Muscle Physiology III Flashcards

1
Q

Motor Units component

A

Single alpha motor neuron (spinal cord -> muscle) + all muscle fibres innervated by that neuron

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2
Q

Which muscle units are recruited first

A

Small oxidative (Type I)

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3
Q

Which muscle fibres are recruited last

A

Large glycolytic (Type 2B)

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4
Q

Why are small oxidative units recruited first

A

Lower threshold

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5
Q

Motor Endplate two domains

A

Crests and Fold Depths

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6
Q

What is at muscle endplate crest

A

ACh receptors and AChR-clustering proteins rapsyn + utrophin that align AChRs

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7
Q

What is at depths of muscle endplate folds

A

Voltage Gated Na+ channels

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8
Q

At nerve terminals what happens when nerve AP depolarises it

A

Opens Voltage gated Ca2+ channels -> Ca2+ initiates exocytosis of vessels containing ACh

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9
Q

Vesicle Release Process

A

Vesicles filled with ACh
Vesicles form vesicle cluster
Vesicle clusters dock at active zone
Vesicles are primed
Ca2+ initiates vesicle release into synaptic junction

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10
Q

Vesicle recycling methods

A

Reuse, recycle, destruction via endocytosis

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11
Q

What happens when ACh binds to motor endplate

A

ACh-gated Na+ channel opens = depolarises motor endplate = voltage gated Na+ channel opens = depolarises muscle fibre -> propagation

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12
Q

What are alpha toxins

A

Block ACh receptors at neuromuscular junction (can be fatal if strong, or used as anaesthetic if weak)

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13
Q

How is ACh recycled

A

AChE (acetylcholinesterase) hydrolyses ACh into choline and acetate

Choline then reabsorbed by presynaptic terminal and reformed into ACh

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14
Q

What happens if you block AChE (eg. Military nerve gas)

A

Can’t recycle ACh therefore too much ACh = muscle over-excitation

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15
Q

Myasthenia Gravis muscles commonly effected

A

Face (and can spread lower = fatal if breathing)

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16
Q

Most common disorder or neuromuscular transmission

A

Myasthenia gravis

17
Q

What is myasthenia gravis

A

Low AChR count therefore insufficient to induce depolarisation

18
Q

Treatment for myasthenia gravis

A

Anti-AChE = ACh lasts longer on the post-synaptic junction = high likelihood of depolarisation