Neuromuscular Junction
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Neuromuscular Junction

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Questions and Answers

Which muscles are affected first in exacerbation and remission?

  • Smooth muscles
  • Cardiac muscles
  • Skeletal muscles
  • Cranial muscles (correct)
  • What happens to deep tendon reflexes in exacerbation and remission?

  • They remain (correct)
  • They become weaker
  • They disappear
  • They become stronger
  • What is unique about neuromuscular junctions in smooth and cardiac muscle?

  • They have recognisable endplates
  • They have no synapses
  • They have multiple synapses
  • They have no recognisable endplates or other postsynaptic specialisations (correct)
  • What is released from the varicosities in smooth and cardiac muscle?

    <p>Norepinephrine and epinephrine</p> Signup and view all the answers

    How many varicosities can a neuron have in smooth and cardiac muscle?

    <p>Up to 20,000</p> Signup and view all the answers

    Where are adrenergic receptors located?

    <p>On smooth and cardiac muscle cells (in T-tubules)</p> Signup and view all the answers

    What do adrenergic receptors bind to?

    <p>Norepinephrine and epinephrine</p> Signup and view all the answers

    What type of receptors are adrenergic receptors?

    <p>G-protein coupled receptors</p> Signup and view all the answers

    What is the primary function of the sarcoplasmic reticulum in a muscle cell?

    <p>To release Ca+ ions</p> Signup and view all the answers

    How does the action potential affect Na+ and K+ channels in a muscle cell?

    <p>Na+ channels open while K+ channels close</p> Signup and view all the answers

    What role does the T-tubule play in muscle cell physiology?

    <p>It allows action potentials to reach deep into the cell</p> Signup and view all the answers

    What is the resting membrane potential of a typical muscle cell?

    <p>-70 mV</p> Signup and view all the answers

    What initiates the release of neurotransmitters at a chemical synapse?

    <p>Ca+ binding to synaptotagmin</p> Signup and view all the answers

    What type of synapse allows for direct electrical communication between neurons?

    <p>Electrical synapse</p> Signup and view all the answers

    What triggers the influx of calcium ions at the neuromuscular junction?

    <p>Impulse arriving at the nerve fiber</p> Signup and view all the answers

    Which mechanism allows for the recycling of the membrane at the synapse?

    <p>Kiss-and-run mechanism</p> Signup and view all the answers

    What is a key feature of the motor endplate structure?

    <p>Receptors are concentrated on the tops of junctional folds</p> Signup and view all the answers

    Which statement best describes myasthenia gravis?

    <p>It results from an autoimmune response affecting acetylcholine receptors</p> Signup and view all the answers

    What causes the release of calcium from the sarcoplasmic reticulum after the muscle action potential?

    <p>Activation of ryanodine receptors by dihydropyridine receptors</p> Signup and view all the answers

    How is acetylcholine cleared from the synaptic cleft?

    <p>Degradation by acetylcholinesterase</p> Signup and view all the answers

    Study Notes

    Anatomy of a Muscle Cell

    • A muscle cell is also known as a myocyte.
    • The membrane of a muscle cell is called the sarcolemma.
    • The cytoplasm of a muscle cell is called the sarcoplasm.
    • The sarcoplasmic reticulum is a specific form of endoplasmic reticulum that contains Ca+ ion pumps and has no ribosomes.
    • T-tubules are connected to the sarcoplasmic reticulum by protein complexes, which trigger the release of Ca+ from the sarcoplasmic reticulum when an action potential reaches down the T-tubule.

    Resting Membrane Potential

    • Every cell has a resting potential of around -70mV.
    • The Na+ and K+ gradients across the membrane are maintained by Na/K-ATPase.

    Ion Channels

    • Ion channels are very fast and cannot be coupled to an energy source, making them passive transport only.
    • Ion channels are ion selective and fluctuate between open and closed states.
    • Ion channels are differently gated.

    Action Potential

    • The all-or-none principle applies to action potentials, which are always around 100mV and last for a few milliseconds.
    • During an action potential, Na+ ions flow into the cell and K+ ions flow out of the cell through specific channels.

    Synapses

    • Synapses can be either electrical or chemical.
    • Electrical synapses are formed by gap junctions between two neurons, allowing electrical current to flow directly.
    • Chemical synapses transmit signals via neurotransmitters.

    Chemical Synapse - Function

    • Neurotransmitters are released from vesicles that are pre-docked to the membrane.
    • When an action potential arrives at the synapse, voltage-gated Ca+ channels open, and Ca+ binds to synaptotagmin, initiating fusion with the plasma membrane.

    Vesicle-Membrane Fusion

    • Vesicle-membrane fusion is facilitated by SNARE proteins, which are anchored membrane proteins and targets of the proteolytic botulinum and tetanus toxin.

    Recycling of Membrane at the Synapse

    • Membrane fusion occurs through the "kiss-and-run" mechanism, clathrin-mediated endocytosis, and invagination.
    • There is a pool of docked vesicles that can be exchanged and are quality controlled.

    Synaptic Cleft

    • The synaptic cleft is about 20nm wide and is shielded by basal lamina from the extracellular space.
    • Neurotransmitters are released into the synaptic cleft, which is a specialized adhesive junction.

    Neuromuscular Junctions

    • One nerve fiber per endplate innervates the muscle.
    • The impulse arriving at the neuromuscular junction triggers Ca+ influx, and neurotransmitter (acetylcholine) binds to nicotinic cholinergic receptors on the motor endplate.
    • This generates an endplate potential, leading to muscle action potential and an increase in Ca+ concentration in the muscle.

    Acetylcholine Receptor

    • Acetylcholine receptors are classified according to their pharmacological profile as nicotinic or muscarinic.
    • Nicotinic acetylcholine receptors are transmitter-gated Na+ channels with 5 subunits.

    Motor Endplate

    • The motor endplate is made up of junctional folds with thickened muscle membrane.
    • Receptors are concentrated on the tops of the folds, and acetylcholine is cleaved by acetylcholinesterase into acetate and choline, which is transported back into the presynaptic terminal.

    Muscle Action Potential

    • Acetylcholine binds to Na+ channels, allowing Na+ influx, and Ca2+ channels on the sarcolemma allow Ca2+ influx.
    • Ca2+ channels on the sarcoplasmic reticulum allow Ca2+ influx, and Ca2+ binds to troponin, triggering myosin contraction.

    Pathophysiological Conditions

    • Autoimmune disorders, such as myasthenia gravis, Lambert-Eaton myasthenic syndrome, and neuromyotonia, are associated with the neuromuscular junction.
    • Antibodies against AChR and MuSK in myasthenia gravis, VGCC in Lambert-Eaton myasthenic syndrome, and VGKC in neuromyotonia.
    • Myasthenia gravis is characterized by muscle weakness and fatigue, and the absence of deep tendon reflexes.

    Smooth and Cardiac Muscle

    • Nerve endings in smooth and cardiac muscle do not have recognizable endplates or other postsynaptic specializations.
    • Acetylcholine, norepinephrine, or epinephrine-containing vesicles are released from varicosities along the length of the muscle cell.
    • One neuron can innervate many effector cells.

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    Description

    Test your knowledge of the structure and function of muscle cells, including the sarcolemma, sarcoplasm, and sarcoplasmic reticulum.

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