There are three main types of muscle tissue: skeletal, cardiac, and smooth muscle. Skeletal muscle is composed of large multinucleated fibers that contract quickly and voluntarily. Cardiac muscle is composed of branched cells connected by intercalated disks that contract involuntarily and rhythmically. Smooth muscle is composed of grouped fusiform cells that contract slowly and involuntarily. Each muscle type has a structure adapted to its function and shows regeneration capacity.
A complete lecture of the Histology of Muscle Tissues, taught at First Moscow State Medical University, Moscow, in the Histology department, for the first year English medium foreign medical students.
The lymphatic system consists of organs, ducts, and nodes. It transports a watery clear fluid called LYMPH distributes immune cells and other factors throughout the body.
11.03.08(c): Histology of the Cardiovascular SystemOpen.Michigan
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
A complete lecture of the Histology of Muscle Tissues, taught at First Moscow State Medical University, Moscow, in the Histology department, for the first year English medium foreign medical students.
The lymphatic system consists of organs, ducts, and nodes. It transports a watery clear fluid called LYMPH distributes immune cells and other factors throughout the body.
11.03.08(c): Histology of the Cardiovascular SystemOpen.Michigan
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
detail notes on connective tissue..
Connective tissue (CT) is one of the four basic types of animal tissue, along with epithelial tissue, muscle tissue, and nervous tissue. It develops from the mesoderm. Connective tissue is found in between other tissues everywhere in the body, including the nervous system. In the central nervous system, the three outer membranes (the meninges) that envelop the brain and spinal cord are composed of connective tissue.
All connective tissue consists of three main components: fibers (elastic and collagenous fibers), ground substance and cells. Not all authorities include blood or lymph as connective tissue because they lack the fiber component. All are immersed in the body water.
Slideshow is from the University of Michigan Medical School's M1 Cells and Tissues Sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1CellsTissues
Nervous System is a uniquely designed organ system of our body. This presentation is highlighting over the cellular configuration of this system. Neurons & Neuroglia are the two main players of the system. Neuron is the structural & functional unit of the system, while, Neuroglia are the supporting elements. At the end of this presentation, the young learner would be able to recognize different cell types of the Nervous system & their exclusive function.
detail notes on connective tissue..
Connective tissue (CT) is one of the four basic types of animal tissue, along with epithelial tissue, muscle tissue, and nervous tissue. It develops from the mesoderm. Connective tissue is found in between other tissues everywhere in the body, including the nervous system. In the central nervous system, the three outer membranes (the meninges) that envelop the brain and spinal cord are composed of connective tissue.
All connective tissue consists of three main components: fibers (elastic and collagenous fibers), ground substance and cells. Not all authorities include blood or lymph as connective tissue because they lack the fiber component. All are immersed in the body water.
Slideshow is from the University of Michigan Medical School's M1 Cells and Tissues Sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1CellsTissues
Nervous System is a uniquely designed organ system of our body. This presentation is highlighting over the cellular configuration of this system. Neurons & Neuroglia are the two main players of the system. Neuron is the structural & functional unit of the system, while, Neuroglia are the supporting elements. At the end of this presentation, the young learner would be able to recognize different cell types of the Nervous system & their exclusive function.
OVERVIEW
Muscle is a tissue characterized by irritability
and contractility. It is composed of elongated cells
called myocytes that contain contractile proteins
organized as cytoplasmic filaments. Muscle cells are
attached to bones and soft tissues, and thereby
accomplish mechanical movements as a consequence
of their contraction (shortening). Traditionally,
three types of muscle tissue are recognized:
skeletal, cardiac, and smooth. Skeletal and
cardiac muscle are classified as striated muscles
based on the appearance of striations that run
perpendicular to the long axis of the cells. The
striations are due to a highly ordered, repetitive
organization of two filamentous contractile proteins
- actin and myosin, which are arranged into thin and
thick filaments, respectively. Smooth muscle lacks
striations due to a less structured, looser
arrangement of its contractile filaments. In muscle
terminology, the sarcolemma refers to the muscle
cell membrane, the sarcoplasm refers to the
cytoplasm, and the sarcoplasmic reticulum
refers to the smooth endoplasmic reticulum.
Muscle Introduction and molecular structure.ppthumairabibi842
muscles introduction including the structure of skeletal muscles which helps you understand the molecular contraction of muscles and the whole contraction mechanism of the muscles. I hope it will help you.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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2. Introduction
• Muscle tissue is composed of cells differentiated for optimal use of the
universal cell property termed contractility. Microfilaments and associated
proteins together generate the forces necessary for cellular contraction,
which drives movement within certain organs and the body as a whole.
Nearly all muscle cells are of mesodermal origin and they differentiate
mainly by a gradual process of cell lengthening with simultaneous synthesis
of myofibrillar proteins.
• Three types of muscle tissue can be distinguished on the basis of
morphologic and functional characteristics (Figure 10–1) and the structure
of each type is adapted to its physiologic role. Skeletal muscle is
composed of bundles of very long, cylindrical, multinucleated cells that
show cross-striations. Their contraction is quick, forceful, and usually under
voluntary control. It is caused by the interaction of thin actin filaments and
thick myosin filaments whose molecular configuration allows them to slide
upon one another. The forces necessary for sliding are generated by weak
interactions in the bridges between actin and myosin. Cardiac muscle
also has cross-striations and is composed of elongated, branched individual
cells that lie parallel to each other. At sites of end-to-end contact are the
intercalated disks, structures found only in cardiac muscle. Contraction
of cardiac muscle is involuntary, vigorous, and rhythmic. Smooth muscle
consists of collections of fusiform cells that do not show striations. Their
contraction process is slow and not subject to voluntary control.
3. Types of muscle
Skeletal muscle is composed of large,
elongated, multinucleated fibers that show
strong, quick, voluntary contractions.
4. Cardiac muscle is composed of irregular
branched cells bound together
longitudinally by intercalated disks and
shows strong, involuntary contractions.
6. Smooth muscle is composed of grouped,
fusiform cells with weak, involuntary
contractions. The density of intercellular
packing seen reflects the small amount of
extracellular connective tissue present.
8. Organization of skeletal muscle
(a): An entire skeletal muscle is
enclosed within a dense connective
tissue layer called the epimysium
continuous with the tendon binding it to
bone.
(b): Each fascicle of muscle fibers is
wrapped in another connective tissue
layer called the perimysium.
(c): Individual muscle fibers (elongated
multinuclear cells) is surrounded by a
very delicate layer called the
endomysium, which includes an external
lamina produced by the muscle fiber
(and enclosing the satellite cells) and
ECM produced by fibroblasts.
9. Skeletal muscle
Micrograph shows a cross section of striated
muscle demonstrating connective tissue and
cell nuclei. The endomysium around individual
muscle fibers is indicated by arrowheads. At left
is a portion of the epimysium. All three of these
tissues contain collagen types I and III
(reticulin).
Adjacent section immunohistochemically stained
for laminin, which specifically stains the external
lamina part of the endomysium produced by the
muscle fibers themselves.
10. Capillaries of skeletal muscle
The blood vessels were injected with plastic polymer before
the muscle was collected and sectioned longitudinally. A rich
network of capillaries in endomysium surrounding muscle
fibers is revealed by this method.
11. Myotendinous junction
Tendons develop together with skeletal muscles and join muscles to the periosteum
of bones. The collagen fibers of tendons are continuous with those in the connective
tissue layers in the muscle, forming a strong unit that allows muscle contraction to
move the skeleton. The longitudinal section shows part of a tendon (T) inserted into
the endomysium and perimysium of a muscle.
12. Striated skeletal muscle in
longitudinal section
Parts of three muscle fibers separated by very small amounts of
endomysium. One fibroblast nucleus (F) is shown. Muscle
nuclei (N) are found against the sarcolemma. Along each fiber
thousands of dark-staining A bands alternate with lighter I
bands.
13. At higher magnification, each fiber can be seen to have three or four
myofibrils, with their striations slightly out-of-alignment with one
another. Myofibrils are cylindrical bundles of thick and thin
myofilaments which fill most of each muscle fiber. The middle of
each I band can be seen to have a darker Z line (or disk). X500.
Giemsa.
14. TEM showing the more electron-dense A bands bisected by a
narrow, less electron-dense region called the H zone and in
the I bands the presence of sarcoplasm with mitochondria
(M), glycogen granules, and small cisternae of SER around
the Z line.
16. (a): Diagram indicates that each muscle fiber contains several parallel bundles called myofibrils. (b): Each myofibril consists of a long
series of sarcomeres which contain thick and thin filaments and are separated from one another by Z discs. (c): Thin filaments are
actin filaments with one end bound to -actinin, the major protein of the Z disc. Thick filaments are bundles of myosin, which span
the entire A band and are bound to proteins of the M line and to the Z disc across the I bands by a very large protein called titin,
which has spring-like domains. (d): The molecular organization of the sarcomeres has bands of greater and lesser protein density,
resulting in staining differences that produce the dark and light-staining bands seen by light microscopy and TEM. (e): TEM cross-
sections through different regions of the sarcomere, as shown here, were useful in determining the relationships between thin and
thick myofilaments and other proteins, as shown in part b of this figure. Thin and thick filaments are arranged so that each myosin
bundle contacts six actin filaments.
17. Molecules composing thin and thick
filaments
Each thin filament is composed of F-actin,
tropomyosin, and troponin complexes.
18. Each thick filament consists of many
myosin heavy chain molecules bundled
together along their rod-like tails, with
their heads exposed and directed toward
neighboring thin filaments.
19. Besides interacting with the neighboring thin filaments, thick
myofilament bundles are held in place by less well-
characterized myosin-binding proteins within the M line.
20. Transverse tubule system
TEM shows portions of
two fibers in cross-section
and the intercellular space,
and includes several
transverse or T tubules cut
lengthwise (arrows).
21. TEM of a longitudinal section of skeletal muscle shows T tubules cut transversely
(arrowheads) near the A-I interface, the most common location of T tubules in muscles
of primates. Between the three myofibrils seen shown here is sarcoplasm containing
mitochondria (M) and sarcoplasmic reticulum. Cisternae of this reticulum usually lie
on each side of the transverse tubules, forming the triad of structures responsible for
the cyclic release of Ca2+ from the cisternae and its sequestration again which occurs
during muscle contraction and relaxation. The association between SR cisternae and T
tubules is shown diagrammatically in the next figure.
24. Sliding filaments and sarcomere
shortening in contraction
In their relaxed state the sarcomere, I band and H zone are at their expanded
length. The spring-like action of titin molecules, which span the I band, help pull
thin and thick filaments past one another in relaxed muscle.
25. The Z discs at the sarcomere boundaries are drawn closer together during
contraction as they move toward the ends of thick filaments in the A band.
Titin molecules are compressed during contraction.
27. The neuromuscular junction (NMJ).
Silver staining can reveal
the nerve bundle (NB),
the terminal axonal twigs,
and the motor end plates
(MEP) on striated muscle
fibers (S).
28. A SEM shows the branching ends of a
motor axon, each covered by an extension
of the last Schwann cell and expanded
terminally as a motor end plate embedded
in a groove in the external lamina of the
muscle fiber.
29. Diagram indicating key features
of a typical neuromuscular
junction: synaptic vesicles of
acetylcholine (ACh), a synaptic
cleft, and a postsynaptic
membrane. This membrane, the
sarcolemma, is highly folded to
increase the number of Ach
receptors at the NMJ. Receptor
binding initiates muscle fiber
depolarization, which is carried to
the deeper myofibrils by the T
tubules.
30. Sensory receptors associated with
skeletal muscle
Diagram shows both a muscle spindle
and a tendon organ. Muscle spindles
have afferent sensory and efferent motor
nerve fibers associated with the intrafusal
fibers, which are modified muscle fibers.
The size of the spindle is exaggerated
relative to the extrafusal fibers to show
better the nuclei in the intrafusal fibers.
31. TEM cross-section near the end of a muscle spindle shows the capsule (C), sensory myelinated axons (MA), and the intrafusal muscle
fibers (MF). These thin fibers differ from the ordinary skeletal muscle fibers in having essentially no myofibrils. Their many nuclei can
either be closely aligned (nuclear chain fibers) or piled in a central dilatation (nuclear bag fibers). Satellite cells (SC) are also present
within the external lamina of intrafusal fibers. Muscle spindles detect contraction of neighboring (extrafusal) muscle fibers during body
movement and participate in the nervous control of body posture and the coordinate action of opposing muscles. The tendon organ
collects information about the degree of tension among tendons and relays this data to the CNS, where the information is processed
with that from muscle spindles to protect myotendinous junctions and help coordinate fine muscular contractions.
34. Cardiac muscle fibers
Longitudinal sections of
cardiac muscle at the light
microscope level show nuclei
(N) in the center of the
muscle fibers and widely
spaced intercalated discs (I)
that cross the fibers. The
occasional intercalated discs
should not be confused with
the repetitive, much more
closely spaced striations (S),
which are similar to those of
skeletal muscle but less well-
organized. Nuclei of
fibroblasts in the
endomysium are also present.
35. TEM of an intercalated disc
(arrows) shows a steplike
structure representing the short
interdigitating processes of the
adjacent muscle cells.
Transverse regions of the disc
have many desmosomes (D) and
adherent junctions called fascia
adherentes (F), somewhat
similar to the macula adherentes
of epithelial cells. Fascia
adherentes serve as anchoring
sites for actin filaments of the
terminal sarcomeres. Less
electron-dense regions of the
disc have abundant gap
junctions. The sarcoplasm has
numerous mitochondria (M)
and myofibrillar structures
similar to those of skeletal
muscle but slightly less
organized.
36. Cardiac muscle ultrastructure
TEM of cardiac muscle shows an abundance of mitochondria (M) and rather sparse
sarcoplasmic reticulum (SR) in the areas between myofibrils. T tubules are less well-
organized and are usually associated with one expanded terminal cisterna of SR,
forming dyads (D) rather than the triads of skeletal muscle. Functionally these
structures are similar in these two muscle types.
37. Muscle cell from the cardiac atrium
shows the presence of membrane-
bound granules aggregated at the
nuclear poles. These granules are most
abundant in muscle cells of the right
atrium (~600 per cell), but smaller
quantities are also found in the left
atrium and the ventricles. The atrial
granules contain the precursor of a
polypeptide hormone, atrial
natriuretic factor (ANF). ANF
targets cells of the kidneys to bring
about sodium and water loss
(natriuresis and diuresis). This
hormone thus opposes the actions of
aldosterone and antidiuretic hormone,
whose effects on kidneys result in
sodium and water conservation.
38. Smooth muscle
In a cross-section of smooth
muscle in the wall of the small
intestine, cells of the inner
circular (IC) layer are cut
lengthwise and cells of the
outer longitudinal layer (OL)
cross transversely. Only some
nuclei (arrows) of the latter
cells are in the plane of section,
so that many cells appear to be
devoid of nuclei.
39. Section of smooth muscle
in bladder, shows fibers in
cross-section (XS) and
longitudinal section (LS)
with the same fascicle.
There is much collagen in
the branching
perimysium (P), but very
little evidence of
endomysium is apparent.
X140. Mallory trichrome.
40. Section stained only for
reticulin reveals a thin
endomysium around each
fiber, with more reticulin in
the connective tissue of small
arteries (A). Reticulin fibers
in the basal laminae of
smooth muscle cells help hold
the cells together as a
functional unit during the
slow, rhythmic contractions
of this tissue.
41. Smooth muscle ultrastructure
TEM of a transverse section of
smooth muscle showing six or
seven cells sectioned at various
points along their lengths, yielding
profiles of various diameters with
only the largest containing a
nucleus. Thick and thin filaments
are not organized into myofibril
bundles and there are few
mitochondria (M). There is
evidence of a sparse external
lamina around each cell and
reticular fibers are abundant in the
ECM. A small unmyelinated nerve
(N) is also seen between the cells.
42. Longitudinal section showing several dense bodies in the cytoplasm (arrows) and at
the cell membrane. Thin filaments and intermediate filaments both attach to the
dense bodies. In the cytoplasm near the nucleus (N) are mitochondria, glycogen
particles, and Golgi complexes. In the area shown at the lower right, the cell
membrane shows invaginations called caveoli (C) (L. caveoli, little cavities), which
in many cells are indicative of endocytosis, but in smooth muscle cells, where they
are particularly numerous, may also function as the T tubules of skeletal muscle
fibers and regulate release of Ca2+ from sarcoplasmic reticulum.
43. Smooth muscle contraction
The diagram shows thin filaments
attach to dense bodies located in the
cell membrane and deep in the
cytoplasm. Dense bodies contain -
actinin for thin filament attachment.
Dense bodies at the membrane are
also attachment sites for
intermediate filaments and for
adhesive junctions between cells.
This arrangement of both the
cytoskeleton and contractile
apparatus allows the multicellular
tissue to contract as a unit, providing
better efficiency and force.
44. Contraction decreases the
length of the cell, deforming
the nucleus and promoting
contraction of the whole
muscle. The micrograph
shows a region of contracted
tissue in the wall of a urinary
bladder. The long nuclei of
individual fibers assume a
cork-screw shape when the
fibers contract, reflecting the
reduced cell length at this
time.
45. Regeneration of Muscle Tissue
• The three types of adult muscle have different potentials for regeneration after
injury.
• In skeletal muscle, although the nuclei are incapable of undergoing mitosis,
the tissue can undergo limited regeneration. The source of regenerating cells
is the sparse population of mesenchymal satellite cells that lies within the
external lamina of each mature muscle fiber. Satellite cells are inactive,
reserve myoblasts that persist after muscle differentiation. After injury or
certain other stimuli, the normally quiescent satellite cells become activated,
proliferating and fusing to form new skeletal muscle fibers. A similar activity
of satellite cells has been implicated in muscle growth after extensive exercise,
a process in which they fuse with their parent fibers to increase muscle mass
beyond that occurring by cell hypertrophy. The regenerative capacity of
skeletal muscle is limited, however, after major muscle trauma or
degeneration.
• Cardiac muscle lacks satellite cells and has virtually no regenerative capacity
beyond early childhood. Defects or damage (eg, infarcts) in heart muscle are
generally replaced by fibroblast proliferation and growth of connective tissue,
forming myocardial scars. Smooth muscle, composed of simpler,
mononucleated cells, is capable of a more active regenerative response. After
injury, viable smooth muscle cells undergo mitosis and replace the damaged
tissue. Contractile pericytes from the walls of small blood vessels participate
in the repair of vascular smooth muscle.