A logarithmic term that is used to express hydrogen (H+) concentration
The H+ concentration of body fluids is very low (e.g., 40 × 10−9 Eq/L in arterial blood), so it is more conveniently expressed as a logarithmic term, pH
pH
The negative sign means that pH decreases as the concentration of H+ increases, and pH increases as the concentration of H+ decreases
Interstitial fluid
The fluid that actually bathes the cells and is the larger of the two subcompartments of extracellular fluid
Interstitial fluid is an ultrafiltrate of plasma, formed by filtration processes across the capillary wall
Because the capillary wall is virtually impermeable to large molecules such as plasma proteins, interstitial fluid contains little, if any, protein
The composition of the body fluids is not uniform. Intracellular fluid (ICF) and extracellular fluid (ECF) have vastly different concentrations of various solutes
Mole
6 × 10^23 molecules of a substance
Millimole
1/1000 or 10^-3 moles
Equivalent
The amount of charged (ionized) solute, equal to the number of moles of the solute multiplied by its valence
One mole of potassium chloride (KCl) in solution dissociates into one equivalent of potassium (K+) and one equivalent of chloride (Cl-)
Each body fluid compartment must obey the principle of macroscopic electroneutrality; that is, each compartment must have the same concentration, in mEq/L, of positive charges (cations) as of negative charges (anions)
Major cations and anions in extracellular fluid (ECF) and intracellular fluid (ICF)
ECF: Na+, Cl-, HCO3-
ICF: K+, Mg2+, proteins, organic phosphates
Typically, ICF has a very low concentration of ionized Ca2+ (≈10−7 mol/L), whereas the Ca2+ concentration in ECF is higher by approximately four orders of magnitude
ICF is more acidic (has a lower pH) than ECF
The total solute concentration (osmolarity) is the same in ICF and ECF
Phospholipids
Consist of a phosphorylated glycerol backbone ("head") and two fatty acid "tails"
Phospholipid molecules
Have both hydrophilic and hydrophobic properties and are called amphipathic
Phospholipid orientation in cell membranes
The lipid-soluble fatty acid tails face each other and the water-soluble glycerol heads point away from each other, dissolving in the aqueous solutions of the ICF or ECF, creating a lipid bilayer
Integral membrane proteins
Embedded in, and anchored to, the cell membrane by hydrophobic interactions
Transmembrane proteins
Integral proteins that span the lipid bilayer one or more times, in contact with both ECF and ICF
Peripheral membrane proteins
Not embedded in the membrane and not covalently bound to cell membrane components, but loosely attached by electrostatic interactions
Examples of integral membrane proteins
Ligand-binding receptors
Transport proteins
Pores
Ion channels
Cell adhesion molecules
GTP-binding proteins
Diffusion
Transport of substances down an electrochemical gradient, requiring no input of metabolic energy
Facilitated diffusion
Diffusion of substances down an electrochemical gradient, using transport proteins
Active transport
Transport of substances against an electrochemical gradient, requiring input of metabolic energy
Types of active transport
Primary active transport
Secondary active transport
The exclusion of proteins from interstitial fluid has secondary consequences, causing a redistribution of small, permeant cations and anions across the capillary wall, called a Gibbs-Donnan equilibrium
Gibbs-Donnan ratio
The ratio of the concentration of a small, permeant ion in plasmacompared to interstitial fluid
Generally, the minor differences in concentration for small cations and anions between plasma and interstitial fluid are ignored
Transmembrane proteins
Proteins in contact with both extracellular fluid (ECF) and intracellular fluid (ICF)
Types of membrane transport
Simple diffusion
Facilitated diffusion
Primary active transport
Cotransport (secondary active)
Countertransport (secondary active)
Saturation
Carrier proteins have a limited number of binding sites for the solute
Stereospecificity
Binding sites for solute on the transport proteins are stereospecific
Competition
Binding sites may recognize, bind, and transport chemically related solutes
Simple diffusion
1. Random thermal motion of molecules
2. Net diffusion from high to low concentration
3. Continues until concentrations are equal
Factors affecting rate of simple diffusion
Concentration gradient
Partition coefficient
Diffusion coefficient
Membrane thickness
Surface area
Permeability
Combines partition coefficient, diffusion coefficient, and membrane thickness into a single term
Diffusion of electrolytes is affected by potential differences across the membrane
Facilitated diffusion
Carrier-mediated transport down an electrochemical gradient, no metabolic energy required