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Medicine Notes Physiology and Pharmacology Notes

Skeletal Muscle Notes

Updated Skeletal Muscle Notes

Physiology and Pharmacology Notes

Physiology and Pharmacology

Approximately 258 pages

1st year Oxford notes and tutorial essays on Physiology and Pharmacology...

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Skeletal muscle

Embryological development

-notochord expresses SHH, which stimulates the somites to segregate into sceleretome and dermamyotome

-muscle develops from the myotome from the dermamyotome

-signalling molecule, neurotrophin, wingless family 1,3 from neural tube and ectoderm stimulates the expression of PAX 3 and PAX 7 which stimulates the formation of myoblasts- committed stage

-myoblasts proliferate and fuse to from multinucleate myotubes

-the myotubes are stimulated to express muscle specific proteins- activation of Myf5, MyoD, myogenin

-some of the myoblasts remain attached to the basal lamina- satellite cells

Function of muscle

-produce movement of the joints of the skeleton

-maintain posture

-support soft tissues

-protect anatomical openings

-maintain body temperature via shivering

Sturcture

  • The whole muscle, bundles of fascicles, all surrounded by the epimysium- dense connective tissue

  • Bundles of myofibres, fascile, that are held together by connective tissue known as permysium.

  • Each myofibre is surrounded by the endomysium

  • Each myofibre is made up of many myofibrils

  • Each myofibrils is made up of an end to end arrangement of sarcomeres that consist of myofilaments arranged as an interdigitating structure of thick and thin filaments which gives skeletal a striated appearance under a microscope . Each sarcomere is a repeating unit between Z disks

Histological appearance of skeletal muscle

  • -striated and multinucleate

  • -most of the myocyte is stained pink as there are a large number of proteins

  • -nuclei is stained purple and is found around the edge of the cell

Ultrastructure

-Thick filaments

  • 10nm wide and 1.5 micrometer long

  • Myosin- consists of 2 heavy chains- each chain has an alpha helix and a globular head. The alpha helices of the chains are supercoiled to give a rigid rod like tail. The globular heads protrude to form cross bridges. It also consists of 2 light chains that are associated with the globular heads

  • The tails of the myosin are arranged in parallel bundles

  • Three pairs of heads protrude from the parallel bundles of myosin tails, and are 120 degrees apart and form a structure known as the crown

  • The myosin filaments are attached to the M line

-Thin filaments

  • 5nm wide and 1micrometer long

  • Actin- globular subunits that polymerise into a filamentous structure- F actin. The filamentous strand is made up of 2 alpha helical strands that wrap around each other.

  • The actin is bound to the Z line via actin binding proteins: alpha actinin

  • The actin is associated with tropomyosin, 2 alpha helices twist around the grooves formed by the actin and they block the myosin binding sites in the actin groove

  • Troponin has 3 subunits, troponin T binds to tropomyosin, troponin I binds to actin and troponin binds to Ca ion

-Striation

  • Striations are due to banded appearance of dark and light regions

  • Isotropic band, is made up of only actin filaments, I bands shorten during contraction

  • Anisotropic band- made up of an overlap of both actin and myosin, A length remains unchanged

Muscoskeletal coupline

Intracellular coupling- within the sarcomere

-forces generated within each sarcomere due to the interactions between myosin and actin – cross bridge cycling- shortens the sarcomere as actin are linked to Z lines and generates tension

Cytoskeletal coupling

-arrangement of the sarcomeres in a myofibril allows the coupling of all forces generated in all sarcomeres in one myofibril

-actin binds to Z discs using alpha actinin -Z discs- tether the thin filaments in one myofibril together-

-desmin- connects Z discs between myofibrils

- intermediate filament that links one myofibre to the next by linking one sarcomere to the next within the muscle fibre by connecting the z discs.

-Desmin also connects the Z discs to the subsarcolemmal cytoskeleton, nucleus, mitochondria

-connections maintain the structural and mechanical integrity of cell during contraction and helps in force transmission

-myosin connects to the M line using myomesin protein

-Titin- connectin protein that connects the z line to the M line in the sarcomere. When the sarcomere shortens, the Titin protein which is made up of 244 domains unfolds. When muscle relaxes, the Titin protein refolds and contributes to the passive elasticity of the muscle- returs the sarcomere to orginisal position. Shock absorbing protein

Transmembrane coupling

dystrophin

-links the cytoskeleton of the sarcomere to the sarcolemma

-links actin filaments to a glycoprotein complex (costameres) on the sarcolemma

-allows force to be transmitted from the sarcomere to the membrane

Duchenne muscular dystrophy- fatal X linked denerative disorder- absence of dystrophin protein- no coupling of force generated in the sarcomere to the membrane so leads to muscle weakness- leads to muscle damage- atropy

-possible treatment of gene replacement of dystrophin but dystrophin is too large to fit in viral vectors

Coupling to connective tissue

-endomysium to perimysium to epimysium

-it is via the connective tissue sheath of the epimysium that contractile force generated by muscle groups is exerted onto skeletal structures

Muscle tendon junction

-the dense connective tissue of the epimysium merges with the regular dense connective tissue of the tendon

-tendons are bundles of type 1 collagen fibres that are attached to the bone via an enthesis- at the junction between the flexible collagen in the tendon and the rigid bone tissue cartilage tissue is developed which is mineralised near the bone Tendons have a high tensile strength and concentrate force onto a small area.

-muscles are connected to bones and tendons

Myoblasts generate several different types of skeletal muscle fibres

  • Types:as twitch speed increases, reliance on glycolysis, power, and size of motor unit increase, while fatigue time, oxidative capacity, perfusion, and number of mitochondria decrease

    • Type 1/slow twitch/aerobic- small size, low power, high fatigue resistance, high oxidative capacity,...

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