspid Valve, RA: Right Atrium, SVC: Superior Vena Cava.



Heart Structures and Functions
  • Veins: Carry deoxygenated blood from the rest of the body, to the heart. With the exception of the Pulmonary vein, which carries oxygenated blood.
  • Arteries: Carry Oxygenated blood from the heart, to the rest of the body. Except the Pulmonary artery, which carries deoxygenated blood. We can generally look at it as arteries leaving the heart, and veins going into the heart.
  • Superior vena cava: The large vein that brings blood from the upper body to the heart.
  • Inferior vena cava: large vein that brings blood from the lower part of the body to the heart.
  • Right Atrium: A thin walled chamber that receives blood from the body. The inferior and superior vena cava empty into this chamber.
  • Right Atrioventrivular Valve: The valve that separates the right atrium from the right ventricle. It is also called a Tricuspid valve because it has three cusps. It prevents backflow of blood from the right ventricle into the right atrium.
  • Right Ventricle: A muscular chamber that receives blood from the right atrium, and pumps it to the lungs. The blood from the right ventricle goes to the lungs through the pulmonary artery.
  • Semi-lunar valve: A valve located at the base of the pulmonary artery, it prevents backflow of blood back into the right ventricle.
  • Pulmonary artery: The artery that carries blood from the heart into the lungs. It usually splits into a right and left pulmonary arteries and supply the right and left lobes of the lungs respectively.
  • Pulmonary vein: the vein that carries oxygenated blood from the lungs back to the heart. The right and left Pulmonary veins join just before entering the left atrium.
  • Left Atrium: A thin walled chamber that receives oxygenated blood from the lungs.
  • Left Atrio-ventrucular valve: Like the right AV valve, this valve prevents the backflow of blood back into the left atrium. It is also called a Bicuspid valve, because it has 2 cusps.


  • Left Ventricle: A thick walled chamber that received blood from the left atrium and then pumps it to the rest of the body. Because this blood has a long journey to circulate throughout the body, the left has a thicker wall than the right ventricle, to create more force/pressure.
  • Semi-Lunar valve: Located at the base of the aorta (so also called the Aortic valve) it prevents backflow of blood.
  • Aorta: The aorta is the largest artery. it transports oxygenated blood to the rest of the body. Immediately after leaving the heart, it divides into the Ascending aorta (supply the upper part of the body) and Descending aorta (supplying the lower part of the body.
  • Chorda Tendineae: (tendinous chords) - Tendons connected between the ventricles and AV valves. They counter the strong backpressure generated by ventricle contraction.

The circulatory system can be divided into 3 sections: Pulmonary (circulation in the lungs), coronary (circulation in the heart) and systemic (circulation to and from the rest of the body.

The main sections of the circulatory system.



Systemic Circulation: Involves 2 smaller systems Renal Circulation supplies and drains the kidneys, Hepatic Circulation - supplies and drains the liver and the digestive system. Some of the important blood vessels include: The Carotid Arteries and Jugular Veins supply and drain the head respectively, Brachial Artery and Brachial Vein supply and drain the arms respectively, Femoral artery and Femoral Vein supply and drain the legs respectively.

The Contraction of the Heart

The heart is made up of cardiac muscles. A special type of muscles that can contract without receiving stimuli from the central nervous system. Cardiac muscles are made up of purkinje fibers.

The contraction mechanism of the heart involves:

  • Sino-Atrial (SA) Node: Also called The Pacemaker is a bundle of nerve, which sends a nerve signal across the atrium. it coordinates the contraction process of the heart.
  • Atrio-ventricular (AV) node: A bundle of nerve tissue that receives a nerve signal from the SA node and sends the signals to the Bundle of His.
  • The Bundle of His are nerve fibers that receive signals from the AV node and transfer them down the septum to the Purkinje Fibers on the wall of the ventricles. The purkinje fibers cause contraction of the ventricular wall. The contraction of the ventricles begins at the apex and moves upwards.


The contraction of the heart is regulated by the autonomic nervous system. Sympathetic nerves are stimulated during stress causing the heart rate to increase. The Parasympathetic nerves are stimulated during times of non-stress returning the heart to a slow rate.

The contraction of the heart. (Source: Wikipedia, CC BY-SA 3.0)

The Electrocardiogram (ECG)

Electrodes are placed on the body surface connected to a recording device. Electrical signals from heart are displayed on a screen or printed. The P wave represents the atrial contraction while the QRS wave represents ventricular contraction. ECGs can be used to detect some cardiac diseases especially under strenuous exercise.

The electrocardiogram. (Source: Wikipedia, CC BY-SA 3.0)



The Cardiac Cycle

In a mature person, the heart beats 70 - 75 times a minute. Each heartbeat can be split into 2 phases, Systole and Diastole. During Systole, the ventricles contract, while during Diastole, the ventricles relax. The two sides of the heart beat at the same time. Starting with the atria then the ventricles.

The cardiac cycle. (Source: Wikipedia, CC BY-SA 3.0)

The cycle starts with the heart relaxed; the two atria are filling with blood. Then the Atria Contract at the same time when the ventricles are relaxed. This is the Ventricular diastole causing the Ventricles to fill up. The blood passes through the AV valves as it enters the ventricles.

The cycle is followed by the contraction of the ventricles, called the Ventricular Systole. The AV valves close, and the semi-lunar valves open. The Right ventricle pumps blood through pulmonary artery to lungs, and the Left Ventricle pumps blood through the aorta to rest of body.

Heart Sounds

Systole (lubb) longest and loudest ventricles contract caused by AV valves closing.

Diastole (dubb) caused by semilunar valves closing ventricles relaxing.



Cardiac Output

Stroke Volume is The volume of blood per heart beat.

Heart Rate is The number of heart beats per minute.

The Cardiac Output is Stroke Vol. x Heart Rate. i.e. the volume of blood pumped by the heart in one minute.

Blood Pressure

Uses a sphygmomanometer to measure the arterial blood pressure. It is composed of two parts Systolic pressure, which is the larger number representing the pressure in artery when ventricles contract, and Diastolic pressure, which is the lower number representing the pressure in artery when ventricles relax. The normal blood pressure is about 120/80 and is and is considered too high if it exceeds 140/90 and too low if it's lower than 90/60. High blood pressure may be associated with several factors including high salt content, high epinephrine levels as in stress/freight, cancer, obesity etc. High blood pressure can cause heart attack, stroke, kidney damage etc. Low blood pressure is usually caused by low blood volume resulting from either bleeding, dehydration or severe anemia.

Regulation of Blood Pressure

The regulation of blood pressure is a Negative Feedback mechanism. Baroreceptors located in the walls of aorta and carotid arteries detect blood pressure and send this signal to the Control Center i.e. the Medulla Oblongata in the brain. This center will initiate the response mechanisms such as vasoconstriction/vasodilation, or increasing/reducing heart rate etc.

  • Sympathetic Nerve Stimulation
    • Arterioles constrict
    • Cardiac output increases
    • Stroke volume and stroke rate increase
    • Increases blood pressure
  • Parasympathetic Nerve Stimulation
    • Arterioles dilate
    • Decreased cardiac output
    • Decrease blood pressure




Blood Vessels

An adult human is estimated to have about 100,000 km of blood vessels. Arranged end to end they would circle the Earth two and a half times.

Arteries

All arteries carry blood away from the heart. They carry oxygenated blood except the pulmonary artery, which carries deoxygenated blood to the lungs. They have thick elastic walls, which recoil after a blood pulse passes through. The thick wall is necessary because blood in the arteries is at a high pressure. The Aorta is the biggest artery. Immediately after exiting the heart, it splits into two - Ascending and Descending Aorta, which supply the upper body and lower body respectively.

A cross-section illustrating the structure of an artery.

Arterioles

As the arteries move further away from the heart, they further subdivide into smaller sized arterioles.

Capillaries

Capillaries are very small blood vessels with a wall (endothelium) that is only one cell thick. These are the only blood vessels that allow for the exchange of water, gases, nutrients and wastes. Capillaries transfer material from blood to the fluid around cells (Interstitial fluid), and from the interstitial fluid into capillaries, through diffusion. Capillaries are so narrow that red blood cells can only pass through in a single file. Capillaries form a capillary bed, which is a group of many interconnected capillaries in one organ or section of an organ. As blood passes through the capillary bed, the nutrient concentration slowly reduce and the concentration of wastes increases.



Venules

on the other end of the capillary bed, as several capillaries merge, they form a venule. These contain blood that has been stripped of its nutrients and is laden with waste material such as carbon dioxide and urea.

The structure of the capillary bed. (Source: Wikipedia, CC BY-SA 3.0)

Veins

Veins transport blood towards the heart. They are thin walled and the walls consist of smooth muscles that can contract and relax. They are a bit wobbly actually. Blood in the veins is at a low pressure and because blood is moving against gravity, it can tend to lug. To prevent backflow of blood, veins are supported by valves. Muscle movement during exercise also helps to move blood more effectively through the veins.

The venous valve and prevention of backflow. (Source: Wikipedia, CC BY-SA 3.0)



Portal Veins

The portal venous system is a series of veins or venules that directly connect two capillary beds. Examples of such systems include the hepatic portal vein, which carries blood from the digestive system, filled with nutrients, into the liver, for metabolism and for detoxification.

Blood
Components of Blood

Blood consists of three main components including Plasma (55%), Red Blood Cells - Erythrocytes (44%) and White Blood Cells and platelets (1%). Blood also contains proteins, sugars, minerals, vitamins and other small molecules in lower levels. The red blood cells are heaviest, followed by the white cells and then the least heavy is plasma.

An electron micrograph of an erythrocyte (red blood cell), thrombocyte (platelet) and leucocyte (white blood cell). (Source: Wikipedia, CC BY-SA 3.0)



Red Blood Cells

Red blood cells (RBCs / Erythrocytes) are produced in the red bone marrow through a process called Erythropoiesis. A mature male has about 5.5B RBCs in one ml of blood, while an adult female has about 4.5B. The difference is mostly attributed to blood loss during menses in females. RBCs are small, (8 microns in diameter), this allows them to pass through the tight capillary tubes. In most organisms, RBCs lack a nucleus, which is thought to increase the surface area available for the exchange of oxygen, however, because of the lack of a nucleus, red blood cells have a short life span of about 120 days, after which they are destroyed in a process that partially occurs in the liver. RBCs are biconcave in shape, which also increases their surface area for maximal gas exchange. It is this biconcave shape that gets messed up by sickle cell disease. Red blood cells are red due to the presence of Hemoglobin. hemoglobin is a complex between globin proteins and heme. Heme is rich in iron (gives blood an iron taste/smell) and plays a significant role in the transport of Oxygen.

White Blood Cells

There are several types of white blood cells, but can be classified into two major categories - Granulocytes and Lymphocytes. As the name suggests, granulocytes appear to contain granules when observed under a microscope. Granulocytes are produced in the red bone marrow. Adults have about 6000 of these cells in 1 ml of blood. They are large cells, about 25 microns. Granulocytes have a lifespan of only a few days. They function in the immune response. Some examples of granulocytes include Basophils, Neutrophils and Eosinophils.



Lymphocytes on the other hand are produced in the red bone marrow and also the thymus. An adult has about 2000 lymphocytes in every milliliter of blood. Lymphocytes are also involved in the immune response, more especially in the synthesis and production of antibodies. Lymphocytes are categorized into B-Lymphocytes (from the bone marrow) and T -Lymphocytes, from the Thymus.

Platelets

Platelets appear on the microscope, more like particles than cells, they are very small (2 microns) and are irregular in shape. They are produced in the red bone marrow and in lungs. An adult had about 250,000 platelets in every ml of blood. Platelets live up to 8 days and are involved in the blood clotting process.

Plasma

When you remove all the cells from blood using a centrifuge, the liquid component that rises to the top of the tube is called plasma. About 90% of plasma is water. 7% is proteins including clotting proteins such as fibrinogen, globulin and albumin. Plasma also contains organic substances including urea and nutrients. Some of the inorganic ions present in plasma include calcium, chlorine, magnesium, potassium, sodium bicarbonates, phosphates and carbonates.

The Lymphatic System

Lymphatic Circulatory System is a network of vessels, with associated glands or nodes that extends throughout the body. Lymph is a colorless or pale yellow fluid composed of interstitial fluid with a composition much like plasma. The lymph system uses one way valves and muscular contractions to produce fluid flow. Lymphatic Capillaries are close-ended vessels that transport fluids that ‘leak’ out of capillaries to bath the cells in one direction and back into the venous system. Lymph Nodes and glands that contain white blood cells called lymphocytes. Nodes are areas that trap and destroy bacteria, viruses and cancerous cells. These swell with increased lymphocytes and can be painful during infections.




Digestive System

Digestion is the mechanical and chemical breakdown of complex food into simpler compounds that can be absorbed and utilized by the body. Digestion begins in the mouth.

Major anatomical components of the digestive system

A general illustration of the digestive system.

The mouth / Oral Cavity
  • Physical/mechanical digestion. Physical chewing of food is called mastication.
  • Chemical breakdown happens as food is mixed with saliva which contains:
    • Mucus – softens food and buffers the pH of the food.
    • Lysozyme - which kills some of the bacteria from the food.
    • The enzyme salivary amylase breaks down starch (polysaccharide) into maltose (a disaccharide).
    • Lipase produced by some cells in the tongue begins the breakdown of lipids.
  • Chewing and the movement of the tongue results in a food bolus.
  • The tongue enables swallowing – swallowing reflex.


The structures of the oral cavity.

Location and types of salivary glands

The 3 main salivary glands.

The swallowing process

The bolus of food reaches the back part of the tongue and initiates the swallowing reflex. The pharynx is the common space for both the esophagus and the trachea. The epiglottis covers the trachea and prevents food from entering the trachea (aspiration).

The anatomical structures associated with swallowing.



The Esophagus

The esophagus is tube that connects the mouth to the stomach. It has smooth muscles that contract in waves creating the process called Peristalsis. Peristalsis is unidirectional (towards the stomach) unless the vomiting reflex has been initiated.

Peristalsis is an involuntary reflex, (not under human control). Reverse peristalsis (vomiting) may result in acid reflux where the acidic contents of the stomach enter the lower section of the esophagus causing irritation. Because peristalsis is autonomic and unidirectional, a food bolus will e moved towards the stomach regardless of the general body position. A person can swallow food even when he is standing upside down. The problem, however, is the functioning of the epiglottis, which blocks the trachea during swallowing. If the trachea is not well covered, then food particles may enter the trachea causing aspiration and triggering the coughing reflex.

The Stomach

The stomach is a sac / pouch like organ. It begins at the cardiac sphincter (gastro-esophageal sphincter) and ends at the pyloric sphincter, the gastro-duodenal sphincter. The stomach secretes gastric juices that contain Hydrochloric acid (HCL) and some enzymes.

The highly acidic environment is necessary to kill microorganisms in the food.

Enzyme pepsin results in the digestion of proteins. Pepsin is secreted by the stomach walls in form of Pepsinogen, an inactive form so that it does not digest the stomach wall. Pepsinogen is activated into pepsin when protein-rich food arrives in the stomach.

Chemical digestion is facilitated by the churning action of the stomach caused by contraction and relaxation of smooth muscles in the wall of the stomach. This churning action results in mixing of the partially digested food and gastric juice into a mixture called chyme.

Gastric emptying occurs within two to six hours after a meal. Chyme is released into the small intestines in small amounts at a time. The movement of chyme from the stomach into the small intestine is regulated by; (1) hormones, (2) stomach distension and (3) muscular reflexes that influence the pyloric sphincter (Gastro-duodenal sphincter).

Note that the stomach wall is not affected by the acid because it is lined by a thick layer of mucus.



The parts of the stomach.

Small Intestines

It’s a long tube-like organ with a highly folded surface containing finger-like projections called the villi. The top surface of each villus has many microscopic projections called microvilli.

Digestion of protein, fats, and carbohydrates is completed in the small intestines. The epithelial cells of these villi absorb nutrients from the digested food and release them to the bloodstream. The villi and microvilli, with their many folds, increase the surface area of the small intestine and increase absorption efficiency of the nutrients.

The human small intestine is over 6 m (19.6 ft) long and is divided into three parts: (1) duodenum, (2) jejunum and (3) ileum. The duodenum is separated from the stomach by the pyloric sphincter.

Pancreatic juices are alkaline with high bicarbonate levels to neutralize the acid from the stomach. This increases the pH creating the best environment for enzymes to function. Pancreatic juices also contain enzymes that digest proteins (pepsin and trypsin), fats (lipase) and carbohydrates (maltase). The end products of these enzymatic reactions include amino acids, fatty acids and glucose. These are all absorbed into the blood stream. Other nutrients that are absorbed in the small intestines include vitamins, minerals and other micronutrients.

Bile is produced in the liver and stored and concentrated in the gallbladder, and then released into the duodenum through the bile duct. Bile contains bile salts, which cause emulsification of lipids, (break down large droplets of lipids into smaller size) which increases the surface area and makes the lipids accessible to the water-soluble lipase enzymes.

The end products of digestion are absorbed in through the intestinal lining into the blood vessels, except fatty acids which are absorbed into the lacteal - that connects to the lymphatic system.

Intestinal smooth muscles also cause unidirectional peristalsis as food moves along the small intestines and into the large intestines. These peristaltic movements are regulated by the autonomic nervous system.

The structure of the duodenum (left) showing the location of the pancreatic and bile ducts. On the right is the structure of a villus (plural ~ villi).



Large Intestines

Absorption of water occurs in the large intestines. The large intestines split into 3 parts; (1) cecum, (2) colon, and (3) rectum. In humans, the Colon divided into 3 sections; (1) Ascending colon, (2) Transverse colon and (3) Descending colon.

Accessory Glands
  1. 1. Salivary glands: secrete saliva, which moistens the food, contains lysozyme that kills micro-organisms, contains salivary amylase that digests starch into maltose.
  2. 2. Liver: The site of most metabolic pathways in the body. Among several functions, the liver produces bile from the breakdown of red blood cells. Bile is essential for lipid digestion. Nutrients absorbed in the small intestines gets into the hepatic portal system that leads them first to the liver. One of the functions is detoxification in case there are toxins that were also absorbed. These toxins are detoxified before they reach the rest of the body and cause more extensive damage. Toxins such as high alcohol drinks can result in overworking the liver which can cause liver cirrhosis. Too much fat in the human diet results in extensive deposition of fat in the liver (fatty liver) which reduces the efficiency of the liver functions and may be more disastrous in extreme cases.
  3. 3. Gall bladder: stores bile and secretes it into the duodenum through the bile duct.
  4. 4. Pancreas: The pancreas is both an endocrine and an exocrine gland. Exocrine in its functions of secreting enzymes for digestion. Endocrine in its function of releasing hormones such as insulin that is very essential for glucose metabolism.
  5. 5. Appendix: Plays a minor role in immunity.


Additional points to know
  • Importance of dietary fiber in enhancing bowel movement. Including weight loss.
  • Role of intestinal microbes: vitamin synthesis.
  • Essential nutrients are those that the body cannot synthesize by itself so these nutrients must be provided in the diet. These can include essential amino acids, essential vitamins etc.
  • Excess glucose is stored in the liver as glycogen. When glycogen reserves are sufficient, extra glucose is stored as fat.
  • Vitamins: can either be water soluble (B, and C) or fat soluble (A, D, E, K).
  • Co enzymes and Co factors: the major difference is that coenzymes are organic molecules, while cofactors are inorganic, including minerals for example.
  • Digestion Process

    Involves 4 main processes:

    • 1. Ingestion
    • 2. Digestion
    • 3. Absorption
    • 4. Excretion/Elimination


    Ingestion

    Ingestion is basically the introduction of food into the mouth. Then mastication, which involves chewing of the food. You should be able to remember the meaning of terminologies such as mechanical and chemical breakdown of food, bolus and peristalsis.

    Digestion

    Carbohydrates

    Digestion begins in the mouth. Salivary amylase breaks down starch into maltose. Amylase cannot function in an acidic pH so no carbohydrate digestion occurs in the stomach. Pancreatic juices (released into the duodenum) contain pancreatic amylase, which continues the breakdown of starch and glycogen into maltose, a disaccharide. The disaccharides are broken down into monosaccharides by enzymes called maltase, sucrase and lactase.

    Proteins

    Most digestion occurs in the stomach and then in small intestines. Pepsin breaks down proteins into peptides. In the duodenum, the pancreatic juice contains – trypsin, elastase and chymotrypsin. These digest peptides at specific sites resulting in short chains of oligopeptides. Finally, peptidases (carboxypeptidase, dipeptidase, and aminopeptidase) play important roles in reducing the peptides to free amino acids.

    Lipids

    Lipid digestion begins in the stomach using lipase enzyme, but most of the lipid digestion occurs in the small intestines. In the duodenum, the gall bladder secretes bile salts. Bile causes emulsification of fats resulting in small globules (emulsion). This increases the surface area of lipids accessible to the lipase enzymes. Lipases break down the lipids into fatty acids and glycerides. These molecules can pass through the plasma membrane of the cell and enter the epithelial cells of the intestinal lining.

    The bile salts surround long-chain fatty acids and monoglycerides forming tiny spheres called micelles. Micelles move to the small intestinal wall and the fatty acids separate from the micelles and diffuse through the villi. The long-chain fatty acids and monoglycerides recombine in the absorptive cells to form triglycerides, which aggregate into globules and become coated with proteins. These large spheres are called chylomicrons. Chylomicrons contain triglycerides, cholesterol, and other lipids and have proteins on their surface.



    Elimination / Excretion

    Elimination of undigested and waste material is the final step in digestion. The undigested food material enters the colon, where most of the water is reabsorbed. The colon is also home to the microflora called “intestinal flora” that aid in the digestion process. The semi-solid waste is moved through the colon by peristaltic movements of the smooth muscles and is stored in the rectum until defecation.

    The anus has two sphincters, one is voluntary and the other is involuntary.

    Glossary
    • Amylase: an enzyme secreted by salivary glands and the pancreas that breakdown complex carbohydrates to maltose.
    • Bile: a digestive juice produced by the liver; essential for digestion of lipids.
    • Bolus: a mass of food resulting from the chewing action and wetting by saliva.
    • Colon: the largest portion of the large intestine consisting of the ascending colon, transverse colon, and descending colon.
    • Chyme: a mixture of partially digested food and stomach juices.
    • Esophagus: a tubular organ that connects the mouth to the stomach.
    • Essential nutrient: a nutrient that cannot be synthesized by the body; it must be obtained from food.
    • Gallbladder: the organ that stores and concentrates bile.
    • Large intestine: a digestive system organ that reabsorbs water from undigested material and processes waste matter.
    • Liver: an organ that produces bile for digestion and processes vitamins and lipids.
    • Mineral: an inorganic, elemental molecule that carries out important roles in the body.
    • Oral cavity: the point of entry of food into the digestive system.
    • Pancreas: a gland that secretes digestive juices.
    • Pepsin: an enzyme found in the stomach whose main role is protein digestion.
    • Peristalsis: wave-like movements of muscle tissue.
    • Rectum: the area of the body where feces is stored until elimination.
    • Salivary gland: one of three pairs of exocrine glands in the mammalian mouth that secretes saliva, a mix of watery mucus and enzymes.
    • Small intestine: the organ where digestion of protein, fats, and carbohydrates is completed, and absorption of nutrients occurs.
    • Vitamin: an organic substance necessary in small amounts to sustain life.



    Excretory System

    It is important for students to note the difference between excretion and secretion. Secretion being the release of biological molecules / substances such as enzymes and hormones to be used by the body for various functions. Secretion can also be the discharge of substances that require to be excreted. Excretion is the discharge of metabolic waste materials. This topic focuses a lot more on the discharge of excess water and nitrogen waste through the kidneys. This is because ammonia (the by-product of protein and nucleic acid breakdown is significantly toxic and needs to be eliminated fast from the body before it causes adverse physiological effects. The other major waste is carbon dioxide. This will be covered under the respiratory system. The kidneys are also responsible for several other metabolic waste products such as medicines, toxins, minerals etc.

    Because waste is produced within every cell, blood is required to transport waste from the cells to the kidneys. Eventually, excretion must be in sync with Homeostasis. Substances that are available in the body in higher than biologically needed will be excreted, this includes water, which explains why people pee more frequently after drinking excessive fluids.

    Osmoregulation, one of the homeostatic processes, is the regulation of water and salt concentration in the body.

    Nitrogenous waste

    Amino acid deamination results in the formation of Ammonia. This is a highly toxic compound that cannot be allowed to accumulate in the body. Among other effects, Ammonia quickly results in increasing the body's pH making it more basic, which can affect several physiological functions. Ammonia is converted into less toxic uric acid and urea.

    Uric acid is produced and excreted by birds. It is not soluble and is excreted as a white paste ensuring there is minimal water loss.

    Urea is produced in mammals, in the liver from the deamination of amino acids. Urea is soluble in water and is excreted mixed with water and other substances in what is called urine.

    The Human excretory system is made up of two kidneys – produce urine by filtering the blood, two ureters – take urine from kidneys to the bladder, the urinary bladder – stores urine and Urethra – carries urine to the environment.

    The structures associated with the male urinary system (Source: Wikipedia-CC BY-SA 3.0)



    The Kidney

    The kidney has three distinct regions:

    • Cortex – the outer region.
    • Medulla – the region just below cortex.
    • Pelvis – a chamber within the medulla serves as a collection chamber.

    A detailed structure of the kidney.

    The basic structural and functional unit of the kidney is the Nephron. Each kidney has approximately one million nephrons.

    The parts of a nephron. (Source: Wikipedia-CC BY-SA 3.0)

    Major components of the Nephron

    The Bowman's Capsule: Consists of a double walled chamber supplied by a network of blood vessels (capillaries). The blood vessel that brings blood into the Bowman's capsule is called the Afferent arteriole, while the vessel that takes blood outside the capsule is called the Efferent arteriole. The Afferent arteriole is larger/wider than the efferent arteriole so more blood is supplied to the capsule than the amount leaving. This creates increased pressure (about 4 times higher) in the capsule, which results in ultrafiltration where plasma enters the glomerulus. This is called glomerular filtrate.



    The structure of the Bowman's capsule with the afferent arteriole larger than the efferent. (Source: Wikipedia-CC BY-SA 3.0)

    Proximal tubule: The proximal tubule is the section immediately after the glomerulus. Here, several substances (such as glucose, sodium and amino acids) are reabsorbed into blood through active transport.

    Loop of Henle: It looks like a long hairpin structure. Here, some of the remaining water and salt in the filtrate will be reabsorbed back into the blood. The loop of Henle is located in the kidney's medulla, which is relatively hypertonic allowing for the movement of water.

    Distal Convoluted tubules and Collecting ducts: This is the twisted section of the tubule immediately after the Loop of Henle. Here, more water reabsorption occurs. The antidiuretic hormone (ADH) is necessary to facilitate the reabsorption of water at this site. (Diuresis is a condition where too much water is present in urine, ADH is antidiuretic). The amounts of substances are reabsorbed into blood in precise amounts depending on the homeostatic regulation. Several nephrons connect to the same collecting duct, which then drains into the renal pelvis.



    Major Processes associated with kidney function
    Ultrafiltration

    Occurs at the junction between the glomerulus and the porous wall of the Bowman’s capsule. The afferent arteriole is larger than the efferent arteriole; pressure builds up inside the glomerular capillary network. Only Fluid and dissolved materials (nutrients, wastes, ions) in the blood plasma pass from the glomerulus into the Bowman’s capsule. Red blood cells, plasma proteins and platelets are too large to pass through the wall of the capillary and therefore remain within the capillaries. The fluid that is filtered is called the Nephritic filtrate or Glomerular filtrate.

    Reabsorption

    This is the process where important substances are reabsorbed back into the blood circulation. It starts from the proximal tubule to the collecting ducts. Between 85% - 99% of glomerular filtrate is taken back to the blood, depending on how much water and salt has been consumed, or needs to be retained. The efferent arteriole feeds into the vasa recta, a capillary network that surrounds the tubules. Reabsorbed substances enter this capillary network and eventually join the renal vein.

    A more selective, precisely regulated reabsorption occurs in the distal tubules Additional quantities of salts and water may be reabsorbed. The exact amount of each substance reclaimed occurs in the distal tubules. Excess is excreted in urine e.g. glucose and diabetes

    Hydrogen: The secretion of hydrogen ions help to regulate the pH of the blood. It is coupled to the reabsorption of sodium into the blood.

    Potassium: High levels of potassium in the blood affect nervous function and affect muscle contraction. You can see the role of potassium under the nervous system topic. Because of this, the body has to ensure there is no accumulation of Potassium in blood.

    Other substances that are secreted in the distal tubules are medications (such as penicillin), creatine (a by-product of protein breakdown) and other minerals/salts.

    The bladder

    The urinary bladder stores urine before it can be eliminated to the environment. Urine flows from the kidneys, through the ureters and drips into the bladder. When the bladder is full, the pressure on its wall results in micturition/urination.



    Micturition

    Is the actual elimination of urine through the urethra into the environment.

    Additional Relevant information

    Hormonal regulation of excretion: Students are encouraged to review the Endocrine system, with specific emphasis on the hormones Antidiuretic hormone (ADH) and Aldosterone.

    Diabetes insipidus

    Should be differentiated from diabetes mellitus, the one caused by high sugar levels in blood. Diabetes Insipidus is a disorder in which the body does not produce sufficient ADH, so there is no reabsorption of water resulting in large volumes of dilute urine (diuresis). This could result in dehydration.

    Dialysis

    Hemodialysis means "cleaning the blood." In hemodialysis, the blood is circulated through an artificial kidney (machine), which has two spaces separated by a thin membrane. Blood passes on one side of the membrane and dialysis fluid passes on the other. The wastes and excess water pass from the blood through the membrane into the dialysis fluid, which is then discarded. The cleaned blood is returned to the bloodstream.

    Kidney Stones - Uroliths

    Uroliths for from the crystallization of salts in urine before it exits the kidneys. They vary in size from small grain-of-sand size to larger bead-like size. Most pass out of the body without help from a doctor but sometimes a kidney stone ma get stuck in the urinary tract, block the flow of urine and cause intense pain. Uroliths may also result in blood in urine or urine that smells bad or looks cloudy. Sometimes the patient develops a burning sensation during urination.

    An illustration of the urinary bladder, ureters, kidneys and a kidney stone. (Source: https://www.medicinenet.com/kidney_stones/article.htm 2004; no copyright infringement intended.)




    Muscle and Skeletal System

    A muscle is a contractile tissue found in animals that acts by contracting and relaxing, and by doing these, will result in movement.

    There are three kinds of muscle: skeletal (striated), smooth (visceral) and cardiac. Each type of muscle is specialized for its specific function.

    Three types of muscles. (Source: Wikipedia-CC BY-SA 3.0)

    Muscles work by contracting (shortening) or relaxing (lengthening). Many skeletal muscles are arranged in antagonistic pairs that work against each other to produce movement involving a joint. For example the Biceps and the Triceps are antagonistic to each other.

    Each skeletal muscle is composed of parallel bundles and each bundle is composed of parallel units called muscle fibers. Each fiber is actually a functional single cell containing many nuclei. Some of these fibers are extremely long single muscle cells. For example, the muscle fibers in the leg may be half a meter in length. Muscle fibers are enclosed within a membrane called sarcolemma, which is a delicate sheath surrounding muscle fibers.

    Within the muscle fibers are tiny myofilaments bundled together.

    Muscle structure. (Source: Wikipedia-CC BY-SA 3.0)



    Types of Muscles
    1. Skeletal Muscles /Striated Muscles

    Skeletal muscles are voluntary muscles anchored on both ends by tendons onto adjacent bones and they function in callusing movement/locomotion. An average adult male is made up of 42% of skeletal muscle and an average adult female is made up of 36% (as a percentage of body mass).

    Muscle fibers are composed of tiny myofilaments bundled together. Each muscle fiber has two types of filaments i.e. thin filaments composed of the protein actin, and thick filaments composed of the protein myosin. The actin and myosin fibers overlap and create the striations that are characteristic of skeletal muscle.

    Illustration of skeletal muscle striations. (Source: open.oregonstate.education)

    The contraction process of the muscle involves the sliding action of thin actin filaments over the thick myosin filaments. This process utilizes ATP.

    Types of Skeletal muscles

    Type I: are associated with slow muscle twitch. As a result, they use ATP slowly but are more efficient. Because of this they are more dominant among long distance runner or in wings of birds. They are rich in mitochondria and myoglobin, therefore they tend to be more red in color.

    Type IIa and Type IIx: are fast twitch muscles. They break down ATP faster but with low efficiency. They are found in sprinters and animals that run very fast but for short distances. They tend to be pale in color evidence of less myoglobin. Because of the speed, they undergo anaerobic respiration so they can only perform for a limited time before they experience extreme pain from fatigue.




    Respiratory System

    Cells obtain energy through the oxidation of organic compounds. The most abundant oxidizing agent on Earth is oxygen. As such, humans need oxygen to survive. Any prolonged absence of oxygen will result in death. The goal of the respiratory system is to provide the body with adequate amounts of oxygen needed for survival.

    Terminology
    • Breathing: to take air into the lungs and let it out again (inhale and exhale).
    • Gas Exchange: the process of diffusion that allows for carbon dioxide to leave the capillaries surrounding the alveoli while facilitating the entrance of oxygen into the capillary. (Carbon dioxide-out: oxygen in).
    • Cellular Respiration: when cells oxidize organic carbon to obtain energy. This is different from just respiration or the respiratory system. Note: the start product (oxygen) and end product (carbon dioxide) necessitate the need for the respiratory system.


    Adaptation of the Respiratory System
    • In small aquatic organisms, gases diffuse directly between the environment and all body cells directly.
    • In larger, more complex organisms, specialized respiratory structures are required such as:
      • Thin walls to allow for ease of diffusion.
      • Membranes must be kept moist
      • Extensive supply with blood vessels
      • Large surface area with microscopic alveoli increasing the efficiency of diffusion.
    Respiratory System Structures and Functions
    • Nostrils: hairs act as filters while mucus traps particles.
    • Mouth: allows a larger volume of air to be transferred.
    • Pharynx: connect to the back of the oral and nasal cavities. The pharynx is connected to the trachea and esophagus.
    • Epiglottis: prevents food from entering the trachea.
    • Larynx (voice box): contains the vocal cords.
    • Vocal cords: two elastic ligaments that produce sounds depending on various tensions.
    • Adam’s apple: cartilage that protects the larynx.
    • Trachea: takes air into the lungs. Have cilia that are covered with mucus. The trachea is kept open by cartilage.
    • Cilia: small hairs that trap particles. Cilia move upwards to move particles back upwards so that they can be spit out.
    • Bronchi: two structures that carry air to the left and right lung. Bronchi also have cartilage.
    • Bronchioles: smaller airways inside each lung that are less than 1mm in diameter. They have smooth muscle walls.
    • Alveoli: the point of gas exchange. Alveoli are little air sacs at the end of bronchioles that are only one cell thick for easy diffusion. They are about 0.1-0.2 mm in diameter. The overall purpose of alveoli is to increase surface area for gas exchange.
    • Pleural Membranes: outer surface of the lungs and the inner surface of the thoracic cavity. Reduce friction with other body structures.
    • Thoracic cavity: cavity between the abdomen and the throat.
    • Diaphragm: a dome shaped muscle just below the lungs. The diaphragm aids in breathing movements.
    • Ribs: bones that protect the thoracic cavity.
    • Intercostal muscles: muscles between the ribs that aid in breathing.


    The upper respiratory system. (Source: Wikipedia-CC BY-SA 3.0)

    The rib cage

    The structures associated with the respiratory system.

    Regulation of Breathing

    The concentration of carbon dioxide is important. The breathing center in the brain is located in the Medulla Oblongata. It controls the rate and depth of breathing. The medulla is sensitive to CO2 levels in the blood. When CO2 level is too high the medulla sends signals to the diaphragm and intercostal muscles to increase activity- both contract and result in inhalation. Once CO2 levels drop to normal range, the signal from the medulla stops.

    The concentration of oxygen normally does not directly affect breathing rates. However, when oxygen levels are too low, signals from the aorta can increase breathing levels.

    Factors that can increase breathing rate

    1. Holding Your Breath: When you hold your breath, carbon dioxide levels increase. As a result, when you allow breathing to occur, it will occur at a faster rate and deeper than usual.

    2. Exercise: Exercise results in accumulation of carbon dioxide, which, as expected, results in increased respiratory rate and depth.

    3. High Altitude: As the altitude increases, the concentration of oxygen in the atmosphere reduces. The oxygen receptors in the aorta will increase both the breathing and circulatory rate. Exposure to high altitudes over prolonged periods of time result in thickening of the left ventricular wall, due to increased demand for systemic blood circulation. This is called high altitude disease.



    The graph shows the relationship between altitude and atmospheric air pressure. (Source: Wikipedia-CC BY-SA 3.0)

    4. Carbon Monoxide: Carbon monoxide (CO) binds to hemoglobin to form carboxyhemoglobin and acts as a competitive inhibitor in the red blood cell blocking carbon dioxide and oxygen. The affinity of Hemoglobin to carbon monoxide is about 200 times higher than Hemoglobin to oxygen. This makes the hemoglobin unavailable for oxygen and carbon dioxide. Theoretically, the accumulation of carbon dioxide would result in increased respiratory rate, but the absence of oxygen is more detrimental resulting is possible death from anoxia.

    Factors that can increase breathing rate

    1. Hyperventilation: When a person hyperventilates, the carbon dioxide levels are reduced. This reduces the respiratory rate and someone is able to hold his or her breath for a longer time.

    Transport of Gases

    Oxygen Transport

    Hemoglobin transports about 97% of the oxygen. The remaining 3% is transported in plasma. The hemoglobin molecule is composed of 4 peptide (globin) chains with an iron (heme) center. Hemoglobin that has oxygen attached to it is called oxyhemoglobin. The hemoglobin that is free of oxygen is called deoxyhemoglobin. Oxygen enters and leaves the hemoglobin molecule through diffusion.



    Carbon Dioxide Transport

    As an adaptation to ensure increased chances of survival by effective elimination of waste, material, carbon dioxide can be transported in blood in several ways. About 64% of CO2 is transported in plasma as bicarbonate ions. About 27% of CO2 combines with hemoglobin to form carbaminohemoglobin. The remaining, approximately 9% of CO2 is dissolved in plasma.

    Carbon dioxide continuously diffuses from cells, such as muscles, into blood. Some of the carbon dioxide dissolves with water in plasma to form carbonic acid, which then breaks down into H+ and bicarbonate ions. The H+ is combined with hemoglobin to prevent drastic pH changes, while the bicarbonate ions stay in the plasma. When this blood reaches lungs, O2 will combine with hemoglobin displacing H H+ into plasma. The H+ recombines with bicarbonate ion producing water and carbon dioxide, which diffuses into alveoli to be exhaled.

    The exchange of gases between the alveoli and blood capillaries. (Source: Wikipedia-CC BY-SA 3.0)



    Diffusion of Gases

    In the lungs alveoli (singular – alveolus) there is a higher concentration of oxygen compared to the concentration of oxygen in the blood. However, there is a lower concentration of carbon dioxide in the alveoli than the concentration of carbon dioxide in the blood. This concentration gradient results in the movement of oxygen from the alveoli air into the capillary network where it attaches to hemoglobin. Carbon dioxide moves from the blood across the alveoli and into the alveoli.

    Mechanics of Breathing

    Inhalation

    • The diaphragm contracts
    • Intercostal muscles contract
    • Increase in lung volume
    • Environmental air pressure is greater than the lung pressure
    • Air rushes in to equalize pressure

    Exhalation

    • The diaphragm relaxes
    • Intercostal muscles relax
    • Decrease in lung volume
    • Lung pressure is greater than environmental air pressure
    • Air rushes out to equalize pressure
    Lung Volumes
    • Tidal Volume: The amount air exchanged with each normal breath.
    • Inspiratory Reserve: The additional air that can be inhaled over and above the tidal volume.
    • Expiratory Reserve: The extra air that can be forcibly exhaled in excess of the tidal volume.
    • Vital Capacity: The maximum amount of air that can be forcibly exchanged.
    • Residual Volume: The amount of air that remains in lungs after forceful expiration.



    The Immune System

    Hematopoiesis

    Below is a summary illustration of the production of blood cells by the bone marrow and thymus.

    Hematopoietic processes for various blood cells. (Source: Wikipedia, CC BY-SA 3.0)

    The Circulatory, Lymphatic and Immune responses work closely together. Specifically, the Immune System is designed to fight infections (caused by pathogens) and other particles that are deemed 'foreign' by the body (such as allergens). A pathogen is an organism that can cause harm allowed to live and multiply in/on the body. There are four main types of pathogens:

    • Bacteria: Are membrane bound microorganisms. Bacteria can cause disease in humans by producing toxins. Various bacteria species cause different diseases ranging from respiratory, to abdominal, and to varying extents of severity.
    • Viruses: Are protein and nucleic acid particles that require the host's DNA replication mechanisms to be able to replicate. The virus enters the hosts nucleus and the host cells gets tricked into making more viral copies.
    • Protozoa: Protozoa are Eukaryotic cells some of which are pathogenic, in this case called Parasites. Malaria parasites (Plasmodium) are a common protozoa transmitted by mosquitoes and causing Malaria in several regions in the world. Other protozoan diseases include trypanosomiasis (sleeping sickness in humans), Giardiasis and Amoeba, both causing digestive upsets.
    • Fungi / Mold: There are very many different types of fungi, most of which are not pathogenic, with a few exceptions such as athlete’s foot in humans.


    Blood Clotting

    Blood clotting can occur either intrinsically or extrinsically. Extrinsic factors involve injury what causes a destruction of a blood vessel. Intrinsic and extrinsic pathways are too complicated for this level of biology. What you need to remember are the steps that are common in both extrinsic and intrinsic pathways.

    The simplified process involves the conversion of prothrombin to thrombin by other clotting factors. Thrombin functions, among other functions, to convert fibrinogen to fibrin. Fibrin forms covalent bonds that crosslink to form a mesh that plugs the injury and stops the bleeding.

    Blood clotting process. Please note that high School students need to focus on the section labelled 'common' only. (Source: Wikipedia, CC BY-SA 3.0)

    First Line of Defense

    The first line of defense can be looked at as preventing the entry of pathogens into the body. Most barriers that protect the internal body from the environment will act as first like of defense. These include:

    • Skin
    • Mucus, tears and saliva, have both a mechanical function, to wash foreign objects away, and chemical function where they contain substances that hinder pathogens from invading/establishing/reproducing.
    • Hairs in the nose, ears and eyes (eye lashes).
    • Secretions produced by some areas of the body such as mucus, acid in the stomach, bactericides in saliva etc.


    Second Line of Defense

    The second line of defense can be categorized into two main categories: Specific and Non Specific. Non-specific response is a cell mediated response involving phagocytic cells engulfing pathogens. Neutrophils target mostly bacteria and fungi. Eosinophils target parasites. Basophils are involved more in allergic reactions. Macrophages can engulf all kinds of pathogens.

    Third line of Defense

    Specific immune responses are mediated by Antibodies. Pathogens cause disease by the presence of Antigens, which are proteins located on the surface of pathogens. Antibodies are molecules that are produced by lymphocytes in response to the presence of specific antigens; therefore, an antigen will neutralize the specific antigen it was produced for.

    Memory B and T lymphocytes are lymphocytes that retain a memory of the antigen structure for a prolonged period, so that in future if the individual is infected by the same antigen, the memory B and T cells will recognize it and initiate faster antibody production. Suppressor T cells are meant to slow down the immune response especially when the antigens have been eradicated.

    Vaccination

    Vaccination uses either a weakened pathogen or a part of the pathogen that causes an immune response in the host. Memory cells produced through vaccination remain in the blood for a long time therefore, a vaccinated person responds better/faster when exposed to the antigen a second time.



    Immune System Disorders
    Autoimmune Disorders

    This a group of conditions that occur when T – cells or antibodies mistakenly attack the body’s own cells. Examples include:

    Rheumatoid Arthritis: A chronic disorder caused by the immune system attacking the body’s joints resulting in inflammation and damage of cartilage, tendons and bone.

    Allergies

    An allergy is an exaggerated immune response to materials that are supposed to be harmless.

    You can access Tensai High School Biology revision questions HERE