KINE 433 EXAM 2

SKELETAL MUSCLE

TYPES OF MUSCLE
  • Types of Muscle

    • Skeletal Muscle

      • Bone

    • Cardiac Muscle

      • Heart

    • Smooth Muscle

      • Blood Vessels

      • Bronchioles

    • Key Points

      • Cardiac / Smooth Muscle

        • Involuntary & Regulated by ANS

      • Skeletal Muscle

        • Voluntary & Regulated by CNS

BASIC STRUCTURE
  • Basic Structure

    • Key Points

      • Muscle is composed of many muscle fibers

      • Muscle fibers vary in contractile & metabolic properties

MUSCLE FIBER
  • Muscle Fiber

    • Key Points

      • Muscle Fibers are multinucleated

    • QUESTION

      • what is a sarcomere?

SARCOMERE
  • Sarcomere

    • SIDE NOTE

      • Wherever Actin is, the darker it is / the less light received

    • Key Points

      • Sarcomere

        • Contractile unit of a muscle fiber

      • Thick filaments

        • Composed of Myosin

      • Thin filaments

        • Composed of Actin, Tropomyosin, & Troponin

    • QUESTION

      • how is contraction initiated?

CENTRAL COMMAND
  • Central Command (CC)

    • Review

      • CC originated in the brain

      • CC activates muscle, CV system, and respiratory systems simultaneously

    • QUESTION

      • How does CC lead to muscle excitation

MOTOR UNIT
TOP-BOTTOM
CNS-MUSCLE FIBER
  • Motor Unit

    • Key Points

      • The alpha-Motor Neuron (a-MN) carries AP from CNS to muscle fibers

      • An a-MN plus all muscle fibers it innervates is a Motor Unit (MU)

    • QUESTION

      • how does this lead to contraction?

E-C C
  • Excitation-Contraction Coupling

    • Key Points

      • STEP 1 = CC

        • AP Starts in the brain

      • STEP 2 = Neuromuscular Junction (NMJ)

        • a-MN releases acetylcholine (ACh)

      • STEP 3 = Nicotinic Receptors

        • ACh binds to nicotinic receptors

      • STEP 4 = T-Tubules

        • AP travels down the T-Tubules

      • STEP 5 = Sarcoplasmic Reticulum (SR)

        • SR releases Ca2+

      • STEP 6 = Troponin

        • Ca2+ binds troponin & pulls tropomyosin off active sites

      • STEP 7 = Myosin Head

        • myosin head binds actin & tilts

  • Muscle Contraction

    • Relaxed

      • Active site blocked

      • ATP bound to myosin

        • pink bulbs in photo are ATP

      • No force generated

    • Contracting

      • Active site exposed

      • ATP Hydrolyzed

      • Myosin head attaches

    • Fully Contracted

      • Pi released (power stroke)

      • ADP released

      • New ATP binds

      • Myosin head detaches

    • How does Contraction Stop?

      • CC is removed, ACh degraded, & Ca2+ is pumped out

FIBER TYPES
  • Fiber Types ( Slow vs. Fast Twitch )

    • Key Points

      • Type I (Black)

        • High Oxidative Capacity

          • High mitochondrial & capillary density

      • Type IIa (White)

        • Moderate Oxidative Capacity

          • Intermediate mitochondrial & capillary density

      • Type IIx (Gray)

        • Low Oxidative Capacity

          • Low mitochondrial & capillary density

      • Classify Muscle Fibers

        • by using the type of Myosin ATPase

    • SIDE NOTE

      • Chemical staining in the photo due to Myosin ATPase present

      • World Class sprinters would have more type IIx than World class marathon runners having Type I

  • Gel Electrophoresis

    • gel like substance that uses an electrical current to pull out the proteins

      • to determine the amount in the muscle

FIBER TYPES
  • Fiber Types - Classification & Characteristics

    • Type I

      • ~50% of fibers in most muscle

    • Type IIa

      • ~45% of fibers in muscle

    • Type IIx

      • ~5% of fibers in muscle

    • SIDE NOTE

      • System 3 is more descriptive version of the classification that led to the simple system 1

STRUCTURAL FIBER TYPES
  • Fiber Types - Structural and Functional Characteristics

    • Key Points

      • Force is high in Type II MU

      • Velocity is high in Type II MU

      • If Force is High and Velocity is high

        • Power is high in Type II MU

FIBER IN ATHLETES
  • Fiber Types in Athletes

    • Key Points

      • Endurance Athletes

        • have high % Slow Twitch (ST) fibers

      • Power Athletes (Sprinters)

        • have high % Fast Twitch (FT) fibers

METABOLISM

  • Introduction

    • QUESTION

      • What are the primary fuels for exercise?

FUELS FOR EX
  • Fuels for Exercise (1/3)

    • Key Points

      • 1 g of Carbohydrates = 4.1 kcal/g

      • 1 g of Fat = 9.4 kcal/g

      • Fat is the preferred fuel of the muscle

        • We have lots of it

        • yields more kcal/g

      • Problem?

        • Rate of ATP production from Fat is slow

FUELS FOR EX
Rest -> Active
  • Fuels for Exercise (2/3)

    • Key Points

      • Crossover Effect

        • the shift from Fat to CHO metab.

      • Occurs because

        • Fat metabolism is slow

        • Recruitment of Type II fibers

          • increase in lactate production

          • LA inhibits fat metabolism

            • lipolysis

FUELS FOR EX
to exhaustion
  • Fuels for Exercise (3/3)

    • Key Points

      • Note the shift to fat metabolism in prolonged

      • LA doesn’t increase during low intensity exercise

        • no LA to inhibit fat metabolism

ATP
  • ATP (1/2)

    • Note

      • ATP is the most important energy carrying molecule

      • Energy is stored in phosphate bonds

      • Yellow

        • Nucleotide - Adenine

      • Red

        • Sugar - Ribose

    • QUESTION

      • How is energy released from ATP?

        • myosin cross bridge

ATP
  • ATP (2/2)

    • Key Points

      • Adenosine

        • combination of Adenine and Ribose

        • one of the key bridges between metabolic and cardiac

      • ATPases split phosphate off ATP molecule

      • The reaction releases energy

      • Myosin ATPase is essential to cross-bridge cycling

    • QUESTION

      • Where does ATP come from?

Energy Systems
  • Energy Systems

    • Note

      • ATP-PCr System

        • immediate energy system

        • dominant 1-15 seconds

      • Glycolytic System

        • Short-term energy system

        • dominant 15-120 seconds

      • Oxidative System

        • long-term energy system

        • dominant beyond 2 minutes

    • QUESTION

      • How do these systems work?

ATP-PCr System
  • ATP-PCr System (1/2)

    • Key Points

      • Creatine Kinase

        • catalyzes the split of PCr to Creatine and Phosphate

      • Reaction occurs in the cytoplasm (non-oxidative)

        • catalyzed by Creatine Kinase (CK)

      • Energy from Phosphocreatine (PCr) is not used directly

      • Energy is used to make ATP

    • QUESTION

      • How effective is the ATP-PCr System?

ATP-PCr System Graph
  • ATP-PCr System (2/2)

    • Key Points'

      • PCr can only support exercise for a few seconds

      • Important to sprinters and power athletes

    • QUESTION

      • Are creatine supplements beneficial?

CREATINE
  • Creatine Supplementation (1/2)

    • Key Points

      • Creatine Supplements do increase PCr store

CREATINE
  • Creatine Supplementation (2/2)

    • Key Points

      • Total work is increased by creatine supplementation

      • Creatine supplements are allowed

GLYCOLYTIC SYSTEM
  • Glycolytic System

    • Key Points

      • Glycolysis is the breakdown of glucose to produce Pyruvate (PA)

      • Occurs in cytoplasm

    • QUESTION

      • how does it work?

GLY SYSTEM
  • Glycolytic System

    • Key Points

      • EIP

        • 2 ATP used to phosphorylate glucose

      • EPP

        • 4 ATP & 2 NADH produced

      • GAINED 2 ATP

    • QUESTION

      • what are the key steps

GLY SYS KINASES
  • Glycolytic System

    • Kinases

      • Transfer phosphate groups

    • Hexokinase

      • Phosphorylates glucose

      • Traps glucose in cell

      • 1 ATP Consumed

    • PFK

      • Phosphorylates Fructose

      • Rate limiting enzyme

      • 1 ATP consumed

      • SIDE NOTE

        • determines the speed

    • 3-Phosphoglycerate Kinase

      • Phosphorylates ADP

      • 2 ATP produced

    • Pyruvate Kinase

      • Phosphorylates ADP

      • 2 ATP produced

    • QUESTION

      • What is the fate of pyruvate?

Fate of PA
  • Fate of Pyruvate

    • determined by O2

    • Key Points

      • O2 Deficient

        • PA is converted to LA by Lactate Dehydrogenase

      • O2 sufficient

        • PA & NADH enter the mitochondria

    • QUESTION

      • what happens in the mitochondria

OXIDATIVE SYSTEM
  • Oxidative System

    • Key Points

      • Krebs cycle & electron transport occur in the mitochondria

    • QUESTION

      • how does it work

OX SYSTEM
  • Oxidative System

    • Key Points

      • PA enters the mitochondria

      • PA converted to Acetyl Co-A by Pyruvate DH

      • Acetyl Co-A provides link to Krebs Cycle

    • QUESTION

      • how much ATP is gained going through Krebs Cycle

KREBS
  • Oxidative System

    • Key Points

      • Krebs cycle makes equivalent of 15 ATP per PA

      • Two PA per glucose

        • 15 × 2 = 30 ATP

      • CO2 made as “waste product”

    • QUESTION

      • how do NADH & FADH2 generate ATP

OIL RIG ETC
  • Electron Transport Chain

    • Key Points

      • STEP 1: NADH & FADH2 lose e- (oxidation)

      • STEP 2: H+ pumped across membrane

      • STEP 3: H+ flow through ATP synthase drives ATP production (phosphorylation)

      • STEP 4: Process is called oxidative phosphorylation

    • OIL RIG

      • oxidation is loss of electrons

      • reduction is gain of electrons

        • O2 interacts with e- to make H2O

    • IN A PERFECT WORLD

      • 3 ATP per NADH

      • 2 ATP per FADH2

        • it skips the first step/area of oxidation

      • HOWEVER

        • oxidation each NADH results in 2.5 ATPS

        • oxidation each FADH2 results in 1.5 ATPS

    • NOTE + SIDE NOTE

      • O2 is the final e- acceptor

      • a high VO2

        • can increase the amount of ATP produced

          • due to more O2 to pull e-

    • QUESTION

      • what are the sources of electrons?

        • NADH and FADH2

NET ENERGY PRODUCTION
  • Net Energy Production

    • NOTE

      • in “perfect world” oxidation of 1 glucose yields 38 ATP

      • in “real world,” 1 glucose yields 32 ATP

FAT METAB
  • Fat Metabolism

    • β\beta oxidation occurs in mitochondria

    • β\beta oxidation

      • Process by which FFA are converted to acetyl-CoA

        • 2C removed at a time to make Acetyl CoA

    • QUESTION

      • Why do you get more ATP from fat metabolism

        • can get more Acetyl CoA

ATP PRODUCED FAT
  • Fat Metabolism

    • Note

      • Fat generates more ATP than glucose

      • Fat is preferred substrate

    • QUESTION

      • is there a way to enhance fat metabolism?

VO2
  • Adaptations to Training

    • VO2 max REVIEW

      • VO2 max increases w/ training

        • increase in O2 delivery (CO max)

        • increase in O2 utilization (a-v O2 diff max)

    • QUESTION

      • what accounts for enhanced O2 utilization

KREB CYCLE ENZYME ACTIVITY
  • Adaptations to Training

    • Key Points

      • Training increases Succinate Dehydrogenase (SDH) & Citrate Synthase (CS) activity

      • Increase rate of ATP production

      • Increase in ability to use fat

        • spares glycogen

ETC ENZYME ACTIVITY
  • Key Points

    • Increase Cytochrome Oxidase (COX) activity → increase rate of ATP production

    • Note improvement of time trial

LAC THRESHOLD
  • Adaptations to Training

    • Key Points

      • LT occurs at higher intensity in trained (TR) state

        • Delays shift from fat to CHO metabolism

          • spares glycogen

        • Muscle pH is more stable

REVIEW ADAPT
  • Adaptations to Training

    • Respiration

      • Minimal changes

      • decrease/drop in Work of Breathing (Wb)

    • Central Circulation

      • increase in CO max

        • increase Size LV

        • increase in BV

        • increase in SV max

    • Peripheral Circulation

      • Increase O2 delivery

        • Arteriogenesis

        • Enhanced vasodilation

        • Angiogenesis

        • Increase in muscle BF

    • Muscle Metabolism

      • Increase ability to use O2 to make ATP

        • increase mitochondrial density

        • increase krebs cycle enzyme activity

        • increase ETC enzyme activity

      • Delay onset Fatigue

        • increase in LT

        • Enhances/Increase FFA use

        • Reduce/Decrease Glycogen use

        • pH becomes more stable

NEURAL CONTROL
  • Parasympathetic Nerves (PN)

    • Key Points

      • 1. Parasympathetic nerve innervate the heart and bronchioles

      • 2. Release ACh

        • binds to muscarinic receptors

      • 3. Decreases HR & Constricts airways

      • 4. Parasympathetic nerves turned off during exercise

    • QUESTIONS

      • why do you want resting HR low

        • keeps the workload of the heart low

      • why do we want airways fairly constricted at rest

        • to help filter out any impurities

SN ACTIVITY
  • Sympathetic Nerves (SN)

    • Key Points

      • 1. SN Innervate

        • Heart

        • Arterioles

        • Veins

        • Bronchioles

      • 2. Release NE

        • binds to adrenergic receptors

      • 3. Increase Cardiac Output → redistributes BF → increase in VR → dilates bronchioles

INTE PHYS
  • Integrative Physiology (SNS)

    • Heart

      • Cardiac Stimulation

        • Increase in CO

          • increase in HR

          • increase in SV

    • Veins

      • Venoconstriction

        • Increase in venous return

    • Bronchi

      • Bronchodilation

        • Decrease in airway resistance

    • Pylorus/Adrenal Medulla/Kidney

      • Vasoconstriction

        • Redistribute CO

    • Adipose

      • Lipolysis

        • Mobilize FFA

          • enters β\beta oxidation

    • Skeletal Muscle / Liver

      • Glycogenolysis

        • mobilizing glucose

          • enters glycolysis

    • Pancreas

      • Inhibits/Decreases Insulin

      • Promotes/Increases Glucagon

  • Taking drugs for alpha and beta and experience fatigue is due to everything listen getting (not fully) blocked

HORMONAL CONTROL

increased breakdown = glycogenolysis
Increase synthesis = gluconeogenesis
  • Glucose Regulation

    • Key Points

      • Goal is the keep glucose at 70-110 mg/dl

    • QUESTION

      • how does insulin work?

  • Glucose Regulation

    • Insulin

      • Key Points

        • insulin stimulates glucose uptake and storage

      • QUESTION

        • how does insulin respond to exercise

Insulin Graph
  • Glucose Regulation

    • Glucose 1 mmol/L= 18 mg/dl

    • Insulin

      • declines during exercise

      • prevents blood glucose from falling

Glucagon
  • Glucose Regulation

    • Glucagon

      • Key Points

        • glucagon rises during exercise

        • mobilize glucose in live and muscle

          • glycogenolysis

      • QUESTION

        • does training alter response

Insulin vs Glucagon
  • Training Effects

    • Key Points

      • we use more FFA post-training

      • plasma (glucose) is more stable

        • insulin doesn’t decline at much

        • glucagon doesn’t increase as much

FLUID BALANCE
  • Fluid Balance

    • Antidiuretic Hormone (ADH)

      • Key Points

        • decrease PV stimulates ADH release

        • ADH acts on kidneys to retain H2O

        • protects against dehydration

ADH GRAPH
  • Fluid Balance

    • Antidiuretic Hormone (ADH)

      • Key Points

        • ADH release starts at ~50% VO2 max

RAAS
  • Fluid Balance

    • Renin-Angiotensin-Aldosterone System (RAAS)

      • Key Points

        • Decrease in plasma volume (PV) & BP → activates RAAS

        • Ang II constricts arterioles

          • protects BP

        • Aldosterone acts on kidneys to reabsorb Na+

          • retains H2O

RAAS GRAPH
  • Fluid Balance

    • RAAS

      • Key Points

        • Aldosterone reduces, but does not prevent, decline in PV

ENERGY EXPENDITURE

DIRECT CALORIMETRY
  • Direct Calorimetry (DC)

    • Note

      • 60% of energy from metabolism lose as heat

      • DC estimates energy expended by measuring heat produced

    • SIDE NOTE

      • the treadmill also generates heat, therefore you’d have to know and remove the heat produced by the treadmill

INDIRECT
  • Indirect Calorimetry

    • Key Points

      • IDC estimates energy expended by measuring O2 consumed and CO2 produced

  • Indirect Calorimetry cont

    • Equations

      • RER - Respiratory Exchange Ratio

        • RER = VCO2 / VO2

      • CHO oxidation

        • C6H12O6 + 6 O2 → 6 CO2 + 6 H2O + 38 ATP

        • 6 CO2/ 6 O2 RER 1.0

        • All the energy comes from CHO (RER = 1)

      • Palmitic Acid Oxidation`

        • C16H32O6 + 23 O2 → 16 CO2 + 16 H2O + 129 ATP

        • 16 CO2/ 23 O2 RER = 0.7

        • Energy is 100% fat (0.7 RER)

    • Key Points

      • RER used to estimate % kcal derived from fat vs CHO

  • Respiratory Exchange Ratio (RER)

    • Key Points

      • Fat is primary substrate at rest

      • increase reliance on CHO as ex intensity increases b/c

        • Fat metabolism is slow

        • LA inhibits lipolysis

    • SIDE NOTE

      • 100 percent of fat used - 0.71

      • 67 percent of fat used 33 of CHO - 0.80

      • Training decreases RER at rest and at max compared to non-trained

  • Submaximal Exercise

    • Key Points

      • SS VO2 is reached in 1-2 minutes

        • not instantaneous

      • Note

        • linear increase in VO2 as power increases

    • QUESTION

      • How is VO2 impacted by training

    • SIDE NOTE

      • the data is collected riding a bike

        • you can tell by units (L/min)

        • treadmill / weight bearing exercise is determined with kg involved

REVIEW
  • Maximal Exercise REVIEW

    • Note

      • VO2 at any submax workload is similar

      • Training increases VO2 max

        • increase CO max

        • increase a-v O2 diff max

  • Excess Post Exercise O2 Consumption (EPOC)

    • NOTE

      • @ 1

        • Anaerobic Metabolism provides some ATP

      • @ 2

        • O2 supplied = O2 required

      • @ 3

        • VO2 stays elevated to restore homeostasis

    • Key Points

      • O2 deficit

        • Due to time lag in CV adjustments

          • not instantaneous due to the process of O2 in the system

            • air → lungs → blood

      • Steady State

        • Due to feedback from nerves:

          • Group III (mechanoreceptors)

          • Group IV (metaboreceptors)

      • EPOC

        • Excess O2 used to:

          • Replenish/Replace ATP/PCr storage

          • Convert LA to glycogen

          • Reoxygenated Hb & remove/clear out CO2