Page 202 - Anatomy and Physiology of Farm Animals, 8th Edition
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Microscopic Anatomy and Physiology of Muscle / 187

               receptors. For example, stimulation of    blood supply to cardiac muscle quickly
                                                        results  in  myocardial  ischemia  and  the
               β ‐adrenergic receptors causes smooth
  VetBooks.ir    muscle relaxation, while stimulation of α ‐  symptoms of a heart attack. Cardiac mus-
                2
                                                   1
               adrenergic receptors causes smooth mus-
                                                        cle may also undergo necrosis (cell death)
               cle contraction. Some smooth muscle can   if the loss of blood supply is prolonged or
               also be stimulated to contract by stimula-  extremely severe.
               tion of muscarinic receptors by ACh.
               Individual smooth muscle cells may have
               multiple types of receptors in their  cell   Excitation and Contraction
               membranes  and  respond  to  both auto-
               nomic neurotransmitters. In this case, the   Individual cardiac muscle cells do not
               overall response of the smooth muscle also   require nerve stimulation to contract, but
               depends on the relative levels of the differ-  action potentials must occur on  the cell
               ent neurotransmitters.                   membrane. Action potentials first occur
                                                        spontaneously within specialized myocar-
                                                        dial pacemaker cells within the heart, and
               Cardiac Muscle                           these are propagated throughout the heart
                                                        by a specialized conduction system and
               Cardiac muscle (sometimes known as       from cell to cell via the gap junctions (at
               involuntary striated muscle) has many    intercalated disks). The  impulse genera-
               anatomic characteristics that are similar to   tion and conduction system is described
               those of striated skeletal muscle fibers,   in detail in Chapter 18. Autonomic nerves
               although the striations are fainter than in   innervate the pacemaker cells, and these
               skeletal muscle. Both types of muscle con-  serve to modify the rate of spontaneous
               sist largely of sarcoplasm, myofibrils, a sar-  action potentials, which in turn determines
               coplasmic reticulum, transverse tubules,   contraction rate of the entire heart.
               nuclei, and a sarcolemma. The most striking   The cardiac  action potential  is  much
               difference  is  the  tendency  for cardiac   slower than that of skeletal muscle. It
               muscle fibers to branch and join, forming a   lasts  for hundreds of milliseconds
               network. The heart is made up of cells that   (1 ms = 1/1000 s), as opposed to 5 to 10 ms
               are separate entities; however, unique   in  skeletal  muscle.  Also,  the  contraction
               structures, found where cardiac muscle   time in cardiac muscle lasts as long as the
               cells meet end to end, are the intercalated   action potential does. Instead of a sharp
               disks.  These  disks  can  be  seen  with  the   spike potential, the cardiac action potential
               light microscope (Fig. 1‐10) and are inter-  has a long plateau, which extends the time
               posed between muscle cells. The disks    of both the action potential and the muscle
               represent apposed cell membranes and     contraction.
               gap junctions. The gap junctions provide a   As is true for the other two types of
               mechanical attachment between cells and   muscle, an increase in intracellular Ca
                                                                                            2+
               permit electrical transmission from one   must  occur  to  bring  about  cardiac  cell
               cardiac muscle cell to the next. Action   contraction. In cardiac cells the Ca
                                                                                            2+
               potentials can readily spread from cell to   enters the cell via electrically gated cell
               cell, causing cardiac muscle to act electri-  membrane channels and is also released
               cally and mechanically as a functional   from an extensive sarcoplasmic reticulum
               syncytium, as if it were a single cell mass.  network. Thus, cardiac muscle has some
                  Blood vessels and lymphatic vessels are   similarities to both smooth and skeletal
                                                                      2+
               both plentiful in cardiac muscle. A gener-  muscle. The Ca  binds to regulatory pro-
               ous blood supply is essential, because   teins on the actin filaments, and contrac-
               most ATP production depends on aerobic   tion occurs in a manner similar to that in
               metabolism. In humans disruption of the   skeletal muscle.
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