Neuromuscular Junction Flashcards

1
Q

What is the anatomy of NMJ?

A

Motor neurone nerve terminal and Motor end plate of myocyte.

With Schwann cells surrounding synaptic cleft.

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2
Q

How is ACh produced and degraded?

A

Acetyl-CoA and Choline are combined to ACh by Choline Acetyl Transferase.

ACh degraded by Acetylcholinesterase to form CHoline and acetic acid.

Choline reuptaken by Choline transporter.

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3
Q

What is curare?

A

Nicotinic ACh receptor antagonist.
= Reducing EPSP of Motor EPP

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4
Q

What is alpha-bungarotoxin?

A

An antagonist of nicotinic ACh receptors.

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5
Q

What are antagonists to NAChRs?

A

Alpha-bungarotoxin

Curare.

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6
Q

What are neonicotinoids?

A

Neurotoxic Insecticides.

Agonists of NAChRs but with greater affinity to insect nAChRs than vertebrates.

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7
Q

What are agonists of nAChRs?

A

Nicotine

Anatoxin-A - produced by cyanobacteria.

(Neonicotinoids but greater affinity to insect receptors).

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8
Q

What is an EPP?

A

nicotinic ACh receptors are permeable to both NA+ and K+.

K+ leaves, Na+ entry - due to respective electrochemical gradient, there is more Na+ current than K+ current.
= Depolarisation of End Plate.

EPPs are large ampltitude EPSPs, and always trigger an AP.
(Around 60/70mV EPP).

There is a local response at motor end plate, which experiences DECREMENTAL PROPAGATION along muscle fibre sarcolemma….
= but will trigger an AP.

0.4ms synaptic delay.

Possible temporal summation.

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9
Q

What can you measure with a voltage clamp or a current clamp of an EPP?

A

Voltage clamp - fixing EM using injected currents.
= Record compensatory current.
= Measure IACh = current responsible for EPP.

Current clamp - using an injected current to record changes to EM.
= Measure EPP as a function of EM.
(Inject current to set a certain EM, then see how Em changes with ACh).

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10
Q

Why is EPP an EPSP and not IPSP?

A

nAChRs are permeable, equally, to K+ and Na+

Modifying conc. of either ion changes EPP.
And EPP is different based on EM during current-clamp (where current injected to set EM at specific value when ACh added).

If equally permeable to both ions, then gNa/gK should be 1.
= Therefore, you consider electrochemical gradients.

When Er is -70mV, then Na+ electrochemical gradient is much greater than K+.

Reversal potential of EPP is 0mV.

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11
Q

What are electroplates?

A

Electrocytes/Electroplates are small, disc-like cells arranged into columns in the electric organ of Torpedo Rays.

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12
Q

What is the structure of nAChRs?

A

Pentameric
With 2 alpha subunits, 1 beta, 1 gamma and 1 delta.

ACh binds to the alpha subunits = requires 2 ACh bound to open.

Each of the 5 subunits has 4 TM segments = M1, M2, M3, M4.

M2 segment of each of 5 subunits forms central pore for ion channel.

M2 contains L251 = leucine-251.

When ACh not bound, L-251 blocks channel port.
When ACh bound, L-251 is displaced and replaced with Serine.
.
Ion channel lned by serine and threonine residues - with cationic selectivity.

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13
Q

What is site directed mutagenesis?

A

Replacing residues with other residues in ACh.

If you replace L-251 of M2 segment, you can increase the frequency of channel opening.

The more subunits mutated, the greater the ffect.

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14
Q

What are examples of AChE inhibitors?

When are they used?

A

Reversible:

Neostigmine, Eserin

Irreversible:
Sarin, Novichock, Other organophosphorous compounds.,

Reversible AChE inhibitors can be used:

Alzheimer’s:
Neostigmine as cholinergic neurones dying.

Myasthenia Gravis:
Autoimmune destruction of NMJ

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