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MSK ex1
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Medical
Professional
10/11/2011

Additional Medical Flashcards

 


 

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Term
what does actinin do?
Definition
attaches actin to the Z-line in a sarcomere
Term
what does tropomodulin do?
Definition
caps the minus end of F-actin in a sacromere and stabilizes it
Term
what does nebulin do?
Definition
stabilized F-actin all along its length
Term
what does titin do?
Definition
spans the Z-line to M-line stabliizing myosin
Term
what is responsible to for modulating the interaction between myosin and actin?
Definition
troponin.  it can inhibit contractions between the myosin and actin by blocking their binding site.  one of its three subunits binds actin, one binds tropomyosin, one binds Ca2+
Term
explain the power stroke of the mysoin-actin complex.
Definition

ATP binds a myosin head that is complexed and release it from actin.  

 

ATP is then hydrolyzed which allows myosin to recomplex with actin at a different site.  

 

Once the phosphate is complete released and only ADP is attached to myosin, myosin lurches the entire actin filament forward creating a power stroke.  

 

ADP is released and another binding of ATP will result in another power stroke.

 

***the binding of a of myosin to an actin binding site is modulated by the conc. of Ca2+.  The binding of Ca2+ to two low affinity Ca binding site causes a comformational chain on actin which exposes a binding site for myosin and "cross-bridgeing" become possible

 

*** because many myosin heads are in different stages on binding of actin, actin cannot slips back along myosin

Term
what does the cell get the regenerated ATP needed for filament sliding?
Definition

phosphocreatine (creatine phosphotransferase transfers a P to ADP) and glycogen (glycolysis)

 

rigor mortis happens because the sliding of filaments is dependant on ATP

Term
what does the strength of contraction and length of contraction of muscle filaments depend on?
Definition

the number of cross-bridges that are active.  If a muscle is stretched beyond its resting length, then the cross-bridges are destroyed and it is less capable of mounting a strong contractile response.

 

If the filaments are already too contracted, then there is crowding of myosin/actin cross bridge complexes and they begin to interfere with each other

Term
how is the network of Ca2+ storage organized around muscles fibers?
Definition

the sarcoplasmic reticulum contains large stores of Ca2+ and span A and I bands.  They open to terminal cisternae (lateral sacs) which are connected by T(transverse)-tubules

 

T-tubules contain cytosol in their lumens and open to the cytosol of the skeletal muscle cells at the point of the A band and I band

 

ONE t-tubule and TWO terminal cisternae = triad

Term
how are contraction impulses propogated in cardiac muscle?
Definition
action potential signals for contraction which arrives from a neighboring cell through cap junctions
Term
ACh's role in the stimulation of muscle contraction
Definition

ACh is released as a neurotransmitter from the from a neuron's synaptic jxn and signals the opening of nicotinic ACh receptors.

 

An influx of Na+ ions will occur and depolarize the muscle cell and creates an action potential.

 

THis action potential is what opens up Ca2+ channels which open up into terminal cisternae and ultimately T-tubules

Term
besides the sarcoplasmic reticulum (the only sources of Ca2+ utilized by skeletal muscle), what is the other sources of Ca2+ ions that cardiac muscle can utilize?
Definition
extracellular fluid
Term
how is ACh induced action potential terminated?
Definition

acetylcholinesterase removes ACh by hydrolysis

 

the sarcoplasmic reticulum Ca pumps and ATPases will shut down, lowering the intracellular conc. of Ca and the troponin-tropomyosin blocking complexes are able to reform allowing for relaxation

Term
Explain spatial summation
Definition

contractions from impulses are additive because there is a delay from impulse to contraction, and all the Ca2+ that was released may not be cleared before a muscle fiber receives a second impulse

 

muscle fibers are capable of being restimulated repeatedly

Term
explain trepe, incomplete tetanus, and complete tetanus
Definition

trepe is quickly spaced stimuli resulting in contractions that are each of increasing magnitude than the previous; this is also called incomplete tetanus

 

when the impulses are so frequent that the magnitude of the contraction is constant and becomes one fused contraction, this is known as complete tetanus

 

*** cardiac contractions are usually only just as long as the impulses, so the same effect doesn't happen with them

Term
isometric vs. isotonic
Definition

isometric = muscle remains the same length (static contraction); the lifting of an immovable object

 

isotonic = changes in muscle length

two types: concentric (muscle shortens) and eccentric (muscle lengthens)

Term
what is total tensive force?
Definition

the sum of the active and passive tension

 

passive comes from the weight of a load on a muscle while active is the result of an action potential impulse.

 

maximum active tension depends on the optimum length of the overlap of myosin and actin

Term
types of skeletal muscle
Definition

slow-oxidative (type 1)

fast-oxidative (type 2a)

fast-glycolytic (type 2b)

 

the oxidatives are red, have extensive vascularity, lots of myosin and abundant mitochondria

 

the fast glycolytic has few myoglobin, can perform rapid contractions, has lower endurance

 

the efficacy of the myosin used is determined by different isoforms of myosin which each have different ATPase activies

Term
types of fatigue
Definition

high frequency stimulation fatigue:  stimulation of tetanus, Ca+ is depleted because it can't be pumped in fast enough

 

low frequency stimulation fatigue:  prolonged stimulation which uses up oxygen, so ATP is performed anaeobically, but lactic acid will build up and eventually ATP will decrease

Term
muscle spindle regulation of muscle state
Definition

intrafusal fibers connect at two points to a muscle and are connected to afferent (sensory neurons) which connect to spinal cord

 

they exist in either nuclear bag or nuclear chains along skeletal muscles

 

the primary end of the intrafusal fiber detects the rate of muscle tension change while the secondary end detects the length change of a muscle

 

the result is a motor signalling of an inhibitory response meant to return the muscle back to a state of rest

 

ex.  knee jerk response, golgi tendon reflex

Term

Functional Adaptations of Skeletal Muscle


Definition

 


Improvement in oxidative capacity

increases the number of capillaries in the exercising muscles and the number of mitochondria within the muscle fibers. These changes enable the muscle to use oxygen more efficiently and to improve its oxidative capacity.

Inter-conversion between fast-twitch fiber types

Endurance training, such as long distance running, converts fast-glycolytic (Type IIb) fibers into fast-oxidative (Type IIa) fibers. In contrast, stress training, such as weight lifting, converts fast- oxidative fibers into fast-glycolytic fibers. Notice, slow-oxidative (Type I) fibers cannot be converted to any type of fast fibers.

Muscle Hypertrophy

 

increasing muscle mass by increasing the number of actin and myosin fibers; weight lifting.

Muscle Atrophy

 

atrophy; confined to a hospital bed for a long period of time

Sarcopenia

A decrease in the number of muscle fibers with advanced age is called sarcopenia. 

Muscle Regeneration

 

can happen if not too much muscle is lost post injury thanks to undifferentiated muscle progenitor cells (satellite cells) associated with the damaged fibers are transformed to mononuclear myoblasts.  cannot if damage it too extensive, will be filled by fibrous tissue and fat

 

Term
what is the difference between allelic heterogeneity and locus heterogeneity?
Definition

allelic refers to different mutations at a single/same gene

 

locus refers to the production of a like phenotype but through multiple sites and genes (limb girldle MD)

Term
marfan's disease
Definition

exhibits pleitropy meaning variations in the organ systems affected

 

tall, thin, lanky, myopia, detached lens, mitral valve defects, dialation of aorta, pectus excavatum (the dent in the sternum)

 

it's a fibrillin gene defects

Term
DMD/BMD
Definition

XLR, mutations of the dystrophin glycoprotein complex (the complex connecting F-actin to sarcomere)

 

duchennes is more severe due to larger deletions/mutations in the gene, beckers is milder

 

patients develop large calf because the muscle gets replaced by fatty, fibrous tissue

Term
other types of MD
Definition

limb-girdle MD

fascioscapulohumeral MD

Term
features of myotonic dystrophy
Definition

it's a trinucleotide repeat disease (others include fragile X, friedrich ataxia, huntington disease)

-these triplets occur in the DMPK gene which is a protein kinase

 

exhibits anticipation (worsening phenotypes though generations)

 

degree of affect is often determined by length of repeat sequence

Term
which collagen type(s) are affectd in the worst cases of EDS?  what is the type responsible for?
Definition
III, it is important in vascularization, therefore, vascular defects are common
Term

in EDS what is Kyphoscoliotic caused by?

 

Definition
mutant lysyl hydroxylase in procollagen
Term

what is FOP Fibrodysplasia Ossificans Progressiva

Definition

connective tissue ossifies and becomes continous with skeleton

 

mutation is in ACVR1 gene (receptor for bone morphogenetic protein) leading to Uncontrolled Bone Growth

Term
how does muscle hypertrophy happen on the genetic level
Definition
muscle size is controlled by the myostatin gene.  knock out that gene and you have excessive mass of muscles.  it can be inherited dominantly
Term

EDS Types

 

Definition

Classic - type I

Hypermobility - least severe

vascular - type III, AD

Term
Composition of Type I Collagen?  Type II?
Definition

Type I collagen is made from two alpha 1 chains and one Alpha 2 chain.

Type II collagen is made from three alpha 1 chains.

Term
what happens to many hydroxylysine chains prior to helix formation
Definition
they get gylcosylated
Term

where are prepro alpha chains synthesized?

Definition
inside the RER
Term
what can ascorbic acid deficiency lead to?
Definition

low hydroxylation resulting in poor

assembly and crosslinking of collagen as in scurvy, causing weak blood

vessels and poor wound healing

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