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Pathology: Epinephrine
Pathology: Epinephrine
of granules of the chromaffin cells. This may occur via the catecholamine-
H+ exchanger VMAT1. VMAT1 is also responsible for transporting newly synthesized
adrenaline from the cytosol back into chromaffin granules in preparation for release.[46]
In liver cells, adrenaline binds to the β adrenergic receptor, which changes conformation and
helps Gs, a G protein, exchange GDP to GTP. This trimeric G protein dissociates to Gs alpha
and Gs beta/gamma subunits. Gs alpha binds to adenyl cyclase, thus converting ATP into
cyclic AMP. Cyclic AMP binds to the regulatory subunit of protein kinase A: Protein kinase A
phosphorylates phosphorylase kinase. Meanwhile, Gs beta/gamma binds to the calcium
channel and allows calcium ions to enter the cytoplasm. Calcium ions bind to calmodulin
proteins, a protein present in all eukaryotic cells, which then binds to phosphorylase kinase
and finishes its activation. Phosphorylase kinase phosphorylates glycogen phosphorylase,
which then phosphorylates glycogen and converts it to glucose-6-phosphate.[citation needed]
Pathology[edit]
Increased epinephrine secretion is observed in pheochromocytoma, hypoglycemia,
myocardial infarction and to a lesser degree in benign essential familial tremor. A general
increase in sympathetic neural activity is usually accompanied by increased adrenaline
secretion, but there is selectivity during hypoxia and hypoglycaemia, when the ratio of
adrenaline to noradrenaline is considerably increased.[47][48][49] Therefore, there must be some
autonomy of the adrenal medulla from the rest of the sympathetic system.
Myocardial infarction is associated with high levels of circulating epinephrine and
norepinephrine, particularly in cardiogenic shock.[50][51]
Benign familial tremor (BFT) is responsive to peripheral β adrenergic blockers and β2-
stimulation is known to cause tremor. Patients with BFT were found to have increased
plasma epinephrine, but not norepinephrine.[52][53]
Low, or absent, concentrations of epinephrine can be seen in autonomic neuropathy or
following adrenalectomy. Failure of the adrenal cortex, as with Addisons disease, can
suppress epinephrine secretion as the activity of the synthesing
enzyme, phenylethanolamine-N-methyltransferase, depends on the high concentration of
cortisol that drains from the cortex to the medulla.[54][55][56]
Terminology[edit]
Epinephrine is the pharmaceutical's United States Adopted Name and International
Nonproprietary Name, though the name adrenaline is frequently used. The
term epinephrine was coined by the pharmacologist John Abel (from the Greek for "on top of
the kidneys"), who used the name to describe the extracts he prepared from the adrenal
glands as early as 1897.[57] In 1901, Jokichi Takamine patented a purified adrenal extract,
and called it "adrenalin" (from the Latin for "on top of the kidneys"), which
was trademarked by Parke, Davis & Co in the U.S.[57] In the belief that Abel's extract was the
same as Takamine's, a belief since disputed, epinephrine became[when?] the generic name in
the U.S.[57] The British Approved Name and European Pharmacopoeia term for this drug is
adrenaline and is indeed now one of the few differences between the INN and BAN systems
of names.[58]
Among American health professionals and scientists, the term epinephrine is used
over adrenaline. However, pharmaceuticals that mimic the effects of epinephrine are often
called adrenergics, and receptors for epinephrine are called adrenergic receptors or
adrenoceptors.
Emotional response[edit]
Every emotional response has a behavioral component, an autonomic component, and a
hormonal component. The hormonal component includes the release of epinephrine, an
adrenomedullary response that occurs in response to stress and that is controlled by
the sympathetic nervous system. The major emotion studied in relation to epinephrine is
fear. In an experiment, subjects who were injected with epinephrine expressed more
negative and fewer positive facial expressions to fear films compared to a control group.
These subjects also reported a more intense fear from the films and greater mean intensity
of negative memories than control subjects.[41] The findings from this study demonstrate that
there are learned associations between negative feelings and levels of epinephrine. Overall,
the greater amount of epinephrine is positively correlated with an arousal state of negative
feelings. These findings can be an effect in part that epinephrine elicits physiological
sympathetic responses including an increased heart rate and knee shaking, which can be
attributed to the feeling of fear regardless of the actual level of fear elicited from the video.
Although studies have found a definite relation between epinephrine and fear, other
emotions have not had such results. In the same study, subjects did not express a greater
amusement to an amusement film nor greater anger to an anger film.[41] Similar findings were
also supported in a study that involved rodent subjects that either were able or unable to
produce epinephrine. Findings support the idea that epinephrine does have a role in
facilitating the encoding of emotionally arousing events, contributing to higher levels of
arousal due to fear.[42]
Memory[edit]
It has been found that adrenergic hormones, such as epinephrine, can produce retrograde
enhancement of long-term memory in humans. The release of epinephrine due to
emotionally stressful events, which is endogenous epinephrine, can modulate memory
consolidation of the events, ensuring memory strength that is proportional to memory
importance. Post-learning epinephrine activity also interacts with the degree of arousal
associated with the initial coding.[43] There is evidence that suggests epinephrine does have a
role in long-term stress adaptation and emotional memory encoding specifically. Epinephrine
may also play a role in elevating arousal and fear memory under particular pathological
conditions including post-traumatic stress disorder.[42] Overall, "Extensive evidence indicates
that epinephrine (EPI) modulates memory consolidation for emotionally arousing tasks in
animals and human subjects.”[44] Studies have also found that recognition memory involving
epinephrine depends on a mechanism that depends on β adrenoceptors.[44]Epinephrine does
not readily cross the blood–brain barrier, so its effects on memory consolidation are at least
partly initiated by β adrenoceptors in the periphery. Studies have found that sotalol, a β
adrenoceptor antagonist that also does not readily enter the brain, blocks the enhancing
effects of peripherally administered epinephrine on memory.[45] These findings suggest that β
adrenoceptors are necessary for epinephrine to have an effect on memory consolidation.
LIDOCAINE
Proprietary Name
HYDROCHLORIDE AND EPINEPHRINE
6. Metabolická paměť
je jiný termín pro dlouhodobou paměť (její podstatou je metabolismus bílkovin)
je přetrvávání poškození buněk u diabetu i po normalizaci glykemie
je pojem z evoluční biologie označující funkci starých proteinových domén v
enzymech spojených s evolučně mladými metabolickými cestami
je souhrnný pojem pro imunologickou paměť a další podobné formy v protikladu
k paměti v běžném slova smyslu
7. Karnitin
je bílkovina s klíčovým významem pro endocytózu
je látka, která se ve formě fosfátu podílí na energetickém metabolismu svalových
buněk
je látka, která ve formě acylkarnitinu usnadňuje transport mastných kyselin přes
vnitřní mitochondrální membránu
odpadní dusíkatá látka využívaná pro měření glomerulární filtrace, její zvýšená
hladina v plasmě však sama upozorňuje na renální insuficienci (i bez měření
GFR)
Všeobecně používaným kritériem nadváhy a obezity je index tělesné hmotnosti - BMI. Jeho
výhody a nevýhody jsou všeobecně známé, výhodou je snadný výpočet (stačí obyčejná
kalkulačka) a zejména fakt, že vztah mezi BMI a zdravotními důsledky obezity je
ověřen mnoha velmi dobře provedenými vědeckými studiem. Nevýhodou pak je například
skutečnost, že BMI nedokáže odlišit, do jaké míry se na tělesné hmotnosti podílí tuk a do jaké
třeba svaly - stokilový kulturista s výškou 180 cm má stejné BMI jako stejně vysoký a stejně
těžký tlouštík.
Rozdíl mezi oběma přitom poznáme bez velkého měření a vážení. Je to tím, že intuitivně
sledujeme objem břicha a objem horní poloviny těla. Medicína proto paralelně s BMI používá
jako další kritérium nadváhy také obvod pasu, který se navíc ukázal jako mimořádně vhodné
kritérium tzv. metabolického syndromu (podrobněji zde). Je totiž známo, nejen celkové
množství tělesného tuku, ale také jeho rozložení v těle, ovlivňuje zdravotní rizika.
Nejnebezpečnější je přitom tuk v krajině břciha (a spolu s ním tzv. viscerální tuk - podrobněji
zde), jehož zvýšené množství se označuje jako centrální obezita, která je právě spojena s
metabolickým syndromem.
Kritéria pro obvod tuku se přitom značně liší mezi Evropou a Severní Amerikou. Zatímco
European Group for the Study of Insulin Resistance považuje za hranici centrální
obezity obvod pasu 94 cm u mužů a 80 cm u žen, americké instituce v čele s American
Heart Association uvádějí jak hraniční hodnoty 102 cm u mužů a 88 cm u žen.
Již dlouho bylo zřejmé, že by bylo vhodné vytvořit kritérium, které by dokázalo kombinovat
výhody BMI i obvodu pasu, dlouho šlo však jen o formální hru se zlomky a mocninami bez
experimentálního ověření. V červenci letošního roku vyšla v internetovém lékařském
časopise PLoS ONE práce týmu vedeného Dr. Nirem Krakauerem ze City College of New York,
ve které autoři analyzovali data získaná od více než 14 000 dospělých osob (součást National
Health and Nutrition Examination Survey). Na základě této analýzy navrhli nový index, který
nazvali nazvali ABSI - A Body Shape Index, tedy Index tvaru těla.
Seçilim Mekanizmaları
1) Doğal Seçilim
Doğal Seçilim, bir popülasyon dahilindeki genetik ve fenotipik varyasyon (çeşitlilik)
içerisinde, yaşanılan ortama (habitata) en çok uyum sağlayabilme potansiyeline sahip
canlıların potansiyel olarak var olması ve bunların, değişen ortam koşulları dahilinde aktif
olarak bu ortamlara uyum sağlamaları sonucunda, fenotipik yapısından dolayı habitata uyum
sağlayamayanlara göre yaşam mücadelesinde daha başarılı olabilmeleri ve bunun sonucunda
daha fazla ve kolay üreyerek kendilerindeki göreceli "avantaj" sağlayan genleri yavrularına
aktarma şanslarını arttırmalarına bağlı olarak popülasyonların sürekli olarak daha uyum
sağlayan bireylerin bulunduğu bir yapıya doğru evrimleşmesini sağlayan mekanizmadır.
Evrimle ilgili halk arasında yazılan, çizilen, söylenen şeylerin ezici çoğunluğu herhangi
bir bilimsel temele dayanmıyor. Daha önemlisi, evrimin mekanizmalarının
sistematiğinden bihaber kimseler, evrimle ilgili "eleştiri" ve "yanlışlamalarını" medya
organları aracılığıyla halka ulaştırıyorlar. Buna karşılık, bilim camiası halka gerçekleri
yeterince hızlı ve etkili bir şekilde taşıyamıyor. Bu durumda, evrimin temellerine dair
bilgisizlik, bu bilgisizlikten nemalanmak isteyen gerici ve bilim düşmanlarının etkili
araçlarıyla birleştiğinde, giderek artan bir cehalet ortaya çıkıyor. İşte bu yazı dizisi, tüm
insanlarımızın evrimin temelleri konusundaki bilgi ve donanım düzeyini arttırmaları ve
internette görebilecekleri hatalı bilgileri kendi başlarına tespit edebilmeleri için yazıldı.
Evrimin temel mekanizmalarını bilen birinin, evrim karşıtı propagandalara
kanmayacağını düşünüyoruz. Bu nedenle bu yazı dizimizin okunması ve anlaşılmasının
çok önemli olduğu kanısındayız.