Smooth muscle Flashcards

1
Q

Is smooth muscle voluntary?

A

No, involuntary

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2
Q

Difference between skeletal muscle and smooth muscle (contractions)

A

Skeletal muscle specialise for forceful contraction of short duration and under fine voluntary control

Smooth muscle specialised for continuous contractions of relatively low force.

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3
Q

Locations of smooth muscle in the body

A

Walls of hollow organs (e.g urinary bladder, uterus, stomach, intestines)

Walls of passageways (e.g arteries and veins of circulatory system, tracts of respiratory, urinary and reproductive systems)

Present in eyes (functions to change the size of iris and alter the shape of the lens)

Located in skin (causes hair to stand erect in response to cold temperature or fear)

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4
Q

Smooth muscle histology

A

“spindle shape” (wide in the middle, tapered at both ends)

Have a single nucleus

Don’t have striations and sarcomeres but have actin and myosin contractile proteins and thick and thin filaments

These thin filaments are anchored by dense bodies (analogous to the Z-discs of skeletal and cardiac muscle fibres)

No T tubules

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5
Q

What is calmodulin? (CAM)

A

Stands for Calcium-modulated protein

It’s an intracellular target of the second messenger Ca^2+

Structurally, CaM is similar to troponin

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6
Q

Explain how smooth muscle contraction works

A
  1. Calcium comes from the outside of the endoplasmic reticulum and binds to Calmodulin where calmodulin then goes through a conformational change
  2. Ca-Calmodulin complex binds to MLCK (Myosin like chain kinase) where the MLCK goes through a conformational change
  3. The kinase then phosphorylates the myosin light chains.
  4. This changes the myosin head group structure which makes it activate ATPase
  5. A cross bridge is able to form and then cycling happens which then results in contraction
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7
Q

How to stop smooth muscle contraction

A

Need a phosphatase to dephosphorylate the myosin light chain head group which results in smooth muscle relaxation.

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8
Q

What do latch-bridges do?

A

Keep thin and thick filaments linked together for a prolonged period and without the need for ATP.

Allows for maintaining of muscle “tone” in smooth muscle that lines visceral organs with very little energy expenditure

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9
Q

What can stimulate smooth muscle to contract?

A
  1. Hormones
  2. Stretch
  3. Metabolic state - CO2, low pH, O2 deficiency
  4. Autonomic nerve fibres stimulate multiple myocytes at diffuse junctions
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10
Q

What are varicosities?

A

Unlike skeletal muscle fibres, smooth muscle cells don’t have specialised motor end-plate regions (axon terminals?). They have swollen regions known as varicosities

Each varicosity contain many vesicles filled with neurotransmitter (some released when action potential passes varicosity)

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11
Q

How is smooth muscle organised?

A

Organised in 2 ways; single unit smooth muscle and multi unit smooth muscle

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12
Q

What is a single unit smooth muscle?

A

Has its muscle fibres joined by gap junctions (channels between cells) so that the muscle contracts as a single unit.

Found in the walls of all visceral organs (except the heart). Therefore commonly called the visceral muscle

Has a stress-relaxation response.

Produces slow, steady contractions that allow substances, such as food in digestive track, to move through the body.

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13
Q

What is the Stress-Relaxation response in a visceral smooth muscle?

A

As the muscle of a hollow organ is stretched when it fills, the mechanical stress of the stretching will trigger contraction. But, this is immediately followed by relaxation so that the organ doesn’t empty its contents prematurely

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14
Q

What is a multi-unit smooth muscle?

A

Rarely possess gap junctions so not electrically coupled (don’t move as single unit)

as a result, contraction doesn’t spread from one cell to the next (instead confined to cell that was originally stimulated)

Stimuli come from autonomic nerves or hormones (not from stretching)

Found around large blood vessels, in the respiratory airways, and in the eyes

Electrical isolation of cells allow finer motor control

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15
Q

Does smooth muscle respond to hormones?

A

Yes

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16
Q

How does bronchodilation happen (therapeutic targeting of smooth muscle)?

A
  1. Salbutamol(inhalers) binds to Beta2 receptors (GPCR)
  2. This stimulates an increase of intracellular cyclic AMP (cAMP)
  3. Increases the phosphorylation of myosin light chain kinase (=inactivation of myosin light chain)
  4. relaxation of bronchial smooth muscle
  5. bronchodilation (so no contraction)
17
Q

What does it mean when the MLCK is inactive?

A

The MLCK in smooth muscle contraction becomes phosphorylated so then it is no longer active so it can’t phosphorylate the myosin light chain.

This means the myosin light chains are unphosphorylated so no myosin ATPase activity so no cross bridge activity

Results in bronchodilation

18
Q

Oesophagus

A

A strong muscular tube that conveys food from the oropharynx to the stomach.

Good example of where smooth and skeletal muscle work together

In lower third of oesophagus, surrounded by inner circular and outer longitudinal smooth muscle.

Upper esophagus has skeletal muscle and smooth muscle. This is because we need to do the initial swallowing thing.

19
Q

What is the Ureter and Bladder

A

Ureter is a tube and the bladder is a bag

Ureter is a tube made of smooth muscle fibres that propel urine from the kidneys to the urinary bladder

Urine is squeezed into the bladder by peristalsis

20
Q

How many layers of smooth muscle does the bladder have and what are they?

A

3 layers; inner longitudinal, middle circular, outer longitudinal

21
Q

During pregnancy, in response to increased levels of oestrogens the myometrium……contractions of this are reinforced by the hormone….

A

Uterus mainly consists of smooth muscle

During pregnancy, in response to increased levels of oestrogens the myometrium increases greatly in size

During birth, strong contractions of the myometrium are reinforced by the action of the hormone oxytocin

22
Q

Where is oxytocin secreted from?

A

Posterior pituitary

23
Q

How to control the process of labour

A
  1. Intravenous sulbutamol (used to relax the uterine smooth muscle to delay premature labour - same mechanism as bronchodilation)
  2. or can add oxytocin to stimulate contraction of uterine smooth muscle. Oxytocin binds to oxytocin receptor which causes the release of calcium ions from the ER. Ca ions bind to calmodulin, activating MLCK, resulting in contraction