MindMap Gallery Medical Physiological Stress (Section 1.2) Mind Map
Physiological stress (sections 1 and 2), concept: refers to the systemic non-specific adaptive response of the body under the stimulation of various internal and external environmental factors, which is called stress or stress response.
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
stress
Overview
Concept: It refers to the systemic non-specific adaptive response of the body under the stimulation of various internal and external environmental factors. It is called stress or stress response.
The meaning of stress: mainly resist damage
Stressors: refer to various stimulating factors that cause stress reactions
External environmental factors: such as drastic changes in temperature, rays, noise, electric shock, hypoxia, etc.
Internal environmental factors: trauma, infection, poisoning, changes in blood components, etc.
Social and psychological factors: such as professional competition, work pressure, personnel disputes, etc.
Characteristics of stressors: limited intensity; individual, temporal and spatial differences; duality of effects
Types of stress responses
physical stress and psychological stress
acute stress and chronic stress
physiological stress and pathological stress
Metabolic changes and mechanisms of body function during stress
neuroendocrine response
Locus coeruleus-sympathetic-adrenal medullary system (LSAM)
structural basis
central effect
Cause excitement, alertness, nervousness and anxiety reactions
Overactivation produces emotions such as anxiety, fear, or anger
(Ascending fibers from the locus coeruleus) are associated with elevated levels of dethyroid hormone
Peripheral effects: Plasma catecholamines (norepinephrine, epinephrine, dopamine) concentrations rapidly increase
Compensatory significance
Enhance heart function: heart rate ↑ myocardial contractility ↑ → cardiac output ↑ → blood pressure ↑, tissue fluid blood supply ↑
Regulate blood perfusion: redistribute blood to ensure blood supply to the heart, brain, and skeletal muscles
Improve respiratory function: bronchiectasis, providing more oxygen
Promote energy metabolism: glycogen lipolysis↑→energy production↑
Negative Effects
Stress ulcer-continuous contraction of abdominal visceral blood vessels, erosion of gastrointestinal mucosa, ulcer bleeding
Hypertension-sustained constriction of small peripheral blood vessels
Myocardial oxygen consumption increases, resulting in relative myocardial ischemia and arrhythmia.
The number of platelets and their adhesion and aggregation are enhanced, increasing blood viscosity and promoting thrombosis.
Hypothalamic-pituitary-adrenocortical system (HPAC)
structural basis
central effect
Appropriate amount of CRH (corticotropin-releasing hormone) ↑ → Promote adaptation → Excitement and pleasure
Excessive CRH↑→Depression, anxiety and anorexia
peripheral effect
During stress, glucocorticoids (GC)↑ fight against harmful stimuli
Animal experiments show that after removal of both adrenal glands, it is almost impossible to adapt to any stressful environment, and slight harmful stimulation can lead to death. But if only the adrenal medulla is removed and the adrenal cortex is preserved, the animals can still survive under stress.
Compensatory significance
Helps maintain blood pressure: Permissive effect - GC itself has no direct regulatory effect on cardiovascular disease, but the presence of GC is required for the cardiovascular regulatory activity of catecholamines.
Helps maintain blood sugar - gluconeogenesis, raising blood sugar, ensuring glucose supply to the brain and other organs
Conducive to fat mobilization-allowing action, promoting fat decomposition and energy supply
Fight cell damage: The GC-induced product lipodulin inhibits the activity of phospholipase A2 - stabilizing cell membranes and lysosomal membranes and reducing tissue damage
Inhibit inflammatory response: inhibit neutrophil activation and the production of pro-inflammatory mediators, reduce inflammation and immune response
Negative Effects
suppress immune function
Inhibit thyroid and gonadal function, causing hormone resistance and delayed growth and development
Insulin resistance - target cell responsiveness to insulin, increased blood sugar and blood lipids
Inhibit tissue regeneration
Excessive protein breakdown, resulting in a negative nitrogen balance
Other neuroendocrine reactions
Glucagon↑, insulin↓: maintain blood sugar levels
Aldosterone, antidiuretic hormone↑: Promote the reabsorption of water and sodium
β-Endorphin↑: strong analgesic effect, inhibiting the secretion of ACTH and GC
immune response
Stress, such as infection and acute injury, can directly trigger an immune response or lead to changes in immune function through the neuro-endocrine system.
The immune system↑→produces a variety of neuroendocrine hormones and cell growth factors→changes the activity of the neuro-endocrine system
The nervous, endocrine and immune systems jointly participate in the regulation of stress through their interaction
Interactions between the nervous, endocrine and immune systems during stress
acute phase response and acute phase proteins
Acute phase response (APR): It is a rapid defense response in the body induced by strong stressors such as infection, burns, major surgery, trauma, etc. It is manifested by increased body temperature, increased blood sugar, enhanced catabolism, and a sharp increase in plasma protein content. Variety
acute phase protein (APP)
Concept: Related proteins that change during acute reactions, mainly synthesized in liver cells (belonging to endocrine proteins)
The main function
Anti-infection: Activate the complement system and participate in the innate immune response
Resistant to damage
Regulate coagulation and fibrinolysis
Integrate transportation functions
cellular stress response
Concept: When various harmful factors cause damage to biological macromolecules (such as membrane lipids, proteins and DNA) and disrupt cellular homeostasis, cells produce a series of defensive responses by regulating their own protein expression and activity to enhance Its ability to resist damage and rebuild cellular homeostasis
Heat shock response and heat shock proteins
Heat shock response: refers to the cellular response characterized by increased production of heat shock proteins (HSP) when an organism is exposed to thermal stimulation or other stressors.
Heat shock protein (HSP)
Classification
According to molecular weight, it is divided into HSP90, HSP70, HSP27, etc.
According to the generation method, it is divided into constitutive and inductive
Function: HSP is mainly involved in protein folding, translocation, renaturation and degradation - molecular chaperone
Oxidative stress: Due to endogenous and/or exogenous stimulation, the body's free radicals are excessively produced and/or eliminated, resulting in an oxidation-antioxidant imbalance. Excessive free radicals cause oxidative damage to tissue cells.
psychological and behavioral responses to stress
emotional response
behavioral response
Psychological self-defense→Adaptive psychological tendencies and psychological activities