Medical Physiology

Physiology of Neurons

Neurons receive, combine, transform, store, and send information Neurons have arguably the most complex job of any cell in the body. Consequently, they have an elaborate morphology and physiology. Each neuron is an intricate computing device. A single neuron may…

The Neuronal Microenvironment

Extracellular fluid in the brain provides a highly regulated environment for central nervous system neurons Everything that surrounds individual neurons can be considered part of the neuronal microenvironment. Technically, therefore, the neuronal microenvironment includes the extracellular fluid (ECF), capillaries, glial…

Organization of the Nervous System

The human brain is the most complex tissue in the body. It mediates behavior ranging from simple movements and sensory perception to learning, memory, and consciousness. It is the organ of the mind and accounts for the human capacity for…

Cellular Physiology of Skeletal, Cardiac, and Smooth Muscle

The primary function of muscle is to generate force or movement in response to a physiological stimulus. The human body contains three fundamentally different types of muscle adapted to specialized functions. Skeletal muscle is responsible for the voluntary movement of…

Synaptic Transmission and the Neuromuscular Junction

The ionic gradients that cells maintain across their membranes provide a form of stored electrochemical energy that cells can use for electrical signaling. The combination of a resting membrane potential of −60 to −90 mV and a diverse array of voltage-gated…

Electrical Excitability and Action Potentials

Cellular communication in the nervous system is based on electrical and chemical signaling events that are mediated by ion channels. Certain types of cells, including neurons and myocytes, have a remarkable property called electrical excitability. In cells with this property,…

Electrophysiology of the Cell Membrane

Physics is concerned with the fundamental nature of matter and energy, whereas the goal of medical physiology is to understand the workings of living tissue. Despite their different perspectives, physics and physiology share common historical roots in the early investigations…

Transport of Solutes and Water

The cells of the human body live in a carefully regulated fluid environment. The fluid inside the cells, the intracellular fluid (ICF), occupies what is called the intracellular compartment, and the fluid outside the cells, the extracellular fluid (ECF), occupies…

Regulation of Gene Expression

In this chapter, we discuss general principles of gene structure and expression as well as mechanisms underlying the regulation of tissue-specific and inducible gene expression. We will see that proteins (transcription factors) control gene transcription by interacting with regulatory elements…

Signal Transduction

Even single-cell organisms must respond to environmental challenges, which necessitated the development of signal-transduction mechanisms. The evolution of multicellular organisms required the evolution of cell-to-cell communication within the organism to coordinate between cells activities ranging from the induction of embryonic…