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PHYSIOLOGY OF MUSCLE TISSUE

In vertebrates, three types of muscle cells can be identified on the basis of their structure and
functions:
skeletal muscle- is the muscle directly attached to the bones of the skeleton and its role is to
maintain posture and to move the limbs
cardiac muscle is the muscle of the heart
smooth muscle - is the muscle that lines the blood vessels and modifies theirs diameter, and
the hollow organs in the body, in which it causes propulsion of the content.

THE SKELETAL MUSCLE

I. The structure of the skeletal muscle
Skeletal muscles comprise about 40% of the mass of the average human body and they are
formed by thousands of elongated cells called muscle fibers running in parallel. Individual muscle
fibers are surrounded by a sheath of connective tissue, called endomysium. Groups of muscle fibers
are bound together by connective tissue called perymisium to form bundles called fascicules. The
whole muscle is surrounded by a coat of connective tissue, called epimysium. The connective tissue
contains collagen and elastic fibers that merge with the connective tissue of the tendons where it
serves to transmit the mechanical force generated by the muscle to the skeleton. Within the body of
the skeletal muscle there are specialized sense organs, called muscle spindles that play a role in the
regulation of muscle length.
One muscle fiber is a multinucleate cell, in which the nuclei lie peripherally just under the cell
membrane. In large limb muscles, fibers may reach a length of 30 cm with a diameter of 100 m. The
cell membrane (the sarcolemma) surrounds the cytoplasm (the sarcoplasm). The sarcoplasm contains
several hundreds to thousands of contractile elements, the myofibrils, each of which is 12 m in
diameter. One myofibril is composed by as many as 10,000 repeating units called sarcomeres. The
sarcomere is the fundamental contractile unit within skeletal muscle. Because of the repeating units in
myofibrils the muscle fiber appear to have repeated cross-striations (easily seen under the light
microscope). For this reason the skeletal muscles are also called striated muscles. The sarcolemma is
invaginated at each sarcomere to form blind-ending transverse tubes (T tubules) that run into the
centre of the fiber. These T tubules have fundamental role in the activating the muscle contraction.
Running longitudinally between the repeating T tubules are blind-ending membrane tubes or sacs
called the sarcoplasmic reticulum. The ends of the tubes of the sarcoplasmic reticulum, terminal
cisternae, are situated closely to the membranes of the T tubules, forming triads. A triad is consisted
of a T tubule and 2 terminal cisternae on either side. The triad is the site of excitationcontraction
coupling.
Ultrastructure of the striated muscle
When a muscle fiber is observed by polarized light, it is seen as alternating dark and light zones,
because they refract differently the light. A bands are regions that appear dark with the polarized light
microscope. I bands appear light, because they do not refract light. Each I band is divided by a
characteristic line known as Z line. The Z line crosses all neighboring myofibrils and attaches to the
internal side, keeping the pale and dark discs of neighboring myofibrils aligned. The unit between
successive Z lines is a sarcomere (functional unit of the striated muscle). Myosin-containing, thick
filaments lie in the center of an A band. Thin filaments contain the proteins actin, tropomyosin and
troponin; they insert on Z lines at the edges of the sarcomere and overlap thin filaments at the edges
of the A band. Each thick filament is surrounded by 6 thin filaments (hexagonal symmetry). When a
muscle fiber is at rest, the fiber is elongated. The region that contains only thick filaments is situated in
the center of the A band, appears lighter and is called the H zone. Some protein molecules connect
adjacent thick filaments. These proteins form a line in the center of the H zone called the M line. At
rest, the length of the sarcomere is about 2.5 m.


The contractile proteins
In fact, skeletal muscle fibers contain 2 contractile proteins, myosin and actin, and 2 regulatory
proteins, tropomyosin and troponin.
Myosin: it is a fibrilar protein. Each myosin molecule consists of two heavy (2000 amino acids) alpha-
helical protein chains and is 150 nm long. About 250 molecules make up a thick filament in a
sarcomere. One individual molecule has a long thin tail region and two thicker head regions that are
extended by an arm outwards to form cross-bridges with the neighboring thin filaments. The protruding
arm and head are called the cross-bridges. Each cross-bridge is flexible, allowing the head to be
extended far outward from the body of the myosin filament and to be brought close to the body. The
globular head not only contain sites for attaching to actin but also function as an ATP-ase enzyme.
This feature of the myosin molecule is essential for contraction.
Actin: the actin molecule is a globular protein (G-actin). The actin of the thin filament in a sarcomere
is a polymerized form called F-actin. The thin filament is composed of two F-actin filaments wound
together like two strands of beads. One polymerized actine contains about 300 molecules of globular
actine. Each bead of actin possesses a site for attaching of the globular heads of myosin.
Tropomyosin (molecular weight 70 kDa) is an elongated protein polymer that is wrapped around the
actin filament, lying in the ditch made by the 2 filaments of actin, and partly obscures its binding sites.
In such a position, myosin heads cannot bind to actin and cannot create a power stroke.
Troponin is a complex of three proteins associated with tropomyosin. Troponin I is inhibitory, troponin
T binds to tropomyosin and troponin C binds reversibly to Ca
2+.
When Ca
2+
binds to subunit C of the
troponin, it changes the protein conformation, thus pulling tropomyosin away from the myosin-binding
sites. In such a position, myosin heads can bind and carry out their power stroke.

! Myoglobin is not a contractile protein; it is an iron-containing protein similar to hemoglobin in red
blood cells. Myoglobin combines with oxygen and stores it until needed. According to the myoglobin
content, the muscle fibers divide in:
- white fibers/fast fibers: low myoglobin content, larger fibers, anaerobic metabolism, few
mitochondria; they are fast contracting fibers and get easily fatigued.
- red fibers/slow fibers: much myoglobin, many mitochondria, smaller fibers, they contract more
slowly, but do not get so easily fatigued.
Every muscle in the body contains both white and red fibers. The muscles that react very rapidly are
composed mainly of fast fibers, while those contracting slowly, but for a prolonged period of time are
composed mainly of slow fibers.

Muscle =Organized arrays of muscle fibers


Myofiber/Muscle fiber =A single multinucleate muscle cell containing all the usual cell organelles
plus many myofibrils


Sarcomere =The unit of contractile activity composed mainly of actin and myosin and extending from
Z line to Z line in a myofibril


Thin filament =Composed of a linear array Thick filament =Composed of hundreds of long
of hundreds of globular, actin monomers contractile myosin molecules arranged in a staggered in
a double helical arrangement; contains also side by side complex
regulatory proteins





II. The mechanism of skeletal muscle contraction

A. Excitation-contraction coupling
Current understanding of the molecular events underlying muscle contraction is explained by
the sliding filament theory of muscle contraction. The model is applicable to smooth, skeletal, cardiac,
and other contractile activity, including mechanochemical events such as single cell locomotion.
Skeletal muscle, like the nerve cell, is an excitable tissue. Each skeletal muscle fiber is
innervated by a motor neuron. As it enters a muscle, the axon of the motor neuron branches and each
branch supplies a single muscle fiber. An action potential in the motor neuron, that reaches the
neuromuscular junction, triggers an action potential that propagates along the whole length of the
muscle fiber. The action potential that reaches the T tubes causes Ca
++
voltage-gated channels in the
sarcoplasmic reticulum to open. As a result, Ca
++
stored in the sarcoplasmic reticulum is released into
the sarcoplasma and triggers the contraction of the muscle fiber, allowing the contractile protein to
interact.

B. Molecular mechanism of contraction - sliding filament theory of contraction
Myosin in thick filaments and actin in thin filaments work together to shorten the sarcomere
during muscle contraction. The model of this rhythmic process is called the Sliding Filament
Mechanism.
The main feature of muscle contraction is the interaction of actin, myosin and ATP. This
fundamental process of contraction is regulated by the tropomyosin-troponin-Ca
2+
system. The actin
molecule without the presence of troponin-tropomyosin complex binds strongly with myosin molecules.
At rest, the myosin-binding site on the actin molecule is covered by the tropomysin-troponin complex.
When Ca concentration inside the cell increases (it is released from sracoplasmic reticulum), this
influx of calcium ions bind to troponin complex and thus it changes its conformation. This, at its tunr,
changes the position of tropomyosin the myosin-binding sites of actin become exposed. Thus actin
and the myosin head groups can interact. When a head attaches to an active site on actin, this
attachment causes profound changes in the intramolecular forces between the arm and the head of
the cross bridge. The new alignment of forces causes the head to tilt toward the arm and drag the
actin filament along with it. Then, immediately after tilting, the head automatically breaks away from
the active site, returns to its perpendicular position, combines with a new actin site and tilts again.
Thus, the heads of the cross-bridges bend back and forth, pulling the ends of the actin filaments
toward the center of the thick filament of myosin. As the muscle contracts, the thick and thin filaments
slide past each other, moving the Z lines of the sarcomere closer together. The thick myosin filaments,
seen as the A band, stay at a fixed length but the I band shortens as the actin slides into the myosin.
The cycle continues to operate as long as the binding sites for cross-bridge formation are exposed.
Therefore, control of contraction is linked to the regulation of troponin and tropomyosin. The
crossbridges are uniformly distributed along the thick filaments with the exception of a short bare zone
in the middle. The tension is the algebraic sum of the tension produced at each individual site. At or
above rest length the tension is directly proportional to the number of crossbridges in the overlap
region between thick and thin filaments. Below rest length, when the thin filaments meet in the center
of the A band or they start to interact with the oppositely directed crossbridge sites past the bare
zone (in the middle of the sarcomere), tension drops off.
For muscle contraction, the large amount of energy that is required comes from ATP hydrolysis.
Before contraction begins, ATP bound to the heads of myosin and is cleaved by it into ADP, an
inorganic phosphate group and energy. In this state the heads are oriented perpendicularly toward the
actin, but there is no interaction yet. When the binding sites on actin molecules become active, the
myosin and actin interact as described above. The energy that allows the slide of the two filaments is
given by the energy already stored by the conformational change in the head when ATP has been
cleaved. Once the head is tilted, ADP and inorganic phosphate are released and a new ATP molecule
is bound. The binding of the new ATP leads to disclosure of myosin heads from actin. The cleavage of
this new ATP molecule will cause the head to take a perpendicular position on the body, and thus fix a
new active site of actin. With a new ATP a new cycle may begin and the cycling may continue till the
regulatory mechanism stops the interaction of actin and myosin.

C. Relaxation
Normally, cessation of contractile activity and a state of relaxation follow electrical quiescence
at the myoneural junction. The sarcoplasmic membrane returns to its resting electrical potential (about
60 mV more positive outside), as does the entire T tubule system and the SR membrane.
Subsequently, sarcoplasmic calcium is pumped back into the SR cisternae by an extremely active Ca
ATPase (calcium pump), which comprises one of the main proteins of the SR membrane. Relaxation
is a result of the decrease of Ca concentration in sarcoplasm, following the influx of Ca back into the
sarcoplasmic reticulum. Because relaxation is an energy-dependant process, it is an active process.

III. Energetics of muscle contraction

Muscle action requires energy for excitation-contraction coupling, contraction and relaxation. A
continuous supply of ATP is needed for the muscle to function. The muscle contraction involves the
transformation of chemical energy from ATP into mechanical energy. Energy from ATP also powers
the Ca pump in the sarcoplasmic reticulum membrane to return the calcium ions into the sarcoplasmic
reticulum, thus allowing relaxation.

a. ATP: the energy for contraction is derived from the hydrolysis of ATP. The amount of ATP in muscle
fiber is low, of about 4 mmoles/kg wet tissue. The available ATP can maintain the contraction for a few
seconds (about 8 twitches). Cleaving one phosphate group from ATP liberates 7.3 kcal/mole:

ATP=ADP +Pi +7,3 kcal

b. Creatine phosphate in the muscle is a phosphorylated form of creatine to store energy. The
immediate synthesis of ATP is achieved from creatinphosphate present in muscle:

Creatine phosphate +ADP =creatine +ATP

When ATP concentrations in the muscle fibers begin to fall due to muscle contraction, an enzyme
called creatine phosphokinase catalyzes the transfer of the phosphoryl group from the CP to ADP,
regenerating ATP. The amount of creatine phosphate present in the muscle is about ten times that of
ATP and allows the muscle contraction for about 100 twitches. Even so, the energy available for
muscle contraction maintains the muscle activity for less than a minute. Then the muscle must switch
to glucose metabolism.

c. Glucose - phosphocreatine is generated by glucose. Two different pathways are involved in the
metabolism of glucose: one anaerobic and one aerobic. The anaerobic process occurs in the
cytoplasm and is only moderately efficient, because it generates only 2 ATP/glucose molecule.
Anaerobic metabolism can support about 600 twitches. When oxygen is available, the aerobic
cycle takes place in the mitochondria and is results in the greatest release of energy, because it
generates 38 ATP/glucose molecule. As the name implies, though, it requires oxygen. Aerobic
cellular respiration produces ATP slowly, but can produce large amounts of ATP over time if there
is a sufficient blood supply and myoglobin (red pigment that stores oxygen) stores. Aerobic
metabolism can support about 20.000 twitches. During heavy exercise, insufficient oxygen for
oxidative metabolism can be delivered to the muscle, so ATP will be generated by anaerobic
pathway. This is less efficient in generating ATP than the aerobic pathway. In the beginning of a
light physical effort, the energy is delivered via an anaerobic pathway for approximately 20-45
seconds, until an appropriate blood supply reaches the muscle. This adequate amount of blood in
the muscle fiber brings enough oxygen for energy being obtained via an aerobic pathway. After 2
minutes this aerobic pathways becomes the main source of energy. In prolonged exercise, the ATP
is derived either by oxidative metabolism of glucose and fats or by glycogen breakdown to lactate
(anaerobic activity). During anaerobic activity hydrogen ions, lactate and phosphate ions
accumulate inside the muscle fiber, causing a weaker and weaker activity known as muscular
fatigue. Muscle fibers that use aerobic respiration take longer to fatigue.

IV. The properties of muscles
A. Excitability- represents the ability of a muscle to respond to stimuli. (All kinds of muscle cells
respond to nervous stimuli, but smooth and cardiac muscles respond also to certain chemical stimuli).

B. Contractility represents the property of a muscle to produce a force. There are 2 types of muscle
contraction: isometric and isotonic. Isometric contractions are contractions in which the muscle is
developing force but not shortening and no visible movement is seen. In this case, the force
developed by the muscle equals the force (load) it is contracting against. An example of this would be
holding a book in the same position or some of masticatory muscles contractions. Isotonic
contractions are contractions in which the muscle fibers change length to lift a load, but exert a
constant tension. Examples of this type of contraction are
Most complex movements are a combination of isotonic and isometric contractions, because always
ther are changes of both tension and length of a muscle. Such contractions are called auxotonic.

C. Muscle force
It is the force generated by a muscle contraction. The muscle force MF is calculated according to the
formula:
MF =A x L x 10,
Where A=the cross sectional area (in cm
2
) and L=the length of the muscle during shortening (in m)
Muscle force varies between 3.6-10kg/ cm
2

The amount of force exerted by a muscle depends on:
1. the initial length of the muscle (initial length of sarcomers): the generated force is at
maximum when the initial length of the sarcomer is of 2,2 nm. At this length the interdigitation between
the thin and thick filament is optimal and the maximum number of cross bridges can be established.
When the sarcomere has a length of more than 2.2 nm or les than 2.2 nm, the force generated by the
muscle is lower.
2. The frequency of stimulation
A twitch is a single stimuluscontractionrelaxation sequence in a muscle fiber. Twitches vary in
duration between 7.5 msec in fast fibers to 100-150 msec in slow fibers.
A single twitch can be divided into a latent period, a contraction phase, and a relaxation phase. The
latent phase begins at stimulation and typically lasts about 10-15% of the contraction duration. Over
this period, the action potential is conducted all along the sarcolemma and the sarcoplasmic reticulum
releases calcium ions. The muscle fiber does not produce tension during the latent period, because
the contraction did not beginn. In the contraction phase, tension rises to a peak. Contraction occurs
because calcium ions are binding to troponin, active sites on thin filaments are being exposed, and
cross-bridge interactions are occurring. The contraction phase ends roughl. The relaxation phase then
continues. During this period, calcium levels are falling, as calcium is being pumped back into the
sarcoplasmic reticulum; active sites are being covered by tropomyosin, and the number of active
cross-bridges is declining.
Wave summation and incomplete or unfused tetanus If a second stimulus arrives to the
muscle fiber before the relaxation phase has ended, a second, more powerful contraction occurs. The
addition of one twitch to another in this way constitutes the summation of twitches.
Complete or fused tetanus is obtained by increasing the stimulation rate until the relaxation
phase is eliminated. During complete tetanus, action potentials arrive so rapidly that the sarcoplasmic
reticulum does not have time to reclaim the calcium ions. The high Ca
2+
concentration in the
cytoplasm maintains the contraction state, making it continuous. Within the body, all normal muscular
contractions involve complete tetanus
Tension production increases as the rate of stimulation increases; during tetanus the tension
developed is 4 times higher as compared to a single switch.
A single stimulation produces a single twitch. All normal activities involve sustained muscle
contraction, as the motor nerves always conduct trains of impulses and not only one impulse. In other
words, normally, the skeletal muscles receive repeated stimuli, thus the contraction obtained is always
a prolonged one.
After a long duration tetanic contraction sometimes contracture can occur. Contracture defines the
condition in which a delayed relaxation occurs and is due to exhaustion of energy sources in the
muscles, so that relaxation cannot occur (remember relaxation is an active procees, requiring energy).
3.The number of active muscle fibers- the tension depends not only on the tension produced by
each individual muscle fiber, but also on the number of fibers contracting at a given time. A typical
skeletal muscle contains thousands of muscle fibers. Although some motor neurons control a few
muscle fibers, most control hundreds of them. All the muscle fibers controlled by a single motor
neuron constitute a motor unit. The size of a motor unit is an indication of how fine the control of
movement can be. In the muscles of the eye, where precise control is extremely important, a motor
neuron may control 46 muscle fibers. For the muscles in the leg a single motor neuron may control
10002000 muscle fibers. For a whole muscle, the numbers of contracting fibers is determined by the
number of motor units activated and the number of fibers per unit. When a weak stimulus reaches the
muscle, only the smallest motor units become active. Then, as the neuron firing increases, more motor
units are activated. The steady increase in muscular tension produced by increasing the number of
active motor units is called recruitment. Such recruitment is the main factor in increasing the strength
of contraction smoothly. Peak tension production occurs when all motor units in the muscle contract in
a state of complete tetanus. Such powerful contractions do not last long, however, because the
individual muscle fibers soon use up their available energy reserves. During a sustained tetanic
contraction, motor units are activated on a rotating basis, so some of them are resting and recovering
while others are actively contracting. This is called asynchronous motor unit summation and lets each
motor unit recover before it is stimulated again . As a result, when the muscles contract for sustained
periods, they produce slightly less than maximal tension.
4. The cross sectional area of the muscle the force that is developed by a muscle depends
not on its length, but on its cross sectional area. The cross sectional area depends, on its turn, on the
number of myofibrils in that muscle, that act in parallel.

C. Extensibility: is the ability to undergo passive stretching under the action of an external force
applied on the muscle

D. Elasticity: is the ability of a muscle to return to its original shape after it has been stretched.

F. Trophycity: muscles work better the more they are used. When a muscle is stimulated either by a
nerve impulse or an electrical impulse, it maintains its function. Muscle atrophy is a decrease in
muscle mass caused by age, lack of use (broken bone) or denervation (loss of innervation). By the
contrary, hypertrophy is an increase in mass of a muscle that can be induced by exercise. Isometric
contraction rather than isotonic contraction produce hypertrophy. Hypertrophy results primarily from
the growth of each muscle cell, by increasing the number of myofibrils rather than an increase in the
number of cells. It can take as long as two months for hypertrophy to begin.

G.Tonicity: the muscle tone is the slight degree of contraction produced even in resting muscles that
renders the muscle firm and solid. The muscle tone is due to asynchronous contraction of various
motor unit in a muscle. Thus, while some motor units are at rest, others are active, even when the
entire muscle is not contracting. The active motor units changes constantly, so that no group becomes
fatigued. The role of muscle tone is to stabilize the position of bones and joints (helps prevent sudden,
uncontrolled changes in the position of bones and joints) and to smooth the movements of the body.


V. Heat production
Muscle activity requires that chemical energy is converted to work. The percentage of the input
energy to the muscle that can be converted into work is about 20-25 %. The remaining is transformed
into heat. Skeletal muscle fibers are the main source of heat in our body. Muscles produce heat when
at rest; the amount of heat increases largely when they become active. This heat is composed by two
categories of heat, of approximately same amount: the initial heat is the heat produced during
contraction and relaxation of muscle fibers and the tardy heat, produced for approximately 30 minutes
after finishing the muscle activity. This tardy heat is due to the energy reaction taking place in muscle
fibers after the work is done, for getting back the ATP, PC and glycogen stores of the muscle through
aerobic reactions. Heat released by muscles contributes to maintaining the normal body temperature.
Heat release during strenuous exercise can rise the body temperature above normal.

VI. Electric activity of the muscle
During depolarization and repolarization of the sarcolemma little electric currents are
generated. Electromyography is a procedure of recording electrical changes in muscle tissues.
Electromyography is used in medicine mainly to differentiate between muscle and nerve diseases.

VII. Muscle fatigue
The impairment of muscle function due to prolonged or repeated contractions of skeletal muscles is
called fatigue. Impairment refers to both decreased force production and slower contractions.
Contractions that involve stretch of the muscle also cause muscle weakness and damage, which takes
many days to recover from.
Fatigue may be caused by factors within the muscle cells (peripheral fatigue) and diminished
activation from the central nervous system (central fatigue). The relative importance of peripheral
versus central fatigue depends on the type of physical activity.
For peripheral fatigue hypoxia and accumulation of catabolic products are involved. During moderate
exercise, in slow muscle fibers decreasing the deposits of glycogen is the cause of muscle fatigue. In
fast muscle fibers, that use energy derived from anaerobic glycolysis, accumulation of lactic acid is the
main cause of the muscle fatigue.
Central fatigue is caused by 2 factors. First decreased muscle function is given by accumulation of
catabolic products in the neurons within the nervous centers that control the voluntary activity.
Secondly, the cause of muscle fatigue is the exhaustion of neurotransmitters in the neuromuscular
junction. Central fatigue may be more prominent in elderly subjects.
Training can make a difference in how long and fast both of the metabolic pathways work. Trained
athletes have a greater ability to quickly deliver oxygen to the working muscles which increases the
ability to use aerobic metabolism at higher exercise intensity. Trained athletes also develop a greater
efficiency in both energy deliver, and skill. Finally training may improve the way the body creates and
uses the anaerobic systems so you can access ATP more readily

VII. Roles of the skeletal muscles
1. Maintaining the body posture
2. Movement
3. Some striated muscles are sphincters (of the lips, of the lids, anal).
4. In maintaining the body temperature
5. Diaphragm is a skeletal muscle responsible for pulmonary ventilation
6. the upper 1/3 of the esophagus contains skeletal muscle that helps swallowing
7. Aesthetic