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239 Cards in this Set

  • Front
  • Back
What types of muscle are striated?
Skeletal and Cardiac
What types of muscle are smooth?
Vascular and Visceral
Where do voluntary muscles receive signals from?
Central Nervous System
Where do involuntary muscles mostly receive their signals from?
Autonomic Nervous System
What attaches muscle to bone?
Tendon
What is the connective tissue surrounding individual muscle fibers?
Endomysium
What is the connective tissue surrounding bundles of muscle fibers?
Perimysium
What is the connective tissue surrounding the entire muscle?
Epimysium
On which band can the thick filaments of the myofibril be found?
A band
On which band can the thin filaments of the myofibril be found?
I band
What runs across the center of the A band on the myofibril?
M line
What runs across the center of the I band on the myofibril?
Z line
What is the fundamental repeating unit of bands from the Z disk to successive Z disk?
Sarcomere
What are the three main types of proteins found in the thin filaments of skeletal muscle?
Actin, tropomyosin, and troponin
What is the most abundant protein of the thin filament?
Actin
Where is the main site for calcium regulation in the skeletal muscle?
The thin filament
Which type of troponin is the calcium sensor in skeletal and cardiac muscle?
Troponin C
Which type of troponin is the structural glue that holds the troponin-tropomyosin-actin complex together?
Troponin I
What is the primary protein of the thick filaments in skeletal muscle?
Myosin
What part of the myosin interacts with actin to generate force and filament sliding?
The head structure (SI region)
How does the plasma membrane of skeletal muscle fiber differ from cardiac and other cell types?
It does not contain gap junctions or tight junctions
What are the tubular extensions of the sarcolemma?
T-tubules
What is the specialized endoplasmic reticulum adapted for the uptake, storage and release of calcium ions?
Sarcoplasmic Reticulum (SR)
How does the sarcoplasmic reticulum tubular network run in relation to the myofilaments?
Parallel
What are the enlarged portions of the sarcoplasmic reticulum contacting T-tubules?
Terminal cisternae
What is the term for a group of one T-tubule and two terminal cisternae?
A triad
Where is calcium required for contraction stored in skeletal muscle?
Terminal cisternae
What is the process by which depolarization of the sarcolemma causes calcium release into the cytoplasm, and subsequent binding of calcium to regulatory sites to initiate crossbridge cycling?
Excitation-Contraction Coupling
What does calcium ions bind to after being released from the sarcoplasmic reticulum to initiate contraction?
Troponin C
What are two ways that Calcium is sequestered after contraction?
Calcium pumps in the SR pumps calcium back

Calsequestrin helps concentrate calcium ions in the sarcoplasmic reticulum.
What molecule is responsible for interfering with the interaction between actin and myosin?
Tropomyosin
How many actin monomers can one tropomyosin molecule control due to its geometry?
7
What type of muscle regulation works via the action on the thin filaments?
Actin-linked regulation
What does the permanent binding of myosin to actin filaments cause?
Rigor mortis
What are two components required for crossbridge cycling?
Calcium and ATP
What causes the myosin cross bridge to detatch?
ATP binding
What energizes the cross bridge?
Hydrolysis of ATP
What are two important distinctions between cardiac muscle and skeletal muscle?
Cardiac action potential is not initiated by neural activity (Initiation by specialized muscle tissue in heart)

Cardiac muscle cells (cardiac myocytes) are smaller than skeletal muscle
What does the gap junction in cardiac muscle cells provide?
Electrical connection between cells
What is the functional contractile unit-one motor neuron plus all of the muscle fibers it innervates?
Motor Unit
Where does the transfer of signal from nerve to muscle take place?
Neuromuscular Junction
What is the transmitter substance secreted at the neuromuscular junction of skeletal muscles?
Acetylcholine
What does the postsynaptic membrane of skeletal muscle allow to flow through its ion channels after binding acetylcholine to its receptors?
Sodium and Potassium Ions
What hydrolyzes acetylcholine?
Cholinesterase enzyme
Where does the choline go after being hydrolized by cholinesterase enzyme?
The presynaptic terminal
What do gap junctions in cardiac muscle help with?
They enhance the spread of action potentials through out the heart
What is the force of contraction dependent on in cardiac muscle?
Extracellular calcium concentration
How does calcium mainly enter the cell of cardiac muscle?
Voltage-dependent slow calcium channels (L-type calcium channels)
Where does the calcium required for contraction come from in the cardiac muscle?
Extracellular calcium pool

Calcium pool in the sarcoplasmic reticulum lumen
What nerves can be stimulated to increase the force of heart contraction?
Sympathetic nerves (norepinephrine release)
What nerves can be stimulated to decrease the force of heart contraction?
Parasympathetic nerves (acetylcholine release)
What unit of the muscle has ATPase activity?
Myosin
What prompts the resynthesis of ATP during muscle contraction?
Phosphate group transfer from creatine phosphate to ADP
What is the most important storage form of high energy phosphate in the muscle?
Creatine phosphate
What are two major metabolic pathways to supply ATP and replenish the creatine phosphate pool
Glycolysis

Citric acid cycle
What is the largest contributor to oxygen debt?
Lactic acid accumulation
What is a contraction that generates only force with no muscle shortening?
Isometric contraction
What is a contraction that results in shortening against a constant force?
Isotonic contraction
What is the contraction and relaxation of a skeletal muscle to a single stimulus (single action potential)?
Twitch
What are two factors that total tension of a muscle depends on?
Number of fibers contracting
Tension developed by each fiber
What is the process by which the force of a second stimulus can add to the force left from the first
Summation
What occurs when a muscle fiber is stimulated so rapidly that it does not have an opportunity to relax between stimuli?
Tetanus
How much stronger is a tetanic contraction over a single twitch?
Three to four times stronger
What causes the color difference of white and red skeletal muscle?
The difference in the amount of myoglobin
What type of muscle fibers are found in muscles that depend heavily on aerobic metabolism for their ATP supply?
Red muscle fibers
What type of red muscle fibers have higher ATPase activity?
Fast twitch fibers
What type of muscle fibers rely primarily on glycolytic metabolism and fatigue quickly?
White muscle fibers
Between white and red muscle fibers, which have more mitochondria?
Red muscle fibers
What is the term for contraction followed by relaxation?
Phasic
What is the term for sustained contraction?
Tonic
In most organs, with the exception of the gut, what is the orientation of smooth muscle?
Circular or circumferential
What type of muscle has single uninuclear cells, no transverse striations, no T-tubules, abundant caveolae, and numerous cell-cell junctions?
Smooth Muscle
What are two fundamental functions of cell-cell junctions of smooth muscle?
Mechanical coupling (Force, intermediate junctions)
Ionic coupling (excitation, gap junctions)
In comparison to skeletal muscle, what regulatory protein is absent in the thin filaments of smooth muscle?
Troponin
What are two unique proteins of thin filaments found in smooth muscle?
Calponin and Caldesmon
What is the main component of intermediate filaments in visceral muscles?
Desmin
What is the main component of intermediate filaments in vascular muscles?
Vimentin
What are two categories of smooth muscle based on how the muscle cells are stimulated to contract?
Multiunit smooth muscle

Single-unit smooth muscle
Where can multiunit smooth muscle be found?
Walls of large blood vessels, large airways of the respiratory tract, and in the eye muscles
What type of smooth muscle requires nerve stimulus to initiate contraction?
Multiunit smooth muscle
What type of smooth muscle is myogenic (self-excitable) and does not require nervous stimulation for contraction?
Single-unit smooth muscle
What is required in smooth muscle for myosin-ATPase activity to be actin-activated?
Phosphorylation of myosin light chains
What initiates smooth muscle contraction?
Calcium-dependent phosphorylation of myosin light chain
What do calcium-calmodulin complexes bind to activate?
MLC kinase
What regulates smooth muscle contraction?
MLC kinase
MLC phosphatase
What is the term for the depolarization of the membrane electrical potential leading to the opening of voltage-gated calcium channels followed by elevation in cytosolic calcium?
Electro-mechanical coupling
What type of receptors in smooth muscle are involved in calcium-induced calcium release?
Ryanodine receptors
What is the term for the binding of a contractile agonist to its receptor on the muscle membrane leading to elevation in cytosolic calcium without any change in membrane electrical potential?
Pharmaco-mechanical coupling
Which type of coupling involves a second messanger?
Pharmaco-mechanical coupling
What is the main calcium mobilizing messenger in smooth muscle?
IP3
What are the second messengers involved in smooth muscle relaxation?
Cyclic nucleotides, (cAMP, cGMP)
What drugs trigger cAMP in smooth muscle relaxation?
Beta-Adrenergic drugs
What drugs trigger cGMP in smooth muscle contraction?
Nitric Oxide
What are two subdivisions of the autonomic nervous system?
Sympathetic
Parasympathetic
Why is the sympathetic division also called the thoracolumbar division and the parasympathetic the craniosacral division?
Sympathetic fibers leave the CNS from the thoracic and lumbar regions

Parasympathetic leave the CNS from the brain and sacral portion of the spinal cord
Which fibers (pre or post ganglionic) of the sympathetic division are often shorter?
Preganglionic
Which fibers (pre or post ganglionic) of the parasympathetic division are often short?
Postganglionic
What is one example where the sympathetic and parasympathetic nerves work in a synergistic fashion?
When innervating the exocrine glands
Which nerve plexus functions to coordinate peristalsis along the gut?
Myenteric Plexus
Which nerve plexus functions to regulate ion and water transport across the gut epithelium?
Submucosal plexus
Where does the transmission of signals between pre and postganglionic autonomic neurons take place?
True synapses
What is the term for the transmission of signals between postganglionic autonomic neurons and effector cells?
Neuroeffector junction
What are the irregular expansions within the terminal part of the axon of post ganglionic neurons called?
Varicosities
What are the classic autonomic neurotransmitters?
Acetylcholine
Norepinephrine
What are the fibers that secrete acetylcholine?
Cholinergic
What are the fibers that secrete norepinephrine?
Adrenergic
(T/F) All preganglionic neurons are cholinergic in both the sympathetic and parasympathetic nervous systems.
True
(T/F) Few postganglionic neurons of the parasympathetic system are cholinergic.
False, Either all or almost all are cholinergic
(T/F) Most of the postganglionic sympathetic neurons are adrenergic.
True
How fast is acetylcholine destroyed after release?
Milliseconds (by acetylcholinetransferase)
How is norepinephrine in sympathetic postganglionic nerve terminals inactivated?
By reuptake
Where is epinephrine or norepinephrine stored in large vesicles that are released directly into the blood?

Adrenal medulla
What are two categories of receptors that transduce chemical signals in the autonomic nervous system?
Directly-gated receptors
Second messenger-linked receptors
Where do directly-gated receptors predominate?
In the ganglia
Where do second messenger-linked receptors predominate?
In the autonomic neuroeffector junctions
What type of autonomic receptor is a nicotinic acetylcholine receptor?
Directly-gated receptor
What type of autonomic receptor is a muscarinic acetylcholine receptor?
Second messenger-linked receptor
What is the predominate receptor type in autonomic ganglia on postganglionic cells?
Nicotinic acetylcholine receptor
What specific G protein alpha subunit hydrolyzes PIP2 to generate IP3 and DAG?
G-Alpha Q
What does DAG activate?
Protein Kinase C
What is the effector of the G-protein alpha subunit Q?
PLC-Beta
What are adenylyl cyclase isoforms activated by?
G-Alpha s (Hydrolyzes ATP to generate cAMP)
What are adenylyl cyclase isoforms inhibited by?
G-Alpha i/o
Where can alpha1 adrenergic receptors be found?
Smooth muscle and gland
What are Alpha-1 adrenergic receptors coupled to?
Gq protein (Activation releases IP3 and Ca for smooth muscle contraction and glandular secretion)
Where can Alpha-2 adrenergic receptors be found?
Presynaptic nerve terminals
Which type of adrenergic receptors provides feedback inhibition?
Alpha-2
Where can Beta-1 Adrenergic receptors be found?
Heart (They are excitatory)
Where can Beta-2 Adrenergic receptors be found?
Tracheal and Bronchial smooth muscle (They are inhibitory)
Which of the four adrenergic receptors does not respond to norepinephrine (requires epinephrine)?
Beta-2
What are Beta-2 Adrenergic receptors coupled to?
G-Alpha S (stimulates the production of cAMP)
Which of the five muscarinic receptors are coupled to G-Alpha Q?
M1, M3, M5
Which of the five muscarinic receptors are coupled to G-Alpha I?
M2, M4
Which type of neurotransmitter binds to muscarinic receptors?
Acetylcholine
Which nerves increase the rate of generation of action potentials in pacemaker cells of the cardiac muscle?
Sympathetic nerves via release of norepinephrine and activation of Beta-1 Adrenergic receptors
Which nerves decrease the rate of generation of action potentials in cardiac muscle?
Parasympathetic nerves via release of acetylcholine and activation of m2 muscarinic receptors
What elicits secretion of secretory cells?
Release of acetylcholine from secretomotor postganglionic parasympathetic nerves
Which neurotransmitter released from sympathetic nerves mediates vascular smooth muscle contraction by binding to Alpha-1 Adrenergic receptors?
Norepinephrine
Which neurotransmitter mediates airway smooth muscle relaxation by activation of Beta-2 Adrenergic receptors?
Epinephrine
Where does the sympathetic cascade begin, and what does it activate?
Signals are sent via the <i>hypothalamus</i> and activates:
<i>
Chromaffin cell in the adrenal medulla

Sympathetic post ganglionic neurons</i>
What are four processes carried out by the gastrointestinal tract?
Motility
Secretion
Absorption
Excretion
What is located between each major region of the gastrointentinal tract and is a thickening of the muscle layer?
A sphincter
What is food reduced to in the stomache?
chyme
What is the main function of the small intestine?
Digestion and Absorption
What is the main function of the large intestine?
Drying of Chyme into feces

Storage of feces
What is the role of the pancreas in gastrointestinal function?
Exocrine (secretion of digestive enzymes and bicarbonate ions)
What is the function of liver in gastrointestinal functions?
Exocrine (bile secretion)
Where is the storage and concentration of bile acids?
Gall bladder
What is the major smooth muscle coat of the GI tract surrounding the submucosa?
Muscularis externa
What is the outer connective tissue covering the GI tract?
Serosa
What are the slow waves of the autonomous smooth muscle generated by?
Pacemaker Cells - Interstitial cells of Cajal (ICC)
What type of stimulus does parasympathetic stimulation lead to in the gut?
Excitation (increased motility, increased secretion)
What is the primary neurotransmitter of the postganglionic fibers of the sympathetic nervous system affecting the GI tract?
Norepinephrine
How can the activation of the sympathetic chain produce an inhibition of gut function?
Termination of neurons on blood vessels cause vasoconstriction

Termination on glands can cause secretion

Termination on smooth muscle cells of sphincters can cause constriction
What is the intrinsic innervation of the GI tract provided by?
Enteric Nervous System
What is the largest endocrine organ in the body?
GI Tract
What are four GI hormones?
Secretin
Cholecystokinin (CCK)
Gastrin
Gastric Inhibitory Peptide (GIP)
What inhibits Gastrin release?
Low gastric luminal pH
Somatostatin
Certain Prostaglandins
What is the most appropriate action of gastrin in vivo?
Stimulation of acid secretion
What cell releases Gastrin?
G cells (Antral Gastrin Cells)
What cell releases CCK?
I cells of the duodenal and jejunal mucosa
What is the function of CCK in the GI tract?
Stimulates gallbladder contraction
Pancreatic Enzyme Secretion
Satiety
Inhibits gastric emptying and acid secretion
What cells release secretin?
S cells of the duodenal mucosa
What is the primary effect of secretin?
Stimulation of pancreatic bicarbonate and water secretion
What does secretin inhibit?
Gastric Acid Secretion
Gastric Emptying
What is an important action aside from inhibiting acid secretion of the Gastric Inhibitory Peptide?
Stimulation of insulin release in the presence of hyperglycemia
What two hormones are located in the duodenum?
CCK
Secretin
What are three candidate hormones in the GI tract?
Motilin
Pancreatic Polypeptide (PP)
Somatostatin
What candidate hormone is released during fasting and has significant effects on GI smooth muscle?
Motilin
When is PP released?
During meals
What is the most obvious biological function of PP?
Inhibition of pancreatic exocrine secretion
What are the three phases according to stimulus location of neural and hormonal control of the GI system?
Cephalic, Gastric, and Intestinal
What stimulates the cephalic phase of GI system?
Sight, smell, taste, and chewing stimulates receptors in the head
What neurotransmitter has an inhibitory effect on smooth muscle?
Epinephrine
What neurotransmitter has a stimulatory effect on smooth muscle?
Acetylcholine
Where can phasic muscle contractions be found in the GI tract?
Esophagus, Distal 1/3 of stomach (antrum), and small intestine
What are the parts of the GI system that are made up of skeletal muscle?
Upper 1/3 of esophagus
External Anal Spincter
(T/F) The longitudinal and circular layers of the smooth muscle of the GI tract can contract at the same time.
False, the circular and longitudinal muscle contractions are out of phase.
What are three motility patterns of the GI tract?
Peristalsis
Segmentation (mixing movements)
Tonic contractions
What is the law of intestine?
The propulsive segment (contraction behind the bolus,) and the receiving segment (relaxation ahead of it) is the response known as the law of intestine
What is contraction above the site of distension mediated by?
Cholinergic (Acetylcholine) neurons and tachykinin (Substance P) contatining neurons
What is relaxation below the site of distension mediated by?
Vasoactive intestinal peptide (VIP) and Nitric Oxide containing neurons
What type of movement is used to mix intestinal chyme through squeezing action?
Segmentation
Where can tonic contractions be found?
Areas where sphincters divide the gut into functional segments
During which phase of swallowing does the epiglottis close over the larynx to close the opening to the trachea?
Pharyngeal phase
What is the difference between primary and secondary peristalsis?
In secondary peristalsis, the contraction is not preceded by the oral and pharyngeal phases
What keeps the acidic stomach contents out of the esophagus?
Lower esophageal sphincter (LES)
What part of the stomach has no slow waves or myoelectrical rhythms, and serves as the major storage site for a meal?
Upper portion (Fundus and orad corpus)
What is the term of the mixed stomach secretions and food?
Chyme
What separates the stomach from the duodenal bulb?
Pyloric Sphinctor
What is the reflex that is initiated by distension of the stomach and conducted through the myenteric plexus from the stomach to the small intestine?
Gastro-enteric Reflex
What is the main function of the ileocecal valve?
Prevent backflow of fecal contents from the colon into the small intestine
What is the term for the muscles organized into three flat bands in the colon?
Tenia Coli
What enzyme is involved in the formation of gastric, pancreatic, and intestinal secretions?
Carbonic Anhydrase
What are five major secretory tissues in the digestive system?
Salivary Glands
Stomach
Pancreas
Hepatic-Biliary System
Intestine
What are two types of secretions in the GI system?
serous and protein
What is the serous component of secretions composed of?
Water and Electrolytes
What is the protein component of secretions composed of?
Enzymes
Mucus (mucopolysaccharides and glycoproteins)
What type of glands are gastric pits and intestinal crypts?
Tubular glands
What type of glands are the salivary gland and exocrine pancreas?
Compound glands
What is a substance that stimulates a particular cell to secrete?
Secretagogue
What is the mechanism by which Beta-Adrenergic agents, VIP, and Histamine lead to secretion?
They activate a G-Protein, which activates adenylate cyclase to increase intracellular cAMP
What is the mechanism by which acetylcholine, gastrin, cholecystokinin, and tachykinins cause secretion?
Hydrolyze PIP2, to release IP3 which enters the cytoplasm and causes a rise in intracellular calcium when calcium is released from intracellular stores
About how much saliva is produced each day?
1L
What cells secrete the digestive enzymes of saliva?
Cells of the acinus
What enzyme is secreted by salivary glands of the tongue and begins digestion of triglycerides?
Lingual lipase
What ion is found in higher concentration in saliva than plasma?
Potassium
What do the excretory and striated ducts do with saliva?
They modify the primary secretion by extracting Na+ and Cl- and adding K+ and HCO3-
What are the major secretions of the stomach?
HCl
Pepsin
Intrinsic Factor
Mucus
Bicarbonate
What is secreted from the chief cell and begins the digestion of lipids and fast-soluble materials?
Lipase
What is needed for vitamin B12 absorption in the ileum and is secreted by parietal cells?
Intrinsic factor
What protects stomach from auto-digestion?
Mucus
What part of the stomach synthesizes and releases gastrin?
Pyloric Gland Mucosa
What is the ionic composition of gastric juice related to?
Rate of secretion
What are three major stimulants of acid secretion?
Gastrin
Histamine
Acetylcholine
What is a major inhibitor of gastric acid secretion?
Somatostatin
What does the acid-secreting parietal cell have receptors for?
Acetylcholine, gastrin, histamine, and somatostatin
What does Gastrin and Ach increase in the parietal cell to induce acid secretion?
Cytosolic Calcium
What does histamine increase in the parietal cell to induce acid secretion?
cAMP
What factors stimulate the release of Gastrin?
Gastric distension
Presence of protein digestion products
Vagal stimulation
What stimulates somatostatin release?
Acid in the antrum
What are three phases of acid secretion?
Cephalic Phase (Meal Preparation)
Gastric Phase (Maximal Acid Secretion)
Intestinal Phase (Acid Inhibition)
What molecule stimulates the secretion of the aqueous component of the pancreas?
Secretin
What molecule stimulates the secretion of pancreatic enzymes?
Cholecystokinin (CCK)
What is the major functional unit of the exocrine pancreas?
Acinus
What structure regulates the flow of bile and pancreatic juice into the duodenum and prevents the reflex of intestinal contents into the bile ducts?
Sphincter of Oddi
What is the osmolarity of pancreatic fluid to that of plasma?
Equal to that of plasma at all rates of secretion
Where are all enzymes stored?
Membrane-Bound Vesicles - Zymogen Granules
What do pancreatic enzymes need to be exposed to before being activated?
Enterokinase
Trypsin
What type of enzyme digests carbohydrates?
Amylases
What does pancreatic amaylase generate when it cleaves starch?
Maltose, maltotriose
Which pancreatic proteolytic enzyme is active at aromatic amino acids?
Chymotrypsin(ogen)
Which pancreatic proteolytic enzyme is active at basic amino acids?
Trypsin(ogen)
Which pancreatic proteolytic enzyme is active at C-terminal end of peptide?
(Pro)carboxypeptidase A & B
What other factors are required for Lipase to split triglycerides into glycerol and free fatty acids?
Oil/water interface
Bile salts
Colipase
What happens when secretion surpasses absorption in the intestine and colon?
Watery diarrhea
What are the pits located over the entire surface of the small intestine?
Crypts of Lieberkuhn
What are two types of cells found in the crypts of lieberkuhn?
Goblet cells
Enterocytes
What is the Cl- ion channel in the crypt of Lieberkunh?
Cystic Fibrosis Transmembrane Regulator (CFTR)