Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Uterine Physiology: Cell Junctions, Myometrium, and Cervical Changes, Exercises of Cancer Cytogenetics

An in-depth summary of various aspects of uterine physiology, including the functional classification of cell junctions, the structure and function of myometrial cells, the role of oxytocin and prostaglandins in uterine contractions, and the changes in the cervix during labor. Topics covered include the types and functions of occluding, anchoring, and communicating junctions, the structure and function of gap junctions, the signaling mechanisms in the myometrium, the structure and function of oxytocin, and the role of prostaglandins in myometrial contractility.

Typology: Exercises

2011/2012

Uploaded on 08/01/2012

super-malik
super-malik 🇮🇳

4.6

(14)

195 documents

1 / 6

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
I
N SUMMARY HST 071
U
TERINE PHYSIOLOGY
F
unct
i
onal classification of Cell junctions
O
ccluding junctions
A
nchoring junctions
A
ctin filament attachment sites
C
ell to cell (adhesion belts)
C
ell to matrix (focal contact)
I
ntermediate filament attachment sites
C
ell to cell desmosomes
C
ell
-m
atrix (hemidesmosomes)
C
ommunicating junctions
G
ap junctions
C
hemical synapses
P
lasmodesmata (plants only)
T
he gap junction
2
plasma membranes connected by a seres o f structures made up of connexons
c
onnexon has six subunits
2
connexons in register forming
o
pen channels between the two membranes
C
hannel is 1.5 nm in diameter
G
ap between membranes is 2
-4
nm
E
lectrical resistance is determined by number of junctions that are expressed
R
esistance (measure of gap junction density)
1
00 ohm/cm non
-p
regnant
5
0 ohm/
c
m at term
1
00 ohm/cm for stomach
2
50 ohm/cm for taenia caeci
4
00 ohm/cm for bladder
J
unctions increase at time of parturition
C
onnexin
-4
3 has high turnover rate in labor
E
stradiol and oxytocin increase levels
P
rogesterone and hCG decrease levels
S
ignalin
g
in myometrium
A
ction potentials = electro
-m
echanical coupling
R
eceptor stimulation = pharmaco
-m
echanical coupling
H
ormones
O
xytocin, epinephrine
C
lassic transmitters
5-H
T, acetylcholine
L
ipid mediators
p
rostanoids
R
ole of calcium
G
ood temporal relations
h
ip between intracellular Ca++ and development of force
C
a++
-c
almodulin activate myosin light chain kinase (MLCK)
T
his phophorylates a serine residue (Ser 19) in the 20 kDa light chain of myosin (MLC20)
P
hosphorylated myosin interacts with actin and causes a contraction
W
hen Ca++ is removed phosphorylation ceases and the muscle relaxes
docsity.com
pf3
pf4
pf5

Partial preview of the text

Download Uterine Physiology: Cell Junctions, Myometrium, and Cervical Changes and more Exercises Cancer Cytogenetics in PDF only on Docsity!

UTERINE PHYSIOLOGY

Functional classification of Cell junctions Occluding junctions Anchoring junctions Actin filament attachment sites Cell to cell (adhesion belts) Cell to matrix (focal contact) Intermediate filament attachment sites Cell to cell desmosomes Cell-matrix (hemidesmosomes) Communicating junctions Gap junctions Chemical synapses Plasmodesmata (plants only) The gap junction

  • 2 plasma membranes connected by a seres of structures made up of connexons
  • connexon has six subunits
  • 2 connexons in register forming open channels between the two membranes
  • Channel is 1.5 nm in diameter
  • Gap between membranes is 2-4 nm
  • Electrical resistance is determined by number of junctions that are expressed
  • Resistance (measure of gap junction density)
    • 100 ohm/cm non-pregnant
    • 50 ohm/cm at term
      • 100 ohm/cm for stomach
      • 250 ohm/cm for taenia caeci
      • 400 ohm/cm for bladder
  • Junctions increase at time of parturition
  • Connexin-43 has high turnover rate in labor
  • Estradiol and oxytocin increase levels
  • Progesterone and hCG decrease levels Signaling in myometrium
  • Action potentials = electro-mechanical coupling
  • Receptor stimulation = pharmaco-mechanical coupling
  • Hormones
  • Oxytocin, epinephrine
  • Classic transmitters
  • 5 - HT, acetylcholine
  • Lipid mediators
  • prostanoids Role of calcium
  • Good temporal relationship between intracellular Ca++ and development of force
  • Ca++-calmodulin activate myosin light chain kinase (MLCK)
  • This phophorylates a serine residue (Ser 19) in the 20 kDa light chain of myosin (MLC20)
  • Phosphorylated myosin interacts with actin and causes a contraction
  • When Ca++ is removed phosphorylation ceases and the muscle relaxes

UTERINE PHYSIOLOGY

Uterine Smooth Muscle

  • Bundle of myometrial cells embedded in a matrix of connective tissue
  • Matrix enables transmission of individual contractile forces
  • ripening
    • Increased collagen solubility
    • Alteration in ground substance
  • Ripening occurs in the cervix and corpus
  • Cytoplasm
    • Myosin (thick filaments)
      • Hexamer
        • 2 identical 200kDa heavy chains
        • 4 light chains (two 20 kDa chains and two 15-17 kDa chains)
      • Enzyme capable of converting ATP  mechanical energy
      • Head
        • Actin and myosin interact
        • ATPase s tes ocatedi l Figure removed due to copyright restrictions.
      • Tail Please see:
        • Format on of myos n f amentsi i il Figure 3-5 in^ Speroff,^ Leon, Robert H Glass,^ and^ Nathan G Kase. "Structural similarities of Oxytocin and Vasopressin." In Oxytocin^ Clinical Gynecologic Endocrinology and Infertility.
  • Nonapeptide as shown Baltimore, MD: Williams & Wilkins, 1989.^ ISBN: 0683078976.
  • First peptide ever synthesized - Nobel Prize
  • High affinity, low capacity receptors
  • 80 - fold increase in number by term
  • marked increase in sensitivity
  • Act by raising intracellular free calcium levels
  • Calcium stimulates actomyosin formation and muscular contraction
  • Maternal and fetal source
  • High affinity, low capacity receptors
  • 80 - fold increase in number by term
  • marked increase in sensitivity
  • Act by raising intracellular free calcium levels
  • Calcium stimulates actomyosin formation and muscular contraction
  • Maternal and fetal source Uterus Oxytocin receptors distributed in a gradient from fundus (maximum) to cervix (few) Receptor concentration begins to rise early in pregnancy and exponentially increases to term

UTERINE PHYSIOLOGY

Cervical Collagen

  • Major protein of the extracellular matrix
    • 25% of mammalian protein
    • Stiff triple stranded helical structure
    • α chains (1000 amnio acids long)
    • Proline and glycine bonds create the left handed helical configuration
    • More than 20 types of collagen
    • I, II, III are fibrillar collagens
    • Assemble into fibrils and then fibers
  • Collagen polypeptides formed on membrane bound ribosomes and injected into the ER as pro-α chains (have extra amnio-acids called pro-peptides at ends)
  • In lumen of ER hydroxyproline allows bonding of three pro-α chains to form procollagen
  • Propeptides of type I, II, and III removed by extracellular enzymes converting them to tropocollagen (1.5 nm diameter)
  • Tropocollagen assembles to form fibrils (10-200 nm)
  • Type I and type III
  • Spaces between bundles dilate @ 8-14 weeks
  • Total collagen increases but concentration goes down 30-50%
    • Water and non-collagen proteins increase
    • Fibrils decrease in size
  • Stains for collagen polymer show reduced amount (lower numbers of
  • Spaces between bundles dilate @ 8-14 weeks
  • Total collagen increases but concentration goes down 30-50%
    • Water and non-collagen proteins increase
    • Fibrils decrease in size
  • Stains for collagen polymer show reduced amount (lower numbers of intact fibers) intact fibers) Ground substance
  • Glucosamine - naturally occurring amino sugar found (mucopolysaccharides)
  • Integral components of the proteoglycans
  • Proteoglycans - large carbohydrate rich structures
  • Resiliency
  • Load distribution
  • Shock-absorbing
  • Compressive
  • Lubricating
  • Dietary glucosamine in glycosoaminoglycans
  • An immediate precursor for glycosaminoglycan synthesis
  • Stimulates incorporation of other precursors into the connective tissue matrix
  • GAG (glycosaminoglycan)
  • Total increases throughout pregnancy
  • Concentration remains constant
  • Helps loosen the collagen network
  • HA (hyaluronic acid)
  • Increases 12 fold at 2-3 cm dilation
  • HA may bind water and help hydration of tissue and hence deformability
  • CS (chondroitin sulfate)
  • Decrease
  • Results in decreased rigidity of cervical tissue
  • Elastase acts on the telopeptide non-helical domains of collagen

UTERINE PHYSIOLOGY

  • Can degrade collagen, elastin, and proteoglycans
  • Synergistically with collagenase
  • Polys from blood
  • Cervical fibroblasts
  • Amount of soluble collagen (degraded) increases
  • More immature crosslinks in parallel with enzyme activity
  • Collagen with many x-links replaced with collagen with fewer x-links
  • Up to several thousand sugar residues
  • Repeating sequence of non-sulfated disaccharide units
  • Variable amounts in all tissues (esp embryos)
  • Earliest evolutionary form of glycosaminoglycans (GAG)
  • Has some function in cell migration Cervical ripening
  • Decrease in total collagen content
  • Increase in collagen solubility
  • Increase in collagenolytic activity
  • Collagenase
  • Leukocyte elastase
  • Rapid turnover of extracellular matrix
  • Strong correlation free hydroxyproline
  • Similar to inflammatory response
  • IL-8, other cytokines, eosinophils, mast cells, macrophages, neutrophils
  • Sex steroid hormones
  • Estrogen
  • Collagen degradation
  • IV estradiol produces cervical ripening
  • Progesterone
  • Blocks estrogen induced collagenolysis
  • Antagonists produce ripening
  • IL-8 in rabbits is down regulated by progesterone
  • Changes are gradual and antecede labor by several weeks

FUNDAMENTAL QUESTIONS

1. Describe the types of junctions seen between cells.

2. What kinds of junctions are seen in myometrial cells?

3. What is the structure of a gap junction?

4. What happens to the expression of oxytocin receptors as gestation

advances?

5. What type of connexon is seen in myometrium?

6. Describe the signaling mechanisms in the myometrium.

7. What is oxytocin, its structure and function?

8. What is the role of prostaglandin in myometrial contractility?

9. How do G-proteins work?

10.Describe the cervical ground substance. How is it suited for labor?

11.What factors influence how soft the cervix becomes before the onset of labor?

12.Describe the process of “ripening” in detail.