TARGET DECK: MED::I::Morphology and Development::Histology::10 - Muscle Tissue

Learning Objectives

  1. Identify the three types of muscle at the light microscope level, including distinctive features of each (e.g., intercalated disk of cardiac muscle).
  2. Describe the structural basis of muscle striation.
  3. Know the structural elements that harness muscle contraction (shortening of myofibrils) to the movement of a body part, and the mechanism by which muscle cells contract.
  4. Understand the function and organization of connective tissue in skeletal muscle (endo-, peri-, and epimysium).
  5. Be familiar with the regenerative potential of each muscle type.

Overview: Types of Muscle Tissue

TypeStriationControlLocation
SkeletalStriatedVoluntaryLocomotion, mastication, phonation
CardiacStriatedInvoluntaryHeart, pulmonary veins
SmoothNon-striatedInvoluntaryBlood vessels, viscera, dermis

Embryonic origin

All muscle tissues develop from the mesoderm, including cardiac muscle, skeletal muscle, and smooth muscle of the gut.


Properties of Muscle Tissue

PropertyDefinition
ExcitabilityResponds to chemicals from nerve cells; generates electrical signals
ContractilityAbility to shorten and generate force
ExtensibilityAbility to stretch
ElasticityAbility to return to original shape

Functions of Muscle Tissue

  • Produce movement
  • Maintain posture
  • Stabilize joints
  • Thermogenesis

Cachexia = loss of weight, muscle atrophy, fatigue, weakness.


Muscle-Specific Terminology

General termMuscle-specific term
Cell membraneSarcolemma
CytoplasmSarcoplasm
Smooth endoplasmic reticulumSarcoplasmic reticulum
MitochondriaSarcosomes

Skeletal Muscle

General Characteristics

  • Long, cylindrical, multinucleated cells
  • Nuclei located peripherally (just beneath the sarcolemma)
  • Contraction: quick, vigorous, voluntary
  • Size: few mm up to 10 cm in length; 10–100 µm in width

Sarcoplasm Contents

  • Several mitochondria
  • Well-developed endoplasmic reticulum
  • Glycogen granules
  • Myoglobin
  • Contractile proteins organized into myofibrils (~1–3 µm diameter → provide striation)

Connective Tissue Investments of Skeletal Muscle

LayerDescriptionSurrounds
EndomysiumBasal lamina + reticular fibersIndividual muscle fibers
PerimysiumLess dense irregular CTBundles (fascicles) of fibers
EpimysiumDense irregular CT. Outmost Layer.Entire gross muscle

Important

ALL muscle cells have basal laminae.


Myofibrils and Sarcomeres

  • Much of each muscle fiber is composed of longitudinal arrays of cylindrical myofibrils (1–2 µm in diameter)
  • Myofibrils extend the entire length of the cell and are aligned precisely → responsible for cross-striations

The Sarcomere (contractile unit)

  • Region between two successive Z disks
  • Resting length: ~2.5 µm
Band/LineDescriptionWhat changes during contraction?
A band (dark)Anisotropic; birefringent in polarized light; full length of myosin thick filamentsWidth unchanged
I band (light)Isotropic; actin only (no myosin overlap)Narrows
H bandCenter of A band; myosin tails only (no actin overlap)Disappears
M line (Mittelscheibe)Bisects H bandStays
Z disk (Zwischenscheiben)Bisects I band; anchors thin filamentsMoves closer together

Mnemonic — Band names

“I Am Healthy, Mighty Z”
I band (light) → A band (dark) → H zone (lighter center) → M line → Z disk

Classifying...


Myofilaments

Thick Filaments (myosin)

  • Diameter: 15 nm; Length: 1.5 µm
  • Composed of myosin II
  • Form parallel arrays interdigitating with thin filaments

Thin Filaments (actin)

  • Diameter: 7 nm; Length: 1.0 µm
  • Composed primarily of F-actin (300–400 G-actin monomers), troponin, and tropomyosin
  • Originate at the Z disk and project toward the center of two adjacent sarcomeres (opposite directions)

Sarcomere Structural Proteins

ProteinAssociated filamentKey function
TitinThick (myosin)Controls thick filament assembly; sarcomere elasticity (spring between thick filament end and Z disk)
NebulinThin (F-actin)Stabilizes F-actin; maintains length of thin filaments; inserts into Z disk
DesminZ disk (intermediate filament, 10 nm)Stabilizes myofibrils; links myofibrils to sarcolemma via costameres; positions mitochondria
VimentinZ diskCo-localizes with desmin at Z disk
α-actininZ diskCross-links actin at Z disk
TropomyosinThin filament grooveBlocks myosin binding site at rest
Troponin complexThin filamentRegulates actin–myosin interaction via Ca²⁺

Desmin functions in detail

  1. Stabilizes myofibrils — Desmin filaments encircle Z disks and link adjacent myofibrils via plectin.
  2. Links myofibrils to sarcolemma — Inserts into costameres; together with the dystrophin-associated protein complex, transduces contractile force from Z disk to basal lamina.
  3. Positions mitochondria — Loss of desmin → impaired mitochondrial positioning → cell death via energy deprivation or cytochrome c release.

Troponin–Tropomyosin Complex and Ca²⁺ Regulation

  • Tropomyosin: two α-helical rods twisted together; sits in groove of F-actin near myosin head
  • Troponin (Tn) = complex of three proteins:
    • TnI — binds actin
    • TnC — binds Ca²⁺ (found only in striated muscle)
    • TnT — binds tropomyosin

Resting state: Ca²⁺ bound only to high-affinity site of TnC → tropomyosin blocks myosin binding site on F-actin.

Contraction: ↑ cytosolic Ca²⁺ → Ca²⁺ occupies low-affinity site of TnC → conformational change propagates through TnI → TnT → tropomyosin → myosin binding site exposed.


T Tubules and the Sarcoplasmic Reticulum

  • T tubules: tubular invaginations of the sarcolemma that course transversely across the fiber
    • Each sarcomere has two sets of T tubules, one at each A–I junction
    • Conduct waves of depolarization deep into the cell interior
  • Sarcoplasmic reticulum (SR): stores intracellular calcium; forms a meshwork around each myofibril
    • Dilated terminal cisternae at each A–I junction

The Triad

One T tubule flanked by two terminal cisternae = triad (located at A–I junction in skeletal muscle)

Important

The triad arrangement allows a wave of depolarization to spread almost instantaneously from the sarcolemma to the terminal cisternae, which contain voltage-gated calcium release channels (junctional feet / ryanodine receptors).


Sliding Filament Theory (Huxley)

Core principle

Individual thick and thin filaments do not shorten during contraction. Instead, thin filaments slide past thick filaments, bringing Z disks closer together.

  • Greater overlap between thick and thin filaments → I band and H band shrink
  • A band width is constant (length of myosin thick filaments unchanged)
  • Muscle shortens ~one-third of its original length

Skeletal Muscle Contraction — Sequence of Events

Step-by-step contraction cycle

First — Excitation:

  1. Motor neuron releases ACh (Ca²⁺-dependent) → electrical impulse generated in muscle
  2. Action potential travels across sarcolemma → down T tubules
  3. Depolarization activates dihydropyridine receptors (DHPR) on T tubule membrane
  4. DHPR activates ryanodine receptors on SR membrane → Ca²⁺ released from terminal cisternae into sarcoplasm
    (excitation–contraction coupling occurs in ~15 ms)

Second — Contraction cycle:

  1. Ca²⁺ binds TnC → conformational change → tropomyosin shifts → myosin binding sites on actin exposed
  2. Energized myosin head (with ADP + Pᵢ bound) binds actin → crossbridge forms
  3. Pᵢ released → stronger actin–myosin bond; ADP released → power stroke (thin filament pulled toward center of sarcomere)
  4. New ATP binds S1 subfragment of myosin → crossbridge detaches
  5. ATP hydrolyzed → myosin head re-cocked (energized)
  6. Cycle continues while ATP is available and [Ca²⁺] in sarcoplasm is high

Rigor Mortis

  • Begins 3–4 hours after death; lasts ~24–36 hours
  • After death, Ca²⁺ leaks from SR → myosin heads bind actin
  • No ATP synthesis → myosin cannot detach from actin
  • Resolved only when proteolytic enzymes digest decomposing cells

Neuromuscular Junction (Motor End Plate)

Structure:

  • Motor nerve fibers: myelinated; axon arborizes → loses myelin sheath
  • Axon terminal contains: mitochondria, smooth ER, ~300,000 synaptic vesicles (40–50 nm diameter) containing acetylcholine (ACh)
  • Axon terminal covered by Schwann cells

Transmission sequence:

  1. Action potential → opens voltage-gated Ca²⁺ channels in axon terminal
  2. Ca²⁺ → synaptic vesicle fusion → ACh released into synaptic cleft
  3. ACh binds nicotinic ACh receptors (ligand-gated ion channels) on sarcolemma → ion influx → depolarization + action potential
  4. Impulse spreads via T tubules → initiates contraction
  5. Acetylcholinesterase degrades ACh → acetate + choline → resting potential restored
  6. Choline recycled via Na⁺–choline symport into axon terminal → resynthesized into ACh by choline acetyltransferase

Muscle Regeneration — Skeletal Muscle

  • Hypertrophy: increase in cell size
  • Hyperplasia/regeneration: increase in cell number via satellite cells (resident stem cells)

Cardiac Muscle

General Characteristics

  • Found only in the heart and pulmonary veins where they join the heart
  • Elongated, branched cells
  • 1 or 2 centrally placed nuclei (often with a biconical clear perinuclear area containing organelles, glycogen, and atrial natriuretic factor in atrial cells)
  • Contraction: involuntary, vigorous, rhythmic
  • Size: 10–15 µm diameter; 80–100 µm length
  • Self-excitatory and electrically coupled (inherent rhythmicity)
  • Rate modulated by autonomic NS — neuroendocrine innervation (no motor end plates)

Intercalated Disks

The key distinguishing feature of cardiac muscle.

ComponentLocation in diskFunction
Fascia adherensTransverse portionMechanical coupling; thin filaments anchor here (analogous to Z disk)
Macula adherens (desmosome)Transverse portionMechanical coupling; resists traction forces
Gap junctionsLateral portionElectrical coupling; rapid propagation of action potential between cells

Important

Gap junctions allow the myocardium to function as a functional syncytium — an action potential generated in one cell spreads rapidly to all coupled cells.


Cardiac Muscle Ultrastructure

  • T tubules: ~2× larger in diameter than in skeletal muscle; carry Ca²⁺ from extracellular space into cell at depolarization
  • SR and T tubules form diads (not triads) located at Z lines (not A–I junction)
  • SR does not form terminal cisternae → cannot store enough Ca²⁺ alone
  • Negatively charged external lamina of T tubules stores Ca²⁺ for instantaneous release
  • Nebulin extends up to only ~20% of the length of thin filaments (vs. full length in skeletal muscle)
  • Numerous mitochondria: up to 40% of cell volume

Calcium dependence of cardiac muscle

Because SR Ca²⁺ stores are insufficient, cardiac muscle depends on extracellular Ca²⁺ entering via T tubules. Slow Na⁺/Ca²⁺ channels remain open for several tenths of a second, allowing extracellular Na⁺ and Ca²⁺ to enter and supplement internal stores.

Lack of extracellular Ca²⁺ → cessation of cardiac contraction within 1 minute (vs. skeletal muscle, which can continue for several hours).


Cardiac Connective Tissue

  • Endomysium: surrounds each cardiac muscle cell (highly vascularized)
  • Perimysium: surrounds fascicles
  • Epicardium (≠ epimysium): connective tissue ensheathing the heart muscle

Cardiac Muscle Regeneration

  • Previously thought to be entirely non-proliferative
  • Post-infarction remodeling primarily by fibroblasts (fibrosis/scarring)
  • New evidence: some mitotic cardiomyocytes and limited regeneration do occur

Smooth Muscle

General Characteristics

  • Non-striated (contractile machinery present but irregularly arranged)
  • Fusiform cells with a single, central, oval nucleus (2+ nucleoli)
  • On contraction → nucleus assumes a corkscrew appearance
  • Contraction: involuntary, slow, sustained
  • Size: 0.2–2 µm diameter; 20–200 µm length
  • No T tubule system
  • Some smooth muscle capable of exogenous protein synthesis (collagen, elastin, glycosaminoglycans, proteoglycans, growth factors)

Locations of smooth muscle

  • Walls of arteries and blood vessels
  • Walls of hollow visceral organs (GI, urogenital)
  • Walls of airways
  • Dermis (arrector pili muscles)
  • Ciliary muscle of the eye (lens focus)

Types of Smooth Muscle

TypeCouplingNerve supply
MultiunitIndependent; each cell has its own nerveDense, individual innervation
Unitary (single-unit/vascular)Electrically coupled via gap junctions; act in concertSparse; only a few cells directly innervated

Smooth Muscle Ultrastructure

  • Actin and myosin filaments (non-striated arrangement)
  • Intermediate filaments: desmin (and vimentin in vascular smooth muscle)
  • Dense bodies: membrane-associated and cytoplasmic; contain α-actinin (analogous to Z lines; actin filaments insert here)
  • Caveolae: membrane invaginations forming a vesicular system continuous with SER — functionally analogous to sarcoplasmic reticulum; regulate cytosolic free Ca²⁺
  • Microtubules present

Smooth Muscle Contraction — Ca²⁺/Calmodulin Pathway

Key difference from striated muscle

  • Smooth muscle thin filaments have no troponin
  • Regulation is via Ca²⁺–calmodulin and phosphorylation of myosin light chain
  • Myosin in resting state: actin-binding site masked by its light meromyosin moiety

Step-by-step:

  1. Stimulation (neurotransmitters, hormones, or autorhythmic signals) → Ca²⁺ released from caveolae/SER and/or enters via voltage-gated or ligand-gated channels
  2. Ca²⁺ binds calmodulin → conformational change of calmodulin
  3. Ca²⁺–calmodulin complex activates myosin light chain kinase (MLCK)
  4. MLCK phosphorylates the regulatory myosin light chain
  5. Phosphorylated light chain unmasks myosin’s actin-binding site → myosin unfolds into “golf club” shape → actin–myosin interaction → contraction
  6. Contraction continues as long as myosin is phosphorylated
  7. “Latch” state: myosin head attached to actin becomes dephosphorylated → decreased ATPase activity → myosin head cannot detach → sustained contraction with minimal ATP use

Mnemonic — Smooth Muscle Contraction

“Ca binds CAM, CAM calls MLCK, MLCK Phosphorylates, Phospho-chain Pulls”
Ca²⁺ → Calmodulin → MLCK → Phosphorylation → contraction


Smooth Muscle Regeneration

  • Hypertrophy (increase in size)
  • Hyperplasia (increase in number): smooth muscle cells are inherently proliferative
    • e.g., uterine myometrium, vascular smooth muscle
  • Vascular pericytes can also provide a source of smooth muscle cells

Comparative Summary Table

FeatureSkeletal MuscleCardiac MuscleSmooth Muscle
StriationYesYesNo
NucleiMultiple, peripheral1–2, central1, central
Cell shapeLong cylinderBranched, elongatedFusiform
Cell diameter10–100 µm10–15 µm0.2–2 µm
Cell lengthUp to 30 cm80–100 µm20–200 µm
ControlVoluntaryInvoluntaryInvoluntary
Contraction typeStrong, quick, discontinuousStrong, quick, continuous, rhythmicWeak, slow, sustained
T tubulesYes (at A–I junction)Yes (at Z line, 2× wider)No (caveolae instead)
SRWell-developed with terminal cisternaeSparse, no terminal cisternaeSparse (caveolae/SER)
Ca²⁺ regulationTroponin CTroponin C + extracellular Ca²⁺Calmodulin + MLCK
Intercalated disksNoYesNo
InnervationNMJ (motor end plate)Neuroendocrine (autonomic)Neuroendocrine (autonomic)
RegenerationVia satellite cellsLimited (fibrosis predominant)Proliferative (SMCs + pericytes)
Key structural unitSarcomere (Z–Z)Sarcomere (Z–Z)Dense bodies

TLDR

Muscle Tissue — Full Summary

Embryology: All muscle from mesoderm. Three types: skeletal (voluntary, multinucleate), cardiac (involuntary, branched, central nuclei), smooth (involuntary, fusiform, non-striated).

Terminology: Sarcolemma = membrane; sarcoplasm = cytoplasm; sarcoplasmic reticulum = SER; sarcosomes = mitochondria.

Skeletal muscle organization (outer → inner): epimysium → perimysium (fascicles) → endomysium (individual fibers) → sarcolemma → myofibrils → sarcomeres.

Sarcomere structure (Z–Z): I band (actin only) | A band (myosin + actin overlap; constant width) | H zone (myosin tails only; disappears in contraction) | M line (center of H). On contraction: I band ↓, H band disappears, Z disks approximate; A band unchanged.

Filaments: Thick = myosin (15 nm, 1.5 µm). Thin = F-actin + troponin + tropomyosin (7 nm, 1.0 µm). Structural proteins: titin (sarcomere elasticity), nebulin (thin filament stabilizer), desmin (Z-disk integrity, costamere linkage, mitochondria positioning).

Ca²⁺ in striated muscle: SR releases Ca²⁺ → TnC binds Ca²⁺ → tropomyosin shifts → myosin binding site exposed → crossbridge cycle (bind actin, power stroke on Pᵢ release, detach on ATP binding, re-cock on ATP hydrolysis).

T-tubule system (skeletal): T tubule invaginations at A–I junctions; flanked by two terminal cisternae = triad; DHPR (T-tubule) activates ryanodine receptor (SR) → Ca²⁺ release.

NMJ: ACh released (Ca²⁺-dependent) → binds nicotinic receptors → depolarization → action potential → T tubules → Ca²⁺ release. ACh degraded by acetylcholinesterase; choline recycled by Na⁺–choline symport.

Rigor mortis: 3–4 h post-death; Ca²⁺ leak + no ATP → permanent crossbridges until proteolysis.

Cardiac muscle differences: Branched cells, intercalated disks (fascia adherens + desmosomes [transverse/mechanical] + gap junctions [lateral/electrical]). Diads at Z line (not triads at A–I). SR sparse → relies on extracellular Ca²⁺ via large T tubules + negatively charged external lamina. Loses contraction in ~1 min without extracellular Ca²⁺. Inherent rhythmicity; no motor end plates.

Smooth muscle: No troponin; no T tubules (caveolae instead); dense bodies = Z-line analogs. Regulation: Ca²⁺ → calmodulin → MLCK → myosin light chain phosphorylation → unmasking of actin-binding site → contraction. “Latch” state = dephosphorylated crossbridge → sustained low-ATP contraction. Two types: multiunit (independent) vs. unitary (gap junctions, act together).

Regeneration: Skeletal = satellite cells. Cardiac = mostly fibrosis (limited cardiomyocyte renewal). Smooth = proliferative SMCs + pericytes.