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Acetyl co A +Choline

Cholineacetylase
Ach synthesis
Main store
Mobilization pool
Immediately available pool

ACh->Acetic acid+choline

Depolarisation->EPP->MAP
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
Myasthenia Gravis
Repetitive Nerve Stimulation
baseline

Post exercise

2 minutes

3 minutes

Repeat exercise
Single Fiber EMG
Myasthenia Gravis
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
Ca2+ channel structure

α2δ

γ
β
α1
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
Action potential

Arrival of an action potential
at the synaptic terminal

Axon

Arriving action potential

Synaptic terminal

Sarcolemma

Vesicles
ACh
Synaptic
cleft
Sarcolemma of
motor end plate

AChE molecules
ACh
receptor
site

ACh binding at the
motor and plate

Release of acetylcholine
Vesicles in the synaptic terminal fuse
with the neuronal membrane and dump
their contents into the synaptic cleft.

Muscle
fiber

The binding of ACh to the receptors
increases the membrane permeability to
sodium ions. Sodium ions then rush
into the cell.

Appearance of an action
potential in the sarcolemma
An action potential spreads across the
surface of the sarcolemma. While this
occurs, AChE removes the ACh.

Action
potential

Na+
Na+
Na+
SCS
Choline acetyl transferase
deficiency
20 Hz
Summary
ACh synthesis and neurotransmission

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ACh synthesis and neurotransmission

  • 1. Acetyl co A +Choline Cholineacetylase Ach synthesis Main store Mobilization pool Immediately available pool ACh->Acetic acid+choline Depolarisation->EPP->MAP
  • 2. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 3.
  • 4.
  • 5. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 6. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 7.
  • 8.
  • 9.
  • 10.
  • 12.
  • 13.
  • 14.
  • 15. baseline Post exercise 2 minutes 3 minutes Repeat exercise
  • 17. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 18. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 28. Action potential Arrival of an action potential at the synaptic terminal Axon Arriving action potential Synaptic terminal Sarcolemma Vesicles ACh Synaptic cleft Sarcolemma of motor end plate AChE molecules ACh receptor site ACh binding at the motor and plate Release of acetylcholine Vesicles in the synaptic terminal fuse with the neuronal membrane and dump their contents into the synaptic cleft. Muscle fiber The binding of ACh to the receptors increases the membrane permeability to sodium ions. Sodium ions then rush into the cell. Appearance of an action potential in the sarcolemma An action potential spreads across the surface of the sarcolemma. While this occurs, AChE removes the ACh. Action potential Na+ Na+ Na+
  • 29.
  • 30. SCS
  • 31.
  • 32.
  • 34. 20 Hz
  • 35.