6. Smooth & Cardiac Muscle Flashcards Preview

Year 1 - Term 2: Carriage of Oxygen > 6. Smooth & Cardiac Muscle > Flashcards

Flashcards in 6. Smooth & Cardiac Muscle Deck (24)
Loading flashcards...

What is this muscle?



What is this muscle?



What is this muscle?



What are the characteristics of 

a) skeletal muscle

b) cardiac muscle

c) smooth muscle

a) striated, multinuclear and peripheral, for locomotion, sarcomeres, Ca2+ binding=troponin

b) striated, meshwork, central nucleus, intrinsic myogenic activity, sarcomeres, Ca2+ binding=troponin

c) involuntary, non-striated, 1 nucleus per fibre, spindle shape, mechanical organ control, no sarcomeres, Ca2+=calmodulin


Do skeletal, cardiac and smooth have cellular junctions?

skeletal - none

cardiac - intercalated discs, gap junctions

smooth - gap junctions


What is an intercalated disc and where are they found?

Thickenning of sarcolemma, connects adjoining cardiac myocetes e.g desmosomes and gap junctions. Found in cardiac muscle only


Label A-F

A: gap junction

B: intercalated disc

C: sarcoplasmic reticulum

D: A band (thick)

E: I band (thin)

F: Z disc


Cardiac cells have automaticity and rhythmicity - what does this mean?

Can spontaneously generate electrical impulses (depolarise) in a regular and repetitive manner


(pacemaker cells in SAN and AVN)


Cardiac myocetes from an electical/functional syncytium - what does this mean?

Electrical impulses propagate between cells via gap junctions on intercalated discs, waves of depol. propagate to adjacent cells which contract in a synchronous fashion


NB: diff size/shape of APs in heart and many ion channels involved in response. Na+ Ca2+ depol, and K+ repol


What two types of cells are found in the heart?

Pacemaker cells (SAN, AVN, have automacity)

Ventricular cells (have refractory periods)


Describe the process of Ca2+ signalling during cardiac contraction.

1. Na+ in, membrane depolarises, VGCa2+ channels open (L type)

2. Ca2+ influx, intracellular Ca2+ increases triggering Ca2+ release from sarcoplasmic reticulum

3. Ca2+ associates with troponin C in sarcomere and stimulates contraction (systole) (unmasks binding site for M to bind with A)

4. Ca2+ released from sarcomere causes diastole and its reuptake into sarcoplasmic reticulum


NB: ATP hydrolosis provides energy to drive filament sliding


What happens to the heart under sympathetic and parasympathetic modulation?

Sympathetic: increased heart rate and contraction force, NA secretion and activation of beta1 adrenoreceptor

Parasympathetic: decreased heart rate, ACh secretion and activation of muscarinic receptors (M2)


Label A-D

What is this structure?

A: intermediate filament

B: dense body

C: mechanical junction coupling cells

D: gap junction for electrical and chemical communication

Smooth muscle


Describe smooth muscle.

What do intermediate filaments do?

What do dense bodies do?

What are the 2 types of attachments between cells?

Loose lattice of thick and thin filaments running obliquely across muscle.

Assist in transmission of contraction force

Attachements for thick and thin filaments

Mechanical and gap junctions (electical signals)


List the structures where smooth muscle is found

  • Bladder
  • Gut (oseophagus, stomach, intestines) (propel food through GI tract)
  • Uterus (deliver baby)
  • BVs (regulate BV diameter)
  • Bronchi (regulate airway diameter)
  • Urethra, bladder
  • Errector pili in skin


What innervates smooth muscle?

Where do nerves make multiple contacts with a smooth muscle cell? Describe the process.

What are the 2 forms of contraction initiation in smooth muscle?


Varicosities. They release NT into space surrounding muscle, NT receptors widely spread across postsynaptic membrane.

1. gap junction connections 2. neuronal innervation (ANS)


What are the 2 types of smooth muscle organisation? 

What are the differences?

1. multiunit SM    2. single unit SM

Multiunit SM: each cell receives synaptic input and contracts independantly, LITTLE ELECTRICAL COUPLING. For fine control and gradual responses e.g. intrinsic eye muscles, large BVs

Singleunit SM: ANS innervates 1 cell within sheet/bundle, AP propagated by gap junctions, WHOLE BUNDLE/SHEET CONTRACATS as functional syncytium. For slow, steady contractions e.g. visceral oragns - GI tract


What types of cells are A and B?

A: Multiunit SM cell

B: Single unit SM cell


Compare SM action potential generation to skeletal

AP in SM longer (10-50ms) than skkeletal (2ms)

SM depol depends mainly on opening of VGCa2+ channels

Ca2+ channels open more slowly than Na+ channels, so slower uptake and longer duration of AP than skeletal

Contribution of each ion depends of type of muscle e.g. in gut vs. bladder


How can SM cells be like pacemaker cells?

Can be capable of initiating spontaneous electrical activity to generate regular and repetitive oscillation in membrane potential (slow waves)


What are the two mechanisms leading to a rise in intracellular Ca2+ in SM?

1. Membrane depol opens VGCa2+ channels

2. Agonist-induced Ca2+ reease via IP3

Then for both: Ca2+ released from sarcoplasmic reticulum -> Ca2+ calmodulin -> activates myosin-light chain kinase -> MLCK phosphorylates myosin -> increases ATPase activity and allows M to bind A -> contraction


How does SM contract?

Actin slides past myosin pulling on dense bodies -> DB pull on intermediate filmanet networks -> entire muscle fibre contracts (ends pulled towards centre)


What are the 3 triggers for SM contraction?


1. hormones

2. neural stimulation

3. local factors e.g. in certain locations like visceral organ walls, muscle stretching can trigger contraction


What is the mechanism for parasympathetic and sympathetic control of bronchial SM?

What treatments work on each?

Parasympathetic: ACh/M3 type muscarinic receptors. Treatment: short/long acting muscarinic antagonists e.g. ipatropium, tiotropium

Sympathetic: Adrenalin/NA/beta-2 adrenergic receptor. Treatment:  long or short acting beta agonists e.g. salmererool, salbutermol


Decks in Year 1 - Term 2: Carriage of Oxygen Class (53):