W29-L3,4: Skeletal muscle and ageing Flashcards

1
Q

In the slowest contracting are there fast twitch fibres?

A

Yes

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2
Q

What are the goal of interventions to attenuate muscle wasting?

A
  • attenuate muscle atrophy

* promote muscle strength

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3
Q

What is myostatin and what does knocking it out cause?

A

myostatin is a “negative regulator” of muscle mass and knocking out causes increase of muscle mass

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4
Q

What is disuse muscle atrophy?

A

when the muscle is not used eg loss of gravity which upsets balance of synthesis vs degradation

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5
Q

What is seen in muscle wasting in the ICU?

A

significant inflammation which upsets balance of synthesis and degradation, disruption of architecture and atrophy of muscle

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6
Q

What is sarcopenia?

A

age-associated loss of skeletal muscle mass and function

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7
Q

What is used for the diagnosis of sarcopenia?

A
  1. low muscle mass
  2. low muscle strength
  3. low physical performance
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8
Q

What type of muscle activity declines the fastest?

A

muscle activity that

requires explosive contraction

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9
Q

What is muscle weakness?

A

an inability to develop an initial force appropriate for the circumstances

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10
Q

Beyond what age is there a steep drop in muscle strength?

A

50

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11
Q

Which muscles are more protected from sarcopenia?

A

Slower muscles

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12
Q

What happens to fibres that lose their innervation?

A

They atrophy

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13
Q

What can re-innervation of muscles fibres cause?

A

Causes them to change from fast to slow fibres

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14
Q

When does slowing of contraction occur?

A

Occurs before severe muscle wasting

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15
Q

Are there neural changes in sacropenia?

A

Yes, not just muscle effects

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16
Q

How does connective tissue within muscle change with advancing age?

A

Become stiffened because they loose their elasticity due to increased connective tissue

17
Q

Are the effects of ageing on muscle reversible?

A

No, but they can be attenuated

18
Q

Are older muscles still responsive to interventions like strength training?

A

Yes

19
Q

What is the onset of Duchenne muscular dystrophy?

A

About 2-6 years old

20
Q

What are the symptoms of Duchenne muscular dystrophy?

A

Generalised weakness and often enlarged calves

21
Q

What is the progression of Duchenne muscular dystrophy?

A

Progresses slowly but survival is rare beyond late twenties

22
Q

What is the inheritance of Duchenne muscular dystrophy?

A

X linked recessive

23
Q

What is gowers sign?

A

Have to walk themselves up to stand up

24
Q

What causes Duchenne muscular dystrophy?

A

mutation in the dystrophin gene which causes deficiency in dystrophin expression (usually complete absence)

25
Q

What is the role of dystrophin?

A

cytoskeletal protein that holds the fibres in place

26
Q

What is the dystrophin-glycoprotein complex?

A

shock absorber that helps transmits forces

27
Q

What is onset of becker muscular dystrophy?

A

adolescence or adulthood

28
Q

What are the symptoms of becker muscular dystrophy?

A

Almost identical to duchenne but much less severe

29
Q

What is the progression of becker muscular dystrophy?

A

Slowly, survival into mid to late adulthood

30
Q

What is inheritance of becker muscular dystrophy?

A

X-linked recessive

31
Q

What is the cause of becker muscular dystrophy?

A

Significant amounts of abnormal smaller dystrophin molecules

32
Q

How is Ca+ associated with dystophin?

A

loss of integrity of the membrane causes increased intracellular
Ca, which activates proteases that breaks down muscle

33
Q

What are some possible treatments for muscular dystrophy?

A
  1. correction of genetic defect
  2. Cell therapy (eg stem cell)
  3. pharmacological therapies to prevent symptoms