Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  Q about phospholamban 




 
Kaplan Qbank USMLE



Author11 Posts
  #1

Inactivation of phospholamban in cardiac muscle decreases
a. The velocity of contraction in smooth muscle
b. The duration of contraction
c. The strength of contraction
d. The depolarization required to initiate a contraction
e. The amount of calcium released from the sarcoplasmic reticulum

___________________
my msn messenger address is squadracalcetto@interfree.it ; my email address is giovanni83@email.it ; and my website is http://www.appuntimedicina.it ciao ciao

  #2

E

phospholambam increases activity of Ca pump of the sarcoplasmic reticulum, increasing the speed of Ca re-accumulation in the sarcoplasmic reticulum. Net result is to increase contractility and shorten time of contraction.


  #3

no..it's not E

___________________
my msn messenger address is squadracalcetto@interfree.it ; my email address is giovanni83@email.it ; and my website is http://www.appuntimedicina.it ciao ciao

  #4

honestly never really knew bout MOA of phospholambam so gotta thank you for posting this excellent Q. my further reading makes me understand the Q better. what i found out was that:-

a) NE/E binds to adrenegic receptors in the heart and cause the usual response of stimulating the adenylate cyclase and converting ATP to cAMP which inturn activates protein kinase A.

b) protein kinase A phosphorylate the calcium channels and cause calcium influx. apart from that it also phosphorylates phospholambam, an inhibitory protein. Normally phospholambam keeps the calcium pump at a low activity level. with adrenergic stimulation i.e. when protein kinase A phosphorylates phospholambam the inhibitory action is lifted and so allows calcium pump to act maximally.

c) this results in more calcium influx with each heart beat i.e. more larger and quicker contractions.

the above explains the actions on heart muscle via beta 1 agonist

however it is said the opposite events happen with smooth muscle via beta 2 agonist activity...i.e. decrease contraction etc.

having said all this...the answer now points to B? decreases the duration of contraction....because of increased contractility???




  #5

yes right!

___________________
my msn messenger address is squadracalcetto@interfree.it ; my email address is giovanni83@email.it ; and my website is http://www.appuntimedicina.it ciao ciao

  #6

COOL

once again...execellent Q. THANKS


  #7

nice ques..

  #8

Had never heard of phospholambin.. thanx!!!

___________________
First Aid is my Bible...

  #9

me toosmiling face, interesting

  #10

nice question

  #11

wink







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.