Which tissues are excitable




















Negatively charged chloride ions however would not, hence a net negative charge would develop across the membrane. At equilibrium the electrical force pulling potassium ions back into the cell would be exactly counterbalanced by the concentration gradient pulling potassium ions out of the cell.

This model helps us to understand the following points about the development of an equilibrium potential:. Ionic concentration gradients exist across cell membranes, these are mainly established by the ion pumps discussed earlier.

With knowledge of the relative concentrations of different ions across a cell membrane, the Nernst equation can be used to calculate the equilibrium potentials for different ions. The equation can easily be understood by referring back to some of the principles already discussed. And the electrical gradient, where an increase in the electrical charge of an ion z will decrease the potential difference required to balance diffusion.

The rate at which a given ion moves along its concentration gradient will be governed by diffusion, the rate of this being increased by an increase in temperature T. As at rest and body temperature the cell membrane is mostly permeable to potassium, it is not surprising that the calculated equilibrium potential of mV for this ion is not much different from the resting membrane potential of mV that we see in many excitable cells.

The actual resting membrane potential can be predicted using the Goldman constant field equation Goldman- Hodgkin-Katz equation. This formula takes into account the relative permeability of the membrane to other ions. As clinicians we are familiar with the importance of maintaining potassium concentrations within normal limits in order to avoid cardiac complications.

At rest the excitable cell membrane is mostly permeable to potassium. Because of this, changes in extracellular potassium concentration have a marked effect on the resting membrane potential. That is, it depolarises the cell. In cardiac tissue for example this will markedly increase the likelihood of action potential generation and therefore increases the risk of arrhythmias.

In neuronal tissue Potassium homeostasis is very well maintained by neuroglia, particularly Astrocytes. The sequence of events resulting in the generation of an action potential can be summarised as follows:.

In other nerves the stimulus for generator potential production may be, for example, secondary to ion channel activation by neurotransmitters released at the synapse.

The trace then rapidly reverses and falls back towards the resting level. This is called the spike potential. This is after depolarisation. After reaching the previous resting level, the trace overshoots. This is known as after hyperpolarisation. This period coincides with the refractory period. If a small current is applied to a neurone the minimal intensity of stimulating current threshold current that, acting for a given time, will produce an action potential can be determined.

A short intense current , or weak, but long, stimulus will both result in an action potential, providing threshold is reached. If the threshold current is not reached then an action potential will not be generated. If the stimulating current rises too slowly then an action potential will not be generated as the neuron will adapt. This is known as accommodation. Once threshold has been reached then further increases in stimulating current will not cause any increment in the action potential.

In short, unless threshold is reached, no action potential will be generated. Furthermore, any further increases in stimulation intensity will not result in any change in the action potential. Multiple Action Potentials will be produced if a stimulating current is applied to a neuron. The frequency of firing will increase in proportion to the magnitude of the stimulus current until a maximum firing frequency is reached usually around Hz.

Once voltage gated sodium channels are opened, at threshold, sodium ions move into the neuron in a direction that takes V m towards the equilibrium potential for sodium 65 mV.

The membrane is depolarised. Threshold can therefore be explained as the membrane potential at which enough voltage gated sodium channels are opened that the relative ionic permeability of the membrane favours sodium over potassium. The Falling phase now needs explaining. This can be described in terms of the action of two types of channel. First, the voltage gated sodium channels start to close. Secondly, voltage gated potassium channels open triggered by membrane depolarization.

AccessBiomedical Science. AccessEmergency Medicine. Case Files Collection. Clinical Sports Medicine Collection. Davis AT Collection. Davis PT Collection. Murtagh Collection. About Search. Enable Autosuggest. You have successfully created a MyAccess Profile for alertsuccessName. Previous Chapter.

Next Chapter. Barrett K. Kim E. Barrett, et al. Ganong's Review of Medical Physiology, 26e. Dahl, G. Decoupling of heart muscle cells: Correlation with increased cytoplasmic calcium activity and with changes of nexus ultrastructure. Reber, W. Ungulate cardiac Purkinje fibers: The influence of intracellular pH on the electrical cell-to- cell coupling.

London 87— De Mello, W. Spray, D. Stern, A. Harris, and M. Gap junctional conductance: Comparison of sensitivities to H and Ca ions. USA 79 : — White, R. Carvalho, D. Spray, B. Wittenberg, and M. Gap junctional conductance between isolated pairs of ventricular myocytes from rat. The electrical constants of Purkinje fibres. Bonke, F. Electrotonic spread in the sinoatrial node of the rabbit heart.

Woodbury, J. On the problem of impulse conduction in the atrium. In: Nervous Inhibition. Florey, ed. Pergamon Press, Elmsford, N. Draper, M. A comparison of the conduction velocity in cardiac tissues of various mammals. Sano, T. Takayama, and T. Directional difference of conduction velocity in the cardiac ventricular syncytium studied by microelectrodes.

Clerc, L. Directional differences of impulse spread in trabecular muscle from mammalian heart. Cellular electrophysiology of the heart. In: Handbook of Physiology , Section 2, Volume 1. Hamilton and P. Dow, eds. American Physiological Society, Washington, D. Hodgkin, A. The ionic basis of electrical activity in nerve and muscle. Cardiac resting and action potentials recorded with an intracellular electrode.

London : 74— Del Castillo, J. On increasing the velocity of a nerve impulse. The actions of ouabain on intercellular coupling and conduction velocity in mammalian ventricular muscle. Tsien, R. Inotropic effect of cyclic AMP in calf ventricular muscle studied by a cut-end method. Hoffman, B. Electrophysiology of the Heart. McGraw-Hill, New York. Hogan, P. Evidence for specialized fibers in the canine right atrium. Mendez, C. Atrioventricular transmission.

In: Electrical Phenomena in the Heart. De Mello, ed. Academic Press, New York. Cranefield, P. The Conduction of the Cardiac Impulse. Futura, Mount Kisco, N. Carmeliet, E. Electrogenesis of the action potential and automaticity.

In: Handbook of Physiology , Volume I. Berne, ed. Piwnica-Worms, D. Jacob, C. Horres, and M. Transmembrane chloride flux in tissue-cultured chick heart cells. Physiol 81 : — Dudel, J. Peper, R. Rudel, and W.

The effect of tetrodotoxin on the membrane current in cardiac muscle Purkinje fibers. Johnson, E. Heart: Excitation and contraction. Reuter, H. Properties of two inward membrane currents in the heart. Colatsky, T. Sodium channels in rabbit cardiac Purkinje fibers. Voltage clamp measurements of sodium channel properties in rabbit cardiac Purkinje fibers.

Ebihara, L. Shigeto, M. Lieberman, andE. The initial inward current in spherical clusters of chick embryonic heart cells. Lee, K. Weeks, R. Kao, N. Akaike, and A. Sodium current in single heart muscle cells.

Brown, A. Lee, and T. Sodium current in single rat heart muscle cells. Bodewei, R. Hering, B. Lemke, L. Rosenshtraukh, A. Undrovinas, and A. Characterization of the fast sodium current in isolated rat myocardial cells: Simulation of the clamped membrane potential.

Bustamante, J. Sodium currents in segments of human heart cells. Cachelin, A. DePeyer, S. Kokubun, and H. Sodium channels in cultured cardiac cells.

Hamill, O. Marty, E. Neher, B. Sakmann, and F. Improved patch clamp techniques for high resolution patch clamp recording from cells and cell-free membrane patches. Myerburg, R. Gelband, and B. Functional characteristics of the gating mechanism in the canine A-V conducting system. Singer, D. Lazzara, and B. Interrelationships between automaticity and conduction in Purkinje fibers. Singh, B. Effect of altering potassium concentration on the action of lidocaine and diphenylhydantoin on rabbit atrial and ventricular muscle.

Hondeghem, L. Time- and voltage-dependent interactions of antiarrhythmic drugs with cardiac sodium channels. Acta : — Hille, B. We convert unexcitable somatic cells into an autonomous source of electrically excitable and conducting cells by stably expressing only three membrane channels.

The specific roles that these expressed channels have on AP shape and conduction are revealed by different pharmacological and pacing protocols. Furthermore, we demonstrate that biosynthetic excitable cells and tissues can repair large conduction defects within primary 2- and 3-dimensional cardiac cell cultures.



0コメント

  • 1000 / 1000