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GI I Exam 2 review questions
5 questions
6
Medical
Graduate
01/23/2011

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Term
Net driving force eqn (Starling eqn): key factor determining the flux of water across capillaries
Definition

Qf = k[(Pc-Pi) - σ(πc - πi)]

Filtration: NDF > 0

Reabsorption: NDF < 0

(flux includes the filtration constant "k," NDF does not)

Term

Smooth muscle contraction

(not everything, just the parts that need some cobweb-clearing)

Definition

Actin & myosin interact according to the sliding filament mechanism

Ca++ interacts with calmodulin and myosin light chain kinase (MLCK) to activate myosin

 

1. Depolarization opens Ca++channels, Ca++ flows into cell down its electrochemical graident, increasing intracellular [Ca++]

2. Hormones & NT release Ca++ from the SR through IP3-gated Ca++ channels

3. Intracellular [Ca++] increases

4. Ca++-calmodulin --> activates MLCK --> phosphorylates myosin, myosin binds to actin --> CONTRACTION

5. A d/c in intracellular [Ca++] --> inactivation of MLCK --> myosin phosphatase dephosphorylates MLCK --> RELAXATION

 

Latch state - MLCK is dephosphorylated when myosin is attached to actin & cannot detach

 

MLCK can be dephosphorylated by phosphate at any time in the cycle

Term

What causes smooth muscle to contract?

 

To relax?

Definition

Molecular basis for contraction:

  Ca++-calmodulin

  activation of MLCK

 

NT/hormones:

NE, epi       a-1/IP3                   contract

                 B-2/cAMP                relax

 

ACh            muscarinic receptor  contract

                 indirect via NO         relax

 

Angiotensin II   AT-II/IP3           contract

Vasopressin      VP rec/IP3              contract

Endothelin        ET rec/IP3               contract

 

Adenosine   adenosine rec/cAMP  relax

Term
Skeletal muscle contraction
Definition

1. Action potentials intitiate depolarization of T-tubules

2. Depolarization of T tubules --> opens Ca++ release channels in SR --> release of Ca++

3. Intracellular [Ca++] increases

4. Ca++ binds troponin C on the thin filaments --> tropomyosin moved out of the way, cross-bridge cycling begins

  a. no ATP is bound to myosin, myosin is attached to actin (if no ATP --> rigor)

  b. ATP binds to myosin, myosin is released from actin

  c. myosin is displaced toward the plus end of actin

  d. myosin attaches to a new site on actin (power-generating stroke), ADP released, returning myosin to rigor state

  e. cycle repeats as long as Ca++ is bound to troponin C

5. When SERCA reaccumulates Ca++ --> relaxation

Term
Length-tension and force-velocity relationships in muscle
Definition

Isometric - length held constant, preload is fixed, there is NO shortening

 

Isotonic - load held constant, afterload is fixed, shortening is measured

 

Length-tension relationship: measures tension developed during isometric contractions

  - passive tension: developed by stretching muscle to different lengths

  - total tension: developed when muscle is stimulated to contract at different length

  - active tension: the difference between passive & total; proportional to # of cross-bridges formed; will be maximum when there's max overlap of thick and thin filaments

 

Force-velocity relationship: measures the velocity of shortening of isotonic contractions when muscle is challenged with different afterloads

  - velocity decreases as afterload increases

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