Smooth And Cardiac Muscle Flashcards

1
Q

What is cardiac muscle responsible for?

A

Cardiac muscle is involuntary muscle with its intrinsic myogenic activity responsible for the beating of the heart

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2
Q

How are cardiac muscle fibres arranged?

A

Cardiac myocytes are organised in a branched mesh work of fibres with centrally located nuclei that run in various directions

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3
Q

What is smooth muscle responsible for?

A

Smooth muscle is involuntary non-striated muscle that provides mechanical control of organ systems

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4
Q

How are smooth muscle fibres arranged?

A

Smooth muscle fibres are spindle shaped fibre that have a singular nucleus and are arranged in rows

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5
Q

What are the specialised properties of cardiac muscle?

A
  • cardiac monocytes form an electrical synctium or functional syncytium
  • electrical impulses propagate between cells via gap junctions
  • allows rapid synchronous depolarisation of myocardium
  • myocardium acts as a singular contractile unit
  • waves of depolarisation propagate to adjacent cells
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6
Q

What’s are intercalated discs in cardiac muscle and what do they contain?

A
  • intercalated discs connect adjoining cardiac monocytes
  • fascia adherens or anchoring junctions attach sarcomere to cell membrane
  • desmosomes sites of adhesion keep cells connected when they contract
  • gap junctions facilitate electrical communication
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7
Q

How is an action potential made in cardiac muscle?

A
  • action potential is shaped by a delicate balance between fluxes of ions in and out of the cell
  • depolarising currents are through sodium and calcium channels
  • repolarising currents are through potassium channels
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8
Q

What is automaticity and rhythmicity in cardiac muscle?

A
  • rhythmicity means cardiac cells can generate action potentials in a regular and repetitive manner
  • automaticity means they can spontaneously generate an electrical impulse (depolarise)
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9
Q

What are the key points about action potentials in the heart?

A
  • size and shape can differ between cells
  • shape of cardiac AP relates to its function within the heart
  • voltage-dependant ion channel proteins in plasma membrane generate APs
  • cells have different kinds of voltage dependant on ion channels
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10
Q

What are pacemaker cells?

A
  • cells of the sinoatrial and atrioventricular nodes (pacemaker tissues) that can depolarise spontaneously
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11
Q

Describe the process of calcium signalling

A
  • depolarisation of membrane (influx of Na) opens voltage gated calcium channels
  • influx of calcium through voltage gated calcium channels (LTCC)
  • rise in intracellular calcium triggers further calcium release from sarcoplasmic reticulum by the ryonodine receptor
  • calcium then associates with troponin C in the sarcomere to initiate contraction in cardiac muscle (systole)
  • these events are terminated by the release of calcium from the sarcomere (causing relaxation diastole) and it’s re uptake into the sacroplasmic reticulum
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12
Q

Describe the effects of sympathetic innervation on cardiac muscle

A
  • increases heart rate and force of contraction

- secretion of noradrenaline and activation of beta1 adrenoreceptor

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13
Q

Describe the effects of parasympathetic innervation on cardiac muscle

A
  • decreased heart rate

- secretion of acetylcholine and activation of muscarinic receptors

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14
Q

How do ventricular cells contract?

A
  • contract in a coordinated fashion to pump blood
  • have a refractory period in which ion channels are inactivated and muscle is unresponsive
  • however hard heart of stimulated individual contractions can’t fuse into a maintained tetanic contraction
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15
Q

Where is smooth muscle found?

A

Smooth muscle in found on the walls of organs and structures:

  • bladder
  • gut (oesophagus, stomach, intestines)
  • Uterus
  • blood vessels
  • bronchi
  • urethra
  • erector pili in the skin
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16
Q

Describe smooth muscle structure

A
  • loose lattice of thick and thin filaments that obliquely
  • filaments of contractile proteins are attached to the plasma membrane at junctional complexes
  • mechanical attachments between cells gap junctions that provide a pathway for electrical signals
  • dense bodies serve as attachments for thick and thin filaments
  • cytoskeleton intermediate filaments assist in transmission of force generated by contraction
17
Q

What is the shape of a smooth muscle action potential?

A

Shape of the AP varies

  • simple spike
  • spike followed by a plateau
  • spikes on top of slow waves
18
Q

How is a action potential generated in smooth muscle?

A
  • depolarisation depends mainly on opening of gated Ca channels
  • contribution if each ion depends on type of muscle e.g. Ca ions in gut and Na ions in bladder
  • Ca channels open more slowly than sodium channels, slower uptake of action potentials compared to skeletal muscle
  • action potential in smooth muscle last longer than in skeletal muscle
19
Q

What does smooth muscle regulate?

A
  • regulation of diameter of blood vessels
  • regulating diameter of airways
  • propulsion of food through GI tract
  • contraction of uterus
20
Q

Describe the relationship between pacemaker cells and smooth muscle.

A
  • many smooth muscle cells are capable of initiating spontaneous electrical activity (generate by pacemaker currents)
  • can generate regular and repetitive oscillations in the membrane potential (slow waves)
21
Q

How is smooth muscle contraction regulated?

A
  • calmodulin and myosin-light chain kinase regulate contraction
  • Ca binds to calmodulin and the Ca++-calmodulin complex then activates myosin light chain kinase (MLCK)
  • MLVK in turn activates myosin heads by phosphorylating them (ADT-ADP + Pi with Pi attaching to head
  • phosphorylation of myosin head groups to bind actin and undergo cross bridge cycling