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

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II. Specialization <strong>of</strong> the Sarcolemma and Sarcoplasm for Muscular Contraction<br />

461<br />

basal lamina also plays an important role in the development<br />

and regeneration <strong>of</strong> the neuromuscular junction.<br />

The arrival <strong>of</strong> a nerve action potential at the axon terminal<br />

results in activation <strong>of</strong> voltage-gated calcium ion<br />

channels in the presynaptic membrane. The calcium influx<br />

initiates a calcium-dependent exocytosis <strong>of</strong> ACh-containing<br />

vesicles from the active zone <strong>of</strong> the presynaptic membrane.<br />

Voltage-gated potassium channels in the presynaptic<br />

membrane close the voltage-gated calcium channels and<br />

restore resting membrane potential in the axon. The ACh<br />

released diffuses across the synaptic cleft to bind with acetylcholine<br />

receptors (AChRs), which are concentrated on<br />

the crests <strong>of</strong> the secondary folds <strong>of</strong> the postsynaptic sarcolemma.<br />

The structure <strong>of</strong> the AChR is similar among animal<br />

species. The AChR molecule is an integral transmembrane<br />

protein that is formed <strong>of</strong> five homologous subunits that<br />

form a central pore through which ions can flow. It consists<br />

<strong>of</strong> two alpha subunits and single δ , γ , and subunits, which<br />

possesses a binding site for ACh at the external interfaces<br />

<strong>of</strong> the α / δ and the α / subunits. Somewhat deeper within<br />

the troughs <strong>of</strong> the secondary folds are voltage-gated<br />

sodium ion channels, which are also present within the sarcolemma<br />

throughout nonjunctional regions <strong>of</strong> the my<strong>of</strong>iber<br />

( Engel, 2004 ).<br />

Excitation <strong>of</strong> the my<strong>of</strong>iber is initiated by the reversible<br />

binding <strong>of</strong> ACh with AChRs. The binding <strong>of</strong> ACh<br />

with AChR (two ACh molecules/receptor) results in a local<br />

depolarization <strong>of</strong> the postsynaptic membrane caused by the<br />

transient-increased conductance <strong>of</strong> the AChR cation ion<br />

channels to sodium and potassium ions. The amplitude <strong>of</strong><br />

the end-plate potential (depolarization) is proportional to<br />

the number <strong>of</strong> ACh-AChR complexes formed. At rest, individual<br />

quanta <strong>of</strong> ACh are spontaneously released at a slow<br />

rate and cause transient, low-amplitude depolarizations at<br />

the end plate. These are referred to as miniature end-plate<br />

potentials (MEEPs). The interior <strong>of</strong> a resting muscle fiber<br />

has a resting potential <strong>of</strong> about 95 mV. The binding <strong>of</strong><br />

ACh to AChRs is transient, and its effects are abolished by<br />

diffusion <strong>of</strong> ACh away from the receptors and its hydrolysis<br />

by AChE. With the arrival <strong>of</strong> a nerve action potential,<br />

approximately 200 quanta <strong>of</strong> ACh are released, and with<br />

the increased number <strong>of</strong> ACh-AChR combinations, there<br />

is a greater conductance <strong>of</strong> sodium and potassium ions<br />

that form a large amplitude depolarization, the end-plate<br />

potential (EEP). When the amplitude <strong>of</strong> the EEP exceeds<br />

threshold (approximately 50 mV), a wave <strong>of</strong> depolarization<br />

(muscle action potential, MAP) is generated over the<br />

sarcolemma, away from the end plate in all directions. The<br />

MAP is propagated by voltage-gated sodium channels over<br />

the surface <strong>of</strong> the my<strong>of</strong>iber and into its depths via transverse<br />

(T) tubules. The T tubules are invaginations <strong>of</strong> the<br />

sarcolemma that tranverse the long axis <strong>of</strong> the my<strong>of</strong>iber,<br />

and their lumina openly communicate with the extracellular<br />

fluid space ( Engel, 2004 ).<br />

B . Coupling Excitation to Contraction<br />

Excitation-contraction coupling involves the transformation<br />

<strong>of</strong> depolarizing events in the sarcolemma into the initiation<br />

<strong>of</strong> mechanical shortening <strong>of</strong> the my<strong>of</strong>ibrils within the my<strong>of</strong>iber<br />

by calcium ions released from the terminal cisternae <strong>of</strong><br />

the sarcoplasmic reticulum (SR). These events occur within<br />

the depths <strong>of</strong> the my<strong>of</strong>iber at “ triads ” where the T tubules<br />

form junctional complexes with adjacent terminal cisternae<br />

<strong>of</strong> the SR. A triad occurs twice in each sarcomere. The sarcoplasmic<br />

reticulum functions in the uptake, storage, and<br />

release <strong>of</strong> calcium ions to regulate the concentration <strong>of</strong> calcium<br />

ions in the aqueous sarcoplasm bathing the my<strong>of</strong>ilaments<br />

and other organelles. The concentration <strong>of</strong> calcium in<br />

the SR is aided by the presence <strong>of</strong> calsequestrin, a calciumbinding<br />

protein that is maintained in the lumen <strong>of</strong> the cisternae<br />

by triadin and junctin.<br />

At the T-SR junctional complex <strong>of</strong> triads, the sarcolemma<br />

contains voltage-sensitive dihydropyridine receptors<br />

(DHPRs) and the terminal cisternae <strong>of</strong> the SR possess<br />

ryanodine-sensitive calcium ion channels (ryanodine<br />

receptors) that form “feet ” that fill the gap between the terminal<br />

cisternae and T tubules. Accessory proteins that regulate<br />

ryanodine receptor function include calmodulin and<br />

FK-506 binding protein. With depolarization <strong>of</strong> the sarcolemma<br />

within the T tubules, DHPRs interact with ryanodine<br />

receptors to mediate the voltage-dependent release <strong>of</strong><br />

calcium ions from the SR into the sarcoplasm, elevating<br />

the calcium ion concentration from 10 7 to 10 5 M. This<br />

elevation in calcium ion concentrations initiates contraction<br />

through its interaction with the calcium binding proteins<br />

such as troponin C and calmodulin, a component <strong>of</strong><br />

the myosin light chain kinase system ( Magleby, 2004 ).<br />

Relaxation is initiated by a reduction in the sarcoplasmic<br />

calcium ion concentration through active transport <strong>of</strong><br />

calcium ions into the lumen <strong>of</strong> the SR by the SR calcium-<br />

ATPase (SERCA). At low calcium concentrations, SERCA<br />

activity is inhibited by phospholamban. However, relaxation<br />

is promoted by SERCA at higher myoplasmic calcium<br />

concentrations generated by stimulation <strong>of</strong> the ryanodine<br />

receptor. Further details concerning the structures and functions<br />

involved in neuromuscular transmission and coupling<br />

<strong>of</strong> excitation to contraction are available elsewhere ( Engel,<br />

2004 ; Magleby, 2004 ; Martonosi and Pikula, 2003 ; Numa<br />

et al. , 1990 ).<br />

C . Muscular Contraction<br />

The ability <strong>of</strong> skeletal muscle to contract is conferred by<br />

the elementary contractile unit, the sarcomere ( Fig. 15-2 ).<br />

The sarcomere has three crucial properties: (1) the ability to<br />

shorten rapidly and efficiently, (2) the ability to switch on<br />

and <strong>of</strong>f in milliseconds, and (3) precision self-assembly and<br />

structural regularity. There are three major functional classes

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