Physiology Muscles Flashcards

1
Q

Components of a myosin protein complex

A

Actin, troponin and tropomyosin

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2
Q

Describe the cross bridge cycle in skeletal muscle

A

1) ATP binds to myosin head
2) ATP is hydrolysed, myosin head returns to resting position
3) crossbridge forms at new position on actin
4) P is released and conformational change results in power stroke
5) ADP is released

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3
Q

How does Ca2+ regulate contraction?

A

In a low calcium environment, myosin binding sites are hidden -> High calcium environment, calcium binds to troponin, causing shape change, exposing myosin binding sites so cross bridge cycling can occur

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4
Q

How is Ca2+ released into muscle cell cytoplasm?

A
  • Dihydropyridine receptors (DHPR) volate gated, sense changes in T-tubule membrane potential
  • Mechanically coupled to Ryanodine receptors (RYR)
    which release calcium from SR to cytoplasm
  • Influx of calcium initiates cross-bridge cycling + contraction
  • Ca2+ is pumped back into SR by SERCA (sarcoplasmic and endoplasmic reticulum calcium ATPase) and this terminates crossbridge cycling
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5
Q

3 factors that influence force of muscle contraction

A

1) Frequency of Action potentials
2) Number of motor units activated (single motor neuron + innervated muscle fibre)
3) Active length of muscle (muscles have an optimal length for generating maximal force)

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6
Q

Describe how action potentials conducted across the heart

A
  • Sinoatrial node is primary pacemaker region
  • action potentials spread from here across atria
  • Atrioventricular node is secondary pacemaker, slower rate than SAN
  • Conduction propagates slowly through AVN, spreads through ventricular conduction system of purkinje fibres
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7
Q

What is happening to Na+

  • ARP (Absolute refractoy period)
  • RRP (Relative refractory period)
A

ARP - nearly all Na+ channels are in the inactivated state
RRP - Na+ channels are recovering from inactivation, the excitability returns towards normal as the number of channels in the inactivated state decreases

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8
Q

Length of the cardiac refractory period?

A

Long refractory period (200ms)

- Longer ARP compared to RRP

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9
Q

Frank-Starling’s law of the heart?

A

“the amount of stretch of the cardiac muscle determines the amount of force generated during the contraction”

  • The amount of blood returning to the heart determines how much the cardiac muscle is stretched and thus how much force is generated - intrinsic mechanism of regulating contractile force
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10
Q

Force-length relationship of cardiac muscle - how does it differ? Why is it important?

A

Cardiac muscle in not able to over-extend unlike skeletal muscle due to strong passive component of tension.

Important because otherwise stretching of cardiac muscle with high venous returns would lead to decreases in force -> failure of cardiac output.

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11
Q

mechanism of increasing force of contraction in the heart?

A

Adrenaline and nor-adrenaline interaction with ventricular B1-adrenoceptors

  • > G Protein coupled receptor
  • > activated AC
  • > increased production of cAMP
  • > cAMP activates P-KA
  • > P-KA activates L-calcium channels via phosphorylation -> Influx of calcium -> Contraction
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12
Q

Drugs that increase force of contraction (positive inotropic)

A

β-adrenoceptor agonists - Isoprenaline, dobutamine
Increase calcium influx through increased cAMP activation

Cardiac glycosides - Digoxin, ouabain
Inhibit Na/K ATPase leading to elevated intracellular Na and reduced calcium efflux by the Na/Ca exchanger

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13
Q

Drugs that decrease force of contraction (negative inotropic)

A

Calcium channel blockers - verapamil, diltiazem and nifedipine

β-adrenoceptor antagonists – Propanolol, metoprolol

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14
Q

Smooth muscle contraction is regulated by?

A
  • Synaptic inputs from autonomic nervous system
  • Circulating hormones, local hormones and metabolites
  • The intrinsic activity of pacemaker cells – gap junctions spread depolarisation to neighbouring cells
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15
Q

SR pathways and sarcolemmal pathways smooth muscle for Ca2+ release

A

SR

  • I P3 receptors
  • Ryanodine receptors

Sarcolemma

  • Voltage gated calcium channels (DHPR/L-type).
  • Ligand gated channels (e.g. P2X receptors activated by - ATP & ADP).
  • Store operated Ca2+ channels (for refilling SR).
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16
Q

What is different about the crossbridge cycle in smooth muscle?

A

ATPase activity of myosin head requires phosphorylation event

  • > Regulatory light chain is phosphorylated and activated by Myosin Light chain Kinase (MLCK)
  • > Regulatory light chain phosphorylation by myosin phosphatase

Calmodulin binds with calcium