Physiologist discover a new disease affecting neuromuscular transmission at the neuromuscular junction NMJ. They called the condition...

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Medical Sciences

Physiologist discover a new disease affecting neuromusculartransmission at the neuromuscular junction NMJ. They called thecondition PLT disease and it causes weakness and increasing fatiguein the skeletal muscles, due to the production of antibodies thattarget membrane bound receptors of the skeletal muscle cells

Part A

How will the antibodies produced in PLT disease affectneuromuscular transmission? Identify the specific receptors on theskeletal muscle cells that will target these antibodies and theneurotransmitters involved

Part B

The physiologists decide to treat the PLT disease with a classof drug that enhances cholinergic transmission at the neuromuscularjunction.

Explain why enhancing the cholinergic transmission at the NMJ isa suitable treatment for PLT disease which causes skeletal muscleweakness.

Response should include detailed explanation of the eventsinvolved in cholinergic transmission, the role of cholinesterase innormal NMJ physiology, specific action of anticholinesterases oncholinesterase, and how anticholinesterase will affect skeletalmuscle contraction.

Answer & Explanation Solved by verified expert
4.1 Ratings (542 Votes)
Neuromuscular junction The neuromuscular junction NMJ is the synapse that is formed when the motor neuron innervates the muscle fibers in skeletal muscle In skeletal muscle contraction a nerve impulse in form of action potential either from CNS or PNS first reaches the presynaptic membrane of the motor neurons Action potentials are generated by increased flow of sodium ions which then travel to the axon Such nerve impulses causes opening of the voltage gated calcium channels at the axon terminal from extracellular space Intracellular Calcium ions will then increase which then associates with SNARE proteins on the synaptic vesicles that contain the neurotransmitter acetylcholine These interaction causes fusion of synaptic vesicles at the axon terminal The fusion of the synaptic vesicles with the axon terminal membrane causes release of acetylcholine quanta by exocytosis The ACH released will then travel to the motor    See Answer
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