The document defines and discusses the extracellular matrix (ECM). It notes that the ECM provides structural and biochemical support to surrounding cells and includes interstitial matrix and basement membrane. The ECM is composed of proteoglycans, non-proteoglycan polysaccharides, fibres, and other components that form an interlocking mesh. The ECM serves functions like tissue growth and healing, cell culture support, and injury repair.
Extra cellular matrix is recently being explored in connection with cancer , metastases and autoimmune disorders. It is prepared for the benefit of both UG and PG medical and dental students.
Extra cellular matrix is recently being explored in connection with cancer , metastases and autoimmune disorders. It is prepared for the benefit of both UG and PG medical and dental students.
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DIFFUSION BASED AND VASCULAR CONSTRUCTS, TRANSPORT OF NUTRIENTS AND METABOLITES Vijay Raj Yanamala
he biggest challenge in the field of tissue engineering remains mass transfer
limitations. This is the limiting factor in the size of any tissue construct grown in vitro.
Within the body, most cells are found no more than 100–200mm from the nearest
capillary, with this spacing providing sufficient diffusion of oxygen, nutrients, and waste
products to support and maintain viable tissue. Likewise, when tissues grown in the
laboratory are implanted into the body, this diffusion limitation allows only cells within
100–200mm from the nearest capillary to survive.
Thus, it is critical that a tissue be pre-vascularized before implantation with proper
consideration given to the cell and tissue type, oxygen and nutrient diffusion rates, overall
construct size, and integration with host vasculature. In the laboratory, limited diffusion
of oxygen is the primary reason that construction of tissues greater than a few hundred
microns in thickness is currently not practicable.
Approaches to address this problem generally fall into six major categories:
scaffold functionalization,
cell-based techniques,
bioreactor designs,
(d)microelectromechanical systems(MEMS)–related approaches,
modular assembly,
in vivo systems
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CONNECTIVE TISSUE
● The different types of connective tissue maintain the form of organs throughout the body.
● They provide a matrix that supports and physically connects other cells together in organs.
● The interstitial fluid of connective tissue gives metabolic support to cells as the medium for diffusion of nutrients and waste products.
● In contrast to other tissue types which consist mainly of cells, the major constituent of connective tissue is the extracellular matrix (EMC).
● Extracellular matrices consist of different combinations of protein (collagen and elastic fibers) and ground substances.
● Ground substance is a complex of anionic, hydrophilic proteoglycans, glycosaminoglycans (GAGs), and multiadhesive proteins (laminin, fibronectin, and others).
● The hydrated nature of connective tissue ground substance provides the medium for exchange of nutrients and metabolic wastes between cells and the blood supply.
● The variety of CT types in the body reflects differences in composition and amount of cells, fibers, and ground substance which together are responsible for the remarkable structural, functional, and pathological diversity of CT.
● Connective tissue originates from embryonic mesenchyme, a tissue developing mainly from the middle layer of the embryo, the mesoderm.
● Mesenchymal cells are undifferentiated and have large nuclei, with prominent nucleoli and fine chromatin. They are often said to be spindle-shaped with their scant cytoplasm extended as two or more thin cytoplasmic processes.
CELLS OF THE CONNECTIVE TISSUE
● Fibroblasts (originate from mesenchymal cells)
- the most common cells in the connective tissue
- produce and maintain most of the tissues’ extracellular components
- these cells synthesize and secrete collagen (the most abundant protein of the body) and elastin which form large fibers
- fibroblasts are also targets of many families of proteins called growth factors that influence cell growth and differentiation
- fibroblast wound healing- myofibroblasts
● Adipocytes
- are found in CT of many organs
- are large, mesenchymal derived cells are specialized for cytoplasmic storage of lipid as neutral fats, or less commonly for the production of heat
- large deposits of fat in the cells of adipose connective tissue also serve to cushion and insulate the skin and other organs.
● Macrophages and the Mononuclear Phagocytic System
- Macrophages are characterized by their well-developed phagocytic ability and specialized turnover of protein fibers and removal of dead cells, tissue debris, or other particulate material.
- Are present in the connective tissue of most organs and are often referred to by pathologists as “histiocytes¬”.
- macrophages derive from BM precursor cells that divide, producing monocytes that circulate in the blood. These cells cross the epithelial wall of venules to penetrate CT, where they differentiate further, mature, and acquire the morphologic features of phagocytic cells.
Communication between cells and their environment.pptxArunPatel134845
This is a ppt about cells communicate to each other and their environment .This ppt includes basically cell adhesion molecules(CAMs) and Extracellular matrix(ECM)
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Antimicrobial stewardship to prevent antimicrobial resistanceGovindRankawat1
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
4. DEFINITION
ECM is a collection of extracellular components
secreted by cells that provides structural &
biochemical support to the surrounding cells
It mainly includes interstitial matrix & the basement
membrane
The interstitial matrix contains gels of
polysaccharides & fibrous proteins
Basement membranes are sheet-like depositions
of ECM on which various epithelial cells rest.
4
5. ROLE & IMPORTANCE
ECM can serve many functions, such as providing
support, segregating tissues from one another, and
regulating intercellular communication
In addition, it sequesters a wide range of cellular growth
factors and acts as a local store for them. Changes in
physiological conditions can trigger protease activities
that cause local release of such store
5
6. MOLECULAR COMPONENTS
Components of the ECM are produced
intracellularly by resident cells and secreted into the
ECM via exocytosis. Once secreted, they then
aggregate with the existing matrix. The ECM is
composed of an interlocking mesh of
fibrous proteins and glycosaminoglycans (GAGs).
6
7. PROTEOGLYCANS
Glycosamines are carbohydrate polymers usually
attached to extracellular matrix proteins to
form proteoglycans(hyaluronic acid is a notable
exception)
Proteoglycans have a net negative charge that
attracts positively charged sodium ions (Na+), which
attracts water molecules via osmosis, keeping the
ECM and resident cells hydrated. Proteoglycans
may also help to trap and store growth
factors within the ECM.
7
9. TYPES OF PROTEOGLYCANS
Heparin sulfate:Heparan sulfate (HS) is a
linear polysaccharide found in all animal tissues. It
occurs as a proteoglycan (PG) in which two or three
HS chains are attached in close proximity to cell
surface or ECM proteins.[ It is in this form that HS
binds to a variety of protein ligands and regulates a
wide variety of biological activities,
including developmental
processes,angiogenesis, blood coagulation, and
tumour metastasis.
9
11. Chondrotoin sulfates: Chondroitin sulfate is a
sulfated glycosaminoglycan (GAG) composed of a
chain of alternating sugars (N-acetylgalactosamine
and glucuronic acid). It is usually found attached to
proteins as part of a proteoglycan
chondrotoin sulfates contribute to the tensile
strength of cartilage, tendons, ligaments, and walls
of the aorta. They have also been known to
affect neuroplasticity.
11
13. Keratan sulfate: Keratan sulfate (KS), also called
keratosulfate, is any of several sulfated
glycosaminoglycans (structural carbohydrates) that
have been found especially in the cornea, cartilage,
and bone
Keratan sulfates have a variable sulfate content
and, unlike many other GAGs, do not contain uronic
acid. They are present in the cornea,
cartilage, bones, and the horns of animals.
13
15. NON-PROTEOGLYCAN POLYSACCHARIDE
Hyaluronic acid
Hyaluronic acid (or "hyaluronan") is
a polysaccharide consisting of alternating residues of D-
glucuronic acid and N-acetylglucosamine, and unlike other
GAGs, is not found as a proteoglycan. Hyaluronic acid in the
extracellular space confers upon tissues the ability to resist
compression by providing a counteracting turgor (swelling)
force by absorbing significant amounts of water. Hyaluronic
acid is thus found in abundance in the ECM of load-bearing
joints. It is also a chief component of the interstitial gel.
Hyaluronic acid is found on the inner surface of the cell
membrane and is translocated out of the cell during
biosynthesis.[16]
Hyaluronic acid acts as an environmental cue that regulates
cell behavior during embryonic development, healing
processes, inflammation, and tumor development. It interacts
with a specific transmembrane receptor
15
17. FIBRES
Collagen
Collagens are the most abundant protein in the
ECM. In fact, collagen is the most abundant protein
in the human body[18][19]and accounts for 90% of
bone matrix protein content.[20] Collagens are
present in the ECM as fibrillar proteins and give
structural support to resident cells. Collagen is
exocytosed in precursor form (procollagen), which
is then cleaved by procollagen proteases to allow
extracellular assembly. Disorders such as Ehlers
Danlos Syndrome, osteogenesis imperfecta,
and epidermolysis bullosa are linked with genetic
defects in collagen-encoding genes. 17
18. The collagen can be divided into several families
according to the types of structure they form:
Fibrillar (Type I, II, III, V, XI)
Facit (Type IX, XII, XIV)
Short chain (Type VIII, X)
Basement membrane (Type IV)
Other (Type VI, VII, XIII)
18
20. Elastin:Elastins, in contrast to collagens, give elasticity
to tissues, allowing them to stretch when needed and
then return to their original state. This is useful in blood
vessels, the lungs, in skin, and the ligamentum nuchae,
and these tissues contain high amounts of elastins.
Elastins are synthesized by fibroblasts and smooth
muscle cells. Elastins are highly insoluble,
andtropoelastins are secreted inside a chaperone
molecule, which releases the precursor molecule upon
contact with a fiber of mature elastin. Tropoelastins are
then deaminated to become incorporated into the elastin
strand. Disorders such as cutis laxa and Williams
syndrome are associated with deficient or absent elastin
fibers in the ECM
20
22. Fibronectin
Fibronectins are glycoproteins that connect cells with
collagen fibers in the ECM, allowing cells to move
through the ECM. Fibronectins bind collagen and cell-
surface integrins, causing a reorganization of the
cell's cytoskeleton and facilitating cell movement.
Fibronectins are secreted by cells in an unfolded,
inactive form. Binding to integrins unfolds fibronectin
molecules, allowing them to form dimers so that they
can function properly. Fibronectins also help at the site
of tissue injury by binding to platelets during blood
clotting and facilitating cell movement to the affected
area during wound healing.
22
24. Laminin
Laminins are proteins found in the basal laminae of
virtually all animals. Rather than forming collagen-
like fibers, laminins form networks of web-like
structures that resist tensile forces in the basal
lamina. They also assist in cell adhesion. Laminins
bind other ECM components such as collagens,
nidogens, and entactins
24
26. FUNCTIONS
Ecm is responsible for growth & healing of tissues
It is currently being used regularly to treat ulcers by
closing the hole in the tissue that lines the stomach
Extracellular matrix proteins are commonly used in
cell culture systems to maintain stem and precursor
cells in an undifferentiated state during cell culture
and function to induce differentiation of epithelial,
endothelial and smooth muscle cells in vitro.
Extracellular matrix proteins can also be used to
support 3D cell culture in vitro for modelling tumor
development.
26
27. . In terms of injury repair and tissue engineering,
the extracellular matrix serves two main purposes.
First, it prevents the immune system from triggering
from the injury and responding with inflammation
and scar tissue. Next, it facilitates the surrounding
cells to repair the tissue instead of forming scar
tissue
Extracellular matrix coming from pig small intestine
submucosa are being used to repair "atrial septal
defects" (ASD),
27
31. WHAT IS CELL SIGNALING
Cell signaling is a process of a cell responding to a
stimulus from its environment by relaying its
information into internal compartment from its
surface
The ability of cells to perceive and correctly
respond to their microenvironment is the basis of
cell signaling
31
32. CLASSIFICATION
A)Extra cellular signaling or chemical signaling
I. Intracrine
II. Autocrine
III. Juxtacrine
IV. Pancrine
V. endocrine
B)Cell”s direct signaling or intracellular signalling
I. Receptors
II. Cell surface protiens
III. Gap junctions 32
33. Intracrine signals are produced by the target
cell that stay within the target cell.
Autocrine signals are produced by the target
cell, are secreted, and affect the target cell
itself via receptors. Sometimes autocrine
cells can target cells close by if they are the
same type of cell as the emitting cell. An
example of this are immune cells.
33
CLASSIFICATION
34. Juxtacrine signals target adjacent (touching) cells.
These signals are transmitted along cell
membranes via protein or lipid components integral
to the membrane and are capable of affecting either
the emitting cell or cells immediately adjacent.
Paracrine signals target cells in the vicinity of the
emitting cell. Neurotransmittersrepresent an
example.
34
35. Endocrine signals target distant cells. Endocrine
cells produce hormones that travel through
the blood to reach all parts of the body.
35
37. SIGNAL TYPE SIGNAL PRODUCED
AT
SIGNAL TARGETED
AT
INTRACRINE CELLS SAME CELLS
AUTOCRINE CELLS SAME CELLS BUT
VIA RECEPTORS
JUXTACRINE CELLS ADJACENT CELLS
PARACRINE CELLS CELLS IN VICINITY
ENDOCRINE CELLS DISTANT CELLS 37
SUMMARY
39. RECEPTORS
RECEPTORS are proteinaceous structures present
either on cell surface or inside the cell
In case of membrane bound receptors
signals(ligands) bind to these receptors activates
them & produce a cascade of intracellular signals
that alter the cell
In case of intracellular receptors the ligand enters
inside the cell & brings about activation of the
receptors
39
40. DIRECT CONTACT SIGNALING
GAP JUNCTIONS
These are specialised cell-cell junctions that are
formed between closely opposed plasma
membranes & directly connect the cytoplasms of
the joined cells via narrow water filled channels
These channels allow the exchange of small
intracellular signalling molecules such as Ca &
cAMP
40
41. CELL SURFACE RECEPTORS
Al l water soluble signal molecules act by binding to
specific receptor proteins present on the target cells
. Hence cell surface proteins are oftenly termed as
signal transducers
There are mainly 3 types of cell surface receptors
1. Ion-channel linked receptors
2. G-protein coupled receptors
3. Enzyme-linked receptors
41
42. ION-CHANNEL LINKED RECEPTORS
Also known as TRANSMITTER-GATED ION
CHANNELS or IONOTROPIC RECEPTORS
They are involved in rapid synaptic signaling
between electrically excitable cells
This type of signaling is mediated by
neurotransmiters that transiently open or close the
ion channels formed by the proteins to which they
bind thus changing the ion permeability of the
plasma membrane & excitability of post synaptic
cell
42
43. G-PROTEIN COUPLED RECEPTORS
These receptors act indirectly to regulate the
activity of membrane bound protein(ion channel or
enzyme)
The interaction between the receptor & the
signaling is mediated by a third protein called as
GTP BINDING PROTEIN(G protein)
The activation of the target protein can change the
concentration of the mediators (in case of
enzymes) or change the membrane permeability(in
case of ion channels)
43
44. ENZYME LINKED RECEPTORS
These when activated either function directly as
enzymes or are associated with the enzymes they
activate
These are formed by single pass transmembrane
proteins that have their ligand binding site outside
the membrane & enzyme binding site inside the
membrane
The majority of these kind of receptors are either
protein kinases or associated with them & bring
about phosphorylation
44
45. SIGNALING MOLECULES
Signaling molecules interact with target cell as
a ligand to cell surface receptors & elicit cell
signalling
This generally results in the activation of second
messengers, leading to various physiological
effects
45
46. 46
There are 3 important classes of signalling
molecules
:
Hormones are the major signaling molecules of
the endocrine system, though they often regulate
each other's secretion via local signaling (e.g. islet
of Langerhans cells), and most are also expressed
in tissues for local purposes (e.g. angiotensin) or
failing that,structurally related molecules are
48. Neurotransmitters are signaling molecules of
the nervous system, also
includingneuropeptides and neuromodulators.
Neurotransmitters like the catecholamines are also
secreted by the endocrine system into the systemic
circulation.
Ex: Ach
48
49. 49
Cytokines are signaling molecules of
the immune system, with a primary
paracrine or juxtacrine role, though they
can during significant immune responses
have a strong presence in the circulation,
with systemic effect (altering iron
metabolism or body temperature). Growth
factors can be considered as cytokines or a
different class