Vascular Smooth Muscle Contraction Flashcards

VSM contraction and its regulation

1
Q

Functions of vascular smooth muscle

A

1) regulation of arterial blood presure by controlling diameter of arterioles
2) redirect blood flow from one vascular bed to other
3) regulat fluid movement across capillary walls by controlling constrticion of pre-capillary arteriols and post-capillary venules
4) maintain the CVP or preload of heart by constricton of veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Vasoconstriction

A

caused by SNS

NE causes it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

VSM structure and function

A

thick and thin filaments randomly aligned, not striated

dense bodies connect contractile proteins

little titin

more collagen and elastin

NO troponin

sparse SR

caveolae - where SR interacts with membrane

innervated ONLY by sympathetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

VSM innervation

A

multi-unit - cells separtely activated by varicosity, dont need AP to contract

single unit - lots of electrical communication with gap junctions so depolarization of one leads to depolarization of adjoining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is VSM activation controlled?

A

SR Ca conc low in relaxed

activation preceded by increase in Ca

regulated by control of myosin activity

when relaxes myosin light chain not phosphoylated, when phosphoylated at serine the cross bridge heads become active and contact acin, bind to it and hydrolyze ATP to produce force and shortening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

myosin light chain kinase

A

at low intracellcular Ca - inactive

when conc Ca rises, it binds to calmodulin and forms complex. the dimer binds to inactive MLCK and activates it. it then phosphorylates myosin light chain and activates it to interact with actin

all reversible, but active form of myosin has to be dephosphorylated to be inactive and get relaxation (done by MLCP - which is always in SR)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

myosin light chain phosphatase

A

activty can be increased by PKG (cGMP pathway)

but if phosphoylate it at different site by PKC its activity is inhibitited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How does Ca enter the VSM cytosol?

A

pharmaco-mechanical coupling

(can enter vsm through voltage dependent Ca channels) but NE induced release from SR is more important

Ne relased, diffuses to post synaptic membrane and binds a1 and actiavtes phospholipase C, this cleaves PI-P2 into IP3 and DAG

IP3 binds SR IP3 receptor Ca channel and ligand gated channel opens, Ca conc rises in cytoplasm, the SR Ca pump active to reduce Ca conc slowly so need constant NE stimulation to keep Ca high

DAG activates PKC and that phosphorylates L-type Ca channels and Ca goes into cell and K channesls so depolarizes membrane)

(IP3 short lived and used to remake PI-P2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is Ca removed from VSM cytosol?

A

SR Ca pump - stimulated by rise in Ca in cell

phospholamban - slows pump when bound but when phosphorylated by PKA and PKG it dissociates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

VSM Membrane Ion Channels

A

agents depolarizing VSM cells increase flow of Ca into cell and activate contraction, agents hyperpolarizing VSM reduce Ca flow into cell and cause relaxation

Ca channels - voltage operated channels and L-type channels (important for tone) (when PKC phosphoylates L-type the time channel is open increases) (DAG increased by angiotensin ,vasopressin, histamines)

K channels - reduce conductance and depolarize cell and increase tone; gK,V - as conductance increases depolarize and incomplete inactivation; gK,ATP - modulate hypoxia and ischemia, if ATP falls channels open and get hyperpolarization and relax, can be phosphorylated by PKA and PKG and increcrease conductance and releax, if PKC phosphorylates it conductance down and contract

minoxidil, pinacidil, cromakalim - increase gK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

VSM rexation modulation

A

initated by lots of mechanism - reduce rate of ss of vessels, reduce NE, angiotension, Ach, histamine, serotonin, vasopressin, decrease Ca conducation, increase K conductance, phosphorylate channels, phospholambad or MLCP

PKA - phosphorylates phospholamban and stimulates Ca pump rate and promotes relaxation and phosphorylates gK,ATP and hyperpolarize, and phosphorylates MLCK to reduce affinity for calmodulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ways to increase PKA - 3 receptors

A

epinephrine binds B2 strongly and NE binds it weakly

exercise, increase epi and promote blood flow

A2 receports binds adenosine

H2 receptor binds histamine (increase cap permeability and pressure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

epinephrine

A

highest affnity for B2 but if high concentrations binds to a1 and a2 as well because more a2 receptors than B2

so at physiological concentrations get vasodilation

pharmacological concentrations get a1 activation and vasoconstriction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

PKG activation

A

activated by NO (binds soluble guanylate cyclase, activates it and increase cGMP, activate PKG)

get relaxation - 3 ways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

3 ways PKG causes relaxation

A

1) phosphorylates phospholamban
2) phosphorylates K channesl and increase gK,ATP (hyperpolarization closes L-type voltage dependent Ca channels and reduce flow of Ca into cell)
3) activates myosin light chain phosphatase and inhibits contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Atrial Naturetic Factor

A

ANF - cGMP dependent agent producing relaxation

secreted by atria in response to right atrial stretch because of elevated pressure