THE “ROAD MAP”anatomical-sciences.health.wits.ac.za/roadmaps/Muscle...MUSCLE • Skeletal...

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PRACTICAL ROADMAP MUSCLE WJ van der Spuy

Transcript of THE “ROAD MAP”anatomical-sciences.health.wits.ac.za/roadmaps/Muscle...MUSCLE • Skeletal...

Page 1: THE “ROAD MAP”anatomical-sciences.health.wits.ac.za/roadmaps/Muscle...MUSCLE • Skeletal (striated) • Cardiac (striated) • Smooth • Identification based on – Fiber size,

PRACTICAL ROADMAP MUSCLE

WJ van der Spuy

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MUSCLE

• Skeletal (striated) • Cardiac (striated) • Smooth

• Identification based on

– Fiber size, shape and presence/absence of branching – Number, shape and position of nuclei – Presence or absence of cross-striations

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MUSCLE Skeletal Cardiac Smooth

Cell Elongated Branching Spindle-shaped

Nucleus Multiple peripheral Single or bi-nucleated central

Single central

Striations Cross-striated Cross-striated & Intercalated disks

None

Motor Control Voluntary Involuntary Involuntary

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SKELETAL MUSCLE

• Slide 76 Striated Skeletal Muscle – Tongue – Iron haematoxylin stain

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Organisation

Epimysium - surrounding muscle

Perimysium - surrounding fascicle

Endomysium - surrounding muscle fibre

Scanning Electron Micrograph – WJ van der Spuy – MSc

100µm

Muscle fibre

Fascicle

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Fibre Orientation

Longitudinal section

Transverse section

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Identification

Muscle fibre

Muscle fibre

Multiple peripheral nuclei

Cross-striations Fibroblast nuclei in connective tissue

sheath

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Striations

A band (dark striation) bisected by light H band

I band (light striation) bisected by dark Z line

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SKELETAL MUSCLE

• Slide 50 Musculo-tendinous junction – H&E stain

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Musculo-tendinous Junction

Dense regular connective tissue Skeletal Muscle

Musculo-tendinous junction with fibres inserting obliquely into tendon

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SKELETAL MUSCLE

• Slide 4 Neuromuscular (myoneural) junction – Snake – H&E and gold impregnation staining

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Neuromuscular Junction

Axon Boutons (neuromuscular junction)

Motor Nerve (neuromuscular bundle in longitudinal section) Striated skeletal

muscle fibres

Neuromuscular bundle (transverse section)

Micrograph – WJ van der Spuy – MSc Stain: Toluidine blue pH=11.5

Blood vessel

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Neuromuscular Junction

Axon boutons

Motor nerve

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Muscular Dystrophy

• Limb-Girdle Muscular Dystrophy type 2B (LGMD2B)

• Increased rate of regeneration in response to ongoing degeneration of muscle

• Characterised by: – Variation in fiber size – Necrosis of muscle tissue – Revascularisation – Inflammatory cell infiltration – Phagocytosis of necrotic debris – Proliferation of mononuclear muscle precursors – Fusion of precursors to form myotubes

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LGMD2B CN: Central nucleus Regenerating fibre

FS: Fibre splitting Early hyperplasia

FL: Fibre lobulation Late hyperplasia

LI: Leukocyte infiltration Inflammation

NF: Necrotic fibre Degenerating fibre

PI: Postnecrotic infiltrate Clearing debris after degeneration

SC: Satellite cell Mononuclear muscle precursor – regenerative ability

PN: Peripheral nucleus Mature fibre

Micrograph – WJ van der Spuy – MSc Stain: Toluidine blue pH=11.5

CN FL

PI

PN

FS

NF

SC 10µm

LI

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CARDIAC MUSCLE

• Slide 57 Heart (interventricular septum) – Iron haematoxylin stain

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Fibre Orientation

Longitudinal section Transverse section

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Identification

Cross-striations

Fibre branching

Intercalated discs

Central nuclei

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Interventricular Septum

Endocardium

Purkinje fibres

Myocardium with ordinary cardiac muscle fibres

Capillaries with black stained RBCs

Lumen of left ventricle

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Purkinje Fibres

Pale-staining fibres

Large glycogen space around nuclei

Nucleus

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Ordinary Cardiac Muscle Fibres

Dark-staining fibres

Smaller glycogen spaces around nuclei

Nucleus

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CARDIAC MUSCLE

• Slide 86 Heart – H&E and elastic stain

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Interventricular Septum

Endocardium

Purkinje fibres

Myocardium with ordinary cardiac muscle fibres

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Interventricular Septum

Purkinje fibres Myocardium with ordinary

cardiac muscle fibres

Large glycogen space around nucleus

Nucleus

Small glycogen space around nucleus

Nucleus

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SMOOTH MUSCLE

• Slide 10 Smooth muscle – Uterus (baboon) – H&E stain

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Overview

Endometrium Myometrium with smooth muscle

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Fibre Orientation

Longitudinal section

Transverse section

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Identification

Cigar-shaped nucleus centrally located in spindle shaped fibre

Longitudinal section

Transverse section

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Smooth Muscle vs. Connective Tissue

Blood vessel with smooth muscle wall

Irregular dense connective tissue

Myometrium with smooth muscle