what is the asymmetric distribution of ions across a membrane
what does the asymmetric distribution of ions result in
chemical and electrical driving force
what is a membrane potential
electrical potential difference between the inside of a cell and its surroundings
Why is there an asymmetric distribution
Enables cells to maintain osmotic homeostasis; want to avoid movement of excess water into the cell causing lysis.
describe potassium diffusion across a membrane
K+ conc gradient leads to K+ efflux
K+ efflux leads to charge separation
electrical potential difference starts to drive electrodiffusive flux of K+ back into cell
electrical potential increases until electrical driving force balances chemical driving force
what is the equilibrium potential for K+
-90mv
what is the nerst equation
what determines the resting membrane potential
movement of potassium / sodium ions
Na-K ATPase
why is the conc of K higher on the inside in the first place
can be attributed to the K+ being attracted to the negatively charged proteins and fixed anions inside the cell
what mechanism does the Na⁺/K⁺ ATPase pump work via
electrogenic transport mechanism
pumps 3 Na+ out for every 2K+ in
what does the stoichiometry of the pump result in
a net loss of positive charge which contributes to the polarisation of the membrane
how does the pump work
whats more significant to RMP - pump or channels
channels
pump only contributes to about 2-5 mV
rest is channels
describe the movement of ions to form the RMP - leakage
Em is the balance of Ek, Ena and Ecl (it is the value for which there is no net charge across the membrane)
why does Ek not equal Em
assumes single-ion permeability.
In reality, cellular membranes are permeable to multiple ions = each exerting its own electrochemical gradient
what is the constant field equation / goldman equation
what does the goldman equation show
what is one assumption of the goldman equation
is that the electrical field is constant across the membrane
simplification works well when considering the bulk of tissue but may not hold true in nanoscopic spaces, such as those found in the brain, where charge density can be spatially heterogeneous.
In these small-scale environments, variations in ion concentrations and local membrane properties can lead to significant fluctuations in the electric field, potentially impacting the resting membrane potential
What characterizes hyperkalemia?
Hyperkalemia is characterized by elevated serum potassium levels exceeding 5.0 mEq/L.
What are some causes of hyperkalemia?
Causes of hyperkalemia include renal failure, cellular shifts due to acidosis, or tissue trauma that releases potassium into the bloodstream.
How does increased extracellular potassium affect the resting membrane potential?
Increased extracellular potassium reduces the concentration gradient across the cell membrane, making the resting membrane potential less negative.
A less negative resting membrane potential decreases the threshold for depolarization, making cells more excitable.
early depolarisation + cardiac arrhythmias
How does patiromer help treat hyperkalemia?
releasing calcium ions and binding to potassium ions in the gastrointestinal tract, swapping calcium for potassium.
Patiromer is not absorbed into the bloodstream due to its large polymeric structure and high molecular weight = no passive diffusion across the intestinal epithelium.
potassium bound to patiromer in the intestines is excreted through feces, reducing the amount of potassium that enters the bloodstream.
What characterizes hypokalemia?
Hypokalemia is defined by serum potassium levels falling below 3.5 mEq/L.
What are some causes of hypokalemia?
excessive gastrointestinal losses, diuretic use, or inadequate dietary intake of potassium.