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Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

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Body Temperature Regulation M1 Cardiovascular/Respiratory Sequence Louis D Alecy, Ph.D. Fall 2008 3

Tuesday 11/11/08, 9:00 Body Temperature Regulation (an example of physiological control system) 27 slides, 50 minutes 1. Control System Generalizations 2. Skin blood flow 3. Body Temperature Regulation 4. Control System Competition 5. Adaptation vs. Acclimatization 6. Control Systems Review 4

CONTROL SYSTEM GENERALIZATIONS 1. Homeostatic control systems cannot maintain complete constancy of controlled variable. (Error signal ***) 2. It is not possible for everything to be maintained relatively constant by homeostatic control systems. 3. Stability of a variable is achieved by balancing inputs (+) and outputs (-). 4. The set point of a homeostatic control system can be reset - raised or lowered. 5. Multiple control systems can operate on the same variable. 5

Multiple control systems for internal environmental temperature. T b Internal Environment STIMULUS NEGATIVE FEEDBACK receptor external environment STIMULUS receptor integrating center effectors RESPONSE FEEDFORWARD LOCAL RESPONSE D Alecy 6

Summary Control of Skin Blood Flow Primary heat exchange of body Large venous plexus = large blood volume Alpha adrenergic vasoconstriction dominant Sympathetic-cholinergic vasodilation-sweat* Local cooling = vasoconstriction (then VD!) Triple response (historical?boards?) red line, red flare, wheal CO 2 and O 2 minimal effects Autoregulation assumed unimportant 7

Image of set point mechanism removed 8

SET POINT Image of set point operator removed 9

McGraw-Hill 10

Multiple control Systems possible For Same variable. T b T b internal environment STIMULUS NEGATIVE FEEDBACK external environment STIMULUS receptor receptor integrating center effectors RESPONSE FEEDFORWARD LOCAL RESPONSE D Alecy 11

HOMEOSTATIC REFLEX PATHS CONTROLLING BODY TEMPERATURE INTEGRATING CENTER SPECIFIC NERVE CELLS IN BRAIN AFFERENT PATHWAY NERVE FIBERS NERVE FIBERS EFFERENT PATHWAY RECEPTORS TEMP-SENSITIVE NERVE ENDINGS SMOOTH MUSCLE IN SKIN BLOOD VESSELS SKELETAL MUSCLES EFFECTORS STIMULUS BODY TEMP BLOOD VESSEL CONSTRICTION HEAT LOSS SHIVERING RESPONSES HEAT PRODUCTION NEGATIVE FEEDBACK J. McReynolds 12

skin thermal receptors spinal cord thermal receptors suprachiasmatic nucleus (circadian rhythm) Central thermal receptors in the hypothalamus HYPOTHALAMUS temperature integrating center D Alecy 13

McGraw-Hill * * 14

Na + coenzyme-h 2 O 2 uncouple H 2 O ATP ADP Na + ATP Epinephrine uncouple oxidative phosphorylation in brown fat mitochondria Thyroxine futile cycle due to increased Na Permeability in cells Both processes greater in infants than in adults 15

THERMONEUTRAL ZONE Thermoneutral zone - range of environmental temperatures in which body temperature can be maintained by adjustment of skin blood flow alone. Nude human thermoneutral zone 25-31 C (77-88 F) Below thermoneutral zone - increased metabolic rate and vasoconstriction Above thermoneurtral zone - sweating 16

AV Anastomosis Source Undetermined 17

core 37 C 32 C shell 28 C 34 C 31 C cold environment Source Undetermined warm environment 18

LOCAL RESPONSES TO SKIN BLOOD FLOW Local heating or cooling of skin produces spinal reflex increases or decreases in skin blood flow by changing the degree of alpha adrenergic activation. to brain + + + + to brain + + - + * cold receptor warm receptor NE NE D Alecy cold vasoconstriction heat vasodilation 19

NE NE NE sympathetic AP vasoconstriction below Ta 75 F Normal Resting tone max vasodilation above Ta 115 F adrenergic receptors - contract vascular smooth muscle 20 D Alecy

Sweat gland 2 At low flow most Na + reabsorbed ~ 5 meq/l 3 In unacclimatized person high flow Na + ~ 50 meq/l less Na + reabsorbed. Training increases aldosterone and Na + reabsorption, 4 Better evaporation, Better cooling. Precursor fluid similar to plasma 1 but no protein. Na + ~ 142meq/L Sympathetic cholinergic nerve Source Undetermined Cholinergic & Adrenergic receptors 21

temperature integrating center cardiovascular integrating center thermoreceptors vascular smooth muscle baroreceptors temperature VD or VC? blood pressure T b sweat glands COMPITITION MAP sweating fluid loss D Alecy 22

Adaptation - a biological characteristic that favors survival in a particular environment. e.g. sweating in response to hot environmental temperature Acclimatization - environmentally induced increase in the capacity of system to adapt e.g. increased volume of sweat production after weeks of exposure to hot environment 23

inflammation bacterial lipopolysaccharide macrophages and monocytes endogenous pyrogens interleukin 1 tumor necrosis factor interleukin 6 arachidonic acid prostaglandins cyclooxygenase aspirin D Alecy HYPOTHALAMIC SET POINT 24

Source Undetermined 25

HEAT EXAUSTION (excess compensation) Weakness and fainting in warm environment Little change in core body temperature Hypotension - due to loss of fluid (sweat) and decreased total peripheral resistance due to vasodilation of skin vessels HEAT STROKE (failed compensation) Medical emergency -core temperature rises to point that hypothalamic integrating center ceases to function. Sign - absence of sweating. MALIGNANT HYPERTHERMIA Triggered by some anesthetic agents or genetic defect in Ca release in skeletal muscle. Increased release of calcium turns on muscle contraction. 26

Control System Review 27

CONTROL SYSTEM Integrating Center Afferent Pathway nerves & hormones Efferent Pathway nerves & hormones Receptor Effector muscle & glands STIMULUS feedback RESPONSE D Alecy 28

Feedforward - system anticipates change in a controlled variable before it occurs by monitoring changes in the external environment. Examples: 1) Skin temperature receptors alter the body s heat production and heat loss mechanisms before there is a change in core body temperature. 2) Glucose receptors in GI tract increase insulin secretion before glucose absorption has raised blood glucose. 29

HOMEOSTATIC CONTROL SYSTEMS REFLEX Involuntary, built-in response to a stimulus REFLEX ARC Pathway(s) between stimulus and response in a reflex NEGATIVE FEEDBACK SYSTEM Responses tend to move variable back in the opposite direction. SET POINT The normal value for the variable to be controlled. Set point can be physiologically reset (e.g. fever) ERROR SIGNAL Difference between set point and actual value of variable. POSITIVE FEEDBACK SYSTEM Response moves the variable further in the same direction. 30

Additional Source Information for more information see: http://open.umich.edu/wiki/citationpolicy Slide 6: D Alecy Slide 10: McGraw-Hill Slide 11: D Alecy Slide 12: J. McReynolds Slide 13: D Alecy Slide 14: McGraw-Hill Slide 17: Source Undetermined Slide 18: Source Undetermined Slide 19: D Alecy Slide 20: D Alecy Slide 21: Source Undetermined Slide 22: D Alecy Slide 24: D Alecy Slide 25: Source Undetermined Slide 28: D Alecy