ANATOMY AND PHYSIOLOGY
CELLULAR FORMS AND FUNCTIONS

LEARN THROUGH YOUR COURSE AND FORTIFY ALL YOUR WEAKNESS WITH MEDICAL KNOWLEDGE

All organisms, from the simplest to the most complex, are composed of cells—whether the single cell of a bacterium or the trillions of cells that constitute the human body. These cells are responsible for all structural and functional properties of a living organism. Cytology,1 the study of cell structure and function, is therefore indispensable to any true understanding of the workings of the human body, the mechanisms of disease, and the rationale of therapy. Thus, this chapter and the next one introduce the basic cell biology of the human body, and subsequent chapters expand upon this information as we examine the specialized cellular functions of specific organs.
Concepts of Cellular Structure
Objectives
When you have completed this section, you should be able to
• discuss the development and modern tenets of the cell theory;
• be able to describe cell shapes from their descriptive terms;
• state how big human cells are and discuss factors that limit cell size;
• discuss the way that developments in microscopy have changed our view of cell structure; and
• outline the major components of a cell.

Development of the Cell Theory
As you may recall from chapter 1, Robert Hooke had observed only the empty cell walls of cork when he first named the cell in 1663. Later, he studied thin slices of fresh wood and saw cells “filled with juices”—a fluid later named protoplasm.2 Two centuries later, Theodor Schwann studied a wide range of animal tissues and concluded that all animals are made of cells. Schwann and other biologists originally believed that cells came from nonliving body fluid that somehow congealed and acquired a membrane and nucleus. This idea of spontaneous generation—that living things arise from nonliving matter—was rooted in the scientific thought of the times. For centuries, it was considered simple common sense that decaying meat turns into maggots, stored grain into rodents, and mud into frogs. Schwann and his contemporaries merely extended this idea to cells. The idea of spontaneous generation wasn’t discredited until some classic experiments by French microbiologist Louis Pasteur in 1859. By the end of the nineteenth century, it was established beyond all reasonable doubt that cells arise only from other cells. The development of biochemistry from the late nineteenth to the twentieth century made it further apparent that all physiological processes of the body are based on cellular activity and that the cells of all species exhibit remarkable biochemical unity. Thus emerged the generalizations that constitute the modern cell theory:

1. All organisms are composed of cells and cell products.
2. The cell is the simplest structural and functional unit of life. There are no smaller subdivisions of a cell or organism that, in themselves, are alive.
3. An organism’s structure and all of its functions are ultimately due to the activities of its cells.
4. Cells come only from preexisting cells, not from nonliving matter. All life, therefore, traces its ancestry to the same original cells.
5. Because of this common ancestry, the cells of all species have many fundamental similarities in their chemical composition and metabolic mechanisms.
Cell Shapes and Sizes

There are about 200 types of cells in the human body, and they vary greatly in shape (fig. 3.1). Squamous3 (SQUAYmus) cells are thin, flat, and often have angular contours when viewed from above. Such cells line the esophagus and cover the skin. Polygonal4 cells have irregularly angular shapes with four, five, or more sides. Some nerve cells have multiple extensions that give them a starlike, or stellate,5 shape. Cuboidal6 cells are squarish and approximately as tall as they are wide; liver cells are a good example. Columnar cells, such as those lining the intestines, are markedly taller than wide. Egg cells and fat cells are spheroid to ovoid (round to oval). Red blood cells are discoid (disc-shaped). Smooth muscle cells are fusiform7 (FEW-zih-form)—thick in the middle and tapered toward the ends. Skeletal muscle cells are described as fibrous because of their threadlike shape. Most human cells range from 10 to 15 micrometers (m) in diameter. (See the inside back book cover for units of measurement.) The human egg cell, an exceptionally large 100 m in diameter, is barely visible to the naked eye. The longest human cells are nerve cells (sometimes over a meter long) and muscle cells (up to 30 cm long), but both are too slender to be seen with the naked eye. There is a limit to how large a cell can be, partly due to the relationship between its volume and surface area. The surface area of a cell is proportional to the square of its diameter, while volume is proportional to the cube of its diameter. Thus, for a given increase in diameter, cell volume increases much faster than surface area. Picture a cuboidal cell 10 m on each side (fig. 3.2). It would have a surface area of 600 m2 (10 m  10 m  6 sides) and a volume of 1,000 m3 (10  10  10 m). Now, suppose it grew by another 10 m on each side. Its new surface area would be 20 m  20 m  6  2,400 m2 , and its volume would be 20  20  20 m  8,000 m3 . The 20 m cell has eight times as much protoplasm needing nourishment and waste removal, but only four times as much membrane surface through which wastes and nutrients can be exchanged. A cell that is too big cannot support itself.Think About It Can you conceive of some other reasons for an organ to consist of many small cells rather than fewer larger ones?

General Cell Structure
In Schwann’s time, little was known about cells except that they were enclosed in a membrane and contained a nucleus. The fluid between the nucleus and surface membrane, called cytoplasm, was thought to be little more than a gelatinous mixture of chemicals. The transmission electron microscope (TEM), invented in the mid-twentieth century, radically changed this concept. Using a beam of electrons in place of light, the TEM enabled biologists to see a cell’s ultrastructure (fig. 3.3), a fine degree of detail extending even to the molecular level. The most important thing about a good microscope is not magnification but resolution—the ability to reveal detail. Any image can be photographed and enlarged as much as we wish, but if enlargement fails to reveal any more useful detail, it is empty magnification. A big fuzzy image is not nearly as informative as one that is small and sharp. The TEM reveals far more detail than the light microscope (LM), even at the same magnification (fig. 3.4). A later invention, the scanning electron microscope (SEM), produces dramatic three-dimensional images at high magnification and resolution (see fig. 3.12), but can only view surface features. Table 3.1 gives the sizes of some cells and subcellular objects relative to the resolution of the naked eye, light microscope, and electron microscope. You can see why the very existence of cells was unsuspected until the light microscope was invented and why little was known about their internal components until the TEM became available. Figure 3.5 shows some major constituents of a typical cell. The cell is surrounded by a plasma (cell) membrane made of proteins and lipids. The composition and functions of this membrane can differ significantly from one region of a cell to another, especially between the basal, lateral, and apical (upper) surfaces of cells like the one pictured. The cytoplasm is crowded with fibers, tubules, passageways, and compartments (see photographs on pp. 93 and 985). It includes several kinds of organelles and a supportive framework called the cytoskeleton—all of which we will study in this chapter. A cell may have 10 billion protein molecules, including potent enzymes with the potential to destroy the cell if they are not contained and isolated from other cellular components. You can imagine the enormous problem of keeping track of all this material, directing molecules to the correct destinations, and maintaining order against the incessant trend toward disorder. Cells maintain order partly by compartmentalizing their contents in the organelles. The organelles and cytoskeleton are embedded in a clear gel called the cytosol or intracellular fluid (ICF). The fluid outside the cell is extracellular fluid (ECF)

The Cell Surface

Objectives
When you have completed this section, you should be able to
• describe the structure of a plasma membrane;
• explain the functions of the lipid, protein, and carbohydrate components of the plasma membrane;
• describe a second-messenger system and discuss its importance in human physiology;
• describe the composition and functions of the glycocalyx that coats cell surfaces; and
• describe the structure and functions of microvilli, cilia, and flagella.
Throughout this book, you will find that many of the most physiologically important processes occur at the surface of a cell—such events as immune responses, the binding of egg and sperm, cell-to-cell signaling by hormones, and the detection of tastes and smells, for example. A subne before we venture into the interior of the cell.

The Plasma Membrane
The electron microscope reveals that the cell and many of the organelles within it are bordered by a unit membrane, which appears as a pair of dark parallel lines with a total thickness of about 7.5 nm (fig. 3.6a). The plasma membrane is the unit membrane at the cell surface. It defines the boundaries of the cell, governs its interactions with other cells, and controls the passage of materials into and out of the cell. The side that faces the cytoplasm is the intracellular face of the membrane, and the side that faces outward is the extracellular face.

Membrane Lipids
Figure 3.6b shows our current concept of the molecular structure of the plasma membrane—an oily film of lipids with diverse proteins embedded in it. Typically about 98% of the molecules in the membrane are lipids, and about 75% of the lipids are phospholipids. These amphiphilic molecules arrange themselves into a bilayer, with their hydrophilic phosphate-containing heads facing the water on each side of the membrane and their hydrophobic tails directed toward the center of the membrane, avoiding the water. The phospholipids drift laterally from place to place, spin on their axes, and flex their tails. These movements keep the membrane fluid.
Think About It
What would happen if the plasma membrane were made primarily of a hydrophilic substance such as carbohydrate? Which of the major themes at the end of chapter 1 does this point best exemplify?
Cholesterol molecules, found amid the fatty acid tails, constitute about 20% of the membrane lipids. By interacting with the phospholipids and “holding them still,” cholesterol can stiffen the membrane (make it less fluid) in spots. Higher concentrations of cholesterol, however, can increase membrane fluidity by preventing the phospholipids from becoming packed closely together. The remaining 5% of the membrane lipids are glycolipids—phospholipids with short carbohydrate chains on the extracellular face of the membrane. They help to form the glycocalyx, a carbohydrate coating on the cell surface with multiple functions, described shortly.

Membrane Proteins

Although proteins are only about 2% of the molecules of the plasma membrane, they are larger than lipids and constitute about 50% of the membrane weight. Some of them, called integral (transmembrane) proteins, pass through the membrane. They have hydrophilic regions in contact with the cytoplasm and extracellular fluid, and hydrophobic regions that pass back and forth through the lipid of the membrane (fig. 3.7). Most integral proteins are glycoproteins, which are conjugated with oligosaccharides on the extracellular side of the membrane. Many of the integral proteins drift about freely in the phospholipid film, like ice cubes floating in a bowl of water. Others are anchored to the cytoskeleton—an intracellular system of tubules and filaments discussed later. Peripheral proteins do not protrude into the phospholipid layer but adhere to the intracellular face of the membrane. A peripheral protein is typically associated with an integral protein and tethered to the cytoskeleton.The functions of membrane proteins include the following:
• Receptors (fig. 3.8a).
The chemical signals by which cells communicate with each other (epinephrine, for example) often cannot enter the target cell, but bind to surface proteins called receptors. Receptors are usually specific for one particular messenger, much like an enzyme that is specific for one substrate.
• Second-messenger systems.
When a messenger binds to a surface receptor, it may trigger changes within the cell that produce a second messenger in the cytoplasm. This process involves both transmembrane proteins (the receptors) and peripheral proteins. Second-messenger systems are discussed shortly in more detail.
• Enzymes (fig. 3.8b).
Enzymes in the plasma membranes of cells carry out the final stages of starch and protein digestion in the small intestine, help produce second messengers, and break down hormones and other signaling molecules whose job is done, thus stopping them from excessively stimulating a cell.
• Channel proteins (fig. 3.8c).
Channel proteins are integral proteins with pores that allow passage of water and hydrophilic solutes through the membrane. Some channels are always open, while others are gates that open and close under different circumstances, thus determining when solutes can pass through (fig. 3.8d). These gates open or close in response to three types of stimuli: ligand-regulated gates respond to chemical messengers, voltage-regulated gates to changes in electrical potential (voltage) across the plasma membrane, and mechanically regulated gates to physical stress on a cell, such as stretch and pressure. By controlling the movement of electrolytes through the plasma membrane, gated channels play an important role in the timing of nerve signals and muscle contraction (see insight 3.1).
• Carriers (see figs. 3.18 and 3.19).
Carriers are integral proteins that bind to glucose, electrolytes, and other solutes and transfer them to the other side of the membrane. Some carriers, called pumps, consume ATP in the process.
• Molecular motors (fig. 3.8e).
These proteins produce movement by changing shape and pulling on other molecules. They move materials within a cell, as in transporting molecules and organelles to their destinations; they enable some cells, such as white blood cells, to crawl around in the body’s tissues; and they make cells change shape, as when a cell surrounds and engulfs foreign particles or when it divides in two. Such processes depend on the action of fibrous proteins, especially actin and myosin, that pull on the integral proteins of the plasma membrane.
• Cell-identity markers
(fig. 3.8f ). Glycoproteins contribute to the glycocalyx, a carbohydrate surface coating discussed shortly. Among other functions, this acts like an “identification tag” that enables our bodies to tell which cells belong to it and which are foreign invaders
.• Cell-adhesion molecules (fig. 3.8g)
. Cells adhere to one another and to extracellular material through certain membrane proteins called cell-adhesion molecules (CAMs). With few exceptions (such as blood cells and metastasizing cancer cells), cells do not grow or survive normally unless they are mechanically linked to the extracellular material. Special events such as sperm-egg binding and the binding of an immune cell to a cancer cell also require CAMs.

Insight 3.1 Clinical Application
Calcium Channel Blockers
The walls of the arteries contain smooth muscle that contracts or relaxes to change their diameter. These changes modify the blood flow and strongly influence blood pressure. Blood pressure rises when the arteries constrict and falls when they relax and dilate. Excessive, widespread vasoconstriction can cause hypertension (high blood pressure), and vasoconstriction in the coronary blood vessels of the heart can cause pain (angina) due to inadequate blood flow to the cardiac muscle. In order to contract, a smooth muscle cell must open calcium channels in its plasma membrane and allow calcium to enter from the extracellular fluid. Drugs called calcium channel blockers prevent calcium channels from opening. Thus they help to relax the arteries, relieve angina, and lower blood pressure.
Second Messengers
Second messengers are of such importance that they require a closer look. You will find this information essential for your later understanding of hormone and neurotransmitter action. Let’s consider how the hormone epinephrine stimulates a cell. Epinephrine, the “first messenger,” cannot pass through plasma membranes, so it binds to a surface receptor. The receptor is linked on the intracellular side to a peripheral protein called a G protein (fig. 3.9). G proteins are named for the ATP-like chemical,guanosine triphosphate (GTP), from which they get their energy. When activated by the receptor, a G protein relays the signal to another membrane protein, adenylate cyclase (ah-DEN-ih-late SY-clase). Adenylate cyclase removes two phosphate groups from ATP and converts it to cyclic AMP (cAMP), the second messenger. Cyclic AMP then activates enzymes called kinases (KY-nace-es) in the cytosol. Kinases add phosphate groups to other cellular enzymes. This activates some enzymes and deactivates others, but either way, it triggers a great variety of physiological changes within the cell. G proteins play such an enormous range of roles in physiology and disease that Martin Rodbell and Alfred Gilman received a 1994 Nobel Prize for discovering them. Up to 60% of currently used drugs work by altering the activity of G proteins.

The Glycocalyx

External to the plasma membrane, all animal cells have a fuzzy coat called the glycocalyx8 (GLY-co-CAY-licks) (fig. 3.10), which consists of the carbohydrate moieties of the membrane glycolipids and glycoproteins. It is chemically unique in everyone but identical twins, and acts like an identification tag that enables the body to distinguish its own healthy cells from transplanted tissues, invading organisms, and diseased cells. Human blood types and transfusion compatibility are determined by glycoproteins. The glycocalyx includes the cell-adhesion molecules that enable cells to adhere to each other and guide the movement of cells in embryonic development. The functions of the glycocalyx are summarized in table 3.2.

Microvilli, Cilia, and Flagella
Many cells have surface extensions called microvilli, cilia, and flagella. These aid in absorption, movement, and sensory processes.
Microvilli

Microvilli9 (MY-cro-VIL-eye; singular, microvillus) are extensions of the plasma membrane that serve primarily to increase a cell’s surface area (figs. 3.10 and 3.11a-b). They are best developed in cells specialized for absorption, such as the epithelial cells of the intestines and kidney tubules. They give such cells 15 to 40 times as much absorptive surface area as they would have if their apical surfaces were flat. On many cells, microvilli are little more than tiny bumps on the plasma membrane. On cells of the taste buds and inner ear, they are well developed but serve sensory rather than absorptive functions. Individual microvilli cannot be distinguished very well with the light microscope because they are only 1 to 2 m long. On some cells, they are very dense and appear as a fringe called the brush border at the apical cell surface. With the scanning electron microscope, they resemble a deep-pile carpet. With the transmission electron microscope, microvilli typically look like finger-shaped projections of the cell surface. They show little internal structure, but some have a bundle of stiff filaments of a protein called actin. Actin filaments attach to the inside of the plasma membrane at the tip of the microvillus, and at its base they extend a little way into the cell and anchor the microvillus to a protein mesh called the terminal web. When tugged by another protein in the cytoplasm, actin can shorten a microvillus to “milk” its absorbed contents downward into the cell.

Cilia
Cilia (SIL-ee-uh; singular, cilium10) (figs. 3.11c-e and 3.12) are hairlike processes about 7 to 10 m long. Nearly every human cell has a single, nonmotile primary cilium a few micrometers long. Its function in many cases is still a mystery, but some of them are sensory. In the inner ear, they play a role in the sense of balance; in the retina of the eye, they are highly elaborate and form the lightabsorbing part of the receptor cells; and they are thought to monitor fluid flow through the kidney tubules. In some cases they open calcium gates in the plasma membrane. Sensory cells in the nose have multiple nonmotile cilia which bind odor molecules. Motile cilia are less widespread, occurring mainly in the respiratory tract and the uterine (fallopian) tubes. There may be 50 to 200 of these cilia on the surface of one cell. Cilia beat in waves that sweep across the surface of an epithelium, always in the same direction (fig. 3.13). Each cilium bends stiffly forward and produces a power stroke that pushes along the mucus or other matter. Shortly after a cilium begins its power stroke, the one just ahead of it begins, and the next and the next—collectively producing a wavelike motion. After a cilium completes its power stroke, it is pulled limply back by a recovery stroke that restores it to the upright position, ready to flex again
.
Think About It
How would the movement of mucus in the respiratory tract be affected if cilia were equally stiff on both their power and recovery strokes? Cilia could not beat freely if they were embedded in sticky mucus (see insight 3.2). Instead, they beat within a saline (saltwater) layer at the cell surface. Chloride pumps in the apical plasma membrane produce this layer by pumping Cl into the extracellular fluid. Sodium ions follow by electrical attraction and water follows by osmosis. Mucus essentially floats on the surface of this layer and is pushed along by the tips of the cilia
.Insight 3.2 Clinical Application

Cystic Fibrosis
The significance of chloride pumps becomes especially evident in cystic fibrosis (CF), a hereditary disease especially affecting white children of European descent. CF is usually caused by a defect in which cells make chloride pumps but fail to install them in the plasma membrane. Consequently, there is an inadequate saline layer on the cell surface and the mucus is dehydrated and overly sticky. This thick mucus plugs the ducts of the pancreas and prevents it from secreting digestive enzymes into the small intestine, so digestion and nutrition are compromised. In the respiratory tract, the mucus clogs the cilia and prevents them from beating freely. The respiratory tract becomes congested with thick mucus, often leading to chronic infection and pulmonary collapse. The mean life expectancy of people with CF is about 30 years. The structural basis for ciliary movement is a core called the axoneme11 (ACK-so-neem), which consists of an array of thin protein cylinders called microtubules. There are two central microtubules surrounded by a ring of nine microtubule pairs—an arrangement called the 9 2 structure (see fig. 3.11d). The central microtubules stop at the cell surface, but the peripheral microtubules continue a short distance into the cell as part of a basal body that anchors the cilium. In each pair of peripheral microtubules, one tubule has two little dynein (DINE-een) arms. Dynein,12 a motor protein, uses energy from ATP to “crawl” up the adjacent pair of microtubules. When microtubules on the front of the cilium crawl up the microtubules behind them, the cilium bends toward the front.

Flagella
A flagellum13 (fla-JEL-um) is a whiplike structure much longer than a cilium, but with an identical axoneme. The only functional flagellum in humans is the tail of a sperm cell.

Membrane Transport
Objectives
When you have completed this section, you should be able to
• explain what is meant by a selectively permeable membrane;
• describe the various mechanisms for transporting material
through the plasma membrane; and
• define osmolarity and tonicity and explain their importance.
The plasma membrane is both a barrier and gateway between the cytoplasm and extracellular fluid (ECF). It is selectively permeable—it allows some things through, such as nutrients and wastes, but usually prevents other things, such as proteins and phosphates, from entering or leaving the cell. The methods of moving substances into or out of a cell can be classified in two overlapping ways: as passive or active mechanisms and as carrier-mediated or not. Passive mechanisms require no energy (ATP) expenditure by the cell. In most cases, the random molecular motion of the particles themselves provides the energy. Passive mechanisms include filtration and diffusion (including a special case of diffusion, osmosis). Active mechanisms, however, require the cell to consume ATP. These include active transport and vesicular transport. Carrier-mediated mechanisms use a membrane protein to transport substances from one side of the membrane to the other. We will first consider the mechanisms that are not carriermediated (filtration and simple diffusion) and then the carrier-mediated mechanisms (facilitated diffusion and active transport).

Filtration
Filtration is a process in which particles are driven through a selectively permeable membrane by hydrostatic pressure, the force exerted on a membrane by water. A coffee filter provides an everyday example. The weight of the water drives water and dissolved matter through the filter, while the filter holds back larger particles (the coffee grounds). In physiology, the most important case of filtration is seen in the blood capillaries, where blood pressure forces fluid through gaps in the capillary wall. This is how water, salts, nutrients, and other solutes are transferred from the bloodstream to the tissue fluid and how the kidneys filter wastes from the blood. Capillaries hold back larger particles such as blood cells and proteins.

Simple Diffusion
Simple diffusion is the net movement of particles from a place of high concentration to a place of lower concentration as a result of their constant, spontaneous motion. It can be observed by dropping a dye crystal in a dish of still water. As the crystal dissolves, it forms a colored zone in the water that gets larger and larger with time (fig. 3.14). The dye molecules exhibit net movement from the point of origin, where their concentration is high, toward the edges of the dish, where their concentration is low. When the concentration of a substance differs from one point to another, we say that it exhibits a concentration gradient. Particle movement from a region of high concentration toward a region of lower concentration is said to go down, or with, the gradient, and movement in the other direction is said to go up, or against, the gradient. Diffusion occurs readily in air or water, and has no need of a membrane. However, if there is a membrane in the path of the diffusing molecules, and if it is permeable to that substance, the molecules will pass from one side of the membrane to the other. This is how oxygen passes from the air we inhale into the bloodstream. Dialysis treatment for kidney disease patients is based on diffusion of solutes through artificial dialysis membranes. Diffusion rates are very important to cell survival because they determine how quickly a cell can acquire nutrients or rid itself of wastes. Some factors that affect the rate of diffusion through a membrane are as follows:
• Temperature. Diffusion is driven by the kinetic energy of the particles, and temperature is a measure of that kinetic energy. The warmer a substance is, the more rapidly its particles diffuse. This is why sugar diffuses more quickly through hot tea than through iced tea.
• Molecular weight. Heavy molecules such as proteins move more sluggishly and diffuse more slowly than light particles such as electrolytes and gases. Small molecules also pass through membrane pores more easily than large ones.
• “Steepness” of the concentration gradient. The steepness of a gradient refers to the concentration difference between two points. Particles diffuse more rapidly if there is a greater concentration difference between two points. For example, we can increase the rate of oxygen diffusion into a patient’s blood by using an oxygen mask, thus increasing the difference in oxygen concentration between the air and blood.
• Membrane surface area. As noted earlier, the apical surface of cells specialized for absorption (for example, in the small intestine) is often extensively folded into microvilli. This makes more membrane available for particles to diffuse through.
• Membrane permeability. Diffusion through a membrane depends on how permeable it is to the particles. For example, potassium ions diffuse more rapidly than sodium ions through a plasma membrane. Nonpolar, hydrophobic, lipid-soluble substances such as oxygen, nitric oxide, alcohol, and steroids diffuse through the phospholipid regions of a plasma membrane. Water and small charged, hydrophilic solutes such as electrolytes do not mix with lipids, but diffuse primarily through channel proteins in the membrane. Cells can adjust their permeability to such a substance by adding channel proteins to the membrane or taking them away. Kidney tubules, for example, do this as a way of controlling the amount of water eliminated from the body.
Osmosis
Osmosis14 (oz-MO-sis) is the diffusion of water through a selectively permeable membrane, from the “more watery” to the “less watery” side. Cells exchange a tremendous amount of water by osmosis. For example, red blood CELLS pass 100 times their own volume in water through the plasma membrane every second. Water moves through plasma membranes by way of channel proteins, especially those called aquaporins. Cells can regulate the rate of osmosis by adding aquaporins to the plasma membrane or removing them. Certain cells of the kidneys, for example, install or take away aquaporins to regulate the rate of water loss from the body in the urine. It is important to note that a solution with a high solute concentration has a low water concentration, and vice versa, since solutes take up some of the space that would otherwise be occupied by water molecules. Therefore, the direction of osmosis will be from a more dilute solution (where there is more water) to a more concentrated one (where there is less water). In figure 3.15a, for example, we see a chamber divided by a selectively permeable membrane. Side A contains a solution of large particles that cannot pass through the membrane pores—a nonpermeating solute such as albumen (egg white protein). Side B contains distilled water. Since albumen takes up some of the space on side A, water is more concentrated in B than in A, and it diffuses down its concentration gradient from B to A (fig. 3.15b). This is because more water molecules encounter the membrane per second on side B than they do on side A, where water is less abundant, and many of those that encounter the membrane pass through it. Under these conditions, the water level on side B would fall and the level on side A would rise. It might seem as if this would go on indefinitely until side B dried up. This would not happen, however, because as water accumulated on side A, it would become heavier and exert more hydrostatic pressure on that side of the membrane. This would cause some filtration of water from side A back to B. At some point, the rate of filtration would equal the rate of osmosis, water would pass through the membrane equally in both directions, and net osmosis would slow down and stop. At this point, an equilibrium (balance between opposing forces) would exist. The hydrostatic pressure on side A that would stop osmosis is called osmotic pressure. The more solute there is on side A, the greater its osmotic pressure will be.
Think About It
If the albumen concentration on side A were half what it was in the original experiment, would the fluid on that side reach a higher or lower level than before? Explain.

The equilibrium between osmosis and filtration will be an important consideration as we study fluid exchange through blood capillaries in chapter 20. Blood plasma also contains albumins. In the preceding discussion, side A is analogous to the bloodstream and side B is analogous to the tissue fluid surrounding the capillaries (although tissue fluid is not distilled water). Water leaves the capillaries by filtration, but this is approximately balanced by water moving back into the capillaries by osmosis.

Osmolarity and Tonicity
The osmotic concentration of body fluids has such a great effect on cellular function that it is important to understand the units in which it is measured. One osmole is 1 mole of dissolved particles. If a solute does not ionize in water, then 1 mole of the solute yields 1 osmole (osm) of dissolved particles. A solution of 1 molar (1 M) glucose, for example, is also 1 osm/L. If a solute does ionize, it yields two or more dissolved particles in solution. A 1 M solution of NaCl, for example, contains 1 mole of sodium ions and 1 mole of chloride ions per liter. Both ions affect osmosis and must be separately counted in a measure of osmotic concentration. Thus, 1 M NaCl  2 osm/L. Calcium chloride (CaCl2) would yield three ions if it dissociated completely (one Ca2 and two Cl), so 1 M CaCl2  3 osm/L. Osmolality is the number of osmoles of solute per kilogram of water, and osmolarity is the number of osmoles per liter of solution. Most clinical calculations are based on osmolarity, since it is easier to measure the volume of a solution than the weight of water it contains. At the concentrations of human body fluids, there is less than 1% difference between osmolality and osmolarity, and the two terms are nearly interchangeable. All body fluids and many clinical solutions are mixtures of many chemicals. The osmolarity of such a solution is the total osmotic concentration of all of its dissolved particles. A concentration of 1 osm/L is substantially higher than we find in most body fluids, so physiological concentrations are usually expressed in terms of milliosmoles per liter (mOsm/L) (1 mOsm/L  103 osm/L). Blood plasma, tissue fluid, and intracellular fluid measure about 300 mOsm/L. Tonicity is the ability of a solution to affect the fluid volume and pressure in a cell. If a solute cannot pass through a plasma membrane, but remains more concentrated on one side of the membrane than on the other, it causes osmosis. A hypotonic15 solution has a lower concentration of nonpermeating solutes than the intracellular fluid (ICF). Cells in a hypotonic solution absorb water, swell, and may burst (lyse) (fig. 3.16a). Distilled water is the extreme example; given to a person intravenously, it would lyse the blood cells. A hypertonic16 solution is one with a higher concentration of nonpermeating solutes than the ICF. It causes cells to lose water and shrivel (crenate) (fig. 3.16c). Such cells may die of torn membranes and cytoplasmic loss. In isotonic17 solutions, the total concentration of nonpermeating solutes is the same as in the ICF—hence, isotonic solutions cause no change in cell volume or shape (fig. 3.16b). It is essential for cells to be in a state of osmotic equilibrium with the fluid around them, and this requires that the extracellular fluid (ECF) have the same concentration of nonpermeating solutes as the ICF. Intravenous fluids given to patients are usually isotonic solutions, but hypertonic or hypotonic fluids are given for special purposes. A 0.9% solution of NaCl, called normal saline, is isotonic to human blood cells. It is important to note that osmolarity and tonicity are not the same. Urea, for example, is a small organic molecule that easily penetrates plasma membranes. If cells are placed in 300 mOsm/L urea, urea diffuses into them (down its concentration gradient), water follows by osmosis, and the cells swell and burst. Thus, 300 mOsm/L urea is not isotonic to the cells. Sodium chloride, by contrast, penetrates plasma membranes poorly. In 300 mOsm/L NaCl, there is little change in cell volume; this solution is isotonic to cells.

Carrier-Mediated Transport
The processes of membrane transport described up to this point do not necessarily require a cell membrane; they can occur just as well through artificial membranes. We now, however, come to processes for which a cell membrane is essential, because they employ transport proteins to get through the membrane. Thus, the next two processes are cases of carrier-mediated transport. The carriers act like enzymes in some ways: The solute is a ligand that binds to a specific receptor site on the carrier, like a substrate binding to the active site of an enzyme. The carrier exhibits specificity for a certain ligand, just as an enzyme does for its substrate. A glucose carrier, for example, cannot transport fructose. Carriers also exhibit saturation; as the solute concentration rises, its rate of transport through a membrane increases, but only up to a point. When every carrier is occupied, adding more solute cannot make the process go any faster. The carriers are saturated—no more are available to handle the increased demand, and transport levels off at a rate called the transport maximum (Tm) (fig. 3.17). As we’ll see later in the book, the transport maximum explains why glucose appears in the urine of people with diabetes mellitus. An important difference between a membrane carrier and an enzyme is that carriers do not chemically change their ligands; they simply pick them up on one side of the membrane and release them, unchanged, on the other. There are three kinds of carriers: uniports, symports, and antiports. A uniport18 carries only one solute at a time. For example, most cells pump out calcium by means of a uniport, maintaining a low intracellular calcium concentration so that calcium salts don’t crystallize in their cytoplasm. A symport19 carries two or more solutes through a membrane simultaneously in the same direction; this process is called cotransport.20 As an example, absorptive cells of the small intestine and kidneys take up sodium and glucose simultaneously by means of a symport. An antiport21 carries two or more solutes in opposite directions; this process is called countertransport. Cells everywhere have an antiport called the sodium-potassium pump that continually removes Na from the cell and brings in K. These carriers employ two mechanisms of transport called facilitated diffusion and active transport. (Any carrier type—uniport, symport, or antiport—can use either of these transport mechanisms.) Facilitated22 diffusion is the carrier-mediated transport of a solute through a membrane down its concentration gradient. It is a passive transport process; that is, it does not consume ATP. It transports solutes such as glucose that cannot pass through the membrane unaided. The solute attaches to a binding site on the carrier, then the carrier changes conformation and releases the solute on the other side of the membrane (fig. 3.18). Active transport is the carrier-mediated transport of a solute through a membrane up its concentration gradient, using energy provided by ATP. The calcium pumps mentioned previously use active transport. Even though Ca2 is already more concentrated in the ECF than within the cell, these carriers pump still more of it out of the cell. Active transport also enables cells to absorb amino acids that are already more concentrated in the cytoplasm than in the ECF. A prominent example of active transport is the sodium-potassium (Na-K) pump, also known as Na-K ATPase because the carrier is an enzyme that hydrolyzes ATP. The Na-K pump binds three Na simultaneously on the cytoplasmic side of the membrane, releases these to the ECF, binds two K simultaneously from the ECF, and releases these into the cell (fig. 3.19). Each cycle of the pump consumes one ATP and exchanges three Na for two K. This keeps the K concentration higher and the Na concentration lower within the cell than in the ECF. These ions continually leak through the membrane, and the Na-K pump compensates like bailing out a leaky boat. Lest you question the importance of the Na-K pump, about half of the calories you consume each day are used for this alone. Beyond compensating for a leaky plasma membrane, the Na-Kpump has at least four functions:
1. Regulation of cell volume. Certain anions are confined to the cell and cannot penetrate the plasma membrane. These “fixed anions,” such as proteins and phosphates, attract and retain cations. If there were nothing to correct for it, the retention of these ions would cause osmotic swelling and possibly lysis of the cell. Cellular swelling, however, stimulates the Na-K pumps. Since each cycle of the pump removes one ion more than it brings in, the pumps are part of a negative feedback loop that reduces ion concentration, osmolarity, and cellular swelling.
2. Secondary active transport. The Na-K pump maintains a steep concentration gradient of Na and K between one side of the membrane and the other. Like water behind a dam that can be tapped to generate electricity, this gradient has a high potential energy that can drive other processes. Since Na has a high concentration outside the cell, it tends to diffuse back in. Some cells exploit this to move other solutes into the cell. In kidney tubules, for example, the cells have Na-K pumps in the basal membrane that remove Na from the cytoplasm and maintain a low intracellular Na concentration. In the apical membrane, the cells have a facilitated diffusion carrier, the sodiumglucose transport protein (SGLT), which simultaneously binds Na and glucose and carries both into the cell at once (fig. 3.20). By exploiting the tendency of Na to diffuse down its concentration gradient into these cells, the SGLT absorbs glucose and prevents it from being wasted in the urine. The SGLT in itself does not consume ATP, but it does depend on the ATP-consuming Na-K pumps at the base of the cell. We say that glucose is absorbed by secondary active transport, as opposed to the primary active transport carried out by the Na-K pump.
3. Heat production. When the weather turns chilly, we not only turn up the furnace in our home but also the “furnace” in our body. Thyroid hormone stimulates cells to produce more Na-K pumps. As these pumps consume ATP, they release heat, compensating for the body heat we lose to the cold air around us.
4. Maintenance of a membrane potential. All living cells have an electrical charge difference called the resting membrane potential across the plasma membrane. Like the two poles of a battery, the inside of the membrane is negatively charged and the outside is positively charged. This difference stems from the unequal distribution of ions on the two sides of the membrane, maintained by the Na-K pump. The membrane potential is essential to the function of nerve and muscle cells, as we will study in later chapters.
Vesicular Transport
So far, we have considered processes that move from one to a few ions or molecules through the plasma membrane at a time. Vesicular transport processes, by contrast, move large particles, droplets of fluid, or numerous molecules at once through the membrane, contained in bubblelike vesicles of membrane. Vesicular processes that bring matter into a cell are called endocytosis23 (EN-doe-sy-TOE-sis) and those that release material from a cell are called exocytosis24 (EC-so-sy-TOE-sis). There are two basic forms of endocytosis: phagocytosis and pinocytosis. Phagocytosis25 (FAG-oh-sy-TOE-sis), or “cell eating,” is the process of engulfing particles such as bacteria, dust, and cellular debris—particles large enough to be seen with a microscope. Neutrophils (a class of white blood cells), for example, protect the body from infection by phagocytizing and killing bacteria. A neutrophil spends most of its life crawling about in the connective tissues by means of blunt footlike extensions called pseudopods26 (SOO-doe-pods). When a neutrophil encounters a bacterium, it surrounds it with its pseudopods and traps it in a phagosome27—a vesicle in the cytoplasm surrounded by a unit membrane (fig. 3.21). A lysosome merges with the phagosome, converting it to a phagolysosome, and contributes enzymes that destroy the invader. Several other kinds of phagocytic cells are described in chapter 21. In general, phagocytosis is a way of keeping the tissues free of debris and infectious microorganisms. Some cells called macrophages (literally “big eaters”) phagocytize the equivalent of 25% of their own volume per hour. Pinocytosis28 (PIN-oh-sy-TOE-sis), or “cell drinking,” is the process of taking in droplets of ECF containing molecules of some use to the cell. While phagocytosis occurs in only a few specialized cells, pinocytosis occurs in all human cells. The process begins as the plasma membrane becomes dimpled, or caved in, at points. These pits soon separate from the surface membrane and form small membrane-bounded pinocytotic vesicles in the cytoplasm. The vesicles contain droplets of the ECF with whatever molecules happened to be there. Receptor-mediated endocytosis29 (fig. 3.22) is a more selective form of either phagocytosis or pinocytosis. It enables a cell to take in specific molecules from the ECF with a minimum of unnecessary fluid. Particles in the ECF bind to specific receptors on the plasma membrane. The receptors then cluster together and the membrane sinks in at this point, creating a pit coated with a peripheral membrane protein called clathrin. 30 The pit soon pinches off to form a clathrin-coated vesicle in the cytoplasm. Clathrin may serve as an “address label” on the coated vesicle that directs it to an appropriate destination in the cell, or it may inform other structures in the cell what to do with the vesicle. One example of receptor-mediated endocytosis is the uptake of low-density lipoproteins (LDLs)—protein-coated droplets of cholesterol and other lipids in the blood (see chapter 26). The thin endothelial cells that line our blood vessels have LDL receptors on their surfaces and absorb LDLs in clathrin-coated vesicles. Inside the cell, the LDL is freed from the vesicle and metabolized, and the membrane with its receptors is recycled to the cell surface. Much of what we know about receptor-mediated endocytosis comes from studies of a hereditary disease called familial hypercholesterolemia, which dramatically illustrates the significance of this process to our cardiovascular health Insight 3.3
Clinical Application
Familial Hypercholesterolemia
The significance of LDL receptors and receptor-mediated endocytosis is illustrated by a hereditary disease called familial hypercholesterolemia.31 People with this disease have an abnormally low number of LDL receptors. Their cells therefore absorb less cholesterol than normal, and the cholesterol remains in the blood. Their blood cholesterol levels may be as high as 1,200 mg/dL, compared to a normal level of about 200 mg/dL. People who inherit the gene from both parents typically have heart attacks before the age of 20 (sometimes even in infancy) and seldom survive beyond the age of 30.Endothelial cells also imbibe insulin by receptormediated endocytosis. Insulin is too large a molecule to pass through channels in the plasma membrane, yet it must somehow get out of the blood and reach the surrounding cells if it is to have any effect. Endothelial cells take up insulin by receptor-mediated endocytosis, transport the vesicles across the cell, and release the insulin on the other side, where tissue cells await it. Such transport of a substance across a cell (capture on one side and release on the other side) is called transcytosis32 (fig. 3.23). Receptormediated endocytosis is not always to our benefit; hepatitis, polio, and AIDS viruses “trick” our cells into engulfing them by receptor-mediated endocytosis Exocytosis (fig. 3.24) is the process of discharging material from a cell. It occurs, for example, when endothelial cells release insulin to the tissue fluid, breast cells secrete milk, gland cells release hormones, and sperm cells release enzymes for penetrating an egg. It bears a superficial resemblance to endocytosis in reverse. A secretory vesicle in the cell migrates to the surface and “docks” on peripheral proteins of the plasma membrane. These proteins pull the membrane inward and create a dimple that eventually fuses with the vesicle and allows it to release its contents. The question might occur to you, If endocytosis continually takes away bits of plasma membrane to form intracellular vesicles, why doesn’t the membrane grow smaller and smaller? Another purpose of exocytosis, however, is to replace plasma membrane that has been removed by endocytosis or become damaged or worn out. Plasma membrane is continually recycled from the cell surface into the cytoplasm and back to the surface. Table 3.3 summarizes the mechanisms of transport we have discussed.
The Cytoplasm
Objectives
When you have completed this section, you should be able to
• list the main organelles of a cell, describe their structure, and explain their functions;
• describe the cytoskeleton and its functions; and
• give some examples of cell inclusions and explain how inclusions differ from organelles.We now probe more deeply into the cell to study the structures in the cytoplasm. These are classified into three groups—organelles, cytoskeleton, and inclusions—all embedded in the clear, gelatinous cytosol.
Organelles
Organelles are internal structures of a cell that carry out specialized metabolic tasks. Some are surrounded by one or two layers of unit membrane and are therefore referred to as membranous organelles. These are the nucleus, mitochondria, lysosomes, peroxisomes, endoplasmic reticulum, and Golgi complex. Organelles that are not surrounded by membranes include the ribosomes, centrosome, centrioles, and basal bodies.

The Nucleus
The nucleus is the largest organelle and usually the only one visible with the light microscope. It is usually spheroid to elliptical in shape and typically about 5 m in diameter. Most cells have a single nucleus, but there are exceptions. Mature red blood cells have none; they are anuclear. A few cell types are multinucleate—having 2 to 50 nuclei— including some liver cells, skeletal muscle cells, and certain bone-dissolving and platelet-producing cells. With the TEM, the nucleus can be distinguished by the two unit membranes surrounding it, which together form the nuclear envelope (fig. 3.25). The envelope is perforated with nuclear pores, about 30 to 100 nm in diameter, formed by a ring of proteins. These proteins regulate molecular traffic through the envelope and act like a rivet to hold the two unit membranes together. Hundreds of molecules pass through the nuclear pores every minute. Coming into the nucleus are raw materials for DNA and RNA synthesis, enzymes that are made in the cytoplasm but function in the nucleus, and hormones that activate certain genes. Going the other way, RNA is made in the nucleus but leaves to perform its job in the cytoplasm. The material in the nucleus is called nucleoplasm. This includes chromatin33 (CRO-muh-tin)—fine threadlike matter composed of DNA and protein—and one or more dark-staining masses called nucleoli (singular, nucleolus), where ribosomes are produced. The genetic function of the nucleus is described in chapter 4.

Endoplasmic Reticulum
Endoplasmic reticulum (ER) literally means “little network within the cytoplasm.” It is a system of interconnected channels called cisternae34 (sis-TUR-nee) enclosed by a unit membrane (fig. 3.26). In areas called rough endoplasmic reticulum, the network is composed of parallel, flattened sacs covered with granules called ribosomes. The rough ER is continuous with the outer membrane of the nuclear envelope, and adjacent cisternae are often connected by perpendicular bridges. In areas called smooth endoplasmic reticulum, the membrane lacks ribosomes, the cisternae are more tubular in shape, and they branch more extensively. The cisternae of the smooth ER are thought to be continuous with those of the rough ER, so the two are functionally different parts of the same network. The ER synthesizes steroids and other lipids, detoxifies alcohol and other drugs, and manufactures all of the membranes of the cell. Rough ER produces the phospholipids and proteins of the plasma membrane, and synthesizes proteins that are either packaged in other organelles such as lysosomes or secreted from the cell. Rough ER is most abundant in cells that synthesize large amounts of protein, such as antibody-producing cells and cells of the digestive glands. This role is discussed further in chapter 4. Most cells have only a scanty smooth ER, but it is relatively abundant in cells that engage extensively in detoxification, such as liver and kidney cells. Long-term abuse of alcohol, barbiturates, and other drugs leads to tolerance partly because the smooth ER proliferates and detoxifies the drugs more quickly. Smooth ER is also abundant in cells of the testes and ovaries that synthesize steroid hormones. Skeletal muscle and cardiac muscle contain extensive networks of smooth ER that store calcium and release it to trigger muscle contraction.

Ribosomes
Ribosomes are small granules of protein and RNA found in the nucleoli, in the cytosol, and on the outer surfaces of the rough ER and nuclear envelope. They “read” coded genetic messages (messenger RNA) and assemble amino acids into proteins specified by the code. This process is detailed in chapter 4.
Golgi Complex
The Golgi35 (GOAL-jee) complex is a small system of cisternae that synthesize carbohydrates and put the finishing touches on protein and glycoprotein synthesis. The complex resembles a stack of pita bread. Typically, it consists of about six cisternae, slightly separated from each other; each cisterna is a flattened, slightly curved sac with swollen edges (fig. 3.27). The Golgi complex receives the newly synthesized proteins from the rough ER. It sorts them, cuts and splices some of them, adds carbohydrate moieties to some, and finally packages the proteins in membrane-bounded Golgi vesicles. These vesicles bud off the swollen rim of a cisterna and are seen in abundance in the neighborhood of the Golgi complex. Some vesicles become lysosomes, the organelle discussed next; some migrate to the plasma membrane and fuse with it, contributing fresh protein and phospholipid to the membrane; and some become secretory vesicles that store a cell product, such as breast milk or digestive enzymes, for later release. The role of the Golgi complex in protein synthesis and secretion is detailed in chapter 4.

Lysosomes
A lysosome36 (LY-so-some) (fig. 3.28a) is a package of enzymes bounded by a single unit membrane. Although often round or oval, lysosomes are extremely variable in shape. When viewed with the TEM, they often exhibit dark gray contents devoid of structure, but sometimes show crystals or parallel layers of protein. At least 50 lysosomal enzymes have been identified. They hydrolyze proteins, nucleic acids, complex carbohydrates, phospholipids, and other substrates. In the liver, lysosomes break down stored glycogen to release glucose into the blood stream. White blood cells use their lysosomes to digest phagocytized bacteria. Lysosomes also digest and dispose of worn-out mitochondria and other organelles; this process is called autophagy37 (aw-TOFF-uh-jee). Some cells are meant to do a certain job and then die. The uterus, for example, weighs about 900 g at full-term pregnancy and shrinks to 60 g within 5 or 6 weeks after birth. This shrinkage is due to autolysis,38 the digestion of surplus cells by their own lysosomal enzymes. Such programmed cell death is further discussed in chapter 5.

Peroxisomes
Peroxisomes (fig. 3.28b) resemble lysosomes but contain different enzymes and are not produced by the Golgi complex. They occur in nearly all cells but are especially abundant in liver and kidney cells. Peroxisomes neutralize free radicals and detoxify alcohol and other drugs. They are named for the hydrogen peroxide (H2O2) they produce in the course of detoxifying alcohol and killing bacteria. They break down excess H2O2 with an enzyme called catalase. Peroxisomes also decompose fatty acids into two-carbon acetyl groups, which the mitochondria then use as an energy source for ATP synthesis.
Mitochondria
Mitochondria39 (MY-toe-CON-dree-uh) (fig. 3.29) are organelles specialized for synthesizing ATP. They have a variety of shapes: spheroid, rod-shaped, bean-shaped, or threadlike. Like the nucleus, a mitochondrion is surrounded by a double unit membrane. The inner membrane usually has folds called cristae40 (CRIS-tee), which project like shelves across the organelle. The space between the cristae, called the matrix, contains ribosomes, enzymes used in ATP synthesis, and a small, circular DNA molecule called mitochondrial DNA (mtDNA). Mitochondria are the “powerhouses” of the cell. Energy is not made here, but it is extracted from organic compounds and transferred to ATP, primarily by enzymes located on the cristae. The role of mitochondria in ATP synthesis is explained in detail in chapter 26, and some evolutionary and clinical aspects of mitochondria are discussed at the end of this chapter (see insight 3.4).

Centrioles
A centriole (SEN-tree-ole) is a short cylindrical assembly of microtubules, arranged in nine groups of three microtubules each (fig. 3.30). Two centrioles lie perpendicular to each other within a small clear area of cytoplasm called the centrosome41 (see fig. 3.5). They play a role in cell division described in chapter 4. Each basal body of a flagellum or cilium is a single centriole oriented perpendicular to the plasma membrane. Basal bodies originate in a centriolar organizing center and migrate to the plasma membrane. Two microtubules of each triplet then elongate to form the nine pairs of peripheral microtubules of the axoneme. A cilium can grow to its full length in less than an hour.

The Cytoskeleton
The cytoskeleton is a collection of protein filaments and cylinders that determine the shape of a cell, lend it structural support, organize its contents, move substances through the cell, and contribute to movements of the cell as a whole. It can form a very dense supportive scaffold in the cytoplasm (fig. 3.31). It is connected to integral proteins of the plasma membrane, and they in turn are connected to protein fibers external to the cell, so there is a strong structural continuity from extracellular material to the cytoplasm. Cytoskeletal elements may even connect to chromosomes in the nucleus, enabling physical tension on a cell to move nuclear contents and mechanically stimulate genetic function. The cytoskeleton is composed of microfilaments, intermediate filaments, and microtubules. Microfilaments are about 6 nm thick and are made of the protein actin. They form a network on the cytoplasmic side of the plasma membrane called the membrane skeleton. The phospholipids of the plasma membrane spread out over the membrane skeleton like butter on a slice of bread. It is thought that the phospholipids would break up into little droplets without this support. The roles of actin in supporting microvilli and producing cell movements were discussed earlier. In conjunction with another protein, myosin, microfilaments are also responsible for muscle contraction. Intermediate filaments (8–10 nm in diameter) are thicker and stiffer than microfilaments. They resist stresses placed on a cell and participate in junctions that attach some cells to their neighbors. In epidermal cells, they are made of the tough protein keratin and occupy most of the cytoplasm. A microtubule (25 nm in diameter) is a cylinder made of 13 parallel strands called protofilaments. Each protofilament is a long chain of globular proteins called tubulin (fig. 3.32). Microtubules radiate from the centrosome and hold organelles in place, form bundles that maintain cell shape and rigidity, and act somewhat like railroad tracks to guide organelles and molecules to specific destinations in a cell. They form the axonemes of cilia and flagella and are responsible for their beating movements. They also form the mitotic spindle that guides chromosome movement during cell division. Microtubules are not permanent structures. They come and go moment by moment as tubulin molecules assemble into a tubule and then suddenly break apart again to be used somewhere else in the cell. The double and triple sets of microtubules in cilia, flagella, basal bodies, and centrioles, however, are more stable.

Inclusions
Inclusions are of two kinds: stored cellular products such as glycogen granules, pigments, and fat droplets (see fig. 3.26b), and foreign bodies such as dust particles, viruses, and intracellular bacteria. Inclusions are never enclosed in a unit membrane, and unlike the organelles and cytoskeleton, they are not essential to cell survival. The major features of a cell are summarized in table 3.4.Insight 3.4
Evolutionary Medicine

Mitochondria—Evolution and Clinical Significance
It is virtually certain that mitochondria evolved from bacteria that invaded another primitive cell, survived in its cytoplasm, and became permanent residents. Certain modern bacteria called ricketsii live in the cytoplasm of other cells, showing that this mode of life is feasible. The two unit membranes around the mitochondrion suggest that the original bacterium provided the inner membrane and the host cell’s phagosome provided the outer membrane when the bacterium was phagocytized. Several comparisons show the apparent relationship of mitochondria to bacteria. Their ribosomes are more like bacterial ribosomes than those of eukaryotic (nucleated) cells. Mitochondrial DNA (mtDNA) is a small, circular molecule that resembles the circular DNA of other bacteria, not the linear DNA of the cell nucleus. It replicates independently of nuclear DNA. mtDNA codes for some of the enzymes employed in ATP synthesis. It consists of 16,569 base pairs (explained in chapter 4), comprising 37 genes, compared to over a billion base pairs and about 35,000 genes in nuclear DNA. When a sperm fertilizes an egg, any mitochondria introduced by the sperm are quickly destroyed and only those provided by the egg are passed on to the developing embryo. Therefore, all mitochondrial DNA is inherited exclusively through the mother. While nuclear DNA is reshuffled in every generation by sexual reproduction, mtDNA remains unchanged except by random mutation. Biologists and anthropologists have used mtDNA as a “molecular clock” to trace evolutionary lineages in humans and other species. mtDNA has also been used as evidence in criminal law and to identify the remains of soldiers killed in action. mtDNA was used recently to identify the remains of the famed bandit Jesse James, who was killed in 1882. Anthropologists have gained evidence, although still controversial, that of all the women who lived in Africa 200,000 years ago, only one has any descendents still living today. This “mitochondrial Eve” is ancestor to us all. mtDNA is very exposed to damage from free radicals normally generated in mitochondria by aerobic respiration. Yet unlike nuclear DNA, mtDNA has no effective mechanism for repairing damage. Therefore, it mutates about ten times as rapidly as nuclear DNA. Some of these mutations are responsible for rare hereditary diseases. Tissues and organs with the highest energy demands are the most vulnerable to mitochondrial dysfunctions—nervous tissue, the heart, the kidneys, and skeletal muscles, for example. Mitochondrial myopathy is a degenerative muscle disease in which the muscle displays “ragged red fibers,cells with abnormal mitochondria that stain red with a particular histological stain. Mitochondrial encephalomyopathy, lactic acidosis, and strokelike episodes (MELAS) is a mitochondrial disease involving seizures, paralysis, dementia, muscle deterioration, and a toxic accumulation of lactic acid in the blood. Leber hereditary optic neuropathy (LHON) is a form of blindness that usually appears in young adulthood as a result of damage to the optic nerve. Kearns-Sayre syndrome (KSS) involves paralysis of the eye muscles, degeneration of the retina, heart disease, hearing loss, diabetes, and kidney failure. Damage to mtDNA has also been implicated as a possible factor in Alzheimer disease, Huntington disease, and other degenerative diseases of old age.

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