smooth muscle physiology Flashcards

1
Q

what is the histology of skeletal muscle

A

striated
voluntary
somatic innervation (⍺- and 𝛾-motor neurons)

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2
Q

what is the histology of cardiac muscle

A

striated
involuntary
autonomic innervation (sympathetic and parasympathetic post-ganglionic fibres)

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3
Q

what is the histology of smooth muscle

A

unstriated
involuntary
autonomic innervation (sympathetic and parasympathetic post-ganglionic fibres)

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4
Q

what is skeletal muscle (basic)

A

individual muscle fibres are large, elongated, cylindrical, and possess multiple nuclei

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5
Q

what is cardiac muscle (basic)

A

individual muscle fibres are large, cylindrical and possess multiple nuclei

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6
Q

what is smooth muscle (basic)

A

individual muscle fibres are relatively small, spindle shaped and possess one nucleus

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7
Q

what is the function of smooth muscle in the vasculature

A

controls diameter
regulates flow and pressure

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8
Q

what is the function of smooth muscle in the airways

A

controls diameter
regulates flow and resistance

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9
Q

what is the function of smooth muscle in the urinary system

A

propulsion of urine into ureters
bladder tone
tone of internal sphincter of bladder

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10
Q

what is the function of smooth muscle in the gastrointestinal tract

A

controls tone, motility, opening and closing of sphincters

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11
Q

what is the function of smooth muscle in the male reproductive tract

A

secretion
propulsion of semen

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12
Q

what is the function of smooth muscle in the female reproductive tract

A

propulsion (fallopian tubes)
partuition (uterus)

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13
Q

what is the function of smooth muscle in the skin

A

pili erection

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14
Q

what are the types of smooth muscle

A

tonic
phasic

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15
Q

what is tonic smooth muscle

A

‘multi-unit’
electrical isolation of cells allows finer motor control
function ‘individually’
e.g. Iris and Vas deferens

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16
Q

what is phasic smooth muscle

A

‘unitary’
gap junctions permit coordinated contraction
functions as a syncytium
e.g. stomach, urinary, bladder and bronchioles

17
Q

what is the contractile machinery of smooth muscle

A

smooth muscle relies on sliding filament mechanism generated during actin-myosin cross-bridge formation to facilitate contraction

18
Q

smooth muscle cross-bridge formation and sliding filament

A
  1. driven by a rise in intracellular calcium which binds to calmodulin
    > calcium release from the SR
    > calcium influx across the plasma membrane
  2. calcium-calmodulin complex activates myosin light chain kinase
  3. myosin light chain is phosphorylated on the myosin head
  4. phosphorylation of myosin head ‘cocks’ it and increases its ATPase activity readying it to interact with actin to form a cross bridge
19
Q

what factors affect striated muscle cross-bridge formation

A

an increase in intracellular calcium concentration
stretch - frank-starling relationship

20
Q

what factors affect smooth muscle cross-bridge formation

A

an increase in intracellular calcium concentration
phosphorylation of myosin light chain kinase
inhibition of myosin light chain phosphatase

21
Q

what is calmodulin

A

a multifunctional calcium binding protein present in the cytoplasm of all eukaryotic cells

22
Q

what is relaxation of smooth muscle

A

involves a drop in intracellular calcium concentration and dephosphorylation

23
Q

how is intracellular calcium concentration returned to pre-excitation concentrations

A

membrane bound calcium ATPases and sodium-calcium exchangers expel calcium from the cell
calcium is sequestered into stores by sarcoplasmic, endoplasmic reticulum calcium ATPases (SERCA)

24
Q

how does dephosphorylation work in relaxation of smooth muscle cells

A

myosin light chain phosphatase (MLCP)

25
Q

how is smooth muscle innervated

A

innervated by the autonomic nervous system
vast network of neural supply over the surface of smooth muscle cells

26
Q

how it arterial smooth muscle innervated

A

sympathetic innervation with noradrenaline

27
Q

how is other (non-arterial) smooth muscle innervated

A

sympathetic and parasympathetic innervation with noradrenaline and acetylcholine

28
Q

what is pharmacomechanical coupling

A

the processes by which an agent causes a change in smooth muscle tone without a change in membrane potential
involves the production of intracellular second messengers that either contract or relax the muscle

29
Q

what second messenger causes contraction of smooth muscle

A

inositol triphosphate, IP3

30
Q

what second messenger causes relaxation of smooth muscle

A

cGMP and cAMP

31
Q

what is electromechanical coupling

A

the opening of plasma membrane voltage-activated L-type calcium channels in response to depolarisation with, or without action potential generation

32
Q

how is relaxation caused in smooth muscle cells

A

NCX
PMCA
SERCA

33
Q

how does NCX cause relaxation in smooth muscle cells

A

utilises the sodium electrochemical gradient to pump calcium out of the cell

34
Q

how does PMCA cause relaxation in smooth muscle cells

A

utilises ATP hydrolysis to actively pump calcium out of the cell

35
Q

how does SERCA cause relaxation in smooth muscle cells

A

utilises ATP hydrolysis to actively pump calcium into the sarcoplasmic reticulum