KIN 406 Midterm 2 Flashcards
How much exercise can someone with McArdle’s Disease tolerate?
Very low-low intensity exercise can be tolerated, however, under high intensity situations, muscle fatigue occurs within a few seconds-minutes after ATp-PCr stores and blood glucose are depleted
Does muscle fatigue in McArdle’s disease come along with lactate accumulation?
NO, because glycoylsis is fully activated due to the inability to utilize glycogen.
What are the painful muscle contractures in McArdle’s disease caused from?
Resemble rigor mortis. Fatigue and contractures are a result of ATP depletion—myosin fails to detach from actin. Fatigue and contractures are confounded by decreased Ca2+ pump activity due to a fall in ATP content in critical intracellular compartments (SR-glycogenolytic complex). Damage may also occur since elevated Ca2+ can lead to caspase activation (proteolytic enzyme) and signal apoptosis.
What is the role of the SR-glycogenolytic complex?
It provides compartmentalized ATP supply to the SERCA pump, so that myosin ATPase doesn’t use all the ATP in the cell for itself
What are mitochondrial myopathies?
Includes disorders which show defects in mitochondrial function.
What type of exercise capacity do individuals with mitochondrial myopathies have?
Very limited because they cannot make ATP aerobically or the ability is severely limited. Even mild activity is associated with breathlessness and severe metabolic acidosis becuase they use more glyocolysis. Very pronounced when performing longer duration exercise. THere is normal glycolytic function for ATP production since large increases in lactate occur
Amount of individuals mtiochondrial myopathies affect?
1:8000 individuals
What type of DNA do mitochondria have?
Both nuclear DNA and mitochondrial DNA
Where are the gene mutations and deletions in people with mitochondrial myopathies?
In NDNA and mtDNA
Most studies and most common mitochondrial myopathies effect what?
Electron Transport Chain
How are the mitochondria abnormal in mitochondrial myopathies?
Pateients with defects in Complex I have abnirmal mitochondria proliferation, and mitochondria accumulate around the edge of the fibers and appear red with trichrome stain (“ragged red fibers”). Frequency ranges from 1-40%.
What structures do patients with mitochondrial myopathies show?
Paracrystallin inclusions which are composed of mt creatine kinase
Why do the mitochondria proliferate and paracrystalline structures accumulate during mitochondrial myopathies?
To compensate for energy deficiency
What mtCK do?
Makes creatine phosphate and ships into the cytosol
What does cystolic CK do?
Takes phosphate group from creatine phosphate and transfers it to an ADP to make ATP
What do fat metabolism disorders affect?
Usually have a dysfunction or deficiency in carntine or carnitine palmitoyl transferase (CPT) enzymes
What are the symptoms of a fat metabolism disorder?
Patients lacking carnitine and/or CPT develop muscle weakness, pain and damage during exercise (ATP depletion, acidosis, elevated Ca2+)
Why are symptoms of a fat metabolism disorder more evident during prolonged, submax exercise?
The glycogen and blood glucose stores become depleted, and then all that is left is fat for energy. However, fat cannot be utilized as a fuel source, so the person fatiguges/
What do biopsies of fat metabolism disorder patients show?
Large fat droplets…which under severe conditions may also disrupt myofibril architecture
What is COPD?
Disease of the lungs that makes breathing difficult. Chronic bronchitis and emphasema. Exposure to an initiating factor (mainly cigarette smoke) causes enlargement of the mucus glands and an increase in the mucus-secreting goblet cells. Ciliated epithelium that lines the airway become damages leading to decreased mucus transport, leading to an increased likelihood of respiratory infections
Damage from COPD causes what?
An inflammatory response (infiltrating neutrophils, macrophages, lymphocytes), and release of inflammatory mediators (TNF-alpha, IL-8, elastases)
How does COPD relate to skeletal muscle?
It is associated with exercise intolerance, which is expected, but patients with atrophy fatigue occur much sooner. Loss of muscle mass is a major co-morbidity of COPD and a powerful predictor of mortality.
What fibre type is preferentially atrophied and lost in COPD?
Type I
What does COPD do to the oxidative capacity of muscle fibres, and MLC?
Reduces it…decreases in SDH, CS, capillary density, and decreased myoglobin (25% lower)…shift towards MLC fast form and in most extreme cases, MHC, too