Neuromuscular Junction Flashcards

1
Q

Describe the cellular characteristics of a single axon terminal

A
  • Synaptic vesicle with acetylcholine: release neurotransmitters via exocytosis, 300,000
  • Many mitochondria
  • Dense bar: Anchored to the presynaptic membrane and associated with synaptic vesicles to which they are tethered by short filaments.
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2
Q

Describe the characteristics of a motor end pate

A
  • Synaptic gutter (trough): groove or furrow in the surface of a sacrolemma in which the axon terminal makes contact with the sacrolemma.
  • Subneural clefts are small clefts or troughs int he bottom of the synaptic trough .
  • Synaptic clef: 20-30 nm wide. Very narrow but real gap between the axolemma of the axon terminal and the sacrolemma of the. Innervated muscle fiber.
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3
Q

Describe the structure, including subunits, of an acetylcholine-aged channel

A
  • On sacrolemma of the skeletal muscle
  • 275,000 mw
  • 2 alpha proteins, 1 beta protein, 1 gamma protein, 1 delta protein
  • Tublular channel remains closed until two acetylcholine molecules attach to its alpha subunits
  • Acetylcholinesterase??
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4
Q

Where are vesicles for neurotransmitters formed in the neuron?

A
  • 40 nm vesicles are formed in the Golgi apparatus and are carried by axonal transport in the axon terminus where they are filled with Ach.
  • Ach is synthesized in the cytosol of the nerve axon terminal.
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5
Q

How are vesicles for neurotransmitters in the neuron transported?

A
  • When the action potential arrives at the terminus of the axon, voltage-gated calcium channels open and calcium ions enter the axon terminus.
  • Calcium ions are thought to draw synaptic vesicles closer to neurolemma next to the voltage gated calcium channels.
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6
Q

Compare the concentrations of calcium ion outside the axon and inside the axoplasm.

A
  • ECF Ca2+ conc. = 1-2 mM

- Intracellular Ca2+ = <10^-6 M

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7
Q

How does calcium enter the axon during the transmission of an action potential?

A
  • The action potential on the sacrolemma continues down the T tubules and activates voltage-gated dihydropyridine channels
  • Dihydropyridine channels activate ryanodine receptors (ryanodine-sensitive calcium ion release channels) on the sacroplasmis reticulum membranes, allowing calcium ions to move quickly through the ryanodine receptors into the cytosol at the A-I boundaries.
    • The ryanodine receptor is also activated by the calcium released into the cytosol, thus allowing more calcium ion to be released.
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8
Q

State the number of acetylcholine molecules that attach to each ligand-gated channel.

A
  • 2 Ach molecules bind to each ligand-gated channel on the sacrolemma.
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9
Q

Define: “end-plate potential.”

A
  • Both sodium and potassium ions pass through the channels, but sodium ions are more permeable.
  • the principal effect is for large numbers of sodium ions to pass through the muscle fiber membrane (sacrolemma), creating the end-plate potential (50-70mV), which. Initiates. An action potential on the sacrolemma.
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10
Q

Review the steps in the skeletal muscle contraction beginning with the release of acetylcholine from the neuron.

A

DIAGRAM

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11
Q

List the mechanisms by which acetylcholine is removed from the synaptic cleft.

A
  • Degradation into choline and acetate by acetylcholinesterase
  • Reuptake of choline by axon and terminal
  • Diffusion of Ach away from site
    • excitation-contraction (electro-mechanical) coupling?
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12
Q

List examples of drugs that mimic acetylcholine but that are not broken down by acetylcholinesterase and describe their effect on muscle contraction.

A

Methacholine, carbachol, nicotine

  • Have same effect on muscle fiber as acetylcholine
  • not broken down by accetylcholinesterase
  • cause spasm.
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13
Q

List the drugs that inactivate acetylcholinesterase and describe their effect on muscle contractions

A

Neostigmine, physostigmine, diisopropyl fluorophosphate

  • inactivate acetylcholinesterase
  • cause muscle spasms
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14
Q

Describe the effect of curare on skeletal muscle contraction

A
  • prevents passage of impulses from nerve ending into muscle
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15
Q

Describe the underlying cause of myasthenia Travis and its effects.

A
  • autoimmune disease
  • antibodies attack acetylchoine receptors
  • end plate potentials are. Too weak to initiate opening of the voltage-gated sodium channels
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16
Q

Explain how neostigmine can help to alleviate the effects of myasthenia gravis

A
  • Neostigmine can be used to inactivate acetylcholinesterase