6 Muscle Physio Flashcards

1
Q

What are muscle cells?

A

Highly specialized cells for the conversion of chemical energy (ATP) to mechanical energy

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2
Q
Describe the skeletal muscle cell in terms of:
A. Control (Voluntary or involuntary)
B. Striation
C. Number of nucleus/cell
D. Characterize
E. Organization
A

A. Voluntary
B. Striated
C. Multinucleated
D. Fibers in fibers in fibers arranged in parallel
E. Organization
Muscle (epimysium) -> muscle fasciculus (perimysium) -> muscle fiber (endomysium) -> myofibril composed of many, repetitive sarcomeres

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3
Q

What do you call an individual muscle cell?

A

Muscle fiber

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4
Q

Part of a muscle fiber

  1. Cell membrane
  2. Cytoplasm
  3. ER
  4. Cell
A
  1. Sarcolemma
  2. Sarcoplasm
  3. Sarcoplasmic Reticulum
  4. Muscle fiber
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5
Q

What is the fundamental/functional unit of a skeletal muscle? Describe components

A

Sarcomere

  • From Z-Z disk
  • I band - thin band (mainly actin) only
  • H band - thick (myosin) band only
  • A band - entire length of thick filaments, including overlap with thin
  • M line - line in the middle which helps organize or align thick filaments; where thick filaments connect
  • Z line - where sarcomere will be connected to the sarcolemma and endomysium through costameres
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6
Q

What is the largest protein in the body? Function?

A

Titin. It tethers myosin to the Z disk

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7
Q

Arrangement of skeletal muscle fibers?

A

Hexagonal lattice where every thick filament is surrounded by thin filaments allowing optimal interaction between thin and thick filaments

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8
Q

When the sarcomere contracts, which part/s of the sarcomere shortens? Lengthens? Stays the same?

A

Shortens: H and I band, Z-Z distance
Same: A band and M & Z line

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9
Q

What composes the thin filaments?

A

Actin double helix/filamentous actin
Nebulin -regulates length of thin filament
Tropomyosin - blocks actin binding sites
Troponin complex
>Troponin T - binds to tropomyosin
>Troponin I - inhibits actin-myosin binding; strengthens actin-tropomyosin interaction
>Troponin C - binds to Ca2+

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10
Q

Thick filament composition? Briefly describe

A

Thick filament = myosin filament
Consists of 200+ myosin molecules
Each myosin molecule has 2 heavy chains and 4 light chains: 2 light chains (essential light chains) which enable myosin to utilize ATP; 2 light chains (regulatory light chains) influence actin-myosin binding strength/kinetics

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11
Q

What is the “cross-bridge”?

A

Protruding arm and head of the myosin

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12
Q

What is a costamere? Function?

A

Consists of the dystrophin-glycoprotein complex + integrins + other related proteins
>Connects Z line to the sarcolemma and endomysium (connective tissue surrounding muscle fiber) maintaining muscle integrity

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13
Q

What is the sarcotubular system? Function?

A

Sarcotubular system = SR + T-tubules

Function: Envelops the myofibrils

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14
Q

What is a triad?
>Location?
>Function of each composition of the triad

A

> Composition: 2 terminal cisternae of SR + 1 t-tubule of the sarcolemma
Located in the A-I junction
Terminal Cisternae - where you’ll find the most conc of Ca2+ in the AR
T-tubule - ensures AP will get transferred to each and every myofibril

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15
Q

How does a muscle contract?

A
Excitation-contraction coupling
>STEPS
Step 1: NMJ
Nerve-to-muscle connection
AP reaches end of motor neuron/nerve -> inc. Ca2+ Influx (VG channels will be open bc of AP) -> cause fusion of vesicles cont NT with the membrane = release of Ach -> ACh bind to ACh receptor (Ligand-gated Na+ channel) Ach binding = open Na+ will go in = build up local potential once LP reaches threshold, VG Na+ channels will open = AP
Ach degraded by acetylcholinesterase
*so ACh rec will be ready to receive another signal
Step 2: Sarcolemma and SR

AP travels along membrane and goes down through T-tubules (and reaches each & every myofibril inside the muscle cell) ->
AP arrival in T-tub = Activates DHPR aka L-type Ca2+ channels -> DPHR activation = Activates RYR in terminal cisternae -> (
RYR are your calcium release channels thus when activated, Release of Ca2+ (from terminal cisternae) into myofibril

How do DHPR and RYR interact?
In heart/cardiac muscle, DHPR opens, causes Ca2+ influx, then Ca2+ influx causes RYR to open (CICR: Calcium induced Calcium release)
flow of Ca2+ in DHPR would cause RYR to open
In skeletal muscle, DHPR is mechanically attached to RYR. So if DHPR changes shape, RYR mechanically opens, allowing Ca2+ to flow to the myofibrils (
MECHANICAL OPENING MAJOR not CICR)

Step 3: Actin-myosin interxn

At rest, tropomyosin blocks binding site; myosin has ADP Is already attached to myosin head = has processed that ATP = “cocked” position (nakakasara siya)
When we have influx of Ca2+:
A) Ca2+ binds to Troponin C, which causes troponin to change shape. Once troponin changes shape, it’ll move tropomyosin away from binding site, which exposes the binding site in actin
B) Myosin head attaches to binding site (aka cross-bridging). ADP is released causes: Myosin head rotates to pull actin inward (*myosin Flexes). Sarcomere shortens
“Power stroke”
C) Myosin head now has a free binding site. ATP attaches, weakening the myosin-actin bond. Myosin detaches.
D) Myosin head hydrolyzes ATP, producing ADP + P. This provides energy to “re-cock” the myosin head.
*Light chains
*As long as ATP is present and binding sites are exposed,power stroke will continue/cycle will continue = “Cross-bridge cycle” = mech of sliding filament theory

Step 4: Muscle relaxation
Once signals from AP stops -> no stimulation of DHPR, RYR (bc Ca2+ not longer released by RYR)
SERCA: Pumps 2 Ca2+ back into (SR) terminal cisternae per ATP hydrolyzed; pump that’s always active but can’t complete its job when Ca2+ floods your myofibril
(*Once very low Ca2+, troponin will return to original shape and will cause tropomyosin to cover the binding sites again so no longer have the actin-myosin interxn)
Decreased Ca2+ -> Tropomyosin blocks actin binding site again -> decreased actin-myosin interaction

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16
Q

Can CICR happen in skeletal?

A

Yes but minor mechanism only.

17
Q

What happens when you give calcium channel blocker drugs (e.g. amlodipine and nifedipine)?

A

It’ll work on heart muscle not on skeletal muscles.

18
Q

What are in the terminal cisternae?

A

> Several Ca2+ binding proteins: Calsequestrin, Histidine-rich calcium-binding proteins, sarcalumenin (ensuring terminal cisternae in SR always has high concentration of calcium)

> Triadin and junctin = anchors calsequestrin near RYR

> SERCA (Sarcoplasmic or ER Calcium ATPase) = returns Ca2+ to SR

19
Q

How does the muscle get ATP?

A
  1. Phosphocreatine
    - donates PO4 bond to ATP
    - like a back-up battery
    - 5-8 sec full contraction
  2. Glycolysis of glucose in glycogen stores
    - 2.5x faster ATP generation but many wastes products & little ATP
    - 1-2 mins full contraction
  3. Oxidative metabolism
    - main source; performed in the mitochondria
    - slower than the two but lots of energy
    - for sustained, long-term contraction
    - 2-4 hrs = carbs/glucose
    - more = fats
20
Q

Explain:

  1. Oxygen debt
  2. Rigor
  3. Heat production
A

Oxygen debt
During short bursts of energy (e.g. 100 m dash) -> 85% of energy from anaerobic
Increased consumption of O2 after exertion; proportional to usage of anaerobic pathway
*need to reconstitute’ lost O2; would also help get rid of metabolites
*Whenever we utilize anaerobic processes, you incur oxygen debt; body requires more oxygen for replacing energy you utilized and help get rid of metabolites waste products

Rigor
Occurs when muscle fibers are completely depleted of ATP
Myosin attached rigidly to actin
*No ATP = stiff bc myosin will remain attached to actin

Heat production
Conversion of energy releases heat
Muscle releases heat at rest, when contracting, and when recovering
*Impt for maintaining body temperature

21
Q

What is

  1. Muscular dystrophy?
  2. Malignant hyperthermia
A

Muscular Dystrophy
Mutated dystrophin-glycoprotein complex (*or even in costamere/related proteins)
X-linked disorder
Progressive weakness of muscle
*everytime muscle contracts, you can be damaging muscle cells bc damage will accumulate over time and can even reach respiratory muscle and cardiac muscles; can be fatal
Seen more often in males
*More prominent in weight bearing muscles
*Has diff severities depending on the mutation

Malignant hyperthermia
In susceptible persons, some anesthetics may cause uncontrolled release of Ca2+
Due to mutated RYR
Results in rigidity; rise in temperature
Tx: Dantrolene (antidote)
*Muscle would remain contracted; fatal if not treated immediately
*exposure to anesthetic agents, RYR would open, abnormal opening of RYR = muscle would keep on contracting causing temp to rise drastically
*can be fatal if not seen and treated immediately