Part I – The Tour
You are an intern working in the Atlanta, GA office of Dr.
Priya Wayne, MD. Dr. Wayne is a specialist in rare neuromuscular
and musculoskeletal disorders. You’ve been working with Dr. Wayne
for the last year and due to this experience you’ve gained a great
deal of knowledge about the human body and muscle physiology.
You’re also a college student and working with Dr. Wayne has
allowed you to gain first-hand experience with some of the material
that you’re learning in your human physiology course. Just last
week you had to turn in an assignment comparing and contrasting
disorders of the neuromuscular junction. You learned all about
several issues, including myasthenia gravis, sarin, curare,
botulism, and Eaton-Lambert syndrome.
Today a group of high school students is coming for a tour and
Dr. Wayne has asked you to prepare some information about muscles
to present to the students. Specifically, Dr. Wayne has asked you
to discuss the neuromuscular junction (NMJ), skeletal muscle
contraction, and explain some of the issues that can occur when
signaling between neurons and muscles does not go as planned.
Questions
Use the word bank to match the appropriate letter to the
definitions/descriptions on the next page.
(a) Sodium
(b) Nicotinic acetylcholine receptor (nACh) (c) Myosin
(d) Actin
(e) Acetylcholine (ACh)
(f) Depolarization
(g) Motor end plate
(h) Acetylcholinesterase (AChE)
(i) Synaptic vesicles
(j) T-tubule
(k) Sarcoplasmic reticulum (l) Dihydropyridine receptor (m)
Ryanodine receptor
(n) Synaptic terminal
(o) Sarcolemma
(p) Sarcomere
*These four undergraduate students contributed equally to the
creation of this case study and are listed in alphabetical
order.
Case copyright held by the National Center for Case Study
Teaching in Science, University at Buffalo, State University of New
York. Originally published September 29, 2016. Please see our usage
guidelines, which outline our policy concerning permissible
reproduction of this work. Photograph by Victoria Garcia, Open
Stax,
<https://cnx.org/contents/
[email protected]:mU03zyTM@2/Interactions-of-Skeletal-Muscl>,
cc by 4.0.
NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE 1. ___ Thin
contractile protein involved in cross-bridge formation, comes in
filamentous or globular forms.
2. ___ Store neurotransmitters, and following a Ca2+ driven
signal, dump neurotransmitters into the synapse.
3. ___ The structure at the end of the axon that contains
neurotransmitters and vesicles.
4. ___ The functional unit of the muscle fiber that includes
the A-band, I-band, H-zone and the M-line.
5. ___ The ion responsible for depolarizing the muscle
membrane by traveling through the nACh receptor, down its
electrochemical gradient.
6. ___ Located on the sarcoplasmic reticulum and once opened,
allows Ca2+ flow from the sarcoplasmic reticulum into the
sarcoplasm.
7. ___ Thick filamentous contractile protein involved in
cross-bridge formation, has a club-like appearance with a
“head.”
8. ___ A neurotransmitter derived from choline; responsible
for sending the excitatory signal in the neuromuscular
junction.
9. ___ These invaginations allow depolarization of the muscle
membrane to quickly penetrate from the sarcolemma to the
myofibril.
10. ___ Large and complex terminal formation by which an axon
of a motor neuron establishes synaptic contact with a skeletal
muscle fiber, transmitting neural impulses to a muscle.
11. ___ The plasma membrane of a muscle fiber.
12. ___ The enzyme responsible for stopping the ACh signal.
Functions by metabolizing ACh into choline, which is recycled, and
acetate.
13. ___ Responsible for opening a ligand-gated Na+/K+ channel
in the muscle membrane when the proper ligand binds to it.
14. ___ A L-type calcium channel in the muscle cell membrane,
activated upon depolarization, couple depolarization signal to
release of calcium.
15. ___ An electrical change which brings the relative charge
of the inside of the cell more positive; necessary for transmission
of electrical impulses within a cell, or from one cell to
another.
16. ___ Modified endoplasmic reticulum, stores and releases
calcium.
Explain the organization/classifications of the Human Nervous
System.
1. Which component(s) will be your main focus in this case
study