How does the body maintains haemostasis




















Watch this video to learn more about water concentration in the body. Which organ has primary control over the amount of water in the body? A deviation from the normal range results in more change, and the system moves farther away from the normal range.

Positive feedback in the body is normal only when there is a definite end point. Childbirth at full term is an example of a situation in which the maintenance of the existing body state is not desired. And the events of childbirth, once begun, must progress rapidly to a conclusion or the life of the mother and the baby are at risk. The extreme muscular work of labor and delivery are the result of a positive feedback system Figure 1. The first contractions of labor the stimulus push the baby toward the cervix the lowest part of the uterus.

The cervix contains stretch-sensitive nerve cells that monitor the degree of stretching the sensors. These nerve cells send messages to the brain, which in turn causes the pituitary gland at the base of the brain to release the hormone oxytocin into the bloodstream. Oxytocin causes stronger contractions of the smooth muscles in of the uterus the effectors , pushing the baby further down the birth canal. This causes even greater stretching of the cervix. The cycle of stretching, oxytocin release, and increasingly more forceful contractions stops only when the baby is born.

At this point, the stretching of the cervix halts, stopping the release of oxytocin. A second example of positive feedback centers on reversing extreme damage to the body. Following a penetrating wound, the most immediate threat is excessive blood loss. Less blood circulating means reduced blood pressure and reduced perfusion penetration of blood to the brain and other vital organs. If perfusion is severely reduced, vital organs will shut down and the person will die. The body responds to this potential catastrophe by releasing substances in the injured blood vessel wall that begin the process of blood clotting.

As each step of clotting occurs, it stimulates the release of more clotting substances. An increase in parasympathetic activity coupled with a decrease in sympathetic activity would reduce cardiac output decreasing HR and SV and decrease TPR. The opposite changes would occur if blood pressure should decrease.

Thus, negative feedback regulation buffers against transitory changes and thereby helps maintain a stable blood pressure on a beat-by-beat basis throughout the day despite changing environmental or behavioral conditions. Figure 8.

A simplified schematic representation of the central neural structures involved in baroreceptor reflex regulation of arterial blood pressure.

Arterial pressure receptors located in the carotid sinuses and aortic arch nerve firing increases as arterial pressure increases convey afferent information via the glossopharyngeal IXth and vagus Xth nerves to the brain, respectively. This information is first processed by neurons located in the nucleus tractus solitarius NTS.

The NTS then alters parasympathetic and sympathetic efferent nerve activity. Specifically, the NTS alters the activity of neurons monosynaptically located in the nucleus ambiguus NA, parasympathetic pre-ganglionic neurons and neurons polysynaptically, via interneuron connections in the caudal ventrolateral medulla CVLM.

The CVLM, in turn, regulates the tonic sympathetic activity that originates in the rostral ventrolateral medulla [RVLM, that regulates sympathetic pre-ganglionic neurons located in the intermediolateral column IML of the spinal cord].

As an example, an increase in arterial blood pressure would increase baroreceptor nerve firing, increasing NTS neuron activity which, via interneurons, would trigger both an increase in the activity of the parasympathetic pre-ganglionic neurons located in the NA and decrease the firing of sympathetic pre-ganglionic neurons located in the IML less directly via CVLM mediated inhibition of the tonic activity of the RVLM. The net result would be a decrease in heart rate?

Reductions in arterial blood pressure would provoke changes in the opposite direction. Feedforward regulation is another mechanism by which homeostasis is modified and maintained as part of the behavioral response to environmental stimuli.

During feedforward regulation, which is also often referred to as central command, a response is elicited without feedback about the status of the regulated variable; that is, disturbances are evaluated and adjustments are made before changes in the regulated variable have actually occurred.

It should be emphasized that feedforward regulation, while acting independently of changes in the regulated variable, does require information about the nature and extent of the potential disturbance. For room temperature, the status of the windows and doors whether they are open or not must be monitored sensors placed on these openings. Otherwise, a response would not be elicited until room temperature had deviated sufficiently from the set point to be detected by the thermostat and thereby activate the previously described negative feedback response.

In living organisms, learning and experience provide the information necessary for feedforward control. The simple negative feedback schema described in the preceding paragraph cannot adequately convey the complexity of the homeostatic process that allows an organism to function and adapt to changing environmental conditions Carpenter, For example, the operating point or more accurately the operating range of the negative feedback regulation can be adjusted or even overridden by higher levels of control Goodman, These adjustments of the automatic e.

This hierarchical control is a multi-level, multi-goal seeking system as shown in Figure 9 modified from Goodman, In this schematic diagram, the first level represents the physiochemical processes, the organ and tissue functions, the component parts upon which homeostasis acts. The second level is autonomous self regulation, homeostasis e. Here changes in a given variable are sensed and adjustments of the first level processes are initiated without input from higher levels of control.

The third level is found in the central command and control centers central nervous system that process the information transmitted from the second level and integrates it with information from other sensory inputs to coordinate the physiological and behavioral response to changing environmental conditions.

This control can occur either at the conscious or unconscious level. An example of a conscious intervention would be the initiation of behaviors to cope with changing room temperature — adding or removing clothing, opening or closing windows seeking shade or sun, etc.

Thus, the third level coordinates behavioral and physiological responses to the external environment in order to maintain comfort and to ensure survival. However, it must be emphasized that higher level control is not possible if the first level components do not function properly.

Finally, one could also envision even higher levels of control, factors outside of the organism. Figure 9. A simplified schematic representation of the higher order control of homeostatic regulation.

This hierarchical control results in a finer level of control and a greater flexibility that enables the organism to adapt to changing environmental conditions see text for details. Once the preferred heading, attitude, and airspeed have been set, the autopilot will maintain level flight within acceptable degrees of roll, pitch, and yaw, despite changes in wind speed or minor turbulence.

Thus, the first level consists of the components of the airliner, the jet engines, and the airframe fuselage, wings, flaps, rudder, etc. In this example, a fourth level of control of the airplane is exerted by the air traffic controllers who provide directions to the pilot while an even higher level of control would reside in the Federal Aviation Administration FAA that sets the policy followed by the air traffic controllers.

The cardiorespiratory response to exercise provides a physiological example of this hierarchical control of homeostatic regulation. The first level consists of the tissues and organs that form the cardiovascular and respiratory system heart, lung, and blood vessels, but also the kidneys and endocrine glands that regulate salt and water retention and thereby blood volume , the second level of control is the baroreceptor direct effect and cardiorenal reflexes indirect via regulation of blood volume , the third level of regulation takes place within the medulla NTS of the central nervous system where the sensory information is processed and the efferent response initiated.

The medullary structures are themselves regulated by higher centers e. In fact, the hypothalamus plays a major role in coordinating matching changes in the internal environment with the behavioral response to external challenges.

As previously mentioned, HR and BP are simultaneously elevated during exercise demonstrating that baroreceptor reflex regulation has been altered. These adjustments are required in order to increase oxygen delivery so that it can match the increased metabolic demand of the exercising muscles. Raven et al. Both feedback sensory information for the exercise muscle, the so-called exercise pressor reflex and feedforward central command: for example, anticipation of the onset of exercise, such as visualizing the race before it is run, will increase HR, BP, and skeletal muscle blood flow contribute to these reflex adjustments.

Finally, higher levels of control include the starter who determines when the race will begin, the event organizers who determine what races are run, and the sports regulatory agencies Olympic committee, FIFA, NCAA, etc. Homeostatic control of the internal environment, therefore, involves much more than simple negative feedback regulation Carpenter, The hierarchical levels of command and control allow the organism to adjust its internal conditions to respond, to adapt, and to meet the challenges placed upon it by a changing and often hostile environment.

The concept of homeostasis has important implications with regard to how best to understand physiology in intact organisms. In recent years, reductionist attempts to explain the nature of complex phenomena by reducing them to a set of ever smaller and simpler components; the view that the whole is merely the sum of its parts , rather than holistic approaches have become dominant, not only in physiology, but in science in general.

The earliest glimmerings of reductionist thought can be found in the surviving fragmentary writings of Thales and other pre-Socratic Greek philosophers who speculated that all matter was composed of various combinations of four key elements: earth, air, fire, and water the four humors of the body correspond to these elements Hall, The pinnacle of Greek reductionism is found in the work of Leucippus and his student Democritus who proposed that all things consist of an infinitely large number of indivisibly small particles that they called atoms Hall, The modern application of reductionism in science can be traced to Francis Bacon — and Rene Descartes — Descartes likewise embraced reductionism as the pathway to knowledge, albeit with an emphasis on deduction rationalism rather than induction empiricism as advocated by Bacon.

In this, his most influential treatise, he described four precepts to arrive at knowledge. His second and more far reaching conclusion was that the body was merely a machine. Thus, it was assumed that by applying Cartesian reductionism, one could deduce the complex physiology of the intact organism by understanding the presumably simpler functions of the individual organs and their constituent parts from the molecular level to subcellular organelles to cells to tissue to organ and finally back to the intact organism.

There can be no denying the power of this approach. Humpty Dumpty quite literally has been smashed into a billion pieces. However, reductionism rests upon the unstated assumption that the parts somehow entail the whole, that complexity is merely the product of incomplete understanding. In other words, the assumption that once we have gathered enough information big data and have developed sufficient computing power ultra-fast computers , we can put Humpty back together again.

The salient question is then whether this assumption is correct? Although we have sequenced the genome for many species, we have little understanding of the process by which the genome becomes an organism.

We now know, in intricate detail, the basis for neuronal action potentials and synaptic transmission but do not understand how these electrical and chemical events give rise to consciousness. As elegantly described by Claude Bernard more than years ago:. Since physicists and chemists cannot take their stand outside the universe, they study bodies and phenomena in themselves and separately, without necessarily having to connect them with nature as whole.

But physiologists, finding themselves, on the contrary, outside the animal organism which they see as a whole, must take account of the harmony of the whole, even while trying to get inside, so as to understand the mechanism of its every part.

The result is that physicists and chemists can reject all idea of the final causes for the facts that they observe; while physiologists are inclined to acknowledge a harmonious and pre-established unity in an organized body, all of whose partial actions are interdependent and mutually generative.

We really must learn, then, that if we break up a living organism by isolating its different parts, it is only for the sake of ease in experimental analysis, and by no means in order to conceive them separately.

Indeed, when we wish to ascribe to a physiological quality its value and true significance, we must always refer to this whole, and draw conclusions only to its effects in the whole.

The grand challenge faced by contemporary physiology in this post-genomic era as first described in Billman, remains how to integrate and to translate this deluge of information obtained in vitro into a coherent understanding of function in vivo. Although a machine may consist of many parts, the parts in isolation do not make the machine.

In an analogous fashion, while organisms are made of molecules, molecules are not organisms. Man and other organisms are not mere vehicles for the perpetuation of genes, selfish or otherwise. The days for reductionist deconstruction are numbered; more holistic and integrated systems approaches are required to put Humpty Dumpty back together again. It is time for physiologist to return to their roots and consider the organism as a whole as advocated by Claude Bernard.

A second, and by no means less important, challenge will be to train the next generation of scholars to perform the integrative studies in intact preparations whole animals or organs that are the pre-requisite for clinical applications. Role of the kidneys in the regulation of intra- and extra-renal blood pressure. Ann Clin Hypertens. Pancreatic regulation of glucose homeostasis. Exp Mol Med. Recent advances in thermoregulation. Advances in Physiology Education. Molnar C, Gair J.

Homeostasis and osmoregulation. In: Concepts of Biology - 1st Canadian Editio n. BCcampus; Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data.

We and our partners process data to: Actively scan device characteristics for identification. I Accept Show Purposes. Table of Contents View All. Table of Contents. Maintaining Homeostasis. What Is Homeostasis? How Addiction Affects Homeostasis. Was this page helpful? Thanks for your feedback! Sign Up. A person with a high fever has hot, dry skin if they do sweat to help cool it. Not only have the negative feedback systems shut down in such a case; the increased temperature speeds up the body chemistry, which causes the temperature to rise even more, which in turn speeds up the body chemistry even more, and so forth.

This vicious cycle of positive feedback, a "runaway" process, can only end in death if not stopped. It is important to emphasize that homeostatic reactions are inevitable and automatic if the system is functioning properly, and that a steady state or homeostasis may be maintained by many systems operating together. For example, flushing is another of the body's automatic responses to heating: the skin reddens because its small blood vessels automatically expand to bring more heated blood close to the surface where it can cool.

Shivering is another response to chilling: the involuntary movements burn body tissue to produce more body heat. Negative feedback arises out of balances between forces and factors that mutually influence each other. To illustrate several of its important characteristics, we can regard a car and its driver as a unified, complex, homeostatic or "goal-seeking" system--a cyborg, or "cybernetic organism," in that it seeks to keep the car moving on track.

The driver does not steer by holding the wheel in a fixed position but keeps turning the wheel slightly to the left and right, seeking the wheel positions that will bring the naturally meandering car back on track.

Disturbance, or departure from equilibrium, is every bit as important as negative feedback: Systems cannot correct themselves if they do not stray. Oscillation is a common and necessary behavior of many systems. If the car skids, the driver automatically responds by quickly steering in the opposite direction.



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