Muscle Physiology 😊

Excitation-Contraction Coupling (ECC)

  • Definition: Coupling electrical stimulation of muscle membrane with muscle contraction.
    • Key Structures
      Sarcolemma
      Muscle membrane
      T-tubules
      Invaginations of sarcolemma
      Sarcoplasmic reticulum (SR)
      Calcium storage
Skeletal Muscle ECC
Cardiac Muscle ECC
Coupling type
Mechanical coupling or 
Electromechanical coupling
Chemical coupling or 
Electrochemical coupling
Calcium Source
100% source is SR
Calcium-induced calcium release
ICF calcium (80%)
ECF calcium (20%)
DHPR
(Dihydropyridine receptor
)
(T-tubule membrane)
CaV1.1

↳ ⛔ by Dihydropyridine CCBs
Amlodipine, Nifedipine
CaV1.2
RyR
(Ryanodine receptor
)
(SR membrane)
RyR1

Beneficial Positive Feedback
RyR2
Lysosomes are absent in heart muscles
Mnemonic
Skeletal Muscle → Mechanical activity → Electromechanical coupling
Cardiac → electrical activity → Electrochemical coupling
  • Skeletal Muscle ECC Mechanism:
    • Depolarization travels down T-tubules → Activates DHPR channels → DHPR structurally changes → Physically (mechanically) interacts with and twists RyR1 channels → RyR1 channel opens (forms pore) → Calcium from SR flows into cytoplasm → Increased cytoplasmic calcium → Skeletal muscle contraction.
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  • Cardiac Muscle ECC Mechanism:
    • Depolarization of cardiac membrane → Activates DHPR (CaV1.2) → DHPR opens up first → ECF calcium enters cytoplasm (small, essential amount) → ECF calcium stimulates RyR2 on SR (chemical stimulation) → Stimulated RyR2 channels open → Larger amount of calcium released from SR into cytoplasm.
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Diseases Related to RyR1 Mutation (Skeletal Muscle)

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Mutation of RyR1
Gain of function
Loss of function
Disease
Malignant Hyperthermia
Central Core Disease
Effect
Excessive calcium release
Severe muscle contraction
Heat production
Less calcium release
hypotonia
weakness
Treatment
Dantrolene
RyR1 antagonist
No specific treatment
Precipitated by
Anesthetic agents (e.g., halothane)
Mnemonic
Ryan has gained fever and cancer (malignant hyperthermia) and dandruff (Dantrolene)
Ryan already lost (Loss of function) his Core strength (Central core disease) when born → hypotonia, weakness

Mechanism of Muscle Contraction

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Steps in Muscle Contraction
Notes
Trigger
↑↑ free calcium in cytoplasm
Calcium Binding
Type of muscle
Calcium binds to
Skeletal & Cardiac Muscle
Troponin C
Smooth Muscle
Calmodulin

Mnemonic: Smooth Kaalu
After Ca2+ binding
Following Steps
Description
Cross-bridge formation
Myosin heads attach to actin
Power stroke
Myosin head pulls actin filament towards center
(From
90° to 45° angle) ⇒ muscle contraction
Detachment
Requires ATP
  • NOTE: Calbindin:
    • Calcium-binding protein
    • Regulates calcium homeostasis
    • Not involved in Muscle contraction

Sarcomere Structure and Proteins

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Zones
Notes
Center
• M line (center of myosin filaments).
Sarcomere
1 sarcomere = length between 2 Z lines
H zone
• between two actin fliaments
decrease during contraction
A zone/band
Length of myosin filament
remains constant
  • Mnemonic:
    • “ZIA → HM”🗸🗸
      • H → Disappear
      • A → Constant
      • I → Short (I short)
    • MMAZAI
      • MMA → M line → Myosin → A band
      • ZAI → Z line → Actin → I band
Key Proteins:
Location
Function
Mutations
Titin
From M line to Z line

Tightly between M and Z line
Muscle elasticity

DCM, HCM,
Tibial anterior myopathy (skeletal)
Alpha-actinin
Holds actin to Z line

Actin → alpha gen/ Z gen
Nebulin
Fence-like barrier around actin till tip of Z line

Nebula → revolves around active sun (actin)
Maintains actin length
Nemaline Myopathy

LENGTH TENSION RELATIONSHIP GRAPH :

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Muscle Contraction Frequency and Tetanus

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Stimulation
Effect
Single twitch
Single stimulation
Single contraction and relaxation
Summation / 
Incomplete tetanus
Repeated stimulations with partial relaxation between contractions

Women can be summed up as incomplete
Increased contraction height
Complete tetanus 
(or titanization)
Very high-frequency repeated stimulations with no relaxation

Men are titans
Sustained, persistent contraction

Tetanizing frequency:

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  • Frequency to produce complete tetanus.
  • Calculation:
    • 1
      Contraction period (in seconds)
    • 1000
      Contraction period (in ms)
  • Example:
    • Contraction period = 40 ms → Tetanizing frequency = 1000/40 = 25 Hz.
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Q. The given image displays a basic muscle twitch and its corresponding time trace, which was recorded in a frog exhibiting the lowest frequency required for tetanization. (The time trace was obtained using a tuning fork with a frequency of 100 Hz.)

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A. 25 per second
B. 15 per second
C. 17 per second
D. 20 per second
  • Find time from B to C
  • Freq = 100Hz ⇔ 1 vibration = 0.01 sec
  • B to C → has 5 vibrations → 5 x 0.01 = 0.05
  • So, TF = 1/0.05 = 20Hz

Muscle Fibres

  • 1 slow Red Ox
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