6. Excitable Cells: Neural Communication Flashcards

1
Q

What are the two main nervous systems?

A
  • Central nervous system
  • Peripheral nervous system
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2
Q

What structures make up the CNS?

A
  • Brain
  • Spinal cord
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3
Q

What structures make up the PNS?

A

All neuronal elements outside the brain and sponal cord:

  • Cranial and spinal nerves -> Made of sensory and motor nerves
  • Associated ganglia
  • Supporting cells (e.g. Schwann cells)
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4
Q

Are sensory peripheral nerves divided into autonomic/somatic, parasympathetic/sympathetic, etc.?

A

They are sometimes divided into somatic and visceral afferent fibres, but CHECK THIS.

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5
Q

Draw a diagram to show the divisions of the nervous system.

A
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6
Q

What is the embryological origin of the central and peripheral nervous systems?

A
  • CNS -> Neural tube
  • PNS -> Neural crest
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7
Q

Describe the process by which peripheral nervous system cells develop (in terms of embryology).

A

They undergo:

  • Specification
  • Migration
  • Differentiation
  • Functional specification
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8
Q

What are the two divisions of the sensory division of the nervous system?

A
  • Somatic sensory
    • Consciously perceived
    • Touch, pain, hearing, etc.
  • Visceral sensory
    • Not consciously perceived
    • Stretch, chemical changes, taste, etc.
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9
Q

What are the two types of peripheral neurons?

A
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10
Q

Draw the structure of a reflex arc.

A
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11
Q

What are ganglia?

A

Egg-shaped structures containing cell bodies of neurons and glial cells supported by connective tissue.

i.e. It is where the cell bodies of neurons are.

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12
Q

What are unipolar, bipolar and multipolar neurons? Where is each found?

A

This essentially refers to the number of processes (e.g. axons) that come out of the cell body:

  • Unipolar -> Sensory neurons with cell bodies in spinal and cranial nerve ganglia.
  • Bipolar neurons -> Relatively rare. They are sensory neurons found in olfactory epithelium, the retina of the eye, and ganglia of the vestibulocochlear nerve.
  • Multipolar neurons -> Most common. They are located in the central nervous system (brain and spinal cord) and in autonomic ganglia.
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13
Q

Where do sensory neurons have ganglia?

A

Near the spinal cord -> These are called DORSAL ROOT GANGLIA

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14
Q

What is found in dorsal root ganglia?

A

The cell bodies of sensory neurons.

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15
Q

Where do sensory neurons usually terminate?

A

At interneurons of the CNS.

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16
Q

What are some different categories of sensory neuron receptors?

A
  • Thermoreceptors – Respond to changes in temperature
  • Photoreceptors – React to light
  • Chemoreceptors – Respond to chemicals
  • Mechanoceptors – Respond to pressure, touch vibrations
  • Nociceptors – Respond to pain
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17
Q

Where are sensory receptors found?

A

They are found at the ends of sensory neurons.

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18
Q

Give some examples of sensory nerve endings and what they detect. [IMPORTANT]

A
  • Meissner corpuscle -> Fine touch
  • Merkel disc -> Touch
  • Pacinian corpuscle -> Coarse touch, Pressure, Vibration
  • Free nerve endings -> Heat, Pain
  • Ruffini endings -> Stretch

Remember:

  • Meissner sounds smooth so it detects smooth touch, while Merkel sounds rough so it detects coarser touch
  • ViP STaR = Vibration is detected by Pacinian corpuscles, while Stretch and Temperature are detected by Ruffini endings
  • Free nerve endings detect heat and pain
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19
Q

What stimulus do Meissner corpuscles detect?

A

Fine touch

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20
Q

What stimulus do Pacinian corpuscles detect?

A

Coarse touch, Vibration, Pressure

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21
Q

What stimulus do free nerve endings detect?

A

Pain, Heat, Touch

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22
Q

What stimulus do Ruffini’s corpuscles detect?

A

Stretch

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23
Q

What stimulus do Merkel’s disks detect?

A

Touch

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24
Q

Draw the positions and appearance of different sensory nerve endings near the skin.

A

Remember: The two M’s are in the epidermis along with the free nerve endings, while the rest are in the dermis.

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25
Q

What is this?

A

Pacinian corpuscle

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26
Q

What is this?

A

Meissner’s corpuscle

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27
Q

Compare the motor neurons of somatic and autonomic nervous systems.

A

Somatic motor neurons:

  • Single neuron network
  • Monosynaptic

Autonomic motor neurons:

  • Two neuron network
  • Disynaptic
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28
Q

Compare the neurotransmitters that the somatic, parasympathetic and sympathetic nervous systems use.

A
  • Somatic -> Acetylcholine
  • Parasympathetic -> Acetylcholine (at both synapses)
  • Sympathetic -> Acetylcholine (at ganglion) + Noradrenaline (at effector)
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29
Q

Name the different types of ganglia that the spec mentions. What is found in each?

A
  • Dorsal root ganglia (where sensory neuron cell bodies are)
  • Sympathetic (where postganglionic neuron cell bodies are)
  • Parasympathetic (where postganglionic neuron cell bodies are)
  • Enteric (where postganglionic neuron cell bodies are)
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30
Q

What parts of the body do the sympathetic, parasympathetic and enteric nervous systems provide motor supply to?

A

Sympathetic:

  • Muscles
  • Viscera
  • Cardiac and smooth muscle

Parasympathetic:

  • Viscera
  • Cardiac and smooth muscle
  • No musculo-skeletal supply

Enteric:

  • Intrinsic nervous system of gut
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31
Q

What is the pre-ganglionic neurotransmitter?

A

Acetylcholine

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32
Q

Compare the general positions of ganglia in the somatic, parasympathetic and sympathetic nervous systems.

A
  • Somatic -> No ganglia
  • Parasympathetic -> Usually within (or near to) effector organs
  • Sympathetic -> Usually within discrete ganglia closer to the spinal cord (e.g. paravertebral ganglia)
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33
Q

At what spinal levels do sympathetic and parasympathetic nerves arise from?

A
  • Parasympathetic -> Craniosacral
  • Sympathetic -> Tharcolumbar

Remember: PSP

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34
Q

Describe the different sympathetic ganglia. [IMPORTANT]

A

Paravertebral ganglia:

  • Two paravertebral ganglia run either side of the spinal cord -> Supply multiple organs
  • At the top of these are cervical ganglia -> Supply the head and thorax (heart and lungs)

Prevertebral (i.e. between the paravertebral ganglia and the target organs):

  • Coeliac ganglia -> Supply foregut
  • Superior mesenteric ganglia -> Supply midgut
  • Inferior mesenteric ganglia -> Supply pelvic organs
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35
Q

What are the pre-ganglionic nerves that supply the coeliac, superior mesenteric and inferior mesenteric ganglia (sympathetic)? What body parts do these supply?

A
  • Coeliac ganglion -> Greater splanchnic nerve
    • Supplies the foregut
  • Superior mesenteric -> Lesser splanchnic nerve
    • Supplies the midgut
  • Inferior mesenteric -> Least splanchnic nerves
    • Supplies the pelvic organs
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36
Q

What are the different cervical ganglia and what do they supply? Is this sympathetic or parasympathetic?

A
  • Superior cervical ganglion -> Head
  • Middle cervical and stellate ganglia -> Heart and lungs

This is sympathetic.

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37
Q

What do the sympathetic paravertebral chains allow?

A

They allow nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated.

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38
Q

Where do the cervical ganglia receive nerve fibres from?

A

They receive fibres from the paravertebral chain, since no nerve roots come from the cervical region.

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39
Q

What exact fibres modulate the enteric nervous system?

A
  • Pre-ganglionic parasympathetic fibres
    • Vagus nerve
    • Sacral fibres
  • Post-ganglionic sympathetic fibres
    • From prevertebral ganglia
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40
Q

What do sacral parasympathetic fibres supply?

A

Meissner’s and Auerbach’s plexus (enteric nervous system), as well as the lower gut and urogenital tract.

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41
Q

Draw the structure of the enteric nervous system.

A
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42
Q

What is the role of the enteric nervous system?

A

Coordinates the activities of the gut

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43
Q

What are the three types of neuron in the plexuses of the gut wall?

A
  • Sensory
  • Motor
  • Secretomotor -> Induce a gland to secrete a substance
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44
Q

Describe the formation of the autonomic nervous system.

A
  • The peripheral nervous system is derived from the neural crest, which forms when the neural tube closes.
  • These then undergo migration and the time of migration determines the fate of the cells:
    • First cells -> Form the enteric nervous system.
    • Next -> Crest cells migrate through the somites to form the segmental paravertebral ganglia (sympathetic)
    • Finally -> Parasympathetic ganglia and prevertebral sympathetic ganglia form.
  • Pre-ganglionic fibres of the autonomic nervous system are CNS neurons that lie in the intermediate part of the spinal cord and are patterned by Shh signals from the notochord.
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45
Q

Why are the paravertebral chain ganglia arranged segmentally?

A
  • The neural crest migrates through the cranial half of each somite and forms the segmental sympathetic chain ganglia.
  • The caudal half of each somite contains inhibitory molecules that prevent neural crest migration.
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46
Q

How is the enteric nervous system formed?

A

Neural crest cells arise from the cervical levels, invade the gut and then colonise the entire gut in a caudal direction.

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47
Q

What is Hirschprung’s disease, what causes it and what are the symptoms?

A
  • Caused by failure of neural crest cells to invade (or survive in) the gut wall
  • This means that the enteric nervous system doesn’t develop fully
  • The symptoms include constipation and megacolon (swelling of the colon and lack of peristaltic movement)
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48
Q

What are the three points where pre-ganglionic nerve fibres terminate in the sympathetic nervous system?

A
  1. Some terminate in the ganglia
  2. Some reach the paravertebral ganglia, go up or down the chain, and then terminate at a different spinal level
  3. Some pass to pre-vertebral/midline ganglia via the splanchnic nerves (without synapsing at the paravertebral chain)
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49
Q

What are midline ganglia?

A

They are pre-vertebral ganglia (sympathetic). [CHECK THIS - DOES IT ACTUALLY MEAN PARAVERTEBRAL?]

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50
Q

What does the sympathetic and parasympathetic supply to the head come from?

A
  • Sympathetic -> From the superior cervical ganglion (at the top of the paravertebral chain)
  • Parasympathetic -> Cranial nerves
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51
Q

Are cranial nevres parasympathetic or sympathetic?

A

Parasympathetic

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52
Q

What are the four cranial nerves you need to know about and what number are they?

A
  • III - Occulomotor
  • XII - Facial
  • IX - Glossopharyngeal
  • X - Vagus
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53
Q

Which cranial nerve is the occulomotor nerve and what does it supply?

A
  • III
  • Supplies the iris of the eye (via the ciliary ganglion)
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54
Q

Which cranial nerve is the facial nerve and what does it supply?

A
  • VII
  • Supply lacrimal glands and nasal mucosa (via the pterygopalatine ganglion)
  • Supply salivary glands (via submandibular ganglion )
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55
Q

Which cranial nerve is the glossopharyngeal nerve and what does it supply?

A
  • IX
  • Supplies parotid salivary gland (via the otic ganglion)
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56
Q

Which cranial nerve is the vagus nerve and what does it supply?

A
  • X
  • Supplies the organs of the thorax and abdomen
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57
Q

Describe how peristalsis happens.

A
  • Food in gut causes mechanical release of serotonin
  • This stimulates cells in the submucosal plexus which in turn stimulate the myenteric plexus
  • This causes peristalsis to happen
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58
Q

Compare the structures at the effector-end of somatic and autonomic motor neurons.

A
  • Somatic motor neurons end in a synapse (motor end-plate)
  • Autonomic nerves end in varicosities, which are a series of enlargements where neurotransmitter is released onto the effector
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59
Q

What is the exception to the rule that sympathetic post-ganglionic nerves use noradrenaline?

A

Sweat glands receive cholinergic control.

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60
Q

Describe how the adrenal gland relates to the sympathetic nervous system.

A

It is stimulated by pre-ganglionic fibres (by ACh release) to release catecholamines into the blood.

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61
Q

Which nerve innverates the adrenal gland?

A

Greater splanchnic

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62
Q

How are cardiovascular effects of the sympathetic system coordinated?

A

By CNS control centres.

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63
Q

What is Horner’s syndrome and what are the symptoms?

A
  • Caused by lesions of the superior cervical ganglion (that supplies the head)
  • Symptoms:
    • Permanent constriction of the pupil
    • Drooping eyelid (ptosis)
    • A dry face and flushed face
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64
Q

How can excessive sweating (hyperhidrosis) be treated?

A
  • Sympathetic chain can be cut to prevent sympathetic stimulation

OR

  • Region injected with Botulinum toxin.
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65
Q

Is crying a sympathetic or parasympathetic action?

A

Parasympathetic

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66
Q

For the heart, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Increased heart rate -> Beta 1 (and beta 2)
  • Increased force of contraction -> Beta 1 (and beta 2)
  • Increased conduction velocity

Parasympathetic:

  • Decreased heart rate
  • Decreased force of contraction
  • Decreased conduction velocity
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67
Q

For arteries, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Constriction mostly (alpha 1)
  • Dilation of some (beta 2)

Parasympathetic:

  • Dilation
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68
Q

For veins, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Constriction mostly (alpha 1)
  • Dilation of some (beta 2)

Parasympathetic: None

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69
Q

For lungs, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Bronchial muscle relaxation (beta 2)

Parasympathetic:

  • Bronchial muscle constriction
  • Increased bronchial gland secretions
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70
Q

For the GI tract, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Decreased motility (beta 2)
  • Constriction of sphincters (alpha)

Parasympathetic:

  • Increased motility
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71
Q

For the liver, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Glycogenolysis (beta 2 and alpha)
  • Gluconeogenesis (beta 2 and alpha)
  • Lipolysis (beta 2 and alpha)

Parasympathetic:

  • Glycogen synthesis
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72
Q

For the kidney, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Renin secretion (beta 2)

Parasympathetic: None

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73
Q

For the bladder, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Detrusor relaxation (beta 2)
  • Contraction of sphincter (alpha)

Parasympathetic: None

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74
Q

For the uterus, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Contraction of pregnant uterus (alpha)
  • Relaxation of pregnant and non-pregnant uterus (beta 2)

Parasympathetic: None

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75
Q

For the eye, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Dilates pupil (alpha)

Parasympathetic:

  • Constricts pupil
  • Increased lacrimal gland secretions
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76
Q

For the salivary glands, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?

A

Sympathetic:

  • Viscous salivary secretions (alpha)

Parasympathetic:

  • Watery salivary secretions
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77
Q

What are the major parts of a neuron?

A
  • Cell body
  • Axon
  • Dendrites
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78
Q

What is the difference between axons and dendrites?

A
  • Axon
    • Long process stretching from cell body
    • Responsible for transmitting signals from cell body
  • Dendrites
    • Short cell processes
    • Increase surface area for connecting with other axons and transmit signals to cell body

Remember: Axons Away

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79
Q

Describe the structural appearance of neuron cell bodies.

A
  • Large nucleus
  • Finely dispersed chromatin (indicative of a rich synthetic activity)
  • Abundant rough endoplasmic reticulum (RER) with ribosomes
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80
Q

What are these purple structures?

A

Nissi bodies -> They are the cell bodies of neurons after they have been stained purple with basic dye.

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81
Q

What are axons specialised for?

A

Transmission of information away from the cell body.

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82
Q

What is the diameter and length of axons?

A
  • Microscopic in diameter (1μm – 1 mm)
  • Some may extend a meter or even longer
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83
Q

What are dendritic spines?

A

Plastic structures in dendrites that are implicated in motivation, learning and memory.

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84
Q

Describe the two types of polarity of neurons.

A
  • Structural
    • One domain specialised to receive incoming signals and the other for sending signals
  • Functional
    • Unidirectional impulse propagation
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85
Q

What are the three types of cytoskeleton element in neurons and what does each do?

A
  • Microtubulules -> Transport
  • Neurofilaments (a type of intermediate filament) -> Maintain axonal structure
  • Microfilaments -> Allow changes in cell shape and act as scaffold for signal transduction systems
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86
Q

What molecules make up microfilaments in neurons?

A

Actin

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87
Q

What molecules make up microtubules in neurons?

A

Tubulin

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88
Q

What maintains neuronal polarity?

A

Bidirectional transport along the axon, using microtubules as skeletal tracks.

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89
Q

What are the two directions of transport in neurons?

A
  • Anterograde -> Towards the tip of axons
  • Retrograde -> Back from the tip of axons
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90
Q

What mechanochemical enzymes allow anterograde and retrograde transport along axons?

A
  • Anterograde (towards the tip of axons) -> Kinesin
  • Retrograde (back from the tip of axons) -> Dynein
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91
Q

What things are transported in a anterograde and retrograde direction along axons?

A
  • Anterograde:
    • Organelles
    • Growth factors
    • Neurotransmitters
  • Retrograde:
    • Endocytosis products to endosomes in cell body
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92
Q

What cells myelinate axons in the PNS and CNS?

A
  • PNS -> Schwann cells
  • CNS -> Oligodendrocytes
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93
Q

Describe how myelination of an axon by a Schwann cell occurs.

A
  • Numerous layers of a Schawnn cell are wrapped around an axon
  • Each turn forms a lamella of myelin
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94
Q

What is a mesaxon?

A

A pair of parallel plasma membranes of a Schwann cell, marking the point of edge-to-edge contact by the Schwann cell encircling the axon.

i.e. It is the point where the layers of a Schawann cell wrapped around an axon touch.

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95
Q

Do non-myelinated axons associate with Schwann cells?

A

Yes, they bury themselves in their cytoplasm (although the Schwann cells do not wrap around the axon like in myelinated axons).

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96
Q

What do oligodendrocytes do?

A
  • Wrap myelin around several axons at once
  • Found in the CNS
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97
Q

What are some functions of myelin?

A
  • Provides support
  • Facilitates fast axonal conduction
  • Insulation
  • Reduction of electrical capacitance for axons
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98
Q

What are the gaps between Schwann cells on an axon called?

A

Nodes of Ranvier

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99
Q

What is myelin made of?

A
  • Phospholipids (70%)
  • Proteins (30%)
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100
Q

What are 3 protein-encoding genes that are involved in myelin production?

A
  • Protein zero (P0)
  • Myelin basic protein (MBP)
  • Proteolipid protein (PLP)
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101
Q

How do autoimmune diseases affect the nervous system and what are the symptoms?

A
  • Caused by antibodies to glycosphingolipids
  • Usually triggered by an acute infectious process
  • Myelin regeneration occurs but there may also be axon damage
  • Many patients become completely paralyzed and unable to breathe, 5% die from respiratory paralysis

An example is Guillain-Barre syndrome.

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102
Q

Do peripheral nerves contain just one axon?

A

No, they can contain very many.

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103
Q

How are neurons arranged in nerves?

A

Each nerve trunk contains:

  • Bundles (fascicles) of fibres consisting of axons and Schwann cells
  • Support cells and blood vessels
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104
Q

What are the 3 support tissues in nerves?

A
  • Epineurium
  • Perineurium
  • Endoneurium
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105
Q

What do each of the epineurium, perineurium and endoneurium do?

A
  • Epineurium
    • Outer sheath binds individual nerve fascicles into a nerve trunk
  • Perineurium
    • Surrounds fasicles (bundles of axons)
  • Endoneurium
    • Surrounds axons and Schwann cells
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106
Q

What are the epineurium and endoneurium made of?

A
  • Epineurium -> Type I collagen and fibroblasts
  • Endoneurium -> Longitudinally orientated Type III collagen, fibroblasts and capillaries
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107
Q

What are the arrows pointing to?

A

Axons

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108
Q

In spinal nerves, are the dorsal and ventral roots sensory or motor?

A
  • Dorsal is sensory (you can remember this because only sensory neurons synapse in the dorsal root ganglia)
  • Ventral is motor
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109
Q

Draw the structural organisation of the PNS in a spinal nerve.

A
110
Q

What different things do ganglia contain?

A
  • Efferent and afferent axons
  • Support cells (satellite cells)
  • Blood vessels
  • Support tissue -> Perineural and epineural sheaths
111
Q

Which cell body is found in autonomic ganglia?

A

The cell body of postganglionic autonomic nerves.

112
Q

Describe the structure of dorsal root ganglia and autonomic ganglia.

A
113
Q

Draw the structure of a synpase.

A
114
Q

Can an axon innervate more than one muscle?

A

Yes

115
Q

What is a motor unit?

A

A motor unit is made up of a motor neuron and the skeletal muscle fibers innervated by that motor neuron’s axonal terminals.

116
Q

What is the name for the connection between a somatic motor neuron and skeletal muscle?

A

Neuromuscular junction (NMJ)

117
Q

What is the name for the synapse between an efferent neuron and its effector organ in the autonomic nervous system?

A

Neuroeffector junction

118
Q

Draw the structure of a neuroeffector junction.

A
119
Q

Compare the neurotransmitter release at the NMJ and neuroeffector junction.

A

It occurs from varicosities at the neuroeffector junction and this is much slower and more widespread.

120
Q

What is myasthenia gravis and what are the symptoms it?

A
  • Disease caused by antibodies blocking the AChR so signal is not transmitted
  • Affects control of voluntary muscle:
    • Drooping eyelids
    • Impaired speech
    • Breathing difficulties
    • Blurred vision
    • Muscle weakness in arms and legs
121
Q

Describe the standard diagnostic test for myasthenia gravis. [EXTRA?]

A
122
Q

Mutations in genes of proteins at NMJ can cause disease. How? How are these treated?

A
  • Dominant mutations in NMJ genes cause disease
  • Use gene silencing to silence mutated allele of these genes -> Allow expression of normal wild type allele.
123
Q

Can nerve axons regenerate?

A
  • Peripheral nerve axons -> Able to regenerate throughout life
  • Central nervous system axons -> Ability to regenerate decreases from birth
124
Q

What cells direct nerve regeneration? How?

A

Schwann cells:

  • When a nerve is damaged or injured the distal part atrophies – Wallerian degeneration
  • Schwann cells divide and form hollow tube enclosed by endonerium
  • Proximal end of the nerve fibre sends out sprouts towards those tubes
  • Sprouts are attracted by growth factors produced by Schwann cells in the tubes Proceeds at 3-4 mm/day
125
Q

What are the 3 types of nerve ending you need to know about?

A
  • Sensory terminals
  • Motor end-plates
  • Sympathetic varicosities
126
Q

Add flashcards on what terminal arbors are.

A

Are they just axon terminals?

127
Q

Describe the segmental organisation of the somatic nervous system.

A
  • There are 43 segments of nerves in the human body:
    • 31 segments of nerves are in the spinal cord
    • 12 segments in the brain stem
128
Q

What are the the symptoms on loss of motor function?

A

Weakness and paralysis

129
Q

What are the symptoms of irritation of sensory fibres?

A

Pain

130
Q

What are the symptoms of damage to sensory fibres?

A

Loss of sensation

131
Q

What is a mixed nerve?

A
  • A mixed nerve is a nerve that contains both afferent and efferent nerves.
  • MOST peripheral nerves are mixed nerves.
132
Q

Where do visceral afferent fibres have their cell bodies?

A

In dorsal root ganglia.

133
Q

What fibres do visceral afferent fibres often run alongside? What is the effect of this?

A
  • Autonomic efferent nerves (since they both run to/from visceral organs)
  • This can elicit involuntary autonomic reflexes (e.g. baroreceptor reflex) or may give sensation and mixed autonomic and voluntary somatic effects (e.g. micturition)
134
Q

What spinal roots levels do sympathetic fibres arise from?

A

T1 - L2

135
Q

What type of cell are adrenal medullary cells (that produce catecholamines)?

A

Modified sympathetic ganglion cells

136
Q

Describe the myelination and speed of somatic and autonomic fibres.

A

Somatic:

  • Mostly myelinated with medium to fast velocity
  • Except unmyelinated slow C-type pain fibres

Autonomic:

  • Pre-ganglionic -> Mostly myelinated with slow to medium velocity
  • Post-ganglionic -> Non-myelinated with slow velocity
137
Q

Nearly all cells have contractile elements. What are they and what are they used for?

A
  • Actin and myosin

Used for:

  • Movement
  • Changing shape
  • Intracellular movement of organelles
138
Q

Nearly all cells have contractile elements (actin and myosin). What makes muscle cells different?

A
  • Contractile machinery is permanently orientated
  • Permits directional movements
139
Q

What are the 3 types of muscle?

A
  • Skeletal muscle
  • Smooth muscle
  • Cardiac muscle
140
Q

What is striated muscle?

A

Muscle tissue that features repeating functional units called sarcomeres.

141
Q

Compare skeletal, cardiac and smooth muscle in terms of whether they are striated or not.

A
  • Skeletal -> Striated
  • Cardiac -> Striated
  • Smooth -> Non-striated
142
Q

Compare skeletal, cardiac and smooth muscle in terms of their nuclei.

A
  • Skeletal -> Multiple nuclei, peripherally located
  • Cardiac -> One nucleus, centrally located
  • Smooth -> One nucleus, centrally located
143
Q

Draw a table to compare skeletal, cardiac and smooth muscle in terms of:

  • Location
  • Appearance
  • Nuclei
  • Innervation
A
144
Q

In muscle cells, what are the names for these structures:

  • Cell membrane
  • Cytoplasm
  • Smooth endoplasmic reticulum
  • Mitochondria
  • Contractile unit
A
  • Cell membrane -> Sarcolemma
  • Cytoplasm -> Sarcoplasm
  • Smooth endoplasmic reticulum -> Sarcoplasmic reticulum
  • Mitochondria -> Sarcosomes
  • Contractile unit -> Sarcomere
145
Q

What is the name of the process by which muscle cells are generated?

A

Myogenesis

146
Q

Which germ layer are muscle cells derived from?

A

Mesoderm

147
Q

Which part of which germ layer do skeletal muscle cells develop from?

A

Somites (that form from parietal mesoderm, which is made when the lateral plate mesoderm splits into the parietal and splanchnic mesoderm)

148
Q

Describe how skeletal muscle cells form from mesoderm.

A
  • Somites are induced to differentiate into a sclerotome and dermomyotome -> Due to sonic hedgehog (Shh) protein from notochord
  • Progenitor cells of the dermomyotome then form Pax3+/Pax7+ expressing myoblasts that can divide and migrate
  • Myoblasts exit the cell cycle & express transcription factors (MyoD and Myf5) that activate genes for muscle cells
  • Myoblasts fuse to form multinucleate cells, called myotubes
  • Myotubes develop into myocytes (fibres)
149
Q

What are myoblasts?

A
  • Embryonic precursors of myocytes (also called muscle cells).
  • Myoblasts differentiate into muscle cells through a process called myogenesis.
150
Q

What myoblast is a major muscle precursor cell and what cells does it produce?

A

Pax3+/Pax7+ myoblast

151
Q

What are myotubes?

A

The multinucleate tubes formed by the fusion of multiple myoblasts. When they mature, they are myocytes.

152
Q

Describe the order of development of cells in myogenesis.

A
  • Progenitor cells (from dermamyotome of somites)
  • Myoblasts
  • Myotubes
  • Myocytes
153
Q

What is the difference between myocytes, muscle fibres and myofibres?

A

They are all the same. They are different names for a muscle cell.

154
Q

Describe the smaller structures found within myocytes. (i.e. what makes up what makes up what)

A
  • Myofilaments make up myofibrils
  • Myofibrils make up myofibres (muscle cells)
155
Q

Describe the number and location of nuclei in skeletal muscle cells.

A
  • Multiple nuclei
  • Located peripherally
156
Q

What is the diameter and length of skeletal muscle cells?

A
  • 10-100μm diameter
  • Up to 35cm long
157
Q

What are satellite cells and where are they found?

A
  • Regenerative cells
  • Found on the outside of myocytes
158
Q

What is a muscle fibre?

A

It is just another name for a skeletal myocyte (muscle cell).

159
Q

Describe how blood supply exists in muscles.

A
  • Blood vessels penetrate the muscle and form a rich capillary network
  • Runs between and parallel to the muscle fibres
160
Q

What are the two proteins that make up microfilaments? Which is thin and which it thick?

A
  • Actin -> Thin
  • Myosin -> Thick
161
Q

What is a sarcomere?

A

Repetitive sub-units of contractile apparatus.

162
Q

Draw the structure of a sarcomere. Include the names of the different zones.

A
  • A band (dark) -> All of the length of myosin filaments
  • I band (light) -> Just actin filaments
  • Z line -> Where actin attaches
  • H band -> Just myosin filaments
  • M line -> What myosin attaches to
163
Q

What happens to the different zones in a sarcomere when it contracts?

A
  • I (just actin) and H (just myosin) bands are reduced in size
  • A (all of myosin) bands do not change size
164
Q

How many actin filaments surround each myosin filament?

A

6

165
Q

What are the 4 main contractile proteins in skeletal muscle?

A
  • Myosin
  • Actin
  • Tropomyosin
  • Troponin
166
Q

In skeletal muscle, which contractile protein has heads?

A

Myosin

167
Q

Describe the structure of myosin in skeletal muscle.

A

6 polypeptides twisted to form a fibre helix with globular end, which has ATPase activity and binds to actin.

168
Q

Describe the structure of actin in skeletal muscle.

A

Globular protein which polymerizes into polymeric fibres and contains a myosin binding site .

169
Q

What are tropomyosin and troponin? What is their function in skeletal muscle?

A

Tropomyosin:

  • Fibre-like protein which wraps helically around the actin
  • In relaxed muscle, tropomyosin blocks attachment site for myosin crossbridge, thus preventing contraction

Troponin:

  • Calcium-sensitive globular protein complex attached to end of each tropomyosin molecule
  • Ca2+ binds to troponin -> Knocks tropomyosin off binding site (for myosin head) and initiates contraction cycle
170
Q

Draw a diagram to show how actin, myosin, tropomyosin and troponin interact.

A
171
Q

What molecule triggers contraction in skeletal muscle and how?

A
  • Ca2+
  • It binds to troponin, causing tropomyosin to be knocked off of actin, so myosin heads can bind and contraction can occur
172
Q

Aside from actin, myosin, troponin and tropomyosin, what are some important proteins involved in a sarcomere of skeletal muscle?

A
  • Titin
  • Alpha-actinin
  • Nuebulin
173
Q

What is titin and what is its function?

A
  • Protein that connects myosin to the Z-line (actin is just anchored to Z-line)
  • It is responsible for the passive elasticity of muscle and maintains sarcomere structure
174
Q

What is unusual about titin?

A

It is the largest protein in the human body.

175
Q

What is another name for titin?

A

Connectin

176
Q

What is alpha-actinin and what is its function?

A

Protein that anchors actin to the Z-line.

177
Q

What is usually in a complex with alpha-actinin?

A

CapZ

178
Q

What is nebulin and what is its function?

A

Actin-binding protein that regulates the length of actin.

179
Q

Draw the structure of a sarcomere, showing these components:

  • Actin
  • Myosin
  • Troponin
  • Tropomyosin
  • Nebulin
  • Alpha-actinin
  • Titin
A
180
Q

What are the different energy sources used for muscular contraction? For what length of time can each be used?

A
  • Stored ATP + creatine phosphate -> 8-10 secs
  • Glycolysis -> 90 secs
  • Aerobic respiration -> 2 min+
181
Q

What occurs in muscles when the body cannot produce ATP? Why?

A
  • The actin and myosin cannot dissociate
  • So rigor mortis sets in
182
Q

What are the different classes of skeletal muscle?

A
  • Type I -> Slow twitch
  • Type II -> Fast twitch
    • Type IIa -> Intermediate between fast and slow
    • Type IIb -> Classic fast twitch
183
Q

Compare the structure of slow and fast twitch skeletal muscle.

A
  • Slow twitch -> Abundant mitochondria and extensive blood supply
  • Fast twitch -> Abundant glycogen
184
Q

Compare how slow and fast twitch skeletal muscles can be distinguished histologically.

A
  • Type I (slow twitch) -> Succinate dehydrogenase stains more intensely
  • Type II (fast twitch) -> mATPase stains more intensely
185
Q

What are T-tubules?

A

Invaginations of the sarcolemma (of myocytes) that surround myofibrils.

186
Q

Describe the arrangement of T-tubules and the sarcoplasmic reticulum in skeletal muscle cells.

A
  • T-tubules are invaginations of the sarcoplasmic reticulum that surround myofibrils
  • Each T-tubule is flanked by two terminal cisternae of the sarcoplasmic reticulum (forming a triad):
    • Impulse is conveyed from T tubules to cisternae
    • Triggers Ca2+ release
    • Troponin binds to it and activates actin & myosin
187
Q

What are motor end plates?

A

Another name for neuromuscular junctions.

188
Q

What is a motor unit?

A
  • One motor neuron can supply many muscle cells
  • Together, these form a motor unit
  • Can contract in unison much faster than if each muscle cell individually stimulated
189
Q

Describe briefly synaptic transmission at an NMJ.

A
  • Nerve action potential opens voltage-gated calcium channels.
  • Entry of Ca2+ triggers fusion of synaptic vesicle containing acetylcholine (ACh) with plasma membrane.
  • Ach binds to AChR, causing opening of postsynaptic channels on muscle cell
  • This triggers an action potential
190
Q

What are fascicles?

A

Bundles of muscle fibres (muscle cells) groups together by perimysium.

191
Q

What is the order of the connective tissues that are found in skeletal muscle?

A

Inner to outer:

  • Endomysium
  • Perimysium
  • Epimysium
192
Q

What is the endomysium and what does it surround?

A
  • Surrounds each muscle fibre
  • Composed of reticular fibres and external lamina (basal lamina)
193
Q

What is the perimysium and what does it surround?

A
  • Surrounds bundles (fascicles) of muscle fibers
  • Dense collagenous connective tissue derived from epimysium
194
Q

What is the epimysium and what does it surround?

A
  • Surrounds entire muscle
  • Dense irregular collagenous connective tissue
195
Q

What is the function of the endomysium, perimysium and epimysium in muscle?

A

The collagen transmits mechanical force generated from contraction.

196
Q

What is dystrophin, what is it part of and what is the function? [IMPORTANT]

A
  • Dystrophin is a rod-shaped protein inside muscle cells
  • It is a vital part of the dystrophin-associated glycoprotein complex (DGC)
  • This complex anchors the cytoskeleton of the muscle fibre to the surrounding extracellular matrix, maintaining the mechanical integrity of the cell
197
Q

What is muscular dystrophy and what causes it?

A
  • Mutations in dystrophin gene (frame shift) -> Leads to a truncated unstable form of dystrophin
  • Absence of dystrophin leads to impairment of sarcolemma
  • Force is no longer transmitted from myocytes to bones, so there is reduced movement at joints
  • Symptoms: Muscle weakness and wasting
198
Q

When does muscular dystrophy onset?

A

2 to 6 years

199
Q

What is the inheritance pattern of muscular dystrophy?

A

X-linked recessive

200
Q

Are there different isoforms of dystrophin?

A

Yes, because the gene is very long as has many introns.

201
Q

What are the most common mutations causing muscular dystrophy?

A
  • 60-65% deletions (these occur in hotspots)
  • 5-15% duplications
  • Point mutations
202
Q

What are some treatments for muscular dystrophy?

A
  • Corticosteroids
  • Physiotherapy
  • Cardiac + Respiratory support
  • Palliative care
  • Genetic counseling
203
Q

What are some novel treatment methods for muscular dystrophy?

A
  • Delivery of normal dystrophin gene
    • Hard to do because:
      • Size of dystrophin
      • Needs to be delivered to all muscles
  • Utrophin upregulation
    • Utrophin is a closely related gene to dystrophin
    • Expression is more tightly regulated -> Only in immature muscle and at NMJ
    • Can identify drugs/small molecules to activate utrophin promoter and allow functional replacement of dystrophin
  • Exon skipping – anti-sense oligonucleotides
    • Chemically modified single-stranded nucleic acids are used
    • Hybridise to unique sequence of mRNA
    • This is used to alter the exons are revert to the normal frame (since DMD is caused by frame shift)
204
Q

What are the general symptoms of neuromuscular diseases?

A
  • Spasticity or paralysis
  • Depending on location & nature of problem
205
Q

What are some examples of neurological disorders?

A
  • Motor neuron disease
  • ALS
  • Cerebrovascular accident (stroke)
  • Parkinson’s disease
  • Myasthenia gravis
206
Q

Describe how satellite cells allow for skeletal muscle repair.

A
207
Q

Is cardiac muscle striated?

A

Yes

208
Q

What is cardiac muscle derived from embryologically?

A

Defined mass of splanchnic mesenchyme and myoepicardiaum mantel.

209
Q

Draw the different layers of the heart wall.

A
210
Q

What does the endocardium derive from?

A

Vascular endothelial progenitors

211
Q

In the heart muscle, the cardiac myocytes are arranged in layers. What are these called?

A

Laminae

212
Q

What is unusual about the shape of cardiac myocytes?

A

They are branched.

213
Q

How many nuclei do cardiac myocytes have?

A

Single, centrally-located nucleus (usually)

214
Q

Do cardiac myocytes have T tubules?

A

Yes

215
Q

What is the distinguishing characteristic of cardiac muscle in histology?

A

The presence of dark transverse lines between cells -> These are intercalated discs.

216
Q

What are intercalated discs?

A

Structures that interface between adjacent cardiac muscle cells and support synchronised contraction.

217
Q

What are the 3 components of intercalated discs?

A
  • Desmosomes
  • Adherens junctions
  • Gap junctions
218
Q

What is the function of desmosomes in intercalated discs between cardiac myocytes?

A

Bind cells together.

219
Q

What is the function of adherens junctions in intercalated discs between cardiac myocytes?

A

Act as anchoring sites for actin filaments.

220
Q

What is the function of gap junctions in intercalated discs between cardiac myocytes?

A

Provide continuity between adjacent cells and allow ions to pass between cells.

221
Q

What is another name for adherens junctions in intercalated discs?

A

Fascia adherens (a.k.a. hemi Z-bands)

222
Q

What is another name for desmosomes in intercalated discs?

A

Macula adherens

223
Q

Overall, what do intercalated discs allow?

A

They allow cardiac muscle to act as a functional syncytium.

224
Q

Summarise simply the structure and functioning of cardiac myocytes.

A

Branching mesh of mononuclear striated cells joined and electrically coupled by intercalated discs (desmosomes and gap junctions: electrically a ‘functional syncytium’).

225
Q

What is meant by cardiac muscle being myogenic?

A

It is self-excitable.

226
Q

Describe briefly excitation-contraction coupling in cardiac myocytes [EXTRA - this is more of a P&P topic].

A
227
Q

Here is a section of muscle. What type of muscle is it and what do the letters a, d and g show?

A

Cardiac muscle (since this is an intercalated disc):

  • a = Adherens junction
  • d = Desmosome
  • g = Gap junction
228
Q

What are Purkinje fibres made of?

A

Modified cardiac muscle cells

229
Q

Where are Purkinje fibres located?

A
  • In inner ventricular walls
  • Run beneath endocardium
230
Q

What do Purkinje fibres enable?

A

Synchronised contractions of ventricles

231
Q

How do Purkinje fibres appear histologically?

A

They have a pale-staining cytoplasm.

232
Q

What are some structural differences between Purkinje fibres and normal cardiac myocytes?

A
  • Rich in glycogen & mitochondria
  • Contain limited contractile elements
  • No T-tubule system
233
Q

What is DCM? [EXTRA?]

A
234
Q

What is HCM? [EXTRA?]

A
235
Q

Are cardiac myocytes repaired?

A
  • They are very slowly turned over with age
  • Less than 50% of cardiomyocytes are replaced during a normal life span
236
Q

Are smooth muscle cells striated?

A

No

237
Q

How many nuclei do smooth muscle cells have?

A

They are mononucleate.

238
Q

Describe and draw the shape of smooth muscle cells.

A

They are fusiform: elongated cells that taper at either end.

239
Q

What are smooth muscle cells surrounded by?

A
  • Basal lamina and network of reticular fibers.
  • However, these layers are much thinner and therefore not as well seen as in skeletal muscle
240
Q

Describe the alignment of contractile filaments in smooth muscle cells.

A

They are not arranged parallel, but instead form a sort of lattice.

241
Q

Do the filaments in smooth muscle work in the same way as in striated muscle (skeletal and cardiac)?

A

Yes, they still work by sliding past each other, even though they are not arranged in a regular parallel manner.

242
Q

In smooth muscle, actin and myosin are arranged in a…

A

Lattice

243
Q

What are two important attachment points in smooth muscle?

A
  • Focal densities
  • Dense bodies
244
Q

What do focal densities do in smooth muscle cells?

A

Attach actin filaments to the sarcolemma.

245
Q

What do dense bodies do in smooth muscle cells?

A

Attach actin filaments to each other -> They help maintain their alignment.

246
Q

What are dense bodies functionally analogous to?

A

Z-lines

247
Q

Draw a diagram to show the different contractile proteins and attachment points in smooth muscle cells.

A
248
Q

What are invaginations of the sarcolemma called in smooth muscle cells?

A

Caveolae -> These are functionally analagous to T-tubules.

249
Q

What is the function of caveolae in smooth muscle cells?

A
  • Involved in fluid and electrolyte transport (pinocytosis)
  • Transmit depolarisation signalto inside the cell
250
Q

What connects different smooth muscle cells?

A

Gap junctions -> Couple adjacent cells chemically and electrically.

251
Q

Compare how cells are connected in skeletal, cardiac and smooth muscle.

A
  • Skeletal -> Cells are long and multinucleate so they aren’t really functionally connected in a significant way
  • Cardiac -> Intercalated discs (made of gap junctions, adherens junctions and desmosomes)
  • Smooth -> Gap junctions
252
Q

Where is smooth muscle found?

A

Found in lining of viscera in:

  • Gut
  • Bladder
  • Uterus
  • Respiratory system
  • Blood vessels
253
Q

Compare the arrangement of smooth muscle cells in the uterus and bowel.

A
  • Uterus -> Loosely arranged
  • Bowel -> Regularly arranged
254
Q

Describe the two functional arrangements of smooth muscle.

A
  • Single unit
    • Function as a unit enabled by electric coupling via gap junctions
    • Allows muscle to behave as syncytium
  • Multiunit
    • Each cell isolated & stimulated independently to enable finer control
255
Q

Give an example of an organ that includes single-unit smooth muscle.

A
  • GI tract
  • Bladder
256
Q

Give an example of an organ that includes multi-unit smooth muscle.

A
  • Iris of the eye
257
Q

Describe the organisation of smooth muscle in the GI tract.

A
258
Q

Label this. What muscle type is it?

A
259
Q

What are the two forms of innervation that can trigger smooth muscle contraction?

A
  • Release of neurotransmitter from autonomic varicosities (not NMJs)
  • Visceral muscle pacesetters can spontaneously trigger contraction
260
Q

Does smooth muscle feature motor units?

A

No, because they are innervated by autonomic varicosities, not NMJs.

261
Q

What are some diseases related to smooth muscle?

A
262
Q

Can smooth muscle cells regenerate?

A

Yes, they retain the highest capacity to regenerate of all the muscle types.

263
Q

What are the two main ways in which smooth muscle can regenerate?

A
  • Smooth muscle cells retain ability to divide, and can increase in number this way
  • New cells can be produced by the division of pericytes that lie along some small blood vessels
264
Q

Can smooth muscle hypertrophy?

A

Yes

265
Q

What cells wrap around smooth muscle and what is their function?

A

Pericytes -> Help regenerate the smooth muscle.

266
Q

What types of myocyte are these?

A
267
Q

What makes up gap junctions in cardiac muscle? How are they regulated?

A
  • Several connexins join to form a connexon
  • Two connexons form a gap junction
  • These can be regulated by phosphorylation and calcium
268
Q

Are gap junctions selective?

A

No, but they can be regulated by phosphorylation and calcium.

269
Q

Draw the process of formation of gap junctions. [EXTRA]

A
270
Q
A