1 1 rat dissection gsdfg. 2 9 muscles and muscle tissue part a

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Page 1: 1 1 Rat Dissection gsdfg. 2 9 Muscles and Muscle Tissue Part A

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1Rat Dissection

gsdfg

Page 2: 1 1 Rat Dissection gsdfg. 2 9 Muscles and Muscle Tissue Part A

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9Muscles and Muscle Tissue

Part A

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Muscle Overview

The three types of muscle tissue are skeletal, cardiac, and smooth

These types differ in structure, location, function, and means of activation

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Muscle Similarities

Skeletal and smooth muscle cells are elongated and are called muscle fibers

Muscle contraction depends on two kinds of myofilaments – actin and myosin

Muscle terminology is similar

Sarcolemma – muscle plasma membrane

Sarcoplasm – cytoplasm of a muscle cell

Prefixes – myo, mys, and sarco all refer to muscle

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Skeletal Muscle Tissue

Packaged in skeletal muscles that attach to and cover the bony skeleton

Has obvious stripes called striations

Is controlled voluntarily (i.e., by conscious control)

Contracts rapidly but tires easily

Is responsible for overall body motility

Is extremely adaptable and can exert forces ranging from a fraction of an ounce to over 70 pounds

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Cardiac Muscle Tissue

Occurs only in the heart

Is striated like skeletal muscle but is not voluntary

Contracts at a fairly steady rate set by the heart’s pacemaker

Neural controls allow the heart to respond to changes in bodily needs

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Smooth Muscle Tissue

Found in the walls of hollow visceral organs, such as the stomach, urinary bladder, and respiratory passages

Forces food and other substances through internal body channels

It is not striated and is involuntary

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Functional Characteristics of Muscle Tissue

Excitability, or irritability – the ability to receive and respond to stimuli

Contractility – the ability to shorten forcibly

Extensibility – the ability to be stretched or extended

Elasticity – the ability to recoil and resume the original resting length

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Muscle Function

Skeletal muscles are responsible for all locomotion

Cardiac muscle is responsible for coursing the blood through the body

Smooth muscle helps maintain blood pressure, and squeezes or propels substances (i.e., food, feces) through organs

Muscles also maintain posture, stabilize joints, and generate heat

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Skeletal Muscle

Each muscle is a discrete organ composed of muscle tissue, blood vessels, nerve fibers, and connective tissue

The three connective tissue sheaths are:

Endomysium – fine sheath of connective tissue composed of reticular fibers surrounding each muscle fiber

Perimysium – fibrous connective tissue that surrounds groups of muscle fibers called fascicles

Epimysium – an overcoat of dense regular connective tissue that surrounds the entire muscle

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Skeletal Muscle

Figure 9.2 (a)

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Skeletal Muscle: Nerve and Blood Supply

Each muscle is served by one nerve, an artery, and one or more veins

Each skeletal muscle fiber is supplied with a nerve ending that controls contraction

Contracting fibers require continuous delivery of oxygen and nutrients via arteries

Wastes must be removed via veins

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Skeletal Muscle: Attachments

Most skeletal muscles span joints and are attached to bone in at least two places

When muscles contract the movable bone, the muscle’s insertion moves toward the immovable bone, the muscle’s origin

Muscles attach:

Directly – epimysium of the muscle is fused to the periosteum of a bone

Indirectly – connective tissue wrappings extend beyond the muscle as a tendon or aponeurosis

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Microscopic Anatomy of a Skeletal Muscle Fiber

Each fiber is a long, cylindrical cell with multiple nuclei just beneath the sarcolemma

Fibers are 10 to 100 m in diameter, and up to hundreds of centimeters long

Each cell is a syncytium produced by fusion of embryonic cells

Sarcoplasm has numerous glycosomes and a unique oxygen-binding protein called myoglobin

reserve supply of oxygen in muscle cells

Fibers contain the usual organelles, myofibrils, sarcoplasmic reticulum, and T tubules

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Myofibrils

Myofibrils are densely packed, rodlike contractile elements

They make up most of the muscle volume

Contractile units of skeletal muscles

The arrangement of myofibrils within a fiber is such that a perfectly aligned repeating series of dark A bands and light I bands is evident

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Myofibrils

Figure 9.3 (b)

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Sarcomeres

The smallest contractile unit of a muscle

The region of a myofibril between two successive Z discs

Composed of myofilaments made up of contractile proteins

Myofilaments are of two types – thick and thin

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Sarcomeres

Figure 9.3 (c)

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Myofilaments: Banding Pattern

Thick filaments – extend the entire length of an A band

Thin filaments – extend across the I band and partway into the A band

Z-disc – coin-shaped sheet of proteins (connectins) that anchors the thin filaments and connects myofibrils to one another

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Myofilaments: Banding Pattern

Thin filaments do not overlap thick filaments in the lighter H zone

M lines appear darker due to the presence of the protein desmin

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Myofilaments: Banding Pattern

Figure 9.3 (c, d)

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Ultrastructure of Myofilaments: Thick Filaments

Thick filaments are composed of the protein myosin

Each myosin molecule has a rodlike tail and two globular heads

Tails – two interwoven, heavy polypeptide chains

Heads – two smaller, light polypeptide chains called cross bridges

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Ultrastructure of Myofilaments: Thick Filaments

Figure 9.4 (a)(b)

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Ultrastructure of Myofilaments: Thin Filaments

Thin filaments are chiefly composed of the protein actin

Each actin molecule is a helical polymer of globular subunits called G actin

The subunits contain the active sites to which myosin heads attach during contraction

Tropomyosin and troponin are regulatory subunits bound to actin

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Ultrastructure of Myofilaments: Thin Filaments

Figure 9.4 (c)

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Arrangement of the Filaments in a Sarcomere

Longitudinal section within one sarcomere

Figure 9.4 (d)

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Sarcoplasmic Reticulum (SR)

SR is an elaborate, smooth endoplasmic reticulum that mostly runs longitudinally and surrounds each myofibril for calcium storage.

Paired terminal cisternae form perpendicular cross channels

Functions in the regulation of intracellular calcium levels

Elongated tubes called T tubules penetrate into the cell’s interior at each A band–I band junction

T tubules associate with the paired terminal cisternae to form triads

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Sarcoplasmic Reticulum (SR)

Figure 9.5

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T Tubules

T tubules are continuous with the sarcolemma

They conduct impulses to the deepest regions of the muscle

enhance cellular communication during muscle contraction

These impulses signal for the release of Ca2+ from adjacent terminal cisternae

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Triad Relationships

T tubules and SR provide tightly linked signals for muscle contraction

A double zipper of integral membrane proteins protrudes into the intermembrane space

T tubule proteins act as voltage sensors

SR foot proteins are receptors that regulate Ca2+ release from the SR cisternae

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Sliding Filament Model of Contraction

Thin filaments slide past the thick ones so that the actin and myosin filaments overlap to a greater degree

In the relaxed state, thin and thick filaments overlap only slightly

Upon stimulation, myosin heads bind to actin and sliding begins

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Sliding Filament Model of Contraction

Each myosin head binds and detaches several times during contraction, acting like a ratchet to generate tension and propel the thin filaments to the center of the sarcomere

As this event occurs throughout the sarcomeres, the muscle shortens

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Skeletal Muscle Contraction

In order to contract, a skeletal muscle must:

Be stimulated by a nerve ending

Propagate an electrical current, or action potential, along its sarcolemma

Have a rise in intracellular Ca2+ levels, the final trigger for contraction

Linking the electrical signal to the contraction is excitation-contraction coupling

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Nerve Stimulus of Skeletal Muscle

Skeletal muscles are stimulated by motor neurons of the somatic nervous system

Axons of these neurons travel in nerves to muscle cells

Axons of motor neurons branch profusely as they enter muscles

Each axonal branch forms a neuromuscular junction with a single muscle fiber

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Neuromuscular Junction

The neuromuscular junction is formed from:

Axonal endings, which have small membranous sacs (synaptic vesicles) that contain the neurotransmitter acetylcholine (ACh)

NT temporarily modifies the permeability of the muscle cell membrane

The motor end plate of a muscle, which is a specific part of the sarcolemma that contains ACh receptors and helps form the neuromuscular junction

Though exceedingly close, axonal ends and muscle fibers are always separated by a space called the synaptic cleft

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Neuromuscular Junction

Figure 9.7 (a-c)

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Neuromuscular Junction

When a nerve impulse reaches the end of an axon at the neuromuscular junction:

Voltage-regulated calcium channels open and allow Ca2+ to enter the axon

Ca2+ inside the axon terminal causes axonal vesicles to fuse with the axonal membrane

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Neuromuscular Junction

This fusion releases ACh into the synaptic cleft via exocytosis

ACh diffuses across the synaptic cleft to ACh receptors on the sarcolemma

Binding of ACh to its receptors initiates an action potential in the muscle

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Destruction of Acetylcholine

ACh bound to ACh receptors is quickly destroyed by the enzyme acetylcholinesterase

This destruction prevents continued muscle fiber contraction in the absence of additional stimuli

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Action Potential

A transient depolarization event that includes polarity reversal of a sarcolemma (or nerve cell membrane) and the propagation of an action potential along the membrane

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Role of Acetylcholine (Ach)

ACh binds its receptors at the motor end plate

Binding opens chemically (ligand) gated channels

Na+ and K+ diffuse out and the interior of the sarcolemma becomes less negative

This event is called depolarization

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9Muscles and Muscle TissuePart B

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Depolarization

Initially, this is a local electrical event called end plate potential

Later, it ignites an action potential that spreads in all directions across the sarcolemma

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The outside (extracellular) face is positive, while the inside face is negative

This difference in charge is the resting membrane potential

Figure 9.8 (a)

Action Potential: Electrical Conditions of a Polarized Sarcolemma

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The predominant extracellular ion is Na+

The predominant intracellular ion is K+

The sarcolemma is relatively impermeable to both ions

Figure 9.8 (a)

Action Potential: Electrical Conditions of a Polarized Sarcolemma

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An axonal terminal of a motor neuron releases ACh and causes a patch of the sarcolemma to become permeable to Na+

(sodium channels open)

Figure 9.8 (b)

Action Potential: Depolarization and Generation of the Action Potential

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Na+ enters the cell, and the resting potential is decreased (depolarization occurs)

If the stimulus is strong enough, an action potential is initiated

Figure 9.8 (b)

Action Potential: Depolarization and Generation of the Action Potential

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Polarity reversal of the initial patch of sarcolemma changes the permeability of the adjacent patch

Voltage-regulated Na+ channels now open in the adjacent patch causing it to depolarize

Figure 9.8 (c)

Action Potential: Propagation of the Action Potential

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Thus, the action potential travels rapidly along the sarcolemma

Once initiated, the action potential is unstoppable, and ultimately results in the contraction of a muscle

Figure 9.8 (c)

Action Potential: Propagation of the Action Potential

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Action Potential: Repolarization

Immediately after the depolarization wave passes, the sarcolemma permeability changes

Na+ channels close and K+ channels open

K+ diffuses from the cell, restoring the electrical polarity of the sarcolemma

Figure 9.8 (d)

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Action Potential: Repolarization

Repolarization occurs in the same direction as depolarization, and must occur before the muscle can be stimulated again (refractory period)

The ionic concentration of the resting state is restored by the Na+-K+ pump

Figure 9.8 (d)

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Excitation-Contraction Coupling

Once generated, the action potential:

Is propagated along the sarcolemma

Travels down the T tubules

Triggers Ca2+ release from terminal cisternae

Ca2+ binds to troponin and causes:

The blocking action of tropomyosin to cease

Actin active binding sites to be exposed

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Excitation-Contraction Coupling

Myosin cross bridges alternately attach and detach

Thin filaments move toward the center of the sarcomere

Hydrolysis of ATP powers this cycling process

Ca2+ is removed into the SR, tropomyosin blockage is restored, and the muscle fiber relaxes

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Excitation-Contraction Coupling

Figure 9.9

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At low intracellular Ca2+ concentration:

Tropomyosin blocks the binding sites on actin

Myosin cross bridges cannot attach to binding sites on actin

The relaxed state of the muscle is enforced

Role of Ionic Calcium (Ca2+) in the Contraction Mechanism

Figure 9.10 (a)

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56Figure 9.10 (b)

At higher intracellular Ca2+ concentrations:

Additional calcium binds to troponin (inactive troponin binds two Ca2+)

Calcium-activated troponin binds an additional two Ca2+ at a separate regulatory site

Role of Ionic Calcium (Ca2+) in the Contraction Mechanism

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Calcium-activated troponin undergoes a conformational change

This change moves tropomyosin away from actin’s binding sites

Figure 9.10 (c)

Role of Ionic Calcium (Ca2+) in the Contraction Mechanism

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Myosin head can now bind and cycle

This permits contraction (sliding of the thin filaments by the myosin cross bridges) to begin

Figure 9.10 (d)

Role of Ionic Calcium (Ca2+) in the Contraction Mechanism

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Sequential Events of Contraction

Cross bridge formation – myosin cross bridge attaches to actin filament

Working (power) stroke – myosin head pivots and pulls actin filament toward M line

Cross bridge detachment – ATP attaches to myosin head and the cross bridge detaches

“Cocking” of the myosin head – energy from hydrolysis of ATP cocks the myosin head into the high-energy state

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Myosin cross bridge attaches to the actin myofilament

1

2

3

4 Working stroke—the myosin head pivots and bends as it pulls on the actin filament, sliding it toward the M line

As new ATP attaches to the myosin head, the cross bridge detaches

As ATP is split into ADP and Pi, cocking of the myosin head occurs

Myosin head (high-energy

configuration)

Thick filament

Myosin head (low-energy configuration)

ADP and Pi (inorganic phosphate) released

Sequential Events of Contraction

Figure 9.11

Thin filament

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Contraction of Skeletal Muscle Fibers

Contraction – refers to the activation of myosin’s cross bridges (force-generating sites)

Shortening occurs when the tension generated by the cross bridge exceeds forces opposing shortening

Contraction ends when cross bridges become inactive, the tension generated declines, and relaxation is induced

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Contraction of Skeletal Muscle (Organ Level)

Contraction of muscle fibers (cells) and muscles (organs) is similar

The two types of muscle contractions are:

Isometric contraction – increasing muscle tension (muscle does not shorten during contraction)

Isotonic contraction – decreasing muscle length (muscle shortens during contraction)

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Motor Unit: The Nerve-Muscle Functional Unit

A motor unit is a motor neuron and all the muscle fibers it supplies

The number of muscle fibers per motor unit can vary from four to several hundred

Muscles that control fine movements (fingers, eyes) have small motor units

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Motor Unit: The Nerve-Muscle Functional Unit

Figure 9.12 (a)

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Motor Unit: The Nerve-Muscle Functional Unit

Large weight-bearing muscles (thighs, hips) have large motor units

Muscle fibers from a motor unit are spread throughout the muscle; therefore, contraction of a single motor unit causes weak contraction of the entire muscle

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Muscle Twitch

A muscle twitch is the response of a muscle to a single, brief threshold stimulus

The three phases of a muscle twitch are:

Latent period – first few milli-seconds after stimulation when excitation-contraction coupling is taking place

Figure 9.13 (a)

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Muscle Twitch

Period of contraction – cross bridges actively form and the muscle shortens

Period of relaxation – Ca2+ is reabsorbed into the SR, and muscle tension goes to zero

Figure 9.13 (a)

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Graded Muscle Responses

Graded muscle responses are:

Variations in the degree of muscle contraction

Required for proper control of skeletal movement

Responses are graded by:

Changing the frequency of stimulation

Changing the strength of the stimulus

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Muscle Response to Varying Stimuli

A single stimulus results in a single contractile response – a muscle twitch

Frequently delivered stimuli (muscle does not have time to completely relax) increases contractile force – wave summation

Figure 9.14

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Muscle Response to Varying Stimuli

More rapidly delivered stimuli result in incomplete tetanus

If stimuli are given quickly enough, complete tetanus results

Figure 9.14

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Muscle Response: Stimulation Strength

Threshold stimulus – the stimulus strength at which the first observable muscle contraction occurs

Beyond threshold, muscle contracts more vigorously as stimulus strength is increased

Force of contraction is precisely controlled by multiple motor unit summation

This phenomenon, called recruitment, brings more and more muscle fibers into play

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Stimulus Intensity and Muscle Tension

Figure 9.15 (a, b)

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Treppe: The Staircase Effect

Staircase – increased contraction in response to multiple stimuli of the same strength

Contractions increase because:

There is increasing availability of Ca2+ in the sarcoplasm

Muscle enzyme systems become more efficient because heat is increased as muscle contracts

In other words, it is the warm-up period required of athletes in order to bring their muscles to peak performance

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Treppe: The Staircase Effect

Figure 9.16

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9Muscles and Muscle Tissue

Part C

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Muscle Tone

Muscle tone:

Is the constant, slightly contracted state of all muscles, which does not produce active movements

Keeps the muscles firm, healthy, and ready to respond to stimulus

a state of sustained partial contraction

Spinal reflexes account for muscle tone by:

Activating one motor unit and then another

Responding to activation of stretch receptors in muscles and tendons

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Isotonic Contractions

In isotonic contractions, the muscle changes in length (decreasing the angle of the joint) and moves the load

The two types of isotonic contractions are concentric and eccentric

Concentric contractions – the muscle shortens and does work

Eccentric contractions – the muscle contracts as it lengthens

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Isotonic Contractions

Figure 9.17 (a)

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Isometric Contractions

Tension increases to the muscle’s capacity, but the muscle neither shortens nor lengthens

Occurs if the load is greater than the tension the muscle is able to develop

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Isometric Contractions

Figure 9.17 (b)

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Muscle Metabolism: Energy for Contraction

ATP is the only source used directly for contractile activity

As soon as available stores of ATP are hydrolyzed (4-6 seconds), they are regenerated by:

The interaction of ADP with creatine phosphate (CP)

stores energy that will be transferred to ADP to resynthesize ATP as needed

Anaerobic glycolysis

Aerobic respiration

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Muscle Metabolism: Energy for Contraction

Figure 9.18

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Muscle Metabolism: Anaerobic Glycolysis

When muscle contractile activity reaches 70% of maximum:

Bulging muscles compress blood vessels

Oxygen delivery is impaired

Pyruvic acid is converted into lactic acid

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Muscle Metabolism: Anaerobic Glycolysis

The lactic acid:

Diffuses into the bloodstream

Is picked up and used as fuel by the liver, kidneys, and heart

Is converted back into pyruvic acid by the liver

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Muscle Fatigue

Muscle fatigue – the muscle is in a state of physiological inability to contract

Muscle fatigue occurs when:

ATP production fails to keep pace with ATP use

There is a relative deficit of ATP, causing contractures

Lactic acid accumulates in the muscle

Ionic imbalances are present

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Muscle Fatigue

Intense exercise produces rapid muscle fatigue (with rapid recovery)

Na+-K+ pumps cannot restore ionic balances quickly enough

Low-intensity exercise produces slow-developing fatigue

SR is damaged and Ca2+ regulation is disrupted

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Oxygen Debt

Vigorous exercise causes dramatic changes in muscle chemistry

For a muscle to return to a resting state:

Oxygen reserves must be replenished

Lactic acid must be converted to pyruvic acid

Glycogen stores must be replaced

ATP and CP reserves must be resynthesized

Oxygen debt – the extra amount of O2 needed for the above restorative processes

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Heat Production During Muscle Activity

Only 40% of the energy released in muscle activity is useful as work

The remaining 60% is given off as heat

Dangerous heat levels are prevented by radiation of heat from the skin and sweating

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Force of Muscle Contraction

The force of contraction is affected by:

The number of muscle fibers contracting – the more motor fibers in a muscle, the stronger the contraction

The relative size of the muscle – the bulkier the muscle, the greater its strength

Degree of muscle stretch – muscles contract strongest when muscle fibers are 80-120% of their normal resting length

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Force of Muscle Contraction

Figure 9.20 (a)

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Muscle Fiber Type: Functional Characteristics

Speed of contraction – determined by speed in which ATPases split ATP

The two types of fibers are slow and fast

ATP-forming pathways

Oxidative fibers – use aerobic pathways

Glycolytic fibers – use anaerobic glycolysis

These two criteria define three categories – slow oxidative fibers, fast oxidative fibers, and fast glycolytic fibers

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Muscle Fiber Type: Speed of Contraction

Slow oxidative fibers contract slowly, have slow acting myosin ATPases, and are fatigue resistant

Fast oxidative fibers contract quickly, have fast myosin ATPases, and have moderate resistance to fatigue

Fast glycolytic fibers contract quickly, have fast myosin ATPases, and are easily fatigued

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Smooth Muscle

Composed of spindle-shaped fibers with a diameter of 2-10 m and lengths of several hundred m

Lack the coarse connective tissue sheaths of skeletal muscle, but have fine endomysium

Organized into two layers (longitudinal and circular) of closely apposed fibers

Found in walls of hollow organs (except the heart)

Have essentially the same contractile mechanisms as skeletal muscle

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Smooth Muscle

Figure 9.24

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Peristalsis

When the longitudinal layer contracts, the organ dilates and contracts

When the circular layer contracts, the organ elongates

Peristalsis – alternating contractions and relaxations of smooth muscles that mix and squeeze substances through the lumen of hollow organs

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Innervation of Smooth Muscle

Smooth muscle lacks neuromuscular junctions

Innervating nerves have bulbous swellings called varicosities

Varicosities release neurotransmitters into wide synaptic clefts called diffuse junctions

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Innervation of Smooth Muscle

Figure 9.25

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Microscopic Anatomy of Smooth Muscle

SR is less developed than in skeletal muscle and lacks a specific pattern

T tubules are absent

Plasma membranes have pouchlike infoldings called caveoli

Ca2+ is sequestered in the extracellular space near the caveoli, allowing rapid influx when channels are opened

There are no visible striations and no sarcomeres

Thin and thick filaments are present

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Ratio of thick to thin filaments is much lower than in skeletal muscle

Thick filaments have heads along their entire length

There is no troponin complex

Thick and thin filaments are arranged diagonally, causing smooth muscle to contract in a corkscrew manner

Noncontractile intermediate filament bundles attach to dense bodies (analogous to Z discs) at regular intervals

Proportion and Organization of Myofilaments in Smooth Muscle

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100Figure 9.26

Proportion and Organization of Myofilaments in Smooth Muscle

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101

Contraction of Smooth Muscle

Whole sheets of smooth muscle exhibit slow, synchronized contraction

They contract in unison, reflecting their electrical coupling with gap junctions

Action potentials are transmitted from cell to cell

Some smooth muscle cells:

Act as pacemakers and set the contractile pace for whole sheets of muscle

Are self-excitatory and depolarize without external stimuli

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Contraction Mechanism

Actin and myosin interact according to the sliding filament mechanism

The final trigger for contractions is a rise in intracellular Ca2+

Ca2+ is released from the SR and from the extracellular space

Ca2+ interacts with calmodulin and myosin light chain kinase to activate myosin

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Role of Calcium Ion

Ca2+ binds to calmodulin and activates it

Activated calmodulin activates the kinase enzyme

Activated kinase transfers phosphate from ATP to myosin cross bridges

Phosphorylated cross bridges interact with actin to produce shortening

Smooth muscle relaxes when intracellular Ca2+ levels drop

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Special Features of Smooth Muscle Contraction

Unique characteristics of smooth muscle include:

Smooth muscle tone

Slow, prolonged contractile activity

Low energy requirements

Response to stretch

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Response to Stretch

Smooth muscle exhibits a phenomenon called stress-relaxation response in which:

Smooth muscle responds to stretch only briefly, and then adapts to its new length

The new length, however, retains its ability to contract

This enables organs such as the stomach and bladder to temporarily store contents

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Hyperplasia

Certain smooth muscles can divide and increase their numbers by undergoing hyperplasia

This is shown by estrogen’s effect on the uterus

At puberty, estrogen stimulates the synthesis of more smooth muscle, causing the uterus to grow to adult size

During pregnancy, estrogen stimulates uterine growth to accommodate the increasing size of the growing fetus

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Types of Smooth Muscle: Single Unit

The cells of single-unit smooth muscle, commonly called visceral muscle:

Contract rhythmically as a unit

Are electrically coupled to one another via gap junctions

Often exhibit spontaneous action potentials

Are arranged in opposing sheets and exhibit stress-relaxation response

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Types of Smooth Muscle: Multiunit

Multiunit smooth muscles are found:

In large airways to the lungs

In large arteries

In arrector pili muscles

Attached to hair follicles

In the internal eye muscles

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Types of Smooth Muscle: Multiunit

Their characteristics include:

Rare gap junctions

Infrequent spontaneous depolarizations

Structurally independent muscle fibers

A rich nerve supply, which, with a number of muscle fibers, forms motor units

Graded contractions in response to neural stimuli

Skeletal muscle controlled by Autonomic Nervous System

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110

Muscular Dystrophy

Muscular dystrophy – group of inherited muscle-destroying diseases where muscles enlarge due to fat and connective tissue deposits, but muscle fibers atrophy

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Muscular Dystrophy

Duchenne muscular dystrophy (DMD)

Inherited, sex-linked disease carried by females and expressed in males (1/3500)

Diagnosed between the ages of 2-10

Victims become clumsy and fall frequently as their muscles fail

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Muscular Dystrophy

Progresses from the extremities upward, and victims die of respiratory failure in their 20s

Caused by a lack of the cytoplasmic protein dystrophin

There is no cure, but myoblast transfer therapy shows promise

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113

Developmental Aspects

Muscle tissue develops from embryonic mesoderm called myoblasts

Multinucleated skeletal muscles form by fusion of myoblasts

The growth factor agrin stimulates the clustering of ACh receptors at newly forming motor end plates

As muscles are brought under the control of the somatic nervous system, the numbers of fast and slow fibers are also determined

Cardiac and smooth muscle myoblasts do not fuse but develop gap junctions at an early embryonic stage

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Developmental Aspects: Regeneration

Cardiac and skeletal muscle become amitotic, but can lengthen and thicken

Myoblastlike satellite cells show very limited regenerative ability

Cardiac cells lack satellite cells

Smooth muscle has good regenerative ability

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Developmental Aspects: After Birth

Muscular development reflects neuromuscular coordination

Development occurs head-to-toe, and proximal-to-distal

Peak natural neural control of muscles is achieved by midadolescence

Athletics and training can improve neuromuscular control

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Developmental Aspects: Male and Female

There is a biological basis for greater strength in men than in women

Women’s skeletal muscle makes up 36% of their body mass

Men’s skeletal muscle makes up 42% of their body mass

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Developmental Aspects: Male and Female

These differences are due primarily to the male sex hormone testosterone

With more muscle mass, men are generally stronger than women

Body strength per unit muscle mass, however, is the same in both sexes

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Developmental Aspects: Age Related

With age, connective tissue increases and muscle fibers decrease

Muscles become stringier and more sinewy

By age 80, 50% of muscle mass is lost (sarcopenia)

Regular exercise reverses sarcopenia

Aging of the cardiovascular system affects every organ in the body

Atherosclerosis may block distal arteries, leading to intermittent claudication and causing severe pain in leg muscles