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Physiology Muscle Weakness
Exam Prep
209
Physiology
Graduate
10/01/2016

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Term
Typical ion concentrations
Definition
Steady-state concentrations, proper homeostasis, NOT equilibrium states
Greater intracellular concentration - K (10x), Mg (2x)
Greater extracellular concentration - Na (10x), Ca (1000x), Cl (5x)
Term
Lipid bilayer components and effect of cholesterol
Definition
Phoshpolipids, cholesterol, sphingolipids, glycolipids
Cholesterol decreases permeability, less mobile/deformable components; different lipid components on inside and outside faces due to different function
Term
3 types of protein-mediated membrane transport
Definition
Simple diffusion, facilitated diffusion, active transport
Term
Diffusion
Definition
Random movement of molecule fueled by thermal energy of normal kinetic motion of matter until equilibrium reached; can be helped by channel protein or facilitated carrier protein or occur through bilayer on its own
Term
Active transport
Definition
Need carrier protein, usually occurs against concentration gradient until steady state is reached
Term
Primary active transport
Definition
Uses energy from ATP hydrolysis directly
Term
Secondary active transport
Definition
Use potential energy stored in ionic gradients provided by primary transporters (not directly from ATP); movement of 1 solute coupled to movement of 2nd solute whose gradient set up by primary transport
Term
Simple diffusion
Definition
Randomly cross membrane, high to low concentration, no NET movement at equilibrium, requires no energy; essential for gas transport (oxygen uptake in lungs)
Term
Fick's law
Definition
Flux (J) = D(ΔC)/(Δx)
J = rate of net diffusion per unit are per unit time
D = diffusion coefficient
(ΔC)/(Δx) = concentration gradient across membrane; C = concentration difference, x = thickness
Term
Unstirred layer effects
Definition
Unstired layer near membrane leads to apparent increase in diffusion barrier thickness
Term
Partition coefficient
Definition
K - ratio of solute's solubility in oil to solubility in water; lipid bilayer is hydrophobic so being more oil-like increases flux
K = 0 for charged substance, K>1 = hydrophobic, K<1 = hydrophilic
Term
Permeability coefficient
Definition
P = KD/Δx
Term
Simplified Fick's Law
Definition
Flux (J) = PΔC
Term
Overton's Law
Definition
Permeability coefficient of solutes with same diffusion coefficient depends on partition coefficient (applies to small molecules <5 C since similar permeability)
Term
Pharmaceuticals that target TM proteins that help molecules cross lipid bilayer
Definition
Diuretics - Na/K/Cl cotransporter - loop of Henle, treat HTN
L-DOPA - AA transporters in CNS, convert to dopamine - Parkinson's
PPI - ATP-dependent proton pump - treat acid reflux
Anti-depressant - Na-driven transporters
Term
Facilitated diffusion
Definition
Specific carrier protein carry solute through membrane via series of conformational changes; rate of diffusion approaches maximum rate (saturation curve like Michaelis-Menten); used by glucose, many amino acids
Term
Carrier-mediated transporter properties (3)
Definition
Stereospecificity, saturation, competition
Term
Facilitated diffusion rate-limiting step
Definition
Conformational change that occurs for each molecule, limits rate to 10^2 to 10^4/second; also limited by finite # transport molecules at saturation
Term
Rocking banana/Alternating access model
Definition
Conformational change occurs for each molecules; can open both ways, however it always occurs high to low concentration
Term
GLUT family
Definition
IM proteins that transport glucose, some transport additional molecules; enter cells at metabolically appropriate rate
Term
Specific GLUT proteins
Definition
GLUT1 - RBC, vascular epithelium (BBB), D-glucose, mannose, galactose; deficiency --> seizures w/ low glucose in CSF
GLUT4 - insulin-regulated, adipose and skeletal muscle
GLUT5 - fructose transport in small intestine, deficiency --> dietary fructose intolerance
Term
Ion channels
Definition
Facilitated transport, nerve excitation, muscle contraction; specific to 1 type of ion; much faster because no conformational change (10^8/sec), rate-limiting step: opening the pore
Term
Primary active transporters (3)
Definition
P-type transporters, F-type and V-type transporters, ABC transporters
Term
P-type transporter examples
Definition
Na pump, Ca pump, proton pump
Term
Na/K ATPase (Na pump)
Definition
Maintain ionic homeostasis in all cells, 1/3 metabolic rate; electrogenic (1+ to outside); 3 Na in, 2 K out, uses 1 ATP; both move against gradient; inhibited by cardiac glycosides (digoxin) in treatment for CHF
Term
Na/K ATPase osmotic balance
Definition
Fixed anions in cytosol, osmotic gradient pulls water in; Na going out of the cell keeps some Cl out to decrease osmotic gradient
Term
Na/K ATPase conformational changes
Definition
E1 (open to inside), E2 (open to outside), cyclic change with PHOSPHORYLATED INTERMEDIATE (P), uses 1 ATP - representative for primary proton pumps; each state selectively binds one ion type
Term
Ca pump
Definition
Very low intracellular Ca, pump into ECM and into ER/SR; 1-2 Ca ions per ATP hydrolysis
Term
H/K ATPase (Proton pump)
Definition
Parietal cells of stomach gastric glands and kidney; inhibited by PPIs like omeprazole to treat GERD
Term
F-type transporter
Definition
No E-P intermediate formed; mitochondria and chloroplasts; runs backwards to synthesize ATP, H+ moves down concentration gradient
Term
V-type transporter
Definition
No E-P intermediate formed - intracellular organelles (lysosomes), pump H into organelle to acidify
Term
ABC Transporter
Definition
Highly conserved ATP-binding cassette; includes CFTR, MDR transporter (multidrug resistance pump) which pumps toxic substances out of cell; intracellular domain where ATP is hydrolyzed, hydrolysis drives movement
Term
CFTR
Definition
Cystic fibrosis transmembrane regulator - secretes Cl in some epithelial cells; mutation quickly leads to cystic fibrosis; speed of transporter, really a channel though
Term
Tangier disease
Definition
Problem with ABCA1/CERP mediating efflux of cholesterol and phoshpolipids
Term
Symport
Definition
Two substances move in 1 direction with obligatory coupling; 1 molecule (usually Na) down concentration gradient
Term
Examples of symport
Definition
SGLT1 - main mechanism of glucose absorption in GI, 1 or 2 Na+ per glucose
Na/K/2 Cl cotransporter in ascending limb of loop of Henle - form urine, inhibit by furosemide
Term
Antiport
Definition
Two substances move in opposite directions with obligatory coupling; 1 solute pumped out against electrochemical gradient
Term
Antiport examples
Definition
Na/Ca exchanger in myocyte to keep Ca low in cell: 3 Na/1-2 Ca
Na/H - pH regulation - maintain cell volume, electroneutral
Cl/HCO3 exchanger
Mitochondrial ADP/ATP exchanger - move ATP into IM space and ADP into matrix after oxidative phosphorylation
Term
Osmosis
Definition
Movement from high water concentration to low water concentration; movement of water from low solute concentration to high solute concentration; no energy needed
Term
Water movement driving force
Definition
IMPERMEANT SOLUTES DRIVE WATER MOVEMENT; driving force is osmotic pressure (Δπ)
Term
2 solutions with semi-permeable membrane
Definition
Water moves from high to high water/low solute to low water/high solute until same concentration on both sides
Term
Osmolarity
Definition
Concentration of osmotically-active particles; O = gC (g = particles per mole in solution, C = concentration)
Colligative property (NaCl: 2, CaCl2: 3)
Term
Isoosmotic, Hyperosmotic, Hypoosmotic
Definition
Isoosmotic - 2 solutions have same osmolarity
Hyperosmotic - solution with higher Osm
Hypoosmotic - solution with lower Osm
Term
Standard intracellular osmolarity
Definition
300 mOsm unless otherwise stated
Term
Reflection coefficient
Definition
Ease of solute crossing membrane; 0-1, dimensionless
0 = freely permeable, 1 = permeable, urea = 0.02
Substances with high reflection coefficient drive osmosis
Term
van't Hoff equation
Definition
Δπ = σRT*Δ(gC) - Osmotic pressure related to reflection coefficient, osmolarity difference
Term
Tonicity
Definition
Water movement across cell membrane, biological property of solution; dependent upon concentration of impermeant solutes; observed property
Term
Cell reaction to hypertonic/hypotonic solution
Definition
Hypertonic - cell shrinkage
Hypotonic - cell swells
Term
Tonicity equation
Definition
Tonicity = σgC; depends on permeability
Term
Only impermeant solutes
Definition
Tonicity and osmolarity are the same
Term
150 mM NaCl, 100 mM urea outside
Definition
hyperosmotic solution, isotonic solution
Term
Infusion of 1.5 L isotonic saline into ECF
Definition
Same OsM inside and outside, ECF volume increase, cells unchanged
Term
Infusion of 1.5 L solute-free water into ECF
Definition
Lower OsM outside cell; water flows into cell, increased volume in ECF and in cells with decreased Osm
Term
Ingestion of 225 mmoles NaCl into ECF
Definition
Higher OsM outside cell; water flows out of cell, increased volume in ECF, decreased volume in cell; increased OsM in both
Term
Aquaporin
Definition
Specialized membrane water transporter molecules (family) with different tissue distributions, mechanisms of regulation, ability to transport small neutral molecules; present in cells with increased H2O permeability
Term
AQP1
Definition
Allows water transport only, tetramer with hourglass-shaped pore
Term
AQP3
Definition
Allows water and glycerol transport
Term
Aquaporins in kidney
Definition
Proximal tubule (1,7), descending thin limb (1), collecting ducts (2-4); water moves freely in these areas, make isoosmotic urine
Term
Water permeability in kidney
Definition
Regulated by ADH
ADH present: AQP2 XP increase, H2O out, concentrated urine
ADH absent: AQP2 XP decrease, H2O more in, dilute urine
Diuretic increases production of urine
Term
Membrane potential
Definition
Vm, voltage difference between inside and outside of cell; outside of cell defined to be V=0
Term
Vm for cells
Definition
Almost always negative
Neuron = -60mV, Skeletal muscle = -90mV, Smooth muscle = -50mV, RBC = -8mV; substantial variability in different cell types in these categories too
Term
Cell permeable to K and Cl: 100 mM KCl cell, 100 mM KCl solution
Definition
No net diffusion
Term
Cell permeable to K and Cl: 100 mM KCl cell, 10 mM KCl solution
Definition
K and Cl diffuse out of cell
Term
Cell permeable to K only: 100 mM KCl cell, 10 mM KCl solution
Definition
K leaves cell down concentration gradient, Cl stays in cell, charge imbalance leads to membrane potential; membrane potential just enough to counterbalance force of diffusion (stop K from leaving); most cells very permeant to K
Term
Membrane potential requires:
Definition
Concentration gradient, selectively permeable membrane
Term
Nernst Potential
Definition
Ex = -(RT)/(zF)*ln([Xi]/[Xo]) = (-60mV/z)*log([Xi]/[Xo]), z = valence of ion X; calculated for any permeant ion
Also known as equilibrium potential or diffusion potential
Term
Ions at equilibrium
Definition
Vm = Ex, e.g. K+ = -60 mV
Term
Ion driving force
Definition
Vm-Ex; when non-zero, ion has net low across membrane
E.g. Vm = -90 mV, Ek = -60 mV; ions flow into cell
Positive = outward movement, Negative = inward movement
Term
Na and K enter and exit cell
Definition
Na leak channels, K leak channels, Na:K pump
Term
If Na and K have same permeability, only ions involved
Definition
No Vm set up because ions pump and leak in and out evenly
Term
K permeability greater than Na, only ions involved
Definition
More K leaks out of cell than Na leaks in; Vm set up to counteract excess K leak, need to decrease K exit and increase Na intake; negative Vm outside, Vm should be closer to Ek than Ena
Term
Pk>>>Pna
Definition
Vm = Ek (and opposite if Pna>>>Pk)
Term
Goldman-Hodgkin-Katz equation
Definition
K, Na, Cl are permeant ions
Vm = complicated equation with Permeabilities and concentrations multiplied and added
Numerator: internal K, internal Na, external Cl
Denominator: external K, external Na, internal Cl
Increasing membrane permeability to ion moves Vm toward Ex of that ion
Term
Simplified GHK equation
Definition
Vm = -60mV*log(([K]I + α[Na]i)/([K]o + α[Na]o), where α=PNa/PK, α=0.01 in resting muscle cell or neuron
Term
GHK - α=0
Definition
Vm = Ek
Term
GHK - α = infinity
Definition
Vm = Ena
Term
Ion exchange through Na/K ATPase
Definition
3 Na out, 2 K in, electrogenic, makes inside more negative; increases membrane potential of cell ~5 mV
Term
Active vs. passive ion distribution
Definition
Na, K actively distributed, sets up Vm
Cl passively distributed, set up by Vm so Ecl = Vm; no specific pump for Cl to set up a gradient
Term
Action potential
Definition
Rapid and transient alteration in Vm, uniform in size and duration; all-or-none
Term
Phases of action potential
Definition
Resting level, rising phase, oversheet, peak, repolarization, afterhyperpolarization
Term
Afterhyperpolarization
Definition
Undershoot; Vm comes back down and overshoots the resting potential, phase with the most negative Vm, making it more difficult to fire another action potential
Term
Alpha value during action potential
Definition
Initially very low (0.01), Na channels open faster, becomes very high (20), K channels open and decreases (1) and Na channels close and returns to resting (0.01)
Term
Na permeability pathway
Definition
Rest: Activation gate closed and inactivation gate open
Depolarization opens activation gate, Na flow
Inactivation gate closes stopping Na flow (absolute refractory)
Inactivation gate re-opens, activation gate closes, return to rest
Term
K permeability pathway
Definition
Increases slower during depolarization, does not inactivate
1 activation gate open as long as membrane is depolarized, not at rest or when hyperpolarized
Term
Example of inhibition action potential
Definition
Scorpion venom - slow close of Na channels, inhibit inactivation so membrane potential stays high for long time, AP travels very slowly
Term
Absolute refractory period
Definition
No action potential can be stimulated no matter what because Na channels are inactivated
Term
Effective refractory period
Definition
Cannot elicit propagated action potential regardless of stimulus (important for cardiovascular physiology, coordinating atria and ventricle contraction)
Term
Relative refractory period
Definition
Larger-than-normal stimulus for action potential during AHP due to extra low Vm
Term
Channels used in action potential
Definition
Voltage-activated channels used in both Na and K permeability pathways
Term
Cable properties of AP
Definition
Depolarization of 1 part of axon leads to weaker depolarization of adjacent portion; impulse can die out if it becomes too weak
Term
Role of myelin sheath
Definition
Insulate to ensure propagation, breaks at Nodes of Ranvier (0.2-2 mm), Na channels only at high density at nodes of Ranvier
Term
Length constant
Definition
How quickly signal de-amplifies; proportional to membrane resistance (Rm) and inversely proportional to axial resistance (Ra)
Term
Rm
Definition
Membrane resistance; proportional to length constant - increased by addition of myelin sheath
Term
Ra
Definition
Axial resistance; inversely proportional to length constance - resistance of flow along length; higher diameter leads to smaller Ra (squid giant axon)
Term
Electrical synapse
Definition
Small (~3 nm), gap junctions as electrical connection; hemichannels connect cells, leads to electrical syncytium; depolarization of 1 cells leads to simultaneous contraction of many cells; UNITARY
Term
Hemichannels
Definition
Half provided by each cell, only work if both present; in electrical synapse
Term
Chemical synapse
Definition
~30-50 nm, release NT as chemical signal; MULTI-UNIT; ions flow through postsynaptic channel
Term
Effects on EPSP
Definition
Increase extracellular Ca --> EPSP amplitude increase (more enter cells)
Increase extracellular Mg --> EPSP amplitude decrease (interfere)
Raise both, EPSP, very little depolarization, not past threshold; occasional MEPP
Term
MEPP
Definition
Miniature excitatory Postsynaptic Potential - smallest release of 1 quanta of ACh (one synaptic vesicle)
Term
Series of events at neuromuscular junction
Definition
Excite motor neuron --> release ACh --> travel through synaptic cleft to AChR --> depolarize (endplate potential) --> action potential in muscle fiber
Term
Axon terminal Ca channels
Definition
Voltage-gated; AP leads to influx of calcium, high intracellular Ca; synaptic vesicles with ACh bind to membrane and exocytose
Term
NMJ muscle cell channels
Definition
Non-selective cation channels which cause alpha = 1, leading to depolarization (Vm=0), crossing of threshold and firing action potential; 1 motor neuron --> 1 myofiber at NMJ
Term
Nicotinic ACh Receptor
Definition
Ligand-gated ion channel, nonselective cation pore, trigger for opening is ACh binding --> depolarization of endplate, triggering of action potential
Term
Excitatory neurotransmitters
Definition
Glutamate, serotonin
Term
Inhibitory neurotransmitters
Definition
GABA, glycine - lead to IPSP
Term
GABA receptor
Definition
Benzodiazepine binding site, leads to greater IPSP (pentobarbital)
Term
Myosin structure
Definition
Light meromyosin (tail) and heavy meromyosin (globular head); usually 2 heavy chains and 2 light chains; light meromyosin is essential and regulated especially in smooth muscle
Term
Myosin heavy chain
Definition
Globular head region (S1) with ATP-binding site and actin-binding site; small flexible tail piece (S2) act as hinge to transduce motion
Term
Light meromyosin
Definition
Essential and regulated especially in smooth muscle
Essential light chain - myosin stability
Regulatory light chain - modulate muscle function
Term
Myosin tails and filament formation
Definition
Assemble myosin molecules into thick filaments; tail-to-tail in center first, head-to-tail extension in both ways, helical arrangement along length
Term
Myosin isoforms
Definition
Many isoforms; vary in intrinsic ATPase activity which determines Vmax; govens rate of movement of crossbridges during contraction; much slower ATPase in smooth muscle
Term
Types of actin
Definition
G-actin (globular, monomeric), F-actin (filamentous, polymeric) - two intertwined strands of polymers in thin filaments
Term
Tropomyosin
Definition
Protein along groove of actin helix, spans 6-8 monomers
Term
Troponin parts (3)
Definition
TnC binds calcium
TnI binds actin, inhibits actin-myosin binding
Term
Titin
Definition
Very large protein extending Z-line to M-line for horizontal stability, prevent sarcomere overextension; contributes to parallel elasticity, passive resistance to stretching
Term
Nebulin
Definition
Wraps around thin filament, sets length of the filament
Term
Tropomodulin
Definition
Capping protein, protect actin filament from depolarization
Term
CapZ
Definition
Capping protein, protect actin filament from depolarization
Term
Alpha-actinin
Definition
Anchors thin filament to Z-line via CapZ
Term
Sliding filament model
Definition
No change in length in thin/thick filaments, only variable degree of overlap; Z-lines move closer together, I-band gets narrower as interdigitation and crossbridges increase in skeletal muscle
Term
Crossbridge Cycle for Striated muscle
Definition
Myosin bound by ADP + Pi; Ca increase , bind TnC, tropomyosin uncover binding site, cross bridge form; release ADP + Pi, stretch S2 hinge, 45 degree angle for myosin head; S2 hinge recoil, power stroke movement, actin-myosin bound; ATP binds myosin, releasing crossbridge; ATP hydrolysis returns head to 90 degree angle, cycle continues until Ca low
Term
Power stroke
Definition
S2 hinge recoiling pushing thin filament to sarcomere center; 10 nm per stroke per sarcomere; needs to be repeated many times; crossbridges asynchronous during contraction so it is smooth
Term
Filament movement in isotonic contraction
Definition
Muscle length changes, force constant, multiple cycles lead to myosin binding actin site further along sliding filament
Term
Filament movement in isometric contraction
Definition
Same length; force increasing; muscle held so it cannot shortn; crossbridge at/near same actin site repeatedly, minimal sliding
Term
Force generated in relation to sarcomere length
Definition
Longest sarcomere = no overlap, force = 0
Shorten sarcomere, more overlap, linear increase, reach Lo for optimal force, most crossbridges
Linear decrease <2µm, less interactions, steeper at 1.67, greatly reduced at 1.6 when Z-lines meet
Term
Lo in skeletal muscle
Definition
Length of optimal force; 2µm in skeletal muscle; Lo at resting site because we need to generate maximum amount of force right from the start
Term
Activation of striated muscle
Definition
Dis-inhibition of tropomyosin, actin-regulated
Term
Triad
Definition
T-tubule + 2 terminal cisternae in skeletal muscle; site of coupling excitation of T-tubule and Ca release from SR
Term
Diad
Definition
1 terminal cisterna + T-tubule in cardiac muscle
Term
T-tubule
Definition
Extension of sarcolemma, winds through and encircles each myofibril, connects electrical signal at outside of cell to sarcomere
Term
DHPR in Skeletal muscle
Definition
Voltage-sensor protein in T-tubule membrane, controls permeability of C2 release channels in SR via foot processes;
voltage-gated L-type Ca channel
Term
RyR in skeletal muscle
Definition
Ryanodine receptor, Ca release channel in SR
Term
Skeletal muscle contraction initiation
Definition
AP enters T-tubule, DHPR sense change in Vm, DHPR conformational change causes RyR in SR to open, release Ca into intracellular space; Ca binds TnC and initiates crossbridge cycling
Term
Ca source in skeletal muscle
Definition
ALL comes from Sarcoplasmic Reticulum
Term
ATP hydrolysis in skeletal muscle contraction
Definition
Contracts sarcomere, reduces intracellular Ca
Term
Termination of skeletal muscle contraction
Definition
Ca ATPase in longitudinal SR takes up Ca actively; diffuses to terminal cisternae where Ca bound to calsequestrin to store until next excitatory event; RyR closes and returns to rest until next AP (helped by binding proteins); [Ca] decreases, disassociates from TnC leading to steric blocking and inhibition
Term
Cardiac cell in relation to skeletal cell (size, SR)
Definition
Smaller, surface can affect interior easier, less extensive SR, smaller terminal cisternae
Term
Ca source for cardiac muscle contraction
Definition
Most comes from SR, some needed from ECM (Trigger calcium)
Term
DHPR in cardiac muscle
Definition
Fully functional voltage-gated L-type Ca channel, calcium released by this is not enough to initiate contraction (need trigger calcium)
Term
Cardiac muscle contraction initiation
Definition
Ca enters from ECM during AP by DHPR, Ca binds RyR which releases more Ca (CICR)
Term
CICR
Definition
Calcium-induced calcium release - ONLY IN CARDIAC MUSCLE - Ca from DHPR binds RyR to release more Ca to have enough for initiating contraction; allows for MODULATION in size of contraction
Term
Heart contraction/beat changes, maximum
Definition
Heart can change rate AND strength of beat, pump up to 25 L/minute with increased cardiac output`
Term
Cardiac muscle relaxation
Definition
Ca ATPases in SR and surface membrane, Na/Ca exchanger in surface membrane (Na down gradient, Ca against gradient), most Ca pumped back into SR
Term
Na/Ca exchanger in cardiac muscle
Definition
Na enters cell down gradient, Ca exits cell against gradient during relaxation; Na gradient originally setup by the N/K ATPase; process drives Ca export
Term
Inotropic state of heart
Definition
Ability to modulate magnitude or rate of force production/contractility
Term
Effect of changing Ca entry into cardiac muscle
Definition
Change amount of Ca released by CICR, change force generated; prolong or attenuate AP plateau phase can affect Ca influx (e.g. myocyte beta-1 adrenergic receptor increases all)
Term
Isoprenaline
Definition
Agonist of active myocyte beta-1 adrenergic receptor; increase heart rate
Term
Effect of increasing extracellular Ca on cardiac muscle
Definition
Increase EC Ca --> increase Ca entry --> increase CICR (opposite of decreased EC Ca)
Term
Trigger calcium
Definition
Ca needed from ECM to initiate cardiac muscle contraction; no contraction in Ca-free solution
Term
Cardiac muscle sensitivity
Definition
Can modulate sensitivity of contractile proteins; Ca-sensitizers increase response of myofilaments to Ca without change in cytoplasmic Ca; "work better" to generate more force; Levisomendon in Europe, will be drugs here soon
Term
Protein Kinase A on cardiac muscle contraction
Definition
Phoshporylates cardiac TnI, decrease Ca TnC affinity, increase rate of relaxation; phosphorylates phospholamban on SR to increase Ca ATPase activity, enhance relaxation
Term
Phospholamban
Definition
Phosphorylated by PKA, located on SR, increases Ca ATPase activity, leads to faster relaxation
Term
Temporal summation in skeletal muscle
Definition
Ca transients from 2+ close AP's sum to produce more force; repetitive stimulation of muscle at frequency to not allow complete relaxation; can occur because 1 AP does not release all stored Ca in SR; increased force due to more crossbridges
Term
Tetanus
Definition
Fused contraction, smooth increase in force to max due to max activation of muscle from repetitive stimulation at high frequency; frequency limited by electrical properties, refractory period
Term
Tetanus in different muscle types
Definition
Skeletal + smooth - electrical event is brief, temporally separate from mechanical phase; tetanus possible because refractory period over before peak force is reached
Cardiac: electrical + mechanical events in similar time course, no tetanus possible
Term
Spatial summation in skeletal muscle
Definition
Total sum of force made by each muscle fiber depends on total # of muscle units activated; increase # of motor neurons firing (recruitment)
Term
Recruitment
Definition
Increase number of motor neurons (motor units) firing to increase force; total # of fibers in unit determines force output
Term
Small vs. large motor units and where found
Definition
Small motor unit - 306 fibers, extrinsic muscles of eye
Large motor unit - hundreds of fibers, leg muscles; larger diameter cell bodies and axons; faster conduction velocity
Term
Hennemann Size principle
Definition
Recruitment of motor units within muscle starts with smallest cell bodies (small motor units) since it is easiest to pass firing threshold and progresses larger and larger; distribution so % force increase which each unit adds is constant - smooth gradation of force with additional recruitment
Term
Isometric contraction
Definition
Generation of force, no change in length; no work done; force expressed in terms of cross-sectional area
Length = constant; force = bell curve
Term
Isotonic contraction
Definition
Muscle shortening, constant force
Term
Phases in isotonic contraction
Definition
1 - Isometric contraction, force increases, no isotonic
2 - Isotonic shortening, constant force, move load
3 - Isotonic relaxation, constance force, let go of load
4 - Isometric relaxation, length constant, decrease force
Term
Length-force relationship for single muscle filament
Definition
Bell-shaped curve, force depends on overlap of thick and thin filaments
Term
Whole muscle total force factors
Definition
Active contractile elements and passive contractile elements (CT, membranes, collagen, elastin) - determine contributions of total force derived from passive to total force measured-difference is active force
Term
Elasticity of resting muscle
Definition
Resting muscle imperfectly elastic; resists stretch by exerting passive/resting force; length of resting muscle and force it exerts is non-linear; stretching leads to extension of CT elements - initially compliant then sharply resist as stretched
Term
Elastin and collagen in elasticity of resting muscle and force-length curve
Definition
Elastin is very compliant, contributes to "foot" of curve
Collagen is very non-compliant, contributes to sharp rising portion of curve
Term
Increased collagen in striated muscle
Definition
Seen in disease states and aging; muscle becomes stiffer and less compliant (e.g. aortic stiffening leading to increased arterial pressure)
Term
Compliance
Definition
ΔLength/ΔForce = ΔL/ΔF; Collagen/Elastin ratio sets the compliance
Term
Length-tension curve for resting muscle stretched
Definition
Short muscle length - all total force is active; longer length has more passive forces; decreasing active force at some point due to less filament overlap
Term
Lo
Definition
Optimal length for making maximum isometric force; optimal overlap of thick and thin filaments
Term
Cardiac Lo
Definition
Heart at max Lo when it is filled, starts below Lo; smooth muscle more like cardiac muscle; Lo is longer than the resting length
Term
Disatolic length
Definition
Resting length of cardiac muscle
Term
Systole vs. Diastole
Definition
Systole = Contractile
Diastole = Filling of heart
Term
Preload
Definition
Force on a muscle prior to stimulation based on length; sets the potential crossbridges that can form and maximal force that CAN be developed; think of as a stretching that sets the maximal force
Term
Afterload
Definition
Load or resistance which the muscle must contract against (weight being lifted, e.g.)
Term
Preload and afterload in heart function
Definition
Preload - how much the heart has filled
Afterload - force to move blood out of heart
Term
Force peak if weight can/cannot be lifted
Definition
Can lift weight - flat part in force-time chart as object lifted
Cannot lift - bell-shaped curve as no shortening occurred
Term
Velocity of shortening
Definition
Time to develop isometric force; measure as function of load
Small load - develop small force fast
Bigger load - longer delay to shortening, develop more isometric force
Term
Effect of preload increase
Definition
Length at which no movement increases (Fmax), maximal velocity (Vmax) unchanged
Term
Maximal velocity of shortening
Definition
Governed by intrinsic rate of crossbridge cycling with ATP hydrolysis as rate-limiting step depending on isoform of ATPase; invariant in skeletal muscle really; can modulate in cardiac muscle
Term
Smooth muscle functions
Definition
Continuously ongoing or maintenance of a steady tonic force for a long period of time, e.g. vasoconstriction to maintain arterial pressure or direct blood flow, peristalsis; large movement much slower than skeletal muscle
Term
Smooth muscle location
Definition
Blood vessels, airways, bladder, intestines, uterus (childbirth)
Term
Smooth muscle size/shape
Definition
Among smallest cells in body, spindle-shaped, 50-200µm long, 2-8µm wide; disordered
Term
Smooth muscle thick filaments
Definition
Myosin (smooth isoform) with low ATPase activity, 100x slower than skeletal muscle, causing slow contraction; can generate great force since more time spent in contraction; 20% myosin of skeletal muscle uniformly dispersed parallel to long axi
Term
Smooth muscle thin filaments
Definition
Actin (many isoforms), tropomyosin in grooves to stabilize filament; 2x amount in skeletal muscle, various isoelectric points
Term
Role of tropomyosin in smooth muscle
Definition
Stabilize thin filament; DOES NOT inhibit actin-myosin interaction
Term
Intermediate filaments in smooth muscle
Definition
Attach to cytoplasmic dense bodies - desmin and/or vimentin
Term
Dense body
Definition
Desmosome in smooth muscle - thin filament anchorage point for transmission of force; several actin filaments pass through/terminate in dense body
Term
Caldesmon
Definition
Binds Ca, CaM, actin, Myosin Binding Protein in smooth muscle; inhibits actin-activated myosin ATPase activity; reversed by high [Ca], calmodulin or phosphorylation
Term
Calponin
Definition
Associated with actin filaments in smooth muscle; binds Ca, CaM, actin-binding protein; inhibits actin-activated myosin ATPase activity
Term
Troponin in smooth muscle
Definition
NO TROPONIN IN SMOOTH MUSCLE
Term
Calmodulin
Definition
Binds Ca, important for phosphorylation and activation of contraction in smooth muscle
Term
Methods of direct Ca entry in smooth muscle
Definition
Leak channels, Stretch-activated channels, Ligand-gated channels, Voltage-gated channels
Term
Leak channels in smooth muscle
Definition
Tonicly active, Ca move down concentration gradient and membrane potential; insufficient to trigger contraction on its own (unless pathological state)
Term
Stretch-actived channels in smooth muscle
Definition
Membrane tension causes opening, e.g. filling state in bladder or heart (myogenic response) - leads to Ca entering
Term
Ligand-gated channels in smooth muscle
Definition
Bind agonist (e.g. norepinephrine), also known as receptor-operated channels (ROC)
Term
Voltage-gated channels in smooth muscle
Definition
Sense membrane depolarization, blocked by DHPs, allow entry of enough Ca to trigger contraction without CICR, modulatable graded contraction
Term
Second messengers in smooth muscle
Definition
Indirectly entry, G-protein activates PIP2 pathway --> IP3 and DAG; IP3-gated Ca channels on SR open and release Ca into cell (pharmacomechanical coupling); RyR can perform CICR, just need enough Ca to induce this
Term
Na channels vs. Ca channels in smooth muscle
Definition
No Na channels, just Ca channels; Vm increase, Ca enters and can trigger contraction
Term
Smooth muscle relaxation
Definition
SR Ca ATPase, surface Ca ATPase, cell surface Na/Ca exchangers, variable
Term
Smooth muscle activation
Definition
Activation of myosin, in contrast to striated muscle's dis-inhibition of actin
Term
Smooth muscle myosin-actin interaction
Definition
Depends on phosphorylation of 1 myosin light chain (MLC); only crossbridges when phosphorylated; MLCK and MLCP phosphorylate/dephosphorylate myosin light chain
Term
Smooth muscle contraction initiation
Definition
[Ca] rise, Ca binds CaM, Ca-CaM activates MLCK, phosphorylate MLC, initiate crossbridge cycling; MLCK in balance with MLKP and can both be regulated by second messenger systems
Term
ROCK
Definition
Rho Kinase - phosphorylates MLC, inhibits MLCP by phosphorylating myosin-binding unit - leads to overall increased force of contraction
Term
Protein Kinase C on smooth muscle
Definition
PKC phosphorylates CPI-17, binds and inhibits MLCP, increases contraction
Term
cGMP in smooth muscle
Definition
cGMP --> PKG --> MLCP --> relaxation
NO --> guanylyl cyclase --> cGMP, blood vessel constriction
Term
cAMP in smooth muscle
Definition
cAMP --> PKA --> increase Ca pumping back into SR + MLCP activity increase --> relaxation; particularly in skeletal muscle blood vessels and airway smooth muscle after beta-2 adrenergic receptor activated; pathway activated by inhalers
Term
Latch state
Definition
Maintain high level of tone or force over long time with little energy utilization in smooth muscle
Ca enters; MLC phosphorylation, force development, MLC dephosphorylation to basal level, force remains; dephosphorylated latchbridges have low cycling rate, slow shortening velocity
Term
Smooth muscle length-tension relationship
Definition
Broader curve (force generated over wider area), significant amount of passive force at Lo due to network of CT supporting smooth muscle to prevent overextension
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