Muscle is one of the four primary tissue types of the body, and the body contains three types of muscle tissue: skeletal muscle, cardiac muscle, and smooth muscle.
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.
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 overview of the skeletal muscles, its description, functons, and properties. It also inccludes the gross organization of the skeletal system.
This PPT covers the entire concepts in Muscular System. It includes details of 3 types of muscular tissue like Skeletal, cardiac and smooth muscle. Concepts of contraction cycle, sliding filament mechanism, neuromuscular junction, muscle metabolism, muscle tone and Different types of contraction.
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 overview of the skeletal muscles, its description, functons, and properties. It also inccludes the gross organization of the skeletal system.
This PPT covers the entire concepts in Muscular System. It includes details of 3 types of muscular tissue like Skeletal, cardiac and smooth muscle. Concepts of contraction cycle, sliding filament mechanism, neuromuscular junction, muscle metabolism, muscle tone and Different types of contraction.
The muscular system is composed of specialized cells called muscle fibres. Their predominant function is contractibility. Muscles, attached to bones or internal organs and blood vessels, are responsible for movement. Nearly all movement in the body is the result of muscle contraction.
Learn about how our muscle functioning everyday. And check out the muscle roles!! Simple notes, Simple slides for the beginner person who's attracted to science.
Overview of epigenetics and its role in diseaseGarry D. Lasaga
Epigenetics is the study of heritable changes in gene expression (active versus inactive genes) that do not involve changes to the underlying DNA sequence — a change in phenotype without a change in genotype — which in turn affects how cells read the genes.
Epigenetics is the study of heritable changes in gene expression (active versus inactive genes) that do not involve changes to the underlying DNA sequence — a change in phenotype without a change in genotype — which in turn affects how cells read the genes. - [https://www.whatisepigenetics.com/fundamentals/]
Author of this presentation: The University of Western Australia
Introduction Artificial Intelligence a modern approach by Russel and Norvig 1Garry D. Lasaga
In computer science, artificial intelligence, sometimes called machine intelligence, is intelligence demonstrated by machines, in contrast to the natural intelligence displayed by humans and animals. - Wikipedia
In computer science, artificial intelligence, sometimes called machine intelligence, is intelligence demonstrated by machines, in contrast to the natural intelligence displayed by humans and animals. - Wikipedia
Artificial intelligence (AI) is an area of computer science that emphasizes the creation of intelligent machines that work and react like humans. Some of the activities computers with artificial intelligence are designed for include: Speech recognition, Learning, Planning and Problem solving - [Source: https://www.techopedia.com/definition/190/artificial-intelligence-ai]
The epithelium lining the respiratory tract from the nasal fossa through the bronchi is called the respiratory mucosa and is characterized by a pseudostratified ciliated epithelium with abundant non-ciliated cells known as goblet cells. - [Source: medcell.med.yale.edu/histology/respiratory_system_lab.php]
Structurally, the skin consists of two layers which differ in function, histological appearance and their embryological origin. The outer layer or epidermis is formed by an epithelium and is of ectodermal origin. ... The skin and its appendages together are called the integumentary system. - [Source: Blue Histology - Integumentary System]
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.
Gene regulation is how a cell controls which genes, out of the many genes in its genome, are "turned on" (expressed). Thanks to gene regulation, each cell type in your body has a different set of active genes – despite the fact that almost all the cells of your body contain the exact same DNA. These different patterns of gene expression cause your various cell types to have different sets of proteins, making each cell type uniquely specialized to do its job. [Source: https://www.khanacademy.org/science/biology/gene-regulation/gene-regulation-in-eukaryotes/a/overview-of-eukaryotic-gene-regulation]
The mitochondrial DNA (mtDNA) is a small circular molecule that codes for some proteins in the respiratory chain and RNA molecules involved in translation of these proteins inside mitochondria. Mitochondria have their own DNA and express their genes to produce proteins active in the electron transport chain. However, most of the proteins they need are encoded in the nucleus of the cell. They need to import most of their proteins to function.
Alterations in the DNA code, such as changing a letter, deleting a letter, inserting a letter or moving sections aroun proteins with abnormal functions.
If these abnormal functions cause the cell to grow, divide, ignore regulatory signals or assume new functions, cancers can develop
Fortunately, normal cells are good at repairing mistakes should they occur and have multiple systems for ensuring that the DNA co transmitted to its two daughter cells when it divides. Normal cells even have suicide programs if the mistakes are beyond repair, a p death, known as apoptosis. [Source: https://www.loxooncology.com/genomically-defined-cancers/genomic-alterations]
The study of nucleic acids began with the discovery of DNA, progressed to the study of genes and small fragments, and has now exploded to the field of genomics. Genomics is the study of entire genomes, including the complete set of genes, their nucleotide sequence and organization, and their interactions within a species and with other species. The advances in genomics have been made possible by DNA sequencing technology. [Source: https://opentextbc.ca/biology/chapter/10-3-genomics-and-proteomics/]
DNA cloning is the process of making multiple, identical copies of a particular piece of DNA. In a typical DNA cloning procedure, the gene or other DNA fragment of interest (perhaps a gene for a medically important human protein) is first inserted into a circular piece of DNA called a plasmid.- [https://www.khanacademy.org/science/...dna.../dna-cloning.../a/overview-dna-cloning]
DNA and RNA molecules are linear polymers built from individual units called nucleotides connected by bonds called phosphodiester linkages. DNA and RNA are used to store and pass genetic information from one generation to the next.
"The body maintains a balance of acids and bases in order to constantly maintain blood pH within a narrow range, despite the continuous generation of metabolic products. In turn, this allows the body to maintain cell enzyme systems in good operation conditions, together with the proper concentration of ionized (active) forms of various electrolytes such as Ca and Mg . This influences the speed of metabolic reactions and trans-membrane transportation systems (pharmacokinetics and pharmacodynamics)." - Luis Núñez Ochoa, Facultad de Medicina Veterinaria y Zootecnia, Unam, Mexico
Production Performance and Management Practices of Philippine Native Pigs in ...Garry D. Lasaga
Recently, there has been a proliferation of studies that deals with the major topic on the Conservation, Improvement and Profitable Utilization of the Philippine Native Pigs. One of the main reasons why there is an influx of research on native pigs is because there is a need to promote one of the government’s aim to the country, w/c is ultimately POVERTY ALLEVIATION.
African Swine Fever: Nature, Impacts and Threats to the Global Pig Industry Garry D. Lasaga
In August 2018, African Swine Fever (ASF), one of the world’s most feared swine infection made headlines as it hit for the first time ever, the world’s largest pig producer – China. This review paper summarizes the current state of knowledge and very recent updates on ASF.
Swine Production Performance Monitoring Data for 2014 - Dr. Arturo CaludGarry D. Lasaga
This is the 2014 Swine Production Performance Monitoring Data among participating commercial swine farms in the Philippines as provided by Dr. Arturo Calud.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
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
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
- 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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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!
3. Properties
Striations: only present in skeletal and cardiac
muscles. Absent in smooth muscle.
Nucleus: smooth and cardiac muscles are
uninucleated; skeletal muscle is multinucleated.
Transverse tubule (T tubule): well developed
in skeletal and cardiac muscles to transport
calcium. Absent in smooth muscle.
4. Properties
Intercalated disk: specialized intercellular
junction that only occurs in cardiac muscle.
Control: skeletal muscle is always under voluntary
control; smooth and cardiac muscles are under
involuntary control.
9. Skeletal muscle fiber
Each skeletal muscle fiber is a single muscle cell.
Muscle fibers are cylindrical cells with many nuclei .
The cell membrane is called sarcolemma; the
cytoplasm is called sarcoplasm.
The sarcoplasm contains abundant , parallel thread
like myofibrils, that run in parallel fashion.
10.
11.
12.
13.
14.
15.
16. Neuromuscular junction
The site where a motor neuron’s terminal meets the
muscle fiber.
This is where the muscle fiber first responds to
signaling by the motor neuron.
Every skeletal muscle fiber in every skeletal muscle
is innervated by a motor neuron at the NMJ.
17.
18.
19. T Tubules
Carry the action potential into the interior of the
cell – triggers the opening of calcium channels in
the membrane of the adjacent SR, causing Ca++ to
diffuse out of the SR and into the sarcoplasm.
20.
21. Muscle fiber contraction
The Ca++ ions combine with troponin molecules of
the myofibrils*
Binding of Ca++ to troponin shifts tropomyosin to
expose active sites on the actin molecules.
31. Relaxation of skeletal muscle
1. After the impulse is over, the SR begins actively
pumping Ca++ back into its sacs.
2. As Ca++ is stripped from troponin molecules,
tropomyosin returns to its position, blocking actin’s
active sites.
3. Myosin cross bridges are prevented from binding to
actin & can no longer sustain the contraction.
4. The muscle fiber return to its longer, resting length.
32. ATP as energy source
ATP supplies the energy for muscle contraction –
cross bridge cycle*
ATP also provides the energy for the active-
transport Ca++ pumps in the SR.
The amount of ATP stored in muscle is very low;
ATP must therefore be regenerated and replaced
quickly to allow for sustained contraction.
33. ATP as Energy Source
There are three mechanisms by which ATP can be
regenerated:
1. Creatine phosphate metabolism
2. Anaerobic glycolysis
3. Fermentation & aerobic respiration
37. Muscle tension
The force generated by the contraction of the
muscle (or shortening of the sarcomeres).
Generated when moving a load or when the muscle
contract against a load that does not move.
2 types of skeletal muscle contractions:
Isotonic contractions & isometric contractions
40. Motor unit
The actual group of muscle fibers in a muscle
innervated by a single motor neuron*
Small motor unit is an arrangement where a single
motor neuron supplies a small number of muscle fibers
in a muscle**
Large motor unit is an arrangement where a single
motor neuron supplies a large number of muscle fibers
in a muscle***
41. Motor unit. A motor unit consists of one somatic motor neuron and the
muscle fibers sup-plied by its branches.
Motor neuron
Myelin sheath
NMJ
Muscle fibers
42. Twitch
An single (isolated) contraction in the muscle fibers
produced by the activation when a single action
potential from a motor neuron.
A twitch can last for a few milliseconds or 100
milliseconds, depending on the muscle type.
44. Twitch
Significance:
A single twitch does not produce any significant muscle
activity in a living body.
A series of action potentials to the muscle fibers is
necessary to produce a muscle contraction that can
produce work.
46. Muscle tone
Constant low-level contractions that allow for posture and
stability (joints)*
Hypotonia
The absence of low-level contractions that lead to muscle
tone**
Hypertonia
Excessive muscle tone; present with muscle rigidity or
spasticity***
47. Types of muscle fibers
1. Slow oxidative (SO) fibers
2. Fast oxidative (FO) fibers
3. Fast glycolytic (FG) fibers
48. Fast fibers vs. Slow fibers
Fast & Slow – speed of contraction: dependent on how
quickly myosin’s ATPase hydrolyzes ATP to produce
cross-bridge.
Fast fibers hydrolyze ATP approximately twice as
quickly as slow fibers, resulting in much quicker cross-
bridge cycling.
49. Oxidative vs. Glycolytic
Oxidative fibers
Produce more ATP during each metabolic cycle, making
it more resistant to fatigue.
Contain more mitochondria*
Glycolytic fibers
Produce less ATP per cycle; fatigue at a quicker rate.
50. Slow oxidative (SO) fibers
Possess a large number of mitochondria
Capable of contracting for longer period*
Extensively supplied with blood capillaries**
Possess myoglobin (O2-carrying molecule)***
Useful to maintain posture, stabilize bones and joints,
and make small movements that do not require large
amounts of energy.
51. Fast oxidative (FO) fibers
Produce ATP relatively quickly – produce higher
amount of tension than SO fibers.
Do not possess significant myoglobin*
They produce more tension than SO fibers but they are
more fatigue-resistant than FG fibers.
Used primarily: walking (require more energy than
postural control but less energy than an explosive
movement, such as sprinting)
52. Fast glycolytic (FG) fibers
Use glycolysis as ATP source
Produce high levels of tension*
Produce rapid, forceful contractions to make quick,
powerful movements.
Fatigue quickly, permitting them to only be used for
short periods.
The predominant fiber type in a muscle is determined by the
primary function of the muscle.
53. Terms (skeletal muscle)
Hypertrophy
An increase in muscle mass due to the additions of
structural proteins*
Atrophy
The loss of muscle mass due to breakdown of structural
proteins.
Sarcopenia
Age-related muscle atrophy.
54. Marathoners. Long-distance runners have a large number of SO fibers and relatively few FO and
FG fibers. (credit: “Tseo2”/Wikimedia Commons). SO fibers are capable to sustain low levels of
muscle contractions for greater periods without fatiguing.
Endurance Exercise
55. Body builders have a large number of FG fibers and
relatively few FO and SO fibers. (credit: Lin Mei/flickr)
Resistance Exercise
56.
57. SMOOTH MUSCLE
Present in the walls of hollow organs like the
urinary bladder, uterus, stomach, intestines, and in
the walls of passageways, such as the arteries and
veins and the tracts of the respiratory, urinary,
and reproductive systems.
59. Smooth muscle
Do not have striations, sarcomere & T tubules*
Dense body – analogous to the Z-discs of skeletal
and cardiac muscle fibers (fastened to the
sarcolemma); anchor the thin filaments.
Calveoli – membrane indentations that supplies
calcium ions from ECF.
Limited SR**
60. The dense bodies and intermediate filaments are networked through the sarcoplasm, which cause
the muscle fiber to contract.
61. Smooth muscle
Cross-bridge formation is regulated by the the regulatory
protein calmodulin.
Ca++ bind to calmodulin.
Ca++-calmodulin complex activates myosin kinase, which,
in turn, activates the myosin heads by phosphorylating
them*
The heads can then attach to actin-binding sites and pull
on the thin filaments.
63. Latch-bridges
Subset of cross-bridges between myosin heads and actin
that keep the thick and thin filaments linked together for a
prolonged period without the need for ATP.
Allows for maintenance of muscle “tone” in SM with very
little energy expenditure.
64. Varicosity
Series of neurotransmitter-filled bulges of axons
through smooth muscle; loosely forming motor units.
Releases neurotransmitters into the synaptic cleft.
Corresponds to the NMJ of the skeletal muscles.
65. A series of axon-like swelling, called varicosities or “boutons,” from autonomic neurons form motor
units through the smooth muscle.
66. Types of smooth muscle
1. Single-unit or visceral
2. Multiunit
67. Single unit muscle
Has its muscle fibers joined by gap junctions so that the
muscle contracts as a single unit.
Found in the walls of all visceral organs except the heart,
and so it is commonly called visceral muscle.
Exhibit stress-relaxation response*
Produces slow, steady contractions that allow substances,
such as food, to move through the body (peristalsis)
68. Multiunit muscle
Does not act as a single unit but instead is
composed of may independent single-cell units.
Stimuli come from autonomic nerves or hormones
but not from stretching.
Found around large blood vessels, in the respiratory
airways, and in the eyes.
69. Hyperplasia
Unlike other muscle, SM can divide to produce
more cells, a process called hyperplasia.
Observed in the uterus at puberty, which responds
to increased estrogen levels by producing more
uterine smooth muscle fibers, and greatly increases
the size of the myometrium.
Editor's Notes
Muscle is one of the four primary tissue types of the body, and the body contains three types of muscle tissue: skeletal muscle, cardiac muscle, and smooth muscle.
Most of the skeletal muscle produces movement by acting on the skeleton.
Cardiac muscle is found in the wall of the heart and pumps blood through the circulatory system.
Smooth muscle is found in the skin (hair follicles); walls of internal organs, blood vessels, and internal passageways, where it assists in moving materials.
FUNCTIONS OF THE MUSCULAR SYSTEM
Locomotion (skeletal)
Vasoconstriction and vasodilatation- constriction and dilation of blood vessel walls are the results of smooth muscle contraction.
Peristalsis – wavelike motion along the digestive tract is produced by the Smooth muscle.
Cardiac motion
Posture maintenance- contraction of skeletal muscles maintains body posture and muscle tone.
Heat generation – about 75% of ATP energy used in muscle contraction is released as heat (skeletal).
STRIATIONS: stripes; occurs due to the very regular arrangement of contractile proteins (actin and myosin) in the cytoplasm of striated muscles.
EXCITABILITY: or irritable; skeletal mm can respond to regulatory mechanisms such as nerve signals.
CONTRACTILITY: ability to contract or shorten, allows muscle to pull on bones and produce body movement.
ELASTICITY: ability to recoil back to its original length due to elastic fibers.
EXTENSIBILITY: ability to extend or stretch (skeletal).
The best-known feature of skeletal muscle is its ability to contract and cause movement.
Skeletal muscles act maintain posture.
Muscles also prevent excess movement of the bones and joints, maintaining skeletal stability and preventing skeletal structure damage or deformation.
Muscles work to keep joints stable.
These muscles allow functions, such as swallowing, urination, and defecation, to be under voluntary control.
EPIMYSIUM
Inside each skeletal muscle, muscle fibers are organized into individual bundles, each called FASCICLE, covered by PERIMYSIUM.
Inside each fascicle, each muscle fiber is encased the ENDOMYSIUM. The endomysium contains the extracellular fluid and nutrients to support the muscle fiber. These nutrients are supplied via blood to the muscle tissue.
The muscle cell is also known as FIBERS because of their threadlike shape; long and cylindrical.
Each skeletal muscle fiber is a single muscle cell.
Muscle fibers are cylindrical cells with many nuclei .
The cell membrane is called SARCOLEMMA; the cytoplasm is called SARCOPLASM.
The sarcoplasm contains abundant, parallel thread like MYOFIBRILS, that run in parallel fashion.
MYOFIBRIL: made up of still finer fibers, called THICK & THIN MYOFILAMENTS. The striated appearance of skeletal muscle fibers is due to the arrangement of the myofilaments of actin and myosin in sequential order from one end of the muscle fiber to the other.
The SARCOMERE is the basic contractile unit of the muscle fiber.
The sarcomere is bundled within the myofibril that runs the entire length of the muscle fiber. As myofibrils contract, the entire muscle cell contracts.
Hundreds to thousands (each with thousands of sarcomeres) can be found inside one muscle fiber.
Each sarcomere is approximately 2 μm in length with a three-dimensional cylinder-like arrangement.
It is bordered by structures called Z-DISCS (also called Z-lines), to which the actin myofilaments are anchored; it is a landmark separating one sarcomere from the next.
M LINE: it is where the thick filaments are held together & stabilized.
Bands or zones of the sarcomere that define its regions:
A BAND: the segment that runs the entire length of the thick filaments.
I BAND: the segment that includes the Z line and the ends of the thin filament where they do not overlap with the thick filaments.
H ZONE: the middle region of thick filaments where they do not overlap with the thin filaments.
SARCOPLASMIC RETICULUM: specialized smooth endoplasmic reticulum, which stores, releases, and retrieves calcium ions (Ca++).
MYOFILAMENTS
It is a fact that thousands of thick and thin myofilaments lie side by side in each myofibril.
There are four kinds of proteins that make up myofilaments: MYOSIN, ACTIN, TROPOMYOSIN, & TROPONIN.
The THIN FILAMENT is made up of 3 proteins: TROPONIN, ACTIN, TROPOMYOSIN.
Figure shows that globular ACTIN molecules are strung together like beads to form 2 fibrous strands that twist each other to form the bulk of the thin filament.
The ACTIN molecule contains a BINDING SITE FOR MYOSIN. Actin & myosin have a chemical attraction for one another.
At rest, the ACTIVE SITES ON ACTIN are covered by long TROPOMYOSIN molecules.
The tropomyosin molecule seem to block the myosin from binding with actin; this position is held by TROPONIN, which are spaced at intervals along the thin filaments.
PORTION OF THE THICK FILAMENT
The thick filaments are made up of MYOSIN MOLECULES.
The myosin molecules are shaped like GOLF CLUBS, with their LONG SHAFTS bundled to form a thick filament and their “HEADS” sticking out from the bundle.
The myosin heads are chemically attracted to the actin molecules of the nearby thin filaments, so they angle toward the thin filaments.
Excitation signals from the neuron are the only way to functionally activate the fiber to contract.
NEUROMUSCULAR JUNCTION
A motor neuron connects to the sarcolemma of a muscle fiber at a folded MOTOR ENDPLATE to form a junction called NMJ.
A NMJ is a type of connection called a SYNAPSE, characterized by a narrow gap (SYNAPTIC CLEFT), across which NEUROTRANSMITTER transmit signals.
When nerve impulses reach the end of a motor neuron fiber, small vesicles release a neurotransmitter (ACh) into the synaptic cleft.
Acetylcholine molecules contact the sarcolemma; there they stimulate acetylcholine receptors and thereby initiate an electrical impulse in the sarcolemma. Once ACh binds, a channel in the ACh receptor opens and positively charged ions can pass through into the muscle fiber, causing it to depolarize, meaning that the membrane potential of the muscle fiber becomes less negative (closer to zero.)
carry the action potential into the interior of the cell, which triggers the opening of calcium channels in the membrane of the adjacent SR, causing Ca++ to diffuse out of the SR and into the sarcoplasm.
It is the arrival of Ca++ in the sarcoplasm that initiates contraction of the muscle fiber by its contractile units, or sarcomeres.
T TUBULES: extensions of the sarcolemma; periodic invaginations in the sarcolemma (“T” stands for “transverse”).
T tubules ensure that the membrane can get close to the SR in the sarcoplasm. The arrangement of a T-tubule with the membranes of SR on either side is called a TRIAD.
TRIAD: a triplet of adjacent tubules: a terminal sac of the SR, a T tubule, and another terminal sac of SR.
The triad surrounds the cylindrical structure called a myofibril.
*Troponin normally holds tropomyosin strands in a position that blocks the chemically active sites of actin.
The impulse in the T tubules triggers the release of a flood of Ca++ ions from the SR.
In the sarcoplasm, the calcium ions combine with troponin molecules in the thin filaments of the myofibrils.
Recall that troponin normally holds tropomyosin strands in a position that blocks the chemically active sites of actin.
Binding of calcium to troponin shifts tropomyosin to expose active sites on the actin molecul
Once the active sites are exposed, energized myosin heads bind to actin molecules in the nearby thin filaments.
The process whereby the myosin head attaches to the actin is known as the CROSS-BRIDGE FORMATION.
(a) The active site on actin is exposed as calcium binds to troponin.
(b) The myosin head is attracted to actin, and myosin binds actin at its actin-binding site, forming the cross-bridge.
(c) During the POWER STROKE, the phosphate generated in the previous contraction cycle is released. This results in the myosin head pivoting toward the center of the sarcomere, after which the attached ADP and phosphate group are released.
(d) A new molecule of ATP attaches to the myosin head, causing the cross-bridge to detach.
(e) The myosin head hydrolyzes ATP to ADP and phosphate, which returns the myosin to the cocked position.
ATP hydrolysis releases the inorganic phosphate and transferring the energy to the myosin head. When myosin binds to actin, the stored energy is released, and myosin head springs back to its original position. The energy transferred from ATP is used to do the work of pulling the thin filament during contraction.
CREATINE PHOSPHATE is a molecule that can store energy in its phosphate bonds.
In a RESTING MUSCLE, excess ATP transfers its energy to creatine, producing ADP and creatine phosphate.
This acts as an energy reserve that can be used to quickly create more ATP.
When the muscle starts to contract and needs energy, creatine phosphate transfers its phosphate back to ADP to form ATP and creatine. This reaction is catalyzed by the enzyme CREATINE KINASE and occurs very quickly; thus, creatine phosphate-derived ATP powers the first few seconds of muscle contraction. However, creatine phosphate can only provide approximately 15 seconds worth of energy, at which point another energy source has to be used
Each glucose molecule produces two ATP and two molecules of pyruvic acid, which can be used in aerobic respiration or converted to lactic acid. If oxygen is not available, pyruvic acid is converted to lactic acid, which may contribute to muscle fatigue. This occurs during strenuous exercise when high amounts of energy are needed but oxygen cannot be sufficiently delivered to muscle.
AEROBIC RESPIRATION is the breakdown of glucose in the presence of oxygen (O2) to produce carbon dioxide, water, and ATP. Approximately 95 percent of the ATP required for resting or moderately active muscles is provided by aerobic respiration, which takes place in mitochondria.
A CONCENTRIC CONTRACTION involves the muscle shortening to move a load.
An example of this is the biceps brachii muscle contracting when a hand weight is brought upward with increasing muscle tension.
The angle of the elbow joint decreases as the forearm is brought toward the body.
Here, the biceps brachii contracts as sarcomeres in its muscle fibers are shortening and cross-bridges form; the myosin heads pull the actin.
An ECCENTRIC CONTRACTION occurs as the muscle tension diminishes and the muscle lengthens. In this case, the hand weight is lowered in a slow and controlled manner as the amount of cross-bridges being activated by nervous system stimulation decreases. In this case, as tension is released from the biceps brachii, the angle of the elbow joint increases. Eccentric contractions are also used for movement and balance of the body.
An ISOMETRIC CONTRACTION occurs as the muscle produces tension without changing the angle of a skeletal joint. Isometric contractions involve sarcomere shortening and increasing muscle tension, but do not move a load, as the force produced cannot overcome the resistance provided by the load. For example, if one attempts to lift a hand weight that is too heavy, there will be sarcomere activation and shortening to a point, and ever-increasing muscle tension, but no change in the angle of the elbow joint. In everyday living, isometric contractions are active in maintaining posture and maintaining bone and joint stability.
INTRO: every skeletal muscle fiber must be innervated by the axon terminal of a motor neuron in order to contract.
Each muscle fiber is innervated by only one motor neuron.
*The size of the motor unit is variable depending on the nature of the muscle.
**SMALL MOTOR UNITS very fine motor control of the muscle. The best example in humans is the small motor units of the extraocular eye muscles that move the eyeballs.
***Large motor units are concerned with simple, or “gross,” movements, such as powerfully extending the knee joint. The best example is the large motor units of the thigh muscles or back muscles, where a single motor neuron will supply thousands of muscle fibers in a muscle
The tension produced by a single twitch can be measured by a myogram, an instrument that measures the amount of tension produced over time ([link]).
A single muscle twitch has a latent period, a contraction phase when tension increases, and a relaxation phase when tension decreases.
During the LATENT PERIOD, the action potential is being propagated along the sarcolemma.
During the CONTRACTION PHASE, Ca++ ions in the sarcoplasm bind to troponin, tropomyosin moves from actin-binding sites, cross-bridges form, and sarcomeres shorten.
During the RELAXATION PHASE, tension decreases as Ca++ ions are pumped out of the sarcoplasm and cross-bridge cycling stops.
Normal muscle contraction is more sustained, and it can be modified by input from the nervous system to produce varying amounts of force; this is called a graded muscle response.
The frequency of action potentials (nerve impulses) from a motor neuron and the number of motor neurons transmitting action potentials both affect the tension produced in skeletal muscle.
The rate at which a motor neuron fires action potentials affects the tension produced in the skeletal muscle.
If the fibers are stimulated while a previous twitch is still occurring, the second twitch will be stronger. This response is called WAVE SUMMATION, because the excitation-contraction coupling effects of successive motor neuron signaling is summed, or added together. The bottom of each wave, the end of the relaxation phase, represents the point of stimulus. Summation results in greater contraction of the motor unit.
If the stimulus frequency is so high that the relaxation phase disappears completely, contractions become continuous in a process called COMPLETE TETANUS.
During tetanus, the concentration of Ca++ ions in the sarcoplasm allows virtually all of the sarcomeres to form cross-bridges and shorten, so that a contraction can continue uninterrupted (until the muscle fatigues and can no longer produce tension).
*Even if a muscle is not producing movement, it is contracted in a small amount to maintain its contractile proteins.
**Damage to parts of the CNS (cerebellum), loss of innervations to skeletal muscle (poliomyelitis).
Hypotonic muscles have a flaccid appearance & a weak reflex.
HYPERTONIA; accompanied by hyperreflexia; damage to upper motor neurons; muscle rigidity (Parkinson’s) or spasticity (a limb snap back from passive stretching, as seen some strokes).
Two criteria to consider when classifying the types of muscle fibers are how fast some fibers contract relative to others, and how fibers produce ATP.
SO fibers contract relatively slowly and use aerobic respiration (oxygen and glucose) to produce ATP.
FO fibers have fast contractions and primarily use aerobic respiration, but because they may switch to anaerobic respiration (glycolysis), can fatigue more quickly than SO fibers.
FG fibers have fast contractions and primarily use anaerobic glycolysis. The FG fibers fatigue more quickly than the others.
METABOLIC PATHWAY
If a fiber primarily produces ATP through aerobic pathways it is oxidative. More ATP can be produced during each metabolic cycle, making the fiber more resistant to fatigue.
*The OXIDATIVE FIBERS contain many more mitochondria than the glycolytic fibers, because aerobic metabolism, which uses oxygen (O2) in the metabolic pathway, occurs in the mitochondria.
*Because of the large amount of ATP they can produce, but they have a relatively small diameter and do not produce a large amount of tension.
**To supply O2 from the red blood cells in the bloodstream.
***Similar to O2-carrying hemoglobin in the red blood cells. The myoglobin stores some of the needed O2 within the fibers themselves (and gives SO fibers their red color).
All of these features allow SO fibers to produce large quantities of ATP, which can sustain muscle activity without fatiguing for long periods of time.
They do not produce high tension, and thus they are not used for powerful, fast movements that require high amounts of energy and rapid cross-bridge cycling.
INTRO: FO fibers are sometimes called intermediate fibers because they possess characteristics that are intermediate between fast fibers and slow fibers.
They are oxidative because they produce ATP aerobically, possess high amounts of mitochondria, and do not fatigue quickly.
*Giving them a lighter color than the red SO fibers.
*They have a large diameter and possess high amounts of glycogen, which is used in glycolysis to generate ATP quickly to produce high levels of tension.
Because they do not primarily use aerobic metabolism, they do not possess substantial numbers of mitochondria or significant amounts of myoglobin and therefore have a white color. FG fibers are used to produce rapid, forceful contractions to make quick, powerful movements. These fibers fatigue quickly, permitting them to only be used for short periods. Most muscles possess a mixture of each fiber type. The predominant fiber type in a muscle is determined by the primary function of the muscle.
*Although muscle cells can change in size, new cells are not formed when muscles grow.
EXAMPLE OF RELATIONSHIP BETWEEN THE PRIMARY TYPE OF MUSCLE UTILIZE ON THE KIND OF EXERCISE BY ATHLETES
Slow fibers are predominantly used in endurance exercises that require little force but involve numerous repetitions. The aerobic metabolism used by slow-twitch fibers allows them to maintain contractions over long periods. Endurance training modifies these slow fibers to make them even more efficient by producing more mitochondria to enable more aerobic metabolism and more ATP production. Endurance exercise can also increase the amount of myoglobin in a cell, as increased aerobic respiration increases the need for oxygen. Myoglobin is found in the sarcoplasm and acts as an oxygen storage supply for the mitochondria.
The training can trigger the formation of more extensive capillary networks around the fiber, a process called angiogenesis, to supply oxygen and remove metabolic waste.
To allow these capillary networks to supply the deep portions of the muscle, muscle mass does not greatly increase in order to maintain a smaller area for the diffusion of nutrients and gases.
Resistance exercises require large amounts of FG fibers to produce short, powerful movements that are not repeated over long periods.
The high rates of ATP hydrolysis and cross-bridge formation in FG fibers result in powerful muscle contractions.
Muscles used for power have a higher ratio of FG to SO/FO fibers, and trained athletes possess even higher levels of FG fibers in their muscles.
Resistance exercise affects muscles by increasing the formation of myofibrils, thereby increasing the thickness of muscle fibers. This added structure causes hypertrophy, or the enlargement of muscles, exemplified by the large skeletal muscles seen in body builders and other athletes ([link]).
Because this muscular enlargement is achieved by the addition of structural proteins, athletes trying to build muscle mass often ingest large amounts of protein.
So-named because the cells do not have striations.
Also present in the eyes, where it functions to change the size of the iris and alter the shape of the lens; in the skin where it causes hair to stand erect in response to cold temperature or fear.
Smooth muscle fibers are spindle-shaped (wide in the middle and tapered at both ends) and have a single nucleus; they range from about 30 to 200 μm (thousands of times shorter than skeletal muscle fibers).
Smooth muscle fibers do have actin and myosin contractile proteins, and thick and thin filaments.
Calcium ions are supplied by the SR in the fibers and by sequestration from the extracellular fluid through membrane indentations called calveoli
Smooth muscle fibers have a limited calcium-storing SR but have calcium channels in the sarcolemma (similar to cardiac muscle fibers) that open during the action potential along the sarcolemma
*Small diameter
**Most of the calcium required for contraction comes from the outside of the cell.
Because smooth muscle cells do not contain troponin, cross-bridge formation is not regulated by the troponin-tropomyosin complex but instead by the regulatory protein calmodulin. In a smooth muscle fiber, external Ca++ ions passing through binding sites and pull on the thin filaments.
PHOSPHORYLATING them (converting ATP to ADP and Pi, with the Pi attaching to the head)
SMOOTH MUSCLE FIBER. A, Thin bundles of myofilaments span the diameter of a relaxed fiber. The scanning electron micrograph (right) shows that the surface of the cell is rather flat when the fiber is relaxed.
B, During CONTRACTION, sliding of the myofilaments causes the fiber to shorten by “balling up.” The micrograph shows that the fiber becomes shorter and thicker, exhibiting “dimples” where the myofilament bundles
Contractions can continue without using large amounts of energy.
Also, visceral muscle in the walls of the hollow organs (except the heart) contains PACESETTER CELLS. A pacesetter cell can spontaneously trigger action potentials and contractions in the muscle.
*BASED ON ORGANIZATION
*This means that as the muscle of a hollow organ is stretched when it fills, the mechanical stress of the stretching will trigger contraction, but this is immediately followed by relaxation so that the organ does not empty its contents prematurely.
This is important for hollow organs, such as the stomach or urinary bladder, which continuously expand as they fill. The smooth muscle around these organs also can maintain a muscle tone when the organ empties and shrinks, a feature that prevents “flabbiness” in the empty organ.
Multiunit smooth muscle cells rarely possess gap junctions, and thus are not electrically coupled. As a result, contraction does not spread from one cell to the next, but is instead confined to the cell that was originally stimulated.
Similar to skeletal and cardiac muscle cells, smooth muscle can undergo hypertrophy to increase in size.