HARD  QUIZ CARDIAC EXCIT./CONTRACT. COUPLING
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Questions and Answers

Which component of the sarcomere defines its boundaries?

  • Myosin filaments
  • Tropomyosin
  • Actin filaments
  • Z-lines (correct)
  • What is the primary role of tropomyosin in the relaxed state of a cardiac muscle?

  • To initiate action potential in the muscle cell.
  • To bind calcium ions facilitating contraction.
  • To obstruct the myosin binding site on actin. (correct)
  • To hydrolyze ATP for muscle contraction.
  • Which part of the cardiac myosin molecule contains ATPase activity?

  • Myosin heads (correct)
  • Myosin tail region
  • Troponin complex
  • Actin binding domain
  • What is the direct effect of calcium ions binding to troponin during cardiac muscle contraction?

    <p>Facilitation of tropomyosin movement to expose actin binding sites. (A)</p> Signup and view all the answers

    Which regulatory protein complex directly inhibits actin-myosin interaction in the absence of calcium?

    <p>Troponin (B)</p> Signup and view all the answers

    Which of the following accurately describes the role of the dihydropyridine (DHP) receptors in cardiac muscle excitation-contraction coupling?

    <p>They are activated by action potentials and allow a small influx of extracellular calcium into the cell. (A)</p> Signup and view all the answers

    What is the primary mechanism by which cardiac muscle contraction is graded based on calcium concentration?

    <p>Troponin C has a low binding affinity for calcium, meaning the amount of calcium bound to it determines contractile force. (A)</p> Signup and view all the answers

    Which of the following directly causes cross-bridge formation in cardiac muscle?

    <p>Calcium activates troponin C, moving tropomyosin and exposing myosin binding sites on actin. (B)</p> Signup and view all the answers

    What is the significance of 'length-dependent activation' in cardiac muscle physiology?

    <p>It indicates that increased sarcomere length up to a point, results in greater Ca++ binding to TN-C and increased force generation. (A)</p> Signup and view all the answers

    According to the sliding filament theory, what event directly leads to sarcomere shortening during cardiac muscle contraction?

    <p>The attachment and detachment cycles of myosin cross-bridges causing thin filaments to slide inward. (C)</p> Signup and view all the answers

    Which of the following is a consequence of increasing muscle preload?

    <p>Increased magnitude of shortening (C)</p> Signup and view all the answers

    What effect does increasing afterload have on the isometric contraction phase?

    <p>Prolongs the duration (C)</p> Signup and view all the answers

    At maximal shortening velocity, what is the state of the afterload?

    <p>Zero (A)</p> Signup and view all the answers

    According to the force-velocity relationship, what happens to shortening velocity when afterload increases?

    <p>It decreases (B)</p> Signup and view all the answers

    What does an increase in preload do to the force-velocity curve?

    <p>Shifts the curve to the right, increasing Fmax (D)</p> Signup and view all the answers

    Which of the following best describes the effect of increased inotropy on the length-tension relationship?

    <p>Increases the slope of the L-T curve (B)</p> Signup and view all the answers

    How does increased preload affect the ability of the muscle to maintain shortening velocity under increasing afterloads?

    <p>Permits the muscle to maintain its shortening velocity. (A)</p> Signup and view all the answers

    What is the effect of increased inotropy on isometric force generation at a given preload?

    <p>Increases it (B)</p> Signup and view all the answers

    Which of the following best describes the effect of increased afterload on muscle shortening?

    <p>It decreases the magnitude and velocity of shortening (D)</p> Signup and view all the answers

    What variable distinguishes inotropy from preload in terms of their influence on muscle contraction?

    <p>Influence on sarcomere length (B)</p> Signup and view all the answers

    Flashcards

    Action Potential Sequence

    The process where action potentials move across the sarcolemma and into T-tubules, leading to calcium entry.

    Calcium Triggering

    Dihydropyridine receptors open to allow Ca++ entry, triggering muscle contraction.

    Troponin C Function

    Ca++ binds to troponin C, changing its shape to expose actin's binding sites.

    Length-Tension Relationship

    Preload refers to the resting fiber length before contraction, affecting muscle tension.

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    Isotonic Contraction & Sarcomere Length

    The length of the sarcomere affects shortening during isotonic contractions, linked to Ca++ binding.

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    Myofibrils

    Bundles of myofilaments found in cardiac myocytes responsible for contraction.

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    Sarcomere

    The basic contractile unit of muscle, spanning between Z-lines in myofibrils.

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    Excitation-Contraction Coupling

    The process linking electrical excitation of cardiac muscle to contraction.

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    Thick Filaments

    Composed mainly of myosin, responsible for pulling action during contraction.

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    Troponin

    A regulatory protein that inhibits actin-myosin interactions in the absence of calcium.

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    Preload

    The initial stretching of the cardiac muscle before contraction.

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    Effect of Increased Preload

    Increased preload enhances contraction force, velocity, and magnitude of shortening.

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    Afterload

    The load that muscle fibers must overcome to shorten.

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    Increased Afterload Effects

    Leads to greater isometric force, longer isometric phase, and reduced shortening speed.

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    Force-Velocity Relationship

    Higher afterload decreases shortening velocity; zero velocity at maximal load.

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    F-V Curve Shift

    Increasing preload shifts the force-velocity curve right, boosting Fmax.

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    Effects of Increased Afterload

    Decreases contraction magnitude and velocity, can be offset by increased preload.

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    Inotropy

    The ability of heart muscle to adjust force and speed of contraction, independent of length.

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    Inotropy Effects on L-T Relationship

    Increased inotropy raises the L-T curve slope, enhancing force at the same preload.

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    Decreased Inotropy Effects

    Reduces the L-T curve slope, leading to less force at a given preload.

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    Study Notes

    Cardiac Excitation-Contraction Coupling and Muscle Mechanics

    • Learning Objectives:
      • Define myofibrils, myofilaments, sarcomere, thick and thin filaments.
      • Describe cardiac muscle's cellular components and excitation-contraction coupling sequence. Explain critical regulatory sites.
      • Compare and contrast excitation-coupling mechanisms in cardiac and skeletal muscle.
      • Define preload, afterload, and inotropy.
      • Contrast isometric and isotonic contractions, including how they relate to preload, afterload, and inotropy. Include tension and length changes over time, the length-tension relationship, and the force-velocity relationship.
      • Summarize how autonomic nerves, hormones, heart rate, and hypoxia affect inotropy.

    Cardiac Cell Structure

    • Cardiac myocytes are relatively short (~100μm), branching cells, connected by intercalated discs.
    • Myocytes consist of myofibrils, which contain bundled myofilaments.
    • Sarcomeres are the contractile units, containing contractile and regulatory proteins, spanning between Z-lines. Sarcomere length is 1.6– 2.2 μm.

    Excitation-Contraction Coupling

    • Action potentials travel through sarcolemma and T-tubules. Membrane depolarization opens dihydropyridine (DHP) receptors (L-type Ca2+ channels), leading to intracellular Ca2+ entry. This triggers calcium release from the sarcoplasmic reticulum (SR).
    • Ryanodine receptors (RyR) on the SR open in response to the Ca2+ influx, releasing more Ca2+ into the cytoplasm. Cytoplasmic Ca2+ concentration rises from ~10-7 to ~10-5 M.
    • Ca2+ binds to troponin C (TN-C), causing conformational changes in the troponin complex, shifting tropomyosin (TM) to expose the myosin-binding sites on actin.
    • Myosin heads bind to actin, leading to cross-bridge formation and movement, requiring ATP hydrolysis. This shortens the sarcomere length.
    • Ca2+ is re-sequestered by the SR via the SERCA pump.
    • Ca2+ unbinds from TN-C, myosin releases from actin (requiring ATP). This allows sarcomere to return to its resting length.

    Contractile Proteins

    • Thin Filaments (Actin):
      • Globular proteins in a repeating helical structure, with myosin binding sites.
    • Tropomyosin:
      • Rod-shaped proteins, associated with seven actin molecules, obstructing myosin binding sites in a relaxed state.
    • Thick Filaments (Myosin):
      • Composed of a long tail region, with several myosin molecules bundled together.
      • Each myosin molecule has two heads, containing myosin ATPase, actin binding sites.

    Regulatory Proteins (Troponin)

    • TN-I: Inhibits myosin binding to actin in the absence of calcium.
    • TN-T: Binds to tropomyosin.
    • TN-C: Binds to calcium.

    Distinguishing Characteristics of Cardiac Muscle EC-Coupling

    • Cell-to-cell depolarization via gap junctions creates action potentials in adjacent cells.
    • Nerves do not activate cardiac muscle contraction directly.
    • Contractile forces are graded, depending on the amount of Ca2+ bound to TN-C (~3 Ca2+/TN-C).
    • Autonomic nerves through β- and muscarinic receptors regulate contractile force and relaxation.
    • Autonomic nerves regulate Ca2+ release and reuptake by the SR.

    Sliding Filament Theory of Contraction

    • Ca2+ release triggers cross-bridge formation between actin and myosin.
    • Cycles of cross-bridge attachment and detachment cause the thin filaments to slide inward, shortening the sarcomere.
    • Ca2+ uptake by the SR causes cross-bridge detachment and relaxation.

    Time-Course of Cardiac EC-Coupling

    • A graphic illustration of action potentials, Ca2+, and active tension levels over time in cardiac muscle.

    Mechanical Properties of Cardiac Muscle

    • Preload: The resting length of cardiac fibers (initial sarcomere length) before contraction, affecting active tension generation.
    • Length-Tension Relationship: The graphical relationship between sarcomere length and active tension. The optimal length for maximal force generation is near peak sarcomere length (e.g., 2.2µm).

    Afterload

    • The force a muscle fiber must generate to overcome load and shorten. An increase in afterload decreases shortening velocity and increases duration of isometric contraction phase.

    Force-Velocity Relationship

    • Relationship between the force generated and the velocity of shortening. Increased afterload reduces shortening velocity.
    • Maximal shortening velocity (Vmax) occurs at zero afterload.

    Inotropy

    • Changes in cardiac muscle contraction independent of changes in sarcomere length.
    • Affects the ability of muscle to generate maximum contraction.
    • Factors influencing inotropy include sympathetic nerve activity, hormones, heart rate, and cellular hypoxia.

    Regulation of Inotropy

    • Autonomic Nerves:
      • Sympathetic nerve activation (β-adrenoceptors) increases inotropy.
      • Parasympathetic nerve activity (muscarinic type 2 receptors) decreases inotropy.
    • Hormones: Circulating catecholamines increase inotropy.
    • Heart Rate: Increased heart rate (Bowditch effect) increases inotropy.
    • Cellular Hypoxia: Cellular hypoxia depresses inotropy.

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    Description

    Test your knowledge on cardiac muscle physiology with this quiz focusing on critical components such as the sarcomere, regulatory proteins, and excitation-contraction coupling mechanisms. Explore how these factors contribute to heart function and muscle contraction dynamics.

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