Glossary of Physiology Terms

Action potential

The action potential is a rapid and reversible reversal of the electrical potential difference across the plasma membrane of excitable cells such as neurons, muscle cells and some endocrine cells. In a neuronal action potential, the membrane potential rapidly changes from its resting level of approximately -70 mV to around +50 mV and, subsequently, rapidly returns to the resting level again. The neuronal action potential forms an important basis for information processing, propagation, and transmission. In muscle cells, the action potential precedes, and is necessary to bring about, muscle contraction. Some endocrine cells also exhibit action potentials, where the excitation leads to hormone secretion.

The action potential is also referred to as the electrical impulse or nervous impulse.

Graded potential

Neuronal Action Potential

Cotransport

A type of secondary active transport across a biological membrane in which a transport protein couples the movement of an ion (usually Na⁺ or H⁺) down its electrochemical gradient to the movement of another ion or molecule against a concentration or electrochemical gradient. The ion moving down its electrochemical gradient is referred to as the driving ion. The ion/molecule being transported against a chemical or electrochemical gradient is referred to as the driven ion/molecule.

In cotransport, the direction of transport is the same for both the driving ion and driven ion/molecule (into the cell or out of the cell).

An example is the Na⁺/glucose cotransporter (SGLT), which couples the movement of Na⁺ into the cell down its electrochemical gradient to the movement of glucose into the cell against its concentration gradient.

Cotransport is also commonly referred to as symport.

Transport proteins that are involved in this type of transport are referred to as cotransporters or symporters.

Symport

Secondary active transport
Exchange

Lecture notes on Secondary Active Transport

Exchange

A type of secondary active transport across a biological membrane in which a transport protein couples the movement of an ion (usually Na⁺ or H⁺) down its electrochemical gradient to the movement of another ion or molecule against a concentration or electrochemical gradient. The ion moving down its electrochemical gradient is referred to as the driving ion. The ion/molecule being transported against a chemical or electrochemical gradient is referred to as the driven ion/molecule.

In exchange, the driving ion and the driven ion/molecule are transported across the biological membrane in opposite directions.

An example is the Na⁺/Ca²⁺ exchanger (NCX), which couples the movement of 3 Na⁺ ions into the cell down its electrochemical gradient to the movement of 1 Ca²⁺ ion out of the cell against its electrochemical gradient.

Exchange is also commonly referred to as antiport.

Transport proteins that are involved in this type of transport are referred to as exchangers or antiporters.

Antiport

Secondary active transport
Cotransport

Lecture notes on Secondary Active Transport

Hashimoto's disease

A type of primary hypothyroidism, Hashimoto's disease is an autoimmune disorder, in which anti-thyroid antibodies destroy the ability of the thyroid gland to produce the thyroid hormones. Antibodies against thyroid peroxidase (TPO) and thyroglobulin (Tg) are often seen in this disorder.

Hashimoto's disease is also known as Hashimoto's thyroiditis.

Hypothyroidism
Primary hypothyroidism

Hypothyroidism

Hypothyroidism refers to a pathophysiological condition in which the thyroid gland does not produce sufficient amounts of the thyroid hormones (underactive thyroid), leading to abnormally low levels of the thyroid hormones (T₃ and T₄).

The symptoms of hypothyroidism may include reduced metabolic rate, chronic fatigue, weight gain, myxedema, and depression.

Three main forms of hypothyroidism exist: (1) Primary hypothyroidism, (2) Secondary hypothyroidism, and (3) Tertiary hypothyroidism.

In primary hypothyroidism, the thyroid gland itself is incapable of producing normal levels of the thyroid hormones.

Secondary hypothyroidism is caused by low levels of thyroid stimulating hormone (TSH). TSH, produced by the anterior pituitary gland, is required to stimulate the thyroid gland to produce the thyroid hormones.

Tertiary hypothyroidism is caused by low levels of thyrotropin releasing hormone (TRH). TRH, produced by the hypothalamus, is required to stimulate the anterior pituitary gland to produce TSH which, in turn, is required to stimulate the thyroid gland to produce the thyroid hormones.

Primary hypothyroidism
Secondary hypothyroidism
Tertiary hypothyroidism

Hyperthyroidism
Euthyroidism

Iodide trap

Refers to the ability of the thyroid gland to accumulate iodide (I⁻) against a steep electrochemical gradient. While the iodide concentration in plasma and interstitial fluid is approximately 300 nL, iodide concentration in the cytoplasm of thyroid follicular cells, as well as the lumen of thyroid follicles can be many folds higher. The protein that enables iodide transport into the thyroid gland against an electrochemical gradient is the Na⁺/iodide symporter (NIS), which is located in the basolateral membrane of thyroid follicular cells. Within the lumen of thyroid follicles, iodide is incorporated into the tyrosine residues of thyroglobulin during thyroid hormone biosynthesis, hence, allowing very high iodide concentrations in the colloid.

Secondary active transport

Secondary active transport is a type of active transport across a biological membrane in which a transport protein couples the movement of an ion (typically Na⁺ or H⁺) down its electrochemical gradient to the movement of another ion or molecule against a concentration or electrochemical gradient. The ion moving down its electrochemical gradient is referred to as the driving ion. The ion/molecule being transported against a chemical or electrochemical gradient is referred to as the driven ion/molecule.

This transport process is referred to as active transport because the driven ion/molecule is transported against a concentration or electrochemical gradient. It is referred to as secondary active transport because no ATP hydrolysis is involved in this process (as opposed to primary active transport). The energy required to drive transport resides in the transmembrane electrochemical gradient of the driving ion.

Secondary active transport is also referred to as ion-coupled transport. Those utilizing Na⁺ as the driving ion are called Na⁺-coupled transporters. Those utilizing H⁺ as the driving ion are called H⁺-coupled transporters.

Two types of secondary active transport exist: cotransport (also known as symport) and exchange (also known as antiport). Na⁺/glucose cotransporter and H⁺/dipeptide cotransporter are examples of cotransporters. Na⁺/Ca²⁺ exchanger and Na⁺/H⁺ exchanger are examples of exchangers.

Cotransport
Symport
Exchange
Antiport

Lecture notes on Secondary Active Transport