Pathophysiology • JP Advis DVM, Ph.D. Bartlett Hall, Animal Sciences, Cook, 932 - 9240, advis@aesop.rutgers.edu 09 • Course website: rci.rutgers.edu/~advis • Lectures, tests, grades, office hours, textbook, Lectures 1-2: Introduction to Pathophysiology (2) Lectures 3-4: Mechanisms of Self-Defense and Stress (2) Lectures 5-8: Endocrine and Nervous System Dysfunctions (4) Lecture 9: Alterations of Skeletal Muscle Function (1) REVIEW AND TEST #1 Lectures 12-18: Cardiovascular, Respiratory and Renal Dysfunctions (7) REVIEW AND TEST #2 Lectures 21-24: Alterations of Digestive Function and Intermediary Metabolism (4) Lectures 25-26: Alterations of the Reproductive System (2) REVIEW AND TEST #3 • Material to be covered: • About lecture slides: • • • • There are not intended to be the sole source for studying the course material !!!!!!!!!!!!!!!! Slides are good to review the course material after you have study your course textbook Slides are a good indicator of the relative importance of lecture topics (see slide # per topic Group slides by titles when using them to review course material. Match lectures and text. Motor Function – the basics Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Muscles are classified as skeletal, cardiac and smooth muscles. Page 1 Motor Function – the basics Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Skeletal and cardiac muscles are striated muscles. Motor Function – the basics Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders The neurotransmitter at the neuromuscular junction is acetylcholine acting on nicotinic receptors. Page 2 Motor Function – the basics Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Metabolically, muscle fibers are aerobic and anaerobic. Motor Function – the basics Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Skeletal muscles are controlled from the brain motor cortex by the somatic peripheral nervous system. Page 3 Motor Function – the basics Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Muscle stretch and tension is controlled by spinal reflexes involving muscle spindle and Golgi tension receptors. Alterations of Motor Function Structure and Function upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Lower motor neuron Alterations in general Upper motor neuron motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Case studies examples of case files on motor function disorders Alterations in motor function are classified along upper and lower motor neuron structures. Page 4 Lower motor neuron Upper motor neuron Alterations in motor function are classified along upper and lower motor neuron structures. Alterations of Motor Function Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Upper motor neuron pathways Alterations in motor function are classified along upper and lower motor neuron structures. Page 5 Upper motor neuron pathways Alterations in motor function are classified along upper and lower motor neuron structures. Alterations of Motor Function Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies Lower motor neuron pathways examples of case files on motor function disorders Alterations in motor function are classified along upper and lower motor neuron structures. Page 6 Lower motor neuron pathways Alterations in motor function are classified along upper and lower motor neuron structures. Alterations of Motor Function Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Amyotrophic lateral sclerosis (ALS) is a disease of the nerve cells in the brain and spinal cord that control voluntary muscle movement. It is also known as Lou Gehrig’s disease. Page 7 Amyotrophic lateral sclerosis (ALS) is a disease of the nerve cells in the brain and spinal cord that control voluntary muscle movement. It is also known as Lou Gehrig’s disease. Alterations of Motor Function Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Multiple sclerosis is an inflammatory disease in which the fatty myelin sheets around brain and spinal cord axons are damaged. Page 8 Multiple sclerosis is an inflammatory disease in which the fatty myelin sheets around brain and spinal cord axons are damaged. Alterations of Motor Function Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Huntington’s disease is a neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and dementia. Page 9 Huntington’s disease is a neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and dementia. Alterations of Motor Function Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Parkinson’s disease is a degenerative disorder of the CNS and is caused by the death of dopamine containing cells in the substantia nigra. Page 10 Parkinson’s disease is a degenerative disorder of the CNS and is caused by the death of dopamine containing cells in the substantia nigra. Alterations of Motor Function control Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron MG Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders Myasthenia gravis is an autoimmune neuromuscular disease. Muscle weakness is due to circulating antibodies against Ach receptor at NMJ. Page 11 control MG Myasthenia gravis is an autoimmune neuromuscular disease. Muscle weakness is due to circulating antibodies against Ach receptor at NMJ. Your sixth case study Structure and Function motor unit, receptor, fiber, myofibril, constituents, contraction, fiber types Alterations in general upper motor neuron, lower motor neuron SUMMARY: You examine an 8-year-old male golden retriever. The owner complains that the dog cannot bear weight on the right rear leg. On examination, defects are limited to the right rear leg, where the quadriceps femoris muscles are much smaller than in the left rear leg. When you tap on the left patellar tendon with a reflex hammer, the knee briskly extends. However, when you tap on the right patellar tendon, no movement occurs. Examples of alterations amyotrophic lateral sclerosis, multiple sclerosis, chorea, Parkinson, myasthenia gravis Case studies examples of case files on motor function disorders TENTATIVE DIAGNOSIS: LAB TESTS: FINAL DIAGNOSIS: TREATMENT: An 8 year old dog with problems in its right rear leg. Page 12