Wednesday, 13 April 2016

Smooth Muscle: The odd one out

General Facts

  • No troponin
    • In skeletal and Cardiac muscle this moves tropomyosin
    • It’s functional replacement is Calmodulin
  • No striations
    • Seen in Skeletal and Cardiac
    • Dense bodies replace Z lines
    • Actin connects to dense bodies by alpha actin
    • The proteins stretch across cell at different angles
  • Slow and sustained contractions
  • Relatively small SR
  • Multiple synaptic connections to muscle cell
    • In the form of varicosities
      • Small swellings of the neuron
      • Neurotransmitter gathers
    • Muscle membrane much less adapted for synaptic transmission
      • Receptors are much more diffuse

There are two main types of smooth muscle:

Unitary/Visceral Smooth Muscle
  • Sheet of connected muscle cells
    • Adherens junctions keep them together
    • Gap junctions help to transmit electrical activity throughout the sheet to give synchronous contractions
  • The cells share common innervation
  • They are mostly controlled by circulating hormones with some modulation from autonomic nerves
  • Stretch increases tone (bayliss myogenic effect)
  • Where
    • Wall of visceral organs
    • GI tract
    • Blood vessel
    • Respiratory tract
  • Can produce action potentials
  • Spontaneous contractions

Multi-unit Smooth muscle
  • Individual muscle cells not connected by gap junctions
    • Contract independently
  • Innervated individually
  • Some cells are innervated by more than one neuron
  • Mostly controlled by nerve with some modulation by hormones
  • Some basal tone
  • No action potentials
  • Where
    • Iris
    • Piloerector muscles

Membrane Potential

  • The resting membrane potential of smooth muscle cells varies a lot
    • May be anywhere as negative as -50mV
  • The spontaneous contractions may be produced by a pacemaker potential
    • Due to time and voltage dependent ion channels
    • In cells that do not produce action potentials they can exhibit slow waves
      • The membrane potential oscillates over time
    • This could be due to Ca and K currents
      • At resting Vm voltage gated Ca2+ channels are open
        • This Ca2+ influx depolarises the cell
          • Positive feedback
      • As intracellular Ca2+ levels rise Ca gated K channels begin to open
        • The K efflux repolarises the cell and the cycle continues
  • There are 3 main different “action potentials”
    • Spike
      • Longer than in skeletal muscle
      • Upstroke is longer
        • Ca channels are slower to open than the Na channels in Skeletal and Cardiac
      • Repolarisation is also slower
        • Slower inactivation of Ca channels
        • Slower activation of voltage gated K channels
    • Spike + Plateau
      • As seen in Cardiac muscle the plateau may last hundreds of milliseconds
      • Genitourinary tract
      • Again due to longer influx of Ca
    • Slow wave + Spike
      • May also have spike potentials superimposed on top

Contraction

  • Multi unit smooth muscle cannot generate action potentials
    • But it will create these slow waves because of excitatory neurotransmitter such as Acetylcholine and Noradrenaline
    • This causes a graded depolarisation that is directly related to the contractile force
    • The depolarisation opens L-type Ca channels
    • The depolarisation can also activate phopholipase C which generates IP3
    • IP3 will then bind to SR Ca channels opening them
      • This can also happen by a neurotransmitter binding to a g-protein coupled receptor that results in IP3 generation with no depolarisation
    • In cardiac and skeletal muscle CICR plays an important role in initiating contraction but it may not happen normally in smooth muscle
  • Calmodulin takes the place of troponin in smooth muscle
    • 4 Ca ions bind to calmodulin creating the calcium-calmodulin complex
    • The Ca-Calmodulin complex activates myosin light chain kinase (MLCK)
    • MLCK then phosphorylates MLC
    • As a result the myosin head then undergoes a conformational change which increases it’s ATPase activity
      • This allows it to interact with actin and form cross bridges
    • This is slow to occur

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