Smooth muscle Flashcards

1
Q

Where is smooth muscle present?(and roles?)

A
  • Vascular system-(e.g-capilliaries, arteries and veins)(Hypertension)
  • Airways-(Trachea, bronchioles)(Asthma)
  • GI tract-(Stomach,sphincters)(Gastric spasticity)
  • Urinogenital tract-(bladder,uterus,vas deferens)(Infertility & incontinence)
  • Eye-(Iris & cilary body)
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2
Q

Why do you target smooth mucle for hypertension?

A
  • Reduce vasoconstriction
  • Current targets are receptors and target mech of contraction
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3
Q

Why do you target smooth mucle for angina?

A
  • Relaxation of coronary artery
  • Current targets inc rec and signalling
  • e.g K+ channels, NO
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4
Q

Why do you target smooth mucle for asthma?

A
  • Stimulation of B-adrenoreceptors-relax smooth muscle
  • Inhibit msucarinic contraction
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5
Q

Why do you target smooth mucle for Constipation?

A
  • Stimulation of GI smooth muscle
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6
Q

Why do you target smooth mucle for Diarrhoea?

A
  • Inhibition of GI smooth muscle contraction
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7
Q

What conditions involve treatment of Smooth muscle?

A
  • Hypertension
  • Angina
  • Asthma
  • Constipation
  • Diarrhoea
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8
Q

What are the functional roles of Smooth muscle?

A
  • Regulate flow by varying tube diameter (e.g blood vessels during excercise)(Constriction & Dilation)
  • Control flow by occluding tube(e.g Sphincters)
  • Walls of storage organ (e.g bladder)(expand and expel)
  • Movt of large bulk (e.g. Oesophagus,intestine) (swallowing-peristalsis)
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9
Q

What is the structure of smooth muscle?

A
  • Supported by and contains connective tissue. -SM does not act on structures e.g. bone(No tendons)
  • Groups of small cells arranged in sheets
  • Single sheet e.g. arterioles&airways (circularly orientated, controls blood flow)
  • Multiple sheets e.g ileum
    1.2 sheets perpendicular to each other
    2. Longitudinal & Circular layers
    3. Vary diameter & length: peristalsis

(See slides for diagram)

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10
Q

What is peristalsis?

A
  • Cyclical contraction & relaxation of sheets of smooth muscle that line tubular tissue
    1.Lumen cavity constricts & dilates alternately
    2.Synch and wavelike
    3.Unidirectional movt of lumen contents
  • Nerve plexus btw 2 layers of muscle
    1.E.g. myenteric plexus
    2.Nerve network
    3.Co-ordinates contr-relaxation cycle at local level
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11
Q

How does smooth muscle contract?

A
  • Actin & Myosin filament present
    1.Actin filaments anchored to “dense bodies”
    2.No troponin or troponin C
    3.Sliding filament theory of contraction
  • Intracellular cytoskeleton harnesses pull
    1.Contracts inward, bulges
    2.Intracellular conncetions harness pull betw cels
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12
Q

Explain sliding filament theory.

A
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13
Q

What are varicosities?

A
  • no specific junction between neurone and smooth muscle – more general release of neurotransmitters onto receptors over the surface of the muscle
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14
Q

What is a single unit muscle?

A
  • Electrically coupled to one another by gap junctions
    1.Non-selective
    2.e.g. calcium
    3.fibres act in unison:synch contract & relaxation
  • 4.e.g. uniform,co-ord contraction of uterus during labour
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15
Q

What are the contractile properties of a single-unit SM?

A
  • Stretch-relaxation response
    1.When SM is suddenly stretched it initially inc tension, then relaxes, but at a new longer length.
    2.Allows hollow organs to accommodate variable amounts of contents without inc in pressure. Prev uncontrolled expulsion
  • 3.e.g.bladder, uterus
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16
Q

What is the role of Ca2+ in the excitation-contraction coupling?

A
  • Contraction req inc intracellular Ca2+ from either influx across the mem (depo signals activate Voltage-gated CA2+ channels) or from intracellular stores (through activation of 2nd messenger e.g. G-protein coupled receptor)
  • Many single-unit SM cells have enough cytosolic Ca2+ to maintain a low level of tone
  • Inc Ca2+ inc tone by inc contraction os SM cells
  • Varying the level of Ca2+ enables variation in level of contr
17
Q

What is the contractile mechanism of SM?

(Look at pp for diag)

A
  • Contraction by sliding-filament-theory
    1.Interaction of actin with myosin to form X-bridges BUT
    2.SkM- Ca2+ binds to troponin C - causes conformational change
    3.SM-Ca2+ binds Calmodulin -Biochem effect
    4.Ca2+ calmodulin activates myosin light chin kinase (MCLK)
    5.MCLK phosphorylates myosin light chain (MLC)
  • 6.MLC must first be Phos for actin to bind