Lecture 6 Flashcards

1
Q

Functional phases of the AP?

A
  1. Rest membrane potential
  2. Graded depolarization phase
  3. Rapid depolarization phase
  4. Repolarization phase
  5. After hyperpolarization phase
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2
Q

Stages of the AP?

A
  1. Positive charge flows into cell and causes
    slight depolarization
  2. Threshold is reached. Voltage-gated Na+
    channels begin to open fully, leading to
    more positive charge entering cell and
    further depolarization.
  3. Rapid depolarization as the Na+
    conductance increases dramatically and
    the membrane potential approaches the
    equilibrium potential for Na+
  4. Peak AP. Na+ channels are fully open and
    Na+ conductance has peaked
  5. Na+ channels begin to inactivate and Na+
    conductance drops at the same time as
    the K+ conductance starts to develop
  6. Refractory period. Since K+ channels are
    open and Na+ channels are in their inactive state, Vm gets close to EK, below the resting membrane potential. Due to closed inactivation gates Na+ channels are blocked, no further APs can be conducted.
  7. The channels reset to their normal resting
    conditions, resting membrane potential is
    restored. All Na+ channels are now out of
    their inactive state and can be reactivated
    to form another full action potential.
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3
Q

Explain rectified and non-rectified channels?

A

non-rectified is ions can move in either direction

rectified is when the movement of ions is in one direction

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4
Q

What is channel gating?

A

opening and closing of a channel

this can be regulated by:
voltage 
ligands
calcium 
phosphatase/kinase activity
cAMP
oxygen 
carbon dioxide
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5
Q

What comprises the total conductance?

A

total conductance is equal to the number of channels x unit conductance x open probability

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6
Q

What is probability when referring to a channel?

A

Probability is the time a channel spends in an open state.

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7
Q

What are the two gates that are part of the Na channel?

A

The activation gate (m) which is extracellular

The inactivation gate (h) which is intracellular

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8
Q

What voltage opens the Na channel?

A

The Na channels will open around 50 mV and the channel will deactivate soon after a slight delay at the peak of the AP

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9
Q

The Na channel during the AP phases?

A
  1. resting stage
    Activation gate is closed and inactivation gate is open
    no flux of Na
  2. Depolarization phase
    the activation gate is open and the inactivation gate is open
    the channel is open, full Na flux
  3. Repolarization phase
    activation gate is open, but inactivation gate is closed
    No flux of Na
    channel cannot be activated at this time (ARP)
  4. Reset to resting state
    activation gate closes while the inactivation gate opens
    Once reset the ARP is over
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10
Q

Explain the refractory periods?

A

Absolutely refractory period- This is when no AP can be activated

relative refractory period- An AP can be activated, however it is more difficult due to hyperpolarization

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11
Q

Explain delayed rectifier K channels?

A

They are voltage and time dependent

highly expressed in neurons

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12
Q

Explain inward rectifying K+ channels?

A

Voltage dependent but not time dependent
One way flow
have a strong preference for inward flow
Expressed in the heart and vasculature

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13
Q

How does calcium levels impact sodium?

A

Hypocalcemia- threshold is lower, closer to RMP
This leads to increased excitability
this can lead tetany

hypercalcemia- threshold is further from RMP
Decreased electrical excitability
This could lead to weakness, but uncommon

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14
Q

Explain long slow depolarization?

A

This tends to keep inactivation gates closed
reduce electrical excitability

clinically relevant with changes in K plasma
could lead to weakness and paralysis

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15
Q

What is the normal range of the potassium?

A

3.5 to 5.0 mmol/L

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16
Q

What is the clinical significance of hyperkalemia?

A

hyperkalemia means that their is an elevated amount of potassium in the extracellular fluid

A fraction of the Na channels open and close but they do not reset

K conductance increases and stabilizes the membrane potential

why is this bad?

The membrane is at a more stable and slightly depolarized state
action potentials are sluggish or absent
weakness and paralysis

17
Q

What is the significance of hypokalemia?

A

this is decreased K in the extracellular fluid

membrane is at a resting membrane potential that is more negative and thus further away from AP threshold… lower excitability

BUT AP threshold is also decreased

consequences:
muscle weakness, cramps, spasms, respiratory slowing or failure, cardiac arrhythmia, paralysis

18
Q

What are the consequences of changes in Na?

A

serum Na has little impact on the RMP

It does change the rate of influx (smaller AP)

clinically:
little impact on AP
significantly impacts cell volume
hyponatremia is most likely related to kidney function.

19
Q

What ion has the most impact on the AP?

A

Potassium!

20
Q

What about K channels??

A

they are voltage sensitive… thus K conductance is increased during depolarization

Have a slower activation compared to Na channels