Nerve Flashcards
Junction between what is a neuromuscular junction
Other names for this junction .
It’s function
Motor neuron and a muscle fibre .neural membrane and sarcolemma , do not touch but apposed to each other
Names - Myoneural junction or motor end plate
Transmission of action potential from neuron to the muscle fibre .
Structure of the neuromuscular junction
Divided into 3 parts - presynaptic ,synaptic ,post synaptic.
Presynaptic portion (axon terminal )
What are motor neurons
Skeletal muscle fibres , have cell bodies in anterior horn of the spinal cord or in the brainstem.
Myelinated axons , largest diameter axons
What are Schwann cells that cover terminals called
Teloglia
Each terminal is expanded at its end to form a synaptic knob (terminal button )
Contains plenty of mitochondria ( indicates metabolic activity)and neurotransmitter vesicles.
Lies in groove (synaptic trough) in the surface of the muscle fiber but outside the muscle cell membrane .
The vesicles ,clustered around points, active zones .
Active zone membrane, dense bar contains numerous VG Ca2+ chammels . Medicate ACh release
Synaptic cleft , gap btw terminal button and ,uncle fiber
Width - 40-100nm
Muscle fiber covered by CT called basement membrane or basal lamina [consist collagen , glycoprotein , Extra matrix proteins ]
Which part of synaptic cleft contains the enzyme Acetylcholine- esterase
Basement membrane , enzyme anchored to the collagen fibrils and secreted into membrane by presynaptic terminal and muscle fiber .
AChE rapidly hydrolyses ACh into acetate and choline
What is quanta release
Process of release of neurotransmitter Quanta =Vesicle / multi molecular packet ACh ,
Witch each AP, presynaptic terminal discharges same mount of neurotransmitter
Quantum of neurotransmitter / quantal content / number of vesicle released
End plate potential (EPP)
Amplitude of it is proportional to the amount of neurotransmitters released *****
Presynaptic blockade of neuromuscular transmission
Events at pre synaptic axon terminal -impaired calcium influx causing decreased vesicle release
*botulinum toxins B , D F , G - inactivate synaptobrevin ( vesicle membrane protein that is required for binding and fusion of a ACh vesicle with the plasma membrane of the axon terminal .)
*A &B act on snap-25
*C breaks down syntaxin
*hemicholinium - inhibits choline uptake by terminal , result in depletion of ACh . Consequently EPP decreases and ap cannot be formed
Major functions of anti- AChR antibodies in myasthenia gravies B
1.compete with ACh to bind to AChR , receptor blockade
2. Induce endocytosis of AChR
3. Damage post-synaptic membrane
Features of myasthenia gravis
- fatigue - normally repeated stimulation of motor nerve , amount of ACh released per action potential gradually decreases (presynaptic rundown ) but enough to generate an EPP well above threshold level .
MG Patients = decremental response to repetitive nerve stimulation on EMG recording from affected muscle - women to men 3:2
- weakness - Increases on prolonged use , better after rest /sleep
*extraocular muscles and eyelids involved early course . Diplopia (double vision) and ptosis(eyelid drooping )
*proximal limb muscles affected
Resp muscle paralysis - death
Treatment of myasthenia gravis
*Adminst AChE inhibitors (pyridostigmine , neostigmine)
Increase ACh at nmj
*thymectomy - reduces immune response by T cells .and improves condition
* immunosuppression - glucocorticoids, azathioprine . Inhibit immunological mech
*plasmapheresis -removes AChR antibodies from plasma
Lambert- Eaton myasthenic syndrome caused due to
Presynaptic disorder of nmj due to production of antibodies against Vg Ca2+.
Decreased ions= impaired ACh release from nerve endings .
Etiological of myasthenia gravis
Decrease in number of AChR present on motor end plate due to production of circulating antibodies against R .
Post synaptic folds flattened or simplified
Symptoms and signs of lambert-Eaton myasthenia syndrome
Muscular weakness 1° in limb muscles
Incremental response to repetitive nerve stimulation as Ca level rises with each AP , prolonged contraction muscle strength increases
What is denervation hypersensitivity
When neuron is cut , distal axons degenerates
What are connective tissue layers around the muscle made up of
Collagen and elastin that helps transmit the force from the muscles to the bones . Muscles usually attached to bones by collagen fiber (tendon )
Rigor mortis
Stiffening of muscle after death
Within 3 to 6 h of death , as ATP conc decreases in all cells.
Depletion of ATP fails to detach the cross bridge , therefore muscle remains in a state of contraction or rigidity.
Rigidity completes in 12 h
Disappears in 40 to 60 h due to disintegration and putrefaction of muscle fibers
Thickness of thin :thick filament
1:2
The structural unit of muscle in muscle fibre that is a
single skeletal muscle cell (myocyte)
The important functions of the sarcolemma
- Transmits the wave of depolarisation originating at the motor end plate over the entire cell surface to initiate contraction.
- Contributes to the parallel elastic resistance ( the resistance to stretch offered by all the connective tissue layers )
- It has no gap junctions or tight junctions, thereby pro- motes electrical separation between fibers.
Three types of muscle proteins in skeletal muscles
Contractile proteins : actin and myosin
Regulatory proteins : troponin and tropomyosin
Attachment proteins : Titian , nebulin, alpha actinin, , deaminase , myomesin , dystrophin