Skeletal muscles muscle fibers

Mechanism of Action. P-Agonists stimulate skeletal muscle growth by accelerating rates of fiber hypertrophy and protein synthesis, but generally do not alter muscle DNA content in parallel with the increases in protein accretion (133—135). This is in contrast to the effects of anaboHc steroids and ST on skeletal muscle growth. Both of the latter stimulate fiber hypertrophy and muscle protein synthesis, but also increase muscle DNA content coincident with increased protein accretion. Whether the P-agonists decrease muscle protein degradation is equivocal. 

Muscle tissue is unique in its ability to shorten or contract. The human body has three basic types of muscle tissue histologically classified into smooth, striated, and cardiac muscle tissues. Only the striated muscle tissue is found in all skeletal muscles. The type of cells which compose the muscle tissue are known as contractile cells. They originate from mesenchymal cells which differentiate into myoblasts. Myoblasts are embryonic cells which later differentiate into contractile fiber cells. 

Proteins can be broadly classified into fibrous and globular. Many fibrous proteins serve a stmctural role (11). CC-Keratin has been described. Fibroin, the primary protein in silk, has -sheets packed one on top of another. CoUagen, found in connective tissue, has a triple-hehcal stmcture. Other fibrous proteins have a motile function. Skeletal muscle fibers are made up of thick filaments consisting of the protein myosin, and thin filaments consisting of actin, troponin, and tropomyosin. Muscle contraction is achieved when these filaments sHde past each other. Microtubules and flagellin are proteins responsible for the motion of ciUa and bacterial dageUa. 

The cells of the latter three types contain only a single nucleus and are called myocytes. The cells of skeletal muscle are long and multinucleate and are referred to as muscle fibers. At the microscopic level, skeletal muscle and cardiac muscle display alternating light and dark bands, and for this reason are often referred to as striated muscles. The different types of muscle cells vary widely in structure, size, and function. In addition, the times required for contractions and relaxations by various muscle types vary considerably. The fastest responses (on the order of milliseconds) are observed for fast-twitch skeletal... 

FIGURE 17.11 The structure of a skeletal muscle cell, showing the mauuer iu which t-tubules enable the sarcolemmal membrane to contact the ends of each myofibril iu the muscle fiber. The foot structure is shown iu the box. 

The trigger for all musele eontraetion is an increase in Ca eoneentration in the vicinity of the muscle fibers of skeletal muscle or the myocytes of cardiac and smooth muscle. In all these cases, this increase in Ca is due to the flow of Ca through calcium channels (Figure 17.24). A muscle contraction ends when the Ca concentration is reduced by specific calcium pumps (such as the SR Ca -ATPase, Chapter 10). The sarcoplasmic reticulum, t-tubule, and sarcolemmal membranes all contain Ca channels. As we shall see, the Ca channels of the SR function together with the t-tubules in a remarkable coupled process. 

The structure of heart myocytes is different from that of skeletal muscle fibers. Heart myocytes are approximately 50 to 100 p,m long and 10 to 20 p,m in diameter. The t-tubules found in heart tissue have a fivefold larger diameter than those of skeletal muscle. The number of t-tubules found in cardiac muscle differs from species to species. Terminal cisternae of mammalian cardiac muscle can associate with other cellular elements to form dyads as well as triads. The association of terminal cisternae with the sarcolemma membrane in a dyad structure is called a peripheral coupling. The terminal cisternae may also form dyad structures with t-tubules that are called internal couplings (Figure 17.31). As with skeletal muscle, foot structures form the connection between the terminal cisternae and t-tubule membranes. 

Tissue-Specific Expression. In adult rodents, PPAR.a is expressed in liver, kidney, intestine, heart, skeletal muscle, retina, adrenal gland, and pancreas. In adult human, PPARa is expressed in the liver, heart, kidney, large intestine, skeletal muscle (mostly slow-twitch oxidative type I fibers), and in cells of atherosclerotic lesions (endothelial cells, smooth muscle cells, and monocytes/macrophages). Therefore, regardless of... 

Myasthenia gravis is a disease tiiat involves rapid fatigue of skeletal muscles because of die lack of ACh released at die nerve endings of parasympathetic nerve fibers. Drugs used to treat this disorder include ambeno-nium (Mytelase) and pyridostigmine (Mestinon). 

Skeletal muscle contains three types of fiber fast-twitch oxidative glycolytic (type 2A), fast-twitch glycolytic (type 2B), and slow-rwitch oxidative fibers (type 1). The proportion of each fiber type varies in different muscles. Different fiber types contain different isoforms of myosin, although there is no evidence that their mitochondria differ qualitatively. It has been reported that there are differences between subsarcolemmal mitochondria and those deeper in the same fiber but this has been questioned (see Sherratt et al., 1988 for references). 

The smooth muscle cell does not respond in an all-or-none manner, but instead its contractile state is a variable compromise between diverse regulatory influences. While a vertebrate skeletal muscle fiber is at complete rest unless activated by a motor nerve, regulation of the contractile activity of a smooth muscle cell is more complex. First, the smooth muscle cell typically receives input from many different kinds of nerve fibers. The various cell membrane receptors in turn activate different intracellular signal-transduction pathways which may affect (a) membrane channels, and hence, electrical activity (b) calcium storage or release or (c) the proteins of the contractile machinery. While each have their own biochemically specific ways, the actual mechanisms are for the most part known only in outline. 

In a nerve process or skeletal muscle fiber, the spread of activity is essentially only in one dimension, along the fiber. However, in smooth muscle the situation is rather more complex geometrically, and all three dimensions are involved. Action potentials conduct electrotonically just as they do in nerve fibers but they do so in three dimensions. In situ, regions supporting action potentials are not pointlike but tend to be large and the spread from them is more like a surface, approximating a plane. 

Skeletal muscle is made up of many muscle fibers (Figure 1) each of which is a multinucleated cell that was formed during development by the fusion of many cells (myoblasts). Skeletal muscle is formed from precursor myoblasts which arise... 

Figure 1. Muscle development. A skeletal muscle fiber is formed by the fusion of many single cells (myoblasts) into a multinucleated myotube. Myotubes then develop into the muscle fiber (see text). Sarcomeres form in longitudinal structures called myofibrils. The repeating structure of the sarcomere contains interdigitating thick and thin filaments.

Ramsey, R.W. Street, S.F. (1940). The isometric length-tension diagram of isolated skeletal muscle fibers of the frog. J. Cell. Comp. Physiol. 15, 11-34,... 

Faulkner, J.A., Claflin, D.R., McCully, K.K. (1986). Power output offast and slow fibers from human skeletal muscles. In Human Muscle Power (Jones, N. L., McCartney, N., McComas, A.J., eds.), pp. 81-94, Human Kinetics, Champaign, IL. 

Nosek, T.M., Fender, K. Y., Godt, R.E. (1987). It is diprotonated inorganic phosphate that depresses force in skinned skeletal muscle fibers. Science 236. 191-193. 

Robertson, S.P. Kerrick, W.G.L. (1979). The effects of pH on Ca -activated force in frog skeletal muscle fibers. Pfluegers Arch. 380,41 5. 

Diseases affecting skeletal muscle are not always primary diseases of muscle, and it is necessary first to determine whether a particular disorder is a primary disease of muscle, is neurogenic in origin, is an inflammatory disorder, or results from vascular insufficiency. A primary disease of muscle is one in which the skeletal muscle fibers are the primary target of the disease. Neurogenic disorders are those in which weakness, atrophy, or abnormal activity arises as a result of pathological processes in the peripheral or central nervous system. Inflammatory disorders may result in T-cell mediated muscle damage and are often associated with viral infections. Vascular insufficiency as a result of occlusion in any part of the muscle vasculature can cause severe disorders of muscle, especially in terms of pain, metabolic insufficiency, and weakness. 

The gene for myophosphoiylase has been assigned to chromosome 1 lql3. The enzyme is a dimer of two identical 97 IcDa subunits and is the sole isoform present in skeletal muscle. Heart and brain also contain this isoform in addition to a distinct brain isoenzyme and a hybrid muscle/brain isoform. Smooth muscle also contains a phosphorylase isoform distinct from the muscle isoenzyme. If regenerating muscle fibers are present they also contain phosphorylase activity due to the presence, in fetal and developing muscle, of an isoform said to be identical with brain phosphorylase. 

Fatal infantile cytochrome c oxidase (CCO) deficiency is characterized by total absence of catalytic activity in skeletal muscle. This often occurs within the context of the Fanconi syndrome, or less commonly in association with a cardiomyopathy. Although the deficiency is global in skeletal muscle, with all fibers affected, only isolated scattered fibers show abnormal aggregations of mitochondria (ragged-red fibers). Multiple affected siblings within one family are frequently encountered and suggest autosomal recessive inheritance. The condition normally proves fatal before the age of six months and is characterized by worsening intractable lactic acidemia. 

Figure 14. Normal skeletal muscle showing random distribution of type 1 (dark), type 2A (pale) and type 2B (intermediate) fibers myofibrillar ATPase after pH 4.6 preincubation.

Various syndromes associated with hypereosinophilia involve skeletal muscle. There is a rare form of polymyositis which is characterized by this feature (defined as exceeding 1,500 eosinophils/mm for at least six months). Clinical presentation includes skin changes, heart and lung involvement, and peripheral neuropathy as well as proximal myopathy. The condition must be distinguished from trichinosis and other parasitic infections associated with hypereosinophilia. Muscle biopsy findings are interstitial and perivascular infiltrates in which eosinophils predominate but are accompanied by lymphocytes and plasma cells, and occasional muscle fiber necrosis. Fascitis may also be associated with hypereosinophilia (Shulman s syndrome). This condition is characterized by painful swelling of skin and soft tissues of trunk and extremities and weakness of limb muscles. Biopsy of muscle... 

Insulin is a powerful anabolic hormone but it is unlikely that insulin deficiency causes skeletal muscle atrophy by direct action on muscle fibers (as opposed to neurogenic atrophy) except in chronic untreated cases. There is however a close parallel between the catabolic states induced by glucocorticoid excess and by insulin deficiency. Moreover, impaired insulin action is implicated in other endocrine myopathies as a contributory cause of muscle wasting. Both acromegaly and thyrotoxicosis are associated with insulin resistance due to a postreceptor defect, and secondary hyperparathyroidism due to hypophosphatemia also gives rise to insulin insensitivity. 

Certain characteristics of skeletal muscle fibers are particularly relevant when considering the future of gene therapy in muscle diseases. Skeletal muscle fibers are large syncytia containing thousands of postmitotic myonuclei, each of which expresses the same set of genes. The postmitotic nature of the myonuclei implies that in mature muscle fibers, cell division cannot play a role in spreading the transferred gene to required locations (i.e., whole muscles). On the other hand, once... 

This is true of skeletal muscle, particularly the white fibers, where the rate of work output—and therefore the need for ATP formation—may exceed the rate at which oxygen can be taken up and utilized. Glycolysis in erythrocytes, even under aerobic conditions, always terminates in lactate, because the subsequent reactions of pymvate are mitochondrial, and erythrocytes lack mitochondria. Other tissues that normally derive much of their energy from glycolysis and produce lactate include brain, gastrointestinal tract, renal medulla, retina, and skin. The liver, kidneys, and heart usually take up... 

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