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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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Chapter | 15 Skeletal Muscle Function<br />

FIGURE 15-1 Excitation <strong>of</strong> my<strong>of</strong>ibers to contract involves neuromuscular transmission and the subsequent release <strong>of</strong> calcium<br />

ions into the sarcoplasm. Arrival <strong>of</strong> an impulse at the axon terminal activates voltage-gated calcium ion channels, resulting<br />

in the influx <strong>of</strong> calcium ions that initiate the calcium-dependent release <strong>of</strong> the neurotransmitter acetylcholine (ACh) by<br />

exocytosis. Liberated ACh diffuses across the synaptic cleft to bind with ACh receptors (two molecules <strong>of</strong> ACh per receptor)<br />

on the postsynaptic sarcolemma. Binding <strong>of</strong> ACh with AChRs increases the conductance <strong>of</strong> sodium and potassium ions<br />

across the postsynaptic membrane to produce a local end-plate potential at the neuromuscular junction. The end-plate potential<br />

generates a muscle action potential that spreads away from the neuromuscular junction in all directions over the surface<br />

<strong>of</strong> the my<strong>of</strong>iber and into its depths via the transverse (T) tubules. Within the depths <strong>of</strong> the my<strong>of</strong>ibers, excitation is coupled to<br />

contraction through the release <strong>of</strong> calcium ions from terminal cisternae <strong>of</strong> the sarcoplasmic reticulum (SR) through calcium<br />

release channels <strong>of</strong> the terminal cisternae. The calcium release channels form small “ feet ” that extend from the terminal cisternae<br />

to the T tubules. The liberated calcium ions bind to the regulatory protein troponin and release the inhibitory action <strong>of</strong><br />

the regulatory proteins on the contractile events that lead to sliding <strong>of</strong> the thin (actin) and thick (myosin) filaments. The liberated<br />

ACh is subsequently hydrolyzed by AChE (acetylcholinesterase) within the basal lamina <strong>of</strong> the synaptic cleft.<br />

transmitters, or changes in voltage and inactivate (close) by<br />

intrinsic regulatory processes. Voltage-gated channels contain<br />

additional voltage-sensing transmembrane domains<br />

and are essential for the generation and modification <strong>of</strong><br />

action potentials. Ligand-gated ion channels are essential<br />

for setting myoplasmic calcium concentrations and establishing<br />

signal transduction pathways. Abnormal function<br />

<strong>of</strong> these ion channels produces muscle weakness or altered<br />

muscle contractions through altered excitability <strong>of</strong> the<br />

sarcolemma.<br />

The neuromuscular junction or motor end plate is the<br />

synaptic site for chemical transmission <strong>of</strong> excitation from<br />

the presynaptic axon terminal <strong>of</strong> a motor neuron to the postsynaptic<br />

skeletal my<strong>of</strong>iber ( Fig. 15-1 ). The position <strong>of</strong> the<br />

neuromuscular junction on a muscle fiber can vary among<br />

species, among muscles in a species, and among fibers in<br />

a given muscle. The axon terminal rests within a primary<br />

depression <strong>of</strong> sarcolemma, the primary cleft, and contains<br />

numerous small vesicles that contain acetylcholine (ACh),<br />

the neurotransmitter for excitation <strong>of</strong> skeletal my<strong>of</strong>ibers.<br />

Each vesicle contains a quantum <strong>of</strong> neurotransmitter, consisting<br />

<strong>of</strong> 6000 to 8000 molecules <strong>of</strong> ACh. Arising from the<br />

primary cleft underlying the axon terminal are numerous<br />

smaller secondary clefts and complementary folds. The<br />

space within the primary and secondary clefts, located<br />

between the axon terminal and the postsynaptic sarcolemma,<br />

comprises the synaptic cleft. This space is filled with basal<br />

lamina containing acetylcholinesterase (AChE). The synaptic

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