Course program
1. Cell membranes and transmembrane transport of solutes and water.
Cellular compartments. Plasma membrane specialization: cell-cell and cell-environment relationships (junctions and channels); recognition of endogenous and exogenous materials (receptors). Membrane permeability: passive diffusion and fick's law. Osmosis and osmotic pressure. Osmolarity and tonicity. Osmotic properties of cells. Transmembrane transport mediated by proteins: facilitated transport, primary active transport, and secondary active transport. Structural and functional properties of ion channels. Transport across epithelia (8 hours).
2. Nervous system and physiology of excitable cells.
Electrical properties of cell membranes. Transmembrane potential. Gibbs-donnan equilibrium. Electrochemical equilibrium, nernst equation, goldman equation. General characteristics of excitable membranes. Passive electrical properties of membranes: capacitance, resistance, conductance. Ohm's law and current-clamp (current/voltage relationship). Electrotonic current and electrotonic potential. Ionic basis of action potential. Voltage-clamp technique. Self-regenerative properties of action potential. Propagation of action potential: cable theory. Passive propagation of electrical signals. Time constant. Space constant. Modes of action potential propagation in unmyelinated and myelinated fibers. Electrical synapses. Chemical synapses. Mechanism of neurotransmitter release: quantum nature of release, influence of depolarization and calcium. Post-synaptic ionotropic and metabotropic receptors. Neuromuscular junction. Nicotinic and muscarinic cholinergic synapses (12 hours).
3. Physiology of muscle movement.
Skeletal muscle. Mechanics of muscle contraction. Ultrastructural and molecular basis of contraction and excitation-contraction coupling. Active and passive components. Muscle contraction under isotonic and isometric conditions. Single twitch and tetanus. Force-length relationship of whole muscle and sarcomere. Modulation of contractile force. Muscle work and fatigue; muscle power. Muscle fibers and motor units. Molecular hypothesis of force generation (4 hours).
4. Simple nervous circuits.
Spinal reflex arc: stretch reflex and inverse stretch reflex. Autonomic reflex arc. Orthosympathetic and parasympathetic autonomic nervous system. Smooth muscle and its innervation (4 hours).
5. Physiology of the kidney: osmoregulation and excretion. General considerations. Homeostasis and osmoregulation.
Mammalian kidney: structure and vascularization. The nephron and its functions: glomerular filtration, tubular reabsorption, and tubular secretion. Tubular modifications of glomerular filtrate. Countercurrent exchange and multiplication, corticomedullary osmotic gradient. Reabsorption of salts and water in the distal tubule and collecting duct and their hormonal regulations (antidiuretic hormone, renin-angiotensin-aldosterone system, atrial natriuretic factor). Renal regulation of blood osmotic pressure and ph (8 hours).
6. Physiology of the heart and circulation.
General aspects. The heart: structure, electrical and contractile properties. Pacemaker potentials. Cardiac cycle: electrical, mechanical, and hydrodynamic manifestations. Cardiac output. Cardiac work, relationship between systolic contraction force and cardiac output (starling's law). Boyle's law and pressure-volume relationship. Nervous regulation of heart rate. Blood: general characteristics. Fluid dynamics: flow, flow rate, pressure, velocity, and resistance. Hemodynamics: blood viscosity, bernoulli's principle (relationship between velocity and pressure); steady laminar flow and poiseuille's law; turbulent flow and reynolds number; pulsatile flow and sphygmic wave. Systemic circulation: arteries, capillaries, veins. Flow and pressure in various districts and their regulation. Regulation of arterial pressure: baroreceptor and chemoreceptor reflexes (8 hours).
7. Physiology of respiration: gas exchange and acid-base balance.
Composition of air, partial pressure of gases. Gas laws. Mechanism of pulmonary ventilation (boyle's law), gas dynamics, airway resistance (poiseuille's law), gas exchange at alveolar level. Surface tension and laplace's law. Transport of oxygen and carbon dioxide in blood. Gas exchange at tissue level, oxygen consumption. Influence of po2, pco2, and ph on pulmonary ventilation. Buffer systems and blood ph regulation. Nervous control of respiration; respiratory centers and reflexes. Baroreceptors and chemoreceptors. Lung compliance and lung volumes, spirometry (6 hours).
8. Hormonal regulation.
Generalities on endocrine glands. Chemical nature of hormones. Steroid hormones and intracellular receptors. Hormones acting through membrane receptors and second messengers. Mechanisms of hormonal level regulation. Hormones regulating energy metabolism: thyroid hormones; pancreatic hormones and their role in blood glucose regulation (8 hours).
9. Nutrition, digestion, and absorption.
Feeding and energy. Generalities on the digestive system. Digestion of carbohydrates, lipids, and proteins. Gastrointestinal secretions: acids, bases, and digestive enzymes. Absorption mechanisms (6 hours).
Teaching laboratory sessions: didactic laboratories focus on the study of basic physiological principles, such as diffusion and osmotic pressure across cell membranes, cell tonicity in contact with solutions of different osmolarity and/or chemical composition, and determination of specific enzymatic activities within tissues. Additionally, in these sessions, students will become familiar with small laboratory instruments, such as balances, centrifuges, spectrophotometers, as well as the use of graduated and high-precision pipettes (12 hours).
Prerequisites
The course intends to provide the molecular and cellular basis of the cellular and integrated functioning of the different organs and systems of the human body.
For an easy approach to the subject, it is necessary to review the knowledge acquired in previous years of Physics (electricity, work and machines, dynamics of fluids and gases), Chemistry (gas laws, properties of solutions, osmotic pressure, pH), Cytology and Histology (cellular structure and function, main biochemical processes of the cell, anatomy of organs and systems).
The Physics exam is preparatory.
Books
- Fundamentals of General and Integrated Physiology
Edited by: V. Taglietti - Edises Publishing House
- Physiology
Edited by: E. D'angelo, A. Peres - Publishing house: edi-ermes
- Human Physiology - An integrated approach
Author: D.U. Silverthorn - Publisher: Pearson
If the last suggested text is chosen, points 3 and 4 of the program will have to be studied in depth on one of the other two texts. All texts are present in the Library of the “Charles Darwin” Department of Biology and Biotechnology and are available for consultation and/or short-term loans.
Lecture notes and supplementary readings will be available on the course page on Sapienza's e-learning website: https://elearning2.uniroma1.it
For an immediate update of the texts or teaching material distributed by the teacher, consult the course web page.
Teaching mode
The course includes lectures and sessions in the didactic laboratory.
Through lectures, students learn the fundamental knowledge of the discipline. The laboratory sessions will focus on the study of basic physiological principles such as diffusion and osmotic pressure across cell membranes, the tonicity of cells in contact with solutions characterized by different osmolarity and/or chemical composition, the determination of specific enzymatic activities. interior of fabrics. During the laboratory hours, students become familiar with small laboratory instruments (balances, centrifuges, spectrophotometer) and with the use of graduated and high-precision pipettes. This part of the teaching activity also allows the self-assessment of the level of learning achieved, through the prediction and understanding of the results obtained in the proposed experimental tests.
Frequency
The attendance is not mandatory, although it is strongly recommended for a more thorough and accurate understanding of the course.
Exam mode
The oral exam involves formulating general and specific questions that cover various topics discussed during the course. The assessment of preparation is based not only on the accuracy and correctness of the answer but also on language proficiency and the student's ability to make functional connections between different systems and apparatuses.
Lesson mode
The course consists of frontal lessons, each lasting two hours (8 CFU), supplemented by one CFU of laboratory exercises.
Teaching will be carried out with face-to-face lectures. The presentation of the topics will be supported by the projection of explanatory slides. The slides of the lessons, as well as any didactic material that the teacher deems useful to provide for individual study, will be made available to students on the Moodle platform.
There are typically three exercises, usually conducted after the Christmas break, focusing on topics covered during the lecture course. Students will be provided in advance with illustrative handouts for each exercise topic (to allow for review) as well as the experimental protocol they will need to execute.