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          entrance of sodium (a positively charged   channels open to allow the inward diffusion
                                                  of sodium, and another action potential
          cation) shifts the membrane electrical
  VetBooks.ir  potential in a positive direction (depolari-  results. Local flow of current occurs again,
                                                  and other action potentials are generated in
          zation).  The  effect  of  ACh  persists  only
          momentarily, since another enzyme, acetyl-  other areas adjacent to the site of the first
          cholinesterase, quickly degrades ACh.   action potential. The process is repeated,
            ACh is synthesized in the cytoplasm of   and the overall effect is the propagation of
          the presynaptic nerve endings and stored   action potentials over the entire sarcolemma
          in membrane‐bound synaptic vesicles in   of the muscle fiber. This process is similar
          the end of the nerve fiber (Fig. 9‐4). Each   to that for propagation of action potentials
          action potential reaching  the end of the   along the axon of a nerve cell (see Fig. 2‐16).
          nerve stimulates the release of a set num-  Since the T tubules are inward continu-
          ber of vesicles and thus a set amount of   ations of the sarcolemma, the action poten-
          ACh. Continuous synthesis maintains a   tial (or impulse) travels along these tubules
          constant supply of vesicles so that ACh is   throughout the muscle fiber (Fig.  9‐5).
          not depleted, even with intense exercise.  In certain sites where the T tubules pass
                                                  immediately adjacent to the sarcoplasmic
          End‐Plate and  Action Potentials.  The   reticulum, there is a structural link between
          local depolarization of the sarcolemma   a protein in the sarcolemma of the T tubule
          at  the neuromuscular junction is called   (dihydropyridine receptor) and a mem-
          an  end‐plate potential. This change in   brane protein channel in the sarcoplasmic
          potential produces a local flow of current   reticulum. When an action potential
          that depolarizes adjacent areas on the   occurs on the sarcolemma in the area of
          sarcolemma. Normally, the depolarization   the dihydropyridine receptor, the channel
          of the adjacent sarcolemma is enough to   in the sarcoplasmic reticulum becomes
          reach the threshold potential of electrically   permeable to Ca . The permeable change
                                                                 2+
          gated channels in these areas of the    is possible because of the link between the
          cell  membrane. When this occurs, these   two membrane proteins.


                                                       Cell membrane
                       1





                             2





                         3                    4                   Dihydropyridine
                             Ca 2+    Ca 2+        Sarcoplasmic   receptor
                                                   reticulum


                          Actin filament with
                          calcium binding sites

          Figure 9-5.  The sources and role of calcium during excitation–contraction coupling in skeletal muscle. An
          action potential is propagated along the T tubule (1). The action potential on the T tubule reaches a region
          with dihydropyridine receptors (2). Calcium ions are released from the sarcoplasmic reticulum to bind with
          regulatory proteins on actin filaments (3), and muscle contraction results. When calcium is released from its
          binding sites and transported back into the sarcoplasmic reticulum, muscle relaxation occurs (4).
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