Muscle Cell Histology Flashcards

1
Q

what are the 3 places where skeletal muscle is not attached to bone? (visceral striated muscle)

A

tongue, esophagus and diaphragm

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2
Q

what are nearly all muscle pathologies associated with?

A

ECM fibrosis

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3
Q

what is contained in the epimysium

A

surrounds a muscle Dense connective tissue containing fibroblasts, collagen and elastic fibers Merges with dense collagen of tendons, aponeuroses, and superficial fascia Contains blood vessels, nerves, and lymphatic vessels

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4
Q

what is contained in the perimysium

A

surrounds a fascicle dense, connective tissue Functions to bundles myofibers into fascicles Conduits for nerves, arteries, arterioles, veins, and houses muscle spindles

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5
Q

what is contained in the endomysium

A

surrounds a single muscle fiber ( a fiber is a muscle cell) Delicate connective tissue composed of collagen, elastic fibers, reticulin fibers, as well as extracellular matrix proteins, e.g., laminin-2, Contains capillaries which are permeable and often closed at rest: 1.7 capillaries adjacent to each individual fiber 0.7 capillaries per fiber when looking at a cross-sectional area Contains terminal axons that synapse on myofibers at neuromuscular junctions

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6
Q

define a costamere

A

help bridge the contractile apparatus to the extracellular matrix. TRANSMIT FORCE TO ENDOMYSIUM “rib-like” complexes of proteins connecting z-lines to sarcolemma

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7
Q

Dystroglycan/Sarcoglycan complex

A

help bridge the contractile apparatus to the extracellular matrix. TRANSMIT FORCE TO ENDOMYSIUM Sarcolemmal complex transmitting internal forces to ECM Dystrophin is t connects complex to subcortical actin cytoskeletal

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8
Q

What are Myotendinous Junctions

A

Function: Highly folded membrane increases surface area and converts tensile stress to sheer stress Last sarcomere lacks a z-line Actin filaments extend from the A-band and attach to the sarcolemma Collagen fibrils extend between the projections of the membrane (arrows)

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9
Q

Identify the type of muscle shown here

A

The whole thing is the epimysium, the

perimyseum are the bundles

The endomysium are inside of the fasicles

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10
Q

ID this structure

A
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11
Q

How do you differentiate the nervous tissue from the tendon and the skeletal muscle

A

The nerve has the flat perineurym, the tendon is in the skeletal muscle and also has microfilaments

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12
Q

what is the function of the pacinian corpusle

A

detect vibration

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13
Q

How does proprioception occur

A

provide afferent signals to the CNS that tells us where our body is postioned based on how tensed the intrafusal muscle fibers are

the intrafusal fibers have afferent and efferent information

intrafusal fibers send sensory information via large myelinated fibers from the central zone to dorsal root to spinal cord; anterior horn cells neurons (gamma fibers) innervate the distal zones and regulate contraction of the distal regions

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14
Q

what are infusal fibers and how dothey relay

A

A muscle spindle is encapsulated by modified perimysium, with concentric layers of flattened cells, containing interstitial fluid and a few thin muscle fibers filled with nuclei and called intrafusal fibers. Several sensory nerve axons penetrate each muscle spindle and wrap around individual intrafusal fibers. Changes in length (distension) of the surrounding (extrafusal) muscle fibers caused by body movements are detected by the muscle spindles and the sensory nerves relay this information to the spinal cord.

Different types of sensory and intrafusal fibers mediate reflexes of varying complexity to help maintain posture and to regulate the activity of opposing muscle groups involved in motor activities such as walking.

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15
Q

What is the signifince of the T tubule

A

allows to spead the wave of depolarization down into the layers of cytoplasm within the muscle cell

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16
Q

define the triad

A

the T tubule with the 2 cisterns of SR on each side

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17
Q

where does the triad reside

A

A-I junction

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18
Q

ID these structure

A
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19
Q

function of the M

function of Z-disk

function of A band

function of I band

a actin

A

M: bisects the sarcomere and organize myosin filaments

Z-disk: Organizes actin filaments and Defines the boundaries of sarcomeres

A band: where mysosin filaments reside, defines the legnth the only one that wont change

I band: Regions lacking myosin, Stretches across two sarcomeres

20
Q

signifiance of tropomysin and nebulin and titian

A

The proteins are often mutated in disorders

nebulin: determines the length
tropomysoin: caps it and stabilizes it at that length
titain: prevents over stretching, extends from Z disk to the M line

21
Q

what makes up the striated appearance

A

alternating A and I bands

22
Q

what are the 3 kinds of troponin

A

Calcium released from sarcoplasmic reticulum binds Troponin C–> Conformational change of Troponin-Tropomyosin complex –>Myosin head binding sites exposed

T- binds to tropomyosin

I- inhibit the binding of actin to myosin

C- binds to Ca and only in skeletal muscle

23
Q

what is the Sliding-filament Model

A
  • During contraction, the thin and thick myofilaments do not change length
  • Instead, as muscle shortens the thick and thin filaments slide past each other
  • Consequently the length of the H zone and I band shortens
  • The A band, which is determined by the length of the myosin myofilaments, stays the same length
24
Q

marker of muscle cell death

A

creatine kinase

25
Q

How would type 1 and 2 fibers differ in Myofibrillar ATPase (and eosin) and NADH-Tetrozolium Reductase staining?

A

type 1 would have more NADH-Tetrozolium Reductase because they have more mitochondria

type 2 would have more ATPase (and eosin) because they would have more fast myosin and bind ATP at a higher ability

26
Q

differentiate skeletal fibers 1 and 2

A

1-

Many mitochondria

slow twitch

high lipid

high in myoglobin

rich in oxidative enzymes

•Function in tonic contraction

2- A and B subtypes

few mitochondria

fast twist

low lipid

low myoglobin

more glycolysis

•Function in rapid phasic contractions

27
Q

What determines the fiber type

A

The fiber type is determined by the by the rate at which the innervating neuron fires;

for a motor unit, one axon is innervating multiple fibers…all myofibers of the same unit are of the same type,

NEURON IS THE MASTER CONTROLLER

28
Q

can you change fiber type

A

Yes but only under pathological conditions. Training does not change the fiber type.

29
Q

what is a sign of chronic deinervation

A
30
Q

where is the connective tissue of uscle located?

A

in the endomysium

31
Q

how does exercise enlarge skeletal muscle

A

The variation in diameter of muscle fibers depends on factors such as the specific muscle, age, gender, nutritional status, and physical training of the individual. Exercise enlarges the skeletal musculature by stimulating formation of new myofibrils and growth in the diameter of individual muscle fibers. This process, characterized by increased cell volume, is called hypertrophy

32
Q

name these components

A

muscle spindle shows the capsule (C), lightly myelinated axons (MA) of a sensory nerve, and the intrafusal muscle fibers (MF). These thin fibers differ from the ordinary skeletal muscle fibers in having very few myofibrils. Their many nuclei can either be closely aligned (nuclear chain fibers) or piled in a central dilation (nuclear bag fibers). Muscle satellite cells (SC) are also present within the external lamina of the intrafusal fibers.

33
Q

What is this characteristic of

A

fiber grouping is a pathological condition that occurs which chronic denervation.

The devervation leads to angular shaped atrophied cells, which the other axon resprouts to innervate these muscle cells. This results in diminished mixing of muscle types

34
Q

what is this characteristic of

A

fiber disarray in the central region of cells seen with NADH-tetrozoliumreductase (TR) staining

Central region lacks mitochondria/sarcoplasmic reticulum (SR)

Intermediate region has a high proportion of mitochondria and SR

Peripheral region is normal in mitochondria content and myofibril architecture

35
Q

what is autophagocytosis

A

important in ischemic conditions

Foci of cytoplasmic degeneration within cells are engulfed by primary lysosomes to form cytolysosomes

36
Q

what is the timeline of muscle and nerve injury after ischemia

A

decreased ox phosphorylation

loss of ATP and pump maintence

decrease in aerobic functions, decrease in NA pump detachment of ribosomes

the loss of the pumps lead to increased Ca influx and K efflux –> necrosis and cell swelling

Loss of aerobic functions leads to an increase in lactic acid and decreased pH and decreased glycogen –> clumbing of nuclear chomatin

the loss of chromosomes –> decrease in protein synthesis

37
Q

explain the process of segmental necrosis in muscle degeneration

A

Because the fibers are so long, the myofiberfragments into segments and only the severely damaged segments undergo necrosis

the affected segment undergoes cell swelling and Ca dsyregulation

reinnervation is possible if the myofiber external lamina and endomysialtubule is intact

38
Q

what is the mechanism for cell swelling in reversible injury and how can this lead to necrosis

A

ATP depleted cells can no longer drive Na+/K+ATPase

Na+ and water enters the cell leading to cell swelling and dilation of the rER

ØIn the liver we called this ‘ballooning degeneration’

ØIn compartment syndrome, cellular swelling significantly contributes to increasing compartment pressure

39
Q

how do ischemic myofibers appear under the microscope

A

ATP depletion leads to abrogation of ribogenesisand degradation of ribosomes; hence ischemic myofibers appear eosinophilic

40
Q

what is the mechanism for the Ca dysregulation in skeletal muscle injury

A

loss of Ca homeostasis is what marks irrersible point of muscle injury

this is caused by loss of ATP stores inabling the cell from pumping Ca out

activation of ca leads to activation of caspaces (cyt C), proteases, endoases and ATPases which ultimately lead to decreased ATP, nuclear and membrane damage and ultimately necrosis

41
Q

why is CK a good marker for muscle damage

A

Creatine phosphate provides a reservoir of easily accessible phosphate to transfer to ADP to regenerate ATP. The enzyme that carries out this reaction, creatine phosphokinase, is often used as a marker for muscle damage because as the cell is damaged it spills out of cell

42
Q

Discuss the differences underlying whether scar formation/fibrosis or would healing will predominate after injury?

If fibrosis predominates what impact will that have on healing from scar formation

A

if the ECM is intact and the damage is contained to the cell then would healing can occur. This is due to the scaffold that the ECM provides for proliferating and migrating cells, establish polarity of cells, blood vessel formation

If it is not then scar formation will predominate. If fibrosis occurs then contracture of the wound due to the transdifferentiation of myofibroblasts which express SMC a and can bind to mysosin to form SM

Myofibroblasts form focal adhesions that bind to the extracellular matrix via fibronectin and is reinforced by type I collagen, which has high tensile strength

43
Q

function of sarcoglycans

A

connecting the muscle fibre cytoskeleton to the extracellular matrix, preventing damage to the muscle fibre sarcolemma through shearing forces.

44
Q

What would these IHC targets indicate?

  • Dystrophin:
  • LaminA/C:
  • Sarcoglycans:
  • Merosin(Laminin2 subunit):
  • Tropomyosin:
  • Desmin:
A
  • Dystrophin: Duchenneand Becker muscuslardystrophy
  • LaminA/C: Limb Girdle muscular dystrophy 1B
  • Sarcoglycans: Limb Girdle muscular dystrophy 2C-2F
  • Merosin(Laminin2 subunit): congenital muscular dystrophy
  • Tropomyosin: Nemilinemyopathy
  • Desmin: desminstorage myopathy
45
Q
A
46
Q

what does histochem staining such as MyofibrillarATPase and NADH-tetrazolium reductase indicate

A

remember difference between IHC and hictochem

  • MyofibrillarATPase: reflects myosin heavy chain activity at high and low pH
  • NADH-tetrazolium reductase: reflects mitochondrial activity