Receptor binding site 
MATERIAL 
12 Pathology at a Glance. By C.J. Finlayson and B.A.T. Newell. Published 2009 by Blackwell Publishing. ISBN: 978-1-4051-3650-1 
General pathology 
1 The normal human cell 
Controlling the intracellular environment: cell membrane 
and ion pumps 
Phospholipid bilayer: hydrophilic ends 
on outer and inner aspects. Hydrophobic 
ends inside membrane, stabilised by 
cholesterol 
Receiving signals 
Cell surface receptors 
and second messengers 
Intracellular transport, cell movement and mitosis 
Centriole: spindle formation 
(cell division) 
Cytoskeletal components: 
microtubules and filaments 
Degradation/destruction 
Lysosome 
Peroxisome 
Protein production and secretion 
Nucleus 
Ribosome and newly produced 
peptide 
Rough (with ribosomes) and 
smooth endoplasmic reticulum 
Golgi apparatus: protein 
modification (folding and 
addition of carbohydrate) 
Secretory vesicle containing 
protein/glycoprotein product 
Proteosome: degrades 
defective protein 
Energy production 
Mitochondrion 
Na/Cl pump 
Calcium channel 
Cell membrane: a phospholipid bilayer, 
containing ion channels and receptor 
molecules 
Cytosol 
Signalling molecules 
transmit signal to nucleus 
Overview of the structure of normal human cells 
COPYRIGHTED
The normal human cell Introduction 13 
General pathology 
The important functions of the cell are: manufacture of proteins for 
local or distant use, energy generation, functions appropriate to tissue 
type and replication. 
The main elements are the nucleus, the cytoplasm (cytosol), the 
cytoskeleton and the subcellular organelles, all bound by membranes. 
Nucleus 
The nuclear membrane contains pores to permit metabolites, RNA and 
ribosomal subunits in or out. It contains: 
• DNA, the nuclear chromatin, which only forms about 20% of the 
nuclear mass. 
• Nucleoli – ribosomal RNA synthesis and ribosome subunit assembly. 
• Nucleoprotein, e.g. synthetic enzymes for DNA, RNA and regulatory 
proteins, all made in the cytoplasm and imported into the nucleus. 
• Messenger, transfer and ribosomal RNA en route for the cytoplasm. 
Cytosol 
The nutritious fluid medium that bathes and supports the organelles, 
through which the cytoskeleton ramifies. Many reactions take place here. 
Cytoskeleton 
• Microtubules: organelles such as secretory vesicles or internalised 
receptors can be transported through the cell via the cytoskeleton. 
• Microfilaments (actin, myosin): these stabilise cell shape and act as 
contractile proteins in muscle. 
• Intermediate filaments, e.g. cytokeratin, desmin, neurofilament pro-teins 
and glial fibrillary acidic protein (the types differ between tissues 
and all are structural). 
Organelles 
Mitochondria 
These are the main ATP/energy generating organelles and house the 
Krebs cycle and oxidative phosphorylation. They have their own 
ssDNA (maternally derived) which codes a minority of their proteins. A 
porous outer membrane and folded inner membrane are present. 
Ribosomes 
Nucleolus-produced ribosomal subunits aggregate in the cytosol and 
attach to the endoplasmic reticulum or lie loose in the cytosol, depend-ing 
on the destination of the protein to be made (free ribosomes make 
proteins for inside the cell itself). Ribosomes translate RNA strands 
into a correctly assembled amino acid sequence (peptide molecule). 
Endoplasmic reticulum (ER) 
The ER is an irregular maze of membrane-bound tubules, saccules and 
cisterns which ramifies through the cell. 
• Rough ER is studded with ribosomes. Proteins made by the rough 
ER pass into the rough ER cisternae and undergo secondary folding 
and early glycosylation before being incorporated into membranes for 
export from the cell, receptor molecules on the cell, or components such 
as lysosomes within the cell. 
• Smooth ER: there is a further addition of carbohydrate moieties to 
protein, folding to achieve tertiary structure. 
Golgi apparatus – see diagram. 
Secretory vesicles 
These membrane bound packets are moved via the cytoskeleton to fuse 
with the cell membrane to expel their contents outside. 
Lysosomes 
These are intracellular membrane-bound vesicles, containing destructive 
chemicals and enzymes, which fuse with phagosomes to release their 
contents into the phagolysosome and destroy pathogens. Lysosomes 
also degrade worn-out cell organelles (autophagy). 
Peroxisomes 
These small membrane-bound granules contain oxidative enzymes 
which make hydrogen peroxide plus its regulator catalase. 
Proteasomes 
These identify defective proteins and degrade them into their component 
peptides and amino acids for re-use by the cell. Portions of broken-down 
protein are bound by MHC class I molecules and displayed on the cell 
surface to Tc cells. 
Centrosome 
This contains the two linked centrioles, from which microtubules 
radiate into the cell. The centrioles duplicate and migrate to oppo-site 
ends of the cell during cell division, separating the duplicated 
chromosomes. 
Membranes 
Membranes are phospholipid barriers surrounding the cell itself and 
certain organelles. They isolate portions of the cell and permit several, 
often incompatible, metabolic processes to take place simultaneously. 
The cell membrane 
This phospholipid bilayer interacts with the extracellular world by 
assorted surface molecules. The centre is lipophilic and the surfaces 
hydrophilic, with cholesterol as a stabilising ‘spacer’ between them. 
The ‘raft theory’ suggests that intramembrane structures can float and 
be cross-linked around the perimeter of the cell. 
Membrane proteins: proteins that project through the membrane 
outside the cell usually have attached carbohydrates. Glycolipids are 
carbohydrates attached to the lipid membrane and are important in 
cell recognition, cell–cell bonds and adsorbing molecules. Some tissues 
have a protective glycocalyx. 
Transport through the cell membrane: The main mechanisms are: 
• Passive diffusion (needs only a concentration gradient), e.g. lipids 
and lipid-soluble agents like ethanol. 
• Facilitated diffusion: the binding of a molecule triggers a conforma-tional 
change which moves the molecule across the membrane. 
• Active transport: against a concentration gradient to maintain ion 
concentrations within the cell, e.g. the Na+/K+/ATPase complex. 
• Bulk transport: endocytosis, transcytosis and exocytosis. Endocytosis 
includes receptor-mediated endocytosis (ligands or viral particles) 
and phagocytosis (engulfing of particles). Pinocytosis, dendritic cell 
sampling of small quantities of tissue fluid is not receptor mediated. 
Transmission of messages across the cell membrane: 
• Lipid-soluble agents (e.g. steroids) diffuse directly across cell 
memtranes. 
• Receptor binding and activation of secondary messengers: applies 
to protein messenger molecules, which bind to a specific cell surface 
receptor (ligand), resulting in active transport of the molecule through 
the membrane or the triggering of intracellular cascade reactions. 
Neurotransmitters: these are chemical messengers for neurones or 
myocytes that cause an electrical response in the target by receptor-mediated 
opening of an ion channel.

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1405136502

  • 1. Receptor binding site MATERIAL 12 Pathology at a Glance. By C.J. Finlayson and B.A.T. Newell. Published 2009 by Blackwell Publishing. ISBN: 978-1-4051-3650-1 General pathology 1 The normal human cell Controlling the intracellular environment: cell membrane and ion pumps Phospholipid bilayer: hydrophilic ends on outer and inner aspects. Hydrophobic ends inside membrane, stabilised by cholesterol Receiving signals Cell surface receptors and second messengers Intracellular transport, cell movement and mitosis Centriole: spindle formation (cell division) Cytoskeletal components: microtubules and filaments Degradation/destruction Lysosome Peroxisome Protein production and secretion Nucleus Ribosome and newly produced peptide Rough (with ribosomes) and smooth endoplasmic reticulum Golgi apparatus: protein modification (folding and addition of carbohydrate) Secretory vesicle containing protein/glycoprotein product Proteosome: degrades defective protein Energy production Mitochondrion Na/Cl pump Calcium channel Cell membrane: a phospholipid bilayer, containing ion channels and receptor molecules Cytosol Signalling molecules transmit signal to nucleus Overview of the structure of normal human cells COPYRIGHTED
  • 2. The normal human cell Introduction 13 General pathology The important functions of the cell are: manufacture of proteins for local or distant use, energy generation, functions appropriate to tissue type and replication. The main elements are the nucleus, the cytoplasm (cytosol), the cytoskeleton and the subcellular organelles, all bound by membranes. Nucleus The nuclear membrane contains pores to permit metabolites, RNA and ribosomal subunits in or out. It contains: • DNA, the nuclear chromatin, which only forms about 20% of the nuclear mass. • Nucleoli – ribosomal RNA synthesis and ribosome subunit assembly. • Nucleoprotein, e.g. synthetic enzymes for DNA, RNA and regulatory proteins, all made in the cytoplasm and imported into the nucleus. • Messenger, transfer and ribosomal RNA en route for the cytoplasm. Cytosol The nutritious fluid medium that bathes and supports the organelles, through which the cytoskeleton ramifies. Many reactions take place here. Cytoskeleton • Microtubules: organelles such as secretory vesicles or internalised receptors can be transported through the cell via the cytoskeleton. • Microfilaments (actin, myosin): these stabilise cell shape and act as contractile proteins in muscle. • Intermediate filaments, e.g. cytokeratin, desmin, neurofilament pro-teins and glial fibrillary acidic protein (the types differ between tissues and all are structural). Organelles Mitochondria These are the main ATP/energy generating organelles and house the Krebs cycle and oxidative phosphorylation. They have their own ssDNA (maternally derived) which codes a minority of their proteins. A porous outer membrane and folded inner membrane are present. Ribosomes Nucleolus-produced ribosomal subunits aggregate in the cytosol and attach to the endoplasmic reticulum or lie loose in the cytosol, depend-ing on the destination of the protein to be made (free ribosomes make proteins for inside the cell itself). Ribosomes translate RNA strands into a correctly assembled amino acid sequence (peptide molecule). Endoplasmic reticulum (ER) The ER is an irregular maze of membrane-bound tubules, saccules and cisterns which ramifies through the cell. • Rough ER is studded with ribosomes. Proteins made by the rough ER pass into the rough ER cisternae and undergo secondary folding and early glycosylation before being incorporated into membranes for export from the cell, receptor molecules on the cell, or components such as lysosomes within the cell. • Smooth ER: there is a further addition of carbohydrate moieties to protein, folding to achieve tertiary structure. Golgi apparatus – see diagram. Secretory vesicles These membrane bound packets are moved via the cytoskeleton to fuse with the cell membrane to expel their contents outside. Lysosomes These are intracellular membrane-bound vesicles, containing destructive chemicals and enzymes, which fuse with phagosomes to release their contents into the phagolysosome and destroy pathogens. Lysosomes also degrade worn-out cell organelles (autophagy). Peroxisomes These small membrane-bound granules contain oxidative enzymes which make hydrogen peroxide plus its regulator catalase. Proteasomes These identify defective proteins and degrade them into their component peptides and amino acids for re-use by the cell. Portions of broken-down protein are bound by MHC class I molecules and displayed on the cell surface to Tc cells. Centrosome This contains the two linked centrioles, from which microtubules radiate into the cell. The centrioles duplicate and migrate to oppo-site ends of the cell during cell division, separating the duplicated chromosomes. Membranes Membranes are phospholipid barriers surrounding the cell itself and certain organelles. They isolate portions of the cell and permit several, often incompatible, metabolic processes to take place simultaneously. The cell membrane This phospholipid bilayer interacts with the extracellular world by assorted surface molecules. The centre is lipophilic and the surfaces hydrophilic, with cholesterol as a stabilising ‘spacer’ between them. The ‘raft theory’ suggests that intramembrane structures can float and be cross-linked around the perimeter of the cell. Membrane proteins: proteins that project through the membrane outside the cell usually have attached carbohydrates. Glycolipids are carbohydrates attached to the lipid membrane and are important in cell recognition, cell–cell bonds and adsorbing molecules. Some tissues have a protective glycocalyx. Transport through the cell membrane: The main mechanisms are: • Passive diffusion (needs only a concentration gradient), e.g. lipids and lipid-soluble agents like ethanol. • Facilitated diffusion: the binding of a molecule triggers a conforma-tional change which moves the molecule across the membrane. • Active transport: against a concentration gradient to maintain ion concentrations within the cell, e.g. the Na+/K+/ATPase complex. • Bulk transport: endocytosis, transcytosis and exocytosis. Endocytosis includes receptor-mediated endocytosis (ligands or viral particles) and phagocytosis (engulfing of particles). Pinocytosis, dendritic cell sampling of small quantities of tissue fluid is not receptor mediated. Transmission of messages across the cell membrane: • Lipid-soluble agents (e.g. steroids) diffuse directly across cell memtranes. • Receptor binding and activation of secondary messengers: applies to protein messenger molecules, which bind to a specific cell surface receptor (ligand), resulting in active transport of the molecule through the membrane or the triggering of intracellular cascade reactions. Neurotransmitters: these are chemical messengers for neurones or myocytes that cause an electrical response in the target by receptor-mediated opening of an ion channel.