PHL 313 (Lab. 4) Effect of Nm blockers on Frog Rectus Abdomens Muscle 1 Rectus Abdomens Muscle . Voluntary muscle which receive motor somatic innervations (lack the ganglia ) Receptor is Nm which is different from receptor in the autonomic ganglia. It contains Ach-esterase for destruction of Ach. 2 Nm drugs Cholinergic agonists (direct acting ) • Ach • Carbachol • Anticholinesterases (indirect acting ) • reversible : Neostigmine, physostigmine, pyridostigmine • Irreversible : (e.g Organophosphates ) (isoflurophate, echothiophate ) Neuromuscular Blockers A. Non-depolarizing : e.g. D-tubocurarine B. Depolarizing : e.g. suxamethonium 3 Depolarization 1- Resting potential: • In order to maintain the cell membrane potential, cells keep a low concentration of sodium ions and high levels of potassium ions within the cell (intracellular). • The sodium-potassium pump moves 3 sodium ions out and moves 2 potassium ions in, thus in total removing one positive charge carrier from the intracellular space. • 2- Depolarization is a positive-going change in a cell's membrane potential, making it more positive, or less negative. In neurons and some other cells, a large enough depolarization may result in an action potential. • 3- Hyperpolarization is the opposite of depolarization, and inhibits the rise of an action potential. 4 SUCCINYLCHOLINE SUCCINYLCHOLINE is a muscle relaxant. It relaxes muscles during surgery or before investigational procedures. • Succinylcholine is double Ach • Unlike Ach, it is not hydrolysed by Achesterase. • It is degraded more slowly than Ach causing an endplate depolariztaion which lead to Action potential. • It is a persist depolarization of endplate because Na channel remain inactivated leading to relaxation of muscle fiber (paralysis). 5 Requirements •Frog-ringer solution -No Mg+2 (no relaxation) -(Ca ,K ,PO4, Na ,HCO3 ) -Glucose -Tension 0.5-4 gm -Temp. 25 C 6 Procedure 1- Add 0.2ml of Ach ,record ,wash . 2- Add 0.2ml of prostagmine , wait 2 min. ,add 0.2ml Ach , record ,wash. (compare between the response in step 1 and 2) 3- Add 0.2ml carbacol ,record ,wash .(compare between the response in step 1 and 3) 4- Add 0,2ml succinylcholine ,record , No wash , add 0.2ml of Ach and record the response then wash. 5- Add 0.2ml atracurium, no wash and wait 2 min, add 0.2 ml Ach and record the response. 7