This document provides an introduction to skeletal muscle structure and function. It discusses the following key points in 3 sentences or less:
Skeletal muscle forms about 50% of body weight, is voluntary and striated, and its main functions are tension development and shortening under nervous system control. Skeletal muscle is composed of bundles of muscle fibers which contain myofibrils made up of repeating structural units called sarcomeres, the basic contractile units of muscle. Each sarcomere contains thin actin filaments and thick myosin filaments arranged in a repeating pattern that gives skeletal muscle its striated appearance visible under electron microscopy.
Skeletal muscle is one of the three significant muscle tissues in the human body. Each skeletal muscle consists of thousands of muscle fibers wrapped together by connective tissue sheaths. The individual bundles of muscle fibers in a skeletal muscle are known as fasciculi.
Skeletal muscle is one of the three significant muscle tissues in the human body. Each skeletal muscle consists of thousands of muscle fibers wrapped together by connective tissue sheaths. The individual bundles of muscle fibers in a skeletal muscle are known as fasciculi.
The muscle are biological motors which convert chemical energy into force and mechanical work.
This biological machinery is composed of proteins – which is actomyosin and the fuel is ATP.
With the use of muscles we are able to act on our environment.
The muscle are biological motors which convert chemical energy into force and mechanical work.
This biological machinery is composed of proteins – which is actomyosin and the fuel is ATP.
With the use of muscles we are able to act on our environment.
Muscles is a contractile tissue which brings about movement.
Muscle cell responsible for our movement both visible and invisible, example walking, talking, bowel movement ,urination, breathing, heartbeats, the dilation and constriction of the pupils of our eyes and many other.
When we are still sitting or standing muscle cells keep us erect.
CONT...Muscles can be regarded as motors of the body.Muscles comprises about 40% to 50% (approximate) of body weight.There are approximate 650 muscles in body.Alternating contraction and relaxation of cells
Describes the action potential occuring in the muscle. It includes the cellular and molecular organization of the muscle particularly on the myosin and actin myofilaments. Describes likewise the steps of muscle contraction.
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i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
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Associate Division Director for Ambulatory Operations
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STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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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.
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
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mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
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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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4. Skeletal muscle
• Forms the great mass of somatic musculature
• Main function is tension development &
shortening
• Under the control of nervous system
• Coordinated activity of different muscles –
provide useful movement & maintainance of
posture
5. Skeletal muscle
• Voluntary & striated
• Attached to bones at both ends by tendons
• Fusiform in shape with tapering ends
• Has a belly & tendons on either side
7. • Skeletal muscle is made up of bundles of
muscle fibers (muscle cells) .
• The muscle fibers are arranged longitudinally
and parallel to one another
• Muscle fibers/cells are the building blocks of
the muscular system, like the neurons in
nervous system.
Structure of skeletal muscle
10. • Muscle cell/ muscle fiber is long, cylindrical &
multinucleated.
• The nuclei are peripherally located
• Diameter varies from 10 to 100 µm
• Length varies – often extends the entire
length of the muscle
Structure of skeletal muscle
11. • The cell membrane of the muscle fiber/cell is
known as sarcolemma
• Muscle fibers are composed of myofibrils of
1µm diameter, arranged parallel along the
long axis of the muscle fiber.
• They are separated by cytoplasm/sarcoplasm
• Smooth ER – Sarcoplasmic reticulum
Muscle cell
12. Myofilaments
• Each myofibril is formed of myofilaments
• 2 types – thick and thin filaments
• THICK FILAMENTS – 1500 in number, 1.6µ
long, 10-14 nm wide - MYOSIN
• THIN FILAMENTS – 3000 in number, 1 µ long,
7 nm wide – ACTIN, TROPOMYOSIN &
TROPONIN ratio of 7:1:1
14. Myofilaments
• Each thick filament consists of 500 myosin
molecules & each thin filament consists of
300-400 actin , 40-60 tropomyosin, 40-60
troponin molecules ratio 7:1:1
15. Myofilaments
• The thick and thin filaments practically
interdigitate
• The arrangement of thick and thin filaments
in the myofibrils results in the striated
appearance of muscle fibers
18. Myofibril - myofilaments
• A cross section of myofibril shows that each
thick filament is surrounded by 6 thin
filaments & each thin filament is in turn
surrounded by 3 thick filaments
20. Structure of a myofibril –
Electron microscopy
• Electron microscopy shows cross striations &
are characteristic of skeletal muscle
• These cross striations are not visible in
unstained preparations & under ordinary
microscope
• The cross striations are of alternate dark and
light bands.
21. Sarcomere
• The portion of the myofibril between two Z
lines is known as sarcomere
• Sarcomere is the structural and functional
unit of the myofibril
• The width of the sarcomere is 2.5 μ.
• It consists of an A band 1.6 μ & half of I band
0.5 μ on either side (1.6+0.5+0.5 = 2.6 μ)
26. • The dark bands are called A band/ Anisotropc
band because they are anisotropic to
polarised light (i.e., they can rotate the plane
of polarised light and are bifringent)
• The light bands are called I band/ Isotropic
band (they do not rotate the plane of
polarised light & hence not bifringent)
Sarcomere
27. • A band contains thick filaments & are made
up of the protein myosin molecule and are
arranged in a parallel fashion.
• The I bands contain thin filaments made of 3
proteins – actin, tropomyosin and troponin
Sarcomere
28. Sarcomere
• The thick and thin filaments of the myofibrils
are arranged in such a way that they ( the A
& I bands) coincide with the A & I bands of
all myofibrils, thus giving a striated
appearance to the skeletal muscle.
31. • In the middle of the dark A band, there is a
lighter zone(band/area) called as H zone. It is
the area where the thin filament do not
overlap with the thick filament.
• In the middle of the H zone, there is a darker
line called M line, formed of a protein called
myomesin. This binds to fibrils and connects
adjacent thick filaments to one another.
Sarcomere
32. • In the middle of the I band, there is a dark line
called the Z line/ Z disk.
• The thin filaments are attached to the Z line and
they extend to either side of the Z line to
interdigitate with the thick filament.
• The Z line passes from myofibril to myofibril,
attaching them all the way across the muscle
fiber.
• It is composed of filamentous proteins –
α actinin, desmin, vimentin
Sarcomere
33. Muscle proteins
• Myosin & actin are contractile proteins. They
are directly involved in tension generation and
shortening
• Troponin and tropomyosin are regulatory
proteins. They regulate the actin-myosin
interaction. Hence called so.
37. Myosin
• The part of the helix projecting out is called
the arm
• The protruding arm and head together called
as CROSS BRIDGE
38. Myosin
• There are 2 hinges; one present between the
arm and the body, the other between the
head and arm
• So movements are possible in these places on
either directions
39. Myosin
Myosin head has
1. Actin binding site
2. Site of ATPase activity – catalytic site that
hydrolyses ATP
Types of myosin
Myosin I – seen in association with cell membrane
with one head for myosin end
Myosin II – present in skeletal muscle – has 2 heads
40. Myosin
• Direction of cross bridge opposite in 2 halves
of sarcomere – so no cross bridge in centre of
sarcomere
• Tail directed towards center
• Head away from center
• Hence no heads but only tails in centre
42. Actin
• Double stranded protein
• Made of F actin which is formed by
polymerisation of the globular protein G actin
• Mol wt 43000
• Myosin binding site during muscle contraction
43. Tropomyosin
• Double stranded protein
• Mol wt 70000
• Long filaments located on the groove between
the 2 actin strands
• Resting state – loosely attached to F actin &
physically covers active sites of actin strands
• So no interaction between actin & myosin in
resting state
• Each tropomyosin covers about 7 active sites on
the actin molecule
49. Structural proteins
• α Actinin – binds actin to Z line
• Titin – connects Z line to M line. Provides
muscle with its elasticity
• Nebulin – helps align actin molecules in the
actin filament
• Desmin, Vimentin – associated with Z line
• Myomesin - M line, formed of a protein called
myomesin. This binds to fibrils and connects
adjacent thick filaments to one another.
50. Structural proteins
• Dystrophin glycoprotein complex – structural
support and strength to myofibrils, transmits
the force generated by the contraction to
cytoskeleton
• Congenital defect – dystrophin gene defect –
different muscular dystrophies – largest gene
also present in cardiac & smooth muscle &
brain
52. Motor point
• The area on the skin which corresponds to the
point of entry of nerve on the muscle.
• This area, when stimulated, gives the
maximum contraction.
53. Motor point
• In a long nerve, there are several motor
points.
• When the nerve supply to the muscle is intact
& when the muscle is stimulated over its
motor points, it is the nerve that is stimulated.
• Clinically, the muscle is stimulated electrically
at motor points, to prevent atrophy of the
muscle in certain muscular & neurological
disorders.
54. Motor unit
• The motor neuron, its axon & branches, and
the muscle fibers supplied by it, constitute a
motor unit.
• The number of muscle fibers supplied by a
motor unit varies (the size of the unit varies
inversely with the precision of the movement
performed by the part)
55.
56. Motor unit
• In muscles which are concerned with fine,
precise, skilled movements, there are only few
muscle fibers (3-6) per motor unit ex: muscles of
hand, extraocular muscles
• Whereas, motor units supply 160-200 muscle
fibers - back muscles ; 2000 – gastrocnemius
muscle
• One motor unit supplies only one type of muscle
fiber.
But, in a muscle, there may be more than one
motor unit.
58. Classification of skeletal muscle fiber types
TYPE I TYPE II A TYPE II B
OTHER NAMES Slow oxidative (SO) Fast oxidative
glycolytic (FOG)
Fast glycolytic (FG)
COLOUR Red Red White
MYOSIN ATPASE
ACTIVITY
Slow Fast Fast
CALCIUM PUMPING
CAPACITY OF
SARCOPLASMIC
RETICULUM
Moderate High High
DIAMETER Small Large Large
GLYCOLYTIC
CAPACITY
Moderate High High
OXIDATIVE
CAPACITY
High Moderate Low
ASSOCIATED
MOTOR UNIT TYPE
Slow Fast. Resistant to
fatigue (FR)
Fast, fatiguable (FF)
MEMBRANE
POTENTIAL
-90 mV -90mV -90mV
59. Classification of skeletal muscle fiber types
TYPE I TYPE II A TYPE II B
OTHER NAMES Slow oxidative (SO) Fast oxidative
glycolytic (FOG)
Fast glycolytic (FG)
COLOUR Red Red White
MYOSIN ATPASE
ACTIVITY
Slow Fast Fast
CALCIUM PUMPING
CAPACITY OF
SARCOPLASMIC
RETICULUM
Moderate High High
DIAMETER Small Large Large
GLYCOLYTIC
CAPACITY
Moderate High High
OXIDATIVE
CAPACITY
High Moderate Low
ASSOCIATED
MOTOR UNIT TYPE
Slow Fast, Resistant to
fatigue (FR)
Fast, fatiguable (FF)
MEMBRANE
POTENTIAL
-90 mV -90mV -90mV
60. Types of motor units
On the basis of the type of muscle fiber they
innervate, and thus on the basis of the
duration of their twitch contraction, motor
units are divided into:
• Slow (S)
• Fast, resistant to fatigue (FR)
• Fast, fatiguable (FF)
motor units
61. Motor units – Size principle
• The recruitment of motor units during muscle contraction
follows a general scheme, the size principle
• A specific muscle action is developed first by the
recruitment of S muscle units that contract relatively
slowly to produce controlled contraction.
• Next, there is recruitment of FR muscle units resulting in a
more powerful response over a short period of time.
• Lastly, FF muscle units recruited for the most demanding
tasks.
• Example :
Leg muscle – S for standing foll by FR for walking foll by FS for
running
62. Give reason - Striated appearance of
sarcomere on electron microscopy
66. 3 component model of a skeletal
muscle
• Contractile component – thick and thin filaments –
myosin,actin
• Series elastic component – elastic tissue of the muscle
that is present in series with the contractile component
of the muscle – i.e., the elastic tendon of the muscle
• Parallel elastic comp – elastic tissue of the muscle that
is attached parallel to the contractile component – i.e.,
the structural elastic tissue of the muscle such as
connective tissue sheaths of the muscle, sarcolemma &
gap filaments. Presence of this component explains
why the muscle regains its original length after it is
passively stretched i.e., property of elasticity