NMJ Flashcards

1
Q

Where are cell bodies of motor neurons to skeletal muscle?

A

Ventral horn of spinal cord

Exit via ventral root

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2
Q

What is the end plate?

A

Fine terminal branches on the muscle

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3
Q

How do individual axons behave within the end plate?

A

Swell up into many bulbous presynaptic axon terminals/ terminal boutons

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4
Q

What is contained in the synaptic bouton?

A

Many mitochondria and small synaptic vesicles

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5
Q

What chemical transmitter is used at the NMJ?

A

Acetylcholine

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6
Q

How is acetylcholine made in the nerve terminal?

A

Choline and acetyl-CoA

Using enzyme cholineacetylase

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7
Q

What enzyme is found in the synaptic cleft? Function?

A

Acetlycholinesterase

Splits of acetyl group to form choline and acetic acid

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8
Q

What is meant by docking?

A

Involves interactions between proteins on vesicles and presynaptic membrane
Proportion of vesicles attached to presynaptic membranes on bouton

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9
Q

How do docked vesicles behave when action potential arrives?

A

Fuse with presynaptic membrane and release contents via exocytosis

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10
Q

What triggers release of transmitter?

A

Entry of calcium ion through voltage gated calcium channels

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11
Q

Where are N and L type calcium channels found?

A

N type: presynaptic terminals

L type: heart and vascular smooth muscles

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12
Q

How does calcium influx cause acetylcholine release?

A

Calcium entering twists synatobrevin and syntaxin proteins forcing vesicle membrane to fuse with cell membrane
Creates fusion pore for acetylcholine to pass through

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13
Q

How are empty vesicles returned to presynaptic membrane?

A

Empty vesicles are bound to protein (clathrin)n which moves them back to cytoplasm

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14
Q

What does released acetylcholine bind to?

A

Cholinergic receptor on muscle membrane

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15
Q

How many molecules are required to bind to nicotinic ACh receptor for it to open?

A

2

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16
Q

What can pass through central pore of nicotininc ACh receptor?

A

Sodium and potassium

17
Q

What is effect of inward sodium ions to muscle

A

Depolarisation: End plate potential

18
Q

What happens in the illness myasthenia gravis

A

Number of acetylcholine receptors reduced

Endplate potential often not large enough to trigger a muscle action potential

19
Q

What % of docked vesicles are released with each stimulus

A

10%

20
Q

How does botox paralyse muscles

A

Blocking the doking

21
Q

How does curare paralyse muscle

A

Competitive antagonist of nicotininc receptor

22
Q

How do depolarising blockers work?

A

Stimulate Ach receptor in same way ACh does
Doesn’t detach
Muscle remains depolarised and unable to carry out more action potentials

23
Q

How to anticholinesterases work?

A

Blocks acetylcholinesterase

Makes synapse hyperactive and muscles goes into convulsions then paralysis