Electrical Neutrality
Cations external = anions external
Cations internal = anions internal
Donnan Rule
[Kout][Clout] = [Kin][Clin]
Rules for determining ICF and ECF composition
How did we show cells are actually permeable to Na?
We bathed RBC’s in radioactive Na.. they became radioactive. When then bathed in regular solution they lost radioactivity.
Na
Concentration is higher outside than in, also inside in electrically neg so it leaks in… and is PUMPED OUT.
This takes work from ATP.
otherwise Na comes in, water follows, cell bursts.
Na/K pump
Exchange pump.
Pump Na out and K in (K conc is higher inside cell). These ions must be present simultaneously for this pump to work.
Stoichometry: ratio is 3Na/2K
Pump is electrogenic
Saturable pump
Has a rate of maximum activity.
Characteristic of carrier mediated transport (not ion channels)
Structure of Na/K pump
One large alpha subunit, small beta. Double gated (one inside one outside). Gates NEVER open at same time, pump changes ion binding affinity depending which gate is open (ATP gives energy for this).
Na/K pump cycle
How do channels affect Vm?
The number of channels. Continuous struggle b/w ions to get the Vm of the cell close to their E value.
Relative permeability determines Vm.. so if you have more K channels you have Vm closer to Ek.
Nerve and muscle cells Vm
Closer to -70 to -90 mV (closer to Ek).
Ion concentration and Vm
In normal resting cells not important b/c all cells have similar ICF and ECF…
exception is Potassium. Small change in ECF potassium concentration has huge effect on Ek and Vm.
Driving force
The difference b/w E and Vm (if they are equal, driving force is 0).
What determines membrane potential?
Relative conductance
Relative conductance equation
Vm = (Ek + Gr*Ena) / (Gr + 1)
Goldman Equation
Vm= 60log [ (Pk[Kout] + Pna[Naout] / (Pk)[Kin] + Pna*[Nain])
For all ions that cross the membrane. Na and K are most important.
Depolarization
Inward movement of positive charge. Inside of cell becomes less negative.
Changes in [k]
These have huge effect because permeability of K is so large, so it can cause big depolarizations etc.
Hyperpolarization
Inside of cell gets more negative
What if Pna increases?
This means that Na ions can move into the cell much more easily, which depolarizes the membrane (remember Na wants to move in b/c higher conc. outside).
ECF charge
IT IS ALWAYS NEUTRAL. If you take away positive you must also take away negative.
Hyperkalemia causes
Most K is in cells. Lose K from cells… crush injuries, burns, traumas, immunological attack.
Status of kidney (normal job is to excrete excess K).
Diagnose hyperkalemia?
With EKG to see cardiac arrhythmias, measure plasma K conc.
Treat Hyperkalemia
CBIGK. Give calcium to help heart, then reduce K conc in plasma by alkalinizing blood or giving sugar to juice up ATP supply. Or give enema that is ion exchanger.
Calcium, Bicarb, insulin + glucose, Kayexalate
Or dialysis.