Musculoskeletal System and Muscle Tissue - MCAT Biological and Biochemical Foundations of Living Systems

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Duchenne Muscular Dystrophy is an X-linked recessive genetic disorder, resulting in the loss of the dystrophin protein. In healthy muscle, dystrophin localizes to the sarcolemma and helps anchor the muscle fiber to the basal lamina. The loss of this protein results in progressive muscle weakness, and eventually death.

In the muscle fibers, the effects of the disease can be exacerbated by auto-immune interference. Weakness of the sarcolemma leads to damage and tears in the membrane. The body’s immune system recognizes the damage and attempts to repair it. However, since the damage exists as a chronic condition, leukocytes begin to present the damaged protein fragments as antigens, stimulating a targeted attack on the damaged parts of the muscle fiber. The attack causes inflammation, fibrosis, and necrosis, further weakening the muscle.

Studies have shown that despite the severe pathology of the muscle fibers, the innervation of the muscle is unaffected.

When a healthy muscle fiber is activated, Ca2+ ions will                     .

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Answer

The troponin-tropomyosin complex wraps around actin when the muscle fiber is inactive, blocking all myosin-binding sites. When Ca2+ is released it binds to troponin, inducing a change in tropomyosin, which shifts its position to expose the myosin-binding sites on the actin filament.

Calcium does not bind any of the other listed answer choices.

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