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2A · Cells, microbes, and how they organize and divide
Assemblies of molecules, cells, and groups of cells
The plasma membrane defines the cell — it controls what enters and leaves — and the membrane-bound organelles inside divide the eukaryotic cell into specialized compartments. This category covers membrane structure and transport, the organelles and what each does, the cytoskeleton that gives the cell shape and movement, and how cells join into tissues.
The plasma membrane
The plasma membrane is a phospholipid bilayer studded with proteins and cholesterol — the fluid mosaic model. It is selectively permeable: small nonpolar molecules cross freely, while ions and large polar molecules need help.
Phospholipids are amphipathic — a hydrophilic phosphate head and two hydrophobic fatty-acid tails — so in water they self-assemble into a bilayer with tails tucked inside, away from water. The membrane is "fluid" (lipids and many proteins drift laterally) and a "mosaic" (proteins are embedded throughout). What gets through without help is set by size and polarity: O₂, CO₂, and steroid hormones slip across; glucose, amino acids, and ions Na⁺/K⁺/Cl⁻ cannot, and require channels or carriers.
Phospholipids, cholesterol & fluidity
Membrane fluidity rises with temperature and with unsaturated (kinked) fatty-acid tails, and is buffered by cholesterol, which keeps the membrane from becoming either too rigid or too leaky.
Shorter and more unsaturated tails pack loosely → more fluid; longer, saturated tails pack tightly → less fluid. Cholesterol is a fluidity buffer: at high temperature it restrains phospholipid movement (less fluid), and at low temperature it wedges between tails to prevent tight packing (more fluid, prevents freezing). The membrane is also asymmetric — the two leaflets carry different lipids, and carbohydrate chains (glyco-lipids/-proteins) sit only on the extracellular face, where they serve in cell recognition.
How AAMC tests it
A passage cools a cell or swaps in saturated lipids and asks about fluidity, or asks what cholesterol does — the answer is "buffers fluidity in both directions," not simply "increases" or "decreases" it.
Membrane proteins & receptors
Integral (transmembrane) proteins span the bilayer and act as channels, carriers, and receptors; peripheral proteins sit on one surface. Membrane receptors bind extracellular signals and trigger responses inside.
Integral proteins have hydrophobic regions that match the bilayer core and can only be removed by disrupting the membrane (e.g., detergent); peripheral proteins associate loosely with surfaces or with integral proteins. Functional roles: transport (channels, pumps, carriers), enzymatic activity, cell-cell recognition (glycoproteins), attachment to the cytoskeleton/matrix, and signal transduction. Classic receptor types — G-protein-coupled receptors and receptor tyrosine kinases — convert an outside signal into an intracellular cascade without the signal molecule ever entering the cell.
Related
Signal cascades are revisited under the endocrine system in 3A.
Signal transduction: GPCRs & receptor tyrosine kinases
A surface receptor converts an extracellular signal into an intracellular one without the signal ever entering the cell. The two heavyweights: G-protein-coupled receptors (GPCRs), which work through second messengers (cAMP), and receptor tyrosine kinases (RTKs), which dimerize and autophosphorylate.
- GPCR cascade — a 7-transmembrane receptor coupled to a G protein (αβγ). Ligand binding makes the Gα subunit swap GDP for GTP and dissociate; Gα-GTP activates an effector — classically adenylate cyclase, which makes the second messenger cAMP, which activates protein kinase A (PKA). The signal shuts off when Gα's built-in GTPase hydrolyzes GTP back to GDP. One cascade amplifies a few signal molecules into a large response — the mechanism behind most peptide hormones (see peptide vs. steroid hormones).
- Receptor tyrosine kinase (RTK) — ligand binding makes two receptors dimerize and cross-phosphorylate each other's tyrosines, creating docking sites that launch growth and differentiation pathways (e.g., insulin, growth factors).
How AAMC tests it
Expect the GDP→GTP→hydrolysis logic (the off-switch is GTP hydrolysis), cAMP as the second messenger, and the contrast GPCR (second messenger, fast, amplifying) vs. RTK (dimerize/phosphorylate, growth). Classic stem: a non-hydrolyzable GTP analog locks Gα on.
Membrane transport
Movement across the membrane is passive (down a gradient, no ATP) or active (against a gradient, costs energy). The key trade-off is always gradient direction vs. energy cost.
Anything that diffuses moves down its electrochemical gradient until equilibrium; that is passive and free. Moving a solute up its gradient is active and requires energy — directly from ATP (primary) or indirectly from another solute's gradient (secondary). Water follows its own rules (osmosis), and bulk material crosses in membrane-bound vesicles (endo-/exocytosis).
Diffusion & facilitated diffusion
Simple diffusion moves small nonpolar molecules straight through the bilayer; facilitated diffusion moves polar molecules and ions through channel or carrier proteins. Both are passive — down the gradient, no ATP.
Simple diffusion needs no protein and works for O₂, CO₂, and small lipophilic molecules. Facilitated diffusion is still passive but uses a protein: channels form a pore (often gated by voltage or ligand; e.g., aquaporins for water), and carriers bind the solute and change shape (e.g., GLUT transporters for glucose). Because carriers are limited in number, facilitated diffusion saturates at high solute concentration — a kinetics curve that looks like Michaelis–Menten, a favorite passage hook.
Osmosis & tonicity
Osmosis is the diffusion of water across a membrane toward the higher-solute (lower-water) side. Tonicity describes which way water moves for a cell: into a cell in a hypotonic solution (it swells/bursts), out of a cell in a hypertonic solution (it shrivels).
Water moves to dilute the more concentrated solution. Define everything relative to the cell: a hypotonic environment has less solute than the cytoplasm, so water rushes in (animal cells lyse; plant cells become turgid); a hypertonic environment has more solute, so water leaves and the cell shrinks (crenation); an isotonic environment is balanced, with no net movement. Solute concentration sets osmotic pressure — the pressure needed to stop osmosis — a colligative property that depends on the number of dissolved particles, not their identity.
Don't confuse
Hypertonic vs. hypotonic is the single most-flipped pair in cell bio. Anchor it: hyper = more solute outside → water exits → cell shrinks. Always read the solution's tonicity from the cell's point of view.
Active transport & the Na⁺/K⁺ pump
Active transport moves solutes against their gradient using energy. Primary active transport burns ATP directly (the Na⁺/K⁺-ATPase); secondary active transport rides the gradient another pump created.
The Na⁺/K⁺-ATPase pumps 3 Na⁺ out and 2 K⁺ in per ATP, against both gradients. This does two jobs: it maintains the ion gradients underlying the resting membrane potential (more on this in 3A), and the steep inward Na⁺ gradient it builds becomes a battery. Secondary active transport (cotransport) taps that battery: as Na⁺ flows back in down its gradient, it drags another solute along — the same direction is symport (e.g., the Na⁺/glucose cotransporter in the gut), the opposite direction is antiport. Secondary transport uses no ATP itself, but depends on the primary pump that built the gradient.
Endocytosis & exocytosis
Large particles cross in vesicles: endocytosis brings material in (phagocytosis = "cell eating"; pinocytosis = "cell drinking"; receptor-mediated = selective), exocytosis releases it out.
Phagocytosis engulfs large solids (immune cells eating bacteria); pinocytosis takes in extracellular fluid nonspecifically; receptor-mediated endocytosis uses surface receptors to concentrate a specific cargo (e.g., LDL) into coated pits. Exocytosis fuses a vesicle with the plasma membrane to dump contents outside — how cells secrete hormones, neurotransmitters, and digestive enzymes, and how new membrane is added.
Membrane-bound organelles
The defining feature of a eukaryotic cell is internal membranes that build compartments — a true nucleus plus organelles, each a specialized workspace. Know what each makes and the one fact AAMC repeats about it.
Compartmentalization lets the cell run incompatible chemistries simultaneously: digestion in lysosomes, oxidation in peroxisomes, ATP synthesis in mitochondria, protein folding in the ER. Many organelles work as a connected endomembrane system (nuclear envelope → ER → Golgi → vesicles → membrane/lysosome) that synthesizes, modifies, and ships proteins and lipids.
Nucleus & nucleolus
The nucleus stores DNA and is the site of replication and transcription; its double-membrane envelope is perforated by nuclear pores that gate traffic. The nucleolus inside it makes ribosomal RNA and assembles ribosome subunits.
The nuclear envelope is continuous with the rough ER, and nuclear pores let mRNA exit and proteins enter. Inside, DNA wraps around histones as chromatin. The dense nucleolus is where rRNA is transcribed and ribosomal subunits are assembled before export to the cytoplasm. Keeping transcription (nucleus) physically separate from translation (cytoplasm) is a defining eukaryotic trait — and the reason eukaryotes can process mRNA before translating it.
ER, Golgi & the secretory pathway
Rough ER (ribosome-studded) makes and folds secreted/membrane proteins; smooth ER makes lipids and detoxifies. The Golgi apparatus modifies, sorts, and packages those products for shipping.
A secreted protein's journey is a classic ordered process: ribosome on the rough ER → protein threaded into the ER lumen and folded/glycosylated → vesicle buds off to the Golgi → Golgi modifies (trims sugars, adds tags) and sorts → vesicle to the plasma membrane for exocytosis. Smooth ER has no ribosomes and instead synthesizes phospholipids and steroids, stores Ca²⁺ (prominent in muscle), and detoxifies drugs in the liver.
How AAMC tests it
Given a cell that secretes lots of protein (e.g., a pancreatic acinar cell), expect abundant rough ER and Golgi; a steroid-hormone-producing cell (adrenal cortex, gonads) is rich in smooth ER.
Mitochondria
Mitochondria are the site of aerobic ATP production. Their double membrane — a folded inner membrane (cristae) enclosing the matrix — creates the compartments for the citric acid cycle and oxidative phosphorylation.
The matrix holds the citric acid cycle and pyruvate oxidation; the inner membrane holds the electron transport chain and ATP synthase, and its cristae maximize surface area. Mitochondria carry their own circular DNA and ribosomes, self-replicate, and are maternally inherited — evidence for the endosymbiotic theory that they descend from engulfed aerobic bacteria. (See the machinery in detail under oxidative phosphorylation.)
Lysosomes & peroxisomes
Lysosomes are acidic vesicles of hydrolytic (digestive) enzymes that break down macromolecules and worn-out organelles; peroxisomes break down fatty acids and detoxify, handling hydrogen peroxide.
Lysosomes digest material delivered by endocytosis/phagocytosis and recycle the cell's own components (autophagy); their enzymes work best at the low pH the lysosome maintains. Peroxisomes carry out β-oxidation of very-long-chain fatty acids and other oxidations that generate H₂O₂, then use catalase to convert that peroxide to water and oxygen before it can damage the cell.
Don't confuse
Lysosome = hydrolytic/digestive (acidic); peroxisome = oxidative (handles peroxide via catalase).
The cytoskeleton
A protein scaffold of three filament types gives the cell shape, internal organization, and movement — from holding organelles in place to driving cell crawling and division.
The cytoskeleton is dynamic: filaments assemble and disassemble to change cell shape, transport cargo, and pinch a dividing cell in two. The three types differ in size, subunit, and job — the highest-value distinction in this topic.
Microfilaments, intermediate filaments & microtubules
Microfilaments (actin, thinnest) drive contraction and cleavage; intermediate filaments (e.g., keratin) bear mechanical stress; microtubules (tubulin, thickest) are the tracks for transport and the spindle.
- Microfilaments — polymers of actin, the thinnest; responsible for muscle contraction (with myosin), cell motility, and the cleavage furrow that splits a dividing animal cell.
- Intermediate filaments — a diverse middle-sized group (keratin, vimentin, lamins); the most stable, they provide tensile strength and anchor organelles.
- Microtubules — hollow tubes of α/β-tubulin, the thickest; form the tracks along which kinesin (toward the +/periphery) and dynein (toward the −/center) walk cargo, and build the mitotic spindle and cilia/flagella.
Don't confuse
Match the filament to the job: actin → cleavage furrow/contraction; microtubules → spindle, vesicle transport, cilia/flagella. Spindle-poison drugs (e.g., taxol, vinca alkaloids) act on microtubules.
Cilia, flagella & centrioles
Cilia (many, short) and eukaryotic flagella (few, long) are microtubule bundles with a 9+2 arrangement that beat to move fluid or the cell. Centrioles (a 9+0 ring) organize the spindle.
A motile cilium/flagellum has the 9+2 axoneme — nine doublet microtubules around a central pair — and bends when dynein arms slide the doublets. Centrioles and the basal bodies of cilia have the 9+0 pattern (nine triplets, no center). Centrioles sit in the centrosome, the cell's main microtubule-organizing center, which nucleates the spindle during division.
Don't confuse
9+2 = motile cilia/flagella; 9+0 = centrioles/basal bodies. And note: a eukaryotic flagellum (microtubule, whip-like, dynein-powered) is structurally unrelated to a bacterial flagellum (a protein rotor driven by proton flow — see 2B).
Intercellular junctions
Animal cells connect through three junction types: tight junctions seal, desmosomes anchor, and gap junctions communicate.
Junctions let groups of cells behave as a tissue — sealing off compartments, resisting mechanical stress, and coordinating activity. Each has a distinct job, and AAMC reliably tests which one does what.
Tight junctions, desmosomes & gap junctions
Tight junctions form a watertight seal that blocks leakage between cells; desmosomes rivet cells together for strength; gap junctions are channels that let ions and small molecules pass directly between cells.
- Tight junctions — fuse adjacent membranes into a continuous barrier, preventing molecules from slipping between cells (e.g., the gut lining and the blood-brain barrier force material to go through cells, not around them).
- Desmosomes — "spot welds" linked to intermediate filaments that give tissues mechanical strength in stretchy tissue like skin and heart muscle.
- Gap junctions — protein channels (connexons) that directly couple cytoplasms, allowing electrical/chemical coupling (e.g., synchronized contraction of cardiac muscle).
Don't confuse
Seal = tight, strength = desmosome, communication = gap.
Cell adhesion molecules: cadherins, integrins & selectins
Cell adhesion molecules (CAMs) are the surface proteins that physically hold cells to each other or to the extracellular matrix: cadherins (calcium-dependent cell–cell adhesion), integrins (cell–matrix adhesion plus signaling), and selectins (bind carbohydrates on other cells; drive leukocyte rolling).
Recognize the three families by what they bind. Cadherins are calcium-dependent and mediate cell-to-cell adhesion — they're the proteins underlying adherens junctions and the desmosomes from tight junctions, desmosomes & gap junctions. Integrins anchor cells to the extracellular matrix (binding fibronectin, laminin, collagen) and transmit signals bidirectionally across the membrane, a role that matters in immune-cell adhesion and migration. Selectins bind carbohydrate ligands on the surface of other cells and are the weak, transient grip that lets leukocytes roll along the blood-vessel wall before firmly adhering.
How AAMC tests it
A passage on leukocyte rolling / extravasation (immune cells slowing, adhering, and squeezing out of vessels into tissue) keys on selectins → integrins; tissue-morphogenesis or wound-healing stems cue cadherins (Ca²⁺-dependent) and integrins (cell–matrix). You mostly need to recognize the names and what each binds, not memorize structures.
Don't confuse
Cadherins = Ca²⁺-dependent cell–cell; integrins = cell–matrix + signaling; selectins = carbohydrate-binding, leukocyte rolling.
Tissues from eukaryotic cells
Groups of similar cells form tissues; the MCAT focuses on two: epithelial tissue (covers and lines, secretes/absorbs) and connective tissue (supports and connects, with cells embedded in a matrix).
The four animal tissue types are epithelial, connective, muscle, and nervous (muscle and nervous appear under 3A and 3B). Here, know the two foundational ones and their organizing logic — epithelial cells are tightly packed with a polarity and a basement membrane; connective cells are sparse, scattered in an abundant extracellular matrix.
Epithelial tissue
Epithelium covers body surfaces and lines cavities and organs; it is polarized (an apical side facing the lumen, a basal side on a basement membrane) and specializes in protection, secretion, and absorption.
Epithelial cells pack tightly, joined by tight junctions and desmosomes, and rest on a basement membrane that separates them from underlying connective tissue. Classified by shape (squamous, cuboidal, columnar) and layers (simple = one, stratified = many). It is avascular — nourished by diffusion from below — and continually renews.
Connective tissue
Connective tissue supports, connects, and protects other tissues; its hallmark is cells scattered in an extracellular matrix of fibers (collagen, elastin) and ground substance. It includes bone, cartilage, blood, and adipose.
Unlike epithelium, connective tissue is defined by its matrix, not its cells — the matrix's composition sets the tissue's properties (the calcified matrix of bone, the firm matrix of cartilage, the fluid matrix of blood). Fibroblasts secrete the collagen and elastin fibers that give the tissue its strength and stretch.
Worked question
A drug blocks the Na⁺/K⁺-ATPase in cells of the small intestine. Which process would be most directly impaired as a result?