MRCEM Notes

Muscle contraction: excitation-contraction coupling

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Excitation-contraction coupling

Skeletal muscle contraction may be broken down into excitation and contraction phases. Excitation-contraction coupling in the skeletal muscle refers to the sequence of events through which nerve fibres stimulate skeletal muscle fibres causing them to contract.

Excitation sequence in skeletal muscle

  • Action potential reaches the end bulb of the nerve at the neuromuscular junction causing the polarity inside the end bulb to change (becomes positive). This opens calcium channels on the nerve end bulb resulting in calcium ion influx through voltage-gated calcium channels.
  • Calcium influx causes the release of acetylcholine form vesicles into the synapatic space or cleft via exocytosis.
  • Acetylcholine crosses the synapse and binds to nicotinic acetylcholine receptors of the muscle cell. This causes opening of ligand gated sodium channels on the muscle and an influx of sodium, depolarising the muscle membrane.
  • Depolarisation spreads through the muscle primarily via T-tubules
  • Depolarization activates L-type voltage-dependent calcium channels (dihydropyridine receptors) in the T-tubule membrane, which are close to calcium-release channels (ryanodine receptors) in the adjacent sarcoplasmic reticulum
  • Sarcoplasmic reticulum releases calcium ions

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Diagram illustrating skeletal muscle highlighting sarcolemma. click on image to enlarge

Contraction sequence in skeletal muscle
  • The increased intracellular Ca2+ ion concentration within the muscle is the start of the contraction sequence.
  • Ca2+ binds to troponin (found on actin-containing thin filaments) causing a conformational change, allowing tropomyosin to move, unblocking the binding sites
  • Myosin head binds to the newly released binding site then pulls the actin filament by tilting its head (the power stroke), pulling the Z bands towards each other.
  • The power stroke releases the bound ADP and allows ATP to bind to myosin which causes the myosin-actin crossbridge to dissociate.




Terminology notes

ComponentNotes
SarcomereBasic unit of muscles that gives skeletal and cardiac muscles their striated appearance. Segment between two adjacent Z-lines
I-bandZone of thin filaments that is not superimposed by thick filaments
A-bandContains the entire length of a single thick filament
H-zoneZone of the thick filaments that is not superimposed by the thin filaments
M-lineMiddle of the sarcomere, cross-linking myosin
Sarcoplasmic reticulumReleases calcium ion in response to depolarization
ActinThin filaments that transmit the forces generated by myosin to the ends of the muscle
MyosinThick filaments
Binds to thin filament
TitinConnects the Z-line to the thick filament, altering the structure of tropomyosin
TropomyosinCovers the myosin-binding sites on actin
Troponin-CBinds with calcium ions
T-tubuleIs an invagination of the sarcoplasmic reticulum
Helps co-ordinate muscular contraction


The table below shows the types of skeletal muscle fibres (type II fibres are simplified into one category):

Type IType II
Contraction time SlowFast
ColourRed (due to presence of myoglobin)White (due to absence of myoglobin)
Main useSustained forceSudden movement
Major fuelTriglyceridesATP
Mitochondrial densityHighLow

Mnemonic for type I fibres - 'One Slow, Fat, Red Ox'
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