Lecture 6 NS - NMJ and muscle contraction Flashcards

1
Q

What is a neuromuscular junction?

A

A specialised synapse between a motor neuron and a muscle fibre

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2
Q

What is the structure of a synapse?

A
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3
Q

What is the function of a synapse?

A

Allows contact from neuron to msucle or vice versa -> ratio is 1:1 for muscle to 10000:1 in the CNS

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4
Q

What is the structure of the NMJ? FITB

A

The junctional folds increase the SA 3x as there aren’t receptors present all the way into the fold

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5
Q

What is the NMJ structure?

A

A specialized structure incorporating the distal axon terminal and the muscle membrane that allows for the unidirectional chemical communication between peripheral nerve and muscle

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6
Q

What are the main structures constituting the NMJ?

A

Presynaptic nerve terminal, synaptic cleft, postsynaptic endplate region on muscle fibre

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7
Q

What is the neurotransmitter for voluntary striated muscle?

A

ACh

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8
Q

How is the innervation of muscle organised?

A

NB: each motor unit has it’s own muscle fibre which has no other innervation

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9
Q

How is muscle contraction initiated in the NMJ?

A

Action potential open VGCC -> Ca2+ enters and triggers exocytosis of vesicles. ACh diffuses in cleft and binds to receptor-cation channel and opens channel. Local currents flow from depolarized region and adjacent region; AP triggered and spreads along surface membrane. ACh broken down by acetylcholine esterase. Muscle fibre response to that molecule ceases production of ACh

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10
Q

How are minature end-plate potentials formed?

A

At rest individual vesicles release ACh at very low rate-> reflect balance of Ca2+ intracellular in presynaptic terminal

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11
Q

How is skeletal muscle organised?

A

Muscle > muscle fibres > myofibril > myofilaments

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12
Q

What is the structure of myofibres?

A

Covered by sarcolemma with T-tubules tunnel into centre -> sarcoplasm has myoglobin and mitochondria present. Has a network of fluid filled tubules (sarcoplasmic reticulum) and is composed of myofibrils

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13
Q

What are myofibrils?

A

1-2 micrometres in diameter and extend along entire length of myofibres -> composed of actin and myosin

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14
Q

What are myofilaments?

A

Light and dark bands give striated appearance. Don’t extend the whole length of myofibres -> overlap and are arranged in sarcomeres

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15
Q

How are myofilaments organised?

A

Dense protein Z-discs separate sarcomeres, dark A-bands (thick-myosin), thin I-band (thin-actin) which overlap

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16
Q

What is the sliding filament theory?

A

During contraction I band becomes shorter, A band remains same length and H zone narrows/disappears

17
Q

What is the process of activation and relaxation in muscles?

A

AP propagates along surface membrane and into T-tubules, where the DHP receptor senses and changes shape of the protein link to RyR, opens the RyR in the SR membrane. So, Ca2+ released from SR into space around the filaments, where it binds to Troponin/Tropomyosin which moves allowing crossbridges to attach to actin. Ca is actively transported into SR continuously while AP continue. ATP- driven pump (uptake rate

18
Q

What are disorders of the NMJ?

A

Pathological processes interfering with NMJ function can cause muscle weakness

19
Q

What are some examples of disorders of NMJ?

A

Botulism, myastenia gravis and Lambert-eaton myastenic syndrome

20
Q

How does botulism work?

A

Botulinum toxin produces irreversible disuption in stimulation-induced ACh release by presynpathetic nerve terminal

21
Q

How does myastenia gravis work?

A

Autoimmune disease caused by Ab against ACh

22
Q

How does LEMS work?

A

Associated with lung cancer, but is an autoimmune disease caused by Ab directed against the VGCC