Top Banner
Skeletal Muscle Contraction-1 Date: 17 th January, 2012 Time : 9-00 AM – 10-00 AM Lec # 2
82

Lec 2 3_stud

Jan 24, 2018

Download

Technology

mbbs2ndbatch
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Lec 2 3_stud

Skeletal Muscle Contraction-1

Date: 17th January, 2012

Time : 9-00 AM – 10-00 AM

Lec # 2

Page 2: Lec 2 3_stud

Objectives..

• Mechanism of muscle contraction & relaxation

• Characteristics of whole muscle contraction

• Remodelling of muscle to match function

1. explain the process of muscle contraction & relaxation

2. explain the characteristics of muscle contraction-muscle twitch, graded response, summation, clonus, tetanus & fatigue and associate them to real conditions in health & disease

3. explain the length- tension relationship in whole muscle

4. describe remodelling of muscle to

match function

Page 3: Lec 2 3_stud

1. Muscle cells are excited by somatic efferent neurons.

2. Muscle cell excitation (the muscle cell action potential) triggers muscle cell activity (contraction).

3. Calcium (Ca++) is the second messenger that links excitation to contraction

Page 4: Lec 2 3_stud
Page 5: Lec 2 3_stud

Excitation-Contraction Coupling

A term coined in 1952 to describe the physiological process of converting an electrical

stimulus to a mechanical response

This process is fundamental to muscle physiology, whereby the electrical stimulus is

usually an action potential and the mechanical response is contraction.

EC coupling can be dysregulated in many disease conditions.

Page 6: Lec 2 3_stud

MYO FIBRIL

TERMINAL CISTERNAE

T- TUBULE

TRIAD MITOCHONDRIA

THIN MYOFILAMENT

THICK MYOFILAMENT

Z M Z

Page 7: Lec 2 3_stud

Neuromuscular

Transmission

Ca2+ released from the

sarcoplasmic reticulum binds

to Troponin C on actin filaments,

DIHYDROPYRIDINE RECEPTORS

Voltage dependent Ca+2 channels

T-tubules

RYANODINE RECEPTORS[RyR1]

Voltage dependent Ca+2 channels

SR

causes flow of Ca2+ from the sarcoplasmic reticulum, after its release from the Calsequestrin,

into the cytoplasm.

Opening

In humans, the gene encoding RyR1 is located on chromosome 19q13.2 and spans 104 exons.

Page 8: Lec 2 3_stud
Page 9: Lec 2 3_stud
Page 10: Lec 2 3_stud

• Mutations in the RYR1 gene underlie several debilitating and/or life-threatening muscle diseases including

– malignant hyperthermia (MH) ,

– heat/exercise induced exertional rhabdomyolysis ,

– atypical periodic paralyses (APP)

Page 11: Lec 2 3_stud

Proteins

• Structural proteins

• Regulatory proteins

• Contractile proteins

Dystrophin

Desmin Vimentin

Nebulin

Titin

Alpha- actinin

Page 12: Lec 2 3_stud
Page 13: Lec 2 3_stud
Page 14: Lec 2 3_stud
Page 15: Lec 2 3_stud
Page 16: Lec 2 3_stud
Page 17: Lec 2 3_stud

1 - Calcium released from sarcoplasmic reticulum

2 - Myosin head energized via myosin-ATPase activity which converts the bound ATP to ADP + Pi

3 - Calcium binds to troponin

4 - Tropomyosin translocates to uncover the cross-bridge binding sites

Page 18: Lec 2 3_stud

5 - The energized myosin binding sites approach the binding sites

6 - The first myosin head binds to actin

7 - The bound myosin head releases ADP + Pi, flips and the muscle shortens

8 - The second myosin head binds to actin

Page 19: Lec 2 3_stud

9 - The first myosin head binds ATP to allow the actin and myosin to unbind

10 - The second myosin head releases its ADP + Pi, flips & the muscle shortens further

11 - The second myosin head binds to ATP to allow the actin and myosin to unbind

12 - The second myosin head unbinds from the actin, flips back and is ready for the next cycle

Page 20: Lec 2 3_stud

13 - The cross-bridge cycle is terminated by the loss of calcium from the troponin

14 - Tropomyosin translocates to cover the cross-bridge binding sites

15 - The calcium returns to the sarcoplasmic reticulum, the muscle relaxes & returns to the resting state

Page 21: Lec 2 3_stud

As a muscle shortens, the following is observed:

a) sarcomeres

shorten; b) A band length

remains constant c) I band length

becomes shorten d) myofilament

lengths remain constant

Page 22: Lec 2 3_stud

SOME FACTS……….

• A single cycle of attachment, swivel, and detachment of the myosin head will produce a linear translation of the myofilaments of about 10 nm.

• If all cross-bridges in a myofibril cycle once synchronously, a relative movement equal to about 1% of the muscle length will occur, but obviously muscles shorten by more than 1%.

Page 23: Lec 2 3_stud

• The total shortening of a sarcomere during contraction may exceed 1,000 nm; therefore the relative movement of a thin and thick filament would be half this amount or 500 nm.

• To achieve this magnitude of change in total length when each cross-bridge cycle produces a 10-nm shortening, a minimum of 50 cycles must occur.

Page 24: Lec 2 3_stud

• The flexor muscles of the human upper arm can contract at the rate of 8 m/sec (Wilkie DR: J Physiol (Lond) 110:249-280, 1949), during which they can shorten by as much as 10 cm. This contraction rate gives a contraction rate for the sarcomere of 160 nm/msec. If a stroke of the cross-bridge is taken to be 10 nm, then at this rate there will be a minimum of 16 strokes/msec. Thus, the swivel time for the cross-bridge must be of the order of 60 sec.

Page 25: Lec 2 3_stud

• In any case, it is clear that the swiveling of the cross-bridge must be a fast mechanical process.

• The cross-bridge theory says that sliding is produced by physical attachment of myosin heads to actin and by rotation of the heads.

Page 26: Lec 2 3_stud

• Tension is developed by physical bonds between thick and thin filaments.

• Tension depends upon the degree of overlap between thick and thin filaments.

• The cross-bridge originates at the thick filament and terminates at the thin filament.

Page 27: Lec 2 3_stud

Malignant Hyperthermia

• MH is an autosomal dominant disease in which genetically susceptible individuals respond to inhalation anesthetics (e.g., halothane) and muscle relaxants (e.g., succinylcholine) with sustained muscle contractions.

• More than 150 different point mutations in the RYR1 gene have been identified and linked to MH .

• The majority of RyR1 mutations linked to MH cluster in the cytoplasmic domains of RyR1 (amino acids 35 to 614 and 2129 to 2458).

• Another cluster of mutations is found near the carboxyl terminus (4637 to 4973)

Page 28: Lec 2 3_stud

• MH is often a silent disorder that goes

undetected until the patient undergoes

surgery or is exposed to high ambient temperatures (∼37°C) . The underlying

physiological consequence of MH is abnormal

calcium homeostasis with increase sensitivity of

channel opening in response to activators .

• An MH episode is characterized by elevations in

body temperature, metabolic acidosis, hypoxia,

tachycardia, skeletal muscle rigidity, and

rhabdomyolysis and is life threatening if not

immediately treated with dantrolene

Page 29: Lec 2 3_stud

• HEAT RIGOR

• RIGOR MORTIS

http://cshperspectives.cshlp.org/content/2/11/a003996.full.pdf+html

Page 30: Lec 2 3_stud

Factors that Affect the Efficiency

of Muscle Contraction

Page 31: Lec 2 3_stud

Tension and Load

� The force exerted on an object by a

contracting muscle is known as tension.

� The force exerted on the muscle by an

object (usually its weight) is termed

load.

� According to the time of effect exerted

by the loads on the muscle contraction

the load was divided into two forms,

preload and afterload.

Page 32: Lec 2 3_stud

Preload

�Preload is a load on the muscle before

muscle contraction.

�Determines the initial length of the muscle

before contraction.

�Initial length is the length of the muscle

fiber before its contraction.

�It is positively proportional to the preload.

Page 33: Lec 2 3_stud

Afterload

� Afterload is a load on the muscle after the beginning of muscle contraction.

� The reverse force that oppose the contractile force caused by muscle contraction.

� The afterload does not change the initial length of the muscle,

� But it can prevent muscle from shortening because a part of force developed by contraction is used to overcome the afterload.

Page 34: Lec 2 3_stud

The Effect of Sarcomere Length on Tension

The Length – Tension Curve

Concept of optimal length

Page 35: Lec 2 3_stud

Types of Contractions I

� Twitch: a brief mechanical contraction of a single fiber produced by a single action potential at low frequency stimulation is known as single twitch.

� Tetanus: It means a summation of twitches that occurs at high frequency stimulation

Page 36: Lec 2 3_stud

Effects of Repeated Stimulations

Figure 10.15

Page 37: Lec 2 3_stud

1/sec 5/sec 10/sec 50/sec

Page 38: Lec 2 3_stud

� Afterload on muscle is resistance

� Isometric � Length of muscle remains constant. Peak tension

produced. Does not involve movement

� Isotonic � Length of muscle changes. Tension fairly constant.

Involves movement at joints

� Resistance and speed of contraction inversely related

Types of Contractions (II)

Page 39: Lec 2 3_stud

Isotonic and Isometric Contractions

Page 40: Lec 2 3_stud

MUSCLE CONTRACTION-2

DATE: 17TH JANUARY,2012

Time : 10-30 AM to 11-30 AM

Venue- LT @ level 1

LECTURE# 3

Sarmishtha GhoshSarmishtha GhoshSarmishtha GhoshSarmishtha Ghosh

[email protected]@[email protected]@gmail.com

Page 41: Lec 2 3_stud

LEARNING OBJECTIVES

Whole body contractions

Muscle fiber types

Muscle Tone- definition, basis and importance in posture

Applied terms: atrophy, hypertrophy,hypotonia, hypertonia,

denervation hypersensitivity

ALSO MAKE SURE YOU ARE AWARE OF

HYPOCALCEMIC TETANY

TETANUS

MALIGNANT HYPERTHERMIA

Page 42: Lec 2 3_stud

Skeletal muscle

40% of the body weight

SINGLE

Large, elongated

cylinder shaped Dm= 10-100 µm

L=2.5 ft

Single muscle cell : multiple nuclei

Abundant mitochondria

Specialized contractile elements, 80% of the muscle fiber, Dm= 1µm ,L=2.5 ft Highly organized cytoskeletal elements

Page 43: Lec 2 3_stud

Muscle is a chemomechanical transducer.

It has the ability to convert chemical energy,

stored in the terminal phosphate group of ATP, into mechanical work.

• The myosin crossbridge, or myosin molecular motor, is the site for this energy conversion.

• Thus in addition to generating force and shortening, myosin is an enzyme that hydrolyzes ATP (i.e. ATPase).

Page 44: Lec 2 3_stud

Muscle metabolism- production of energy

Three ways

– From Creatine Phosphate

– By Anerobic Cellular Respiration

– By Aerobic Cellular Respiration

• Short duration exercises – Sprint <= 10

sec.

• Activities lasting < 10 mins

• Activities lasting > 10 mins

Creatine-Phosphate system

Anerobic pyruvate- lactate

system

Aerobic system

Page 45: Lec 2 3_stud

IN THE BODY…..

• GROUPS OF MUSCLE FIBERS ARE ORGANIZED AS WHOLE MUSCLES

• BUNDLED TOGETHER AND ATTACHED TO BONES

• TENDONS- tough collagenous structures CONNECT MUSCLES TO BONES

• MUSCLES, BONES & TENDONS

– SERVE AS A UNIT

Page 46: Lec 2 3_stud

SKELETAL MUSCLE MECHANICS

Page 47: Lec 2 3_stud

• Contraction of whole muscles can be of varying strength

– Number of muscle fibers contracting within a muscle

• Motor units and their recruitment

– Tension developed by each contracting fiber

• Frequency of stimulation

• Length of fiber at onset of contraction

• Extent of fatigue

• Thickness of fiber

Page 48: Lec 2 3_stud

• When a weak signal is sent by the CNS to contract a muscle, – the smaller motor units, being more excitable than

the larger ones, are stimulated first.

• As the strength of the signal increases, – more motor units are excited in addition to larger

ones, with the largest motor units having as much as 50 times the contractile strength as the smaller ones.

– As more and larger motor units are activated, the force of muscle contraction becomes progressively stronger.

• A concept known as the size principle allows for a gradation of muscle force during weak contraction to occur in small steps, which then become progressively larger when greater amounts of force are required.

Page 49: Lec 2 3_stud
Page 50: Lec 2 3_stud

Classification of voluntary

muscular contractions • Voluntary muscular contractions can be classified according to either length changes

or force levels.

• In concentric contraction, the force generated is sufficient to overcome the resistance, and the muscle shortens as it contracts. This is what most people think of as a muscle contraction.

• In eccentric contraction, the force generated is insufficient to overcome the external load on the muscle and the muscle fibers lengthen as they contract. An eccentric contraction is used as a means of decelerating a body part or object, or lowering a load gently rather than letting it drop.

• In isometric contraction, the muscle remains the same length. An example would be holding an object up without moving it; the muscular force precisely matches the load, and no movement results.

• In isotonic contraction, the tension in the muscle remains constant despite a change in muscle length. This can occur only when a muscle's maximal force of contraction exceeds the total load on the muscle.

• In isovelocity contraction, the muscle contraction velocity remains constant, while force is allowed to vary. True isovelocity contractions are rare in the body, and are primarily an analysis method used in experiments on isolated muscles which have been dissected out of the organism.

Page 51: Lec 2 3_stud

Types of Contraction

• ISOTONIC – Muscle tension remains constant while muscle changes length – Body movements, moving external objects

• ISOMETRIC – Length remains same while tension increases – Lifting objects heavier than one’s capacity

• Shift between isometric and isotonic contractions YOU PICK UP A BOOK TO READ

Lifting the book – biceps : isotonic contraction Hold the book in front of you : isometric

contraction

Page 52: Lec 2 3_stud

ISOTONIC

CONCENTRIC ECCENTRIC

TENSION REMAINS SAME LENGTH SHORTENS

TENSION REMAINS SAME LENGTH INCREASES

LOWERING THE LOAD TO THE GROUND

Page 53: Lec 2 3_stud

OTHERS…….

• Not limited to pure

Isotonic & pure

Isometric

Contractions

• Muscle length &

tension can vary

throughout a range

of motion

Stretch the Bow

Tension of Biceps

continuously increases, Bow is drawn further back

Length shortens

simultaneously

Page 54: Lec 2 3_stud

Still More…..

• Muscles of tongue – Not attached at the free end – Isotonic contractions :

facilitate speech and eating

• External eye muscles – Skull @ origin, eye @

insertion – Isotonic : Eye movements

• Sphincters : – Unattached to bone – Actually prevents movement – Prevents exit of urine and

feces by isotonic contraction

Page 55: Lec 2 3_stud

• Velocity of shortening is related to the load

• Greater the load, lower is the velocity

• Muscles do work in physical sense when it moves an object

Work= Force x Distance

Muscle tension reqd

To overcome The weight of object

To be moved

Through which the Object is moved

Isometric: no object is moved

Isotonic: object is moved

Mechanical Efficiency=0

Heat=100%

Mechanical Efficiency=25%

Heat= 75%

Maintain Body Temperature

Page 56: Lec 2 3_stud

TYPES OF SKELETAL MUSCLE FIBERS

• SLOW OXIDATIVE TYPE- I

• FAST OXIDATIVE- TYPE-IIa

GLYCOLYTIC

• FAST GLYCOLYTIC TYPE- IIb

Page 57: Lec 2 3_stud

Characteristics • Myosin ATPase activity

• Speed of contraction

• Resistance to fatigue

• Capacity for oxidative phosphorylation

• Enzymes for Anerobic Glycolysis

• Mitochondria

• Capillaries

• Myoglobin content

• Glycogen content

• Content of Sarcoplasmic Reticulum

• Fiber diameter

• Color of fiber

Page 58: Lec 2 3_stud

Type I fibers -also called slow oxidative (SO) fibers

Postural muscles

Page 59: Lec 2 3_stud

Type IIa or fast oxidative-glycolytic

(FOG) :a hybrid of FG and SO fibers

Page 60: Lec 2 3_stud

Type IIb: fast-twitch glycolytic fibers, also called

FG or : most common fast-twitch fibers in

humans [ white fibers]

Page 61: Lec 2 3_stud

SKELETAL MUSCLE FIBERS

SLOW FIBERS FAST FIBERS

PROLONGED TENSION GENERATOR

RAPID TENSION GENERATOR

Can generate small forces@ low metabolic

cost

Can generate larger

forces@ high metabolic cost

Small fCSA Low inn. ratio

Large fCSA High inn. ratio

Mitochondria

Myoglobin

Aerobic + Anerobic Fatigue

Resistant Fatigability

Intermediate- Low

Tonic multiterminal

Slow twitch Single terminal 2A 2B 2X

Extraocular m. Postural m. Arm muscles/ other sites.

Page 62: Lec 2 3_stud

• Majority of muscles are of mixed fiber type composition being a combination of fast and slow fibers occurring in two arrangements

– 1) mosaic - fast and slow fibers uniformly distributed

– 2) compartmentalized - fiber types non-uniformly distributed into intramuscular compartments

• Some muscles which are used for repetitive or constant tasks (e.g., posture) can be comprised nearly entirely of slow fibers – - e.g., soleus

Page 63: Lec 2 3_stud

• Genetic Endowment of muscle fiber types

• Adaptation to demands placed on them

– Changes in their ATP synthesizing machinery

– Changes in their diameter

Page 64: Lec 2 3_stud

• Anerobic, short duration,high intensity resistance training – Weight lifting – Muscle enlargement

• Actual increase in diameter of fast glycolytic fibers • Increased synthesis of Actin and Myosin filaments

– Hypertrophy –

• Actions of Testosterone – the male sex hormone

• Interconversion between fast muscle fiber types – No conversion between fast and slow fibers

• Limited repair system available – No mitosis – Some myoblasts may fuse and cause a muscle fiber – Extensive injury- not adequate

Page 65: Lec 2 3_stud

MUSCLE INJURY & REPAIR Triggers a sequence of events that begin with a host inflammatory response that is followed by muscle fiber regeneration and new collagen synthesis. The inflammatory response involves at least three types of cells, including neutrophils, ED1+ macrophages, and ED2+ macrophages. Growth factors and cytokines appear to play a role in the inflammatory process and repair of the damaged tissue.. Satellite cells play an integral role in normal development of skeletal muscle by

providing a source for postmitotic myonuclei. In addition, the satellite cell is essential to the repair of injured muscle by serving as a source of

myoblasts for fiber regeneration

At the same time muscle fiber regeneration is occurring, there is expression of types I and III collagen that under certain circumstances can lead to scarring and fibrosis.

Page 66: Lec 2 3_stud

HEPATOCYTE GROWTH FACTOR

CAVEOLIN-1 EXPRESSION DOWN REGULATED

Page 67: Lec 2 3_stud

skeletal-muscle pump

• The is the pumping effect of skeletal muscle on

veins to increase blood flow. During exercise,

muscles squeeze veins, effectively pumping

blood back to the heart. This is a significant

factor affecting venous return which is the

amount of blood that returns to the heart via the

veins.

• Skeletal muscle surrounding a vein is relaxed,

– the upper and lower vein valves are closed

– backflow of the blood inside the vein prevented

Page 68: Lec 2 3_stud

MUSCLE TONE

• Residual muscle tension or tonus

• is the continuous and passive partial contraction of the muscles.

• helps maintain posture, and it declines during REM sleep.

Page 69: Lec 2 3_stud

• Unconscious nerve impulses maintain the muscles in a partially contracted state. If a sudden pull or stretch occurs, the body responds by automatically increasing the muscle's tension, a reflex which helps guard against danger as well as helping to maintain balance.

• The presence of near-continuous innervation makes it clear that tonus describes a "default" or "steady state" condition. There is, for the most part, no actual "rest state" insofar as activation is concerned.

• In terms of skeletal muscle, both the extensor and flexor muscles, under normal innervation, maintain a constant tone while "at rest" that maintains a normal posture.

Page 70: Lec 2 3_stud

Pathological tonus • Physical disorders can result in

– abnormally low (hypotonia) or – high (hypertonia) muscle tone.

• Another form of hypertonia is paratonia, which is associated with dementia. Hypotonia is caused by lower motor neuron disease like poliomyelitis. Hypertonia is caused in upper motor neuron disease like lesion in pyramidal tract and extrapyramidal tract. Hypertonia can be of clasp knife variety, in which there is increased resistance only at the beginning or at the end of the movement, or lead pipe variety, in which there is resistance throughout to passive movement, or it may be of cog wheel type, in which the resistance to passive movement is in jerky manner.

Page 71: Lec 2 3_stud

http://faculty.pasadena.edu

Page 72: Lec 2 3_stud
Page 73: Lec 2 3_stud
Page 74: Lec 2 3_stud

alpha-gamma coactivation;

when we actively contract extrafusal fibers (muscle), the contractile portion of intrafusal fibers contract as well; this stretches the spindles causing them to fire. Alpha motor neurons fire to contract extrafusal fibers and gamma motor neurons are COACTIVATED to fire with alpha's to contract intrafusal fibers simultaneousely

Page 75: Lec 2 3_stud
Page 76: Lec 2 3_stud
Page 77: Lec 2 3_stud
Page 78: Lec 2 3_stud

Stretching of muscles Stimulation of

MUSCLE SPINDLE

Activation of Sensory Neuron

Information Processing

At Motor neuron

Activation of Motor neuron

extrafusal fibers, rich in contractile proteins,

Contraction Of

Muscle

MUSCLE OPPOSES

Page 79: Lec 2 3_stud

TERMS……..

• ATROPHY

• HYPERTROPHY

• HYPERPLASIA

HYPOTONIA

HYPERTONIA

ATONIA

RIGOR MORTIS TETANUS TETANY

Page 80: Lec 2 3_stud

DENERVATION HYPERSENSITIVITY

• Innervated adult skeletal muscle is sensitive to acetylcholine at the end-plate region only. After denervation the entire muscle membrane becomes chemosensitive..

• The motor nerve to skeletal muscle is cut and allowed to degenerate --------the muscle gradually becomes extremely sensitive to acetylcholine.

• This denervation hypersensitivity or supersensitivity is also seen in smooth muscle. Smooth muscle, unlike skeletal muscle, does not atrophy when denervated, but it becomes hyperresponsive to the chemical mediator that normally activates it

• It appears that the new receptors are released into the muscle surface from post-Golgi vesicles, giving rise to local ‘hot spots’ in A Ch sensitivity. Their generation appears to be triggered by the absence of a neural factor controlling genetic expression in the muscle cell — this factor may be A Ch itself.

Page 81: Lec 2 3_stud

ELECTROMYOGRAM

• Diagnose conditions that damage

muscle tissue, nerves, or the junctions between nerve and muscle (neuromuscular junctions), for example, a herniated disc.

• Evaluate the cause of weakness, paralysis, involuntary muscle twitching, or other symptoms.

• Problems in a muscle, the nerves supplying a muscle, the spinal cord, or the area of the brain that controls a muscle can all cause these kinds of symptoms.

Page 82: Lec 2 3_stud

• Nerve conduction velocity is often used along with an EMG to differentiate a nerve disorder from a muscle disorder.

• NCV detects a problem with the nerve whereas an EMG detects whether the muscle is functioning properly in response to the nerve's stimulus.

• Nerve conduction studies are done to…

– Detect and evaluate damage to the peripheral nervous system, which includes all the nerves that lead away from the brain and spinal cord and the smaller nerves that branch out from those nerves.

– Nerve conduction studies are often used to help diagnose nerve disorders, such as carpal tunnel syndrome.

– Identify the location of abnormal sensations, such as numbness, tingling, or pain