M&R Session 5 Flashcards
What happens at the nerve terminal?
Depolarisation –> opens V-G calcium channels –> calcium influx –> release of neurotransmitter
Which channels are found in the nerve terminal?
V-G sodium
V-G potassium
V-G calcium
What is the difference between intracellular and extracellular calcium concentration?
10,000 fold
Describe the structure of a V-G calcium channel.
Very similar to V-G sodium channels
Four repeats each consisting of 6 transmembrane domains
Porphyrin alpha subunit
Only one needed for channel formation
What type of blockers act on L-type V-G calcium channels?
Dihydropyridines
Describe the subunit composition of calcium channels.
Porphyrin alpha subunit associated w/other subunits which fine tune properties and allow correct regulation of activity
How does calcium influx cause transmitter release?
Calcium influx –> binds to synaptotagmin –> brings vesicles close to plasma membrane –> snare complex makes fusion pore –> transmitter released through pore
What is synaptotagmin?
A protein which brings vesicles close to plasma membrane
How does increasing intracellular calcium affect transmitter release?
Increases
What affect does an increase in the number of action potentials to the nerve terminal have?
Increases pulses of transmitter released
How many subunits does a V-G calcium channel have?
5; incl. 2 alpha subunits
Where are nicotinic AChR found?
NMJ
Fast synaptic receptors
What feature of nAChR allows them to be used in fast synaptic receptors?
They allows fast depolarisation
How is an nAChR activated?
2 ACh molecules bind causing a conformational change that opens channels
What does the nACHR in an NMJ try to achieve with the membrane potential?
To reach -10 mV therefore causing depolarisation of the skeletal muscle fibre
How selective is the sodium-potassium channel?
Not very - equally permeable to both so ion movement is determined by equilibrium potential
What happens to the sodium-potassium channel at a membrane potential of -10 mV?
Reversal voltage is met
No net flow of charge
Current through channel reverses
What causes the end-plate potential?
ACh action on nAChR
How does decreasing extracellular calcium affect the end-plate potential?
Decreases amplitude
What are the sequence of events during neuromuscular transmission?
AP in neurone –> ACh release –> activate nAChR –> brief depolarisation (end-plate potential) –> adjacent sodium channels activated by local spread of charge –> excitation-contraction coupling
What are the two types of nAChR blockers?
Competitive
Depolarising
What is the mechanism of activation of tubocurarine?
Competitive blocker
Binds to alpha subunit but does not cause a conformational change
Decreases depolarisation without changing ACh amount
Can competitive nAChR blockers be overcome?
Yes - vastly increase ACh concentration
Which enzyme breaks down succinylcholine?
Plasma cholinesterase
Can depolarising nAChR blockers be overcome?
Nope
Describe the action of depolarising nAChR blockers.
Binds to alpha subunit –> receptor opens –> no AChE caused degradation –> receptor remains open –> sustained depolarisation –> sodium channels inactivated and receptors desensitised
What causes miniature end-plate potentials?
Spontaneous release of ACh vesicles w/out AP stimulus
What is the rate of ACh release in a miniature end-plate potential?
~1 quanta per second
What is the significance of the miniature end-plate potential?
It can be recorded (but does not reach anywhere near threshold potential)
What is myasthenia gravis?
Autoimmune targeting of nAChR
How are functional nAChR lost in myasthenia gravis?
Complement mediated lysis
Receptor degradation
What measurement can be used to determine myasthenia gravis and what does it show?
End-plate potentials - each quanta released gives a decreased response in comparison to unaffected muscle
S/S of myasthenia gravis?
Profound weakness
Muscle weakness increases w/exercise
Muscle fatigue
Where are muscarinic AChR found?
NMJ of parasympathetic branch of the ANS
Which give a faster response, nAChR or mAChR?
nAChR
Summarise the activation of an mAChR in one sentence.
ACh binds to the receptor causing the associated G-protein to split, allowing the alpha G-protein subunit to modify the activity of the target effector
Do both nAChR and mAChR use ligand binding?
Yes
Why are mAChR slower to initiate a response than nAChR?
They are coupled to G-proteins which trigger a cascade of events in the cell to cause a response. They do not have an ion channel like nAChR