muscle tissue A&P Flashcards

1
Q

muscle tissue percentage body weight

A

40-50%

depending on body fat, gender, muscle mass etc.

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2
Q

4 functions of muscle tissue

A

motion

stabilize/posture

store/move substance
(blood, food, urine,)
–> peristalsis

heat via shivering (thermogenesis)

5th function? store glycogen

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3
Q

circular muscles that act as gate-keepers…

A

sphincter muscles

regulating movement from one part of body to another

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4
Q

smooth muscles move

A

food (GI tract)

blood

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5
Q

_____ is an involuntary response using voluntary muscles

A

shivering

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6
Q

3 types of muscle tissue

A

cardiac

skeletal

smooth

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7
Q

smooth muscle function in BV

A

e.g. regulates diameter of arteries

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8
Q

skeletal muscle fibres

A

elongated,

cylindrical

multinucleated

striated (VIA ARRANGEMENT OF contractile proteins)

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9
Q

skeletal muscle fibres – note these functions

A

protect internal organs

protects entrance/exit to digestive, respiratory, urinary tracts (I.e. sphincter muscles)

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10
Q

cardiocytes

A

short, branched, USUALLY SINGLE NUCLEUS

interconnected via intercalated discs

striated, involuntary

MOVES BLOOD, MAINTAINS BP

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11
Q

intercalated discs

A

transverse thick portion of membrane

VIA DESMOSOMES & GAP JUNCTIONS

desmosomes stronger (INTERMEDIATE FILAMENTS VIA KERATIN)

gap junctions for electrical signal (ion movement)

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12
Q

desmosomes also via glycoprotein ____

A

cadherin

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13
Q

smooth muscle cells

A

short, spindle-shaped, nonstriated,

SINGLE nucleus, INVOLUNTARY

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14
Q

smooth muscle cells functions

A

Move food (PERISTALSIS), urine, reproductive secretions

diameter of respiratory pathway (bronchi**)

DIAMETER OF BLOOD VESSELS

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15
Q

sphincter pupillae and dilator pupillae

A

dilate and constrict pupils

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16
Q

muscle cell types by speed of contraction

A

skeletal = FAST
cardiac = INTERMEDIATE
smooth = SLOW

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17
Q

muscle cell types by Nervous system type

A

skeletal = SOMATIC
cardiac = AUTONOMIC
smooth = AUTONOMIC

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18
Q

muscle cell types by shape

A

skeletal = CYLINDER
cardiac = BRANCHED/CYL
smooth = FUSIFORM

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19
Q

muscle cell types by # of nuclei

A

skeletal = MANY (PERIPHERAL)

cardiac = (GENERALLY ONE – CENTRE)

smooth = (ONE – CENTRE)

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20
Q

muscle cell types via connection

A

Cardiac = INTERCALATED DISCS (GAP + DESM)

smooth muscle cells = GAP JUNCTIONS

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21
Q

4 properties of muscle tissue

A

1) CONTRACTILITY
2) EXCITABILITY
3) EXTENSIBILITY
4) ELASTICITY

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22
Q

2) excitability

A

ability to receive and respond to stimulus from NERVOUS SYSTEM, or ENDOCRINE SYSTEM

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23
Q

3) Extensibility

A

Same as plasticity (?)

ability to stretch/lengthen

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24
Q

4) Elasticity

A

ability to return to original length

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25
Q

epimysium

A

covers outer later of skeletal muscle

CONTINUOUS with tendon

CONTINUOUS with PERIOSTEUM

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26
Q

epimysium composition

A

DENSE IRREGULAR CT

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27
Q

epimysium function

A

separates skeletal muscle from other muscles, or organs

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28
Q

epimysium vs tendons

A

continuous with tendons

HOWEVER, tendons DENSE REGULAR CT (?)

epimysium DENSE IRREGULAR CT

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29
Q

Epimysium VS deep fascia

A

epimysium connected to DEEP FASCIA

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30
Q

PERIMYSEUM

A

covers muscle fascicles

ALSO DENSE IRREGULAR CT

collaged + elastic fibres

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31
Q

muscle fascicles

A

GROUP OF MUSCLE FIBRES

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32
Q

ENDOMYSIUM

A

surrounds individual muscle fibres

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33
Q

FASCIA

A

DENSE IRREGULAR CT

“Deep” fascia covers EPIMYSIUM

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34
Q

fascia other functions

A

lines body walls, limbs

SUPPORTS/surrounds muscles

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35
Q

two types of fascia

A

1) SUPERFICIAL fascia

2) DEEP fascia

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36
Q

Superficial fascia

A

below dermis (?)

AKA SUBCUTANEOUS layer

AKA HYPODERMIS

blends w/ deepest part of skin

SEPARATE muscle from skin (DERMIS)

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37
Q

Deep fascia

A

BELOW superficial fascia (?)

OVER muscle (over epimysium)

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38
Q

Superficial fascia densely packed with

A

nerves, blood vessels, adipose tissue (and other CT), & LYMPH vessels

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39
Q

Deep fascia …

A

DENSE (IRREGULAR?) CT

fills space between individual skeletal muscles –
FACILITATES MOVEMENTS BETWEEN SKELETAL MUSCLES (reduce friction)

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40
Q

Deep fascia can surround individual muscles or GROUPS of muscles

A

.

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41
Q

When around groups of muscles, deep fascia forms _____

A

fascial compartments with groups of muscles (perhaps with similar function/actions?)

E.G. (lower leg)
ANTERIOR compartment

DEEP POSTERIOR compartment

SUPERFICIAL POSTERIOR compartment

LATERAL compartment

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42
Q

Tendon

A

DENSE REGULAR CT

extend via muscle fibres to bone

TENDON CAN BE continuous w/
a) Epimysium
b) Perimysium
c) Endomysium

I.e. INVOLVES STRUCTURES OF EACH

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43
Q

Aponeurosis

A

similar structure to TENDON

Broad and flat instead of cylindrical

MUSCLE TO BONE or MUSCLE TO MUSCLE

E.g.
Epicranial APONEUROSIS (GALEA Aponeurotica

THORACOLUMBAR fascia

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44
Q

SYNOVIAL TENDON SHEATHS

A

skin for tendons

CERTAIN PARTS – tendons experience more wear/stress

E.G.
HAND, WRIST, FOOT, ANKLE

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45
Q

synovial tendon sheaths parts

A

Synovial lining / synovial cover of tendon

SYNOVIAL SHEATH

mesotendon, and SYNOVIAL CAVITY

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46
Q

Tenosynovitis

A

inflammation of tendons + Synovial sheaths

(E.G. In hands/feet)

E.g.
DeQuervain’s Tenosynovitis (Gamer’s thumb)

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47
Q

muscle fibres via ____blasts

A

myoblasts

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48
Q

note myocyte, cardiocyte, and cardiomyocyte

note muscle fibre, myocyte, myofibre

A

note myofibre

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49
Q

number of skeletal muscle fibres

A

predetermined at birth

(GENERALLY?) does NOT CHANGE via MITOSIS

can grow/heal but not increase in #

HYPERTROPHY but NOT HYPERPLASIA

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50
Q

mechanism of Hypertrophy

A

stress causing microtears –> Stimulates repairs, causing cell size increase

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51
Q

anabolic steroids and muscle fibre hyperplasia

A

.

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52
Q

embryonic development and muscle fibre hyperplasia

A

during embryonic development

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53
Q

When do muscle cells exit cell cycle?

A

@ G0 Phase

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54
Q

G0 PHASE?

A

“If cells don’t pass the G1 checkpoint, they may ‘loop out’ of the cell cycle and into a resting state called G0, from which they may subsequently re-enter G1 under the appropriate conditions. At the G1 checkpoint, cells decide whether or not to proceed with division based on factors such as: Cell size. Nutrients.”

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55
Q

ATROPHY

A

loss of MYOFIBRILS (and therefore, size)

Via lack of USE
E.g.
FRACTURE

Via innervation LOSS (Neurodegenerative Disease)

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56
Q

Satellite Cells (AKA myosatellite cells)

A

embryonic cells

remain in skeletal muscles throughout adulthood

Can REPLACE damaged muscle fibres (“to some degree”)

MUSCLE TISSUE REGENERATION AFTER INJURY

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57
Q

myofibre diameter and length

A

100microMETERS in DIAMETER

can span entire muscle length (“up to 30cm”)

(?) Longest fibres in sartorius, up to 600mm (60cm)

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58
Q

Muscle fibres

A

myofibre

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59
Q

cell membrane of muscle fibre

A

SARCOLEMMA

(underneath endomysium)

SURROUNDS myoFIBRILS and SARCOPLASM

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60
Q

Sarcolemma

A

selective permeability

DETERMINED RMP (resting membrane potential)

NOTE REVERSAL OF CHARGE (faciliates muscle contraction)

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61
Q

change in charge of muscle fibre via…

A

Via Neuron signal

SPREADS ACROSS ENTIRE SARCOLEMMA

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62
Q

MYOFIBRILS

A

contractile organelles

VIA MYOFILAMENTS (contractile proteins)

Myofilaments give muscles STRIATIONS

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63
Q

Myofibril diameter

A

1 MICROMETER

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64
Q

How many myofibrils per myocyte?

A

approximately 2000 myofibrils per MYOCYTE

I.e. MUSCLES OF UNTRAINED INDIVIDUAL

Hypertrophied muscles could have 4000 (?) or more (?) MYOFIBRILS

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65
Q

Myofilaments

A

within myofibrils

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66
Q

2 types of myofilaments

A

1) THICK FILAMENTS (myosin filaments)

2) THIN FILAMENTS (actin filaments)

thick filaments 15nm diameter
thin filaments 7nm diameter

Thick via MYOSIN protein
Thin via ACTIN protein

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67
Q

Myoglobin (within sarcoplasm)

A

binds O2 for ATP production

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68
Q

Sarcoplasmic reticulum

A

membranous sacs – SURROUND myofibrils

SPECIALIZED smooth ER

Sarcoplasmic reticulum stores Ca2+ – necessary ion for muscle contraction

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69
Q

T tubules (Transverse tubules)

A

invagination/holes of SARCOLEMMA

facilitate SARCOPLASMIC reticulum via nerve impulses

T-TUBULES surrounded by terminal cisternae of SR

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70
Q

Terminal cisternae of SR

A

dilated terminal regions of SR

FORMED on both sides of Transverse Tubules

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71
Q

Triads of myofibrils

A

trio consisting of TRANSVERSE tubule

+

two terminal cisternae

Triad
= 1 T-tubule from outside (via sarcolemma)
+ 2 terminal cisternae from within muscle fibre

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72
Q

3 categories of muscle proteins

A

1) contractile proteins

2) regulatory proteins

3) structural proteins

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73
Q

1) contractile proteins

A

found inside myofibrils

types:
i) MYOSIN
= THICK FILAMENTS
= GOLF CLUBS TWISTED TOGETHER
= has ACTIN binding sites

ii) ACTIN
= THIN FILAMENTS
= shaped like golf balls
= has MYOSIN binding sites

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74
Q

Sarcomere

A

functional unit of striated muscle

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75
Q

Z-disc

A

on ends of 1 sarcomere unit

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76
Q

M-line

A

mid-line of 1 sarcomere unit

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77
Q

Myosin molecule

A

2 golf clubs twisted together

MYOSIN TAIL
MYOSIN HEADS

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78
Q

thick filament

A

composed of molecules of Myosin aligned
SIDE TO SIDE
and
END TO END
– with heads facing away

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79
Q

2) REGULATORY PROTEINS

A

1) Troponin

2) Tropomyosin

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80
Q

Thin Filaments

A

composed not JUST of ACTIN

TROPOMYOSIN is part of thin filament COMPLEX

troponin is also part of complex
TROPONIN IS BINDING SITE FOR CALCIUM

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81
Q

function of tropomyosin

A

BLOCKS myosin binding site during muscle RELAXATION

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82
Q

Z-disc structure

A

THIN (Actin) filaments extend from Z-discs

THICK (Myosin) filaments aligned on M-line, in BETWEEN the thin filaments

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83
Q

4 structural proteins

A

1) Titin

2) Myomesin

3) Nebulin

4) Dystrophin

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83
Q

2) Myomesin

A

forms M-line

stabilizes THICK filaments

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84
Q

1) Titin

A

indirectly attached Thick filaments to Z-discs on either side

LIKE A COIL

helps to return filaments to original position after stretch or contraction

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84
Q

3) Nebulin

A

connects thin filaments to Z-discs

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85
Q

4) Dystrophin

A

links thin filaments to SARCOLEMMA (stability)

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86
Q

muscular dystrophy

A

protein dystrophin is lacking in this pathology

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87
Q

sarcomere

A

(from z disc to z disc)

THE UNIT THAT CONTRACTS

myofibril is repeating sarcomeres

WHEN SARCOMERES CONTRACT, MYOFIBRILS CONTRACT, MUSCLE FIBRE CONTRACTS, MUSCLE CONTRACTS

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88
Q

WHY STRIATED?

A

arrangement/contrast of thin/thick filaments (NOTE A BAND – region signifying entire length of thick filament in sarcomere unit) – darker band of striations)

“darker regions have more overlap” (???)

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89
Q

lines and bands

A

Z lines

I band

A band

M line

H band

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90
Q

Z lines (Z discs)

A

protein structures on edges of sarcomere unit

stabilize filaments

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91
Q

A band

A

entire length of thick filaments (including where overlapping with thin filaments)

CREATES DARKER striation

A in “dArk”

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92
Q

I band

A

signifies region of thin filaments with NO OVERLAP

I in “lIght”

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93
Q

M line

A

middle of sarcomere

PASSES THROUGH MIDDLE OF THICK FILAMENTS

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94
Q

H band (H zone)

A

signifies region of thick filaments with NO OVERLAP with thin filaments

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95
Q

Zones/lines/bands during contraction

A

Z-lines come closer together

H BAND becomes smaller and disappears

I BAND becomes SMALLER

and A BAND REMAINS SAME

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96
Q

SLIDING FILAMENT THEORY OF MUSCLE CONTRACTION

A

MYOSIN HEADS of thick filaments attach to myosin binding sites of ACTIN proteins

— They then PULL actin (thus Z-discs) towards each other

— SHORTENS SARCOMERES, leading to muscle contraction

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97
Q

4 steps of the CONTRACTION CYCLE (sliding filament theory)

A

1) ATP hydrolysis (@ MYOSIN heads)

— 2) formation of “Cross bridges” – Myosin heads attaching to binding site on ACTIN

— 3) Power stroke = fast motion of myosin heads pulling thin filaments

— 4) breaking of cross bridge (ADP molecule detaches and New ATP molecule attaches)

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98
Q

1) ATP hydrolysis

A

ATPase in myosin heads breaks down ATP to ADP

— Causes myosin head to become energized

— positions myosin heads appropriately

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99
Q

2) formation of “Cross bridges”

A

Ca2+ from Sarcoplasmic reticulum is released

— Ca2+ attaches to TROPONIN

— Causes Tropomyosin to shift and REVEAL the MYOSIN BINDING SITES of the ACTIN proteins

— MYOSIN heads bind to MBS of ACTIN proteins, thus forming CROSS BRIDGES

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100
Q

3) Power stroke

A

ADP falls off myosin heads

— Myosin heads perform power stroke in direction of centre of sarcomere (towards M-line

— Sarcomere shortens

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101
Q

4) Breaking of cross bridges

A

another molecule of ATP binds to cross bridge

— Causes myosin head to release from ACTIN proteins

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102
Q

under what conditions do steps in SLIDING FILAMENT theory continue

A

as long as there is ATP and Ca2+

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103
Q

Ca2+ depends on

A

Nerve impulses stimulating Ca2+ release from sarcoplasmic reticulum

— If there is a nerve impulse, Ca2+ is present, and contraction takes placec

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104
Q

ATP availability and myosin heads

A

ATP is needed for Myosin head to release from Actin

— If no ATP, muscle stays contracted

— RIGOR MORTIS

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105
Q

Length-tension relationship

A

amount of overlap between thick and thin filaments determines the amount of force generated (% maximal)

— IDEAL OVERLAP = maximal possible force

— too little overlap = less possible

— too much overlap = less possible

— SARCOMERE TOO SHORT OR TOO LONG = LESS POTENTIAL FOR MAXIMAL FORCE

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106
Q

Excitation-contraction coupling

A

generation of AP in SARCOLEMMA –> Start of muscle contraction

— Signal from motor neuron reaches muscle fibre (sarcolemma)

— Ca2+ is released from sarcoplasmic reticulum via signal

— Ca2+ binds to troponin, which causes tropomyosin to shift and expose the MBS of ACTIN proteins

— Excitation-contraction coupling is the process of Ca2+ release & fibre contraction via NEURON signal

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107
Q

Steps of excitation-contraction coupling

A

1) neural control

2) Excitation

3) Ca2+ release

4) Contraction cycle begins

5) Sarcomeres shorten

6) muscle tension is produced

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108
Q

Steps of excitation-contraction coupling (outlined)

A

1) neural control
— AP @ NMJ begins process —

2) Excitation
— AP causes ACETYLCHOLINE (ACh) release via motor neurons
— leads to EXCITATION (AP) @ SARCOLEMMA —

3) Ca2+ release
— muscle fibre AP travels via T-tubules (transverse tubules)
— Via Terminal Cisternae (Sarcoplasmic reticulum)
— leads to release of Ca2+ in Sarcoplasmic reticulum) —

4) Contraction cycle begins
— Ca2+ binds to troponin
— Tropomyosin shifts off of MBS of Actin
— Cross bridges form

5) Sarcomeres shorten

6) muscle tension is produced

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109
Q

importance of neuron signalling

A

As long as motor neuron signals are present, Ca2+ will be present via Sarcoplasmic reticulum (Via T-tubules and T-Cisternae)

— Muscle will thus continue to contract (ATP must be present as well)

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110
Q

when neuron stimulus ends

A

SR calcium channel closes

— Ca2+ pumps return remaining Ca2+ into Terminal Cisternae

— CALSEQUESTRIN (protein) binds to Ca2+ in Sarcoplasmic reticulum

— Stores Ca2+ in SR for next contraction

— Tropomyosin resumes original position after Ca2+ leaves Troponin, thus preventing cross bridge formation

— MUSCLE RELAXES

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111
Q

misc fact about Ca2+ in SR vs cytosol @ rest

A

10,000x higher Ca2+ levels in SR than cytosol of muscle fibre, when muscle at rest

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112
Q

Muscle injuries, exercise, and other random facts

A

DOMS

— via microscopic tears after strenuous exercise

— pain, tenderness, stiffness, edema

— repair is done via SATELLITE CELLS

— SATELLITE CELLS use amino acids to build new proteins

— pre-workout & post-workout protein intake facilitates this process

113
Q

muscle strains

A

muscle and tendon injuries

— excessive force on muscle fibres

— pain, dysfunction, fibrosis (scar tissue)

— note that muscles strain while ligaments sprain

114
Q

muscle cramps

A

muscle spasms/pain

— extended usage

— lack of blood flow

— dehydration

— buildup of lactic acid & other wastes

115
Q

skeletal muscle fibre types

A

1) Fast glycolitic (fast fibres)

2) fast oxidative (intermediate fibres)

3) slow oxidative (slow fibres)

116
Q

how do skeletal muscle fibres differ. What variables?

A

differ in SIZE, in INTERNAL STRUCTURE, in METABOLISM (type), in RESISTANCE TO FATIGUE

117
Q

Slow oxidative fibres (slow fibres) – how much longer do they take to contract?

A

3x longer to contract compared to fast fibres (Fast glycolitic fibres)

118
Q

slow oxidative fibres (slow fibres) – how much is diameter compared to fast fibres

A

1/2 diameter of fast fibres (Fast glycolitic fibres)

119
Q

slow oxidative fibres (slow fibres) – resistance to fatigue compared to fast fibres

A

longer sustained contractions = fatigue resistance

120
Q

how is ATP produced i slow oxidative fibres?

A

via aerobic ATP production

121
Q

how does structure of slow oxidative fibres facilitate aerobic ATP production?

A

MANY MITOCHONDRIA

—Extensive capillary network (for oxygen exchange)

MYOGLOBIN –> (protein pigment) –> binds/stores O2 in muscle fibres (similar in function to Hemoglobin)

122
Q

how do slow oxidative fibres appear in colour?

A

they appear red due to Myoglobin pigment protein, and DUE TO EXTENSIVE CAPILLARY NETWORK

123
Q

fast Glycolitic fibres PEAK tension time

A

in <0.01 second

124
Q

fast glycolitic fibres diameter and why large diameter? – storage of glycogen (where?)

A

large diameter

DENSELY PACKED WITH MYOFIBRILS = POWERFUL CONTRACTIONS

large glycogen reserve (in SARCOPLASM)

125
Q

fast glycolitic fibres fatigue rate?

A

fatigue rapidly

126
Q

fast glycolitic fibres ATP production (?)

A

ATP produced anaerobically

127
Q

how do fast glycolitic fibres appear in colour?

A

appear white due to LACK OF MYOGLOBIN

128
Q

Fast oxidative muscle fibres (intermediate muscle fibres) – how do they produce energy? contraction speed?

A

combination of aerobic and anaerobic metabolism

muscle contractions faster than SLOW OXIDATIVE but slower than FAST GLYCOLITIC

129
Q

fast oxidative muscle fibres appearance in colour and structure

A

many mitochondria and Blood Capillaries

—- LOW MYOGLOBIN

—- light red colour

—- GLYCOGEN ALSO PRESENT = anaerobic glycolysis

130
Q

the terms RED and WHITE muscle

A

Red muscle = lot’s of blood flow, MYOGLOBIN, Mitochondria

—- = high fatigue resistance
—- = slow
—- = small diameter muscle fibres
—- E.g. Postural muscles

131
Q

White muscle

A

= Little blood flow, less MYOGLOBIN, less Mitochondria

—- low fatigue resistance
—- fast
—- large diameter muscle fibres
—- E.g. Eye muscles

132
Q

Muscles have MIXTURE of fibre types

A

Mix reflects function

—- E.g. Back/calf = Slow
—- E.g. Eye/hand = fast

133
Q

what determines ratio of fast to slow muscle fibres in different muscles?

A

there are some typical patterns of fast/slow ratio (such as push muscles usually having more fast twitch muscle fibres in untrained adults)

—- RATIO can be genetically determined

—- RATIO can be modified with training (Via Specific adaptation to imposed demands)

134
Q

ORIGIN of a muscle tends to be more…

A

more stable, less mobile

Insertion tends to be less stable, more mobile

135
Q

blood and nerve supply to muscles

A

all muscles are innervated by at least 1 nerve (often more)

—- All muscles will have multiple sources of blood supply (ARTERIAL/VENOUS) —- Usually 1 main artery/vein is present

136
Q

AGONIST (AKA PRIME MOVER)

A

muscle which contributes the most in a specific movement

E.g.
BRACHIALIS IS THE PRIME MOVER IN ELBOW FLEXION

137
Q

ANTAGONIST

A

primary opposition to prime mover (AGONIST)

E.g.
Triceps Vs flexion of forearm @ elbow

138
Q

SYNERGIST

A

muscle that aids the PRIME MOVER (agonist)

E.g.
biceps brachii and brachioradialis are synergists of Brachialis during flexion of the forearm @ the elbow joint

139
Q

Fixator/stabilizer

A

muscle that stabilizes a joint so AGONIST can perform its action

140
Q

isotonic movements/contractions

A

skeletal muscle length changes

—- Concentric and eccentric

141
Q

Isometric contractions/movements

A

muscle length does not change, but there is tension in the muscle

142
Q

more about concentric contraction

A

muscle tension exceeds load

— muscle shortens and tension is constant (ISO-tonic)

— SPEED of contraction inversely related to weight of load

143
Q

eccentric

A

muscle tension is less than the load

— muscle lengthens against load (elongates)

— rate of elongation depends on how much the load exceeds the muscle tension

144
Q

what happens if muscle contraction ends, but load is not removed?

A

muscle stretches until

2) Tendon breaks

3) “ELASTIC RECOIL OPPOSES LOAD”

145
Q

isometric

A

muscle length does not change

tension does not exceed load, load does not exceed tension

E.g.
Postural muscles

146
Q

do muscles bulge during isometric contractions?

A

yes, but not as much as during ISOTONIC contractions

147
Q

Lever and fulcrum

A

Lever = rigid beam + FULCRUM

—– EFFORT & LOAD are applied to each end of the beam

148
Q

what is the fulcrum?

A

fulcrum is point on which beam pivots

149
Q

3 types of levers

A

1st class lever, 2nd class lever, 3rd class lever

150
Q

1st class lever (EFL)

A

Effort –> fulcrum –> load

E.g.
Posterior neck muscles holding head up

151
Q

2nd class lever (FLE)

A

Fulcrum –> load –> Effort

— Load is between Effort and Fulcrum

— I.e. WHEELBARROW LEVER

— BIOMECHANICALLY THE STRONGEST IN BODY

E.g.
CALVES when doing calf raises on stairs

152
Q

3rd class lever (FEL)

A

Fulcrum –> effort –> load

— effort is between load/fulcrum

— TWEEZER LEVER

E.g.
Hip Flexors raising leg

— NOTE: THIS is MOST COMMON LEVER IN BODY

153
Q

proprioception and proprioceptors

A

proprioception = perceiving sense of position/movement in space (INDEPENDENT OF VISUAL SENSORY FEEDBACK) & perception of equilibrium and balance

154
Q

proprioceptors

A

proprioceptors are responsible for proprioception

— proprioceptors read the muscle LENGTH, MOTION/POSITION, TENSION, etc

155
Q

Examples of proprioceptors

A

1) Muscle spindles, AND 2) Golgi Tendon Organs

156
Q

1) muscle spindles

A

proprioceptors in muscle belly

— Adjust via changes in muscle length (stretch)

— muscle spindle reflex contracts muscle to prevent tearing of muscle tissue during overstretch

157
Q

1) muscle spindles structure

A

composed of INTRAFUSAL MUSCLE FIBRES

— = 3-10 specialized muscle fibres, embedded within muscle belly

— ITRAFUSAL MUSCLES FIBRES are specialized skeletal muscle fibres that served as sensory receptors (PROPRIOCEPTORS)

— Normal contractile muscle tissue is called EXTRAFUSAL MUSCLE FIBRES

158
Q

note difference between INTRAFUSAL and EXTRAFUSAL muscle fibres

A

.

159
Q

innervation of Muscle spindles

A

1) sensory nerve endings – deliver sensory information from INTRAFUSAL FIBRES of muscle spindle to the nervous system

2) motor nerve endings

160
Q

MOTOR NERVE ENDINGS of INTRAFUSAL MUSCLE FIBRES of Muscle Spindles

A

GAMMA MOTOR NEURONS innervate intrafusal muscle fibres

— GAMMA MOTOR NEURONS regulate sensitivity of muscle spindle to stretch stimulation
(Perhaps depending on external factors that determine muscle receptiveness to a given stretch)

— NOTE that extrafusal muscle fibres are innervated via ALPHA MOTOR NEURONS (Skeletal muscle contractions)

161
Q

Gamma motor neurons and what impact their firing rate has with how sensitive a muscle spindle (w/ intrafusal fibres) becomes to stretch

A

increased firing rate of Gamma motor neurons results in increased sensitivity to stretch in the Muscle Spindle

—- more firing = more sensitive muscle spindle

162
Q

Muscle spindle and the stretch reflex

A

contractile reflex in response to rapid stretching of muscle

— protects muscle from tearing, and in the event of injury results in less severe damage, such as strain

163
Q

GOLGI TENDON ORGAN

A

at musculo-tendinous junction

— monitors tension/force at tendon

164
Q

GTO reflex

A

inhibits muscle to protect the muscle & TENDON from damage/strain

165
Q

A few muscle pathologies

A

1) muscular dystrophy

2) Myasthenia Gravis

3) Fibromyalgia

166
Q

1) muscular dystrophy

A

inherited

— destroys muscle tissue leading to degeneration of skeletal muscle fibres

— COMMON type is DUCHENNE MUSCULAR DYSTROPHY (DMD) – effects almost exclusively males

167
Q

common type of muscular dystrophy and mechanism

A

DUCHENNE muscular dystrophy

— DYSTROPHIN protein is not produced, or barely produced

— leads to tears in SARCOLEMMA during muscle contraction

168
Q

signs and symptoms of Muscular dystrophy including prognosis

A

signs/symptoms clear by age 2-5 = lack of coordination, falling, stumbling, etc.

— most pass away by 20 years old, due to cardiac/respiratory failure

— currently, there is no cure, and stem cell & genetic research is on-going

169
Q

2) Myasthenia Gravis

A

autoimmune disorder

— antibodies that bind to ACh receptors, at the NMJ —-> Block them from binding ACh (Acetylcholine)

170
Q

myasthenia gravis signs, symptoms, prognosis

A

chronic, progressive weakening and fatigue of muscles

— could lead to eventual death due to paralysis of RESPIRATORY/CARDIAC muscles

— first affects muscles of face/neck/jaw – arms/legs affected later

— Drug therapy done, but no cure
—> immunosuppressants
—> cholinesterase inhibitors (CHOLINESTERASE breaks done ACh (Acetylcholine))

171
Q

why does MG worsen with activity and improve with rest?

A

because immune system activity increases with activity

172
Q

3) Fibromyalgia

A

IDIOPATHIC

— Pain/tenderness around the body, including muscles and related connective tissues such as ligaments, tendons, Sheaths/fascia

— diagnosed in past 20 years

— affects women more than men

— pain during rest and activity, as well as when pressure is applied

173
Q

other symptoms of FM

A

headaches, insomnia, fatigue, depression

174
Q

treatments for FM

A

antidepressants, NSAID, massage, physiotherapy, chiropractic heat, exercise

175
Q

“abnormal pain perception processing” and FM

A

more sensitive to pain than people without FM

176
Q

NMJ

A

TERMINAL END of Somatic Motor Neuron

MEETS WITH…

Skeletal muscle (@ Motor end plate)

SYNAPTIC CLEFT in b/w

177
Q

“Synapse”

A

they “synapse” (connect) together

I.E. axon terminal synapses w/ Motor end plate

SITE for transmission of AP from nerve to muscle

178
Q

“Somatic”

A

pertaining to body

179
Q

somatic neurons

A

nerves/neurons that extend from brain/Spinal cord (CNS)

RESPONSIBLE for somatic movements

SOMATIC MOTOR NEURONS terminate @ SARCOLEMMA OF MUSCLE FIBRE

180
Q

NMJ 2

A

junction b/w neuron and muscle fibre

181
Q

Synaptic cleft

A

space b/w axon terminal and motor end plate

DIFFERENT nerves communicate via SYNAPSE

181
Q

Neurotransmitters

A

chemicals that propagate AP signal across SYNAPTIC CLEFT

182
Q

how many types of Neurotransmitters

A

hundreds of NTs

some excitatory, some inhibitory

183
Q

Acetylcholine (ACh)

A

NT released @ NMJ

184
Q

Presynaptic terminal

A

Axon terminal before synapse

185
Q

ACh stored in…

A

pre-synaptic terminal in VESICLES

186
Q

motor end plate

A

post-synaptic membrane @ NMJ (on muscle fibre)

187
Q

motor end plate consists of…

A

muscle fibre Sarcolemma containing ACh receptors (ligand-gated receptors / ION CHANNELS)

188
Q

the (receptors) LIGAND-GATED ION CHANNELS of motor end plate

A

ligand-gated

which ligand?
ACh is the ligand

SODIUM ION CHANNELS

189
Q

PRESYNAPTIC TERMINAL (2)

A

AKA presynaptic Membrane

MOTOR NEURON, axon terminal

190
Q

POSTSYNAPTIC MEMBRANE / TERMINAL

A

Motor end plate of muscle fibre

191
Q

the process @ NMJ of AP –> Ca2+ release from Sarcoplasmic reticulum

A

nerve impulse arrives at AXON TERMINAL

cause VOLTAGE GATED Ca2+ Channels to open

Ca2+ causes ACh VESICLES to undergo EXOCYTOSIS

ACh goes across synaptic cleft to ligand gated Na+ Ion channels

Na+ FLOWS INTO MUSCLE FIBRE (SARCOPLASM)

192
Q

INCREASE OF POSITIVE CHARGE IN CELL (DEPOLARIZATION*****)

A

influx of Na+ increases charge of muscle fibre

193
Q

Na+ ion channels @ synaptic cleft vs. adjacent to synaptic cleft

A

@ synaptic cleft = LIGAND gated

Elsewhere = VOLTAGE GATED

I.e.
CHANGE in voltage in cell (DEPOLARIZATION) LEADS TO Voltage gated Na+ ION CHANNELS opening

194
Q

after Na+ ligand gated and voltage gated ION CHANNELS open

A

AP propagated along sarcolemma into T-TUBULES (Transverse tubules)

—–> TO TRIADS –> @ Terminal Cisternae of Sarcoplasmic reticulum —> Ca2+ released from SR

195
Q

Depolarization & Repolarization

A

depolarization = away from RMP –> less negative / more positive

repolarization = towards RMP –> less positive / more negative

196
Q

Terminating AP (3 methods)

A

1) ACh moves out of synaptic cleft via DIFFUSION

2) ACh broken down by enzyme Acetylcholinesterase (AChE)

3) (NOT APPLICABLE TO ACh) –> Other small NTs removed from Syn Cleft via REUPTAKE

197
Q

REUPTAKE

A

“the absorption by a presynaptic nerve ending of a neurotransmitter that it has secreted.”

198
Q

Note Sodium Potassium pump

A

brings cell environment back to RMP

198
Q

Acetylcholinesterase @ ACh – End products are…

A

“the end products are recycled back into the axon terminal to make new ACh molecules for the next time they’re needed”

199
Q

after Ca2+ is released from SR (review)

A

“Ca+2 binds to troponin in the sarcoplasm causing tropomyosin to change position (revealing the myosin-binding sites on actin)

“ATP attached to myosin heads is hydrolyzed to ADP plus phosphate (energizing myosin heads and allowing crossbridges to occur)

“Muscle contraction occurs”

200
Q

Botox

A

clinical use of botulinum toxin

“poison derived from clostridium botulism (anaerobic bacterium)”

blocks the ACh release from presynaptic motor neurons

no muscle contraction – muscle paralyzed

201
Q

Botulinum toxin

A

one of themost lethal substances known

1 nanogram (10-9) per kilogram can kill a human

intravenous dose of just 10-7g would be fatal to a 70kg person
I.e.
0.000001g (one millionth of a gram)

202
Q

heart is

A

hardest working muscle in body

203
Q

how many beats per day

A

over 100,000 times

204
Q

how many beats per minute

A

average 75

205
Q

cardiac muscle tissue is ____ and ____

A

striated

involuntary

206
Q

heart uses which ion

A

Ca2+ from SR and Interstitial fluid

207
Q

why heart prolonged contraction

A

high levels of Ca2+

208
Q

how much longer contraction?

A

10-15 times longer for cardiac muscle tissue

209
Q

cardiac muscle tissue has auto-_____

A

autorhymicity / auto-excitability

NO NERVE SUPPLY NEEDED

self-generated APs

210
Q

pace-maker cells

A

Self-excitable

RHYTHMIC waves of contraction to adjacent cells throughout heart

211
Q

Where are pacemaker cells

A

@ 2 nodes:

1) SINOATRIAL NODE
2) ATRIOVENTRICULAR NODE

= Automatic rhythmic contractions of upper/lower portions of heart

212
Q

SMOOTH MUSCLE IS ____ and ____

A

Non-striated & Involuntary

213
Q

is smooth muscle autorhythmic

A

can be autorhythmic – but is also influenced by NERVOUS system

214
Q

how does AP travel b/w smooth muscle cells

A

AP in one smooth muscle fibre transmitted to neighbouring fibres —-> CONTRACTION IN UNISON

215
Q

how nervous system influence smooth muscle

A

digestive control centre in brain send nerve signal to stomach / small intestine

ONLY ONE/FEW ACTION POTENTIALS ARE NEEDED TO STIMULATE ENTIRE ORGAN TO CONTRACT

216
Q

Structure of smooth muscle

A

THICK FILAMENTS ATTACHED TO DENSE BODIES (similar functionally to Z-disc)

INTERMEDIATE FILAMENTS interconnect Dense Bodies —> Receive tension from contraction

217
Q

Caveolae of Smooth Muscle tissue (AND NOTE about Ca2+ & SR)

A

pouchlike invagination containing Ca2+

LESS SR in smooth muscle cells – NO TRANSVERSE TUBULES

I.e.
MORE RELIANCE ON EXTRACELLULAR Ca2+ than intracellular (from SR)

218
Q

Calmodulin and Smooth muscle tissue

A

protein in smooth muscle that binds to Ca2+

REGULATORY protein –> similar to TROPONIN in skeletal muscle

CALMODULIN eventually activates MYOSIN heads –> contraction occurs

219
Q

what happens mechanically when smooth muscle contracts?

A

MYOSIN/ACTIN complex pulls on DENSE BODIES, which pulls on INTERMEDIATE FILAMENTS —> cell contracts

220
Q

3 energy systems

A

Creatine phosphate (CP) aka Phosphagen System

Anaerobic glycolysis

Aerobic respiration aka Oxidative System

“All 3 Systems active at any given time, but magnitude and contribution of each depends on INTENSITY and DURATION of activity”

221
Q

Creatine phosphate (CP) system

A

high energy bond in creatine phosphate (CP) aka phosphocreatine (PCr) to create ATP

ATP + creatine –> creatine phosphate + ADP –> ATP + creatine

222
Q

where is creatine produced

A

liver, kidneys & pancreas, then transferred to muscles.

223
Q

creatinine

A

breakdown product of creatine is creatinine, a metabolite excreted in the urine

224
Q

creatine phosphate system duration

A

Provides ATP for short-term (15 secs), high intensity exercises

225
Q

CREATINE KINASE

A

ENZYME

transfers a phosphate (PO4) group from ATP to creatine making creatine phosphate (reversible reaction)

226
Q

elevated Creatine kinase

A

Elevated CK-MM = skeletal muscle damage

Elevated CK-MB (myoglobin?) = cardiac muscle damage

227
Q

ANAEROBIC GLYCOLYSIS

A

Takes place in the sarcoplasm

breakdown of glucose to yield 2 x pyruvate molecules

2 molecules of ATP & 2 molecules of pyruvic acid (pyruvate?)

228
Q

pyruvate can…

A

can go to aerobic respiration to form more ATP if oxygen is present (aerobic)

can get converted into lactic acid if no oxygen is present (anaerobic)

229
Q

pyruvate duration

A

ATP for moderate to high intensity, short term exercise
2 minutes (30-40 seconds of maximum contraction)

230
Q

pyruvate –> lactic acid (anaerobic process) —> CORI CYCLE

A

ATP synthesis occurs faster – is limited in duration

inefficient:
6 ATP used, 2 ATP gained

231
Q

Cori cycle

A

@ MUSCLE:
glucose –> 2 ATP + 2 Pyruvate (GLYCOLYSIS)

2 Pyruvate –> 2 Lactate

@ LIVER:
2 lactate –> 2 pyruvate + 6ATP –> GLUCOSE (Via Gluconeogenesis)

Back to muscle:
Glucose goes to muscle

232
Q

Lactic acid buildup misunderstood

A

Not entirely responsible for muscle burn during exercise

(Protons created during breakdown of ATP created at a faster rate then can be cleared –> H+ ions)

233
Q

Lactic acid 3 myths

A

Myth 1:
“Burn” from lactic acid
—> Not from lactic acid –> from H+ ions during ATP breakdown = increased acidity

Myth 2:
Lactic acid is waste
–> NOT waste –> 75% is recycled –> lactate to glucose

Myth 3:
lactic acid causes DOMS
–> lactic acid flushed in 30-60mins –> DOMS is via microtrauma

234
Q

aerobic respiration

A

mitochondria

oxygen

235
Q

aerobic respiration and pyruvate

A

Uses pyruvic acid

LARGE AMOUNT OF ATP via KREB’S CYCLE and ELECTRON TRANSPORT CHAIN

236
Q

aerobic respiration can also use

A

FATTY ACIDS

AMINO ACIDS

237
Q

Duration of aerobic respiration

A

several minutes to hours

238
Q

ATP generated

A

30-32 ATP
+ Heat, CO2, & H2O

239
Q

oxygen for aerobic respiration

A

HEMOGLOBIN (blood) & MYOGLOBIN

240
Q

3 systems – durations

A

0-6s = Phosphagen = very intense

6-30s = phosphagen & Fast glycolysis = intense

30s-2m = fast glycolysis = heavy

2-3m = fast glycolysis & oxidative = moderate

3+ mins = oxidative = light

241
Q

Muscle fatigue – possible reasons

A

1) O2 lack
2) CO2 buildup
3) ATP lack (no glycogen)
(Or depleted Phosphagen system)

4) metabolic waste buildup

242
Q

phosphagen depletion / repletion

A

rapidly depleted (15 secs)

fatigue partially from phosphagen depletion

repletion = within 8 minutes (Via aerobic metabolism and glycolysis)

243
Q

phosphagen pre-exercise concentrations increased via

A

1) supplementation

2) Aerobic and anaerobic training / conditioning

244
Q

glycogen depletion / repletion (HOW MUCH GLYCOGEN?

A

300-400g in muscle tissue
70-100g in liver

245
Q

how glycogen pre-exercise concentration increase?

A

1) aerobic / anaerobic conditioning

2) carb-loading

246
Q

how long till glycogen levels depleted

A

90+ minutes exercise

247
Q

instead of carb-loading

A

replace lost glycogen during mid-exercise carbs

drinks, gels, bars etc

248
Q

oxygen replenishment, oxygen debt, EPOC

A

Oxygen debt

recovery oxygen

EPOC (excess post-exercise oxygen consumption)

249
Q

what is excess oxygen during EPOC used for

A

Resynthesis of ATP and creatine phosphate

Resynthesis of glycogen from lactate

tissue oxygen resaturation

venous blood oxygen resaturation

skeletal muscle oxygen resaturation

myoglobin oxygen resaturation

250
Q

motor unit

A

somatic motor neuron and all muscle fibres it innervates

251
Q

motor unit size varies

A

1 muscle fibre per neuron

> 3000 muscle fibres per neuron

252
Q

motor unit average size

A

1 neuron for 150 muscle fibres

253
Q

motor unit size vs precision

A

more precise movements = smaller motor unit (less muscle fibres per neuron)

254
Q

muscle twitch length vs AP length

A

1-2 msec = AP
20-200 msec = muscle twitch

255
Q

muscle twitch define

A

brief contraction of muscle fibres in motor unit via AP of neuron

256
Q

muscle twitch duration varies

A

E.g.
eye muscle = quick
gastrocnemius = less quick
soleus = even less quick

Also note –> more precise & more delicate muscle (like eye muscle = smaller motor unit)

257
Q

fasciculation

A

involuntary contraction of motor unit –> visible under skin

can occur under normal conditions or under pathological conditions of nervous system

258
Q

motor unit contraction stages

A

1) latent period

2) contraction period

3) relaxation period

4) refractory period

259
Q

latent period =

A

AP via sarcolemma –> Ca2+ released via SR – BUT NO TENSION YET***

260
Q

contraction period

A

Ca2+ to troponin, tropomyosin change shape, crossbridge form, contraction occur

261
Q

relaxation period

A

cross bridge break

Ca2+ taken up and restored

262
Q

relative and absolute refractory period

A

absolute = no

relative = requires higher than usual stimulus (stronger AP?) to contract

263
Q

Frequency of stimulus (AP?) as a variable

A

determines PEAK TENSION

264
Q

how is tension determined in skeletal muscle?

A

1) amount of tension produced by each muscle fibre (VIA FREQUENCY OF STIMULATION?)

2) number of muscle fibres stimulated

265
Q

Frequency of stimulation and Myogram

A

1) wave summation

2) Unfused tetanus

3) fused/complete tetanus

266
Q

wave summation

A

second stimulus before muscle fully relaxes

SECOND CONTRACTION IS STRONGER THAN FIRST

I.e.
Wave summation

267
Q

wave summation = stronger contractions —> up to ___x greater than single twitch

A

up to 5x stronger contraction

268
Q

unfused tetanus

A

sustained contraction, but muscle fibre partially relaxing between summation (I.e. Wavering)

stimuli arriving @ 20-30 times/sec

Unfused tetanus = jagged curve on myogram

269
Q

fused/complete tetanus

A

completely sustained –> muscle fibre has no time to relax partially

stimuli/AP arriving @ 80-100 times/sec

270
Q

why fused?

A

sustain long/powerful contraction

271
Q

motor unit recruitment

A

INCREASE OF ACTIVE MOTOR UNITS

–> “recruited”

Neuromuscular system efficiency –> greater efficiency of nervous system –> higher rate of stumuli/AP –> higher peak tension of single muscle fibre & muscle fibres within motor unit

–> AND HIGHER NUMBER OF MUSCLE FIBRES / Motor units activated —> = higher amount of tension produced

272
Q

motor unit recruitment & movement/fatigue

A

smooth movement

delays muscle fatigue

273
Q

motor unit recruitment – which fibres first?

A

smaller fibres recruited first

–> larger fibres recruited when duration/amount of force increase

274
Q

flaccid paralysis

A

loss of muscle tone

hyporeflexia

muscle atrophy

275
Q

why flaccid paralysis

A

Lower Motor Neuron injury/damage

Trauma
Nervous system disorders (e.g. ALS)
Guillain-Barre Syndrome
Polio
Nerve compression
Myasthenia Gravis

276
Q

spastic paralysis

A

increased muscle tone

hyperreflexia

Upper motor neuron injuries/damage:
stroke
Multiple sclerosis
traumatic brain injury
spinal cord injury
cerebral palsy

277
Q

Rigidity (“RIGOR”)

A

increase in muscle tone

no effect on reflexes

muscle cannot relax

can occur w/ tetanus (disease caused by bacterium Clostridium tetani)

tetanus can also cause tetany

278
Q

tetany

A

“a condition marked by intermittent muscular spasms, caused by malfunction of the parathyroid glands and a consequent deficiency of calcium.”

279
Q

muscle tone

A

amount of tightness/tension of muscle at rest

via small amount of subconscious contraction of motor units

280
Q

muscle tone, blood vessels, GI organs, postural muscles

A

for maintaining adequate BP

for facilitating digestion/peristalsis

for maintaining posture