Skeletal muscle innervation

The afferent division carries sensory information toward the CNS and the efferent division carries motor information away from the CNS toward the effector tissues (muscles and glands). The efferent division is further divided into two components (1) the somatic nervous system, which consists of motor neurons that innervate skeletal muscle and (2) the autonomic nervous system that innervates cardiac muscle, smooth muscle, and glands. 

Following the development of the motor program, neurons originating in the multimodal motor association areas transmit impulses by way of association tracts to neurons of the primary motor cortex. The primary motor cortex is located in the precentral gyrus, which is the most posterior region of the frontal lobe adjacent to the multimodal motor association areas (see Figure 6.3) this area initiates voluntary contractions of specific skeletal muscles. Neurons whose cell bodies reside here transmit impulses by way of descending projection tracts to the spinal cord, where they innervate the alpha motor neurons (which innervate skeletal muscles). 

The cell bodies of somatic motor neurons are found in the ventral horn. The axons of these neurons exit the CNS through the ventral root of the spinal nerve and innervate skeletal muscles. The two types of motor neurons located in the ventral horn are ... 

Alpha motor neurons innervate skeletal muscle fibers to cause contraction. 

Unconscious control involuntary All innervated structures except skeletal muscle (e.g., cardiac and smooth muscles glands)... 

Release autonomic nervous system all postganglionic neurons of parasympathetic system some sympatheticpostganglionicneurons innervating sweat glands (alpha motor neurons innervating skeletal muscle)b adrenal medulla (20% of secretion) secretion)... 

Skeletal muscle comprises the largest group of tissues in the human body and accounts for up to 40% of total body weight. This type of muscle, which is innervated by the somatic nervous system, is under voluntary control. Skeletal muscle performs many important functions in the body, including ... 

A motor unit is defined as an alpha motor neuron and all of the skeletal muscle fibers it innervates. The number of muscle fibers innervated by an alpha motor neuron varies considerably, depending upon the function of the muscle. For example, the muscles of the eyes and hands have very small motor units. In other words, each alpha motor neuron associated with these muscles synapses with only a few muscle fibers. As a result, each of these muscles is innervated by a comparatively large number of alpha motor neurons. Densely innervated muscles are capable of carrying out more precise, complex motor activities. On the other hand, antigravity muscles have very large motor units. For example, the gastrocnemius muscle of the calf has about 2000 muscle fibers in each motor unit. Muscles with large motor units tend to be more powerful and more coarsely controlled. 

Although skeletal muscle comprises the bulk of muscle tissue in the body, smooth muscle is far more important in terms of homeostasis. Most smooth muscle is found in the walls of tubes and hollow organs. Contraction and relaxation of the smooth muscle in these tissues regulates the movement of substances within them. For example, contraction of the smooth muscle in the wall of a blood vessel narrows the diameter of the vessel and leads to a decrease in the flow of blood through it. Contraction of the smooth muscle in the wall of the stomach exerts pressure on its contents and pushes these substances forward into the small intestine. Smooth muscle functions at a subconscious level and is involuntary. It is innervated by the autonomic nervous system, which regulates its activity. 

Skeletal muscle is neurogenic and requires stimulation from the somatic nervous system to initiate contraction. Because no electrical communication takes place between these cells, each muscle fiber is innervated by a branch of an alpha motor neuron. Cardiac muscle, however, is myogenic, or self-excitatory this muscle spontaneously depolarizes to threshold and generates action potentials without external stimulation. The region of the heart with the fastest rate of inherent depolarization initiates the heart beat and determines the heart rhythm. In normal hearts, this "pacemaker region is the sinoatrial node. 

Sympathetic nerves are distributed to most vascular beds. They are most abundant in the renal, gastrointestinal, splenic, and cutaneous circulations. Recall that these tissues receive an abundant blood flow, more than is necessary simply to maintain metabolism. Therefore, when blood is needed by other parts of the body, such as working skeletal muscles, sympathetic vasoconstrictor activity reduces flow to the tissues receiving excess blood so that it may be redirected to the muscles. Interestingly, there is no sympathetic innervation to cerebral blood vessels. In fact, these vessels do not have a.j-adrenergic receptors, so they cannot be affected by circulating catecholamines. No physiological circumstance exists in which blood should be directed away from the brain. 

The individual subtypes of receptors often show discrete anatomical locations in the peripheral nervous system, and this has facilitated their classification. Nicotinic receptors are found in peripheral ganglia and skeletal muscle. Upon innervation of skeletal muscle, receptors congregate in the junctional or postsynaptic endplate area. Upon denervation or in noninnervated embryonic muscle, the receptors are distributed across the surface of the muscle,... 

The autonomic nervous system is by definition that part of the nervous system that innervates smooth muscle, cardiac muscle and glands. It is thus a motor system. Perception arising from the viscera involves pathways similar to those arising from the body surface and skeletal muscle. Thus there are visceral afferent fibres that pass from the viscera to the central nervous system. Such impulses then ascend the spinal cord to the thalamus and are thence relayed to the post-central gyrus of the brain (or sensory cortex). Visceral reflex arcs use visceral afferent fibres to convey impulses to the cord, but the efferent limb of such a visceral reflex is the autonomic nervous system. Although visceral reflexes are under higher central control, it is usually impossible to bring them under the control of the will. 

Muscle spindles are composed of nuclear bag (dynamic) and chain (static) fibres known as intrafusal fibres and these are innervated by y motor neurones. Extrafusal fibres make up the muscle bulk and are innervated by a motor neurones. Stimulation of the muscle spindle leads to increased skeletal muscle contraction, which opposes the initial stretch and maintains the length of the fibre. This feedback loop oscillates at 10 Hz, which is the frequency of a physiological tremor. 

HDAC9 is the predominant member of the class II HDAC family expressed in heart (Zhang et al, 2002). Its major product was shown to encode the splice variant MEF2-interacting transcription repressor/histone deacetylase-related protein (MITRIHDRP), which lacks the enzymatic domain but forms complexes with both HDACI and HDAC3 (Zhou et al, 2000 Zhou et al, 2001) and has been recently implicated in skeletal muscle chromatin acetylation and gene expression under motor innervation control (Mejat et al, 2005). 

Provided that blood supply and innervation remain intact, skeletal muscle heals well after injury or disease. Damage to fibres causes endothelial cells to secrete general growth factors (e.g. fibroblast growth factor, insulin-like growth factors) and growth factors specific to muscle development which stimulate proliferation of satellite cells. These then migrate to the site of injury to form myotubes, as in foetal development. If, however, the number of satellite cells is... 

Zebrafish skeletal muscle is irmervated by primary and secondary motor neurons. There are three primary motor neurons (PMNs) per hemi-segment, one of which iimervates the dorsal trunk musculature, whereas the other two innervate mid and... 

Because most skeletal muscle fibers are innervated only by a single endplate, activation of such fibers, with lengths up to 30 cm, entails propagation of the Lullmann, Color Atlas of Pharmacology 2000 Thieme All rights reserved. Usage subject to terms and conditions of license. 

It is a main anatomical characteristic of this part of the nervous system that the ganglia are situated in the periphery, that is outside the cerebrospinal axis. This forms one of the major differences to the somatic nerves which innervate exclusively skeletal muscles and do not have ganglia outside the central nervous system. 

Beside this there are some major differences with the neurotransmission in the autonomous nervous system The contractile activity of the skeletal muscle is almost completely dependent on the innervation. There is no basal tone and a loss of the innervation is identical to a total loss in function of the particular skeletal muscle. In contrast to the target organs of the parasympathetic nervous system the skeletal muscle cells only have acetylcholine receptors at the site of the so-called end-plate, the connection between neuron and muscle cell with the rest of the cell surface being insensitive to the transmitter. The release of acetylcholine results in a postjunctional depolarization which is either above the threshold to induce an action potential and a contraction or below the threshold with no contractile response at all. In contrast to the graduated reactions of the parasympathetic target organs, this is an all or nothing transmission. 

The nervous system is divided into two parts the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS consists of the brain and spinal cord. The PNS consists of all afferent (sensory) neurons, which carry nerve impulses into the CNS from sensory end organs in peripheral tissues, and all efferent (motor) neurons, which carry nerve impulses from the CNS to effector cells in peripheral tissues. The peripheral efferent system is further divided into the somatic nervous system and the autonomic nervous system. The effector cells innervated by the somatic nervous system are skeletal muscle cells. The autonomic nervous system innervates three types of effector cells (1) smooth muscle, (2) cardiac muscle, and (3) exocrine glands. While the somatic nervous system can function on a reflex basis, voluntary control of skeletal muscle is of primary importance. In contrast, in the autonomic nervous system voluntary control can be exerted, but reflex control is paramount. 

B. Skeletal muscle is innervated by the somatic nervous system. All other choices are tissues that are innervated by the autonomic nervous system. 

The endothelium of most blood vessels releases EDRF (endothelium-derived relaxing factor), which causes marked vasodilation, in response to muscarinic stimuli. However, unlike the receptors innervated by sympathetic cholinergic fibers in skeletal muscle blood vessels, these muscarinic receptors are not innervated and respond only to circulating muscarinic agonists. 

Most blood vessels receive no direct innervation from the parasympathetic system. However, parasympathetic nerve stimulation dilates coronary arteries, and sympathetic cholinergic nerves cause vasodilation in the skeletal muscle vascular bed (see Chapter 6). Atropine can block this vasodilation. Furthermore, almost all vessels contain endothelial muscarinic receptors that mediate vasodilation (see Chapter 7). These receptors are readily blocked by antimuscarinic drugs. At toxic doses, and in some individuals at normal doses, antimuscarinic agents cause cutaneous vasodilation, especially in the upper portion of the body. The mechanism is unknown. 

The best-characterized action of the adrenoceptor agonists in the airways is relaxation of airway smooth muscle. Although there is no evidence for direct sympathetic innervation of human airway smooth muscle, ample evidence exists for the presence of adrenoceptors on airway smooth muscle. In general, stimulation of 32 receptors relaxes airway smooth muscle, inhibits mediator release, and causes tachycardia and skeletal muscle tremor as adverse effects. 

Hall-Craggs, E.C., and Seyan, H.S., 1975, Histochemical changes in innervated and denervated skeletal muscle fibers following treatment with bupivacaine (marcain), Exp Neurol, 46, pp 345—354. 

Except for skeletal muscle, virtually all tissues in the body are innervated in some way by the ANS.9 Table 18-1 summarizes the innervation and effects of the sympathetic and parasympathetic divisions on some of the major organs and tissues in the body. As indicated in Table 18-1, some organs, such as the heart, are innervated by both sympathetic and parasympathetic neurons. Other tissues, however, may only be supplied by the sympathetic division. The peripheral arterioles, for instance, are innervated by the sympathetic division but receive no parasympathetic innervation. 

Arterioles Vasoconstriction of skin and viscera [alpha-1, -2] Vasodilation of skeletal muscle and liver [beta-2] No parasympathetic innervation... 

The nervous and endocrine systems control an extensive number of functions in the body. The nervous system is divided into the central nervous system and the peripheral nervous system. The peripheral nervous system is further divided into the somatic nervous system (a voluntary system innervating skeletal muscles) and the autonomic nervous system (an involuntary system innervating smooth muscle, cardiac muscle, and glands). 

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