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SN4 SHORT NOTE 5M

Classify cell junctions and describe their functions.

Physiology · 1st Professional — Pre-Clinical

Definition

Cell junctions = specialised regions of contact between adjacent cells, or between a cell and the extracellular matrix.

Classification

TypeOther nameFunction
OccludingTight junction (zonula occludens)Seals the gap
AdheringDesmosome, adherens junction, hemidesmosomeMechanical strength
CommunicatingGap junctionDirect cell-to-cell transfer

Tight Junction (zonula Occludens)

  • Proteins — occludin, claudin
  • Forms a continuous seal around the apex of epithelial cells
  • Functions:

– Prevents paracellular leak → forces transcellular transport

– Maintains cell polarity — separates apical from basolateral membrane

  • Sites — intestinal epithelium, renal tubule, blood–brain barrier, blood–testis barrier

Adhering Junctions

JunctionProteinAttached to
Desmosome (macula adherens)Cadherins (desmoglein)Intermediate filaments (keratin)
Adherens junctionE-cadherinActin filaments
HemidesmosomeIntegrinsBasement membrane

Gap Junction (nexus)

  • Protein — connexin; 6 connexins form a connexon
  • Pore diameter about 1.5 nm → allows ions, glucose, cAMP (< 1000 Da); not proteins
  • Provides low-resistance electrical coupling
  • Sites — cardiac muscle (intercalated disc), smooth muscle, liver, lens epithelium
  • Allows the myocardium to behave as a functional syncytium

Applied Aspects

  • Pemphigus vulgaris — autoantibodies against desmoglein → desmosome breakdown → intraepidermal blisters
  • Bullous pemphigoid — hemidesmosome antibodies → subepidermal blisters
  • Loss of E-cadherin → tumour invasion and metastasis
  • Cholera and other toxins disrupt tight junctions → leaky gut

All questions in General Physiology & Body Fluids

  1. Q1Describe the structure of the cell membrane. Classify the mechanisms of transport across it and describe passive transport in detail. ★
  2. Q2Define active transport. Classify it and describe the sodium–potassium pump with its functions. Add a note on secondary active transport. ★
  3. Q3Enumerate the body fluid compartments with their volumes and ionic composition. Describe the methods used to measure them. ★
  4. Q4Define resting membrane potential. Describe its ionic basis and the factors responsible for it. Add a note on the Nernst equation. ★
  5. Q5Define homeostasis. Describe the components of a control system and explain negative and positive feedback with examples. ★
  6. SN1Define osmosis and osmotic pressure. Explain tonicity with examples. ★
  7. SN2Write a short note on the Gibbs–Donnan equilibrium.
  8. SN3Define oedema. Describe the Starling forces and enumerate the mechanisms by which oedema is produced. ★
  9. SN4Classify cell junctions and describe their functions.
  10. SN5Write a short note on facilitated diffusion. ★
  11. SN6Enumerate the second messenger systems and describe the cyclic AMP pathway. ★
  12. SN7Define apoptosis. Differentiate it from necrosis and describe its pathways.

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