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SN5 SHORT NOTE 5M ★ High-yield

Write a short note on facilitated diffusion.

Physiology · 1st Professional — Pre-Clinical

Definition

Facilitated diffusion = transport of a solute down its concentration gradient with the help of a carrier protein, without expenditure of energy.

Mechanism

Solute binds carrier on one side → Carrier undergoes conformational change → Solute released on the other side → Carrier reverts to original shape

Characteristics

FeatureSimple diffusionFacilitated diffusion
CarrierNot requiredRequired
GradientDownhillDownhill
EnergyNilNil
Saturation (Tmax)AbsentPresent
SpecificityAbsentPresent
CompetitionAbsentPresent
Rate vs concentrationLinearRises then plateaus

Examples

TransporterSiteSubstance
GLUT-1RBC, blood–brain barrierGlucose
GLUT-2Liver, pancreatic β cell, basolateral gutGlucose (high capacity, low affinity)
GLUT-3NeuronesGlucose
GLUT-4Skeletal muscle, adipose tissueGlucose — insulin-dependent
AquaporinsRenal tubule, RBCWater
Urea transportersRenal medullaUrea

Applied Aspects

  • Type 2 diabetes mellitus — impaired GLUT-4 translocation → muscle and fat cannot take up glucose despite hyperglycaemia
  • Insulin acts by moving GLUT-4 from intracellular vesicles to the cell membrane
  • Exercise also recruits GLUT-4 — independently of insulin; the basis of exercise therapy in diabetes
  • Nephrogenic diabetes insipidus — defective aquaporin-2 response to ADH

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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