M2M Unit 4 Flashcards

1
Q

origin of mitochondria

A

current theory: endosymbiotic hypothesis
showed up by way of endocytosis of oxidative-phosphorylating bac by distant ancestors
inner membrane is derived from bac
outer membrane is derived from eukaryotic cell

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2
Q

outer structure of mitochondria

A

double membrane (only other double membrane organelle= nucleus)

outer membrane- semi-permeable, regular membrane
-have TOMS (translocases of outer membrane: large, nongated channels allowing H+’s, etc to equilibrate w/ the cytosol, permit passive transport)

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3
Q

inner structure of mitochondria

A

inner membrane- less permeable, forms the folds/cristae inside the mito, contains machinery for ox-phos
-have TIMS (translocases of inner membranes- specific receptor-based protein channels allowing various required proteins selectively in, require ATP input

  • cristae has 4 protein complexes to pass e-‘s from NADPH to various e- acceptors (ending in O2 to form H2O), generating E w/ each transfer
  • small steps to minimize E lost and harness at each step

-matrix space inside inner membrane
contains mito’s own DNA (although majority of proteins that func in mito come from cell nucleus)

e-‘s transferred and protons (NADPH–> NADP+) are pumped out of matrix, at which point they can leak out of outer membrane

  • creates a chem gradient w/ more negative charge inside the matrix
  • drug target- disrupting the gradient quickly kills cells

in high E consumption environments- use creatine kinases to keep PO4 on creatine; can quickly transfer it to ADP to make ATP

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4
Q

fission/fusion of mitochondria

A

undergo constant fusion/fission
both dependent on GTPases

fusion- role in repairing damaged mito and maintaining integrity

  • no SNARE proteins
  • has to fuse both membranes
  • GTPase Mfn and OPA1

fission- mitophagy
-GTPase Fis1 and Drp

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5
Q

mitochondria-regulated death mech

apoptosis

A

cell damage induces Bak/Bax-dependent permeabilization of outer-mito membrane
leads to cytochrome c release
cytochrome c binds to proteins and forms apoptosome
apoptosome- activates caspases (initiating apoptosis)

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6
Q

mito-regulated death mech

necrosis

A

during ischemic injury
results in MPTP- dependent permeabilization of inner/outer mitochondria membranes
results in cytochrome release and elimination of H+ gradient
-no H+ gradient blocks ATP production
-ATP synthase converted to ATPase, using up available ATP
-ATP depletion and necrosis

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7
Q

mitochondria quality control

A

damaged mito:
can’t produce ATP
generates excessive ROS

ROS oxidizes proteins, lipids, DNA –> cell damage and senescence

controlled on 3 levels:

  • mito proteases (mAAA, iAAA, Lon) recognize and degrade misfolded proteins
  • damaged mito can be “fixed” by fusing with healthy mito or can be eliminated by mitophagy
  • induced apoptotic death if damage is extensive
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8
Q

role of mito in senescence

A

inc sensitivity to neuronal degeneration and senescence related to accum of mito damage and ROS

-neuropathies w/ mito quality control pathway protein mutations

optic atrophy (OPA1 gene- auto dom)
Charcot-Marie-Tooth neuropathy Type 2A (Mfn2 gene)
–both from mito fusion machinery mutation

hereditary spastic paraplegia- mutation in mAAA protease

-ox-phos and ATP prod inhibition from Arsenic poisoning

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9
Q

epithelial define

A

tissues that line all surfaces of the body, internal (gut, glands, tubes, ducts, etc) and external (skin)

make up business ends of many organs
most cancers derived from epithelia

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10
Q

functions of epithelia

A

barrier to microorganisms and toxins
selective transport into and out of body
biochem modification of molecs and metabolites (detox in liver)
specialized reception of stimuli (taste receptors)
self-renewal

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11
Q

epithelial properties

A

highly adherent to e/o to form sheets, often wrapped to form tubes
most are polar (apical and basal surface- allows for unidirectional transport)
basal lamina layer found underlying all epithelia
all epithelia are attached on basal side to CT beneath basal lamina
-CT has vasculature (epithelia does not)
-blood needs to diffuse through CT to reach epithelia
-important for self renewal
-(CT also has nerves and muscle w/in it)
-note cells lining vascular sys are called endothelia

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12
Q

epithelial cells during development

A

become mesenchymal cells
migrate through body to form new regions of epithelia (epithelial-to-mesenchymal transition)
-some tumors act this way- reactivate the mesenchymal transition, migrate through the body and metastisize

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13
Q

types of epithelial cells

A

simple vs stratified

  • pseudostratified
  • transitional stack type- normally stratified but don’t stretch it

cuboidal, columnar, squamous

stratified are classified based on outermost layer

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14
Q

epithlial polarity

A

molec/protein composition is different on 2 sides
tight junc’s between epithelial cells prevent membrane components from getting to the other side
cytoskeletons are polarized- which makes organelles inside epithelia polarized too

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15
Q

epithelia tight junctions

A

hold adj cells together
made of transmembrane proteins (most are occludens)
wrap all around the cell
prevent flow of molecs from apical to basal side
basis of impermeability of epithelia- forces substances in the lumen (water, ions, etc) to go through cells vs between them
some epithelia are looser than others- found in intestines (quick, massive tranport of water/ions in paracellular transport)
tight junctions can be loosened/tightened dep on what is being transported (loose for glucose, ex)
-substances on basal side can leak out into lumen if junctions are loosened

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16
Q

epithelia adherens junctions

A

specific regions that are punctiliar
AKA desmosomes
no barrier functions- just to bind adj cells together
caused by variety of specialized proteins called cadherins

cadherins- bind with e/o in presence of Ca.
can regulate tightness of specific cell junctions

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17
Q

epithelia gap junctions

A

small tunnel/channel between intracellular regions of 2 adj cells
selectively allows the flow of small molecs (like signaling) between cells (to speed up broad response to stimuli)

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18
Q

3 cell surface modifications of epithelia

A

microvillae
cilia
stereocilia

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19
Q

microvillae

A

pouches on the apical side of epithelia cells
increases surface area of apical surface
filled w/ actin, generally

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20
Q

cilia

A

hairlike structures
move substances by rhythmic motion
made of microtubules powered by dynein motors

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21
Q

sterocilia

A

found in cochlea of ear

seem to be important in stimulus reception

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22
Q

basal lamina structure

A

thin sheet made of interlocking proteins

some proteins are common to most laminae (like type IV collagen) but others are unique to particular tissues

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23
Q

functions of basal lamina

A
  • promote attachment of epithelia to underlying CT
  • regulate epithelial cell bio (through focal adhesion signaling)
  • barrier func- barrier to movement from epithelial layer to CT; generally not very strong
  • specialized types can act to filter specific molecs (specifically glomerulus)
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24
Q

2 kinds of basal lamina attachment

A

hemidesmosomes
-contain integrins that provide membrane attachments to the epithelial cells and other protein complexes that link CT to lamina

focal adhesions

  • specialized hemidesmosomes
  • connect basal lamina to intracellular components inside the epithelial cells
  • allows signaling communication between lamina and epithelium
  • allows lamina to influence the dev/regulation of epithelium
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25
Q

exocrine glands

A

secrete agent molecs onto epithelial surfaces

  • dev as simple invaginations of the epithelium
  • synthesize variety of sub’s
  • have to cross the apical membrane to get to the “outside” of the epithelial cell

-secretory units- invaginated pouches that function as exocrine glands
these make secretions and transport them across the apical membrane and flow down the narrow part of invagination to reach the outside of the epithelium

-don’t always have invaginations; sometimes just single cells prod/secreting

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26
Q

types of exocrine secretions

A

mucus secretions

serous secretions- watery; sweat, saliva, etc.

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27
Q

endocrine glands

A

always secrete agents into blood
dev as invaginations of the epithelium that are pinched off from the epithelial surface
surrounded by vessels in CT
synthesize hormones

generally cross basal membrane and get through CT and vessel surfaces to get to blood

exception: thyroid endocrine hormones
- secrete through apical membrane, mature in lumen, and transported across both membranes out again

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28
Q

epithelia regulation

A

most have self-renewing potential via specialized stem cells, stored in “crypts” or pouches at the bottom of epithelial sheets
-tightly regulated; few of them, spread out, slowly dividing

polarity of cell proliferation- new cells push up old cells and old migrate toward apical
further differentiated as they migrate

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29
Q

regulatory proteins of epithelial stem cells: Wnt proteins

A

Wnt proteins in the colon inhibit differentiation by dividing at the cell surface and setting off a signaling cascade; also promote cell division (more differentiation= less division)

normally APC protein inhibits Wnt signaling pathway in colon
(blocking APC activates cell proliferation)
APC mutation–> colon cancer

similar proteins in lung, but opposite pathways
Wnt promotes differentiation and inhibits division

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30
Q

epithelial cancer

A

generally called carcinoma
adenocarcinoma- cancers derived from glandular epithelia

high levels of cadherin activity correlate w/ higher survival rates
could be from:
tighter connections between epithelial cells lead to less metastasis of epithelial cancer cells, or
cadherins can act as signaling molecs to sense cancer and respond appropriately

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31
Q

visualizing tissue samples

A

tissue sample is cut out, put in saline buffer, and fixed (soln to preserve large cell structure)
-carbs and lipids tend to leak out in process

sample sliced thinly and stained to create 2-D image (general to specific)

tip: find nuclei

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32
Q

immunohisotochemistry

immunofluorescence

A

methods of detecting presence of particular proteins in pathology slices- info about quantity and loc of protein

use antibodies- have high affinity and specificity for certain proteins/antigens

method: fix and stain
apply primary antibody (sticks to pertinent protein); wash
add secondary antibody (sticks to primary antibody) w/ a colored tag; wash
look at color

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33
Q

protein defect in Cystic Fibrosis CF

A

most common lethal genetic disease in caucasians

CF gene codes for CFTR protein- acts as apical ion channel controlling water and ions moving out
large CF gene on Chr 7; multiple pathological mutations

mutations cause:
no protein synthesis
misfolding, leading to degradation before reaching apical cell surface
altered conductance so protein can’t be conveyed to apical surface
partial loss-of-func so CFTR proteins don’t work normally

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34
Q

pathophysiology behind CF lung disease

A

pseudomonas and staphyloccus aureus are the most common pathogens found in CF lungs
CFTR normally excretes Cl- to move water into mucus layer overalying the lung epithelium
defective CFTR- water doesn’t move
-also high levels of Na+ import, which further removes water from lumen/mucus

chronic lung problems- chronic bronchitis and airway infection/inflammation
-lead to loss of lung func

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35
Q

diagnostic and therapeutic approaches for CF

A

major diagnostic- test for Cl level in sweat
-large levels of Cl- indicate homozygosity for CF (auto recessive)
positive NBS

treat- lungs w/ airway clearance therapy
antibiotics to keep lungs clear
inhaled mucolytics (breakup mucus)
bronchodilators
ERT
VitA, D, E, K replacement
Azrithromycin used chronically

therapeutic-
eventually need lung transplant
“protein rescue” seems promising to fix misfolding/nonconduction problems

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36
Q

cilia components

A
domains:
centriole/basal body
axoneme
transition zone
ciliary membrane
intraflagellar transport (IFT) machinery
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37
Q

cilia basal bodies

A

core anchors from which cilia are formed
microtubule rich cylinder shaped structures form from 9 triplet microtubules
polarized structure
responsible for nucleating cilium

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38
Q

cilia axoneme

A

structural skeleton of cilium
provide tracks for movement within cilila
formed from doublet microtubules assembled from basal body
polar
lengths range from

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39
Q

cilia transition zone

A

links basal body to axoneme
considered “gatekeeper” because it limits diffusion in/out of cilium
ensures compartmentalization for signaling
mutant transition zones associated with ciliopathies

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40
Q

ciliary membrane

A

continuous w/ cellular plasma membranes

compartmentalized by transition zone, so it’s a distinct membrane with unique phospholipids and receptor molecs

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41
Q

cilia IFT

A

transports cargo for assembly/maintenance of cilium and for movement of signaling components within cilium along the axoneme
bidirectional transport w/ kinesin motors and the IFT-B protein complex directing movement to ciliary tip (anterograde transport)

retrograde transport- cytoplasmic dynein 2 motor driven transport with the IFT-A protein complex

both transport mech’s are required for cilium formation and func

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42
Q

cilia assembly

A

2 phases- centrioles/basal bodies assembly and formation of cilium

centrioles interchange func at centrosomes and making basal bodies; upon cilogenesis, the older of the 2 centrioles in G1/S phase funcs as basal body/anchor

ciliogenesis- normally in G1 (or G0)
distal end of basal body is capped by ciliary vesicle; microbutuble doublets assemble into ciliary vesicles before structure fuses w/ plasma membrane

terminally differentiated cells nucleate many cilia per cell; require more mech’s (basal body assembly uncoupled from cell cycle; replication is amplified)

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43
Q

motile vs sensory cilia

A

motile- most also possess sensory func’s
required for fluid movement in resp, neural, and repro tracts
motility produced by axonemal dynein dependent sliding motion between the doublet microtubules of cilliary axoneme
typically 9+2 microtubule arr; 9 doublets around central pair of singlet microtubules (not all have central)

sensory- immotile/primary cilia
9+0 microtubule arr
lack axonemal dynein arms
normally perform signaling funcs

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44
Q

cilia signaling pathways

A
cilium concentrates the singal w/ a high receptor surface-to-vol ratio
signal is localized and polarized within discrete domains 
receptors are positioned away from interfering cellular domains
func as a mechanical detector of flow

can sense physical stimuli, light, chem stimuli; all produce range of downstream events:
proliferation, motility, polarity, growth, differentiation, tissue maintenance

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45
Q

cilia hedgehog signaling pathway and others

A

Hh signaling pathway
well established to signal through cilia
activation and repression of the target of the Hh paracrine signaling pathway (glioma tumor- Gli transcriptional activator) requires cilia

Wnt, PDGF, FGF, and others

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46
Q

cilia in tissue homeostasis

A

Hh signaling:
limb formation, bone formation/homeostasis, neurogenesis

tissue and cellular polarity
organogenesis
tissue patterning (neuronal and limb)
bone formation
cell fate specification
eye dev
left-right-axis determination
craniofacial dev
neural tube formation
tubule formation (kidney, liver, pancreas)
renal cystic diseases and retinal degeneration (degenerative)
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47
Q

clinical abnormalities associated with ciliopathies

A
cystic kidneys
nephronophthisis
obesity
polydactyly
retinal degneration
aminosa (loss in olfaction)
cancer/tumorigenesis
urinary tract malformation
cognitive impairment
diabetes mellitus
infertility
occipital meningoencephalocele
microphthalmia
lung hypoplasia
renal hypodysplasia or displasia
bile-duct dilatation
situs inversus
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48
Q

Bardet-Biedl Syndrome BBS

A

autosomal recessive ciliopathy
19 genes mutated in BBS patients to date
BBS proteins participate in a protein complex that is required for vesicle transport within the cilium

symptoms:
photoreceptor degeneration
anosmia
mental retardation/developmental delay
neural tube defects
obesity
hypogonadism
kidney defects
polydactyly
diabetes
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49
Q

mesenchymal CT cells

A

precursors to all CT family members
primarily func in embryogenesis, but small numbers of them may persist through adulthood to fun as stem cells for generation of new CTs

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50
Q

fibroblasts

A

the pre-eminent cells of most CT in body
not really a single cell type
look similar histologically but express different markers and proteins in dff tissues

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51
Q

myofibroblasts

A

derivatives of fibroblasts
are capable of smooth muscle-like func
found in CTs that require a contractile func
often generated at sites of wounds where their contractile function contributes to retraction and shrinkage of scar tissue

52
Q

adipocytes

A

CT- fibroblast derivatives and or primitive mesenchymal cells
main types func to store fat as E for other cell types
tissue w/ these cells called white fat
brown fat- distinct tissue in newborns and children; contains many mitochondria that convert fatty acid to heat

53
Q

osteoblasts and osteocytes

A

make bone

54
Q

chondrocytes

A

make cartilage

55
Q

some smooth muscle cells as CT

A

some, particularly those in the walls of blood vessels, make some of the EC matrix components in which they are imbedded
these (possibly not all) smooth muscle cells derive from the same types of precursors as other CT cells, which would explain ability to synthesize and secrete similar types of ECM components

56
Q

general structure of EC matrix

A

EC fibers embedded in ground substance

57
Q

EC fibers

A

collagens and elastins

58
Q

collagen

A

EC fibers
general unit is triple helix (formed outside cell); pack together to form fibrils
(outside cell) N-telo cleaved ends can be detected in blood urine- indicator of metabolic activity in bone and other CTs

fibrillar collagens- make long, thick composite fibers, or fibrils (primarily Type 1 collagen)
-lots of tensile strength

fibril-assoc collagens- make thin fibers connecting basal lamina to fibrillar collagens and fibrillar collagens to e/o

networking collagens- form thin sheets that provide the scaffold for basal lamina (type 4)

59
Q

scurvy

A

from non-hydroxylated proline residues of collagens (caused by deficiency of Vit C)

60
Q

elastins

A

EC fiber
elastic, cross-linked to form “rubber bands”
supported by fibrillin proteins
(fibrillin mutation= Marfan’s syndrome; susceptibility of cardiac problems from reduced elasticity of major vessels)

61
Q

ground substance

A

composed largely of proteoglycans- protein core w/ carb sidechains
carb chains are negative- attract water to hydrate ground sub (solutes can move through)

62
Q

basis and consequences of CT diversity

A

stem cells that can differentiate into many kinds of basic cells;
difference in func and ECM secretions of those differentiated cells

more sketchy
“we have working CT” and from one type of cell (mesenchymal stem cells) you can get wide variety of cells, depending on signaling and proteins

63
Q

CT response to injury- inflammatory phase

A

they can be remodeled at just about any point by protease and stem cells

wound response: generally signaled by platelets from torn blood vessels

inflammation phase: mast cells activated to secrete various molecs, among them histamines and chemoattractants (polypeps that attract migratory cells)

  • these go into blood vessels and cause influx of vascularly-located immune cells (leukocytes and macrophages) into the ECM at the site of the wound
  • macrophages, in addition to eating damaged tissue/bac, trigger angiogenesis in the wound (though doesn’t transpire until tissue actually begins to heal)
  • cytokines are triggered; attract cells involved w/ next phase (proliferation/dev)
64
Q

CT response to injury- proliferation/development phase

A

fibroblasts are attracted by cytokines and other signals
these divide and increase ECM secretion rate

fibroblasts in the area begin to repopulate damaged epithelium and CT (scar tissue if basal lamina is damaged extensively)

fibroblasts also differentiate into myofibroblasts: exert pressure on area to restrict blood loss and close the wound
generally die off after wound has healed

65
Q

CT response to injury- maturation/remodeling phase

A

effectively a continuation of the dev phase, in which fibroblasts replace temporary collagen laid down to close the wound with more permanent collagen oriented for maximal tensile strength

66
Q

structural relationships between tissues

A

CTs are always found next to the basal surfaces of epithelia
CT surrounds muscle and nerves in distinct patterns
CT surrounds all blood vessels, and surrounds and courses through all organs

67
Q

cartilage- structure and function

A

serves as template for bone or as resilient/pliant support sys
avascular

mesenchymal stem cells form chondrocytes, which secrete cartilaginous ECM
these chondrocytes become cocooned in “lacunae” of their own secretions (but can still divide and grow out the cartilage- interstitial growth)
-chondrocytic matrix is covered in hard outer layer called “perichondrium”, which contains the mesenchymal stem cells that give rise to the chondrocytes in the interior
-cartilage can grow 2 ways- appositional and interstitial (bone can only grow appositionally)

68
Q

cartilage growth in fetal and child dev

A

chondrocytes arise from mesenchymal stem cells during fetal dev and conduct interstitial and appositional growth, with chondrocytes secreting cartilaginous ECM and becoming encased in lacunae from that point on

69
Q

3 types of cartilage

A

hyaline cartilage- full of hyaluronic acid (a GAG type that isn’t bound to proteins)

  • fairly sparse and irregular fiber matrix
  • ossifies in long bones

elastic cartilage- hyaline having a lot of elastic tissue (ex. earlobes)

fibrocartilage- often found where tendons attach to bone or in joints
-much more densely packed with fibrous collagen; tough

70
Q

bone cell types

A

except for osteoclasts, bone cells form from mesenchymal stem cells, which form osteoprogenetor stem cells, which then self-renew and produce osteoblast secretory cells

osteoblasts- assemble on surface of forming bone

  • secrete watery, loose ECM characteristic of bone called osteoid (contains collagen, but not dense)
  • become cocooned within their own secretions
  • fully enclosed, they transform into osteocytes

osteocytes- vastly reduced secretory activity

  • send out processes that contact their osteocyte and osteoblast neighbors to form gap junctions (signaling)
  • these long processes form canaliculi through bone matrix
  • seem to be involved in sensing the current status of the bone matrix and regulating osteoblast activity, depending on the status

d. Notice that osteoblasts also trigger the mineralization of the loose original bone ECM: they secrete Ca2+- and PO4-filled matrix vesicles, which break open in the ECM as their contents form crystallized calcium phosphate (“hydroxyapatite”). The released hydroxyapatite gives the bone ECM its extreme hardness; it also serves as the main storage site of calcium in the human body.
e. As mentioned, due to this hardness, there is no interstitial growth in bone (matrix is too inflexible to allow it)– bone only grows by appositional growth at the surface due to division and secretion of osteoblasts and osteoprogenitors.
f. Completely different lineage of osteo- cells: osteoclasts, derived from monocytes in blood vessels (as are macrophages).
i. Osteoclasts are effectively bone-matrix-specific macrophages: when directed, they ‘chew up’ and degrade bone matrix and release liberated calcium into newly loosened ECM, where it can get back into the bloodstream.
ii. Functions of osteoclasts:
1. Degrade cartilage (for ossification of ‘template’ cartilage) as well as bone (for remodeling and calcium mobilization)
2. Stimulate angiogenesis (like macrophages).
a. As these tunnel through bone, they bring blood vessels with them (note that bone is vascularized).
3. Innervation: Nerves follow osteoclast-formed channels in bone matrix.

71
Q

Bone EC matrix composition

A

Loose collagenous bone ECM is secreted from osteoblasts, which also secrete the matrix vesicles that contain the hydroxyapatite that will mineralize the original, soft ECM. Osteoclasts resorb the mineral matrix and excrete the inorganic ions inside into the reloosened ECM, from where they can get back to the bloodstream. Note that bone ECM is vascularized and innervated due to osteoclast action.

72
Q

2 processes leading to bone formation

A

intramembranous ossification

endochondral ossification

73
Q

intramembranous ossifcation

A

i. During development: mesenchymal stem cells condense (come together and proliferate) and form layers with surrounding connective tissue. Some of the stem cells differentiate into osteoprogenitors and then to osteoblasts, which secrete bone matrix that’s vascularized/innervated/remodeled by osteoclasts and mineralized by osteoblasts.
ii. Effectively this is the simple route of bone formation: direct formation of bone from mesenchymal stem cells without a cartilaginous intermediate.
iii. Most of the flat bones form this way.

74
Q

endochondral ossification

A

i. Initial, ‘template’ cartilaginous ‘bones’ are ossified and replaced with actual bone.
ii. Recall that the perichondrium of cartilage contains mesenchymal stem cells which continue to create new chondrocytes.
iii. At some point, a signal is received at around the middle of the diaphysis (center of long bone) which tells the mesenchymal cells to begin producing osteoprogenitors instead of chondrocytes. This begins a transitional wave that transforms the perichondrium to a periosteum.
iv. Formation of periosteum induces two events: calcification of cartilage, and the destruction of chondrocytes embedded in the cartilaginous matrix.
1. Chondrocytes tend to get very large before they’re killed off (apoptosed)– this is called hypertrophy, which is an indicator that chondrocytes are becoming apoptotic prior to ossification.
2. Osteoprogenitors/osteoblasts send signals to bring osteoclasts to the cartilage– the osteoclasts show up, see the calcified cartilage, and begin to degrade it and engulf the apoptosed chondrocytes.
a. Note that osteoclasts bring blood vessels and nerves with them while this is going on.
3. After the osteoclasts have done their thing, the osteoblasts set in to lay down bone matrix and calcification around the vessels that have just invaded the nascent bone.
4. Notice that the cartilage is still growing (appositional and interstitially) wherever it can while this is going on.
5. The secondary ossification centers, one at each end (epiphysis) of the bone, form while the primary ossification center is still being vascularized and mineralized. These progress in the same manner as the primary.
6. Note that there’s a layer of cartilage left behind (the epiphyseal or growth plate) between the diaphysis and epiphysis.
a. This cartilage continues to grow interstitially in the direction of the epiphysis (towards the ends of the bone); the primary ossification center ‘chases’ this cartilaginous growth, ossifying the new growth as it occurs.
i. If you’re looking at a histology slide of ossifying cartilage, can always tell which layer is the cartilage by looking at ‘lines’ of proliferating chondrocytes pushing out in the direction of the end of the bone.
b. Interstitial growth of cartilage is what drives the length of long bones; width of bone is driven by appositional growth of the periosteum (which completely replaces the perichondrium along the edge of the bone).
v. Most of the skeleton (including all the long bones) are formed this way.

75
Q

bone remodeling events

A

a. Periosteum forms on the surface of cartilage.
b. Osteoblasts calcify the cartilage; chondrocytes undergo hypertrophy and apoptose.
c. Osteoclasts degrade the cartilage, engulf chondrocytes, lay down new blood vessel and nerve pathways.
d. Osteoblasts make bone matrix and mineralize it around vessels and nerves.

76
Q

regulation of bone formation/remodeling

A

a. [Endosteum: inside surface of bone (inner surfaces of osteoclast-derived tunnels).]
b. Bone remodeling (osteoclast activity and subsequent osteoblast secretions) occurs immediately upon formation of new bone, and also recurs almost continuously throughout life.
i. Notice that the activation of osteoclasts is tightly linked to the activation (ie production and secretions) of osteoblasts.
c. In early bone, the coordination of vessels/nerves with matrix is disorganized and random; over time, the constant remodeling leads to a particular division between compact and spongy bone.
i. Compact bone: On the edge of the bone; dense, multi-layered, no trabeculae.
ii. Spongy (or ‘cancellous’ or ‘trabecular’) bone: Deeper inside the bone, form honeycombed networks of endosteal surface, filled with bone marrow.
iii. Notice that both flat and long bones show this pattern (spongy vs compact).

77
Q

mech of bone remodeling signaling

A

i. Short-range: Bone morphogenetic proteins (BMPs) released at bone site.
1. Don’t travel through bloodstream.
2. Effectively instruct other cells to lay down and remodel bone.
3. Significant pathophysiologically due to FOP disease (Fibrodysplasia ossificans) that causes ossification to occur in loose connective tissue. Caused by the BMP4 gene being fused to an abnormal promoter; this causes it to be expressed in lymphocytes (from where it acts on fibroblasts/mesenchymal stem cells to form osteoprogenitors and bone).
4. Can also use Wnt and Notch proteins to do short-range signaling (no details needed).
ii. Long-range: Endocrine hormones, particularly calcitonin (lay down more calcified matrix: Ca2+ out of bloodstream, build up bone) and parathyroid hormone (reabsorb more calcified matrix: Ca2+ into bloodstream, break down bone), as well as steroid hormones (no details).
iii. Mechanical stress: as per anatomy, putting stress on bones leads to different cell activity in bone remodeling– thickens bone (greater appositional growth) in particular directions.
iv. Neuronal stimulation: CNS regulates bone remodeling. A “who knows” category.

78
Q

general application of molecular bio into clinic using cancer as as ex

A

a. Patients are tested for their molecular markers (EGFR activity, or ALK-EML4 activity).  You then give appropriate treatment to target the tumor specifically based on this information.

79
Q

to to implement molec targeted therapies in the treatment of lung cancer

A

a. To design and develop targeted therapies, specifically designed to “attack” the molecular targets that are tumor specific. Find agents that work against specific biologic pathways. Ex: Non-small cell lung cancer: can choose bevacizumab or pemetrexed, blocks VEGF pathway or the formation of purine and pyridimine precursors.

80
Q

selecting patients for personalized medicine

A

a. Look at the patient’s cell type, molecular markers, histology. Clinical information is used as well.
b. Use molecular profiling to determine the right therapy for the patient, leading to increased survival benefit and decreased toxicity.
c. Certain tissue types will make the patient susceptible to toxicity or will confer specificity and effectiveness to a given treatment.

81
Q

prognostic vs predictive biomarkers

A

a. Prognostic: reflect natural history of disease independent of therapy- based on the tumor and the patient themselves
b. Predictive: reflects the impact of a therapeutic intervention (predicts response to treatment).

82
Q

blood vessel wall layers

A

a. Three layers surrounding lumen:
i. Tunica intima: endothelial layer closest to the lumen of the vessel.
ii. Tunica media: middle layer, composed of elastic tissue, smooth muscle, or collagen.
iii. Tunica adventitia: outer layer, composed of collagen/collagenous tissue.
1. In large arteries, these often contain smaller vessels running through them; these are called vasa vasorum (vessels of vessels).

83
Q

elastic artery characteristics

A

a. [In largest arterial vessels, like the aorta (“elastic arteries”):]
i. Tunica intima:
1. endothelial cells (at the interface with the lumen)
2. Stuff just outside the endothelial layer but still in the intima:
a. fibroblasts
b. connective tissue
c. myointimal cells (responsible for laying down fibrous plaque in atherosclerosis)
ii. Tunica media:
1. Lots and lots of smooth muscle cells and, particularly, elastic fibers
iii. Tunica adventitia:
1. Vasa vasorum (supplies blood and nutrients to outer parts of larger vessels)
2. Loose collagenous connective tissue, elastin
a. This is loose so that leukocytes (white blood cells) can exit the blood vessels and get out into the connective tissue.

84
Q

muscular artery characteristics

A

b. [In more distal but still large arteries (“muscular arteries”):]
i. Less tunica intima volume
ii. Shows characteristic “inner” and “outer” elastic laminae that form the boundary of the tunica media, containing smooth muscle cells (note less elasticity as you get farther from the aorta on account of there’s less arterial pressure farther on).
iii. Adventitia doesn’t show vasa vasorum once you get to a sufficiently small size– the blood from the lumen can diffuse well enough on its own.

c. [In smaller muscular arteries:]
i. Small (3-4 layers) tunica intima
ii. In the tunica media, the outer elastic lamina disappears, but the inner remains.
1. Notice the smooth muscle remains thick– dilation and constriction extremely important by this point.
iii. Adventitia: quite thin, can blend into surrounding tissue.

85
Q

arteriole characteristics

A

d. [In smallest arteries immediately adjacent to capillaries (“arterioles”):]
i. Tiny tunica intima, a few layers of smooth muscle, and a little collagenous tissue on the outide rim.
ii. “Gatekeepers” for the capillaries (can constrict and shut off blood flow to them).

86
Q

vein characteristics

A

i. Still have a tunica intima, media and adventitia. Media is much, much smaller than those of similarly sized arteries.
ii. Note that you can find valves or “flaps” in both veins and lymphatic vessels.
iii. Occasionally a few smooth muscle cells in the media, but not many.
iv. Notice that the shape of the lumen often looks “collapsed” (acircular).

87
Q

lymph vessel characteristics

A

i. Also have irregular lumen (acircular), but have extremely thin walls (just a thin endothelial layer, no media or adventitia) compared to veins.
g. [Important note: the endothelial cells of the tunica intima are pretty much universally stratified squamous in shape (need to have things diffuse through them quickly, need to be thin). If it’s cuboidal or columnar, odds are good it’s not a vessel endothelium.]

88
Q

structure and function of different capillaries

A

a. All capillaries have relatively wide lumens and, thus, slower blood flow.
i. This means that regulation of diameter is particularly important, since it’s easier to close off or open up capillaries completely than larger vessels.
b. Capillary structure:
i. Small endothelial layer
ii. Specialized layer wrapped around endothelium: pericytes.
1. If tissues are damaged, pericytes can generate smooth muscle cells; mechanism not clearly understood.
c. Three different types of endothelial layers:
i. Continuous (standard) endothelium: continuous wall of lumen; can have pinocytosis (vesicle-bound transport) across it, but no free flow.
ii. Fenestrated endothelium: small windows in lumen, allows plasma to freely diffuse through endothelium.
iii. In spleen and to some extent in the liver, can see discontinuous endothelium: large holes in lumen or between adjacent endothelial cells, allows entire red blood cells to diffuse out of endothelium.

89
Q

unique functions of post-capillary venules

A

a. Post-capillary venules: Where leukocytes interact with the endothelial walls (actually, they break them selectively down, a process called diapodesis) and leave the blood; also the action of histamines regulating permeabilities of blood vessels occurs at the post-capillary venules. Slow blood flow.

90
Q

how bloodflow is regulated in capillary beds

A

smooth muscle “gateways” in arterioles

91
Q

arterio-venous shunts

A

connecting vascular passages between arterioles and post-capillary veins (controlled by smooth muscle sphincters).

92
Q

metarteriole

A

System of vessels leading from arteriole through capillary beds to the post-capillary veins. Also controlled by smooth muscle sphincters.]

93
Q

portal systems

A

From a capillary bed to a capillary bed, ie. hepatic portal system. If that system is any indication, these probably aren’t primarily used for oxygenation of the second capillary system in the chain.

94
Q

pampiniform plexus

A

Countercurrent heat exchange between arteries and veins. Say you’re a scrotum. (did you say it?) You’re hanging around, so to speak, outside the body and you’re a little cold for a tissue system. What you don’t want is for all that good warm blood coming out to you to get cold and carry that cold back into the body, cooling down the core. So you run your arteries right next to your veins on the following philosophy: if the veins coming in are cold, and the arteries going out are warm, then the incoming blood in the veins will be warmed up (thus preventing core cooling) and the outgoing blood will be cooled down (thus minimizing its heat loss). That arrangement is a pampiniform plexus.

95
Q

end arteries

A

: arteries that supply blood to a region that isn’t supplied by any other artery– eg. kidney/lung arteries.

96
Q

skeletal muscle contraction

A

. Draw two lines. These are Z lines. The actin (thin) fibers poke out from them. Draw a line in the middle. This is the M line. The myosin (thick) fibers poke out from it between the thin fibers (which don’t extend all the way to the M line, but do extend enough to have some cross-over with the myosin). Ta-da, a sarcomere. Line up a whole bunch of them in a row. Now you have a myofibril. Repeat that a lot in an orderly fashion. Now you have a striated muscle.

97
Q

molec structure of sarcomere

A

a. Thin filaments are made up of actin chains with tropomyosin stuck to them and troponin stuck to the end of tropomyosin. Thick filaments are made up of myosin chains that have big globular loops (‘heads’) on them that interact with actin.

98
Q

myofilament vs myofibril

A

a. A myofilament is a polymerized strand made up of either myosin or actin/tropomyosin/troponin.
b. A myofibril is a bunch of sarcomeres placed end to end. Each myofibril is covered with its own sarcoplasmic reticulum (see below).

99
Q

muscle contractile proteins connect to surrounding CTs

A

a. Dystrophin connects actin to the surface membrane. Titin links myosin to the Z line (centering the thick filaments). Nebulin does something similar for the thin filaments. Alpha-actinin crosslinks actin fibers.
b. The idea is that there’s “passive” tension in a muscle fiber, presumably generated by attaching everything in its original configuration, that gives the cell something to return to after contraction. These proteins help maintain that configuration.

100
Q

motor nerve terminals and cell distribution

A

a. Motor nerve terminals (synapses) are located around the center of skeletal muscle fibers; the AP propagates in both directions from there. (note that the contraction of the muscle is not the same as the AP to the muscle– the former depends on t-tubule-triggering of calcium release and occurs more or less at the same time throughout the muscle, as you’d like for maximum contraction.)
b. The distribution of innervated cells varies greatly depending on the particular neuron and the particular muscle, but is generally called the motor unit whatever its size.
i. Fine motor actions tend to have small-size motor units (you’re triggering less muscle contractions with one AP); coarse motor actions tend to have larger motor units.
ii. Notice that a single “muscle” (ie thigh muscle, triceps, etc) may have lots of different motor neurons innervating it, all attached to differently-sized motor units.

101
Q

muscle contraction

A

a. (1) Influx of calcium binds to troponin.
b. (2) Bound troponin changes the configuration of tropomyosin.
c. (3) The shifted tropomyosin exposes binding sites for myosin on the actin filament.
d. (4) The actin filament binds to the myosin and the “spring” tension pre-loaded into the myosin releases, shortening the sarcomere by about 10 nm.
e. (5) ATP binds to myosin, allowing actin to be released.
f. (6) ATP is hydrolyzed to ADP + Pi, pre-loading the “spring” tension into the myosin fiber by shifting its configuration a little.
g. (7) Repeat steps 4-7 as long as there’s Ca2+ and ATP around.
h. (8) Once the calcium supply runs out (Ca2+ is being pumped out while this is going on), troponin goes back to its original configuration, as does tropomyosin, causing actin to no longer be able to bind to myosin.

102
Q

regulatory proteins in muscle cells

A

a. Regulatory proteins: means troponin and tropomyosin.
b. As mentioned, troponin sits at the end of tropomyosin and binds calcium.
c. Tropomyosin sits on actin and covers the myosin binding sites until troponin is triggered by Ca2+.

103
Q

muscle twitch

A

a. (1) AP in motor neuron travels down to the synaptic area.
b. (2) AP causes a release of acetylcholine (neurotransmitter) at the synapse.
c. (3) ACh binds to ACh receptors in the muscle fiber, opening ion channels in the muscle fiber and causing depolarization (muscular AP).
d. (4) Muscle AP propagates down the fiber.
e. (5) AP goes down into t-tubules on its way.
f. (6) DHP receptors at ends of t-tubules sense voltage change and open the RyR channels in the SR, releasing calcium into the cytosol of the muscle.
g. (7) Calcium binds to troponin, causing tropomyosin to shift and actin to bind to myosin and contract.
h. (8) Calcium and ATP drive contraction as long as signal persists and calcium/ATP are present.
i. (9) Calcium pumps (using ATP) move calcium back into the sarcoplasmic reticulum; troponin, released from calcium, relapses and causes tropomyosin to cover up the myosin binding sites on actin. The muscle relaxes.

104
Q

transverse tubule system in skeletal and cardiac muscle

A

a. Essentially you need a way to get the membrane surface signal (the AP) to get to the sarcoplasmic reticulum so it can trigger the release of calcium and cause contractions. Having the AP be transmitted throughout the SR would be too electrically laborious, so those wacky cells decided t-tubules were the way to do it.
b. Ok. The AP’s coming down the membrane, continuing down the t-tubule. When it gets down to the end of t-tubule (which sits down on the edge of the sarcoplasmic reticulum of the muscle cell), it runs into a particular kind of receptor system, consisting of two parts:
i. DHP receptor: voltage-gated receptor
ii. RyR (ryanodine receptor): Calcium channel in the sarcoplasmic reticulum.
c. Current theory: voltage hits DHP receptor, causes it to shift in such a way as to cause the RyR channels to open and allow calcium to flow out into the muscle cell, causing contraction.

105
Q

grading and regulating of skeletal muscle tension

A

a. Skeletal muscle is tension-graded by the frequency of action potentials fired and the number of motor units recruited for the contraction.
i. Note ‘tetanic’ tension at which the muscle can’t contract any farther

106
Q

muscle fatigue

A

involves four different parts of the contractile reaction:

i. (1) K+ builds up and Na+ is reduced in the t-tubular network; this reduces its ability to propagate APs and trigger calcium release from the SR. This problem is corrected quickly (K-Na balance restores in seconds).
ii. (2) - (4) Involves buildup of Pi (from ATP hydrolysis) and a drop in pH (6.5 from 7- pH drops due to lactate production after glycolysis under conditions of insufficient oxygenation). Notice that we don’t really know why these happen, just how.
1. (2) Pi and H+ buildup inhibits calcium release from the sarcoplasmic reticulum.
2. (3) Likewise, Pi and H+ inhibit the binding of calcium to troponin.
3. (4) They also reduce the contractile force exerted by the myosin-actin binding.

107
Q

lengths of sarcomeres

A

a. Length of a sarcomere in resting muscle: around 2.4 µm.
b. Length of a sarcomere in stretched muscle: around 3.6 µm.
c. Length of a sarcomere in contracting muscle: unspecified. Less than 2.4 µm.
d. Sarcomere is constantly stretching and contracting as it’s used, thus length shifts.

108
Q

skeletal muscle diversity

A

a. Molecular basis: the different skeletal muscle types have different mixes of oxidative and glycolytic energy-producing frameworks.
i. Fast-twitch muscles tend to be centered around glycolytic energy production (quick bursts of energy, less sustainable). Used for things you need quick bursts of energy for (ie. catching the last beer can after you knock it off the table).
ii. Slow-twitch muscles tends to be red in color due to their high myoglobin content (high oxygen load); they have all that oxygen because they primarily use oxidative phosphorylation to generate ATP for contraction. Tend to be used for sustained or postural movements (ie. assuming a relaxed and attractive mien with that beer can).
b. Usefulness: Well, obviously, if you can catch the beer can but not relax with it, you won’t attract a mate on account of no one wants to date a spaz. If you’re too slow to catch the beer can in the first place, you won’t attract a mate because catching beer cans is just one of those intrinsic abilities that’s very attractive. Only with the right mix do your slightly intoxicated genes get a chance to propagate.

109
Q

cardiac muscle characteristics

A

a. Intercalated disks: only found in cardiac muscle. Two functions: hold adjacent muscle cells together and allow gap junctions (see next point).
b. Mononucleated cells vs multinucleated in skeletal muscle.
c. Actin-myosin contraction and relaxation is the same as skeletal muscle (though note (a) that smooth muscle contraction is quite different and (b) that cardiac AP excitation pathways are subtly different from their skeletal counterparts, see below).
d. Cardiac cells cannot regenerate damaged tissue like skeletal muscle does (no satellite cells).

110
Q

smooth muscle and contractions

A

a. Smooth: because there’s no striations (ie. the sarcomeres aren’t nicely lined up like cardiac and skeletal muscle).
b. Structural: smooth muscle cells are extremely thin-diameter, spindle-shaped cells. Classically these are the “involuntary” muscles of the body (ie. digestive muscles).
c. Contractions: a little different from the other two:
i. Instead of having calcium bind troponin as the catalytic step for actin to bind myosin, in smooth muscle calcium binds calmodulin (remember this one? With the EF hand domains?), which binds calmodulin kinase (CAMK), which phosphorylates the myosin chains, causing actin and myosin to bind and the ratchet action to begin.
ii. This is a lot slower than skeletal/cardiac contractions.
d. Notice that smooth muscle cells are mononucleated, like cardiac cells and unlike skeletal cells

111
Q

development of skeletal muscle

A

a. You start out with individual myoblast cells (muscle precursors). These merge together into long chains during development. Predictably, the reason you get multinucleate cells from single cells is that the single cells decide to cohabitate.

112
Q

role of satellite cells in skeletal muscle dev and repair

A

a. Satellite cells: specialized stem cells that produce new skeletal muscle cells. These new cells, instead of replacing the muscle cell that’s there, will fuse with it to form a larger muscle fiber. This is useful in both development of muscle during exercise and repair of damaged cells.

113
Q

skeletal muscle response to exercise

A

a. Exercise does not add more muscle fibers. What it does is increase the size of the muscle fibers you have.
b. Atrophy, likewise, reduces the size of the fibers, not their numbers.

114
Q

cardiac excitation-contraction coupling

A

i. Similar to skeletal, but here the difference is that the voltage seems to release calcium before the RyR-equivalent channels will open– the cardiac calcium release channels (to trigger contraction) open in response to a calcium signal. I think they’re not entirely sure how this works.

115
Q

smooth excitation-contraction coupling

A

i. Don’t need t-tubules at all: calcium released at the cell surface can just go ahead and diffuse through the whole cell very quickly. The reason this works for smooth muscle (but not for the others) is that smooth muscle cells are so small and thin. If you tried this with skeletal muscle, you’d get weird asymmetrical contractions as the parts of the muscle that got calcium first would contract first and the other only later, as the calcium diffused. Obviously you don’t want that, and you really don’t want it in cardiac muscle– thus t-tubules.

116
Q

role of gap junctions in muscle cells

A

a. Gap junctions only occur in cardiac muscle fibers and some types of smooth muscle. Their role in cardiac muscle is to ensure that cardiac contractions occur rhythmically throughout the heart muscle by allowing selective passive of signaling molecules; they may also form the basis for synchronous contractions of gastroenteric smooth muscle (ie. peristalsis). Also link adjacent cells together, though this is usually associated less with gap junctions and more in the intercalated discs that they’re found in.

117
Q

how tension is graded in cardiac and smooth muscle

A

a. Cardiac and smooth muscle: predominantly graded by cell length and neurotransmitter/hormone receptor activity.
b. Skeletal muscle: Doesn’t change length (anchored at both ends)– thus its tension is graded differently

118
Q

muscle motor unit

A

a. If the average size of a motor unit is small, that muscle is probably used largely for fine movement; if larger motor units, probably mainly gross movements.

119
Q

malignant hyperthermia

A

a. Basis is a mutation in the calcium release channel proteins in the sarcoplasmic reticulum.
b. This mutation causes inhaled anesthetic to trigger the release of calcium from the SR; this causes ATPases to pump calcium back out, and a vicious cycle is initiated in which the heat generated by the pump just keeps rising, causing hyperthermia.
c. Patient’s muscles also become rigid during this time (muscles firing at speed).
d. It’s not noticed until surgery because most of us don’t jaunt around inhaling halothane all day.
e. Dantrolene blocks calcium release from the SR; thus, administered as a prophylactic, it prevents malignant hyperthermia.
f. Muscular paralysis (by which is meant blocking APs) would have nothing to do with this because this isn’t AP-generated Ca2+ release– it’s triggered by inhaled anesthetic.

120
Q

familial hypertrophic cardiac myopathy

A

a. Familial hypertrophic cardiomyopathy (FHC) occurs as a result of mutations in cardiac muscle tissue. Usually the mutations are located in the cardiac myosin heavy chain, where it interacts with actin and ATP; occasionally a mutation will occur in troponin instead.

121
Q

Duchenne Muscular Dystrophy

A

a. X-linked recessive inheritance
b. Frequency: 1/3500 males
c. “Climb up themselves” (“Gower” sign, showing early, ~1 year)
d. Wheelchair bound by 12; die in 20s due to cardiorespiratory failure
e. 1/3 from spontaneous (non-inherited) mutation
f. 10 year old falls 30-40x/day
g. Genetic defect in DMD: dystrophin protein (forms the “steelbelt” supporting the muscle cell membrane) is broken down due to a premature stop codon in its gene.
i. Dystrophin is the largest gene known: on Xp21, 79 exons long, 2.4Mbases.
ii. Dystrophin links t-acting component on one side, then to transmembrane complex on plasma membrane that enables force to be conveyed to outside matrix

122
Q

potential role of manipulation of myostatin function in treatment of muscular dystrophies

A

a. Myostatin is normally made and secreted by muscles as a negative feedback for muscle growth
b. Inhibiting myostatin could lead to less muscle atrophy

123
Q

malignant hyperthermia

A

Genetic disorder (dominant): RYR1 mutations about 70%
Environmental disorder- exposure to anesthesia
(typically inhalation agents (halothane) and/or succinylcholine
Phenotype: hypermetabolism, skeletal muscle damage, muscle rigidity, rhabdomyolysis, hyperthermia; death if untreated

124
Q

molec basis of malignant hyperthermia

A

Prolonged open state of RYR1; increased intracellular Ca2+
Sustained muscle contraction and increased metabolism
Heat production
Muscle cell hypoxia and death

125
Q

clinical signs of malignant hyperthermia

A
Muscle rigidity (masseter spasm)
Increased CO2
Rhabodmyolysis
Hyperthermia
Nonspecific- 
Tachycardia
Tachypnea
Acidosis (respiratory/metabolic)
Hyperkalemia

Do halothane/caffeine test on muscle biopsy

126
Q

immediate management of malignant hyperthermia

A

Dantrolene 2.5 mg/kg

127
Q

Duchenne Muscular Dystrophy

A

X-linked disease
dystrophin (DMD) mutations

boys- onset 3-5 years
toe-walking
Gowers' sign
calf pseudohypertrophy
high creatine kinase (1000s)

death in 20s
(cardiomyopathy 100% by 18 yrs)