Week 6 Flashcards

1
Q

define tendon, insertion, and origin

A

Tendon: connective tissue between bone and muscle
Insertion: the more movable bony attachment of the muscle
Origin: less movable bony attachment of the muscle

The muscle contracts and places tension on the tendon, which causes the insertion to pull towards its origin

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2
Q

define flexor and extensor muscles and agonist and antagonistic muscles, how do they relate

A

flexor muscles decrease the angle of a joint
extensor muscles increase the angle of their attached bones at the joint

agonist muscles are the prime mover of any skeletal movement, e.g. in flexion the flexor is the agonist
antagonist muscles act on the same joint as agonist muscles to produce the opposite actions, e.g. an extensor is an antagonist to a flexor

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3
Q

describe the structure of skeletal muscles (not within the cells, just the larger tissue structure)

A

The epimysium is the dense connective tissue that extends from the tendons around the muscle in a sheath. Connective tissue from this outer sheath extends into the body of the muscle, subdividing it into fascicles (the stringy meat stuff). Each of these fascicles is surrounded by its own connective tissue sheath called the perimysium.
The fascicle is composed of many muscle fibers (cells) that are surrounded by sarcolemma (plasma membrane) and enveloped in a thin layer called endomysium.

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4
Q

how are muscle cells unique from other body cells

A

they are multinucleate - have multiple nuclei - because they are a syncytial structure

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5
Q

review the process of a motor end plate potential

A

Each motor neuron stimulates muscle fiber to contract via Acetylcholine at the neuromuscular junction/synapse. ACh stimulates the motor end plate which is rich in nicotinic ACh receptors and voltage gated Na+ channels. ACh binds the receptor and opens ligand gated channels. Na+ and K+ diffuse but Na+ is the dominant effect and results in depolarization (end plate potential) and subsequent contraction.

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6
Q

define motor unit

A

a somatic motor neuron together with all of the muscle fibers that it innervates (can be a few to thousands)

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7
Q

Describe the two mechanisms that cause muscle contraction to be graded and why are small gradations important?

A
  1. motor units are stimulated asynchronously at greater frequency so there is summation of contractions
  2. larger motor units are recruited with more muscle fibers per motor neuron to increase contraction force.

fine neural control over the strength of muscle contraction is optimal when there are many small motor units involved (example the eyes have a lower innervation ratio where one neuron has a few muscle fibers). Larger motor units are used in powerful but less fine control like in a calf muscle. this would be accomplished by a higher ratio of muscle fibers to a single neuron’s control and by recruiting larger units

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8
Q

*describe the subunits of a muscle fiber (cell)

A

myofibrils: densely packed inside the cell packed in register (aligned vertically) so striations appear continuous.
myofilaments: contained in myofibrils. Thick filaments (made of myosin) compose A bands and thin filaments (made of actin) compose I bands. The thick filaments give the A band a dark appearance
sarcomeres: the repeating subunit patterns of the myofilaments including A bands, I bands, H bands, Z lines, and M lines

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9
Q

*describe the bands of a muscle cell. what makes each band light/dark? what holds the bands in place?

A

I bands of the myofibril are the lighter areas from the edge of one stack of thick (dark) filaments to the edge of the next stack of thick (dark) filaments. They are light due to only containing thin (actin) filaments. The thin filaments extend partway into the A bands (where dark, thick, myosin filaments are) making the edges of the A bands darker than the center. The central, lighter, region of the A band is an H band where only thick filaments are present (no thin filaments overlap).

At the center of each I band is a Z line/disc that anchors the thin filaments in place. At the center of each A band (also the center of the H band) there is a M line which anchor the thick filaments in place.

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10
Q

What is Titin? what does it do

A

Titin (the largest protein in human body) is present in myofibrils with a springlike portion running through the thick and thin filaments and storing energy. Titin contributes to contraction (pulls things towards its center) by its elastic recoil and force produced by unfolded domains becoming refolded. These two processes supplement the greater force produced by the myosin cross bridges.

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11
Q

**what happens to the band as muscle contracts?

A

Muscle contraction decreases the length of the muscle by shortening of its fibers. Myofibrils shorten because distance from Z disc to Z disc (sarcomere) shortens, however the A bands do NOT shorten but just move closer together. The I bands (which are the light spaces containing only thin filaments) do decrease in length and the H bands (containing only thick filaments) do decrease in length. This is not because any filament changes length! The filaments just SLIDE together and produce increased amounts of overlap area between thin and thick - hence the A band stays the same length as the H and I shorten.

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12
Q

*describe the process of myosin heads attaching and moving actin to produce sliding of the filaments

A
  1. myosin ATPase action splits ATP into ADP and Pi, the Pi binds and phosphorylates the myosin head changing to the cocked position (ready to contract) - still at rest!
  2. Pi is released and the dephosphorylated myosin binds actin and produces a powder stroke, pulling thin filaments toward the center of the A band
  3. after the power stroke the myosin head releases ADP and is in a tightly bound “rigor state” (think of rigor mortis, which occurs because of absence of ATP)
  4. a new ATP binds and allows myosin to break the bond with actin. cycle can then continue as long as nothing blocks myosin from binding

NOTE: splitting of ATP required BEFORE cross bridge can attach and attachment of new ATP needed to RELEASE the cross bridge from actin

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13
Q

Each cross bridge power stroke contracts muscle by less than 1%, so how is it possible to contract the muscle up to 60%?

A

contraction cycles are repeated many times as the cross bridges detach after a stroke and then reset and stroke again. Power strokes are NOT in synchrony because they would lose grip on the actin if they all let go at the same time. Instead some are engaged in a stroke at all times and the greater the muscle’s load, the more cross bridges are engaged

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14
Q

*What regulates the attachment of cross bridges to actin? (2 proteins)

A

Tropomyosin lies between the G-actin (globular subunits) monomers and troponin is attached to to the tropomyosin. Tropinin is composed of three subunits: Tropinin I which inhibits binding of cross bridges to actin, Troponin T which binds to tropomyosin, and Troponin C which binds Ca2+. Together, tropomyosin and troponin physically block the cross bridges from bonding actin and only move out of the way when Ca2+ is present

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15
Q

who discovered the importance of Ca2+ in muscle?

A

Sydney Ringer. found that hearts would beat if there was Ca2+ present

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16
Q

What is the result of Ca2+ bonding to troponin

A

tropomyosin blocks cross bridge attachment when Ca2+ is very low in the sarcoplasm. When Ca2+ increases, it attaches to troponin C and causes a conformation change that moves tropomyosin out of the way, allowing the cocked myosin to bind and power stroke (contracting filaments). Contractions can continue as long as Ca2+ is bonded to troponin C

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17
Q

what produces muscle relaxation? does relaxation require energy expenditure

A

The ACTIVE transport (consumes ATP!) of Ca2+ out of the sarcoplasm into the sarcoplasmic reticulum. Most of the Ca2+ is stored in terminal cisternae of the sarcoplasmic reticulum.

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18
Q

where does Ca2+ come from during contraction to increase concentration in the sarcoplasm? how does it move to the sarcoplasm?

A

Ca2+ stored in the terminal cisternae of the sarcoplasmic reticulum is released by passive diffusion through calcium release channels (called ryanodine receptors!). A tiny amount of Ca2+ from the sarcolemma moves to the sarcoplasm, but it is really the reticulum that increases Ca2+ concentration to allow contraction

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19
Q

What structure allows an action potential to directly affect Ca2+ concentration and therefore contraction? How does it does this? What is the term for this coupled reaction?

A

Transverse tubules (T tubules) narrowly separate the terminal cisternae (where Ca2+ is stored) and are continuous with the sarcolemma, therefore they are able to conduct action potentials into the interior of the fiber. When an end plate potential occurs (via ACh causing electrical activation) it causes voltage gated channels to open on the sarcolemma and the transverse tubules, specifically it opens Dihydropyridine (DHP) receptors which are voltage-gated calcium channels. This receptor has a DIRECT molecular coupling to the ryanodine RyR1 receptors in the sarcoplasmic reticulum, so DHP directly opens RyR1 and releases Ca2+ into the sarcoplasm, stimulating contraction.

this process is termed Excitation-Contraction Coupling

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20
Q

what is defective in hypokalemic periodic paralysis? what is the effect? what is it often misdiagnosed as?

A

Dihydropyridine receptors are non-functional. Therefore, depolarizations are not sensed and RyR1 receptors in sarcoplasmic reticulum are not activated and muscle contraction doesn’t occur = paralysis. Hypokalemic because low K+ concentration causes faster repolarization, and doesn’t sustain calcium conductance, so severity of the condition can be reduced by maintaining high K+. This is often misdiagnosed as conversion disorder

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21
Q

Describe the major excitation-contraction coupling mechanism in the heart

A

The heart (and also skeletal muscles, but less so) uses a Ca2+ induced Ca2+ release mechanism. The sarcoplasmic reticulum contains RyR2 ryanodine receptors which open in response to a small rise in the Ca2+ concentration. The initial rise in Ca2+ is caused by opening of T-tubule dihydropyridine (DHP) receptors opening in response to an action potential.

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22
Q

What are the two ryanodine receptors? how are they different?

A

RyR1: part of the electromechanical release mechanism because it is physically (mechanically) coupled to the voltage gated calcium channel (dihydropyridine receptor).

RyR2: part of the Ca2+ induced Ca2+ release mechanism because it is NOT mechanically coupled to dihydropyridine receptor but instead opens in response to the Ca2+ increase produced by opening of the DHP channels. This is the primary mechanism of the heart, but is present in skeletal muscles as well.

Both are present on the sarcoplasmic reticulum and open to allow Ca2+ to flow into the sarcoplasm and trigger muscle contraction

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23
Q

how is muscle relaxation acheived

A

action potentials cease and calcium channels close so Ca2+ doesn’t flow out of the terminal cisternae anymore. Ca2+ is then moved back into the sarcoplasm via Sarcoplasmic/Endoplasmic Reticulum Ca2+ ATPase pups (SERCA pumps) that actively transports (consumes ATP). This stops the Ca2+ binding troponin and tropomyosin resumes its position to block the myosin heads

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24
Q

how are muscle contractions studied? name of the device and its product

A

a physiograph measures muscle contraction by electrical current and records it in a chart called a myogram

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25
Q

define twitch

A

muscle is stimulated with a single electric shock and quickly contracts and relaxes. all of the contraction events (action potential to calcium release) occur during the latent period.

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26
Q

define summation and graded contractions

A

summation: if a second electrical shock is delivered before the muscle has fully relaxed from a first twitch, the second twitch piggybacks on the first they make a larger impulse

graded contractions: increasing the stimulus voltage increases the frequency of action potentials (leading to summation) and the number of recruited muscle fibers, allowing variations of strength of contractions to be produced

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27
Q

define incomplete and complete tetanus

A

when stimulation occurs very frequently there is a decrease in the relaxation time between twitches as strength of the contraction increases in amplitude. This is called incomplete tetany. Then, once a “fusion frequency” occurs there is no visible relaxation between twitches and a smooth, sustained contraction called complete tetanus occurs

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28
Q

what is the major factor in producing graded contractions of a whole muscle in vivo? there are two mechanisms that cause graded contractions, but one is the predominant effect

A

Recruitment. Additional and larger motor units are activated to produce stronger muscle contractions. Frequency of action potentials is also a factor, but recruitment is the major cause. For a larger contraction (like lifting a 30 pound weight vs a 5 pound weight) there are more large motor units activated.

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29
Q

how is smooth sustained contraction (complete tetany) achieved in vivo when production of super high frequency action potentials are rare?

A

Asynchronous activation of motor units. Different units fire at slightly different times so the whole muscle is continually contracted in complete tetany

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30
Q

What composes the series elastic component? what is the function of this?

A

Collagen fibers in tendons, connective tissues of muscle, and molecules of titin in sarcomere. Most action is from the Tendons!

These elastic structures pull tight before a muscle contraction to that muscle shortening can occur. they “take out the slack”

31
Q

in what organ is elastic recoil particularly needed?

A

Lungs. Elastic recoil helps the muscles return to resting length as you exhale. Inhalation is produced by muscle contraction

32
Q

*What is the ideal resting length of a muscle and what is the result if length is longer or shorter than than the ideal?

A

Ideal resting length is 2.0 to 2.25 µm. This is where tension is maximal and the sarcomeres can produce the maximum force. this is the length when muscles are at resting length!

lengths greater than 2.2 µm: tension (force) produced by muscle contraction decreases. there are less cross bridges and at 3.6 µm there is no overlap of thick and thin filaments, and so no interactions and zero tension

lengths less than 2.0 µm: force generated by muscle contraction decreases. cross bridge action is less effective as muscle fiber is shorter and thicker. distance between thick and thin filaments increases as fiber is thicker, and double overlapping of thin filaments interferes with cross bridges.

33
Q

what organ doesn’t follow the typical ideal resting length?

A

the heart. it actually functions better when stretched

34
Q

where do skeletal muscles obtain energy from fat rest and during during exercise? what is this energy used for (3 things)

A

Rest: aerobic respiration of fatty acids
Exercise: muscle glycogen and blood glucose

Most used for myosin ATPase in sarcomeres for contraction. Also used for Ca2+ transport into sarcoplasmic reticulum and the Na+ K+ ATPase pumps

35
Q

what stimulates GLUT4 insertion into the sarcolemma

A

exercise and insulin (separate mechanisms, can add). contractions during exercise stimulate GLUT4 insertion to increase glucose transport for energy. Insulin stimulates GLUT4 insertion after a meal when blood glucose is high.

This explains why exercise can be helpful to control type 2 diabetes symptoms

36
Q

what is the maximal oxygen uptake / aerobic capacity / VO2 max? what factors contribute to what a persons VO2 max is?

A

the maximum rate of oxygen consumption in the body (determines how difficult exercise is for a person). It is higher in males, highest at age 20 in both males and females, and is higher in more active people. World-class athletes have super high maximal oxygen uptakes largely due to genetic factors, but training increases it as well.

37
Q

what is a way to define the intensity of exercise?

A

Lactate or anaerobic threshold. this is the percentage of the maximal oxygen uptake at which a significant rise in blood lactate levels occurs, usually around 50 to 70% of VO2 max.

38
Q

describe where energy is obtained in light, medium, and heavy exercise

A

light: aerobic respiration of fatty acids (good for losing weight)
medium: equally from fatty acids and glucose from stored muscle glycogen and blood
heavy: anaerobic respiration of glucose from stored muscle glycogen and blood

39
Q

describe how the major source of energy during heavy exercise is obtained

A

Glycogen is hydrolyzed by phosphorylase (glycogenolysis) to release glucose for energy use. GLUT4 is also moved to the membrane to increase glucose uptake from the blood. this would produce hypoglycemia if the liver failed to increase glucose via gluconeogenesis.

40
Q

what is the oxygen debt

A

After you finish exercising you breath heavily for a while because extra oxygen is needed to repay the oxygen debt incurred by exercise. This is known as Excess Post-Exercise Oxygen Consumption. The oxygen goes to replenish hemoglobin and myoglobin, the extra oxygen required for metabolism by tissues warmed during exercise, and to metabolize lactic acid produced during anaerobic respiration.

41
Q

when you first start moderate-heavy exercise, what type of metabolism occurs?

A

First it is anaerobic because the cardiopulmonary system requires time to increase oxygen supply to exercising muscles. If the exercise is just moderate, aerobic respiration then contributes the major energy requirement.

42
Q

describe the erectile tissues of the penis (compare to monkey face)

A

corpora cavernosa: two paired structures on dorsal side - the eyes of the monkey
corpus spongiosum: one structure on ventral side - the mouth of the monkey
the corpus spongiosum extends into the head of the penis called the glans penis

43
Q

How is erection and ejaculation produced? name the chemical messenger and the branches of the nervous system involved in each step

A

Nitric Oxide is released by parasympathetic axons to the corpora cavernous to cause erection. NO activates guanylate cyclase (makes cGMP) which closes Ca2+ channels. Decrease in ca2+ causes corpora cavernosa to relax and fill with blood. Erection is sustained by occluded outflow of blood.
Emission refers to movement of semen to urethra and ejaculation refers to expulsion of semen out of penis. Both are caused by sympathetic nerves.

Point (parasympathetic) and Shoot (sympathetic)!

44
Q

2 ways to stimulate erection

A
  1. conscious sexual thoughts in the cerebral cortex

2. sensory stimulation directly activates the sacral region

45
Q

what is nocturnal emission

A

wet dreams or nocturnal emission occurs if sperm are not released during sexual activity and they are automatically released during a male’s sleep. The first of these events may signal onset of puberty and is called spermarche

46
Q

what is oligospermia and what causes it

A

Oligospermia is a decreased fertility associated with below 20 million sperm per milliliter of semen. (normal concentration is 60-150 million per milliliter). Can be caused by heat, drugs, arsenic poisoning, marijuana, cocaine, and anabolic steroids.

47
Q

describe 4 male contraceptive methods

A

Condoms: most widely used. latex condoms reduce STDs but natural membrane condoms do not.

Hormones: androgens and progesterone can suppress FSH and LH to reduce spermatogenesis, but side effects are severe. development of such drugs is hindered by the large daily sperm production and the blood-testis barrier

Vasectomy: each ductus (vas) deferens is cut and tied, blocking sperm transport. sperm accumulate in crypts and immune system destroys them - men thus develop antiserum antibodies which reduces fertility even if vasectomy is reversed

Coitus interruptus: withdrawal of penis before ejaculation. not effective, some seminal fluid can escape before ejaculation from Cowper’s gland secretion, and if timing or motivation is lacking, sperm will be deposited.

48
Q

How is ATP produced rapidly during intense exercise? name the compound from which it is derived and the enzyme that forms ATP. where does this compound come from

A

rapid ATP production is possible by combining ADP with phosphocreatine or creatine phosphate, a high energy compound in muscles. The phosphocreatine reserve is also maintained by a reverse of that reaction, derived from ATP. both the formation and breakdown of phosphocreatine is catalyzed by Creatine Kinase or Creatine Phosphokinase (CPK). Creatine is produced by liver and kidneys, and a little from eating meat and fish. There are also creatine supplements which can increase muscle weight but doesn’t improve sustained exercise performance.

49
Q

*How is creatine phosphokinase used as a diagnostic tool?

A

There are specific isoenzymes of creatine phosphokinase in different organs. When an organ is damaged, the enzyme is released into the blood and so we can diagnose what damage has occurred by knowing which isoenzyme is present in blood.
CPK BB or CK1 = brain
CPK MB or CK2 = heart
CPK MM or CK3 = skeletal muscle

50
Q

What are the two types of muscle fibers? give every name for them! Describe what they are used for and how the composition reflects that

A

Type I / slow twitch / slow oxidative fibers / red fibers: rich capillary supply, numerous mitochondria, high myoglobin, and aerobic respiration. Used for long sustained contractions (like leg muscles) and have dark color because of myoglobin. usually smaller motor units used for routine activities

Type II / fast twitch / white fibers: few capillaries and mitochondria, less myoglobin, and anaerobic respiration. Used for short bursts of large contractions (like arms and extra ocular muscles that position eyes) and have white color because of lack of myoglobin. Usually larger motor units which are used infrequently when lots of recruitment occurs.

51
Q

what causes muscle fatigue

A
  1. accumulation of extracellular K+. occurs during sustained maximal contraction (lifting heavy weight). This decreases membrane potential, making muscle less excitable. K+ is quickly restored by the Na+ K+ pump, so this effect lasts less than a minute
  2. depletion of muscle glycogen
  3. reduced Ca2+ release
    ~4. lactic acid production lowers pH. Actually thought to be coincidental, not causal!
  4. increased phosphate concentration from phosphocreatine breakdown
  5. decline in ATP hinders Ca2+ pumps
  6. increased ADP
52
Q

what is central fatigue

A

the experience of fatigue before muscles are completely fatigued as caused by changes in the CNS. involves a reduced ability of upper motor neurons to drive lower motor neurons.

Muscle fatigue has two components: a peripheral component in the muscles themselves and a central component in the CNS

53
Q

what cellular adaptations occur in athletes participating in endurance training to delay fatigue?

A
  1. increased density of arterioles and capillaries to provide oxygen and nutrients. Produces a higher lactate threshold (can exercise longer before lactic acid increases)
  2. slower depletion of glycogen via a higher proportion of energy needs met from aerobic respiration of fatty acids.
  3. increase in mitochondria
  4. increase in intracellular triglycerides which are completely oxidized, unlike the triglycerides in obese people.
54
Q

where is fat stored in obese and type 2 diabetic individuals? what is the effect? why is this not the case with athletic individuals?

A

fat storage outside muscle fibers and within the fibers increases in type 2 diabetes and obesity. This causes increased insulin resistance (diabetes) because the skeletal muscle fibers have a reduced ability to oxidize them. Endurance athletes also have increases intracellular fatty acids (triglycerides) but can oxidize them so do not suffer insulin resistance.

55
Q

what causes muscle enlargement? what is the name of the opposite condition where muscle mass is reduced? how can muscle reduction be helped?

A

Enlargement is produced by frequent periods of high intensity exercise where type II fibers become thicker and the muscle grows by hypertrophy (increase in cell SIZE, not number of cells). There is an increase in the size of myofibrils and then in the number of myofibrils within the muscle cells.

Sarcopenia is the decline in muscle mass due to loss of muscle fibers (mostly type II) and decrease in size of type II fibers. Resistance training can help by causing hypertrophy in the remaining muscle cells to compensate for the decline in the number of fibers. Also increases blood capillaries and glycogen.

56
Q

How is muscle damage repaired? what happens when the cells that repair damage are made senescent?

A

remaining fibers cannot divide to replace damaged ones, but stem cells called Satellite Cells are activated at the injury site and differentiate into my oblasts that fuse with the damaged muscle. These produce new muscle cells. When muscles hypertrophy, satellite cell populations increase and satellite cells fuse with fibers to add nuclei and support the increased volume of fibers.

Satellite cells are normally reversibly arrested until stimulated to divide and differentiate, but with age they change to an irreversible senescent state and cannot replenish or repair muscles. This leads to sarcopenia (loss of muscle mass) and loss of strength. Can be helped by exercise to produce new mitochondria.

57
Q

What molecule inhibits satellite cell function? what is the result of knocking out this protein?

A

Myostatin. When knocked out, there is a huge increase in muscle growth due to increased numbers of myofibrils during development, enhanced satellite cell function, and hypertrophy of myofibrils.

58
Q

What drugs treat erectile dysfunction and how do they work? what are side effects?

A

Viagra (sildenafil) and Cialis (tadalafil) inhibit phosphodiesterase 5 which breaks down cGMP. Thus there is an increase in cGMP signaling and causes erection

side effects: headache, flushing, congestion (vasodilation problems)

59
Q

What is Cushing’s syndrome? what causes it and what are the effects?

A

Result of high glucocorticoids causing lipolysis and redistribution of fat. Leads to a “buffalo hump” and “moon face”. Most commonly caused by taking glucocorticoid medication (prednisone, prednisolone, dexamethasone) but can be caused by pituitary tumor secreting ACTH or adrenal cortex tumor secreting cortisol

60
Q

What is Addison’s disease? what causes it (2 causes) and what are the symptoms?

A

Inadequate secretion of glucocorticoids/corticosteroids. low cortisol produces hypoglycemia and low aldosterone produces sodium and potassium imbalances, dehydration, and low blood pressure. Caused by:

  1. Primary adrenal insufficiency leads to Addison’s disease because of autoimmune destruction of adrenal cortex. This causes low cortisol and high ACTH (less negative feedback from cortisol) which also activates melanocytes in skin and causes darkening of the skin.
  2. Secondary adrenal insufficiency leads to Addison’s disease because of inadequate ACTH secretion from anterior pituitary. can be from tumor, but more likely from taking exogenous corticosteroids and abruptly stopping them.

John F Kennedy had primary adrenal insufficiency

61
Q

What is a tumor of the adrenal medulla called? what does it cause?

A

Pheochromocytoma. secretes high epinephrine and norepinephrine = continuous sympathetic nervous system activation. Vasoconstriction, increase cardiac rate, high blood pressure, and more can lead to heart disease and stroke and kidney failure if not treated with alpha and beta adrenergic receptor blockers and surgical removal

62
Q

what effect do exogenous glucocorticoids have on the adrenal cortex and why do they need to be tapered

A

Exogenous glucocorticoids suppress ACTH secretion from anterior pituitary (negative feedback) and can lead to atrophy of the adrenal cortex. They must be tapered off so that the adrenal cortex has time to return to full functioning and replace the exogenous corticosteroids. An atrophied adrenal cortex also causes low blood glucose because glucocorticoids (including exogenous ones) stimulate gluconeogenesis and raise blood glucose.

63
Q

what is metabolic syndrome? what are the symptoms and cause?

A

apple-shaped obesity caused by accumulation of visceral fat, insulin resistance, impaired glucose tolerance, and type 2 diabetes mellitus. Have hypertension, dyslipidemia (high blood triglycerides), low HDL (good cholesterol) and high LDL (bad cholesterol). This condition of abnormal lipids is the Atherogenic Triad which leads to heart and kidney diseases

64
Q

What causes Grave’s disease? what is the effect on the thyroid and its hormones?

A

Autoimmune disorder where antibodies bind Thyroid Stimulating Hormone receptors on thyroid gland follicular cells and cause excessive growth (goiter) and excessive secretion of thyroid hormones (T3 and T4). TSH is low, and people are hyperthyroid (unlike iodine deficiency goiter). The hyperthyroidism produces heat sensitivity, palpitations, and eye bulging (Grave’s opthalmopathy)

65
Q

what are the two types of diabetes mellitus and how do they differ?

A

Type I Insulin Dependent: caused by destruction of B cells and lack of insulin secretion
Type II Non-insulin dependent: caused by insulin resistance so larger than normal amount of insulin is required for a response

Pregnancy can cause Gestational Diabetes where insulin secretion is inadequate to meet the needs of fetus with placental anti-insulin effects. Women who don’t develop this have increased secretion of insulin to meet needs.

66
Q

why is the direction of travel important for international fliers taking melatonin

A

melatonin pills help combat jet lag when crossing timezones. it is easier to adjust when flying eastward because you can move your circadian rhythm clock up to an earlier sleep time by taking the melatonin pills a bit earlier

67
Q

what causes Duchenne Muscular Dystrophy?

A

mutation on X chromosome causes defect of Dystrophin protein which provides muscle fiber support bridging cytoskeleton with myofibrils. The defect causes sarcolemma damage that cannot be repaired and leads to muscle necrosis. No cures, die at young age

68
Q

What bacterium cleaves SNARE proteins and what is the effect?

A

Clostridium Botulinum produces botulinum toxin which cleaves SNAP-25 and blocks nerve stimulation of muscles (no ACh release) producing flaccid paralysis. Can be used medically to relieve muscle spasms and also used for removing skin wrinkles (botox)

69
Q

how does smoking promote wrinkles?

A

nicotine causes narrowing of blood vessels and impairs blood flow. Skin doesn’t get as much oxygen or nutrients and so sags and wrinkles prematurely

70
Q

What causes rigor mortis

A

In a dead person there is no ATP available to prevent the myosin heads from binding actin after a power stroke. So, the muscles remain contracted as myosin is attached to actin in a rigor complex. There is also no ATP to remove Ca2+ from sarcoplasm and release troponin C to allow tropomyosin to block the myosin heads.

71
Q

how are nocturnal leg cramps caused?

A

low blood Ca2+ makes nerves and muscles more excitable by shifting membrane potential.

72
Q

what is rhabdomyolysis? what molecules does it release into the blood?

A

breakdown of muscle tissue that releases myoglobin into the blood. would lead to release of CPK MM in blood as well.

73
Q

how to help control type 2 diabetes

A

moderate exercise and dieting. Exercise increases glucose uptake into cells by inserting GLUT4 carriers. also releases cytokines to reduce inflammation and insulin resistance.

74
Q

2 categories of muscle atrophy

A

neurogenic atrophy: damage to the motor nerves innervating the muscles

disuse atrophy: results when person is bedridden for too long and muscles aren’t doing their normal work. astronauts get this in space.