Celullar And Molecular Events In The CVS Flashcards

1
Q

Why does the K+ gradient maintain the resting potential?

A

K+ ions move out of the cell down the concentration gradient, and this movement of ions makes the inside of the cell negative with respect to outside.

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2
Q

In cardiac cells, why is the RMP not exactly equal to Ek?

A

Ek= -95 mV, resting membrane potential= -90mV, due to small amount of permeability to other ions.

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3
Q

How is a cardiac action potential generated?

A

Upstroke due to the opening of the voltage gated Na+ channels, intiation repolarisation due to rise in outward K+ generation, plateau due to the opening of voltage gated Ca2+ channels, reploratisiatin due to the efflux of K+ through the voltage gated K+ channels.

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4
Q

How is exciation and contraction coupled in cardiac myocytes?

A

Action potential triggers a rise in the cytocoli ca2+, which is required so that actin and myosin can interact.

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5
Q

What is the pacemaker potential?

A

This is the gradual depolarisation in the SA node, which reaches a threshold to generate a action potential.

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6
Q

How is the pacemaker potential generated?

A

HCN channels, (Hyper polarisation activated cyclic nuceltodie gated channels), allow the influx of Na+ that depolarises the cell.

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7
Q

How do the structures of cardiac myocytes facilitate electrical conduction?

A

Gap Junctions permit movement and allow the electrical coupling of cells. And the cells are joined at the intercalated discs

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8
Q

How is cytosolic calcium increased by an action potential?

A

Depolarisation opens L type Ca2+ calcium reales channels in the t tubule system, and localised calcium entry opens the calcium induced calcium channels in the sacroplasmic reticulum.

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9
Q

How does calcium cause cardiac muscle contraction?

A

Ca2+ binds to troponin c, and the confirmational change shifts tropomysoisn to released the ysoin binding site of the actin.

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10
Q

How is (Ca2+) returned to resting levels?

A

Some exits across the cell membrane, in the sacrolemal Ca2+ATPase, and the Na+/Ca2+ exchanger. Most goes into the sacroplasmic reticul using the SERCA pump that is stiumlated by raised (ca2+) levels.

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11
Q

How does noradrenaline increase the amount of Ca2+ that is realeased into smooth muscle?

A

The noradrenaline activates the a2 receptors, causing the release of IP3 and release of calcium form the sacroplasmic reticulum

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12
Q

How does Ca2+ cause the contraction of smooth muscle?

A

Ca2+ binds to calmodulin, which activates the myosin light chain kinase, which phosphorylates the myosin light chain to permit interaction with actin.

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13
Q

How does smooth muscle relax?

A

Relaxtion occurs as Ca2+ levels decline, and Myson Light chain phosphoyles switches the myosin light chains off.

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14
Q

How is the resting membrane potential maintained in cardiovascular tissue?

A

At rest, most K+ channels are open making the cell very permeable to K+ ions. (Not the Na=/K+ pump, which just sets the gradients)

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