Peripheral Circulation And Regultion Of Flow Flashcards

1
Q

Distinguishing characteristics of smooth muscle

A

Can maintain tension for prolonged periods at a low energy cost
Contract and relax more slowly
Develop active tension over longer range of lengths (L - T relationship)
Can be activated by stretch (myotonic response)
Can change contractile activity in absence of changes in membrane potential

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2
Q

Characteristics of smooth muscles resting membrane potential

A

RMP is between -50 to -70 mV
Several K+ channels have been identified
- inward rectifier, ATP dependent K+ channel
Some cells spontaneously generate action potentials or spontaneous membrane oscillations
Action potentials are initiated primarily by Ca++ influx via slow type Ca++ channels

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3
Q

vascular smooth muscle contraction

A

Calcium - cal modeling activates myosin light chain kinase (MLCK)
MLCK phosphorylase so myosin light chain (MLC) in the presence of ATP
MLC are 20-KD regulatory subunits myosin heads
MLC phosphorylation leads to cross-bridge formation
No troponin

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4
Q

Vascular smooth muscle relaxation

A

Decreases in intracellular Ca++ cause MLCK dephosphorylation
local vasodilators increase intracellular cGMP inhibiting Ca++ influx/increase K+ currents
B2 receptor binding and increases in cAMP triggers Ca++ transfer to extra cellular space/inhbits MLCK phosphorylation

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5
Q

Norepinephrine from sympathetics bind to

A

Alpha - adrenergic receptors

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6
Q

Intrinsic mechanisms are ___________________ of CNS or hormonal regulation

A

Independent

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7
Q

Intrinsic mechanisms

A

Metabolic regulation
Myotonic mechanism
Mechanical compression
Endothelial dependent regulation

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8
Q

Most potent vasoconstrictor

A

Endothelin

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9
Q

What produces endothelin

A

Endothelial cells

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10
Q

Receptors of endothelin

A

ETa and ETb

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11
Q

ETa receptors mediate

A

Vasoconstriction inotropic and chronotropic effects

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12
Q

ETb receptors mediate

A

Vasodilation

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13
Q

Coronary flow during systole is

A

Primarily compromised on the left side

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14
Q

Nitric oxide

A

Vasodilator released by endothelial cells acts on adjacent smooth muscle layer (increases cGMP)

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