Electrical Excitabilty (synapse Transmission) Flashcards

1
Q

How do signals pass from nerve to muscle?

A

Through the neuromuscular junction (synapse between nerve and skeletal muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What channel are only found at nerve terminal

A

Depolarisation opens voltage gated Ca2+ channels

More AP means they open slower and for longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happens at a nerve terminal?

A

AP reaches voltage-gated Ca2+ channel.
This opens them
Ca2+ is released into the nerve terminal
Increased intracellular Ca2+ conc
Causes release of neurotransmitter via exocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How can we increase the amount of Ca2+ entering the nerve terminal?

A

Increase the number of AP”S

Therefore increases neurotransmitter release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the structure of CA2+ channel?

A

Very similar to voltage-gated Na+ channel
Very diverse set (many numbers of them_

Can be blocked by DHP drugs. They block Ca2+ entry to regulate blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the roles of all the subunits present in Na+ and Ca2+ channels?

A

One subunit forms the pore making it a functional channel

Other subunits fine-tune the properties and enable correct regulation of the pore. (Eg that may have a target receptor for mediated effects such as a phosphorylation site for adenine to increase contraction_).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some things that are different about Ca2+ channes compared to Na+ channels?

A

Voltage-gated Ca2+ open more slowly than voltage-gated Na+

Ca2+ activate/inactivate more slowly than Na+

Ca2+ channel inactivation is Ca2+ dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What stops the muscle contraction after it receives an AP?

A

Acetylcholine esterase breaks down Ach stopping it binding form the muscle and so contraction stops.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How are neurotransmitters released?

A
Ca2+ entry through Ca2+ channel 
Ca2+ binds to synaptotagmin 
Vehicle bought closer to membrane 
Snare complex makes a fusion pore
Transmitter releases through pore
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is the skeletal muscle depolarised?

A

The nictoinic acetylcholine receptor (nAChR) is a ligand gated ion channel (2 x Ach bind).

It’s permeable to cations (K+ and Na+), as the cells membrane potential is further from E(Na+) there is a large drive for Na+ to move in and so the cell becomes depolarised.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the two types of nicotinic ACh blocker?

A

Competitive blockers - block channel

Depolarising blocker- close and desensitise channel so become inactivated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Give an example of a competitive block for nicotinic ACh receptor and how to overcome it.

A

D-tubocurarine is a competitive blocker

It can be overcome by increasing the concentration of ACh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give an example of a depolarising blocker of NACh receptor and how it works.

A

Succinylcholine is a depolarising blocker.
It binds to NAChR (muscle may twitch) but then cannot be degraded by ACH esterase so remains bound permanently.
This causes the membrane to maintain depolarisation so the adjacent Na+ channels wont be activated as they are stuck in the inactive state as nor refractory period has occurred

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are neuromuscular blockers used for?

A

In surgery they cause paralysis to my it easier.

Must be used carefully with anaesthetic or th patient will be in severe pain but too paralysed to say so.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Suggest a disease of the neuromuscular junction an explain its causes etc.

A

Mayasthenia gravis- (autoimmune disease targeting nACh receptors)

Caused by antibodies directed against nAChR on the postsynaptic membrne of skeletal muscle

Antibodies lead to loss of functional nAChR by complement mediated lysis and receptor degradation

End plate potential have reduced amplitude

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some symptom of Mayasthenia Gravis?

A

Profound weakness

Weakness increases with excersize

17
Q

How can Myasthenia Gravis be tested for?

A

Use edrophonium test.
Ask patient to do repeated facial exercise-should cause droop. Give endophonum chloride (short acting acetycholinesterase) it stops Ach being broken down so they build up allowing AP’s to fire.

If it is the Myasthenia Gravis this should restore facial strength

18
Q

What are organophosphates?

A

Used as insecticides
Have pentavalent phosphorous compounds
Cause of accidental/inflicted poisoning
Powerful ones developed into nerve agents

19
Q

What us the mechanism of action of organopshphate poisoning?

A

Acetylcholinesterase inhibitors form a stable irresversible covalent bone to the enzyme so Ach isn’t broken down

Recovery make take weeks as body must synthesise new actlycholinersterse enzymes