smooth muscles Flashcards

1
Q

What is smooth muscle?

why smooth?

A

Why ‘Smooth’?
Does not contain rigid cellular structures coupling stimulation to contraction – no striations as with skeletal and cardiac muscles

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2
Q

Where do you find smooth muscle?

2 examples
what does it do there?

A

Found in “walls” of tubular organs
e.g. blood vessels, GI tract, airways, uterus, bladder, eye

e.g. Blood vessels:
Contraction or relaxation of circular smooth muscle cells -> changes in diameter -> change blood flow

e.g. GI tract:
Contraction or relaxation of circular and longitudinal smooth muscle -> change movement of gut (peristalsis)

Clinical importance
Regulation of smooth muscle is an important goal in treating disease e.g. Hypertension, urinary incontinence, COPD, IBS

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3
Q

Characteristics of Smooth Muscle

speed of contraction?
strength?
innervated by?
myogenic?

A

Slow, sustained, graded contraction

Relatively weak contraction (vs. skeletal/cardiac muscle)
Innervated by Autonomic Nervous System (ANS)

Can have spontaneous contractions (myogenic)

Excitable cells - produce action potentials like skeletal muscle & cardiac muscle

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4
Q

Transmitters released from post-ganglionic autonomic nerves onto smooth muscle cells

neurotransmitters that affect smooth muscles? released from where?

A

Transmitters released from post-ganglionic autonomic nerves onto smooth muscle cells are:

Acetylcholine (Ach) – parasympathetic nerves
Noradrenaline (NA) – sympathetic nerves

Nitric oxide (NO) - released from NANC (non-NA-non-Ach) nerves
Adrenaline - from adrenal medulla
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5
Q

How does Smooth muscle contract?

initiated by?
how does it occur? (2)

A

As with striated muscle (skeletal and cardiac),

Smooth muscle contraction is initiated by an increase in cytosolic Ca2+ concentration ([Ca2+]i)

Increase in [Ca2+]i occurs via:

Increase in Ca2+ influx from the extracellular medium
Release of Ca2+ from internal Ca2+ stores
(sarcoplasmic reticulum)

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6
Q

Smooth muscle uses
Ca2+-Calmodulin-Myosin light chain kinase system
produce contraction

where does ca2+ bind?
what does this activate?
what does this phosphorylate?

A

Intracellular Ca2+ concentration increases when Ca2+ enters cell and is released from SR
Ca2+ binds to calmodulin (CaM)
Ca-calmodulin activates the enzyme, myosin light chain kinase (MLCK)
MLCK phosphorylates light chains in myosin heads and increases myosin ATPase activity
Active myosin crossbridges slide along actin hence sliding filament theory + contraction

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7
Q

Increase in Ca2+ influx

what must open? how will these open?

A

Stimulation of G-protein coupled receptors (Gq family)
e.g. Ach on Mus (M3) in airways, NA on α1 in blood vessels
Gq- PLC – PIP2 into IP3 and DAG
Action on ion channels
Depolarisation
e.g. From resting membrane potential of -60mV to -30mV
Activation of Voltage-gated Ca channels (VGCCs) – threshold -40 mV
Produces Ca2+ influx

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8
Q

Release of Ca2+ from internal Ca2+ stores

where is it released from? what acts on this to release it?

difference from cardiac and skeletal?

A

Stimulation of G-protein-coupled Receptors (Gq family)

Generation of IP3
IP3 receptor on SR
Release of Ca from SR down concentration gradient
High Ca2+ in SR (500 µM)
Low Ca2+ in cytosol (100 nM)

Remember : Smooth muscle contraction uses IP3 receptors not ryanodine receptors (RyR, cardiac/skeletal muscle contraction)

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9
Q

In absence of a rise in cytosolic Ca2+
Myosin light chain phosphatase produces relaxation

if no ca2+ what dominates? effect of this?

what does this lead to?

A

If no Ca2+ availabale, MLC-phosphatase will dominate and hence any phosphorylated myosin light chain will become dephosphorylated myosin light chain

No rise in Ca2+ :
No Ca-CaM
No MLCK activation
MLCP activity dominant

Relaxation

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10
Q

What causes relaxation of smooth muscle cells? Decrease in [Ca2+]i

3 things that decrease ca2+

effect of this? leading to?

A

[Ca2+]i decreases:

Hyperpolarisation caused by K+ channel opening – close VGCCs

Ca2+ uptake into SR - Ca2+-ATPase

Extrusion of Ca2+ from cell - Ca2+-ATPase Na-Ca exchanger

Decrease in [Ca2+ ]i reduces MLCK activity
Balance in favour of MLCP
Less MLC-P
Less actin-myosin interactions

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11
Q

Neurotransmission to smooth muscle – Autonomic nerves
Excitatory Neurotransmission

why is it dealyed and slow sustained contraction?
why must NA/Ach bind?
leads to? effect of this?
repolarisation starts when? effect of this?

A

Delayed, slow, sustained contraction due to time taken to switch on and off Ca2+ stimulated contractile events

1) Release of excitatory transmitter (Ach, NA) binds to receptor -> junctional depolarising potential
(2) Threshold for VGCCs -> open VGCCs -> more Ca2+ influx -> muscle contraction

Important : VGCCs cause upstroke of action potential

(3) Open K+ channels -> repolarisation -> close VGCCs ->
less Ca2+ influx -> muscle relaxation

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12
Q

Neurotransmission to smooth muscle
Inhibitory Neurotransmission

example of an inhibitory mediator
what does it do?

A

Relaxation
Showing that smooth muscle has resting tone

Inhibitory mediator such as nitric oxide hyperpolarises smooth muscle by opening K+ channels (e.g. corpus cavernosa)
Close VGCCs -> less [Ca2+]i -> Relaxation

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13
Q

Comparison of pathways involved in
skeletal, cardiac, and smooth muscle contraction

nerves?
release? 
pathways?
ryr and vgcc?
if no ryr?
A

Skeletal (Striated, voluntary)
Motor nerves release Ach at NMJ activating Nicotinic ligand-gated
Physical-interaction Between VGCC and RyR coupled to Ca release
Troponin

Cardiac (Striated, involuntary)
No nerve input required
Modulated by B1-Gs pathway
VGCC-mediated - Ca influx coupled to RyR-mediated Ca release ‘’Ca induced Ca release’’
Troponin
Smooth (involuntary)
Release of NT from ANS
e.g. Ach, NA activates Gq-receptors
VGCC-mediated Ca influx and IP3-mediated Ca release
Calmodulin/ Myosin light chain kinase
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