MCB 135E Discussion GSI: Jason Lowry Dec. 9, 2004.

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Transcript of MCB 135E Discussion GSI: Jason Lowry Dec. 9, 2004.

MCB 135E Discussion

GSI: Jason Lowry

Dec. 9, 2004

Topics

• Muscle Growth and Plasticity

• Nutrition

• Eating Disorders

• Homeostasis

• Hormesis

Muscle Growth and Plasticity

1. What are the major components of muscle?2. From what embryologic layer are muscles

derived?3. Which kinds of muscles are under autonomic

control? Which are under voluntary control?4. What kind of neuron innervates muscle and

causes it to contract?5. What specialized oxygen-carrying molecule is

found in muscle?

Embryology

• All muscles derive from the MESODERM of the GASTRULA

Remember? Morula then Blastula then Gastrula

• From its mesoderm layer:

A) striated or voluntary muscles

B) cardiac muscle or scalariform

C) smooth muscle (of GI tract, Urinary, etc)

Importance of the Nervous System

• Autonomic nervous system controls

smooth and cardiac muscles

• Central nervous system controls

the voluntary muscles

Histology

Each fiber being a multinucleated cell

consists of myofibrils in bundles with a

large number of mitochondria and a

myoglobin (pigmented protein)

Muscle Growth and Plasticity

1. What are the main proteins of the myofibril unit?

2. Know the characteristics of the two main muscle fiber types.

3. What is myoplasticity?4. From what molecule does muscle obtain ATP

for contraction? Under what conditions might lactate be produced? Under what conditions is the TCA cycle used to produce ATP?

Contractility

Secondary to the sliding characteristic of the 2 main proteins of the myofibrils:

MYOSIN

ACTIN

(thinner)

Steps in Contraction1. Discharge of motor-neuron at the myo-neural plate with release of

the neurotransmitter acetylcholine (Ach)

2. The binding of Ach to its receptors increases Na+ and K+ conductance, generating an action potential

3. The sarcoplasmic reticulum releases Ca++, activating the enzyme troponin, which uncovers the myosin binding sites allowing cross-linkages between actin and myosin to form

Steps in Relaxation

Ca++ pumped back in the sarcoplasmic reticulum, and the release of Ca++ from the troponin induces cessation of interaction between actin and myosin.

THE FUEL

GLUCOSE, 6 carbon (C) compound, enters the muscle +/- insulin

Broken into 3C compound:

Lactate and Pyruvate

Lactate to pyruvate and/or back to circulation for gluconeogenesis

Muscle Growth and Plasticity

1. How does muscle change after development? Do we make new muscle cells? If not, then how do our muscles become bigger with use?

2. What kinds of exercise lead to an increase in cross-sectional area of muscle fibers? What kinds of exercise increase the level of oxidative metabolism?

TYPES of FIBERS

Type 1: reddish Slow Oxidative (SO)

Type 2: pale and divided into

Fast Oxidative Glycolytic (FOG)

Fast Glycolytic (FG)

The number and type of fibers is dictated by genetic determinants but

……..ALAS!!!

Appropriate stimulations may induce an almost complete change

Hence…..

MYOPLASTICITY

Myoplasticity: ConceptAbility of the muscle to alter the quantity and the type of

its proteins in response to stimulations

Modalities of stimulations: 1) Physical activities leading to an increase in its cross-

sectional area2) Increase in the muscular mass with changes in the

myosin typeMuscle plasticity may involve:

• Change in the amount of protein• Change in the type of protein

• Combination of both

Myoplasticity Due to Exercise

• Endurance exercise increases the oxidative metabolism of the muscle

• Resistance training increases the cross-sectional area due to true hypertrophy of the single cells

• Inactivity induces rapid regression

Muscle Fiber Number Virtually Fixed at Birth

• The increase in mass (hypertrophy, sometimes as much as 50%) is due to increase in length and in the cross-sectional area of the muscle fibers.

This is due to an increase in the number of myofibrils (from 75 to over 1000)

• The capacity for regeneration and plasticity is a response to neural, hormonal and nutritional differences

Nutrition

1. What are the stimulators of appetite?2. What the depressors of appetite?3. What is the sense of satiety? What are its

inducers?4. Why does it make sense for high insulin levels

to stimulate hunger?5. What kind of cell secretes leptin? Why does it

make sense for this cell type to secrete a depressor of hunger?

Nutrition

1. What is the basal requirement of nutrients for an very active adolescent or adult?

2. How many Kcal are there in 1 gm of fat? in 1 gm of protein? in 1 gm of carbohydrate?

3. What features of our intestinal tract point towards our being omnivores?

4. Why is it that water is so important?5. What form must carbohydrates be in to be

absorbed through the intestinal wall?

Supply of Calories

• From ATP = 1 kcal (walk 10 meters)

• From CP = 10 kcal (walk 100 meters)

• From blood glucose = 80 kcal

• From liver glycogen = 400 kcal

• From muscle glycogen = 1600 kcal

All of the above enough for a marathon!

• Lipids only a very slow turnover to energy

• Proteins a very very slow turnover to energy

Caloric production

• FATS : 1 gm = 9 kcal

• PROTEINS : 1 gm = 4 kcal

• CHO : 1 gm = 4 kcal

The Caloric Requirement

1. The calorie and the kilocalorie

2. The basal requirement = 1600 kcal

3. Requirements for moderately active adult

1800 2200 kcal

4. For a very active adolescent or adult: 3000 kcal or more

5. Memo the THYROID EFFECT !!!!

Nutrition

1. What is the minimum safe percentage of protein in an adult diet? Why is it dangerous to take in less?

2. What two vitamin levels should be checked with frequency in a vegan diet to ensure adequate intake?

3. What kinds of fat are best for us to take in? What is one solid fat that is good for us?

The Macronutrients: Lipids

• Saturated, no double bonds, usually solid

• Trans-fats, from liquid to solid format (usually commercial only)

• Mono-unsaturated, like olive oil

• Poly-unsaturated, like most other oils

• OMEGA 3, fatty acids, like many fish oils

The Macronutrients: Proteins

• Protein intake at least 11-12% of the total

• Intakes below 8.7% carry severe risk of serious deficits

Nutrition

1. What are the micronutrients?

2. Why do we need fiber in our diets?

3. Has caffeine been shown to be bad for the average person?

The Micronutrients

• Salt, Na+ (<5 mg/day) and K+ (deficits, excesses, need)

• Ca+ (1800 mg/day), P and Fl (bone metabolism)

• Fe++ (deficit and excess), Cu, Mn, and Mg

• Other metals: Cr, Se, Zn and the Metalloid I

• Memo the hidden aspects of hypothyroidism

RDA/ day(for some components)

Ca++ : 1800 mg or more

P : 1200 mg

Fe++ : 10-12 mg

I : 150 g

Se : 45-50 g

The Macronutrients: Fibers

• High risk for the “vegans”

• Benefits and risk of the fibers

• The good and the not so good vegetables

• CONCLUSION: long live the Mediterranean diet but….with some cracks!!!

Addicting Substances

Coffee and Tea (caffeine and teine)

Memo: aminophylline and brochospasm

ALCOHOLIC BEVERAGES!!!

The benefits and the…….

Disasters!!!!

Stress: Homeostasis

1. What does the term "homestasis" mean?

2. What does the term "allostasis" mean?

3. What is the General Adaptation Syndrome? How might the ideas of the adaptation syndrome be applied to developmental periods?

Stress, Homeostasis, and Allostasis

An organism must vary all parameters of its internal milieu and match them appropriately to environmental demands through:

Homeostasis: steady state and optimal set-points are achieved; it is obtained by repeated fluctuation s of various physiological systems (allostasis) and/or long-term exposure to elevated levels of physiologic activity

Allostasis: emphasis is on optimal operating ranges of physiologic systems; it represents stability obtained through change

Allostatic load: the cumulative, multi-system view of physiologic toll that may be exacted on the body through attempts at adaptation

Stress: Hormesis

1. What types of physical stress affect cortisol secretion? What types of psychological stress?

2. What role does stress play in longevity

3. Why do we get sick when we are stressed?

Hormesis• Hormesis: the beneficial action (s) resulting from

the response of an organism to a low-intensity stressor

• The term “Hormesis” was first utilized by T. D. Luckey in 1991 in a book entitled Radiation Hormesis.

• High doses of radiation increase mortality and shorten life; small doses of radiation prolong life (as compared to the non-irradiated animals).

Hormesis & Chaperones• The beneficial effects of moderate stress on the

resistance to extreme and prolonged stresses, and the promotion of longevity, may be due to their action in stimulating the production of “heat-shock proteins” (HSP) (also known as “stress proteins”).

• HSP are a type of “chaperone” protein – Chaperones ubiquitin, glucose related proteins,

endoplasmic reticulum chaperones.

Hormesis & Chaperones

• During stress, HSP level increases and protects the normal assembly of proteins by promoting their appropriate folding

• In C. Elegans it has been shown that upon stress, there is increase levels of HSP together with a longer life.

However, there is no such thing as a “free meal”

Increased longevity is associated with unwanted effects on growth, fertility, length of development, metabolic rate, etc.

Stress1. What is the difference between a specific and a

nonspecific response to stress? Give an example of each.

2. Know the features of the fight/flight response.

3. What bodily functions are inhibited by stress? Stimulated?

4. What happens to the immune system during prolonged stress?

Some Characteristics of StressStress induces defense mechanisms for maintenance of homeostasis in response to environmental challenges

Types of stress known to stimulate the HPA axis*:

Physical Stress:hypoglycemia, trauma, exposure to extreme temperatures, infections, heavy exercise

Psychological Stress: Acute anxiety, Anticipation of stressful situations, Novel situations, Chronic anxiety

Exposure to stress generates:

Specific responses: varying with the stimulus and generating different responses with each stimulus

Non-Specific responses:always the same, regardless of the stimulus and mediated through stimulation of neural, endocrine & immune axes

*HPA axis = hypothalamo-pituitary-adrenal axis

“Fright, Flight, or Fight” Responses to Stress•Increased blood pressure•Increased heart rate•Increased force of heart contraction•Increased heart conduction velocity•Shift of blood flow distribution

•Away from the skin and splachnic regions•And more to heart, skeletal muscle, and brain

•Contraction of spleen capsule•Increased depth and rate of respiration•Mobilization of liver glycogen to glucose (glycogenolysis)•Mobilization of free fatty acids from adipose tissue (lipolysis)•Mydriasis (widening of pupil)•Accommodation for far vision (relaxation of ciliary muscle)•Widening of palpebral fissure (eyelids wide open)•Piloerection•Inhibition of gastrointestinal motility and secretion, contraction of sphincters•Sweating (cold sweats as skin blood vessels are constricted).

Pathophysiologic Responses During and After Stress

During Stress

Energy storage ceases because:Sympathetic activity

Parasympathetic activityInsulin secretion

Access to energy storage is facilitated & energy storage steps are reversed:

glucocorticoid secretionEpinephrine/norepinephrine secretion

Glucagon secretion

After Stress

If physiologic responses are insufficient and adaptation is incomplete, symptoms of poor health are registered (e.g. loss of energy when freeing energy from

storage and returning to storage)

Examples of consequences:

Muscle wasting, Diabetes (Type 2), ulcers, colitis, diarrhea

Inhibition of growth (in childhood), Osteoporosis (in old age)

LHRH, testosterone