Cardiac Muscle: Structure and Function

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Questions and Answers

Which of the following structural adaptations in cardiac muscle cells facilitates rapid ion diffusion and electrical impulse propagation?

  • Presence of dense bodies anchoring thin filaments.
  • Extensive sarcoplasmic reticulum forming triads with T-tubules.
  • Increased number of mitochondria occupying up to 40% of cell volume.
  • Intercalated discs with gap junctions. (correct)

How does the arrangement of myofibrils within smooth muscle cells differ significantly from their arrangement in cardiac muscle cells, affecting the contractile mechanism?

  • Smooth muscle cells lack organized sarcomeres and myofibrils are obliquely arranged, attaching to dense bodies, enabling a 'corkscrew' contraction. (correct)
  • Smooth muscle cells contain myofibrils arranged in sarcomeres, similar to cardiac muscle cells, but with less defined Z-lines.
  • Smooth muscle cells have myofibrils arranged in a radial pattern, allowing for contraction in multiple directions, unlike the linear arrangement in cardiac muscle.
  • Myofibrils in smooth muscle cells are arranged in parallel, similar to cardiac muscle, but lack T-tubules for calcium ion diffusion.

A researcher is investigating the effects of a novel drug on cardiac muscle contraction. The drug selectively blocks L-type calcium channels in the sarcolemma. What is the most likely direct effect of this drug on cardiac muscle function?

  • Enhanced calcium uptake by the sarcoplasmic reticulum, leading to stronger contractions.
  • Increased rate of action potential propagation through gap junctions.
  • Reduced calcium influx during the plateau phase of the action potential, decreasing the force of contraction. (correct)
  • Inhibition of myosin light-chain kinase activity, preventing cross-bridge formation.

Which mechanism primarily accounts for the ability of smooth muscle to maintain prolonged contractions with minimal energy expenditure, often referred to as the 'latch state'?

<p>Decreased rate of myosin dephosphorylation by myosin light chain phosphatase (MLCP), prolonging cross-bridge cycling. (D)</p> Signup and view all the answers

What is the functional significance of the extensive branching and interconnections found in cardiac muscle tissue compared to the parallel arrangement of skeletal muscle fibers?

<p>It allows for coordinated and efficient contraction of the heart by distributing contractile forces in multiple directions. (A)</p> Signup and view all the answers

How does the arrangement of dense bodies in smooth muscle contribute to its unique contractile properties compared to the Z-discs in striated muscle?

<p>Dense bodies are connected to intermediate filaments, which, upon contraction, pull the cell membrane inward, causing the cell to shorten in multiple dimensions. (D)</p> Signup and view all the answers

Which of the following statements accurately describes the role of the sinoatrial (SA) node in cardiac muscle function and its interaction with other cardiac muscle cells?

<p>The SA node generates action potentials that spread through gap junctions to atrial muscle cells, initiating atrial contraction and indirectly influencing ventricular contraction. (A)</p> Signup and view all the answers

How would the administration of a drug that selectively inhibits myosin light chain phosphatase (MLCP) affect smooth muscle contraction and relaxation?

<p>It would enhance smooth muscle contraction by increasing the rate of myosin light chain phosphorylation. (A)</p> Signup and view all the answers

What is the significance of the relatively larger volume of mitochondria in cardiac muscle cells compared to skeletal muscle cells in terms of energy metabolism and resistance to fatigue?

<p>The larger mitochondrial volume provides cardiac muscle with a greater capacity for aerobic metabolism, increasing its resistance to fatigue during continuous activity. (B)</p> Signup and view all the answers

How does the relative absence of T-tubules in certain types of smooth muscle affect calcium ion availability and the speed of contraction compared to striated muscle?

<p>The absence of T-tubules limits the availability of calcium ions and results in slower, more sustained contractions in smooth muscle. (D)</p> Signup and view all the answers

How do the structural differences in intercalated discs, specifically the balance between desmosomes and gap junctions, influence the mechanical and electrical properties of cardiac muscle?

<p>A balanced combination of desmosomes and gap junctions provides both mechanical stability and efficient electrical signal transmission for coordinated contraction. (C)</p> Signup and view all the answers

A researcher discovers a new type of smooth muscle cell with abundant T-tubules and a well-developed sarcoplasmic reticulum. How might these structural adaptations influence the contractile properties of this smooth muscle compared to typical smooth muscle?

<p>It would enable faster, more forceful contractions due to efficient calcium release from the sarcoplasmic reticulum. (D)</p> Signup and view all the answers

Which of the following cellular mechanisms primarily accounts for the limited regenerative capacity of cardiac muscle tissue following myocardial infarction?

<p>The absence of significant numbers of satellite cells and limited mitotic capability of mature cardiomyocytes. (A)</p> Signup and view all the answers

In smooth muscle contraction, calcium ions primarily bind to which of the following proteins to initiate the contractile process?

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

A pharmacological agent is designed to selectively disrupt the function of desmosomes within cardiac muscle tissue. What is the most likely consequence of this disruption on cardiac muscle function?

<p>Reduced mechanical stability of cardiac muscle cells, leading to increased susceptibility to tearing. (B)</p> Signup and view all the answers

How does the process of smooth muscle contraction differ significantly from skeletal muscle contraction with respect to the role of troponin?

<p>Troponin is absent in smooth muscle, and calcium ions bind to calmodulin to initiate contraction. (C)</p> Signup and view all the answers

What is the primary functional consequence of the differences in T-tubule development and sarcoplasmic reticulum organization between atrial and ventricular cardiac muscle cells?

<p>Ventricular cells generate more forceful contractions due to well-developed T-tubule and sarcoplasmic reticulum systems. (D)</p> Signup and view all the answers

How does the spatial arrangement of thin and thick filaments in smooth muscle cells contribute to their ability to generate force over a wider range of muscle lengths compared to skeletal muscle?

<p>The oblique arrangement of filaments and attachment to dense bodies allows smooth muscle to maintain force generation even at greatly stretched or shortened lengths. (D)</p> Signup and view all the answers

A patient presents with a genetic mutation that impairs the function of gap junction proteins in cardiac muscle. What is the most likely effect of this mutation on cardiac muscle physiology?

<p>Reduced efficiency of electrical impulse propagation, leading to arrhythmias. (D)</p> Signup and view all the answers

A researcher is studying a novel drug that selectively enhances the activity of myosin light-chain phosphatase (MLCP) in smooth muscle cells. What effect would this drug likely have on vascular smooth muscle, and how would it manifest clinically?

<p>Vasodilation due to decreased myosin phosphorylation. (A)</p> Signup and view all the answers

What is the functional significance of the variation in the ratio of thin to thick filaments between smooth muscle (15:1) and skeletal muscle (6:1) in the context of force generation and energy consumption?

<p>The higher ratio in smooth muscle promotes sustained contractions with lower energy expenditure, allowing for prolonged force maintenance. (D)</p> Signup and view all the answers

What is the role of connexins in the function of cardiac and smooth muscle tissues, and how do variations in connexin expression affect tissue properties?

<p>Connexins form gap junctions, allowing direct electrical and chemical communication between cells; variations affect the speed and synchrony of contractions. (C)</p> Signup and view all the answers

A researcher is investigating the functional differences between multi-unit and single-unit smooth muscle. Which characteristic is most likely to distinguish multi-unit smooth muscle from single-unit smooth muscle?

<p>The presence of individual neuromuscular junctions on each muscle fiber. (C)</p> Signup and view all the answers

A novel drug is developed to selectively inhibit the activity of caveolae in smooth muscle cells. Which of the following would be the MOST likely consequence?

<p>Reduced sustained contractility due to impaired signal transduction and calcium influx. (C)</p> Signup and view all the answers

How does the inherent 'stress-relaxation response' in smooth muscle contribute to the physiological function of organs such as the bladder and the stomach?

<p>It allows these organs to maintain a constant pressure despite changes in volume. (D)</p> Signup and view all the answers

What is the significance of the presence of 'interstitial cells of Cajal' in the context of smooth muscle function in the gastrointestinal tract?

<p>They act as pacemakers, generating slow waves that coordinate smooth muscle contractions. (D)</p> Signup and view all the answers

What is the role of endomysium in skeletal, cardiac, and smooth muscle, and how do variations in its composition or organization influence the mechanical properties of these tissues?

<p>Endomysium provides a structural framework and transmits contractile forces; variations affect tissue elasticity, strength, and resistance to stretch. (B)</p> Signup and view all the answers

How does the regulation of contraction in smooth muscle differ from that in skeletal muscle, particularly with respect to the role and regulation of myosin?

<p>Myosin in smooth muscle requires phosphorylation of its light chains to enable interaction with actin, unlike skeletal muscle where troponin and tropomyosin mediate this interaction. (C)</p> Signup and view all the answers

Given the differences in the structure and regenerative capacity of skeletal, cardiac, and smooth muscle, which type of muscle tissue is MOST likely to undergo hypertrophy in response to chronic overload and how does this process manifest at the cellular level?

<p>Smooth muscle, through enhanced synthesis of thick and thin filaments and increased cell size. (C)</p> Signup and view all the answers

In cardiac muscle, what crucial role do the transverse tubules (T-tubules) play during excitation-contraction coupling, and how does this process contribute to the overall function of the heart?

<p>T-tubules facilitate the rapid transmission of action potentials into the interior of the cell, ensuring synchronized calcium release and contraction. (D)</p> Signup and view all the answers

How does the structure and function of intermediate filaments in smooth muscle cells contribute to the overall mechanical properties and contractile behavior of this tissue?

<p>Intermediate filaments provide structural support and connect dense bodies, transmitting contractile forces throughout the cell and contributing to the tissue's tensile strength. (D)</p> Signup and view all the answers

What is the functional consequence of the spontaneous electrical activity observed in single-unit smooth muscle, and how is this activity modulated to coordinate tissue-level contractions?

<p>It establishes a baseline level of tension, allowing for both contraction and relaxation in response to stimuli. (C)</p> Signup and view all the answers

What role do adherent junctions play in the function of cardiac muscle, and how does this function differ from the role of gap junctions in the same tissue?

<p>Adherent junctions provide mechanical support and distribute contractile forces, while gap junctions facilitate electrical communication for coordinated contraction. (D)</p> Signup and view all the answers

How does the regenerative capacity of smooth muscle contribute to the repair and remodeling of blood vessels in response to injury or hypertension?

<p>Smooth muscle cells proliferate and migrate to the site of injury, contributing to vessel wall thickening and remodeling. (D)</p> Signup and view all the answers

Explain how the 'latch bridge' mechanism in smooth muscle contributes to its ability to maintain prolonged contractions with low energy expenditure relative to skeletal muscle.

<p>It reduces the rate of myosin dephosphorylation, prolonging cross-bridge attachment with minimal ATP consumption. (B)</p> Signup and view all the answers

How does the organization of the sarcoplasmic reticulum (SR) and the presence or absence of T-tubules in the different muscle tissue types (skeletal, cardiac, and smooth) impact the speed and synchronization of muscle contraction?

<p>Skeletal muscle contracts fasted because of a well-developed SR and T-tubules, while smooth muscle contracts more slowly because of a less developed SR and absent T-tubules. (D)</p> Signup and view all the answers

A cardiac muscle cell is treated with a drug that selectively disrupts the function of the ryanodine receptors (RyR2) on the sarcoplasmic reticulum. What is the most likely direct effect of this drug on cardiac muscle contraction?

<p>Decreased force of contraction due to reduced calcium release from the sarcoplasmic reticulum. (B)</p> Signup and view all the answers

How does the unique structural arrangement of smooth muscle cells, particularly the oblique arrangement of myofilaments and the presence of dense bodies, contribute to its distinctive contractile properties compared to skeletal muscle?

<p>Allows for greater force generation at a wider range of muscle lengths, maintaining tension even when stretched or compressed. (C)</p> Signup and view all the answers

In a study comparing the force-generating capacity of different muscle types, researchers find that smooth muscle can maintain prolonged contractions with minimal ATP consumption, a phenomenon known as the 'latch state.' Which of the following molecular mechanisms BEST explains this unique property of smooth muscle?

<p>Dephosphorylation of myosin light chains by myosin light chain phosphatase, allowing cross-bridges to remain attached for extended periods. (B)</p> Signup and view all the answers

A researcher is investigating the effects of a novel compound on smooth muscle contraction. The compound is found to inhibit the activity of caveolae. How would this compound affect the contraction of smooth muscle?

<p>Inhibit smooth muscle contraction by disrupting signal transduction pathways and calcium entry. (C)</p> Signup and view all the answers

Following a myocardial infarction (heart attack), cardiac muscle tissue exhibits limited regenerative capacity, often leading to the formation of scar tissue. Which of the following cellular mechanisms MOST accurately explains this limited regenerative ability?

<p>Cardiac muscle cells are terminally differentiated and have limited capacity for cell division due to cell cycle arrest. (A)</p> Signup and view all the answers

Flashcards

What is cardiac muscle?

Cardiac muscle is found in the heart (myocardium) and small areas in the walls of large blood vessels attached to the heart.

Cardiac Muscle Development

During embryonic development, mesenchymal cells arrange in chainlike arrays around the primitive heart tube. Cardiac muscle cells form complex junctions between interdigitating processes.

Cardiac Muscle Cell Structure

Cardiac muscle cells are cylindrical and striated. They have a length of 85-120 um and a diameter of 15-30 um. Cells split longitudinally and contain 1-2 ovoid nuclei centrally located.

Function of Cardiac Muscle Cells

Cardiac muscle cells are responsible for contraction, acting as a pacemaker, and impulse propagation.

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Mitochondria and Sarcoplasm in Cardiac Muscle

Mitochondria in cardiac muscle cells occupy up to 40% of the cell volume and are numerous and larger than in skeletal muscle. Sarcoplasm is abundant and filled with myofibrils.

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Myofibrils in Cardiac Muscle

Myofibrils in cardiac muscle are sparser and less organized than in skeletal muscle, consist of sarcomeres, contain thick and thin filaments, and have a few differences in protein composition

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T-Tubules in Cardiac Muscle

T-tubules in cardiac muscle cells are invaginations of the sarcolemma, surround the Z-lines, and have larger lumens.

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Sarcoplasmic Reticulum in Cardiac Muscle

The sarcoplasmic reticulum in cardiac muscle cells is organized as dyads, each consisting of one terminal cisternae and one t-tubule.

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Intercalated Discs

Intercalated discs are cell boundaries containing specialized junctional complexes; functions include maintaining structure, enhancing molecular/electrical connections, and conducting action potentials.

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Two Regions of Intercalated Discs

Intercalated discs have transverse and lateral portions.

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Intercalated Discs - Transverse Portion

The Transverse portion serves to anchor the myofibrils and keep cells together. It contains fascia adherens that form broad intercellular junctions and thin filaments of sarcomeres are attached.

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Intercalated Discs - Lateral Portion

The lateral portion contains gap junctions providing ionic continuity which allows for instantaneous spread of contractile stimuli.

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Cardiac Muscle Contraction Control

Cardiac muscle contraction is intrinsic and spontaneous, also is supplied with efferent fibers by motor neurons of sympathetic and parasympathetic division of ANS.

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Neurotransmitter Action

Neurotransmitters reach the surface of smooth muscle cells via diffusion and then are propagated via gap junctions.

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Cardiac Muscle Contraction - Ion and Impulse Sources

During cardiac muscle contraction, calcium ions comes from sarcoplasmic reticulum and outside the cell, contracts without neural stimulation and impulse is generated by sinoatrial node consisting of purkinje fibers.

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What is smooth muscle?

Smooth muscle is widely distributed in the body and comprises the muscular component of the wall of visceral organs and blood vessels.

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Smooth Muscle Cell Structure

Smooth muscle cells are fusiform, their length: 20-500 um and a diameter: 2-10 um. Each cell contains only 1 oval nucleus located in the thick part of the cell.

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Function of Smooth Muscle Cells

Smooth muscle cells Function in contraction and synthesis of proteoglycan, elastin, and precursors of collagen fibers.

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Sarcolemma in Smooth Muscle Cells

Smooth muscle cells do not form t-tubules, but have caveolae (numerous small invaginations containing ion channels).

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Sarcoplasmic Reticulum in Smooth Muscle Cells

The sarcoplasmic reticulum in smooth muscle cells is poorly developed.

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Dense Bodies

Dense bodies in the smooth muscle cells contain a-actinin, and it corresponds to the Z discs of the sarcomeres of striated muscles. They are attached to the sarcolemma or within intermediate filaments.

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Intermediate Filaments in Smooth Muscle Cells

Intermediate filaments are made of desmin

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Myofilaments

Myofilaments in smooth muscle cells consist of thin and thick filaments where the ratio is much higher in smooth (15:1) than in skeletal muscle (6:1), arranged obliquely and do not form sarcomeres.

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Features of Thin Filaments in Smooth Muscle Cells

Thin filaments surrounds the thick filaments, anchored on dense bodies, does not have troponin.

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Features of Thick Filaments in Smooth Muscle Cells

Thick Filaments : Scattered all over the sarcoplasm, less myosin; and fewer cross bridges.

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Smooth Muscle Contraction Activation

Smooth muscle cells contraction is activated by Calmodulin and Myosin light-chain kinase.

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Smooth Muscle Contraction Style

Shortening of smooth muscle cells occurs in all directions, and dense bodies are not arranged in a straight line.

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Smooth Muscle Contraction Trigger

Contractions are stimulated by ANS or hormones. They are contractile and controlled by Interstitial cell of cajal.

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Neurotransmitter Communication in Smooth Muscle

Neurotransmitters reach the surface of smooth muscle cells via diffusion then propagated via gap junctions.

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Calcium Source in Smooth Muscle

In smooth muscle cells, calcium ions come from sarcoplasmic reticulum and outside the cell.

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Smooth Muscle Regeneration

Smooth muscle's capacity for regeneration is rapid and involves the mitotic activity of muscle cells.

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Cardiac Muscle Regeneration

Cardiac muscle's capacity for regeneration is very poor, due to the lack of satellite cells.

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Study Notes

Cardiac Muscle Overview

  • Cardiac muscle is found in the heart or myocardium
  • It also exists in small regions within the walls of large blood vessels connected to the heart

Cardiac Muscle Development

  • During embryonic development, mesenchymal cells arrange themselves in chainlike formations around the primitive heart tube
  • Cardiac muscle cells then establish intricate junctions as they interdigitate

Organization of Cardiac Muscle

  • Cardiac muscle tissue has cells connected by intercalated discs and contains nuclei
  • Myofibrils and mitochondria are visible within the cells
  • T-tubules form entrances along the sarcolemma

Connective Tissue Sheaths

  • Cardiac muscle cells are surrounded by connective tissue sheaths

Ventricle vs. Atria

  • Ventricle cardiac muscle is thicker
  • Ventricles have well-developed T-tubules with larger lumens that penetrate the sarcoplasm near the myofibrils' Z discs
  • Atria cardiac muscle has T-tubules that are either smaller or entirely absent

Cardiac Muscle Cell Structure

  • Cells are cylindrical and striated
  • Cells range from 85-120 um in length
  • Cells range from 15-30 um in diameter
  • Cells can split longitudinally and branch
  • Each cell contains only 1-2 centrally located ovoid nuclei

Cardiac Muscle Cell Function

  • Cardiac muscle drives contraction
  • Cardiac muscle functions as a pacemaker
  • Cardiac muscle mediates impulse propagation

Mitochondria and Sarcoplasm

  • Mitochondria occupy up to 40% of the cell volume and are both numerous and large
  • The sarcoplasm is abundant and filled with myofibrils

Myofibrils

  • Cardiac muscle contains myofibrils that are sparser and less organized compared to skeletal muscle
  • They consist of sarcomeres and contain organized thick and thin filaments, with slight differences in protein composition

T-tubules

  • T-tubules are invaginations of the sarcolemma that surround Z-lines with bigger lumens

Sarcoplasmic Reticulum

  • Sarcoplasmic reticulum forms dyads
  • Dyads are made of one terminal cisternae and one t-tubule

Intercalated Disc Structure

  • Intercalated discs are specialized junctional complexes at cell boundaries, maintaining structure and enhancing molecular and electrical connections
  • The discs conduct action potentials
  • They have two regions: transverse and lateral portions
  • They also serve as electrical synapses

Intercalated Discs: Transverse Portion

  • Anchors myofibrils and keeps cells together through fascia adherens
  • Fascia adherens forms broad intercellular junctions and has thin filaments of sarcomeres attached

Intercalated Discs: Lateral Portion

  • Allows instantaneous spread of contractile stimuli across cells
  • Gap junctions provide ionic continuity

Intrinsic Cardiac Muscle Contraction

  • Contraction occurs spontaneously
  • Efferent fibers are supplied by motor neurons of sympathetic and parasympathetic divisions of the autonomic nervous system
  • Neurotransmitters reach smooth muscle cell surfaces and propagate via gap junctions
  • Calcium ions come from the sarcoplasmic reticulum and outside the cell
  • Contraction occurs without neural stimulation
  • Impulse is generated by the sinoatrial node

Smooth Muscle Overview

  • Smooth muscle is widely distributed throughout the body
  • The tissue comprises the muscular component of visceral organ and blood vessel walls

Organization

  • Smooth muscle consists of caveolae and dense bodies
  • It is composed of cytoskeletons
  • It has nuclei and filaments made of both mitochondria

Smooth Muscle Cells: Structure

  • Cells are fusiform in shape
  • Cells range from about 20-500 um in length
  • Cells range from 2-10 um in diameter
  • Cells contain one oval nucleus located in the thickest part

Smooth Muscle Cells: Function

  • Contraction
  • Synthesizes proteoglycan
  • Synthesizes elastin
  • Synthesizes collagen fiber precursors

Sarcolemma

  • Smooth muscle sarcolemma does not form t-tubules
  • Instead it forms Caveolae which are numerous small invaginations containing ion channels

Sarcoplasmic Reticulum

  • Smooth muscle has a poorly developed sarcoplasmic reticulum

Dense Bodies

  • Smooth Muscle has dense bodies contain a-actinin
  • Correspond to the Z discs of sarcomeres in striated muscle and attach to the sarcolemma or intermediate filaments

Intermediate Filaments

  • Are made of desmin

Myofilaments

  • Possess thin and thick filaments with a much higher ratio in smooth than skeletal muscle - typically 15:1 in smooth vs 6:1 skeletal
  • Arranged obliquely rather than forming sarcomeres

Myofilaments: Thin Filaments

  • Surround thick filaments
  • Are anchored on dense bodies
  • Do not have troponin

Myofilaments: Thick Filaments

  • Scattered throughout the sarcoplasm
  • Contain less myosin
  • Contains fewer cross bridges

Contraction

  • Shortening happens in all directions
  • Dense bodies are not arranged in straight lines
  • Calcium ions come from sarcoplasmic reticulum and outside the cell: calcium ions mostly come from extracellular substance
  • ANS hormones stimulate contractions
  • This is done via inherently contractile interstitial cells of Cajal (small and large intestines)

Repair and Regeneration of Muscle Tissue

  • Skeletal muscle has limited regeneration mainly involving satellite cells
  • Cardiac muscle has very poor regeneration and lacks satellite cells
  • Smooth muscle has rapid regeneration involving mitotic activity of muscle cells

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