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Joint diseases (3)
Rheumatoid arthritis- long term autoimmune disorder affecting joints, warm swollen and painful wrists
Osteoarthritis- progressive thinning of hyaline cartilage, bone spurs on heel!!
Gout arthritis- deposition of needle like crystals of uric acid in the joints
Types of bone fractures
Compound: bone penetrates skin
Comminuted: bone is in pieces
Transverse: perpendicular with medullary cavity
Linear: parallel with medullary cavity
Oblique: at an angle
Green stick: small break, bone bends before it breaks
Spiral: twists wrong
Dendritic cells
Most often found in high numbers within tumors
Antigen preventing cells that "sound the alarm" and ramp up the immune response by presenting antigens that are foreign
What is an autoimmune disorder
A disease in which the body's immune system attacks healthy cells.
An antibody or ig (immunoglobulin) designed to attack foreign properties but they attack our proteins
Fascia
a band or sheet of fibrous connective tissue that covers, supports, and separates muscle
"Sarcos" and "Myo"
Sarcos- flesh
Myo- muscle
Types of skeletal muscle fibers
Type 1- slow oxidative (marathon runners)
Type 2A- fast oxidative
Type 2B- fast glycolytic (sprinters)
FLAT PEG
Hormones that come from the anterior pituitary
FSH- follicle stimulating hormone
LH- luteinizing hormone
ACTH- adrenocorticotropic hormone
TSH- thyroid stimulating hormone
Prolactin- functions to produce milk
Endorphins
GH- growth hormone
Osteophyte
bony outgrowth
Mostly a bone spur of the heel
Anterior and posterior pituitary
ADH (vasopressin) and oxytocin (made in hypothalamus) are released in the posterior pituitary
What is vasopressin and what does it do
vasopressin (antidiuretic hormone, ADH)
- hormone against urine formation
- caffeine and C2H5OH (alcohol) inhibit ADH so urine production will go up
- ADH goes up and urine goes down
Gout (kidney) 🙏🙏🙏🙏
Deposition of needle like crystals of uric acid into joints
Under secretion of uric acid by the kidney causes this
Interferons 🙏🙏
Muscular dystrophy
Dystrophy: a group of more than 30 genetic diseases that cause progressive weakness and degeneration of skeletal muscles used during voluntary movement
This disease causes: muscle degeneration, fiber death, fiber branching and splitting, phagocytosis, chronic or permanent shortening of tendons and muscles
Myopathy & neuropathy
Myopathy: disease of muscle in which the muscle fibers do not function properly, results in muscle weakness. Primary defect is in muscles
Neuropathy: affects the peripheral nerves
What is the most prevalent amino acid in higher vertebrates?
glutamate
- binds to taste bud receptors and we taste "savory"
(Umami)
All functions of skeletal muscle
-Movement: produces tension (pulling or squeezing) to move things
-posture: baseline tension
-joint stability: constant tension holds joints together
-thermogenesis: muscle creats heat in act of shivering
-nutrition: muscle can be broken down for nutrients if a person is experiencing starvation
Hemodynamics formulas (3)
Cardiac output= stroke volume X heart rate
Delta P= Q(flow) X R(resistance)
MAP (mean arterial pressure) = D + (S-D)/3
Stand up too quickly
Become lightheaded, BP goes down, Baroreceptors pick up on change in pressure and signal to the medulla obligate to vasoconstriction and heart rate increases
Locked knees while standing
Leg muscles aren't being continually flexed, inadequate blood flow to the brain, BP goes down and you become lightheaded
Location of major Baroreceptors
Aortic arch, carotid sinus
Creatine
First energy source used is creatine
- creatine shuttles into muscle and water follows causing muscle to swell
If you take alot of creatine it swells your muscles but when you stop taking it it causes your muscles to shrink
Creatine kinase
Kinase adds phosphate to creatine. When it has phosphate it can give the phosphate to ADP which regenerates ATP
Myoblast
Makes or builds muscle
Whole muscle, fascicle .......
Whole muscle > fascicle > muscle fiber (myocyte, myofiber) > myofibril > myofilament
Microscopic muscle during muscle contraction. What shortens?
Shorten: The sarcomere, H band, I band
Don't shorten: A band, actin, myosin
4 steps of muscle contractile cycle
1. When AP hits the sarcoplasmic reticulum, Ca++ is released and the Ca will bind to troponin. This moves the tropomyosin out of the way exposing the myosin head binding sites on the actin filaments. When the myosin binds it is called the cross bridge formation
2. Myosin heads will "pull" actin over the top of the myosin (when they release the ADP and Po4 group on them). This is called the power stroke sliding filament theory.
3. A new ATP binds to the myosin. This causes the myosin head to detach from actin.
- if out of ATP- CRAMPS vs rigor mortis
4. Myosin can not only bind ATP but can hydrolyze it to ADP and Po4 which "recocks" the myosin head so it is ready to be attached to another
RMP
resting membrane potential
Charge inside cell is more negative than the positive outside
All tissues have RMP but only muscle and nervous use this to form AP
AP
Action potential
A wave of depolarization along or down a membrane
No bigger or smaller AP- you can have fewer or more depending on the muscle being used
All integral proteins involved with AP and RMP
Chlorine, potassium, calcium, sodium
ATP hydrolysis
Turn a positive delta G into a negative delta G
Against the gradient- can make something that doesn't want to happen happen (Na going out, K going in)
AP GRAPHS🙏
AP starting and ending
AP starts when we get to threshold (-50)
AP ends when we get back to resting value (70)
Depolarization
Na in -> starts making cell more positive
VG Na channel will open at the threshold and close at +35
Repolarization
K out -> starts making cell more negative
VG K channel will open at +35, starts to close around resting but will actually close at about -90
Hyperpolarization
Goes below resting and it's more negative than RMP
Further away from threshold- tissue will be less active or no activity at all
If it's very hyperpolarized then there is no change to get back to threshold
Actin, myosin ATPase, troponin, tropomyosin
Actin: thin myofilament
Myosin: thick myofilament - binds ATP and hydrolyzes ATP
Troponin: binds calcium
Tropomyosin: blocks the myosin head binding sites (until troponin binds with Ca)
Steps of contractile cycle
1. Binding of myosin head to a myosin binding site on actin (cross-bridge formation). At this stage, myosin has ADP and Pi bound.
2. Power stroke: myosin head moves into a low energy conformation and pulls the actin chain toward the center of the sarcomere (ADP is released).
3. Binding of new ATP molecule is necessary for release of the actin by the myosin head.
4. ATP hydrolysis occurs immediately and the myosin head is cocked (high energy conformation)
AP and which ions moving in which direction
AP involves Na and K
Na out
K in
Ligand
The molecule that binds to a receptor
Ligand gated receptor/ channel- the channel will be ion specific
Summation
The waves of EPSP and IPSP that lead to the threshold
Made up of ligand gates receptors that will turn into channels at threshold
Histone
What DNA wraps around
Found in groups of 8 (octets)
Kinase
An enzyme that adds a phosphate group
- the phosphate is responsible for turning the pathways off
How many jugular veins do humans have?
6 jugular veins (3 pairs)
IPSP and EPSP
EPSP- excitatory post synaptic potential: getting closer/ moving towards the threshold
IPSP- inhibitory post synaptic potential: getting further/ moving away from threshold
Voltage gated channels
Amino acid residues that are associated with a protein
Can open or close (can have one or two gates)
muscarinic receptors
Muscarinic: IPSP
- goes away from threshold
- chlorine (anion) goes in, potassium (cation) goes in
- pacemaker for the SA node of the heart
Nicotinic receptors
Nicotinic: EPSP
- sodium goes in
- moves to threshold
- found in skeletal muscle
- ACH binds to this
4 integral proteins and what is an integral protein?
channels, carriers, pumps, receptors
Proteins imbedded within the cell membrane
Why does the Na-K-ATP pump require ATP to function?
Because the process goes against the concentration to restore Na+ and K+ to original resting potential amounts
Low to high concentration
AP rolls like a wave, what does that mean?
Depolarization looks like a wave.. down the cell membrane
What is a second messenger?
a substance whose release within a cell is promoted by a hormone and that brings about a response by the cell.
cAMP
cGMP
IP3
DAG
NO
Ca++
Vagus nerve effect on the SA node
Decreases heart rate by releasing acetylcholine
Muscle soreness
overexertion in strenuous exercise resulting in muscular pain
Immediate: muscle burns during act of muscle contraction
24-48 hrs after: leads to tiny micro tears in the muscle
Weeks: extreme over exertion, the body has not adjusted
Satellite stem cell recruitment
24-48 hours after heavy lifting or over exertion, leads to tiny micro tears in the muscle
Needs to be repaired (testosterone levels go up) testosterone turns on genes for muscle repair = true muscle building
Corticosteroid injection when a tissue is wounded
Cortisone shot into the joints- trying to get pressure, pain and inflammation down
Inhibits HAT, promotes HDAC
- HAT= histone acetate transferases- add Ac
- HDAC= histone deacetylases- remove or don't put on Ac