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The heart is covered by a transparent serous membrane, the pericardium (the parietal
mesoderm/peritoneum). The pericardial fluid between heart and the pericardium keeps
the heart moist and protects it from friction and mechanical injury.
The wall of the heart has 3- coatings, Epicardium (Outer), Myocardium (Middle) and
Endocardium (Inner). The myocardium contains cardiac muscles.
Two Atria are separated by Interatrial septum. In foetus this septum contains Foramen
ovale (opening) and the blood from right atrium (oxygenated blood from Placenta) passes
to the left atrium. At the time of birth when placenta is detached this passage is closed to
form Fossa ovalis. If Foramen ovale is left open after first few weeks of life, it is referred
as a hole in the heart.
The left side of the heart (Lt. A and Lt. V) contains oxygenated (pure) blood and the right
side (Rt. A and Rt. V) has deoxygenated (impure) blood.
Lt. atrium receives oxygenated blood through 2pairs of pulmonary veins (2 per lung).
Rt. atrium receives deoxygenated blood through 1Precaval or Anterior Vena Cava and
1Post caval or posterior Vena cava (Rabbit has 2Precavals).
Rt. pulmonary
artery
Lt. pulmonary
artery
Lt. pulmonary
veins
Superior
vena
cava
Tricuspid
valve
Inferior
vena cava
Eustachian
valve
Chordae
Tendinae
Systemic
aorta
Lt atrium
Rt. atrium
Bicuspid valve
Lt. ventricle
Rt. ventricle
Papillary
muscles
Lt.ventricle and Rt. ventricle receive oxygenated and deoxygenated blood from respective
atria.
From Lt.ventricle oxygenated blood is supplied to the body organs through systemic aorta.
From Rt. ventricle deoxygenated blood is supplied to lungs through pulmonary aorta
The wall of the Lt.ventricle, which supplies oxygentated blood to all body organs, is
thickest of all the chambers.
Systemic aorta in Amphibians and reptiles is paired. In birds and mammals it is unpaired
(single).In birds it is right and in mammals it is left.
2
Valves
i. Eustachian valve A flap of this valve is present at the opening of the post caval and
prevents the back flow of the blood. The major portion of this valve is vestigial.
ii. Thebasian valve It is present at the opening of coronary sinus which receives
deoxygenated blood from cardiac muscles.
iii. Atrioventricular valves In Lt. side there is Bicuspid (2flaps) valve between Lt. atrium
and Lt. ventricle. This is also known as Mitral valve. In between Rt. atrium and Rt.
ventricle there is a 3flapped Tricuspid valve. The flaps of both Bicuspid and Tricuspid
valve are attached to Papillary muscles through Chordae Tendinae. These prevent
reverting of the valves during contraction of ventricles.
Bicuspid is the only valve in mamalian heart which always remains in contact of the pure
(oxygentated) blood. All other type of valves come in contact of deoxygenated blood.
(The base of the anterior papillary muscles is connected to the interventricular septum by
a special band of cardiac muscles, called Moderator band.)
iv. Semilunar valves These are present at the base of aorta and each has three pockets which
are filled with blood to prevent its back flow to the ventricles.
precaval
LA
S.A. Node
Inter nodal
pathway
A.V.Node
Bundle of His
LV
Post caval
RV
Inter ventricular
septum
Purkinje (Purkyne) fibres
Heart Beat
Chamber
Systole
Diastole
Atrium
0.1 sec
0.7 sec
Ventricle
0.3 sec
0.5 sec
Stroke volume ~70 ml
It is the amount of blood pumped out from each ventricle per beat.
Cardiac output ~5 litre
It is the output of the heart per unit time (70 ml x 72 beats per min.)
Cardiac index ~ 3.2 litre / m2
It is Cardiac output per square meter of the body surface per min.
i.e. (5 lit. / 1.6 m2).
Factors affecting heart beat
Heart beat increases during excitement, eating, exercise, fever and pregnancy.
Heart beat decreases during sleep and shock.
Heart beat is more in males than in females.
Heart beat increases with the increase of altitude (Heart beat altitude).
The heart beat increases with the decrease of animal size (Heart beat 1/size). If elephant,
human and mouse are compared the heart beat will be highest in mouse and lowest in
elephant.
Heart beat 1/BP (except in exercises, in which both blood pressure (BP) and the rate of
heart beat, increase).
Control of Heart beat
(a) Chemical Control
(i) Adrenaline This hormone stimulates heart beat either directly or through
sympathetic nervous system.
(ii) Thyroxine This increases metabolic rate and hence heart beat.
(b) Nervous Control
Medulla oblongata has two regulatory centre
(i) Accelerator centre It functions through sympathetic nervous system (SNS) and
increases heart beat by the secretion of epinephrine or adrenaline.
(ii) Depressor centre It functions through parasympathetic nervous system (PSNS)
by the secretion of acetylcholine. It decreases heart beat.
Heart Sound
In each cardiac cycle, though the heart produces 4sounds but only 1st and 2nd sound can
be heard by Stethoscope. These sounds are described below:
1. 1st Sound
It sounds like LUBB.
It is of longer duration.
It is of lower frequency (low pitch).
It is louder (volume ).
When ? At the beginning of ventricular systole and coincides with the R wave of
ECG.
Why ? Mainly because of closing of Bicuspid and Tricuspid valves.
2. 2nd Sound
It sounds like DUP.
It is of shorter duration.
It is sharper (high frequency).
It is softer (low volume)
When ? At the end of ventricular systole and coincides with the T wave of ECG.
Why ? Because of closing of the semilunar valves of systemic aorta and pulmonary
aorta.
4
E.C.G. (E.K.G.)
The instrument which records electrical activity of the heart muscles is called
Electrocardiograph. The sketch obtained on the graph paper is called electrocardiogram (or
electrokardiogram).
The standard symbols used for ECG are PQRST, where P* represents atrial depolarisation;
QRS* complex represents ventricular depolarisation and T* represents ventricular
repolarisation. (P, R & T are deflection waves).
Atrial systole
(0.1 s)
R
Ventricular systole
(0.3 s) Joint Diastole
P
(0.4 s)
ST Interval
(0.32 s)
PR Interval
(0.18 s)
S
QRS
Interval
(0.08 s)
0.4
0.2
0.6
0.8sec
Average duration
0.18 sec (180 mili sec)
QRS
Event
Atrial depolarisation and conduction through
AV node
Ve n t r i c u l a r d e p o l a r i s a t i o n a n d a t r i a l
repolarisation
Ventricular repolarisation
ST
0.32 sec (320 ms)
Abnormality of ECG
1. In rheumatic heart disease (valves damaged) and arteriosclerotic heart desease (due to
formation of plaque or calcification) there is inflammation of atria and AV node, which
results in the lengthening of PR interval.
2. When heart muscles receive insufficient oxygen (lesser blood supply heart ischaemia),
the ST segment is depressed and T wave is flatenned.
3. In acute myocardial infarction the ST segment is elevated and Q & R waves are enlarged.
4. In case of hyperkalemia (K+) T wave is very tall and slender.
* P - wave occurs slightly before the onset of Atrial contraction (systole).
* QRS - waves (complex) begin slightly before the onset of ventricular systole.
* T-wave occurs slightly before the end of ventricular systole.
R
T
Q S
PQ or PR
T
S
ST
(2) ST segment depressed
(Heart ischaemia)
P
Q
T
Q
P
Q S
5
Heart Disorders
1.
Heart Ischaemia The blood supply to the heart muscles (myocardium) is reduced
(a) Angina pectoris Blood supply to the heart muscles is reduced because of narrowing
of the coronary artery. In such a case there is no problem in routine work but pain
develops during exercise or exertion.
(b) Myocardial infarction In this case the blood supply is totally blocked and the part
of heart tissue becomes dead. The death results mainly from fibrillation.
2. Heart Block In atrioventricular block there is delay between atrial and ventricular
systole. PR > 0.2 sec. In such a case AV node is either not stimulated or stimulation is
delayed. In bundle branch-block QRS > 0.1 sec.
(If atrial impulse suddenly fails to be transmitted to the ventricles, it is called Ventricular
escape or Adams syndrome).
3. Rheumatic Heart Disease It develops due to recurrence of rheumatic fever. The heart
valves are damaged due to formation of antibodies. It is an autoimmune disorder.
4. Persistent ductus arteriosus In foetus pulmonary aorta and systematic aorta are
connected by ductus arteriosus. At birth it degenerates. Rarely it persists and the blood
supply to systemic aorta is reduced which causes congestion in lungs.
5. Fibrillation - A rapid, irregular, abnormal, asynchronous and ineffective contraction
of cardiac muscles is called fibrillation. Atrial fibrillation may occur due to Rheumatic
heart disease and myocardial infarction. The ventricular fibrillation may be produced by
electrocution. If ventricular fibrillation lasts for more than a few minutes, it can be fatal. It
can be stopped by electric shocks or by electronic defibrillators. The latter can be implanted
in the persons of high risks.
Atherosclerosis It is the disorder of arteries (blood vessels) in which cholesterol (plaque)
is deposited.
Arteriosclerosis It is the hardening of arteries due to calcification in old age. The
elasticity of the vessles is reduced. This may also result from atherosclerosis.
Thrombosis It is the clotting of blood inside the blood vessels.
Enzymes
While going through the chapter pay special attention to the following
Definitions
1. Holoenzyme
4. Co-factor
2. Km value
Differences
1. Competitive and non- competitive inhibition
3. Exoenzymes and Endoenzymes
3. Immobilized enzyme
Terms
1. Feed back inhibition 2. Turn over number
3. Apoenzyme
Buchner, a German bio-chemist, discovered enzymes in yeast, and stated that living nature
of the cells is not essential for the enzymatic activity.
Kuhne coined the term enzyme (means in yeast).
J. Sumner isolated first enzyme (Urease) in pure crystalline form from Jack beans.
Properties of enzymes
Northrop discovered that all enzymes are proteins. However, RNA, can also act as enzyme,
called ribozyme.
Enzymes are oligodynamic, i.e. they are required in small amounts.
They are metabolic regulators.
They act as catalysts in biological reactions and are, therefore, called Biocatalysts.
Velocity
Velocity
They are pH specific, substrate specific and temperature specific. The optimum temperature
for enzymatic action is ~370C. At 00C the enzymes are inactivated while at 600C or above
most of the enzymes are denatured and their enzymatic activity is lost. (The optimum pH
for most of the enzymes is 7; but for Pepsin/Rennin and Alkaline phosphotase (in Kidney)
it is 2 and 10 respectively).
It must be remembered that pH is a log value and a change of 1 on pH scale will cause a
10 fold change in H+, while a change of 2 in pH will produce 100 fold change in H+).
They can not start a chemical reaction but can regulate the velocity of reaction.
They are reusable.
They can not change equilibrium point of a reversible reaction.
0C
37C
50C
Temp.
Fig. 9.11 : Effect of temperature on Enzyme velocity
pH
Effect of pH on Enzyme velocity
Important terms
(1) Proenzymes - They are inactive form of the enzymes, eg. Pepsinogen, Trypsinogen
(2) Isoenzymes - Two enzymes with similar structure and catalytic activity but differing
in some of their chemical properties, e.g. LDH (Lactic acid dehydrogenase or lactate
dehydrogenase) and Aldolases
LDH is of two types M type (in muscles), and H type (in heart). The LDH changes
lactic acid into pyruvic acid.
(3) Lysozymes - These are germicidal enzymes present in sebum, tears, milk and saliva etc.
They destroy bacteria by hydrolyzing their cell wall of polysaccharides .
(4) Exo-enzymes and endo-enzymes - The enzymes which work outside the cells (eg. digestive
enzymes) are exo-enzymes while the enzymes working inside the cells (eg. respiratory
enzymes) are called endo-enzymes.
(5) Holoenzymes - These enzymes are conjugated proteins. Their non-protein part is called
Co-factor.
The co-factor can be inorganic or organic in nature. The organic factor, if permanently
attached to the enzymes, is called Prosthetic group and if temporarily attached (only
during reaction), is called Co-enzyme :
Haem is a prosthetic group in catalases and peroxidases. NAD and NADP are coenzymes. FAD is co-enzyme in flavo-proteins or yellow enzymes.
Most of the co-enzymes are derivatives of vitamin B & C.
The protein part of holoenzymes is called Apo-enzyme
(6) Flavo proteins (Yellow enzymes) They are holoenzymes with co-factor of Riboflavin
(vitamin-B2)
(7) Immobilized enzymes - These enzymes are used in industries. They are protected from
the action of proteases by attaching them to a solid support or a jelly, or binding them with
a covalent bond, or incorporating them into artificial cells.
Turn over number The number of substrate molecules which can be catalyzed by a
single molecule of an enzyme in a unit time. A maximum turn over number (36-milion
mol. /minute) is of Carbonic anhydrase.
The turn over number depends upon the number of active sites.
Structure of enzymes
The enzymes are tertiary proteins.
Active site- It is a specific region in the structure of enzyme to which a substrate (reactant)
binds. The Active site has a specific type and number of amino acids. It is a small site and
covers nearly 5% of the total area in most of enzymes. In certain cases metal (co-factor) may
also participate in the formation of such sites.
Theories about enzymatic action
(i) Emil Fishers Lock and key hypothesis According to this theory the active site of
enzyme acts as a lock while substrate acts as a key. Fisher believed that active site is rigid
or non-flexible.
(ii) Koshlands Induced fit theory The active site, according to this theory, is flexible, i.e
a change can be induced by the substrate, in the configuration of the active site.
Enzymatic action
The energy required for a chemical reaction to proceed is called Activation energy.
The enzymes lower the activation energy. (Remember that enzymes cannot start the chemical
reaction)
With the increase in concentration of substrate the enzymatic velocity also increases. At
a certain value all the active site of the enzyme- molecules are saturated and the increase
in substrate concentration does not increase the velocity of the enzymatic reaction.
(The concentration of substrate at which the velocity of enzymatic action reaches half of
its maximum value, is called Km value or Michaelis constant).
Higher is the affinity of an enzyme for a substrate the lower is its Km value,
1
i.e. Km value
affinity
Vmax
Vmax
Velocity
B
C
Km
Substrate Cone (m.mol/lit.)
Effect of substrate concentration
on Enzyme velocity
D
Lowering of Activation Energy by enzyme
S - Substrate
P - Product
Fig. 9.12
8
Inhibition of enzymatic action
(1) By denaturation
If enzyme is heated to 600C or above the tertiary conformation of the enzyme (active
site) changes and the property of the enzyme is lost.
(2) By competitive inhibition
A chemical, similar in configuration to the substrate, competes for the active site of
the enzyme.
eg. Malonate (Malonic acid) competes with Succinate (Succinic acid) for the active
site of Succinate dehydrogenase. The malonate is here competitive inhibitor for the
synthesis of Fumarate (Fumaric acid) from succinic acid.
Succinate dehydrogenase
(Fumarate)
Glucose + ATP
9
(5)
Isomerases eg. Aldolases.
(6) Ligases (synthetases) eg. DNA and RNA ligases. (For synthesis of complex molecule
from the simpler ones.)
*Out of about 2,500 different enzymes named so far, the most abundant group is oxidoreductase. The correct order is 1>2 >4 >3 >6 >5.
Enzymes are named according to the classification designed by Enzyme Commission (EC)
of the IUPAC (International Union of pure and applied chemistry). This classification is
based on the type of reaction which they catalyze.
NUCLEIC ACIDS (DNA & RNA)
Nucleic Acid
Purines
Pyrimidines
DNA
RNA
1N
2
NH2
N7
O
N
N 4 N
9
3
Purine Ring
N
N
NH2
Adenine
Guanine
I. PURINES
NH2
4
3N
O
CH3
6
N
1
Pyrimidine Ring
Cytosine
N
Thymine
N
Uracil
Following are the important differences between DNA & RNA
DNA RNA
1. Double stranded
2. Sugar-Deoxyribose
2. Sugar-Ribose
4. Cytosines are equal to Guanines
4. Cytosines are not equal to Guanines
(being single stranded)
10
5
CH2OH
4
H H
3
OH
1
H OH
2
OH
Ribose (Sugar)
5
CH2OH
4
H H
3
H
1
H OH
2
OH
Deoxyribose (Sugar)
Nucleosides
i.
ii.
The combination of pentose sugar with nitrogenous bases (Purines or pyrimidines) is called
nucleoside.
Nucleosides of purines Adenine Adenosine
Guanine Guanosine
Neucleosides of pyrimidines
Cytosine Cytidine
Thymine ( in DNA ) Thymidine
Uracil (in RNA) Uridine
Nucleotides
i.
Neucleotides of purines -
ii.
Nucleotides of Pyrimidines
In case of Deoxyribose sugar (of DNA) the above names are preceded by d - , i.e.
Nucleic acids (DNA & RNA) are polymers of the nucleotides (Nucleoside monophosphate)
The nucleotides are acids and are negatively charged at neutral pH.
The carbons of pentose sugars are primed as 1 , 2 , 3 , to distinguish them from the
carbons of nitrogenous bases.
11
Connecting Concepts
ATP (Adenosine Triphosphate) is also a nucleotide. It contains 1-Adenine base,
1-Ribose sugar and 3-phosphate bonds. It is energy-rich compound, and is also called as
energy currency. Its II and III bonds are energy rich bonds, each releasing 31 kJ energy
per mol.
PO4
III
II
PO4
PO4
Adenine
1
3
Nucleotides are joined together by phosphodiester linkage between 5 and 3 carbon atoms
of pentose sugar. The chain of nuclic acid is abbreviated from 5 end to 3 end, in left to right
order.
A
O
3'
4'
1'
2'
C
O
4'
4'
G
3'
2'
1'
O
3'
3'
Sugar
5'
P
5'
2 nm
DNA double helical structure
5'
Sugar
3'
P
4'
4'
3'
5'
5'
5' end
O
3' end
P
3'
1 complete
turn with
10 base pairs
= 3.4 nm
5' 3'
5'
5'
2 Anti-parallel
strands
3'
Nitrogenous
bases
3'
Sugar
5'
5' 3'
Major
groove
5'
Sugar
3'
Sugarphosphate
back bone
5'
5'
4'
Minor
groove
3'
3'
Hydrogen bonds
5'
Representation in
short-form
Phosphodiester linkage; A Adenine (Purine); T Thymine (Pyrimidine); G Guanine (Purine); C Cytosine (Pyrimidine);
Fig. 9.10
Edwin Chargaff reported that net amount of adenine was equal to thymine (A = T) and
amount of Guanine was equal to cytosine ( G = C ). This means that total number of purines is
equal to the total number of pyrimidines (A + G = T + C ). As the base composition in DNA of
different species varies, the AT/CG ratio also varies from species to species.
AT/CG ratio = 1.52 in human and 0.93 in E .coli.
12
13
HORMONAL ACTION
Hormonal action affects metabolic changes in the target cells in three different ways
On the basis of types of receptors used, the hormones fall into three categories.
Insulin, glucagon, growth hormone and parathyroid hormones etc. are peptides
while Adrenaline (epinephrine) is a catecholamine.
Such hormones are insoluble in lipids/fats and can not enter through bilipid-plasma
membrane.
2. Steroid hormones
The examples of steroid hormones are estrogen, testosterone and corticoids like
aldosterone and cortisol etc.
These are fat soluble and can pass through bilipid layer of cell membrane to reach
the cytoplasm.
The receptors for such hormones are, therefore, present in cytoplasm (i.e.
intracellularily)
These hormone can also pass through plasma membrane as they are also fat-soluble.
14
A. Steroids and thyroid hormones
They readily pass through plasma membrane into the cytoplasm of target cells.
The binding of the complex alters the pattern of gene expression, by initiating or
suppressing the transcription of certain genes to produce specific types of mRNA.
The thyroid hormones directly affect transcription of the genes as their receptors are
present in the nucleus itself.
Disulphide
bond
-subunit
Receptor
Plasma
Membrane
-subunit
(A) Transmembrane or
Cross Membrane receptor
ATP
++
c AMP
(II-Messenger)
Degraded by Phosphodiesterase
(Enzyme)
Glycogen
Glycogen phosphorylase
Glucose 1-phosphate
Glucose
Plasma
(cell)
Membrane
Out side the cell
(B) Mechanism of Adrenaline Action
I.
The -subunits are extra cellular and bind with the hormone, whereas subunits
are present across the membrane. The intracellular portion of subunit has tyrosine
kinase activity.
In case of Adrenaline the binding of hormone triggers the tyrosine kinase activity of
subunits producing auto-phosphorylation.
15
In case of adrenaline following is the chain of enzymatic reactions :
(i) 1 mol of Adenyl cyclase produces 102 mols. of cAMP (cAMP activates protein
kinase A).
(ii) 1 mol. of protein kinase A activates 102 mols. of phosphorylase kinases.
(iii) 1 mol. of Phosphorylase kinase activates 102 mols. of Glycogen phosphorylases.
(iv) 1 mol. of Glycogen phosphorylase produces 102 mols. of glucose-1- phosphate,
which finally produce glucose.
From 1 mol. of adrenaline hormone the net-production of glucose mols., is
= (102 102 102 102) = 108 mols.
II. In case of insulin the stimulated receptor molecule activates several molecules of G-proteins,
found at the inner surface of the plasma membrane.
The IP3 is water soluble and enters into cytoplasm. There it stimulates endoplasmic
reticulum for the release of Ca++, the IIIrd messenger, which activates a chain of
reactions.
DG, another II-messenger, is insoluble in water and stays in plasma membrane. Here
it activates Protein Kinases C, which bring out many metabolic changes in the
cytoplasm.
The following compounds may act as IInd, and some even III-messengers, in hormonal
action :
(i) Cyclic Adenosine Monophosphate (cAMP)
(iii) Diacyl glycerol (DAG or DG)
(iv) Inositol triphosphate (ITP or IP3)
(v) Calcium (Ca++)
Heart muscles use 2-types of II-messengers. The cAMP is the II-messenger
for adrenaline and stimulates heart beat. The cGMP is the II-messenger for
acetylcholine and slows down the heart beat.