SlideShare ist ein Scribd-Unternehmen logo
1 von 58
EXCITATION
CONTRACTION &
SECREATION
PREPARED BY:SYED KASHIF
I st YEAR M PHARM
SUBMITTED TO:DR M A AZEEM SIR
AL-AMEN COLLEGE OF PHARMACY
1
EXCITATION
2
CONTENTS
 EXCITATION
I. Introduction
II. Synapse & its components
III. Neurotransmitters & their release
IV. Neurohumoral transmission
3
DEFINITION
 The activity produced in an organ, tissue, or part, such as a nerve cell, as a
result of stimulation.
 The cells get excitated through signals sent by the nervous system
 The signals may be chemical or electrical
 Electrical signals are seen mostly in lower group of organisms where as
chemical signals are seen in the higher group of organisms
 The signals transmitted by the nervous system are transmitted through the
nerve cells called NEURONS
4
A neuron
A neuron:
 Nerve cell
 Trasmits signals in the form of
action potential.
Parts:
 The cell body (soma or);
 The dendrites,
 Receive information from
other neurons
 Axon, which conducts electrical
impulses away from the cell body.
 Terminal buttons
( terminal knobs, boutons, end-feet,
or synaptic knobs)
5
A neuron
6
Synapse
 The junction between the axon terminals of a
neuron and the receiving cell is called a synapse.
7
Synapse
 Components of synapse:
 Pre-synaptic neuron : the neuron that secretes the
transmitter substance.
 Postsynaptic neuron: the neuron on which the transmitter
acts.
 Synaptic cleft: The space that seperates the pre-synaptic
terminal from the postsynaptic neuron.
 Neuromuscular Junction ( NMJ):
 Pre-synaptic neuron: Motor neuron
 Post synaptic: Muscle cell.
8
Synapse
9
Synapse
The pre-synaptic
neuron contains:
 The transmitter
vesicles
 The transmitter
vesicles contain the
transmitter substance
that, when released
into the synaptic cleft
called
neurotransmitters.
10
Neurotransmitters.
 A chemical substance secreted by a nerve
ending into the synapse.
 Acts on receptor proteins in the membrane
of the next neuron to excite the neuron,
inhibit it, or modify its function.
 E.g.
 Acetylcholine,
 Norepinephrine,
 Epinephrine,Gamma-aminobutyric acid (GABA),
 Glycine
11
Neurotransmitters.
12
NEUROHUMORAL TRANSMISSION
 It is the process in which an impulse is transmitted
between the presynaptic & postsynaptic neuron by means
of neurohumoral mediator signals resulting in
enhancement or inhibition of the response
 The nerve cells transmit their messages across the
synapse by releasing chemical mediators from nerve
ending into the synaptic cleft
 Influx of Ca ions during nerve impulse releases the
neurotransmitter from synaptic vesicles of the presynaptic
nerve into the synaptic cleft that reach the postsynaptic
receptor site & exert their action
13
STEPS INVOLVED IN NEUROHUMORAL TRANSMISSION
14
1) Conduction of impulse or action potential
15
axon
• inside
• outside
K+ ions
• high
• low
Na & Cl ions
• low
• high
 The membrane potential of the axon is -70mV
 The conc. Of these ions is maintained by Na-K pump
 Once the action potential reaches the presynaptic nerve fibres Na
permeability is increased hence Na moves in causing depolarization
 The membrane potential is +20mV
 Depolarization also opens K channels causing its efflux
 This concentration of ions is brought to normal by Na-K pump which
pumps 3 Na ions out & 2 K ions in bringing the potential back to
normal
 During this process the ionic currents are generated that activate the
channels present on the adjacent neurons
16
2) Release of neurotransmitter
 The neurotransmitters are formed in the nerve terminals
& stored in synaptic vesicles of the synaptic bulb
 Once the action potential reaches the presynaptic nerve
fibres it activates the Ca channels present in the nerve
terminals
 The intraterminal Ca level increases causing the snaptic
vesicles to fuse with the axon which causes the
neurotransmitters to release into the synaptic cleft by a
process called as exocytosis
17
3) Interaction of the neurotransmitter
 The neurotransmitters released into the synapse join the
post junctional receptors present on the postsynaptic
nerve & exert their action either EXCITATORY or
INHIBITORY
 RESPONSES ARE OF TWO TYPES
 EXCITATORY POSTSYNAPTIC POTENTIAL(EPSP)
 INHIBITORY POSTSYNAPTIC POTENTIAL(IPSP)
18
EXCITATORY POSTSYNAPTIC POTENTIAL(EPSP)
 In EPSP the permeability of axonal membrane to all
cations (Na K Ca) is enhanced
 Na & Ca move inside the membrane causing depolarization
 K ions move out
 EPSP occurs only when the neurotransmitter is ASPARTATE
or GLUTAMATE
19
INHIBITORY POSTSYNAPTIC POTENTIAL(IPSP)
 In IPSP the axonal permeability to K & Cl ions is enhance
 IPSP involves influx of Cl ions & efflux of K ions
 IPSP occurs only when the neurotransmiters are either
glycine or GABA
20
4)TERMINATION of neurotransmitter
 It can occur by either combining with certain
receptors on the postsynaptic membrane as in the
case with adrenoreceptor binding drugs ex;
noradrenaline
 Or it may get inactivaetd by certain enzymes
present at the receptor site as in the case with
Ach
21
CONTRACTION
22
CONTENTS
 CONTRACTION
1. CONTRCTION IN SKELETAL MUSCLES
 Introduction
 Types of contraction
 Basic Physiology of contraction
 Excitation-contraction coupling
 Sliding filament theory
2. CONTRACTION IN CARDIAC MUSCLES
 Excitation-Contraction coupling in cardiac muscles
23
DEFINITION
 Muscle contraction is the activation of tension-generating
sites within muscle fibers
24
TYPES OF CONTRACTION
CONTRACTIONS
ISOTONIC
CONCENTRIC ECCENTRIC
ECCENTRIC(IN
MOVEMENT)
ISOMETRIC
25
TYPES
 An isometric contraction of a muscle generates tension without changing
length
 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 concentric contraction, muscle tension is sufficient to overcome the load,
and the muscle shortens as it contracts. This occurs when the force generated
by the muscle exceeds the load opposing its contraction.
 In eccentric contraction, the tension generated is insufficient to overcome
the external load on the muscle and the muscle fibers lengthen as they
contract
 Eccentric contractions normally occur as a braking force in opposition to a
concentric contraction to protect joints from damage.
26
PHYSIOLOGY
 For voluntary muscles, all contraction (excluding reflexes) occurs as a
result of conscious effort originating in the brain. The brain sends
signals, in the form of action potentials, through the nervous
system to the motor neuron that innervates several muscle fibers
 Involuntary muscles such as the heart or smooth muscles in the gut
and vascular system contract as a result of non-conscious brain
activity or stimuli endogenous to the muscle itself
 There are three general types of muscle tissues
 Skeletal muscle responsible for movement
 Cardiac muscle responsible for pumping blood
 Smooth muscle responsible for sustained contractions in the vascular
system, gastrointestinal tract, and other areas in the body.
27
28
EXCITATION-CONTRACTION COUPLING
 The membrane potential of a skeletal muscle cell is depolarized by an action
potential
 This depolarisation activates non-gated voltage sensors,
DHPRs(dihydropyridine receptors The Ca release channels)
 This activates RyR(the ryanodine receptor i.e voltage-gated L-type calcium
channels ) type 1 via foot processes (involving conformational changes that
allosterically activates the RyRs)
 As the RyRs open, calcium is released from the SR into the local junctional
space, which then diffuses into the bulk cytoplasm to cause a calcium spark
 The near synchronous activation of thousands of calcium sparks by the action
potential causes a cell wide increase in calcium giving rise to the upstroke of
the calcium transient.
29
 The calcium released into the cytosol binds to Troponin C by the actin
filaments, to allow cross-bridge cycling, producing force and, in some
situations, motion
 The sarco/endoplasmic reticulum calcium-ATPase (SERCA) actively pumps
calcium back into the SR
 As calcium declines back to resting levels, the force declines and relaxation
occurs
30
SLIDING FILAMENT THEORY
 The sliding filament theory describes a process used by muscles to contract. It
is a cycle of repetitive events that cause a thin filament to slide over a thick
filament and generate tension in the muscle. It was independently developed
by Andrew F. Huxley and Rolf Niedergerke and by Hugh Huxley and Jean
Hanson in 1954.
 When a muscle cell contracts, the thin filaments slide past the thick filaments,
and the sarcomere shortens. This process comprised of several steps is called
the Sliding Filament Theory. It is also called the Walk Along Theory or the
Ratchet Theory
31
32
STEPS INVOLVED
 Before contraction begins, An ATP molecule binds to the
myosin head of the cross-bridges.
 The ATPase activity of the myosin head immediately
cleaves the ATP molecule but the products (ADP+P)
remains bound to the head. Now the myosin head is in a
high energy state and ready to bind to the actin molecule.
 When the troponin-tropomyosin complex binds with
calcium ions that come from the sarcoplasmic reticulum,
it pulls the tropomyosin so that the active sites on the
actin filaments for the attachment of the myosin molecule
are uncovered.
 Myosin head binds to the active site on the actin
molecule.
33
 The bond b/w the head of the cross bridges(myosin) &
the actin filaments causes a the bridge to change shape
bending 45° inwards as if it was on a hinge, stroking
towards the centre of the sarcomere, like the stroking of
a boat oar. This is called a POWER STROKE.
 This power stroke pulls the thin filament inward only a
small distance.
 Once the head tilts, this allows release of ADP &
phosphate ions.
 At the site of release of ADP, a new ATP binds. This
binding causes the detachment of the myosin head
from the actin.
34
 A new cycle of attachment-detachment-attachment begins.
 Repeated cycles of cross-bridge binding, bending and detachment
complete
the shortening and contraction of the muscle.
35
After the ATP has bound to the myosin head, the
binding of Myosin to Actin molecule takes place:
36
Once the actin active sites are
uncovered, the myosin binds to it:
37
Power Stroke
38
POWER STROKE
39
Shortening of the Muscle:
• The thick and thin filaments
DO NOT shorten.
• Contraction is accomplished
by the thin filaments from
opposite sides of each
sarcomere sliding closer
together or overlapping the
thick filaments further.
• The H-zone becomes smaller
as the thin filaments
approach each other.
• The I band becomes smaller
as the thin filaments further
overlap the thick filaments.
• The width of the A band
remains unchanged as it
depends on the thick
filaments and the thick
filaments do not change
length.
40
CONTRACTION IN CARDIAC MUSCLES
 Cardiac muscle fibers contract via excitation-contraction coupling, using a
mechanism unique to cardiac muscle called calcium-induced calcium
release.
 Excitation-contraction coupling describes the process of converting an
electrical stimulus into a mechanical response.
 Calcium-induced calcium release involves the conduction of
calcium ions into the cardiomyocyte, triggering further release of ions
into the cytoplasm.
 Contraction in cardiac muscle follows the sliding filament model of
contraction.
41
1)excitation contraction coupling (ECC)
 The physiological process of converting an electrical
stimulus to a mechanical response.
2)calcium-induced calcium release (CICR)
 A process whereby calcium can trigger release of further
calcium from the muscle sarcoplasmic reticulum.
3)T-tubule
 Deep invagination of the sarcolemma, which is the plasma
membrane, only found in skeletal and cardiac muscle
cells.
42
 Cardiomyocytes are capable of coordinated contraction,
controlled through intercalated discs. The IDs
spread action potentials to support the synchronized
contraction of the myocardium. In cardiac, skeletal, and
some smooth muscle tissue, contraction occurs through a
phenomenon known as excitation contraction coupling
(ECC). ECC describes the process of converting an
electrical stimulus from the neurons into a mechanical
response. In muscle tissue, the electrical stimulus is an
action potential and the desired mechanical response is
contraction.
43
 In cardiac muscle, ECC is dependent on a phenomenon called
calcium-induced calcium release (CICR), which involves the
conduction of calcium ions into the cell triggering further
release of ions into the cytoplasm. Like skeletal muscle, the
initiation and upshoot of the action potential in ventricular
muscle cells is derived from the entry of sodium ions across the
sarcolemma in a regenerative process. However, in cardiac
muscle, an inward flux of extracellular calcium ions through
calcium channels on theT-tubules sustains the depolarization of
cardiac muscle cells for a longer duration.
 Contraction in cardiac muscle occurs via the sliding filament
model of contraction . In the sliding filament
model, myosin filaments slide along actin filaments to shorten
or lengthen the muscle fiber for contraction and relaxation.
44
The pathway of contraction can be described
in five steps:
 An action potential, induced by pacemaker cells, is conducted to contractile
cardiomyocytes through IDs, specifically gap junctions.
 As the action potential travels between sarcomeres, it activates the calcium
channels in the T-tubules, resulting in an influx of calcium ions into the cell.
 Calcium in the cytoplasm then binds to cardiac troponin-C, which moves the
troponin complex away from the actin binding site. This removal of the troponin
complex frees the actin to be bound by myosin and initiates contraction.
 The myosin head pulls the actin filament toward the center of the sarcomere,
contracting the muscle.
 Intracellular calcium is then removed by the sarcoplasmic reticulum, dropping
intracellular calcium concentration, returning the troponin complex to its
inhibiting position on the active site of actin, and effectively ending contraction
45
This animation shows myosin filaments (red)
sliding along the actin filaments (pink) to
contract a muscle cell.
46
SECREATION
47
CONTENTS
 Introduction
 Mechanisms
I. Classical
II. Non classical
 Blebbing
48
DEFINITION
 Secretion is the process of elaborating, releasing, and
oozing chemicals, or a secreted chemical substance from
a cell or gland.
 In contrast to excretion, the substance may have a certain function,
rather than being a waste product.
 The classical mechanism of cell secretion is via secretory portals at
the cell plasma membrane called porosomes.
 Porosomes are permanent cup-shaped lipoprotein structure at the cell
plasma membrane, where secretory vesicles transiently dock and fuse
to release intra-vesicular contents from the cell.
49
50
MECHANISM
 The proteins to be secreated are synthesised in the
ribosomes & translocated into the rough ER lumen where
they get glycosylated & the molecular chaperones aid
protein folding
 Misfolded proteins are usually identified here and
retrotranslocated by ER-associated degradation to
the cytosol, where they are degraded by a proteasome.
The vesicles containing the properly folded proteins then
enter the Golgi apparatus.
51
 In the Golgi apparatus, the glycosylation of the proteins is
modified and further posttranslational modifications,
including cleavage and functionalization, may occur.
The proteins are then moved into secretory vesicles which
travel along the cytoskeleton to the edge of the cell. More
modification can occur in the secretory vesicles (for
example insulin is cleaved from proinsulin in the secretory
vesicles).
 Eventually, there is vesicle fusion with the cell
membrane at a structure called the porosome, in a
process called exocytosis, dumping its contents out of the
cell's environment
52
53
NON CLASSICAL MECHANISMS
 There are many proteins
like FGF1 (aFGF), FGF2 (bFGF), interleukin-1 (IL1) etc.
which do not have a signal sequence. They do not use the
classical ER-golgi pathway. These are secreted through
various nonclassical pathways.
 At least four nonclassical (unconventional) protein
secretion pathways have been described. They include 1)
direct translocation of proteins across the plasma
membrane likely through membrane transporters, 2)
blebbing, 3) lysosomal secretion, and 4) release via
exosomes derived from multivesicular bodies
54
Blebbing
 In cell biology, a bleb is a protrusion, or bulge, of the plasma
membrane of a cell, caused by localized decoupling of
the cytoskeleton from the plasma membrane. Blebbing or zeiosis is
the formation of blebs.
 During apoptosis (programmed cell death), the cell's cytoskeleton
breaks up and causes the membrane to bulge outward.[5] These bulges
may separate from the cell, taking a portion of cytoplasm with them,
to become known as apoptotic bodies. Phagocytic cells eventually
consume these fragments and the components are recycled.
 Blebbing also has important functions in other cellular processes,
including cell locomotion, cell division, and physical or chemical
stresses.
55
56
REFERENCE
 https://en.wikipedia.org/wiki/Muscle_contraction
 https://en.wikipedia.org/wiki/Secretion
 https://www.boundless.com/physiology/textbooks/boundless-anatomy-and-
physiology-textbook/the-cardiovascular-system-18/cardiac-muscle-tissue-
174/mechanism-and-contraction-events-of-cardiac-muscle-fibers-874-8546/
 K D TRIPATHI page no. 80-82
57
THANK YOU
58

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Cardiac cycle Physiology
Cardiac cycle PhysiologyCardiac cycle Physiology
Cardiac cycle Physiology
 
SYNAPSE
SYNAPSESYNAPSE
SYNAPSE
 
Muscle Physiology
Muscle PhysiologyMuscle Physiology
Muscle Physiology
 
Embryo 1st week
Embryo  1st week Embryo  1st week
Embryo 1st week
 
Skeletal muscle contraction
Skeletal muscle contractionSkeletal muscle contraction
Skeletal muscle contraction
 
Development of the musculoskeletal system
Development of the musculoskeletal systemDevelopment of the musculoskeletal system
Development of the musculoskeletal system
 
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
 
#The heart as a pump and function of the heart valves
#The heart as a pump and function of the heart valves#The heart as a pump and function of the heart valves
#The heart as a pump and function of the heart valves
 
Respiratory movement
Respiratory movementRespiratory movement
Respiratory movement
 
Action potential By Dr. Mrs. Padmaja R Desai
Action potential  By Dr. Mrs. Padmaja R Desai Action potential  By Dr. Mrs. Padmaja R Desai
Action potential By Dr. Mrs. Padmaja R Desai
 
Respiratory movements
Respiratory movementsRespiratory movements
Respiratory movements
 
Skeletal muscle contraction
Skeletal muscle contraction Skeletal muscle contraction
Skeletal muscle contraction
 
Molecular basis of Skeletal Muscle Contraction
Molecular basis of Skeletal Muscle ContractionMolecular basis of Skeletal Muscle Contraction
Molecular basis of Skeletal Muscle Contraction
 
Muscle contraction
 Muscle contraction Muscle contraction
Muscle contraction
 
Cvs changes during exercise BY PANDIAN M # MBBS#BDS#BPTH#ALLIED SCIENCES
Cvs changes during exercise BY PANDIAN M # MBBS#BDS#BPTH#ALLIED SCIENCESCvs changes during exercise BY PANDIAN M # MBBS#BDS#BPTH#ALLIED SCIENCES
Cvs changes during exercise BY PANDIAN M # MBBS#BDS#BPTH#ALLIED SCIENCES
 
Muscle Contraction
Muscle ContractionMuscle Contraction
Muscle Contraction
 
Synapse properties
Synapse properties Synapse properties
Synapse properties
 
Cardiovascular physiology
Cardiovascular physiologyCardiovascular physiology
Cardiovascular physiology
 
Action potential
Action potentialAction potential
Action potential
 
Amphibian graph & charts.pptx
Amphibian graph & charts.pptxAmphibian graph & charts.pptx
Amphibian graph & charts.pptx
 

Andere mochten auch

Andere mochten auch (15)

Pv
PvPv
Pv
 
Excitation contraction
Excitation contractionExcitation contraction
Excitation contraction
 
No and co final by syed kashifpptx
No and co final by syed kashifpptxNo and co final by syed kashifpptx
No and co final by syed kashifpptx
 
Lec26
Lec26Lec26
Lec26
 
Ecm final
Ecm final Ecm final
Ecm final
 
Non receptor tyrosine kinases
Non receptor tyrosine kinasesNon receptor tyrosine kinases
Non receptor tyrosine kinases
 
Patch clamp
Patch clampPatch clamp
Patch clamp
 
Evaluation of antiarrhythmicdrugs
Evaluation of antiarrhythmicdrugsEvaluation of antiarrhythmicdrugs
Evaluation of antiarrhythmicdrugs
 
"Funny Looking": 13 Physical Clues To Your Genetic Inheritance
"Funny Looking": 13 Physical Clues To Your Genetic Inheritance"Funny Looking": 13 Physical Clues To Your Genetic Inheritance
"Funny Looking": 13 Physical Clues To Your Genetic Inheritance
 
What makes a great leader today
What makes a great leader todayWhat makes a great leader today
What makes a great leader today
 
6 ways to simplify work and be more productive
6 ways to simplify work and be more productive6 ways to simplify work and be more productive
6 ways to simplify work and be more productive
 
Why we all need to practice emotional first aid
Why we all need to practice emotional first aidWhy we all need to practice emotional first aid
Why we all need to practice emotional first aid
 
Less stuff, more happiness
Less stuff, more happinessLess stuff, more happiness
Less stuff, more happiness
 
Physics and Marketing
Physics and MarketingPhysics and Marketing
Physics and Marketing
 
10 myths about psychology
10 myths about psychology10 myths about psychology
10 myths about psychology
 

Ähnlich wie Contraction

Neuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUMNeuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUM
SMS_2015
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09
Nasir Koko
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09
Nasir Koko
 
Neurohumoral transmission in body action
Neurohumoral transmission in body actionNeurohumoral transmission in body action
Neurohumoral transmission in body action
Rajib Biswas
 

Ähnlich wie Contraction (20)

Neuromuscular blockers &; skeletal muscle relaxants
Neuromuscular blockers &; skeletal muscle relaxantsNeuromuscular blockers &; skeletal muscle relaxants
Neuromuscular blockers &; skeletal muscle relaxants
 
Neurotransmission
NeurotransmissionNeurotransmission
Neurotransmission
 
neuromuscular junction physiology
neuromuscular junction physiologyneuromuscular junction physiology
neuromuscular junction physiology
 
Neuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUMNeuromuscular junction and synapses by DR.IRUM
Neuromuscular junction and synapses by DR.IRUM
 
Nerve impulse transmission
Nerve impulse transmissionNerve impulse transmission
Nerve impulse transmission
 
Presentation EXCITABLE TISSUES.pptx
Presentation EXCITABLE TISSUES.pptxPresentation EXCITABLE TISSUES.pptx
Presentation EXCITABLE TISSUES.pptx
 
Types of communication
Types of communicationTypes of communication
Types of communication
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09
 
3. synapse 08-09
3. synapse 08-093. synapse 08-09
3. synapse 08-09
 
Synapse
SynapseSynapse
Synapse
 
Neurotransmittors
Neurotransmittors Neurotransmittors
Neurotransmittors
 
Neuronal Synaptic Transmission.pptx
Neuronal Synaptic Transmission.pptxNeuronal Synaptic Transmission.pptx
Neuronal Synaptic Transmission.pptx
 
Neurohumoral Transmission.pptx
Neurohumoral Transmission.pptxNeurohumoral Transmission.pptx
Neurohumoral Transmission.pptx
 
Neuromuscular junction anatomy & physiology
Neuromuscular junction anatomy & physiologyNeuromuscular junction anatomy & physiology
Neuromuscular junction anatomy & physiology
 
Synapses by Dr Pandian M .
Synapses by Dr Pandian M .Synapses by Dr Pandian M .
Synapses by Dr Pandian M .
 
Neuro humoral transmission
Neuro humoral transmissionNeuro humoral transmission
Neuro humoral transmission
 
Lec 4. neuromuscular junction
Lec 4. neuromuscular junctionLec 4. neuromuscular junction
Lec 4. neuromuscular junction
 
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptxANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
ANATOMY AND PHYSIOLOGY OF NMJ Prabhat (3).pptx
 
Neurohumoral transmission in body action
Neurohumoral transmission in body actionNeurohumoral transmission in body action
Neurohumoral transmission in body action
 
neurons and synapses
neurons and synapsesneurons and synapses
neurons and synapses
 

Kürzlich hochgeladen

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 

Kürzlich hochgeladen (20)

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 

Contraction

  • 1. EXCITATION CONTRACTION & SECREATION PREPARED BY:SYED KASHIF I st YEAR M PHARM SUBMITTED TO:DR M A AZEEM SIR AL-AMEN COLLEGE OF PHARMACY 1
  • 3. CONTENTS  EXCITATION I. Introduction II. Synapse & its components III. Neurotransmitters & their release IV. Neurohumoral transmission 3
  • 4. DEFINITION  The activity produced in an organ, tissue, or part, such as a nerve cell, as a result of stimulation.  The cells get excitated through signals sent by the nervous system  The signals may be chemical or electrical  Electrical signals are seen mostly in lower group of organisms where as chemical signals are seen in the higher group of organisms  The signals transmitted by the nervous system are transmitted through the nerve cells called NEURONS 4
  • 5. A neuron A neuron:  Nerve cell  Trasmits signals in the form of action potential. Parts:  The cell body (soma or);  The dendrites,  Receive information from other neurons  Axon, which conducts electrical impulses away from the cell body.  Terminal buttons ( terminal knobs, boutons, end-feet, or synaptic knobs) 5
  • 7. Synapse  The junction between the axon terminals of a neuron and the receiving cell is called a synapse. 7
  • 8. Synapse  Components of synapse:  Pre-synaptic neuron : the neuron that secretes the transmitter substance.  Postsynaptic neuron: the neuron on which the transmitter acts.  Synaptic cleft: The space that seperates the pre-synaptic terminal from the postsynaptic neuron.  Neuromuscular Junction ( NMJ):  Pre-synaptic neuron: Motor neuron  Post synaptic: Muscle cell. 8
  • 10. Synapse The pre-synaptic neuron contains:  The transmitter vesicles  The transmitter vesicles contain the transmitter substance that, when released into the synaptic cleft called neurotransmitters. 10
  • 11. Neurotransmitters.  A chemical substance secreted by a nerve ending into the synapse.  Acts on receptor proteins in the membrane of the next neuron to excite the neuron, inhibit it, or modify its function.  E.g.  Acetylcholine,  Norepinephrine,  Epinephrine,Gamma-aminobutyric acid (GABA),  Glycine 11
  • 13. NEUROHUMORAL TRANSMISSION  It is the process in which an impulse is transmitted between the presynaptic & postsynaptic neuron by means of neurohumoral mediator signals resulting in enhancement or inhibition of the response  The nerve cells transmit their messages across the synapse by releasing chemical mediators from nerve ending into the synaptic cleft  Influx of Ca ions during nerve impulse releases the neurotransmitter from synaptic vesicles of the presynaptic nerve into the synaptic cleft that reach the postsynaptic receptor site & exert their action 13
  • 14. STEPS INVOLVED IN NEUROHUMORAL TRANSMISSION 14
  • 15. 1) Conduction of impulse or action potential 15 axon • inside • outside K+ ions • high • low Na & Cl ions • low • high
  • 16.  The membrane potential of the axon is -70mV  The conc. Of these ions is maintained by Na-K pump  Once the action potential reaches the presynaptic nerve fibres Na permeability is increased hence Na moves in causing depolarization  The membrane potential is +20mV  Depolarization also opens K channels causing its efflux  This concentration of ions is brought to normal by Na-K pump which pumps 3 Na ions out & 2 K ions in bringing the potential back to normal  During this process the ionic currents are generated that activate the channels present on the adjacent neurons 16
  • 17. 2) Release of neurotransmitter  The neurotransmitters are formed in the nerve terminals & stored in synaptic vesicles of the synaptic bulb  Once the action potential reaches the presynaptic nerve fibres it activates the Ca channels present in the nerve terminals  The intraterminal Ca level increases causing the snaptic vesicles to fuse with the axon which causes the neurotransmitters to release into the synaptic cleft by a process called as exocytosis 17
  • 18. 3) Interaction of the neurotransmitter  The neurotransmitters released into the synapse join the post junctional receptors present on the postsynaptic nerve & exert their action either EXCITATORY or INHIBITORY  RESPONSES ARE OF TWO TYPES  EXCITATORY POSTSYNAPTIC POTENTIAL(EPSP)  INHIBITORY POSTSYNAPTIC POTENTIAL(IPSP) 18
  • 19. EXCITATORY POSTSYNAPTIC POTENTIAL(EPSP)  In EPSP the permeability of axonal membrane to all cations (Na K Ca) is enhanced  Na & Ca move inside the membrane causing depolarization  K ions move out  EPSP occurs only when the neurotransmitter is ASPARTATE or GLUTAMATE 19
  • 20. INHIBITORY POSTSYNAPTIC POTENTIAL(IPSP)  In IPSP the axonal permeability to K & Cl ions is enhance  IPSP involves influx of Cl ions & efflux of K ions  IPSP occurs only when the neurotransmiters are either glycine or GABA 20
  • 21. 4)TERMINATION of neurotransmitter  It can occur by either combining with certain receptors on the postsynaptic membrane as in the case with adrenoreceptor binding drugs ex; noradrenaline  Or it may get inactivaetd by certain enzymes present at the receptor site as in the case with Ach 21
  • 23. CONTENTS  CONTRACTION 1. CONTRCTION IN SKELETAL MUSCLES  Introduction  Types of contraction  Basic Physiology of contraction  Excitation-contraction coupling  Sliding filament theory 2. CONTRACTION IN CARDIAC MUSCLES  Excitation-Contraction coupling in cardiac muscles 23
  • 24. DEFINITION  Muscle contraction is the activation of tension-generating sites within muscle fibers 24
  • 25. TYPES OF CONTRACTION CONTRACTIONS ISOTONIC CONCENTRIC ECCENTRIC ECCENTRIC(IN MOVEMENT) ISOMETRIC 25
  • 26. TYPES  An isometric contraction of a muscle generates tension without changing length  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 concentric contraction, muscle tension is sufficient to overcome the load, and the muscle shortens as it contracts. This occurs when the force generated by the muscle exceeds the load opposing its contraction.  In eccentric contraction, the tension generated is insufficient to overcome the external load on the muscle and the muscle fibers lengthen as they contract  Eccentric contractions normally occur as a braking force in opposition to a concentric contraction to protect joints from damage. 26
  • 27. PHYSIOLOGY  For voluntary muscles, all contraction (excluding reflexes) occurs as a result of conscious effort originating in the brain. The brain sends signals, in the form of action potentials, through the nervous system to the motor neuron that innervates several muscle fibers  Involuntary muscles such as the heart or smooth muscles in the gut and vascular system contract as a result of non-conscious brain activity or stimuli endogenous to the muscle itself  There are three general types of muscle tissues  Skeletal muscle responsible for movement  Cardiac muscle responsible for pumping blood  Smooth muscle responsible for sustained contractions in the vascular system, gastrointestinal tract, and other areas in the body. 27
  • 28. 28
  • 29. EXCITATION-CONTRACTION COUPLING  The membrane potential of a skeletal muscle cell is depolarized by an action potential  This depolarisation activates non-gated voltage sensors, DHPRs(dihydropyridine receptors The Ca release channels)  This activates RyR(the ryanodine receptor i.e voltage-gated L-type calcium channels ) type 1 via foot processes (involving conformational changes that allosterically activates the RyRs)  As the RyRs open, calcium is released from the SR into the local junctional space, which then diffuses into the bulk cytoplasm to cause a calcium spark  The near synchronous activation of thousands of calcium sparks by the action potential causes a cell wide increase in calcium giving rise to the upstroke of the calcium transient. 29
  • 30.  The calcium released into the cytosol binds to Troponin C by the actin filaments, to allow cross-bridge cycling, producing force and, in some situations, motion  The sarco/endoplasmic reticulum calcium-ATPase (SERCA) actively pumps calcium back into the SR  As calcium declines back to resting levels, the force declines and relaxation occurs 30
  • 31. SLIDING FILAMENT THEORY  The sliding filament theory describes a process used by muscles to contract. It is a cycle of repetitive events that cause a thin filament to slide over a thick filament and generate tension in the muscle. It was independently developed by Andrew F. Huxley and Rolf Niedergerke and by Hugh Huxley and Jean Hanson in 1954.  When a muscle cell contracts, the thin filaments slide past the thick filaments, and the sarcomere shortens. This process comprised of several steps is called the Sliding Filament Theory. It is also called the Walk Along Theory or the Ratchet Theory 31
  • 32. 32
  • 33. STEPS INVOLVED  Before contraction begins, An ATP molecule binds to the myosin head of the cross-bridges.  The ATPase activity of the myosin head immediately cleaves the ATP molecule but the products (ADP+P) remains bound to the head. Now the myosin head is in a high energy state and ready to bind to the actin molecule.  When the troponin-tropomyosin complex binds with calcium ions that come from the sarcoplasmic reticulum, it pulls the tropomyosin so that the active sites on the actin filaments for the attachment of the myosin molecule are uncovered.  Myosin head binds to the active site on the actin molecule. 33
  • 34.  The bond b/w the head of the cross bridges(myosin) & the actin filaments causes a the bridge to change shape bending 45° inwards as if it was on a hinge, stroking towards the centre of the sarcomere, like the stroking of a boat oar. This is called a POWER STROKE.  This power stroke pulls the thin filament inward only a small distance.  Once the head tilts, this allows release of ADP & phosphate ions.  At the site of release of ADP, a new ATP binds. This binding causes the detachment of the myosin head from the actin. 34
  • 35.  A new cycle of attachment-detachment-attachment begins.  Repeated cycles of cross-bridge binding, bending and detachment complete the shortening and contraction of the muscle. 35
  • 36. After the ATP has bound to the myosin head, the binding of Myosin to Actin molecule takes place: 36
  • 37. Once the actin active sites are uncovered, the myosin binds to it: 37
  • 40. Shortening of the Muscle: • The thick and thin filaments DO NOT shorten. • Contraction is accomplished by the thin filaments from opposite sides of each sarcomere sliding closer together or overlapping the thick filaments further. • The H-zone becomes smaller as the thin filaments approach each other. • The I band becomes smaller as the thin filaments further overlap the thick filaments. • The width of the A band remains unchanged as it depends on the thick filaments and the thick filaments do not change length. 40
  • 41. CONTRACTION IN CARDIAC MUSCLES  Cardiac muscle fibers contract via excitation-contraction coupling, using a mechanism unique to cardiac muscle called calcium-induced calcium release.  Excitation-contraction coupling describes the process of converting an electrical stimulus into a mechanical response.  Calcium-induced calcium release involves the conduction of calcium ions into the cardiomyocyte, triggering further release of ions into the cytoplasm.  Contraction in cardiac muscle follows the sliding filament model of contraction. 41
  • 42. 1)excitation contraction coupling (ECC)  The physiological process of converting an electrical stimulus to a mechanical response. 2)calcium-induced calcium release (CICR)  A process whereby calcium can trigger release of further calcium from the muscle sarcoplasmic reticulum. 3)T-tubule  Deep invagination of the sarcolemma, which is the plasma membrane, only found in skeletal and cardiac muscle cells. 42
  • 43.  Cardiomyocytes are capable of coordinated contraction, controlled through intercalated discs. The IDs spread action potentials to support the synchronized contraction of the myocardium. In cardiac, skeletal, and some smooth muscle tissue, contraction occurs through a phenomenon known as excitation contraction coupling (ECC). ECC describes the process of converting an electrical stimulus from the neurons into a mechanical response. In muscle tissue, the electrical stimulus is an action potential and the desired mechanical response is contraction. 43
  • 44.  In cardiac muscle, ECC is dependent on a phenomenon called calcium-induced calcium release (CICR), which involves the conduction of calcium ions into the cell triggering further release of ions into the cytoplasm. Like skeletal muscle, the initiation and upshoot of the action potential in ventricular muscle cells is derived from the entry of sodium ions across the sarcolemma in a regenerative process. However, in cardiac muscle, an inward flux of extracellular calcium ions through calcium channels on theT-tubules sustains the depolarization of cardiac muscle cells for a longer duration.  Contraction in cardiac muscle occurs via the sliding filament model of contraction . In the sliding filament model, myosin filaments slide along actin filaments to shorten or lengthen the muscle fiber for contraction and relaxation. 44
  • 45. The pathway of contraction can be described in five steps:  An action potential, induced by pacemaker cells, is conducted to contractile cardiomyocytes through IDs, specifically gap junctions.  As the action potential travels between sarcomeres, it activates the calcium channels in the T-tubules, resulting in an influx of calcium ions into the cell.  Calcium in the cytoplasm then binds to cardiac troponin-C, which moves the troponin complex away from the actin binding site. This removal of the troponin complex frees the actin to be bound by myosin and initiates contraction.  The myosin head pulls the actin filament toward the center of the sarcomere, contracting the muscle.  Intracellular calcium is then removed by the sarcoplasmic reticulum, dropping intracellular calcium concentration, returning the troponin complex to its inhibiting position on the active site of actin, and effectively ending contraction 45
  • 46. This animation shows myosin filaments (red) sliding along the actin filaments (pink) to contract a muscle cell. 46
  • 48. CONTENTS  Introduction  Mechanisms I. Classical II. Non classical  Blebbing 48
  • 49. DEFINITION  Secretion is the process of elaborating, releasing, and oozing chemicals, or a secreted chemical substance from a cell or gland.  In contrast to excretion, the substance may have a certain function, rather than being a waste product.  The classical mechanism of cell secretion is via secretory portals at the cell plasma membrane called porosomes.  Porosomes are permanent cup-shaped lipoprotein structure at the cell plasma membrane, where secretory vesicles transiently dock and fuse to release intra-vesicular contents from the cell. 49
  • 50. 50
  • 51. MECHANISM  The proteins to be secreated are synthesised in the ribosomes & translocated into the rough ER lumen where they get glycosylated & the molecular chaperones aid protein folding  Misfolded proteins are usually identified here and retrotranslocated by ER-associated degradation to the cytosol, where they are degraded by a proteasome. The vesicles containing the properly folded proteins then enter the Golgi apparatus. 51
  • 52.  In the Golgi apparatus, the glycosylation of the proteins is modified and further posttranslational modifications, including cleavage and functionalization, may occur. The proteins are then moved into secretory vesicles which travel along the cytoskeleton to the edge of the cell. More modification can occur in the secretory vesicles (for example insulin is cleaved from proinsulin in the secretory vesicles).  Eventually, there is vesicle fusion with the cell membrane at a structure called the porosome, in a process called exocytosis, dumping its contents out of the cell's environment 52
  • 53. 53
  • 54. NON CLASSICAL MECHANISMS  There are many proteins like FGF1 (aFGF), FGF2 (bFGF), interleukin-1 (IL1) etc. which do not have a signal sequence. They do not use the classical ER-golgi pathway. These are secreted through various nonclassical pathways.  At least four nonclassical (unconventional) protein secretion pathways have been described. They include 1) direct translocation of proteins across the plasma membrane likely through membrane transporters, 2) blebbing, 3) lysosomal secretion, and 4) release via exosomes derived from multivesicular bodies 54
  • 55. Blebbing  In cell biology, a bleb is a protrusion, or bulge, of the plasma membrane of a cell, caused by localized decoupling of the cytoskeleton from the plasma membrane. Blebbing or zeiosis is the formation of blebs.  During apoptosis (programmed cell death), the cell's cytoskeleton breaks up and causes the membrane to bulge outward.[5] These bulges may separate from the cell, taking a portion of cytoplasm with them, to become known as apoptotic bodies. Phagocytic cells eventually consume these fragments and the components are recycled.  Blebbing also has important functions in other cellular processes, including cell locomotion, cell division, and physical or chemical stresses. 55
  • 56. 56
  • 57. REFERENCE  https://en.wikipedia.org/wiki/Muscle_contraction  https://en.wikipedia.org/wiki/Secretion  https://www.boundless.com/physiology/textbooks/boundless-anatomy-and- physiology-textbook/the-cardiovascular-system-18/cardiac-muscle-tissue- 174/mechanism-and-contraction-events-of-cardiac-muscle-fibers-874-8546/  K D TRIPATHI page no. 80-82 57