4b. Smooth Muscle Flashcards

1
Q

Smooth muscle

A

autonomic nervous system

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2
Q

smooth muscle located

A

vasculature
airways
gut

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3
Q

blood vessel outside

A

smooth muscle

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4
Q

blood vessel inside

A

endothelial cells

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5
Q

multi-unit

A

each cell is innervated separately
so each behaves independently
not coordinated

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6
Q

single-unit

A

innervated in series
gap junctions permit coordinated contraction
spontaneous action potential

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7
Q

single unit smooth muscles

A

walls of hollow organs
airways
uterus
visceral smooth muscle

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8
Q

multi-unit smooth muscles

A

airways
larger arteries
ciliary muscle of eye

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9
Q

smooth muscle structure

A

smaller than skeletal
single nucleated
no striations
actin and myosin

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10
Q

smooth muscle contraction speed

A

slower
duration longer

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11
Q

3 types of muscle cells

A

skeletal - voluntary
cardiac - involuntary
smooth - involuntary

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12
Q

smooth muscle membrane potential

A

-50 to -60 mV

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13
Q

smooth muscle depolarization rising phase

A

VG Ca++ channels
+ some Leak Ca++ channels

some smooth muscle can contract w/graded potential

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14
Q

Ca++ pathways into cell in smooth muscle contraction

A
  1. VG Ca++ channel
  2. stretch-activated Ca++ channel
  3. NT/hormones Gprotein complex
  4. CICR
  5. SOCE
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15
Q

How does the G-protein complex induce Ca++ release into Cytosol?

A

G protein complex stimulates Phospholipase C to release IP3

IP3 binds to SR Ca++ channels
Ca++ released from SR into cytosol

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16
Q

how does CICR release Ca++ into cytosol?

A

Ca++ from cytosol binds to the CICR
CIRC pumped from SR to cytosol

(positive feedback)

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17
Q

how does Store operated calcium entry (SOCE) work?

A

SR Ca++ stores become depleted
signal triggers SO Ca++ channel to open
Ca++ flows into Cytosol

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18
Q

smooth muscle contraction

A
  1. increase intracellular Ca++
  2. Ca++ binds to calmodulin (CaM)
  3. Ca++/CaM activates Myosin Light Chain Kinase (MLCK)
  4. MLCK phosphorylates light chain in myosin heads (incr ATPase activity)
  5. cross bridge cycling creates muscle tension
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19
Q

what inhibits MLCK?

A

cAMP

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20
Q

conformation change

A

1) increases ATP activity
2) allows myosin/actin interaction

21
Q

increase cAMP

A

inhibits MLCK
muscles cannot contract

22
Q

smooth muscle relaxation

A

decrease intracellular Ca++
increase MLCP activity

23
Q

MLCP

A

myosin light chain phosphatase

24
Q

how do you activate MLCP?

A

cGMP

25
Q

Nitric Oxide (NO)

A

released by endothelium
causes smooth muscle relaxation
vasodilator

26
Q

first signs of vascular disease

A

decrease in NO

27
Q

how does NO cause smooth muscle relaxation?

A

NO released by endothelium
NO stimulates guanylyl cyclase
GTP convert to cGMP
increased cGMP causes relaxation of smooth muscles

28
Q

cGMP

A

inhibits Ca++ entry
activates MLCP

29
Q

adrenergic receptors

A

alpha 1
alpha 2
beta 1
beta 2

30
Q

cholinergic receptors

A

muscarinic : M1-M5
nicotinic: N1-N2

31
Q

blood vessels receptors

A

most blood vessels have only adrenergic receptors

some have bothh cholinergic and adrenergic

32
Q

adrenergic receptors cause

A

mostly vasoconstrictions
some vasodilations

33
Q

cholinergic receptors cause

A

only vasodilations

34
Q

vascular smooth muscle (BV)
alpha 1

A

NE binds to alpha 1
G-protein complex
Phospholipase C produces IP3
IP3 binds to Ca++
Ca++ released into cytosol
increase Ca++
smooth muscle contraction
(vasoconstriction)

35
Q

vascular smooth muscle (BV)
beta 2

A

NE or Epi binds to Beta 2
increase cAMP
inhibits MLCK
smooth muscle contraction
(Vasodilation)

36
Q

B2 receptors in BV location

A

BV that support organ/tissue:
coronary
skeletal muscle
pulmonary

37
Q

BV mainly innervated by

A

sympathetic nerves

38
Q

some BV innervated by

A

parasympathetic nerves

39
Q

Parasympathetic effects on vasculature

A

Ach releases NO from endothelium
NO is vasodilator

40
Q

if you have a damaged endothelium

A

less NO would be released?

41
Q

Sympathetic effects on smooth muscles in bornchioles

A

Epi>NE
NE or Epi binds to beta 2
cAMP increased
inhibits intracellular Ca++ release
decrease Ca++
decrease smooth muscle contraction
(bronchodilation)

42
Q

parasympathetic effects on smooth muscles in bronchioles

A

Ach binds to muscarinic receptor
G protein complex
phospholipase C releases IP3
increases cytosol Ca++
increase smooth muscle contraction
(bronchoconstriction)

43
Q

bronchodilation receptor

A

Beta 2

44
Q

bronchoconstriction receptor

A

M3

45
Q

Paracrine factors in smooth muscle vasodilation

A

High CO2
High H+
NO

46
Q

paracrine factors in smooth muscle vasoconstriction

A

Low O2
(hypoxic pulmonary vasoconstriction)

47
Q

endocrine vasoconstrictors

A

angiotensin II
endothelin
vasporessin
serotonin

48
Q

endocrine vasodilators

A

histamine

49
Q

Stretch (in gut)…

A

increases contraction