Skeletal muscle Flashcards

1
Q

What cell types make up skeletal muscle?

A
  • skeletal myocytes
  • endothelial cells of the vascular system which nourishes it
  • connective tissue fibroblasts
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2
Q

Describe the hierarchical structure of skeletal muscle (largest to smallest). Where are the nuclei in this structure?

A

gross anatomical muscle (cm) > fascicles (mm) > skeletal myocytes (aka “fibers”: 10-100 um) > myofibrils (~1 um) > myofilaments (nm)

**hundreds of nuclei at the myocyte periphery

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3
Q

Describe the connective tissue of skeletal muscle

A
  • entire muscle is surrounded by deep fascia aka epimysium
  • each fascicle is surrounded by perimysium (continous with CT at myotendon junction)
  • each skeletal myocyte within a fascicle is surrounded by endomysium (continuous with the basal lamina/basement membrane)
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4
Q

Describe the striated structure of a myocyte. What is a sarcomere?

A

Myocytes contain myo_fibrils;_

  • light bands (I-bands)
    • bisected by a Z-line (contains the protein alpha-actinin)
  • dark bands (A-bands)
    • H-zone down the middle, bisected by M-line (contains MM-CK)

**sarcomere= area between successive Z-lines (fundamental unit of striated muscle contraction)

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5
Q

Describe myofibril structure

A

**myofibrils contain myofilaments

  • Thick= A bands only
    • myosin
    • note; A bands are dark because they contain both thick and thin filaments
  • Thin= I bands and A bands
    • actin, 3 troponins, tropomyosin
    • note; I bands are light because they ONLY contain thin filaments
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6
Q

What is a triad?

A

At the A-I junction, two SR membranes plus one T-tubule membrane

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7
Q

Describe the excitation phase of muscle contraction

A

**how striated muscle contracts;

  1. neuron is activated, Ca++ enters
  2. synaptic vesicles in the nerve terminal fuse with pre-synaptic membrane and empty their contents
  3. acetylcholine (ACh) enters intercellular space (cleft) -> 2 ACh molecules bind to each acetylcholine receptor (AChR)
  4. nicotinic AChRs function as Na+ ion channels on the myocyte’s post-synaptic membrane (acetylcholinesterase modulates the extent of synaptic transmission)
  5. entry of Na+ ions into the myocyte, igniting the action potential -> wave of depolarization runs down the sarcolemma and dives into the T-tubules
  6. T tubules contain the Ca++ channel protein Cav1.1 (aka DHP receptor)
  7. Cav1.1 binds a ryanodine (RyR) receptor on the membrane of the SR, causing the SR to release its stored Ca++
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8
Q

What are neuromuscular blockers?

A
  1. non-depolarizing agents (curariform drugs), which bind-up ACh ligand
  2. depolarizing agents such as succinylcholine, which overstimulate the AChR, causing it to become non-reponsive

**have no CNS activity

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9
Q

Describe the contraction phase of muscle contraction

A
  1. Ca++ released by the SR binds troponin-C (thin filament protein)
  2. causes tropomyosin to move, uncovering myosin-binding-sites on actin (thin filament)
  3. as the thick filament rotates, the myosin head (activated by ATP hydrolysis) binds actin
  4. myosin head flexes, thin filament move into the A-band
  5. sarcomere shortens (length of A band unchanged, I band shortens)
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10
Q

How does Striated Muscle Relax?

A
  • Ca++ ion-channel pump (SERCA) in the SR membrane pumps Ca++ back into the SR
  • decreased Ca++ -> fresh ATP binds the myosin head -> actin and myosin disssociate -> myocyte relaxes
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11
Q

Describe malignant hyperthermia

A
  • mutation in CACNA1 (gene encoding Cav1.1) or Ryr1 (gene encoding ryanodine receptor) dysregulates Ca++ transport
  • leads to sustained contraction -> increased body temp
  • fix with dantrolene, a muscle relaxant that blocks Ca++ release from the SR by inhibiting the ryanodine receptor

**contrast rigor mortis= the absence of fresh ATP prevents acto-myosin dissociation, preventing relaxation and resulting in “stiffening“

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12
Q

What is the ratio of thick:thin filaments within a myocyte?

A

within each myofibril there are six thin filaments surrounding each thick filament

(also parts of the SR membrane system surround each myofibril)

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13
Q

How is energy stored for muscle contraction?

A
  • Skeletal muscle stores energy as ATP, creatine phosphate, glycogen, and fatty acids.
  • sprinters use glycogen
  • marathoners utilize fatty acids
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14
Q

What are the types of muscle fibers?

A
  • Type I fibers “slow twitch” fibers
    • red (enriched in mitochondria and myoglobin)
    • for fatty acid oxidation and oxidative metabolism to support relatively continuous contraction
  • _​_Type II fibers “fast twitch fibers”
    • white (less myoglobin); glycolytic or mixed oxidative/glycolytic
    • modified for rapid, discontinuous contraction
    • sub-classified as Type IIA, IIB and IIC, based on biochemical composition
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15
Q

From what type of cell does skeletal muscle regenerate? What signals regulate the process?

A
  • via Resident Adult Stem Cells (mononuclear, residing between the sarcolemma and the basal lamina of the skeletal myocyte; their niche)
    • also called satellite cells/skeletal myoblasts
    • normally arrested in Go phase (thanks to myostatin) of the cell-cycle (re-enter cycle when basal lamina is damaged and releases growth factors)
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16
Q

Describe the steps of skeletal muscle regeneration

A
  1. Resident Adult Stem Cells are stimulated by growth factors to leave the Go phase and begin division/expansion
  2. after expansion, the cells irreversibly withdraw from the cell-cycle and fuse together, forming multinuclear muscle cells termed myotubes
  3. myotubes undergo robust muscle differentiation and can regenerate entire muscles
17
Q

Describe the timeline of skeletal muscle regeneration

A
  • Day 0: injury or insult to basal lamina
  • Days 1-7: Satellite cells proliferate; during this time, the stem cells compete with invading fibroblasts.
  • Day 7: Myotubes form. Myotubes are new, embryonic-like skeletal muscle cells.
  • Day 14: Many myotubes are present.
    • the myotubes fuse with each other, and to the original myocyte.
    • forms “branching” muscle cells with central nuclei.
    • innervation begins.
  • Day 21: Functional skeletal muscle cell.

**Note that by age 60, because we have diminished numbers of stem cells (including satellite cells), regeneration is diminished

18
Q

How were satellite cells used in an attempt to treat Cardiac Insufficiency?

A
  • myo-satellite cells were harvested from thigh and leg muscles of ~300 patients with cardiac-insufficiency
  • followed by autologous transplantation into the heart (in an attempt to enhance ejection fraction)
  • results indicated modest improvement, but instances of arrhythmia caused this treatment to be discontinued
19
Q

How were satellite cells used in an attempt to treat Duchenne Muscular Dystrophy (DMD)?

A
  • DMD= from mutations in the gene encoding dystrophin, a sub-sarcolemmal protein that helps stabilize the myocyte cytoskeleton

**treat with prednisone or gentamicin which enables translational read-through of the stop codons… some possible other treatments=

  • cellular therapy using myo-satellite or bone marrow-derived adult stem cells
  • gene therapy by introducing normal dystrophin genes into skeletal myocytes via adenovectora
  • use of orally administered drugs, such as PTC124, whose proprietary design circumvents the stop signals in the mutated gene
  • inhibition of myostatin