1-6 Neuromuscular Junction (NMJ)
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Questions and Answers

What role does the dihydropyridine receptor (DHPR) play in muscle contraction?

  • It activates voltage-gated sodium channels on the muscle membrane.
  • It opens the ryanodine receptor on the sarcoplasmic reticulum. (correct)
  • It releases acetylcholine into the synaptic cleft.
  • It depolarizes the muscle fiber directly.
  • Which statement correctly describes the consequences of an autoimmune disorder like Myasthenia Gravis?

  • It reduces the number of functional nicotinic acetylcholine receptors. (correct)
  • It enhances neurotransmitter release at the neuromuscular junction.
  • It leads to increased strength of muscle contractions.
  • It causes additional calcium influx at the presynaptic terminal.
  • What initiates the action potential in muscle fibers after acetylcholine binds to its receptors?

  • Inhibition of calcium influx.
  • Calcium release from the sarcoplasmic reticulum.
  • Hyperpolarization of the muscle membrane.
  • Sodium influx leading to local depolarization. (correct)
  • What is a primary characteristic of Lambert-Eaton Myasthenic Syndrome (LEMS)?

    <p>It targets presynaptic voltage-gated calcium channels.</p> Signup and view all the answers

    What is the significance of T-tubules in muscle contraction?

    <p>They facilitate the action potential's propagation deep into the muscle fibers.</p> Signup and view all the answers

    What could be a consequence of impaired voltage-gated calcium channels at the NMJ?

    <p>Decreased contraction strength due to less neurotransmitter release.</p> Signup and view all the answers

    During excitation-contraction coupling, which process occurs after the action potential is propagated through the muscle fiber?

    <p>Activation of dihydropyridine receptors in the T-tubules.</p> Signup and view all the answers

    Which treatment is commonly used to manage the symptoms of Myasthenia Gravis?

    <p>Acetylcholinesterase inhibitors.</p> Signup and view all the answers

    Study Notes

    Neuromuscular Junction (NMJ)

    • NMJ is the synapse between an alpha motor neuron and a muscle fiber.
    • Neurons originate in the spinal cord and connect to skeletal muscle via long axons.
    • A motor unit consists of a motor neuron and all the muscle fibers it innervates.

    Action Potential and Synapse Mechanism

    • Action potential arrival at the neuron terminal opens voltage-gated calcium channels.
    • Calcium influx triggers the release of acetylcholine (ACh) into the synaptic cleft.
    • ACh binds to nicotinic receptors on the muscle membrane, causing sodium influx and local depolarization.
    • If depolarization is sufficient, it opens voltage-gated sodium channels, generating a muscle action potential.

    Propagation of Action Potential

    • The muscle action potential spreads along the muscle membrane and into deeper muscle fibers via T-tubules.
    • T-tubules ensure that depolarization reaches the muscle's core, initiating calcium release from the sarcoplasmic reticulum (SR).
    • Excitation-contraction coupling is the mechanism linking action potential to calcium release for muscle contraction.

    Calcium Release Mechanism

    • T-tubule depolarization activates dihydropyridine receptors (DHPR), which open ryanodine receptors (RyR) on the SR.
    • Calcium released into the cytoplasm initiates muscle contraction.
    • Myasthenia Gravis (MG): An autoimmune disorder where antibodies reduce functional nicotinic acetylcholine receptors, leading to muscle weakness and fatigue. Symptoms include drooping eyelids.

    • Treatment for MG: Acetylcholinesterase inhibitors increase ACh availability; immunosuppressive therapies are also used.

    • Lambert-Eaton Myasthenic Syndrome (LEMS): Affects presynaptic voltage-gated calcium channels, leading to muscle weakness and walking difficulties associated with lung cancer.

    • Treatment for LEMS: Aims to increase calcium availability to boost neurotransmitter release.

    Smooth Muscle Contraction

    • Smooth muscle lacks a distinct NMJ; neurotransmitters are released from varicosities along autonomic nerve fibers.
    • Action potentials in smooth muscle are primarily driven by calcium influx, unlike skeletal muscle which relies on sodium.

    Smooth Muscle Action Potentials

    • Smooth muscle can display various types of action potentials: spike potentials, plateau potentials, and slow waves (particularly in gastrointestinal smooth muscle).

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    Description

    Test your knowledge on the neuromuscular junction (NMJ) and the mechanisms of action potentials in muscle fibers. This quiz covers the structure of motor units, the role of acetylcholine, and the propagation of action potentials. Perfect for students studying neurology and physiology.

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