00:01
So that's how cells
connect one to another
what's within the
individual cells.
00:05
And there are a number
of these structures,
these are the sarcomeres.
00:10
These are the actual elements
that are going to be responsible
for allowing the
cell to contract.
00:16
So this is some of the most
beautiful electron microscopy
that you will see these kind of
alternating light and dark lines.
00:25
And then perpendicular
to those,
we have Z-Bands and A-Bands,
we'll talk more about them.
00:30
This is a very metabolically
active structure,
the sarcomeres of
the cardiac myocyte.
00:35
And so we have to
have mitochondria,
which are in profusion,
which are very high levels
within the myocardium,
as we'll see in a minute.
00:42
And they're cranking out ATP,
like crazy to
allow the movement
of various ions that will facilitate
the contraction or relaxation
of the sarcomeric proteins.
00:55
So general organization,
we have these lines in the
middle that are called Z-Bands.
01:00
So you can actually see
this by light microscopy
if you have a perfectly
organized bit of tissue.
01:08
And the Z-Bands are going
to be those that connect
with the actin filaments,
and they demarcate a
particular sarcomere.
01:17
So from Z-Band to Z-Band
indicated here in red,
that's one sarcomere.
01:22
So on this slide,
we have a couple sarcomeres side by side.
01:27
This is showing
you the sarcomere.
01:30
Again, highlighted in green
between the two Z-Bands.
01:33
Also, what came up on
the slide is glycogen,
we have little tiny bits
of dark particulate matter
that are electron dense
by electron microscopy.
01:42
And again, heart muscle is
very metabolically active.
01:45
So we have a lot of fat
metabolism and glycogen,
metabolism and glycogen
storage that is happening
within cardiac myocytes.
01:53
Myosin, so myosin are
the thicker filaments.
01:57
So you see this alternating
band of dark and light,
dark, light, dark light from
kind of top to bottom there,
indicated in purple,
the darker bands are going to
be the myosin heavy chain bands.
02:10
Okay.
02:11
And then, in between, the
lighter bands are the actin,
we're gonna see it schematically
better in just a moment.
02:18
In fact, here we are seeing it
schematically in just a moment.
02:21
So we see the Z-Bands
demarcating a single sarcomere.
02:27
Got that? on each side.
02:28
And then we have the thicker,
which would have
been the darker bands
present on electron
microscopy,
those are going to be
our myosin heavy chains.
02:37
And then we have
the sinner bands,
that's going to be actin.
02:40
So we have myosin
and we have actin.
02:43
And those are going to
be the major elements
that allow us to
contract this sarcomere.
02:51
Now there are going to be other
proteins that are also very important.
02:54
So there are proteins
that make up the center.
02:59
So how do we hold the
myosin heavy chains together
that's through the M-Band.
03:04
And we talk about
the total thickness,
this is by electron
microscopy,
the total thickness
from end to end
of the myosin heavy
chain, that's the A-Band.
03:15
You do not need to
know that detail
for your boards,
you just don't.
03:21
But if you are interested
in muscle physiology,
then this becomes a
very interesting thing
because there are certain limits
that you need to understand.
03:30
But you need to be able
to identify Z-Bands,
and you need to know that
they're actin and myosin
that are the major
elements of the sarcomere.
03:38
The other elements of the
sarcomere that are also present
that allow the interaction between myosin
heavy chains and actin light chains
include tropomyosin,
and troponin.
03:49
These are important because when we
have injury to the cardiac muscle,
these proteins get released
into the circulation
and we can measure
them as an indication
of the degree of
myocardial damage.
04:02
So we now measure
myocardial infarct
by measuring troponin
levels, for example.
04:08
Okay, so this is what the
action of the sarcomere does.
04:12
The myosin heavy chains
in the presence of calcium
bind to the actin and
bring it together,
that's a contraction.
04:18
And then at the
end of the cycle,
we pump the calcium ions back into
the smooth endoplasmic reticulum,
sarcoplasmic reticulum.
04:28
And that allows
relaxation of the muscles
so you have contraction
and relaxation,
driven by the movement of the
light chains over the heavy chains.
04:39
And we see that the sarcomeres
will shorten during contraction
and will relax during
relaxation, so they will expand.
04:50
Okay, some other
elements of the sarcomere
or other elements of cardiac
muscle that's the mitochondria.
04:56
Remember I said it's very
metabolically active.
04:58
But yeah, let's look on the left
hand side that's cardiac muscle.
05:01
Roughly a third of the
volume of the cardiac muscle
is going to be mitochondria,
somewhere between 20 to 30%.
05:11
Skeletal muscle, on the other
hand, is about 2 to 3%.
05:14
So even in the best,
most robust marathon runner,
the number of mitochondria
in the skeletal muscle
is about tenfold less than
what you see in cardiac muscle.