Muscle Physiology

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What are the three types of muscle tissue is the muscular system?
Skeletal, Cardiac, and Smooth
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What is skeletal muscle?
* Attached to bones of skeleton
* Voluntary (consciously controlled)
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What is cardiac muscle?
* Makes up most of the wall of the heart
* Involuntary (non-consciously controlled)
* Responsible for pumping action of the heart
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What is smooth muscle?
* Found in walls of internal organs, such as those of digestive tract.
* Involuntary (non-consciously controlled)
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Skeletal muscles
* Over 600 skeletal muscles in the body
* Attached to bones, and skin of face
* Under conscious control (voluntary)
* Are organs of the muscular system
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What is skeletal muscle composed of?
* Skeletal muscle tissue
* Nervous tissue
* Blood
* Connective tissue
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What is Fascia?
Thin covering of connective tissue around a muscle.
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What are tendons?
Cord-like mass of connective tissues that connect muscles to a bone.
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What is Aponeurosis?
Sheet-like mass of connective tissue that connects a muscle to bone, skin, or another muscle.
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What does the Epimysium surround?
Surrounds whole muscles; lies beneath fascia.
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What does the Perimysium surround?
Surrounds fascicles within a muscle.
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What does the Endomysium surround?
Surrounds muscle fibers (cells) within a fascicle.
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What is a compartment?
Space containing groups of muscles, blood vessels, and nerves enclosed by fascia.
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What is Compartment Syndrome?
* It’s fluid accumulation with a compartment which results in the increase of pressure in the compartments.
* It leads to deficiency of oxygen and nurtients.
* Also causes severe pain.
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Fascia
* Fascia of each muscle is part of network of fasciae
* Portion surrounding muscles is deep fascia, which connects to subcutaneous fascia under skin
* Network also connects to subserous fascia of serous membranes
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Skeletal muscle fiber (cell) are…
Multinucleated
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What is sarcolemma?
Cell membrane of muscle fiber
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What is the sarcoplasm?
Cytoplasm of muscle fiber
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Myofribils consist what?
Thin actin filaments and thick myosin filaments.
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What is sarcomeres?
Units that connect end-to-end, to make up myofibrils. (Functional unit of the muscular system)
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What is the Sarcoplasmic reticulum (SR) and what does it store?
It is the endoplasmic reticulum of muscles and it stores calcium.
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What is the transverse (“T”) tubule responsible for?
It relays electrical impulses to the SR.
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What does the Triad consist of?
1 T tubule and 2 SR cisternae
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What does myofibrils consist of that connect from end-to-end?
Sarcomeres
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How are Striation patterns made?
They’re made by the arrangement of myofilaments in the myofibrils.
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The A sarcomere consists of what structures?
I band- Light band; composed of thin actin filaments

A band- Dark band; composed of thick myosin filaments with portions overlapped with thin actin filaments.

H zone- Center of A band; composed of thick myosin filaments.

Z line (Z disc)- Sarcomere boundary; in center of I band which anchors filaments in place.

M line- Center of sarcomere and A band; anchors thick filaments
I band- Light band; composed of thin actin filaments 

A band- Dark band; composed of thick myosin filaments with portions overlapped with thin actin filaments.

H zone- Center of A band; composed of thick myosin filaments.

Z line (Z disc)- Sarcomere boundary; in center of I band which anchors filaments in place.

M line- Center of sarcomere and A band; anchors thick filaments
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Thick filaments
* Composed of myosin proteins


* Heads form cross-bridges with thin filaments
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Thin filaments
* Composed of actin protein
* Associated with troponin and tropomyosin, which prevent cross-bridge formation when muscle is not contracting.
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Heavy chains and light chains form what?
Heavy chains intertwine to form myosin tail

Light chains form myosin globurlar head
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Actin filaments made up of what?
G actin (globular) subunits

* G actin subunits bears active sites for myosin head attachment during contraction.
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G actin subunits link together to form what?
Long fibrous F actin (filamentous)
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____ F actin strands twist together to form a thin filament.
Two
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What does tropomyosin and troponin do?
They regulate proteins bound to actin.
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Contraction of a skeletal muscle fiber
* Requires interaction from several chemical and cellular components.
* Results from a movement within the myofibrils, in which the actin and myosin filaments slide past each other, shortening the sarcomeres
* Muscle fiber shortens and pulls on attachment points.
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Neuronmuscular Junction (NMJ)
* A type of Synapse
* Also called a myoneural junction
* Site where an axon of motor neuron and skeletal muscle fiber interact
* Skeletal muscle fibers contract only when stimulated by a motor neuron
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Parts of a Neuromuscular Junction consist of..
* Motor neurons
* Motor end plates
* Synaptic Cleft
* Synaptic vesicles
* Neurotransmitters
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Motor neuron
Neuron that controls skeletal muscle fibers
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Motor end plate
Specialized folded portion of skeletal muscle fiber, where fiber binds to neurotransmitter.
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Synaptic Cleft
Space between neuron and muscle fiber, across which neurotransmitter travels.
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Synaptic vesicles
Membrane-bound sacs containing neurotransmitters
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Neurotransmitters
Chemical released by motor neuron to deliver message to muscle fiber
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Steps for contraction at neuromuscular junction
* Action potential arrives at the end of a motor neuron
* Action potential sends an electrical signal which opens a voltage channel
* Calcium rushes into end of motor neuron and stimulates release of ACh from synaptic vesicles
* ACh diffuses arcross synaptic cleft and bind to receptors
* AcH receptors open a channel where Na ions enter and K ion exits.
* A change occurs in the membrane potential called the end plate potential
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Generations of an Action Potential Across the Sarcolemma
* Resting sarcolemma is polarized, meaning a voltage exists across membrane
* Action potential is caused by changes in electrical charges
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Three steps of action potential across the sarcolemma.
* End plate potential- generated at the neuromuscular junction
* Depolarization- generating and propagating an action potential
* Repolarization- restoring the sarcolemma to its initial polarized state (negative inside, positive outside)
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Refractory period
Muscle fiber cannot be stimulated for a specific amount of time, until repolarization is complete.
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What is excitation-contractions coupling?
Connnection between muscle fiber stimulation and muscle contraction.
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During muscle relaxation:
* Calcium ions are stored in sarcoplasmic reticulum
* Troponin-tropomyosin complexes cover binding sites on actin filaments
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Upon muscle stimulation:
* Muscle impulses travel down the T-tubules causes SR to release
* Calcium ions binds to troponin to change its shape
* Each tropomyosin is held in place by a troponin molecule; change in shape of troponin alters the position of tropomyosin
* Binding sites on actin are now exposed
* Myosin heads bind to actin, forming cross-bridges
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Cross-Bridge Cycling in order

1. Myosin head attaches to actin binding site, forming cross-bridge
2. Myosin cross-bridge pulls thin filaments towards center of sarcomere
3. ADP and Phosphate are released from myosin
4. New ATP binds to myosin
5. Linkage between actin and myosin cross-bridge break
6. ATP splits
7. Myosin cross-bridge goes back to original position, ready to bind to another binding site on actin.
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Relaxation
* Acetylcholinesterase rapidly decomposes ACh remaining the synapse
* Muscle impulse stops when ACh is decomposed
* Stimules to sarcolemma and muscle fiber membrane ceases.
* Calcium pumps calcium ions back into sarcoplasmic reticulum
* Troponin-tropomyosin complex again covers binding sites on actin.
* Myosin and actin binding are now prevented.
* Muscle fiber relaxes.
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Sliding Filament Model of Muscle Contraction:
* When sarcomeres shorten, thick and thin filaments slide past each other
* H zones and I bands narrow (some texts state the H zones will disappear and I bands shorten)
* Z lines move closer together (pulled toward M line)
* A bands move closer to each other
* Thin and thick filaments do not change length
* Overlap between filaments increases
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Myasthenia Gravis (MG)
* An autoimmune disorder, which antibodies attack acetylcholine receptors on skeletal muscle fibers (motor end plates) in neuromuscular junctions.
* Person may have only one-third normal number of ACh receptors
* May lead to widespread muscle weakness and muscle fatigue
* Treatments for it include drugs that inhibit acetylcholinesterase and immunosuppressant drugs
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Muscular Dystrophy
* Deficiency or abnormality/mutation in scarce muscle protein called dystrophin.
* Dystrophin binds to internal side of muscle cell membrane, and holds them together during contraction.
* In absence of normal dystrophin, cells lose normal structure and die.
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Clostridium Botulinum
* Anaerobic bacteria that produces a toxin that caused food poisoning.
* Grows in food that is not properly preserved
* Causes digestive, muscular, and respiratory symptoms.
* Treated with an antitoxin
* Used in small doses as Botox to smooth wrinkles, treat mirgraines. Blocks the release of Ach causing paralysis.
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ATP reserves
* First source of energy for muscle contraction
* Muscle cells store only a small amount-must be able to regenerate ATP
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Creatine Phosphate
* Initial source of energy to regenerate ATP from ADP and P.
* Stores energy in phosphate bond
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Cellular respiration
* Must be used to fuel longer periods of muscle contraction
* Breaks down glucose to produce ATP
* Glucose stored as glycogen in muscle cells
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Types of phases of cellular respiration:
* Anaerobic Phase
* Aerobic Phase
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Anaerobic (does NOT require O2) Phase
* Glycolysis
* Occurs in cytoplasm/cytosol
* Produces little ATP- 2 ATP
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Aerobic Phase
* Citric acid cycle and electron transport chain system
* Occurs in the mitochondria
* Produces the most ATP (max is 30 in a muscle cell)
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What does myoglobin do?
It stores extra oxygen in muscles (increases the amount of oxygen available in the muscle cells to support aerobic respiration.

* Important because blood flow may decrease when contracting muscle fibers compress blood vessels.
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Oxygen Debt
The amount of oxygen needed by liver cells to convert the accumulated lactic acid to glucose, and to restore muscle ATP and creatine phosphate concentrations.
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Anaerobic (Lactic Acid) Threshold
* Shift in metabolism from aerobic to anaerobic, during strenuous muscle activity, when the above systems cannot supply the necessary O2
* Lactic acid is produced which goes to the liver to be converted to glucose. (Requires ATP)
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Muscle Fatigue
Inability to contract muscles (For example, during prolonged exercise)

* Common causes of muscle fatigue
* Decreased blood flow
* Ion imbalances across the sarcolemma
* Loss of desire to continue exercise (psychological)
* Accumulation of lactic acid (controversial)
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Muscle Cramp
* Not fully understood
* Sustained, involuntary muscle contraction
* May be caused by changes in electrolytes concentration in extracellular fluids in the area
* Sodium
* Chlorine
* Magnesium
* Potassium
* Calcium
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Heat production
* Heat is a byproduct of cellular respiration in active cells. In other words, active cells generate heat.
* Muscle contraction will release heat
* Muscle cells are a major source of body heat. Muscle tissue is a large portion of body mass.
* More than half the energy release in cellular respiration becomes heat; less than half is transferred to ATP.
* Blood transports heat throughout body core.
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Threshold Stimulus
Minimum strength of stimulation of a muscle fiber required to cause contractions
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What is a twitch?
* A contractile response of a single muscle fiber to a single impulse
* Twitches vary in strengths (contributing factors):
* Development of fatigue
* Length to which fiber is stretched before stimulation
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Period of times associated with a twitch
* Latent period- Delay between stimulation and start of contraction (approximately 2 milliseconds)
* Period of contraction- Fiber pulls at attachments
* Period of relaxation- Pulling forces decrease
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What does a myogram do?
It records events of a muscle twitch.
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Length-Tension Relationship
* The length of muscle fiber before stimulation determines the amount of force it can develop.
* Optimum starting length is resting length of the fiber which allows the greatest force to develop.
* Stretched muscle fiber develop less force, since some myosin heads cannot reach binding sites on actin.
* Shortened muscle fiber also develop less force, since compressed sarcomeres cannot shorten further.
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Whole muscle contraction
* The actions we perform usually require the contribution of multiple muscle fibers simultaneously.
* We can electrically stimulate the whole muscle which contracts the muscle.
* When contracted muscles will pull on levers (bones).
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Summation
* Process by which the force of individual muscle fiber twitch combine, when frequency of stimulation increases.
* Produces sustained contractions and can lead to partial or complete tetanic contractions
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What are the types of Tetanus?
Partial Tetany and Complete Tetany
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What is Partial Tetany and Complete Tetany?
Partial Tetany

* Occurs at higher frequencies of stimulation
* Time spent in relaxation between twitches become very brief

Complete Tetany

* Occurss at very high frequencies of stimulation
* Does not occur in body, only in laboratories
* Forceful sustained contraction has no relaxation between twitches.
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What is a motor unit?
A motor neuron plus all of the muscle fibers it controls.

(Most muscle fibers have only one motor end plate)

* A whole muscle consists of many motor units
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Precise movements of motor units
Produced with fewer muscle fibers in a motor unit.

* Example: the motor unit of the muscle that moves the eye including fewer than 10 muscle fibers per motor unit and can produce very slight movements
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Coarse movements of motor units
Produced with large numbers of fibers in a motor unit

* Motor units of the large muscle in the back may include a hundred or more muscle fibers. Movements are larger scale than the eye.
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Sustained contractions
* Smaller motor units (smaller diameter axons)- recruited first
* Large motor units (larger diameter axons)- recruited later and with greater force
* Summation and recruitment can produce sustained contractions of increasing strength
* Whole muscle contractions are smooth movements. Individuals twitches do not normally occur. Partial or tetanic contractions of muscle fibers are common.
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What is muscle tone (tonus)?
Continuous state of partial contractions in resting muscles.

* Contributes to maintaining posture
* Taught neck, head, trunk, and lower limbs enable a person to sit up, stand, hold up head etc.
* Lose consciousness and the body collapses
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What happens in isotonic contractions?
Muscle contracts and changes length. (Means equal force)
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Types of Isotonic contractions
* Concentric- shortening contraction; occurs when lifting an object
* Eccentric- lengthening contraction; occurs when force not sufficient to lift object (lowering a hand weight)
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Isometric contractions
* Muscle contracts but does NOT change length
* Means “equal length”
* Tension develops, but parts attached to muscle do not move (no movement-holding object in place)
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Muscles vary in the following ways:
* Contraction speed: Slow or Fast
* Method of ATP production: Oxidatively or Glycolytically
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Three types of muscle fibers found in human:
* Slow Twitch fibers (Type I)
* Fast-twitch fatigue-resistant fibers (Type IIa)
* Fast-twitch glycolytic fibers (Type IIb)
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Slow-twitch fibers (Type I) (Will be on test)
* Always oxidative
* Resistant to fatigue (due to high ATP production)
* Red fibers (High myoglobin)
* Abundant myoglobin (stores oxygen in muscles)
* Good blood supply
* Many mitochondria
* Slow ATPase activity; slow to contract
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Fast-twitch fatigue-resistant fibers (Type IIa) (Might be on test so still know it)
* Intermediate twitch fibers
* Intermediate oxidative capacity
* Intermediate amount of myoglobin
* White fibers (have less myoglobin)
* Resistant to fatigue
* Rapid ATPase activity
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Fast-twitch glycolytic fibers (Type IIb) (Will be on test)
* Anaerobic respiration (glycolysis)
* White fibers (less myoglobin)
* Poorer blood supply than slow-twitch fibers
* Fewer mitochondria than slow twitch
* More SR than slow-twitch (SR to store and absorb calcium ions)
* Susceptible to fatigue
* Fast ATPase activity; contract rapidly
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What is hypertrophy and atrophy?
* Hypertrophy- enlargement of skeletal muscle that is exercised
* Atrophy- decrease in size (actin and myosin filaments) and strength of skeletal muscle that is unused. Can happen if neurons no longer supply a signal.
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What does Aerobic and Forceful exercise stimulate?
* Aerobic exercise simulates slow-twitch fibers; in response, fibers increase their capillaries and mitochondria
* Forceful exercise simulates mainly fast-twitch fibers; in response, fibers produce new actin and myosin filaments, and the muscle enlarges.
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Smooth muscle
Compared to skeletal muscle fibers, smooth muscle fibers are:

* Shorter
* Single, centrally located nucleus
* Elongated with tapering ends (tissue looks like spindles)
* Myofilaments randomly organized (so they have actin, myosin, and myofibrils)
* Lack striations
* Lack transverse tubules
* Sarcoplasmic reticulum (SR) not well developed
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Smooth muscle SIMILARITIES to skeletal muscle
* Mechanisms reflect reactions to actin and myosin
* Triggered by membrane impulses and release of calcium ions
* Both use energy from ATP molecules (have mitochondria)
* Neurotransmitters: acetylcholine
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Smooth muscle DIFFERENCES to skeletal muscle
* Does not have troponin; instead has calmodulin-binds to calcium activating contraction
* Calcium needed diffuses into the cell from extracellular fluid not SR
* Neurotransmitters: norepinephrine SO SMOOTH MUSCLE HAS BOTH ACETYLCHOLINE AND NOREPINEPHRINE
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What are the two types of smooth muscle?
* Multi-unit smooth muscle
* Visceral smooth muscle
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Multi-unit smooth muscle
* Cells are less organized
* Function as separate units
* Fibers function independently
* Iris of eye, walls of blood vessels
* Stimulated by neurons, hormones
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What role does hormones play in multi-unit smooth muscles?
It can stimulate or inhibit contractions or may alter the degree of response to neurotransmitters.
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Visceral smooth muscles
* Single-unit smooth muscle; cells respond as a unit
* Sheets of spindle-shaped muscle fibers
* Fibers held together by gap junctions
* Exhibit rhythmicity
* Conduct peristalsis
* Walls of most hollow organs (intestines, stomach, etc.)
* More common type of smooth muscle
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Smooth muscle contractions RESEMBLE skeletal muscle contractions in the following ways:
* Interaction between actin and myosin
* Both use calcium and ATP
* Both are triggered by membrane impulses
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Smooth muscle contractions DIFFER from skeletal muscle contraction in the following ways:
* Smooth muscle lacks troponin; used calmodulin instead
* Two neurotransmitters affect smooth muscle: Acetylcholine (Ach) and norepinephrine (NE)
* Hormones can stimulate or inhibit smooth muscle
* Stretching can trigger smooth muscle contractions
* Smooth muscle slower to contraction and relax
* Smooth muscle more resistant to fatigue
* Smooth muscles can change length without changing tautness.
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Cardiac Muscle
* Located only in the heart
* Striated muscle cells
* Muscle fiber joined together by intercalated discs
* Fibers branch, contains a single nucleus; has many mitochondria
* Network of fibers contracts as a unit (syncytium)
* Self-exciting and rhythmic
* Does not require stimulation from neurons
* Longer refractory period (muscle fiber cannot be stimulated until repolarization is complete) than skeletal muscle.
* No sustained or tetanic contractions