Smooth muscle contractions Flashcards

1
Q

Duration of a smooth muscle contraction depends on…

A

length of the Ca gradient

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2
Q

prolonged stimulus of a tonic smooth muscle by NE or Epi leads to…

A

isotonic contraction, but with less Ca and therefore less ATP cycling, the contraction becomes more energy economical

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3
Q

phasic smooth muscle cells will respond to sequential stimuli by…

A

summing their Ca concentrations to increase contraction force as more MLCK is activated by calmodulin

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4
Q

greater concentrations of ACh cause smooth muscle to…

A

experience greater response (stronger contraction for longer)

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5
Q

relative to skeletal muscle, the force-velocity curve for smooth muscle is…

A

lower, due to less actin activated ATP-ase activity

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6
Q

relative to skeletal muscle, the length-force relationship curve of smooth muscle is…

A

broader, due to the short myosin heads, and long actin filaments; physiologically sensical since smooth muscle covers organs that expand

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7
Q

cGMP role in smooth muscle

A

arg->nitric oxide (by calmodulin/Ca + nitric oxide synthase) -> guanyl cyclase -> cGMP -> inhibits smooth muscle contraction (lowers intracellular Ca)

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8
Q

cGMP activates? which does…

A

cGMP activates cGMP dependent protein kinase
cGK ->
1) opens K channels, which hyperpolarizes the cell and stops L-type Ca channels
2) activates IP3 receptor associated Gkinase (IRAG) which blocks IP3 receptors
3) +p to the myosin binding subunit of myosin light chain phosphatase (MLCP) which activates it

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9
Q

cAMP in smooth muscle

A

when activated by Gs subunits of GPCR’s that are beta-adrenergic receptors, it causes a drop in intracellular Ca levels

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10
Q

muscles in the penis responsible for erections…

A

trabecular muscles (relax during erection)

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11
Q

arteries in the penis that feed from the cavernous (deep) artery of the penis

A

helicine arteries

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12
Q

PDE-5

A

phosphodiesterase that breaks down cGMP - inhibited by sildenafil

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13
Q

neurogenic erectile dysfunction

A

common for the cavernous nerve to be damaged in radical prostatectomies or other surgeries on the rectum/bladder
improved technique is available

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14
Q

arteriogenic ED

A

hyperlipidemia/hypertension; endothelial dysfunction

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15
Q

venogenic ED

A

1) presence of extra venous channels in the cavernosum
2) trauma to the tunica albunginea (which the veins are pressed against)
3) insufficient trabecular muscle relaxation - often due to excessive adrenergic tone

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16
Q

bike riding ED

A

pressure on the perineum causes an 80% drop in blood flow to the area

17
Q

medications ED

A

antihypertensives, antidepressants