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MUSCULAR SYSTEM
(MUSCLE AND NERVE )
PRESENTED BY
APARNA C LAKSHMY
 On the basis of presence or absence of striations
 Striated – skeletal and cardiac muscles
 Non-striated – smooth muscle
 Depending upon the control
 Voluntary muscle – skeletal muscle –
controlled by somatic nerve
 Involuntary muscle – cardiac and smooth
muscles – sympathetic and parasympathetic
division of autonomous NS
Classification of Muscle
 Depending upon the situation
Skeletal muscle – attached to bone
Cardiac muscle – form the
musculature of heart
Smooth muscle – associated with
visceral organs.
COMPARATIVE STUDY OF SKELETAL
,CARDIAC AND SMOOTH MUSCLE
SKELETAL MUSCLE
CARDIAC MUSCLE
SMOOTH MUSCLE
 PRODUCING BODY MOVEMENTS.
 STABILIZING BODY POSITIONS.
 STORING AND MOVING SUBSTANCES
WITHIN THE BODY.
 GENERATING HEAT (THERMOGENESIS)
FUNCTIONS OF MUSCULAR TISSUE
STRUCTURE OF
SKELETAL MUSCLE
MUSCLE CELL(FIBER)
SARCOMERE
MYOSIN FILAMENT
MYOSIN MOLECULE
ACTIN MOLECULE
TROPOMYOSIN
TROPONIN
MUSCLE PROTEINS
(CONTRACTILE ELEMENTS)
 OTHER PROTEINS
ACTININ
DESMIN
NEBULIN
TITIN
DYSTROPHIN
Myosin Molecule
ACTIN FILAMENT
SARCOTUBULAR SYSTEM
 EXCITABILITY
 CONTRACTILITY
 EXTENSIBILITY
 ELASTICITY
 RHYTHMICITY
PROPERTIES OF MUSCLE
Excitability
Stimulus
1. Mechanical
2. Electrical
3. Chemical
4. Thermal
Contractility.
Types
1. Isotonic
2. Isometric
PROPERTIES OF MUSCLE
 Based on the contraction time
 Red muscle
 Long contraction time
 Myoglobin content is more (red)
 Sarcoplasmic reticulum is less extensive
 Blood vessels are more extensive
 Mitochondria are more in number
 Long latent period
 Contraction is less powerful
 Fatigue occurs slowly
Contraction Time
 White muscle
 Shorter contraction time
 Myoglobin content is less (pale)
 Sarcoplasmic reticulum is more extensive
 Blood vessels are less extensive
 Mitochondria are less in number
 Short latent period
 Contraction is more powerful
 Fatigue occurs quickly
 Strength of stimuli
 Number of Stimulus
 Temperature
 Load
Factors Affecting Force of
Contraction
 Sub minimal or subliminal stimulus
 Minimal stimulus or Threshold stimulus
or liminal stimulus
 Submaximal stimulus
 Maximal stimulus
 Supramaximal stimulus
EFFECT ON STRENGTH OF
STIMULUS
Effect of two stimuli
1. Beneficial Effect
2. Superposition or superimposition
or incomplete summation
3. Summation
EFFECT ON NO OF STIMULUS
Graphical representation
1. Fatigue
2. Tetanus
Effect of Multiple stimuli
 Physiological tetanus
 When multiple stimuli are applied at a high
frequency, muscle remains in a contracted
state.
 Relaxes only after stoppage of stimulus or
fatigued.
 Pathological tetanus
 Toxin of Clostridium tetani – affect NS lead to
paralysis of muscle
 Upper jaw muscle – locking of jaws
 If not timely treated lead to death.
TETANUS
Pathological tetanus
 Heat Rigor
 Cold Rigor
 Calcium Rigor
 Rigor Mortis
RIGOR
 The failure of relaxation of muscle after contraction in
death.
 ATPs are not available and Ca++ cannot pumped back.
 Develop fully up to 12 hrs and passed off when
decomposition starts after 48 hrs of death.
 Medico legal importance
 Determining the time of the death (rigor mortis takes
different time to set in different individuals)
 Can predict, whether the death is after a long
Rigor Mortis
Physiology of muscle
contraction
CHANGES DURING MUSCLE CONTRACTION
 ELECTRICAL
 PHYSICAL
 HISTOLOGICAL(MOLECULAR)
 CHEMICAL
 THERMAL
 RESTING MEMBRANE POTENTIAL
 ACTION POTENTIAL
 GRADED POTENTIAL
ELECTRICAL CHANGES
 Resting membrane potential is the electrical potential
difference (voltage)across the cell membrane under
resting condition
 It is also called membrane potential ,transmembrane
potential,transmembrane potential difference or
transmembrane potential gradient
 There is negativity inside and positivity outside the
muscle fiber.
 The condition of the muscle during resting membrane
potential is called polarized state
 RMP of skeletal muscle: -90mv
Resting Membrane Potential
IONIC BASIS OF RMP
The ionic imbalance is produced mainly by 2
transport mechanisms in the cell membrane:
1.Sodium -potassium pump
Sodium and potassium ions are transported by
this pump,
 It moves 3 Na ions out of the cell and 2
potassium ions inside the cell by using
energy from ATP
IONIC BASIS OF RMP
 2.SELECTIVE PERMEABILITY OF CELL
MEMBRANE
1. Channels for major anions(negatively
charged substances )like proteins are
absent or closed.so these substances
remain inside the cell and maintain RMP
1. LEAK CHANNELS
Cl- Channels are mostly closed in resting conditions
,Cl -ions are retained outside the cell.
In resting condition,all the k+ leak channels are
opened but most of the Na + leak channels are
opened.Because of this K+ which are transported
actively into the cell,can diffuse back out of cell in an
attempt to maintain the concentration equilibrium
That is,in resting condition ,the passive k+ efflux is
much greater the the passive Na+ influx
 The sequential change of membrane potential after
application of a stimulus is known as AP.
After application of a stimulus
Magnitude of membrane potential changes
 2 phases
Depolarization
 Initial phase of AP in which interior of the muscle
becomes positive and exterior becomes negative
 Repolarization
It is the phase of AP when the potential inside the
muscle reverse back to the RMP
During onset of depolarization,there is slow influx of
Na+.when depolarization reaches 7- 10 Mv,the voltage
gated Na+ channels start opening at a faster rate and cause
overshoot
But the Na+ transport is short lived.So the channels
open and close quickly.
At the same time,the K+ channels start opening ,this
leads to efflux of K+ out of the cell causing repolarization
IONIC BASIS OF AP
ACTION POTENTIAL CURVE
GP is a mild local change in the membrane potential
that develops in receptors ,synapse,or neuromuscular
junction when stimulated.
It is also called graded membrane potential or graded
depolarization.
GRADED POTENTIAL
ACTION POTENTIAL GRADED POTENTIAL
PROPAGATIVE
LONG DISTANCE SIGNAL
BOTH DEPOLARIZATION AND
REPOLARIZATION
OBEYS ALL OR NONE LAW
SUMMATION IS NOT POSSIBLE
HAS REFRACTORY PERIOD
NON PROPAGATIVE
SHORT DISTANCE SIGNAL
ONLY DEPOLARIZATION OR
HYPERPOLARIZATION
DOESNOT OBEY ALL OR NONE LAW
SUMMATION IS POSSIBLE
NO REFRACTORY PERIOD
 Change in length of muscle fibers
 Change in the tension
2.PHYSICAL CHANGES
Stages
1. Excitation contraction coupling
2. Role of troponin and Tropomyosin
3. Sliding Mechanism
Molecular basis of muscular
contraction
Meaning
Process that occurs in between the
excitation and contraction of the
muscle
Excitation Contraction Coupling
 Impulse reaches the neuromuscular junction causing
release of Acetylcholine(Ach) from motor endplate
 Ach causes opening of ligand gated Na channels
 Development of endplate potential causing
generation of action potential in muscle fiber.
 Action potential spreads over sarcolemma and also
into muscle fiber through T-tubules .
Excitation Contraction Coupling
 Causing rapid spread of action potential into the muscle
fibers
 When action potential reaches the cisternae of L- tubules
,the cisternae are excited
 Ca ions stored in the cisternae are released into sarcoplasm
 The Ca ions from the sarcoplasm moves towards the actin
filamnet to produce the contraction
 Explains how the actin filaments slide over myosin
filaments and form actomyosin complex during
muscular contraction
 It is also called ratchet or walk along theory
SLIDING MECHANISM
(SLIDING THEORY)
SLIDING MECHANISM
 The length of all sarcomeres decreased as the ‘z’
lines come close to each other.
 The length of the ‘I’ band decreases since the actin
filament from opposite side overlap.
 The ‘H’zone either decreases or disappears.
 The length of ‘A’ band remains the same.
Changes occuring in the sarcomere
 Pumping of ca ions into L-tubules
 Release of Ca ions from troponin C
 Detachment of myosin head from F actin
 Muscular Relaxtion
Relaxation of the muscle
 ATP is needed mainly for,
1. Spread of action potential into muscle
2. Liberation of Ca ions from cisternae of L-tubules
inton sarcoplasm
3. Movements of mysosin head
4. Sliding mechanism
Chemical Changes
 Muscle fibers have 3 ways to produce ATPs
1. From creatine phosphate
2. By anaerobic cellular respiration
3. By aerobic respiration
In resting condition –Alkaline
During onset of contraction-Acidic
During later part of contraction-Alkaline
At the end of contraction - acidic
Changes in pH during muscular
contration
 Resting heat
 Initial heat
1. Heat of activation
2. Heat of shortening
3. Heat of relaxation
 Recovery heat
Thermal changes
 Stimulation of muscle fiber by impulse
 Generation of action potential in muscle
 Spreading of action potential through sarcolemma and T
tubules.
 Arrival of action potential at cisternae of L-Tubules
 Release of calcium ions from cisternae into sarcoplasm
EVENTS OF MUSCULAR
CONTRACTION
 Binding of calcium ions to troponin C and change in
position of troponin C
 Exposure of active sites of F actin
 Binding of myosin head with F-actin and power stroke
in myosin head
 Sliding of actin filaments over myosin filaments
 Muscular contraction
DEFINITION
Neuromuscular junction is the
junction between the terminal
branch of the nerve fiber and
muscle fiber
Neuromuscular junction
Neuromuscular junction
 Skeletal muscle fibers are innervated by motor
nerve fibers.
 Terminal branch of nerve fiber is called axon
terminal.
 The portion of axis cylinder expanded like a bulb
which is called motor endplate.
 The motor endplate invaginates inside the muscle
fiber and forms a depression which is know as
synaptic trough or synaptic gutter
STRUCTURE
 The membrane of the nerve ending is called the
presynaptic membrane.
 The membrane of the muscle fiber is called postsynaptic
membrane which contain receptors called nicotinic
acetylcholine receptors.
 The space between these two is called synaptic cleft.
Synaptic Cleft
 The axon terminal contains mitochondria ,which is the
source of energy for synthesis of acetylcholine and
synaptic vesicles which contain acetylcholine,which is
responsible for neurotransmission
The postsynaptic membrane thrown into numerous
folds called subneural clefts
 Definition
NMT is defined as the transfer of information from
motor nerve ending to the muscle fiber through neuro
muscular junction
It is the mechanism by which the motor nerve
impulses initiate muscle contraction
NEUROMUSCULAR TRANSMISSION
MOTOR NERVE FIBERS
• ACTION POTENTIAL
AXON TERMINAL
• OPENING OF VOLTAGE GATED CALCIUM CHANNELS
• ENERY OF CALCIUM IONS FROM EXTRA CELLULAR
FLUIDS
• OPENING OF VESICLES AND RELEASE OF Ach
Synaptic cleft
Passage of Ach
NEUROMUSCULAR TRANSMISSION
Postsynaptic membrane
• BINDING OF Ach WITH RECEPTOR AND
FORMATION OF Ach -RECEPTOR COMPLEX
• OPENING OF LIGAND GATED SODIUM
CHANNELS
• ENTRY OF SODIUM IONS FROM ECF
• DEVELOPMENT OF ENDPALTE POTENTIAL
MUSCLE FIBER
• GENERATION OF ACTION POTENTIAL
• EXCITATION CONTRACTION
COUPLING
• MUSCULAR CONTRACTION
Neuromuscular blockers are the
drugs ,which can prevent the
transmission of impulses from nerve
fiber to the muscle fiber through the
neuromuscular junctions
NEUROMUSCULAR BLOCKERS
 Curare
1. Prevents transmission by combining with
acetylcholine receptors.So the Ach cannot combine
with the receptors
 Bungarotoxin
1. It is a toxin from the venom of deadly snakes
2. It affects transmission by blocking the Ach receptors
IMPORTANT NEUROMUSCULAR
BLOCKERS
 Succinylcholine and Carbamylcholine
1. These drugs block transmission by acting like
Ach and keeping the muscle in a depolarized
state.
2. These drugs are not destroyed by cholinesterase
causing muscle to remain in a depolarized state.
 Botulinum Toxin
1. Dervied from the baccteria clostridium
botulinum
2. It prevents release of Ach from axon terminal
into NMJ
 These drugs inactivate the enzyme,acetylcholinesterase
Examples
1. Neostigmine
2. Physostigmine
3. Disopropyl fluorophosphate
DRUGS STIMULATING NMJ
 The single motor neuron,its axon
terminals,and the muscle fibers
innervated by it are together called
motor unit.
MOTOR UNIT
 Muscular Dystrophy
1. Duchenne Muscular dystrophy
2. Becker’s muscular Dystrophy
 Disease involving muscle tone
1. Hypertonicity hypertonia
2. Hypotonia
3. Myotonia
Becker type myotonia(generalised myotonia)
Thomsen type myotonia
Disorders of skeletal
Muscles(myopathy)
 Fibrillation and denervation hypersensitivity
 Myasthenia Gravis
 Lambert -Eaten Syndrome
 Mc Ardle’s Disease
 Mitochondrial Myopathy
 Nemaline Myopathy
 Muscular Dystrophy
1. Duchenne Muscular dystrophy
 It is a sex – linked recessive disorder.
 It is due to the absence of a gene product called
dystrophin in the X chromosome.
 It is characterized by degeneration and necrosis of
muscle fiber
2..Becker’s muscular Dystrophy
 It is a sex- linked disorder
 It occurs due to reduction in quantity or alteration of
dystrophin
 Common features are slow progressive weakness of
legs and pelvis,pseudohypertrophy of calf muscles,fatigue
and mental retardation.
 Slow and weak muscular contraction because of
defective neuromuscular activity
 Inability to maintain the prolonged contraction of
skeletal muscular contractions
 Weakness and fatigability of arms and legs
 Double vision and droopy eyelids due to the weakness
of ocular muscles
 Difficulty in swallowing due to weakness of throat
muscles
 Difficulty in speech due to weakness of muscles of
speech
symptoms

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Muscular system

  • 1. MUSCULAR SYSTEM (MUSCLE AND NERVE ) PRESENTED BY APARNA C LAKSHMY
  • 2.  On the basis of presence or absence of striations  Striated – skeletal and cardiac muscles  Non-striated – smooth muscle  Depending upon the control  Voluntary muscle – skeletal muscle – controlled by somatic nerve  Involuntary muscle – cardiac and smooth muscles – sympathetic and parasympathetic division of autonomous NS Classification of Muscle
  • 3.  Depending upon the situation Skeletal muscle – attached to bone Cardiac muscle – form the musculature of heart Smooth muscle – associated with visceral organs.
  • 4. COMPARATIVE STUDY OF SKELETAL ,CARDIAC AND SMOOTH MUSCLE
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  • 11.  PRODUCING BODY MOVEMENTS.  STABILIZING BODY POSITIONS.  STORING AND MOVING SUBSTANCES WITHIN THE BODY.  GENERATING HEAT (THERMOGENESIS) FUNCTIONS OF MUSCULAR TISSUE
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  • 27.  EXCITABILITY  CONTRACTILITY  EXTENSIBILITY  ELASTICITY  RHYTHMICITY PROPERTIES OF MUSCLE
  • 28. Excitability Stimulus 1. Mechanical 2. Electrical 3. Chemical 4. Thermal Contractility. Types 1. Isotonic 2. Isometric PROPERTIES OF MUSCLE
  • 29.
  • 30.  Based on the contraction time  Red muscle  Long contraction time  Myoglobin content is more (red)  Sarcoplasmic reticulum is less extensive  Blood vessels are more extensive  Mitochondria are more in number  Long latent period  Contraction is less powerful  Fatigue occurs slowly Contraction Time
  • 31.  White muscle  Shorter contraction time  Myoglobin content is less (pale)  Sarcoplasmic reticulum is more extensive  Blood vessels are less extensive  Mitochondria are less in number  Short latent period  Contraction is more powerful  Fatigue occurs quickly
  • 32.  Strength of stimuli  Number of Stimulus  Temperature  Load Factors Affecting Force of Contraction
  • 33.  Sub minimal or subliminal stimulus  Minimal stimulus or Threshold stimulus or liminal stimulus  Submaximal stimulus  Maximal stimulus  Supramaximal stimulus EFFECT ON STRENGTH OF STIMULUS
  • 34. Effect of two stimuli 1. Beneficial Effect 2. Superposition or superimposition or incomplete summation 3. Summation EFFECT ON NO OF STIMULUS
  • 36. 1. Fatigue 2. Tetanus Effect of Multiple stimuli
  • 37.  Physiological tetanus  When multiple stimuli are applied at a high frequency, muscle remains in a contracted state.  Relaxes only after stoppage of stimulus or fatigued.  Pathological tetanus  Toxin of Clostridium tetani – affect NS lead to paralysis of muscle  Upper jaw muscle – locking of jaws  If not timely treated lead to death. TETANUS
  • 39.  Heat Rigor  Cold Rigor  Calcium Rigor  Rigor Mortis RIGOR
  • 40.  The failure of relaxation of muscle after contraction in death.  ATPs are not available and Ca++ cannot pumped back.  Develop fully up to 12 hrs and passed off when decomposition starts after 48 hrs of death.  Medico legal importance  Determining the time of the death (rigor mortis takes different time to set in different individuals)  Can predict, whether the death is after a long Rigor Mortis
  • 42. CHANGES DURING MUSCLE CONTRACTION  ELECTRICAL  PHYSICAL  HISTOLOGICAL(MOLECULAR)  CHEMICAL  THERMAL
  • 43.  RESTING MEMBRANE POTENTIAL  ACTION POTENTIAL  GRADED POTENTIAL ELECTRICAL CHANGES
  • 44.  Resting membrane potential is the electrical potential difference (voltage)across the cell membrane under resting condition  It is also called membrane potential ,transmembrane potential,transmembrane potential difference or transmembrane potential gradient  There is negativity inside and positivity outside the muscle fiber.  The condition of the muscle during resting membrane potential is called polarized state  RMP of skeletal muscle: -90mv Resting Membrane Potential
  • 46. The ionic imbalance is produced mainly by 2 transport mechanisms in the cell membrane: 1.Sodium -potassium pump Sodium and potassium ions are transported by this pump,  It moves 3 Na ions out of the cell and 2 potassium ions inside the cell by using energy from ATP IONIC BASIS OF RMP
  • 47.
  • 48.  2.SELECTIVE PERMEABILITY OF CELL MEMBRANE 1. Channels for major anions(negatively charged substances )like proteins are absent or closed.so these substances remain inside the cell and maintain RMP
  • 49. 1. LEAK CHANNELS Cl- Channels are mostly closed in resting conditions ,Cl -ions are retained outside the cell. In resting condition,all the k+ leak channels are opened but most of the Na + leak channels are opened.Because of this K+ which are transported actively into the cell,can diffuse back out of cell in an attempt to maintain the concentration equilibrium That is,in resting condition ,the passive k+ efflux is much greater the the passive Na+ influx
  • 50.  The sequential change of membrane potential after application of a stimulus is known as AP. After application of a stimulus Magnitude of membrane potential changes
  • 51.  2 phases Depolarization  Initial phase of AP in which interior of the muscle becomes positive and exterior becomes negative  Repolarization It is the phase of AP when the potential inside the muscle reverse back to the RMP
  • 52. During onset of depolarization,there is slow influx of Na+.when depolarization reaches 7- 10 Mv,the voltage gated Na+ channels start opening at a faster rate and cause overshoot But the Na+ transport is short lived.So the channels open and close quickly. At the same time,the K+ channels start opening ,this leads to efflux of K+ out of the cell causing repolarization IONIC BASIS OF AP
  • 54. GP is a mild local change in the membrane potential that develops in receptors ,synapse,or neuromuscular junction when stimulated. It is also called graded membrane potential or graded depolarization. GRADED POTENTIAL
  • 55. ACTION POTENTIAL GRADED POTENTIAL PROPAGATIVE LONG DISTANCE SIGNAL BOTH DEPOLARIZATION AND REPOLARIZATION OBEYS ALL OR NONE LAW SUMMATION IS NOT POSSIBLE HAS REFRACTORY PERIOD NON PROPAGATIVE SHORT DISTANCE SIGNAL ONLY DEPOLARIZATION OR HYPERPOLARIZATION DOESNOT OBEY ALL OR NONE LAW SUMMATION IS POSSIBLE NO REFRACTORY PERIOD
  • 56.  Change in length of muscle fibers  Change in the tension 2.PHYSICAL CHANGES
  • 57. Stages 1. Excitation contraction coupling 2. Role of troponin and Tropomyosin 3. Sliding Mechanism Molecular basis of muscular contraction
  • 58. Meaning Process that occurs in between the excitation and contraction of the muscle Excitation Contraction Coupling
  • 59.  Impulse reaches the neuromuscular junction causing release of Acetylcholine(Ach) from motor endplate  Ach causes opening of ligand gated Na channels  Development of endplate potential causing generation of action potential in muscle fiber.  Action potential spreads over sarcolemma and also into muscle fiber through T-tubules . Excitation Contraction Coupling
  • 60.  Causing rapid spread of action potential into the muscle fibers  When action potential reaches the cisternae of L- tubules ,the cisternae are excited  Ca ions stored in the cisternae are released into sarcoplasm  The Ca ions from the sarcoplasm moves towards the actin filamnet to produce the contraction
  • 61.  Explains how the actin filaments slide over myosin filaments and form actomyosin complex during muscular contraction  It is also called ratchet or walk along theory SLIDING MECHANISM (SLIDING THEORY)
  • 63.
  • 64.  The length of all sarcomeres decreased as the ‘z’ lines come close to each other.  The length of the ‘I’ band decreases since the actin filament from opposite side overlap.  The ‘H’zone either decreases or disappears.  The length of ‘A’ band remains the same. Changes occuring in the sarcomere
  • 65.  Pumping of ca ions into L-tubules  Release of Ca ions from troponin C  Detachment of myosin head from F actin  Muscular Relaxtion Relaxation of the muscle
  • 66.  ATP is needed mainly for, 1. Spread of action potential into muscle 2. Liberation of Ca ions from cisternae of L-tubules inton sarcoplasm 3. Movements of mysosin head 4. Sliding mechanism Chemical Changes
  • 67.  Muscle fibers have 3 ways to produce ATPs 1. From creatine phosphate 2. By anaerobic cellular respiration 3. By aerobic respiration
  • 68. In resting condition –Alkaline During onset of contraction-Acidic During later part of contraction-Alkaline At the end of contraction - acidic Changes in pH during muscular contration
  • 69.  Resting heat  Initial heat 1. Heat of activation 2. Heat of shortening 3. Heat of relaxation  Recovery heat Thermal changes
  • 70.  Stimulation of muscle fiber by impulse  Generation of action potential in muscle  Spreading of action potential through sarcolemma and T tubules.  Arrival of action potential at cisternae of L-Tubules  Release of calcium ions from cisternae into sarcoplasm EVENTS OF MUSCULAR CONTRACTION
  • 71.  Binding of calcium ions to troponin C and change in position of troponin C  Exposure of active sites of F actin  Binding of myosin head with F-actin and power stroke in myosin head  Sliding of actin filaments over myosin filaments  Muscular contraction
  • 72.
  • 73. DEFINITION Neuromuscular junction is the junction between the terminal branch of the nerve fiber and muscle fiber Neuromuscular junction
  • 75.
  • 76.  Skeletal muscle fibers are innervated by motor nerve fibers.  Terminal branch of nerve fiber is called axon terminal.  The portion of axis cylinder expanded like a bulb which is called motor endplate.  The motor endplate invaginates inside the muscle fiber and forms a depression which is know as synaptic trough or synaptic gutter STRUCTURE
  • 77.  The membrane of the nerve ending is called the presynaptic membrane.  The membrane of the muscle fiber is called postsynaptic membrane which contain receptors called nicotinic acetylcholine receptors.  The space between these two is called synaptic cleft. Synaptic Cleft
  • 78.  The axon terminal contains mitochondria ,which is the source of energy for synthesis of acetylcholine and synaptic vesicles which contain acetylcholine,which is responsible for neurotransmission The postsynaptic membrane thrown into numerous folds called subneural clefts
  • 79.  Definition NMT is defined as the transfer of information from motor nerve ending to the muscle fiber through neuro muscular junction It is the mechanism by which the motor nerve impulses initiate muscle contraction NEUROMUSCULAR TRANSMISSION
  • 80. MOTOR NERVE FIBERS • ACTION POTENTIAL AXON TERMINAL • OPENING OF VOLTAGE GATED CALCIUM CHANNELS • ENERY OF CALCIUM IONS FROM EXTRA CELLULAR FLUIDS • OPENING OF VESICLES AND RELEASE OF Ach Synaptic cleft Passage of Ach NEUROMUSCULAR TRANSMISSION
  • 81. Postsynaptic membrane • BINDING OF Ach WITH RECEPTOR AND FORMATION OF Ach -RECEPTOR COMPLEX • OPENING OF LIGAND GATED SODIUM CHANNELS • ENTRY OF SODIUM IONS FROM ECF • DEVELOPMENT OF ENDPALTE POTENTIAL MUSCLE FIBER • GENERATION OF ACTION POTENTIAL • EXCITATION CONTRACTION COUPLING • MUSCULAR CONTRACTION
  • 82. Neuromuscular blockers are the drugs ,which can prevent the transmission of impulses from nerve fiber to the muscle fiber through the neuromuscular junctions NEUROMUSCULAR BLOCKERS
  • 83.  Curare 1. Prevents transmission by combining with acetylcholine receptors.So the Ach cannot combine with the receptors  Bungarotoxin 1. It is a toxin from the venom of deadly snakes 2. It affects transmission by blocking the Ach receptors IMPORTANT NEUROMUSCULAR BLOCKERS
  • 84.  Succinylcholine and Carbamylcholine 1. These drugs block transmission by acting like Ach and keeping the muscle in a depolarized state. 2. These drugs are not destroyed by cholinesterase causing muscle to remain in a depolarized state.  Botulinum Toxin 1. Dervied from the baccteria clostridium botulinum 2. It prevents release of Ach from axon terminal into NMJ
  • 85.  These drugs inactivate the enzyme,acetylcholinesterase Examples 1. Neostigmine 2. Physostigmine 3. Disopropyl fluorophosphate DRUGS STIMULATING NMJ
  • 86.  The single motor neuron,its axon terminals,and the muscle fibers innervated by it are together called motor unit. MOTOR UNIT
  • 87.  Muscular Dystrophy 1. Duchenne Muscular dystrophy 2. Becker’s muscular Dystrophy  Disease involving muscle tone 1. Hypertonicity hypertonia 2. Hypotonia 3. Myotonia Becker type myotonia(generalised myotonia) Thomsen type myotonia Disorders of skeletal Muscles(myopathy)
  • 88.  Fibrillation and denervation hypersensitivity  Myasthenia Gravis  Lambert -Eaten Syndrome  Mc Ardle’s Disease  Mitochondrial Myopathy  Nemaline Myopathy
  • 89.  Muscular Dystrophy 1. Duchenne Muscular dystrophy  It is a sex – linked recessive disorder.  It is due to the absence of a gene product called dystrophin in the X chromosome.  It is characterized by degeneration and necrosis of muscle fiber
  • 90. 2..Becker’s muscular Dystrophy  It is a sex- linked disorder  It occurs due to reduction in quantity or alteration of dystrophin  Common features are slow progressive weakness of legs and pelvis,pseudohypertrophy of calf muscles,fatigue and mental retardation.
  • 91.  Slow and weak muscular contraction because of defective neuromuscular activity  Inability to maintain the prolonged contraction of skeletal muscular contractions  Weakness and fatigability of arms and legs  Double vision and droopy eyelids due to the weakness of ocular muscles  Difficulty in swallowing due to weakness of throat muscles  Difficulty in speech due to weakness of muscles of speech symptoms