Musculoskeletal Disorders. Sean Gallagher

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sarcomere is filled with long cylindrical filamentous bundles termed myofibrils. Myofibrils have a diameter of 1–2 μm and run parallel to the long axis of the muscle fibers. Myofibrils consist of an end‐to‐end chain‐like arrangement of sarcomeres that contain two types of myofilaments, thick and thin, that lie parallel to the long axis of the myofibril (Figure 3.6). These myofilaments are the contractile proteins of the myofibril. Each thin filament is composed of F‐actin, tropomyosin, and troponin complexes. Troponin is a complex of three subunits: TnT that attaches to tropomyosin, TnC that binds calcium ions, and TnI that inhibits the actin–myosin interaction. Troponin complexes are attached at regular intervals along each tropomyosin molecule. Each thick filament is composed of many myosin heavy‐chain molecules bundled together along their rod‐like tails, with their heads exposed and directed toward neighboring thin filaments. The thick myofilament bundles are held in place by myosin‐binding proteins along the M line (German, Mittelscheiber, middle line). Small globular projections on one end of each heavy chain form the myosin heads that have ATP and actin‐binding sites and the enzymatic capacity to hydrolyze ATP (Figure 3.10). Cross bridges are formed between the thin and thick filaments by the head of the myosin molecules plus a short part of its rod‐like portion. These cross bridges are involved in the conversion of chemical energy to mechanical energy (Brunello et al., 2014). This structural biology generates the force necessary for the contraction of individual muscle fibers, which when bundled together into an entire muscle drive movement of the skeleton (via attachment of muscles and tendons to bones).

Schematic illustration of structure of a skeletal muscle.

      Tortora, G. J., & Derrickson, B. H. (Eds.), (2010). Muscle. In Introduction to the human body, 11th ed., Wiley.

Schematic illustration of a sarcomere is shown.

      Modified from Nayak, A. & Amrute‐Nayak, M. (2020). SUMO system – A key regulator in sarcomere organization. FEBS Journal, 287, 2176–2190. https://doi.org/10.1111/febs.15263.

      Sarcoplasmic reticulum and calcium storage and release

Schematic illustration of the sarcoplasmic reticulum and T-tubule system of a mammalian skeletal muscle fiber.

      Mukund, K. & Subramaniam, S. (2019). Skeletal muscle: A review of molecular structure and function, in health and disease. Wiley Interdisciplinary Reviews: Systems Biology and Medicine, 12, e1462./John Wiley & Sons/CC BY‐4.0.

      Vascularization

      Function of Skeletal Muscle Components

      Proper function of skeletal muscle also requires careful coordination between muscle fibers and their proteins with connective tissues, blood vessels, and nerves. Overall, muscles, using their ability to contract, transmit their forces through tendons onto the endoskeleton (bones and cartilage), which allows the movement of the skeleton.

Schematic illustration of vascular anatomy within skeletal muscle.

      From: Gilbert‐Honick,

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