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36 Cards in this Set

  • Front
  • Back
Describe a cardiac muscle
Striated muscle that contains sarcomeres. THey are short with branching fibers that form physical contacts with other cardiac cells called Intercalated Discs. they are about 20 um in length
Intercalated disc
attachment sites/low resistance pathways that allow the heart to act as a functional unit
Compare the T-tubules in cardiac muscle cells to those in skeletal muscles
They are wider and allow ample metabolite exchange
Vinculin
this is an attachment protein that has been identified at each of the intercalated disc and aids in transmitting force from one cell to the next
T/F Cardiac cells can utilize lipid as a source of energy
True. lipid cells are found near the mitochondria
Functional syncytium
The functional connections or gap junctions at the intercalated discs result in the spread of APs from one cell to the next so the heart contracts as it were a single unit
Voltage-gated calcium channel what is another name for this and what purpose does it serve
Ca2+ moves into an intermediate compartment so it can participate in a subsequent contraction, some is involved in the contraction

(L-type Ca2+ channel)
Na+/Ca++ exchanger
This exchanger contains negatively charged parts and can move 3Na+/Ca++ in either direction
Which direction does the Na+/Ca++ exchanger move Ca2+_ during diastole or when the cardiac muscle is at rest?
Ca++ out
What happens when the Na+/K+ pump stops working?
Intracellular Ca++ would increase
How is cardiac muscle Ca++ release different than in skeletal muscle?
Ca++ enters through L-type Ca++ channels, causing a much larger amount of Ca++ to be released from the SR stores.
calmodulin kinase serves as the switch that llinks the DHPR and RyR1 functions
Phospholamban - dephosphorylated, what does it do
resides next to the calcium pump limiting the pump rate in the SR. (during contraction)
Phospholamban - phosphorylated, what does it do and how do we phosphorylize it?
phosphorylation makes this move away from the calcium pump, which allows Ca++ to reenter the SR, leading to relaxation of the cardiac muscle.

cAMP- protein kinases help achieve this. Epinephrine can also do this
T/F Cardiac muscle undergoes tetanic contraction
False. It always twitches
Define contractility of cardiac muscles in terms of interactions between contractile proteins
1.) depends on number of cross-bridge interactions
2.) depends on the maximal rate of myosin ATPase

1 depends on Ca++ availability
2 depends on the phosphorylation state of myosin
What can regulate cardiac contractility (alteration in myosin molecule)?
Tonic control of contractility, endocrine imbalances, aging, and chronic hemodynamic overloading, phasic control of velocity
What can regulate cardiac contractility (alteration in the content of contractile proteins)?
work-induced hypertrophy results from hemodynamic overload. Heart size/mass increases

Starvation decreases protein content adn weakens the heart
What causes hypertrophic cardiomyopathy?
Defects in sarcomeric proteins such as B myosin, troponin T and a myosin binding protein
How can the Na+/Ca++ exchange increase cardiac contractility? Decrease cardiac contractility?
Na+ in and Ca++ out = decreased contractility

Na+ out and Ca++ in = increased contractility
What is the effect of phospholamban phosphorylation?
It causes an increased rate of relaxation due to reuptake of Ca++ in the SR (phospholamban moves away from the Ca++ pump)
What is the effect of cardiac glycosides on contractility? give one example of a cardiac glycoside
Digoxin.

Inhibition of Na-K pump and permission of Ca++ to accumulate within the cardiocytes.

Increases contractility
What is the effect of Protein Kinase phosphorylation? What is its target (in cardiac muscle)? How does this effect contraction speed?
Phosphorylate myosin, increasing its activity and leads to increased contraction speed
What are epinephrine and norepinephrine's effects on glycogenolysis and how does this pertain to contractile events?
Increase the rate of glycogenolysis to mobilize energy for fueling of contractile events.
What are the functional significances of contractility changes in terms of Ca++ and myosin phosphorylation?
Increased Ca++ increase the force output of the muscle

Phosphorylation of Myosin increases the velocity of shortening
What is the net result of B Adrenergic stimulation of the cardiocytes?
Ca++ increases (increases force of contraction)

Myosin is phosphorylated (increases velocity of contraction)

Increase rate of relaxation - greater time to fill the heart with blood

Increase in energy mobilization (via increased glycogenolysis)
T/F Cardiac Muscle has sarcomeres
T
T/F Troponin is present in cardiac muscles
T
Does myosin phosphorylation occur in cardiac muscles?
yes
T/F T-tubules are present in cardiac muscles
T
T/F The SR is NOT present in cardiac muscles
False
T/F Phospholamban is present in cardiac muscles
T
How involved is EC calcium in Cardiac Muscles?
Moderately involved. See notes for more details!!!
T/F Na-Ca Exchange is present in cardiac muscles
T
T/F Cardiac muscles feature a functional syncytium
T
What is the function of nerves in cardiac muscles?
to modulate activity
Describe the following "parameters" of cardiac muscles, whether they are present or not...

sarcomere, troponin, myosin phosphorylation, t-tubules, SR, Phospholamban, Na-Ca exchange, functional syncytium
Present: Sarcomere, troponin, myosin phosphorylation, t-tubules, SR, Phospholamban, Na-Ca Exchange, Functional Syncytium