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EGBO ARUBE RUBY 14/MHS06/020 MBBS 200L THE HISTOLOGY OF MUSCLE AS A TISSUE A Tissue is a cellular organizational level intermediate between cells and a complete organ. A tissue is an ensemble of similar cells from the same origin that together carry out a specific function. There are four basic types of tissue namely: Epithelial tissue, Nervous tissue, Connective tissue and Muscle tissue. Muscle tissue is composed of cells differentiated for optimal use of contractility. Microfilaments and associated proteins together generate the forces necessary for cellular contraction, which drives movement within certain organs and the body as a whole. Nearly all muscle cells are of mesodermal origin and they differentiate mainly by a gradual process of cell lengthening with simultaneous synthesis of myofibrillar proteins- actin and myosin. The basis for motion mediated by muscle cells is the conversion of chemical energy (ATP) into mechanical energy by the contractile apparatus of muscle cells (which includes the actin and myosin proteins). The interaction of these two proteins mediates the contraction of muscle cells. The cytoplasm of muscle cells is called sarcoplasm (Gr. sarkos, flesh, + plasma, thing formed) and the smooth ER is called sarcoplasmic reticulum. The sarcolemma (sarkos + Gr. lemma, husk) is the cell membrane, or plasmalemma. Three types of muscle tissue can be distinguished on the basis of morphologic and functional characteristics and the structure of each type is adapted to its physiologic role; they are 1. Skeletal Muscle 2. Smooth Muscle 3. Cardiac Muscle A muscle tissue can either be voluntary or involuntary and/or striated or nonstriated. 1. Skeletal Muscle Skeletal muscle is composed of bundles of very long, cylindrical, multinucleated cells with diameters of 10–100 m that show cross-striations (i.e they are striated). The Skeletal muscle is associated with the skeletal system. The long oval nuclei are usually found at the periphery of the cell under the cell membrane. This characteristic nuclear location is helpful in discriminating skeletal muscle from cardiac and smooth muscle, both of which have centrally located nuclei. Their contraction is quick, forceful, and usually under voluntary control. It is caused by the interaction of thin actin filaments and thick myosin filaments whose molecular configuration allows them to slide upon one another. The forces necessary for sliding are generated by weak interactions in the bridges between actin and myosin. Development of skeletal muscle. Skeletal muscle begins to differentiate when mesenchymal cells called myoblasts align and fuse together to make longer, multinucleated tubes called myotubes. Myotubes synthesize the proteins to make up myofilaments and gradually begin to show cross striations by light microscopy. Myotubes continue differentiating to form functional myofilaments and the nuclei are displaced against the sarcolemma. Part of the myoblast population does not fuse and differentiate, but remains as a group of mesenchymal cells called muscle satellite cells located on the external surface of muscle fibers inside the developing external lamina. Satellite cells proliferate and produce new muscle fibers following muscle injury. Development of skeletal muscle Organization of skeletal muscle The masses of fibers that make up the various types of muscle are arranged in regular bundles surrounded by the epimysium, an external sheath of dense connective tissue surrounding the entire muscle. From the epimysium, thin septa of connective tissue extend inward, surrounding the fascicles or bundles of fibers within a muscle. The connective tissue around each fascicle is called the perimysium. Each muscle fiber is itself surrounded by a more delicate connective tissue, the endomysium, composed of a basal lamina synthesized by the multinucleated fibers themselves as well as reticular fibers and fibroblasts. Within each fiber the nuclei are displaced peripherally against the sarcolemma. Muscle Fibers As observed with the light microscope, longitudinally sectioned skeletal muscle fibers show cross-striations of alternating light and dark bands. The darker bands are called A bands (Anisotropic or birefringent in polarized light); the lighter bands are called I bands (Isotropic, do not alter polarized light). In the TEM each I band is seen to be bisected by a dark transverse line, the Z line (Ger. Zwischenscheibe, between the discs). The sarcomere, extends from Z line to Z line and is about 2.5 m long in resting muscle. The A and I banding pattern in sarcomeres is due mainly to the regular arrangement of two types of myofilaments—thick and thin—that lie parallel to the long axis of the myofibrils in a symmetric pattern. The thick filaments are 1.6 m long and 15 nm wide; they occupy the A band, the central portion of the sarcomere. The thin filaments run between and parallel to the thick filaments and have one end attached to the Z line. Thin filaments are 1.0 m long and 8 nm wide. As a result of this arrangement, the I bands consist of the portions of the thin filaments that do not overlap the thick filaments (which is why they are lighter staining). The A bands are composed mainly of thick filaments in addition to overlapping portions of thin filaments. Close observation of the A band shows the presence of a lighter zone in its center, the H zone, that corresponds to a region consisting only of the rod-like portions of the myosin molecule with no thin filaments present. Bisecting the H zone is the M line (Ger. Mitte, middle), a region where lateral connections are made between adjacent thick filaments. Major proteins present in the M line region are myomesin, a myosin-binding protein which holds the thick filaments in place, and creatine kinase, which catalyzes the transfer of phosphate groups from phosphocreatine (a storage form of high-energy phosphate groups) to adenosine diphosphate (ADP), thus helping to supply adenosine triphosphate (ATP) for muscle contraction. Thin and thick filaments overlap for some distance within the A band. As a consequence, a cross section in the region of filament overlap shows each thick filament surrounded by six thin filaments in the form of a hexagon. Thin filaments are composed of F-actin, associated with tropomyosin, which also forms a long fine polymer, and troponin, a globular complex of three subunits. Thick filaments consist primarily of myosin. Myosin and actin together represent 55% of the total protein of striated muscle. F-actin consists of long filamentous polymers containing two strands of globular (G-actin) monomers, 5.6 nm in diameter, twisted around each other in a double helical formation. G-actin molecules are asymmetric and polymerize to produce a filament with polarity. Each G-actin monomer contains a binding site for myosin. Actin filaments, which are anchored perpendicularly on the Z line by the actin-binding protein -actinin, exhibit opposite polarity on each side of the line. Transverse tubules are invaginations of the sarcolemma that penetrate deeply into the muscle fiber around all myofibrils. Structure of a Myofibril Molecules composing thin and thick filaments. The contractile proteins are the thin and thick myofilaments within myofibrils. i) Each thin filament is composed of F-actin, tropomyosin, and troponin complexes. ii) Each thick filament consists of many myosin heavy chain molecules bundled together along their rod-like tails, with their heads exposed and directed toward neighboring thin filaments. iii) Besides interacting with the neighboring thin filaments, thick myofilament bundles are held in place by less well-characterized myosinbinding proteins within the M line. Each tropomyosin subunit is a long, thin molecule about 40 nm in length containing two polypeptide chains, which assembles to form a long polymer located in the groove between the two twisted actin strands. Troponin is a complex of three subunits: TnT, which attaches to tropomyosin; TnC, which binds calcium ions; and TnI, which inhibits the actin-myosin interaction. Troponin complexes are attached at specific sites at regular intervals along each tropomyosin molecule. Myosin is a much larger complex (molecular mass ~500 kDa). Myosin can be dissociated into two identical heavy chains and two pairs of light chains. Myosin heavy chains are thin, rod-like molecules (150 nm long and 2–3 nm thick) made up of two heavy chains twisted together as myosin tails. Small globular projections at one end of each heavy chain form the heads, which have ATP binding sites as well as the enzymatic capacity to hydrolyze ATP (ATPase activity) and the ability to bind actin. The four light chains are associated with the head. Several hundred myosin molecules are arranged within each thick filament with their rodlike portions overlapping and their globular heads directed toward either end. Analysis of thin sections of striated muscle shows the presence of crossbridges between thin and thick filaments. These bridges are formed by the head of the myosin molecule plus a short part of its rodlike portion. These bridges are involved in the conversion of chemical energy into mechanical energy. Thin and Thick Filaments Muscle Fiber Types Skeletal muscle cells are highly adapted for discontinuous production of intense work through the release of chemical energy. Muscle fibers have depots of energy to cope with bursts of activity. The most readily available forms of energy are ATP and phosphocreatine, both of which are energyrich phosphate compounds. Chemical energy is also stored in glycogen particles, which constitute about 0.5–1% of muscle weight. Muscle tissue obtains energy as ATP and phosphocreatine from the aerobic metabolism of fatty acids and glucose. Fatty acids are broken down to acetate by the enzymes of -oxidation in the mitochondrial matrix. Acetate is then further oxidized by the citric acid cycle, with the resulting energy being conserved in the form of ATP. When skeletal muscles are subjected to a short-term (sprint) exercise, they use anaerobic metabolism of glucose (coming mainly from glycogen stores), producing lactate and causing an oxygen debt that is repaid during the recovery period. The lactate formed during this type of exercise is the cause of cramping and pain in skeletal muscles. Skeletal muscle fibers of humans are classified into three types based on their physiological, biochemical, and histochemical characteristics. All three fiber types are normally found throughout most muscles. 1. Type I or slow, red oxidative fibers contain many mitochondria and abundant myoglobin, a protein with iron groups that bind O2 and produce a dark red color. Red fibers derive energy primarily from aerobic oxidative phosphorylation of fatty acids and are adapted for slow, continuous contractions over prolonged periods, as required for example in the postural muscles of the back. 2. Type IIa or fast, intermediate oxidative-glycolytic fibers have many mitochondria and much myoglobin, but also have considerable glycogen. They utilize both oxidative metabolism and anaerobic glycolysis and are intermediate between the other fiber types both in color and in energy metabolism. They are adapted for rapid contractions and short bursts of activity, such as those required for athletics. 3. Type IIb or fast, white glycolytic fibers have fewer mitochondria and less myoglobin, but abundant glycogen, making them very pale in color. They depend largely on glycolysis for energy and are adapted for rapid contractions, but fatigue quickly. They are typically small muscles with a relatively large number of neuromuscular junctions, such as the muscles that move the eyes and digits. Medical Application The classification of fiber types in muscle biopsies has clinical significance for the diagnosis of muscle diseases, or myopathies (myo + Gr. pathos, suffering). The differentiation of muscle into red, white, and intermediate fiber types is controlled by the frequency of impulses from its motor innervations, and fibers of a single motor unit are of the same type. Simple denervation of muscle leads to fiber atrophy and paralysis. 2. Cardiac Muscle Cardiac muscle also has cross-striations (i.e it is also striated) and is composed of elongated, branched individual cells that lie parallel to each other. Cardiac muscles are the muscles of the heart. At sites of end-to-end contact are the intercalated disks, structures found only in cardiac muscle. Contraction of cardiac muscle is involuntary, vigorous, and rhythmic. During embryonic development, the mesoderm cells of the primitive heart tube align into chainlike arrays. Rather than fusing into multinucleated cells, as in the development of skeletal muscle fibers, cardiac muscle cells form complex junctions between extended processes. Cells within a fiber often branch and bind to cells in adjacent fibers. Consequently, the heart consists of tightly knit bundles of cells, interwoven in a fashion that provides for a characteristic wave of contraction that leads to a wringing out of the heart ventricles. Diagram of cardiac muscle cells indicates characteristic features of this muscle type. The fibers consist of separate cells with interdigitating processes where they are held together. These regions of contact are called the intercalated discs, which cross an entire fiber between two cells. The transverse regions of the steplike intercalated disc have abundant desmosomes and other adherent junctions which hold the cells firmly together. Longitudinal regions of these discs contain abundant gap junctions, which form "electrical synapses" allowing contraction signals to pass from cell to cell as a single wave. Cardiac muscle cells have central nuclei and myofibrils that are less dense and organized than those of skeletal muscle. Also the cells are often branched, allowing the muscle fibers to interweave in a more complicated arrangement within fascicles that produces an efficient contraction mechanism for emptying the heart. Mature cardiac muscle cells are approximately 15 m in diameter and from 85 to 100 m in length. They exhibit a cross-striated banding pattern comparable to that of skeletal muscle. Unlike multinucleated skeletal muscle, however, each cardiac muscle cell possesses only one or two centrally located pale-staining nuclei. Surrounding the muscle cells is a delicate sheath of endomysium containing a rich capillary network. A unique and distinguishing characteristic of cardiac muscle is the presence of dark-staining transverse lines that cross the chains of cardiac cells at irregular intervals. These intercalated discs represent the interface between adjacent muscle cells where many junctional complexes are present. Transverse regions of these steplike discs have many desmosomes and fascia adherentes (which resemble the zonula adherentes between epithelial cells) and together these serve to bind cardiac cells firmly together to prevent their pulling apart under constant contractile activity. The more longitudinal portions of each disc have multiple gap junctions, which provide ionic continuity between adjacent cells. These act as "electrical synapses" and allow cells of cardiac muscle to act as in a multinucleated syncytium, with contraction signals passing in a wave from cell to cell. A few differences in structure exist between atrial and ventricular muscle. The arrangement of myofilaments is the same in both, but atrial muscle has markedly fewer T tubules, and the cells are somewhat smaller. Membranelimited granules, each about 0.2–0.3 m in diameter, are found at the poles of atrial muscle nuclei and are associated with Golgi complexes in this region. These granules release the peptide hormone atrial natriuretic factor (ANF) which acts on target cells in the kidney to affect Na+ excretion and water balance. The contractile cells of the heart's atria thus also serve an endocrine function. 3. Smooth Muscle Smooth muscle consists of collections of fusiform cells that do not show striations. Their contraction process is slow and not subject to voluntary control. Smooth muscle fibers are elongated, tapering, and nonstriated cells, each of which is enclosed by a thin basal lamina and a fine network of reticular fibers. The connective tissues serve to combine the forces generated by each smooth muscle fiber into a concerted action, eg, peristalsis in the intestine. Concentrated near the nucleus of a smooth muscle are mitochondria, polyribosomes, cisternae of rough ER, and the Golgi apparatus. Pinocytotic vesicles are frequent near the cell surface. A rudimentary sarcoplasmic reticulum is present in smooth muscle cells, but T tubules are not. The characteristic contractile activity of smooth muscle is related to the structure and organization of its actin and myosin filaments, which do not exhibit the organization present in striated muscles. In smooth muscle cells, bundles of thin and thick myofilaments crisscross obliquely through the cell, forming a latticelike network. Smooth muscle actin and myosin contract by a sliding filament mechanism similar to that in striated muscles. However, myosin proteins are bundled differently and the cross-bridges interact with fewer F-actin filaments. The thin filaments of smooth muscle cells lack troponin complexes and instead utilize calmodulin, a calcium-binding protein that is also involved in the contraction of non-muscle cells. As in all muscle, an influx of Ca2+ is involved in initiating contraction in smooth muscle cells. However in these cells the Ca2+ calmodulin complex activates myosin light chain kinase (MLCK), the enzyme that phosphorylates myosin, which is required for myosin's interaction with F-actin. A number of hormones and other factors affect the activity of MLCK and thus influence the degree of contraction of smooth muscle cells. Smooth muscle cells have an elaborate array of 10-nm intermediate filaments. Desmin is the major intermediate filament protein in all smooth muscles and vimentin is an additional component in vascular smooth muscle. Both intermediate filaments and F-actin filaments insert into dense bodies (Figure 10–20) which can be membrane-associated or cytoplasmic. Dense bodies contain -actinin and are thus functionally similar to the Z discs of striated and cardiac muscles. The attachments of thin and intermediate filaments to the dense bodies helps transmit contractile force to adjacent smooth muscle cells and their surrounding network of reticular fibers. Contraction of smooth muscle is not under voluntary control, but is regulated by autonomic nerves, certain hormones, and local physiological conditions such as the degree of stretch. Smooth muscle is divided into two subgroups; the single-unit (unitary) and multiunit smooth muscle. Within single-unit cells, the whole bundle or sheet contracts as a syncytium (i.e. a multinucleate mass of cytoplasm that is not separated into cells). Multiunit smooth muscle tissues innervate individual cells; as such, they allow for fine control and gradual responses, much like motor unit recruitment in skeletal muscle. Unitary smooth muscle is more common in which only a few cells are innervated but all cells are interconnected by gap junctions. Gap junctions allow the stimulus for contraction to spread as a synchronized wave among adjacent cells. Smooth muscle lacks neuromuscular junctions like those in skeletal muscle. Instead axonal swellings with synaptic vesicles simply lie in close contact with the sarcolemma, with little or no specialized structure to the junctions. Because smooth muscle is usually spontaneously active without nervous stimuli, its nerve supply serves primarily to modify activity rather than initiate it. Smooth muscle receives both adrenergic and cholinergic nerve endings that act antagonistically, stimulating or depressing its activity. In some organs, the cholinergic endings activate and the adrenergic nerves depress; in others, the reverse occurs. In addition to contractile activity, smooth muscle cells also synthesize collagen, elastin, and proteoglycans, extracellular matrix (ECM) components normally synthesized by fibroblasts. A relaxed and contracted smooth muscle.