SlideShare a Scribd company logo
1 of 65
Anatomy
Critical to function
NMJ on the muscle fiber

10µm

10µm
Synaptic selectivity at developing
NMJ
Synapse from a frog sartorius neuromuscular
junction showing vesicles clustered in the active
zone, some docked at the membrane (arrows).
(from
Heuser,
1977)
Synaptic Transmission
The Steps
Synaptic Transmission Model
•
•
•
•
•
•

Precursor transport
NT synthesis
Storage
Release
Activation
Termination ~diffusion, degradation,
uptake, autoreceptors
Presynaptic
Axon Terminal

Terminal
Button

Postsynaptic
Membrane
(1) Precursor
Transport
(2)
Synthesis

_
_
_

enzymes/cofactors

NT
(3) Storage

in vesicles
A quantum is the number of transmitters
released from a single synaptic vesicle
Vesicles have a fairly uniform size and diameter ≈ 40- 50 nm
Individual vesicles contain 8000 - 10,000 phospholipid molecules and several
proteins. The vesicle molecular weight is approx. 3-5 x 106
Proteins associated with synaptic vesicles
(identified through sequencing and cloning of cDNA’s)

Membrane proteins
A.
B.
C.

Synaptophysin (~ 36 kD)
Synaptotagmin (~ 61 kD; the Ca2+ sensor)
Snares (residents of either the vesicle
[v-snare] or the target membrane [t-snare])
1.
VAMP (also called synaptobrevin), a v-snare (~18 kD)
2.
Syntaxin, a t-snare that also associates with Ca 2+
channels (~32 kD; technically not a vesicle protein)
3.
SNAP-25, a t-snare (~25 kD; also technically not a
vesicle protein)
D. Electrogenic proton ATPase -creates emf that drives
neurotransmitter uptake against a concentration gradient
Proteins associated with synaptic vesicles
(identified through sequencing and cloning of cDNA’s)

Membrane proteins
A.
B.
C.

Synaptophysin (~ 36 kD)
Synaptotagmin (~ 61 kD; the Ca2+ sensor)
Snares (residents of either the vesicle
[v-snare] or the target membrane [t-snare])
1.
VAMP (also called synaptobrevin), a v-snare (~18 kD)
2.
Syntaxin, a t-snare that also associates with Ca 2+
channels (~32 kD; technically not a vesicle protein)
3.
SNAP-25, a t-snare (~25 kD; also technically not a
vesicle protein)
D. Electrogenic proton ATPase -creates emf that drives
neurotransmitter uptake against a concentration gradient
An alternative form of Ca2+-dependent vesicle fusion, termed fast tracking, or
“kiss and run” predominates at low frequency stimulation.
Life cycle of a
synaptic vesicle
Terminal
Button

Dendritic
Spine

Synapse
(4) Release
Terminal
Button

Dendritic
Spine

Synapse

Receptors
Terminal
Button

AP

Dendritic
Spine

Synapse
Exocytosis

Ca2+
From Kristin Harris Lectures.
http://synapses.mcg.edu/lab/harris/lectures.htm
Stimulation
mini

Evoked amplitudes.
1X

4X

Mini histogram.
2X

1X
3X
4X

2X
1 mV

Squire Fund. Neurosci.
From Kristin Harris Lectures.
http://synapses.mcg.edu/lab/harris/lectures.htm
“docked”
No firing

“fast”

“slow”

Firing

Heuser and Reese,
1981

Electron micrographs of “omega figures” (fusing synaptic vesicles) after slam freezing a
firing synapse provided clinching evidence for the vesicle hypothesis.
A cholinergic synapse
Ne
rv

Action
potential

Choline

ef
ibe
r(
ax
on
)

Na+, Cl-

Acetyl-CoA

Acetyl-Choline
Ca + +

Ca + +

Acetyl-Choline
A cholinergic synapse (2): Rapid
transmitter inactivation by
cholinesterase
Choline
Acetate
Action
potential

Acetyl-CoA

Acetyl-Choline

Ca + +

Choline
esterase
(5) Activation
(1) Ionotropic Channels
Channel

NT

neurotransmitter
Ionotropic Channels
NT

Pore
Ionotropic Channels

NT
Ionotropic Channels

NT
Acetylcholine Receptor
α
β
γ

(or

ε)

ACh

ACh

δ

α
Miyazawa, A., Y. Fujiyoshi, and N. Unwin. 2003. Structure and gating
mechanism of the acetylcholine receptor pore. Nature 423:949-955.
End Plate Potential (EPP)

Presynaptic
terminal

VNa

Muscle Membrane
Voltage (mV)

The movement of Na+ and K+
depolarizes muscle membrane
potential (EPP)

0
EPP
Threshold

-90 mV
VK
Presynaptic
AP

Time (msec)

Outside

Muscle membrane

Inside
ACh Receptor Channels

Voltage-gated
Na Channels

Inward Rectifier
K Channels
45
Normal EPPs invariably evoke muscle action
potentials
• Normally, the average EPP amplitude = 60 mV
-In frog, ~150 vesicles
• Safety factor for transmission is therefore high (greater than 1)
- Frog example:
∆VEPP ÷ ∆VAPthreshold
= 60 mV ÷ │-90 mV*- [-50 mV] │
= 60 mV ÷ 40 mV = 1.5
(*muscle resting VM = -90 mV)
(6) Termination
(6.1) Termination by...
Diffusion
(6.2) Termination by...
Enzymatic degradation
Acetylcholine
Metabolism
acetylcholine

ACh

esterase (AChE)

choline + acetate

• AChE is located in the synaptic cleft
• Choline is taken back up into the
presynaptic terminal – active process
• Acetate diffuses away to be utilized in
other metabolic roles
(6.3) Termination by...
Reuptake
(6.4) Termination by...
Autoreceptors

A
The Safety Factor !!!
• Number of Quanta
• The receptor density on the post synaptic
membrane
• The activity of ACH esterase
• The folds of the PS membrabe
• The presence of active zones
Voltage-gated channels
Na+ channelopathies
Gene

Channel

Disease

Muscle

SCN4A

α subunit of NaV1.4

Hyperkalaemic periodic paralysis
Hypokalaemic periodic paralysis
Paramyotonia congenita
Potassium-aggravated myotonia
Myotonia fluctuans
Myotonia permanens
etc

Neuronal

SCN1A

α subunit of NaV1.1
(somatic)

Generalised Epilepsy with Febrile
Seizures + (GEFS+),
Severe myoclonic epilepsy of
infancy (SMEI)

SCN2A

α subunit of NaV1.2
(axonal)

GEFS+

SCN1B

β1 subunit
Ca2+ channel structure

α2δ

γ
β
α1
Ca2+ channelopathies
Gene

Neuronal

Disease

CACNA1S

α subunit of CaV1.1

HypoK periodic paralysis
Malignant hyperthermia

RYR1

Muscle

Channel

Ryanodine receptor
(sarcoplasmic channel)

Malignant hyperthermia
Central core disease

CACNA1A

α subunit of CaV2.1
(P/Q-type channel)

Familial hemiplegic migraine
Episodic ataxia type 2
Spinocerebellar ataxia type 6
Absence epilepsy?

CACNA1H

αsubunit of CaV3.2
(T-type channel)

Absence epilepsy
Nicotinic receptor channelopathies
Gene
CHRNA1

α1 subunit

Congenital myasthenic syndrome

β1 subunit

CHRND

δ subunit

CHRNE
Neuronal

Disease

CHRNB1

Muscle

Channel

ε subunit

CHRNA2

α4 subunit

CHRNB4

β2 subunit

AD nocturnal frontal lobe epilepsy
Slow channel
syndrome

Sine et al
(1995)
Fast channel syndrome
can be associated with congenital joint
deformities (arthrogryposis multiplex)

Brownlow et al
(2001)
Neuromuscular transmission
Neuromuscular transmission

More Related Content

What's hot

What's hot (20)

neuromuscular junction physiology
neuromuscular junction physiologyneuromuscular junction physiology
neuromuscular junction physiology
 
NEUROMUSCULAR JUNCTION
NEUROMUSCULAR JUNCTIONNEUROMUSCULAR JUNCTION
NEUROMUSCULAR JUNCTION
 
Neuromuscular physiology
Neuromuscular physiologyNeuromuscular physiology
Neuromuscular physiology
 
EPSP and IPSP
EPSP and IPSPEPSP and IPSP
EPSP and IPSP
 
Synaptic transmission
Synaptic transmissionSynaptic transmission
Synaptic transmission
 
General Physiology - Motor Functions of the Spinal Cord; the Cord Reflexes
General Physiology - Motor Functions of the Spinal Cord; the Cord ReflexesGeneral Physiology - Motor Functions of the Spinal Cord; the Cord Reflexes
General Physiology - Motor Functions of the Spinal Cord; the Cord Reflexes
 
Neuromuscular transmission and its pharmacology
Neuromuscular transmission and its pharmacologyNeuromuscular transmission and its pharmacology
Neuromuscular transmission and its pharmacology
 
Synapses
SynapsesSynapses
Synapses
 
Synaptic transmission
Synaptic transmissionSynaptic transmission
Synaptic transmission
 
SYNAPSE
SYNAPSESYNAPSE
SYNAPSE
 
Synapse
SynapseSynapse
Synapse
 
Synaptic Transmission
Synaptic TransmissionSynaptic Transmission
Synaptic Transmission
 
Stretch reflex
Stretch reflexStretch reflex
Stretch reflex
 
Nerve & Action potential
 Nerve &  Action potential Nerve &  Action potential
Nerve & Action potential
 
ACTION POTENTIAL - IONIC BASIS AND RECORDING
ACTION POTENTIAL - IONIC BASIS AND RECORDINGACTION POTENTIAL - IONIC BASIS AND RECORDING
ACTION POTENTIAL - IONIC BASIS AND RECORDING
 
Action Potential
Action Potential Action Potential
Action Potential
 
Amphibian Graphs- Cardiac Muscle
Amphibian Graphs- Cardiac MuscleAmphibian Graphs- Cardiac Muscle
Amphibian Graphs- Cardiac Muscle
 
Intd of sensory systemf
Intd of sensory systemfIntd of sensory systemf
Intd of sensory systemf
 
Thalamus physiology
 Thalamus physiology Thalamus physiology
Thalamus physiology
 
Excitation - Contraction coupling
Excitation - Contraction couplingExcitation - Contraction coupling
Excitation - Contraction coupling
 

Similar to Neuromuscular transmission

Nervous System Cells.ppt
Nervous System Cells.pptNervous System Cells.ppt
Nervous System Cells.pptLoganParkison1
 
D1 5 6. sinapsa, hemijska neurotransmisija 2h
D1 5 6. sinapsa, hemijska neurotransmisija 2hD1 5 6. sinapsa, hemijska neurotransmisija 2h
D1 5 6. sinapsa, hemijska neurotransmisija 2hSinisa Ristic
 
Neuromuscular junction and its physiology
Neuromuscular junction and its physiologyNeuromuscular junction and its physiology
Neuromuscular junction and its physiologyDr.Prachee Sachan
 
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptxANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptxpkumarchoudhuri
 
Neuromuscular Junction
Neuromuscular JunctionNeuromuscular Junction
Neuromuscular JunctionNishtha Jain
 
Anatomy of Neuromuscular Junction
Anatomy of Neuromuscular JunctionAnatomy of Neuromuscular Junction
Anatomy of Neuromuscular JunctionFiaz Hamsath
 
Md (surg) part1 nmj 2011 student
Md (surg) part1 nmj 2011 studentMd (surg) part1 nmj 2011 student
Md (surg) part1 nmj 2011 studentvajira54
 
Physiology of nmj and anesthesia
Physiology of nmj and anesthesiaPhysiology of nmj and anesthesia
Physiology of nmj and anesthesiaAnandRam31
 
Synaptic Transmission
Synaptic TransmissionSynaptic Transmission
Synaptic TransmissionProadmire
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09Nasir Koko
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09Nasir Koko
 
Neuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUMNeuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUMSMS_2015
 
Contraction
ContractionContraction
Contractionshaffain
 
Synaptic transmission i
Synaptic transmission iSynaptic transmission i
Synaptic transmission ianju jha
 

Similar to Neuromuscular transmission (20)

Ch05
Ch05Ch05
Ch05
 
Nervous System Cells.ppt
Nervous System Cells.pptNervous System Cells.ppt
Nervous System Cells.ppt
 
D1 5 6. sinapsa, hemijska neurotransmisija 2h
D1 5 6. sinapsa, hemijska neurotransmisija 2hD1 5 6. sinapsa, hemijska neurotransmisija 2h
D1 5 6. sinapsa, hemijska neurotransmisija 2h
 
Neuromuscular junction and its physiology
Neuromuscular junction and its physiologyNeuromuscular junction and its physiology
Neuromuscular junction and its physiology
 
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptxANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
 
Neuromuscular Junction
Neuromuscular JunctionNeuromuscular Junction
Neuromuscular Junction
 
Synapse
SynapseSynapse
Synapse
 
Lecture7
Lecture7Lecture7
Lecture7
 
Cognitive neuroscience synapses
Cognitive neuroscience   synapsesCognitive neuroscience   synapses
Cognitive neuroscience synapses
 
Anatomy of Neuromuscular Junction
Anatomy of Neuromuscular JunctionAnatomy of Neuromuscular Junction
Anatomy of Neuromuscular Junction
 
Chapter 10
Chapter 10Chapter 10
Chapter 10
 
Neurotransmission
NeurotransmissionNeurotransmission
Neurotransmission
 
Md (surg) part1 nmj 2011 student
Md (surg) part1 nmj 2011 studentMd (surg) part1 nmj 2011 student
Md (surg) part1 nmj 2011 student
 
Physiology of nmj and anesthesia
Physiology of nmj and anesthesiaPhysiology of nmj and anesthesia
Physiology of nmj and anesthesia
 
Synaptic Transmission
Synaptic TransmissionSynaptic Transmission
Synaptic Transmission
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09
 
Neuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUMNeuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUM
 
Contraction
ContractionContraction
Contraction
 
Synaptic transmission i
Synaptic transmission iSynaptic transmission i
Synaptic transmission i
 

More from Rahul Kumar

Cephalosporin Induced Myoclonus
Cephalosporin Induced MyoclonusCephalosporin Induced Myoclonus
Cephalosporin Induced MyoclonusRahul Kumar
 
Electrophysiological assessment of neuromuscular transmission
Electrophysiological assessment of neuromuscular transmissionElectrophysiological assessment of neuromuscular transmission
Electrophysiological assessment of neuromuscular transmissionRahul Kumar
 
Anti Platelet Agents
Anti Platelet AgentsAnti Platelet Agents
Anti Platelet AgentsRahul Kumar
 
Eye movements - Anatomy, Physiology, Clinical Applications
Eye movements - Anatomy, Physiology, Clinical ApplicationsEye movements - Anatomy, Physiology, Clinical Applications
Eye movements - Anatomy, Physiology, Clinical ApplicationsRahul Kumar
 
Spindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and SubstratesSpindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and SubstratesRahul Kumar
 
Normal EEG patterns, frequencies, as well as patterns that may simulate disease
Normal EEG patterns, frequencies, as well as patterns that may simulate diseaseNormal EEG patterns, frequencies, as well as patterns that may simulate disease
Normal EEG patterns, frequencies, as well as patterns that may simulate diseaseRahul Kumar
 
Artifacts in EEG - Recognition and differentiation
Artifacts in EEG - Recognition and differentiationArtifacts in EEG - Recognition and differentiation
Artifacts in EEG - Recognition and differentiationRahul Kumar
 
EEG Maturation - Serial evolution of changes from Birth to Old Age
EEG Maturation - Serial evolution of changes from Birth to Old AgeEEG Maturation - Serial evolution of changes from Birth to Old Age
EEG Maturation - Serial evolution of changes from Birth to Old AgeRahul Kumar
 
EEG in Neonates - Normal Variants and Pathological Traces
EEG in Neonates - Normal Variants and Pathological TracesEEG in Neonates - Normal Variants and Pathological Traces
EEG in Neonates - Normal Variants and Pathological TracesRahul Kumar
 
Neonatal EEG Patterns
Neonatal EEG PatternsNeonatal EEG Patterns
Neonatal EEG PatternsRahul Kumar
 
EEG - Montages, Equipment and Basic Physics
EEG - Montages, Equipment and Basic PhysicsEEG - Montages, Equipment and Basic Physics
EEG - Montages, Equipment and Basic PhysicsRahul Kumar
 
Aed new vs old final
Aed new vs old finalAed new vs old final
Aed new vs old finalRahul Kumar
 
Brachial plexus Anatomy and Clinical Implications
Brachial plexus Anatomy and Clinical ImplicationsBrachial plexus Anatomy and Clinical Implications
Brachial plexus Anatomy and Clinical ImplicationsRahul Kumar
 
Bells palsy- To Treat or Not to Treat
Bells palsy- To Treat or Not to TreatBells palsy- To Treat or Not to Treat
Bells palsy- To Treat or Not to TreatRahul Kumar
 
Glial cells - Neurobiology and Clinical Aspects
Glial cells - Neurobiology and Clinical AspectsGlial cells - Neurobiology and Clinical Aspects
Glial cells - Neurobiology and Clinical AspectsRahul Kumar
 
Huntington's Disease, Potential Therapies
Huntington's Disease, Potential TherapiesHuntington's Disease, Potential Therapies
Huntington's Disease, Potential TherapiesRahul Kumar
 
Huntingtons disease
Huntingtons disease Huntingtons disease
Huntingtons disease Rahul Kumar
 

More from Rahul Kumar (20)

Cephalosporin Induced Myoclonus
Cephalosporin Induced MyoclonusCephalosporin Induced Myoclonus
Cephalosporin Induced Myoclonus
 
Electrophysiological assessment of neuromuscular transmission
Electrophysiological assessment of neuromuscular transmissionElectrophysiological assessment of neuromuscular transmission
Electrophysiological assessment of neuromuscular transmission
 
Anti Platelet Agents
Anti Platelet AgentsAnti Platelet Agents
Anti Platelet Agents
 
Eye movements - Anatomy, Physiology, Clinical Applications
Eye movements - Anatomy, Physiology, Clinical ApplicationsEye movements - Anatomy, Physiology, Clinical Applications
Eye movements - Anatomy, Physiology, Clinical Applications
 
Spindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and SubstratesSpindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and Substrates
 
EEG in Sleep
EEG in Sleep EEG in Sleep
EEG in Sleep
 
Normal EEG patterns, frequencies, as well as patterns that may simulate disease
Normal EEG patterns, frequencies, as well as patterns that may simulate diseaseNormal EEG patterns, frequencies, as well as patterns that may simulate disease
Normal EEG patterns, frequencies, as well as patterns that may simulate disease
 
Artifacts in EEG - Recognition and differentiation
Artifacts in EEG - Recognition and differentiationArtifacts in EEG - Recognition and differentiation
Artifacts in EEG - Recognition and differentiation
 
EEG Maturation - Serial evolution of changes from Birth to Old Age
EEG Maturation - Serial evolution of changes from Birth to Old AgeEEG Maturation - Serial evolution of changes from Birth to Old Age
EEG Maturation - Serial evolution of changes from Birth to Old Age
 
EEG in Neonates - Normal Variants and Pathological Traces
EEG in Neonates - Normal Variants and Pathological TracesEEG in Neonates - Normal Variants and Pathological Traces
EEG in Neonates - Normal Variants and Pathological Traces
 
Neonatal EEG Patterns
Neonatal EEG PatternsNeonatal EEG Patterns
Neonatal EEG Patterns
 
EEG - Montages, Equipment and Basic Physics
EEG - Montages, Equipment and Basic PhysicsEEG - Montages, Equipment and Basic Physics
EEG - Montages, Equipment and Basic Physics
 
EEG Generators
EEG GeneratorsEEG Generators
EEG Generators
 
Pain
Pain Pain
Pain
 
Aed new vs old final
Aed new vs old finalAed new vs old final
Aed new vs old final
 
Brachial plexus Anatomy and Clinical Implications
Brachial plexus Anatomy and Clinical ImplicationsBrachial plexus Anatomy and Clinical Implications
Brachial plexus Anatomy and Clinical Implications
 
Bells palsy- To Treat or Not to Treat
Bells palsy- To Treat or Not to TreatBells palsy- To Treat or Not to Treat
Bells palsy- To Treat or Not to Treat
 
Glial cells - Neurobiology and Clinical Aspects
Glial cells - Neurobiology and Clinical AspectsGlial cells - Neurobiology and Clinical Aspects
Glial cells - Neurobiology and Clinical Aspects
 
Huntington's Disease, Potential Therapies
Huntington's Disease, Potential TherapiesHuntington's Disease, Potential Therapies
Huntington's Disease, Potential Therapies
 
Huntingtons disease
Huntingtons disease Huntingtons disease
Huntingtons disease
 

Recently uploaded

Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...adilkhan87451
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...GENUINE ESCORT AGENCY
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...chetankumar9855
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...chennailover
 

Recently uploaded (20)

Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 

Neuromuscular transmission

Editor's Notes

  1. neuro4e-fig-08-11-0.jpg
  2. Cholinesterase provides for a very rapid mechanism of inactivation. This makes acetylcholine a preferred transmitter where rapid modulation of the signal is desired. Example: Voluntary muscular action.
  3. ACh: acetylcholine AChR: acetylcholine receptor is the nicotinic hetero(and penta)meric muscle form, which has (1)2,,, fetal subunit composition and (1)2,,, adult subunit composition
  4. Endplate potentials (EPPs) are larger, compound MEPPs that result from the activation of many of the terminals of an endplate at the same time. The average EPPs results from the summation of ~150 average MEPPs. The average EPP amplitude is therefore ~+60 mV (0.4 mV/quantum X 150 quanta). If the resting VM of the muscle fiber is -90 mV and the threshold for action potential initiation is -50 mV, a single average EPP will provide 1.5X the voltage required to change VM to the action potential threshold! The normal “safety factor” for neuromuscular excitation is therefore quite high, ~2. That means that under normal circumstances, a muscle action potential will always be generated, and the muscle will contract, as a result of a single EPP. If the fiber is repeatedly stimulated over a very long period of time, some failures will be observed, because the axon will start to run out of vesicles and/or the muscle will fatigue.