Neuromuscular Junction Quiz
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Questions and Answers

What is the neuromuscular junction?

The motor axons are distributed to the appropriate skeletal muscles through peripheral nerves and synapses called neuromuscular junctions or end plates on skeletal muscle fibers.

What makes up the motor unit?

Each motor fascicle is paired to one motor neuron, forming a motor unit at the NMJ.

What is the motor end plate?

A highly specialized region of the sarcolemma of a muscle fiber that is oval in shape and covers an area of about 3000 um².

What are the events that occur at the neuromuscular junction?

<p>Release of acetylcholine, binding of acetylcholine, muscle contraction, removal of acetylcholine.</p> Signup and view all the answers

Describe the release of acetylcholine.

<p>An action potential arrives at the presynaptic terminal, causing depolarization, which opens voltage-gated Ca²⁺ channels, resulting in the release of acetylcholine into the synaptic cleft.</p> Signup and view all the answers

What happens during the binding of acetylcholine?

<p>ACh molecules diffuse across the synaptic gap to the motor end plate, bind to receptors, and cause conformational changes.</p> Signup and view all the answers

What occurs during muscle contraction?

<p>The conformational changes cause the center pore to open, allowing the influx of Na⁺ and depolarization of the motor end plate, leading to muscle action potential.</p> Signup and view all the answers

How is acetylcholine synthesized?

<p>From choline and acetyl coenzyme A in the terminal axoplasm of motor neurons, catalyzed by choline acetyltransferase.</p> Signup and view all the answers

How is acetylcholine synthesized in the mitochondria?

<p>It is synthesized from pyruvate in the mitochondria in the axon terminals.</p> Signup and view all the answers

How is recycled acetylcholine acquired?

<p>50% is extracted from extracellular fluid by a sodium-dependent active transporter system, and the other 50% is from breakdown at the NMJ.</p> Signup and view all the answers

What inhibits and activates choline acetyltransferase?

<p>Inhibited by acetylcholine and activated by nerve stimulation.</p> Signup and view all the answers

How is acetylcholine stored?

<p>Once synthesized, ACh is stored in vesicles within the terminal button, each containing approximately 10,000 molecules.</p> Signup and view all the answers

What are the three stores of vesicles of acetylcholine?

<p>1% are immediately releasable, 80% are readily releasable, and the remainder form the stationary store.</p> Signup and view all the answers

What are the two causes of release of acetylcholine?

<p>It may be spontaneous or in response to a nerve impulse.</p> Signup and view all the answers

What is spontaneous release of acetylcholine?

<p>Occurs randomly and results in miniature end plate potentials.</p> Signup and view all the answers

What are the two types of acetylcholine receptors?

<p>Nicotinic and muscarinic.</p> Signup and view all the answers

What are nicotinic acetylcholine receptors?

<p>Post-junctional receptors of the motor end plate.</p> Signup and view all the answers

How many nicotinic acetylcholine receptors are there and where are they situated?

<p>On average, 50 million ACh receptors are found on a normal end plate, situated on the crests of the junctional folds.</p> Signup and view all the answers

What comprises a nicotinic acetylcholine receptor?

<p>Each nicotinic receptor is a protein composed of 5 polypeptide subunits forming a ring structure around a central funnel-shaped pore.</p> Signup and view all the answers

How do nicotinic acetylcholine receptors work?

<p>Two ACh molecules bind to the alpha subunit, causing a conformational change that opens the ion channels for about 1 msec.</p> Signup and view all the answers

What are extra-junctional receptors?

<p>Acetylcholine receptors found outside the neuromuscular junction.</p> Signup and view all the answers

Where are extra-junctional receptors found?

<p>They can be present anywhere on the muscle membrane but are most concentrated around the end plate in the peri-junctional zone.</p> Signup and view all the answers

Describe the structure of a muscarinic acetylcholine receptor.

<p>These receptors are seven transmembrane G-protein coupled receptors.</p> Signup and view all the answers

What are the 5 types of muscarinic receptors?

<p>M1, M3, and M5: excitatory; M2 and M4: inhibitory.</p> Signup and view all the answers

How does the muscarinic receptor work?

<p>Instead of being an ion channel, they use a G-protein that activates second messengers when ACh binds.</p> Signup and view all the answers

What are the differences between muscarinic and nicotinic receptors?

<p>Muscarinic receptors are in various tissues; nicotinic receptors are mainly in the sympathetic nervous system. One uses ions (nicotinic) and the other uses G-proteins (muscarinic); nicotinic receptors are all excitatory, while muscarinic can be both excitatory and inhibitory.</p> Signup and view all the answers

What are prejunctional receptors?

<p>Extra-junctional receptors located on the pre-terminal bulb that have a positive feedback role.</p> Signup and view all the answers

What is the role of prejunctional receptors?

<p>They increase transmitter production via a second messenger system upon acetylcholine binding.</p> Signup and view all the answers

What is the purpose of acetylcholinesterase?

<p>It rapidly removes ACh from the junctional gap/synaptic cleft by hydrolyzing it to choline and acetate.</p> Signup and view all the answers

What are the two regions of the acetylcholinesterase molecule?

<p>An ionic site processing a glutamate residue and an esteratic site containing a serine residue.</p> Signup and view all the answers

How does hydrolysis of acetylcholine occur?

<p>Hydrolysis occurs with transfer of the acetyl group to the serine group, resulting in an acetylated enzyme and free choline.</p> Signup and view all the answers

What happens during inhibition of acetylcholinesterase?

<p>Inhibiting AChE prevents hydrolysis of ACh, resulting in prolonged end plate potentials.</p> Signup and view all the answers

Study Notes

Neuromuscular Junction

  • Motor axons communicate with skeletal muscles through neuromuscular junctions (NMJs), also known as end plates.
  • Each NMJ forms a synapse between a motor neuron and a muscle fiber.

Motor Unit Composition

  • A motor unit consists of a single motor neuron and the muscle fibers it innervates at the NMJ.
  • Terminal endings of the motor neuron connect to the motor end plate.

Motor End Plate Structure

  • The motor end plate is a specialized region of the muscle fiber's sarcolemma, oval-shaped, covering about 3000 µm².
  • Its surface features deep folds with numerous crests and secondary clefts to increase receptor density.

Neuromuscular Junction Events

  • Key events include the release of acetylcholine (ACh), binding to receptors, muscle contraction, and subsequent removal of ACh.

Release of Acetylcholine

  • Action potentials trigger depolarization in the presynaptic terminal, opening voltage-gated Ca²⁺ channels and increasing intracellular Ca²⁺.
  • 100-300 vesicles release ACh into the synaptic cleft through exocytosis.

Binding of Acetylcholine

  • ACh molecules diffuse across the synaptic gap to the motor end plate, binding to receptors concentrated on the folds.
  • Binding of two ACh molecules to each receptor induces conformational changes.

Muscle Contraction Mechanism

  • Conformational changes from ACh binding open ion channels, allowing Na⁺ influx and localized depolarization, known as end plate potentials (EPPs).
  • If EPPs exceed a threshold (-50 mV), voltage-gated Na⁺ channels open, propagating a muscle action potential that leads to contraction.

Synthesis and Recycling of Acetylcholine

  • ACh is synthesized from choline and acetyl CoA by choline acetyltransferase in motor neuron terminals.
  • Recycled ACh comes from extracellular fluid (50%) and the breakdown at NMJs (50%).

Regulation of Choline Acetyltransferase

  • Choline acetyltransferase is inhibited by ACh and activated by nerve stimulation.

Storage of Acetylcholine

  • Once synthesized, ACh is stored in vesicles within the terminal button, with about 10,000 molecules per vesicle.
  • Storage occurs via a magnesium-dependent transport system.

Types of Vesicle Stores

  • 1% of vesicles are immediately releasable, 80% are readily releasable, and the remainder is in a stationary store.

Causes of Acetylcholine Release

  • ACh may be released spontaneously or in response to a nerve impulse.
  • Spontaneous release creates miniature end plate potentials with an unclear function.

Types of ACh Receptors

  • There are two main types: nicotinic and muscarinic receptors.
  • Nicotinic receptors function in muscle contraction, while muscarinic receptors are involved in various physiological responses.

Nicotinic Acetylcholine Receptors

  • Found on the post-junctional side of the motor end plate, with an average of 50 million receptors contributing to signal transmission.
  • Comprised of five polypeptide subunits forming a pore for ion flow.

Function of Nicotinic Receptors

  • Two ACh molecules must bind to the alpha subunit, leading to ion channel opening, which facilitates the muscle action potential and contraction.

Extra-Junctional Receptors

  • Acetylcholine receptors located outside the NMJ are called extra-junctional receptors, mostly in small numbers.
  • Highest concentration observed around the motor end plate in the peri-junctional zone.

Muscarinic Acetylcholine Receptor Structure

  • These are seven transmembrane G-protein coupled receptors that vary in structure based on tissue type and developmental stage.

Types of Muscarinic Receptors

  • Classified into M1, M3, M5 (excitatory) and M2, M4 (inhibitory), influencing various physiological responses.

Muscarinic Receptor Mechanism

  • Unlike nicotinic receptors, muscarinic receptors utilize G-proteins which, upon ACh binding, change shape to activate second messengers instead of directly opening ion channels.

Prejunctional Receptors

  • Located on the pre-terminal bulb, prejunctional receptors enhance transmitter production when ACh binds, contributing to positive feedback in active NMJs.

Role of Acetylcholinesterase

  • ACh must be quickly removed from the synaptic cleft to reset the system, achieved by hydrolysis into choline and acetate via acetylcholinesterase (AchE).

Acetylcholinesterase Structure

  • Comprises an ionic site with a glutamate residue and an esteratic site with a serine residue that facilitates hydrolysis.

Hydrolysis Process of Acetylcholine

  • Hydrolysis transfers the acetyl group to serine, yielding free choline and acetate.

Inhibition of Acetylcholinesterase

  • Inhibitors like malathion, parathion, and eserine prevent ACh hydrolysis, leading to prolonged end plate potentials, impacting muscle function.

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Description

Test your knowledge on the neuromuscular junction, including its structure, function, and the events involved in muscle contraction. This quiz will cover key concepts such as motor units, acetylcholine release, and the anatomy of motor end plates.

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