Neuromuscular Junctions Flashcards

1
Q

Where is the cell body of the alpha motor neurone found?

A

Ventral horn of spinal cord

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2
Q

What are the 4 parts of a skeletal NMJ?

A

Terminal bouton
Synaptic vesicles
Synaptic cleft
End plate region (folded)

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3
Q

What are active zones of the terminal bouton?

A

Regions that vesicles containing neurotransmitter substances bind to before exocytosis

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4
Q

How is ACh formed in the bouton?

[comprises, site, enzyme]

A

Combined with acetyl CoA
In cytoplasm
By enzyme choline acetyltransferase

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5
Q

What type of receptors on the post-synaptic membrane are activated by the diffused ACh?

A

Nicotinic ACh receptors

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6
Q

Influx of which ion causes exocytosis of ACh into the synaptic cleft?

A

Ca++

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7
Q

What is the structure of the nicotinic ACh receptors on the muscle end plate?

A

Glycoprotein pentamer

α1)2 β1 δ ε

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8
Q

What is the end plate potential, e.p.p?

A

Depolarisation of muscle end plate

INflux of Na+, efflux of K+

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9
Q

What is a quantum of neurotransmitter?

A

Amount of ACh contained in each vesicle

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10
Q

What is a miniature e.p.p? (m.e.p.p)

A

Electrical response to one quantum of neurotransmitter

- e.p.p is a summation of m.e.p.ps

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11
Q

What must happen before a muscle contracts?

A

e.p.p must exceed the threshold and trigger an action potential

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12
Q

How does an action potential cause contraction of the skeletal muscle?

A

Enters T tubules
Triggers release of Ca++ from closely related sarcoplasmic reticulum
Ca++ interacts with troponin to form cross bridges…

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13
Q

Which enzyme is responsible for the termination of the e.p.p generated by ACh on the end plate membrane?

A

Acetylcholinesterase (AChE)

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14
Q

How does AChE work?

A

Hydrolyses ACh to choline + acetate

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15
Q

Name 5 conditions wherein there is defective NMJ transmission

A

Neuromyotonia
Lambert-Eaton Myasthenic Syndrome (LEMS)
Myasthenia gravis (MG)
Botulin toxin

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16
Q

Which drugs are used to treat Neuromyotonia?

A

Anti-convulsants

  • carbamazepine
  • phenytoin
17
Q

Which drugs are used to treat LEMS?

A

Anticholinesterases
- pyridostigmine
Potassium CBs
- 3,4 diaminopyridine

18
Q

Which drugs are used to treat MG?

A

Anticholinesterases
- pyridostigmine
Immunosuppressants
- azathioprine