membrane potentials 膜电位 xia qiang, md & phd department of physiology room c518, block c,...

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Membrane potentials 膜膜膜 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email: [email protected]

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Page 1: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Membrane potentials膜电位

Xia Qiang, MD & PhD

Department of PhysiologyRoom C518, Block C, Research Building, ZJU School of MedicineTel: 88208252Email: [email protected]

Page 2: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

ElectrocardiogramECG(心电图)

Page 3: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

ElectroencephalogramEEG(脑电图)

Page 4: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

ElectromyogramEMG(肌电图)

Page 5: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Extracellular Recording(细胞外记录)

Page 6: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Intracellular Recording(细胞内记录)

Page 7: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Recording of membrane potentials

Page 8: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Video

Extracellular and Intracellular Recording

1. Extracellular recording in earthworm giant axons

2. Intracellular recording in crayfish muscle cells

Page 9: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Opposite charges attract each other andwill move toward each other if not separatedby some barrier.

Page 10: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Only a very thin shell of charge differenceis needed to establish a membrane potential.

Page 11: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 12: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Resting membrane potential(静息电位)

A potential difference across the membranes of inactive cells, with the inside of the cell negative relative to the outside of the cell

Ranging from –10 to –100 mV

Page 13: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Depolarization occurs when ion movement reduces the charge imbalance.

A cell is “polarized” because its interior is more negative than its exterior.

Overshoot refers to the development of a charge reversal.

Repolarization is movement back toward the resting potential.

Hyperpolarization is the development of even more negative charge inside the cell.

(极化)

(去极化) (超极化)

(复极化)

(超射)

Page 14: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

chemical driving force

electrical driving force

++++++++++++++++

- - - - - - - - - - - - - - - - -electrochemic

al balance

Page 15: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

The Nernst Equation:

K+ equilibrium potential (EK) (37oC)i

o

Ion

Ion

ZF

RTE

][

][log

R=Gas constantT=TemperatureZ=ValenceF=Faraday’s constant

)(][

][log60 mV

K

KEk

i

o

(钾离子平衡电位)

German physical chemist and physicist

Page 16: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Begin: K+ in Compartment 2, Na+ in Compartment 1; BUT only K+ can move.

Ion movement: K+ crosses into Compartment 1; Na+ stays in Compartment 1.

buildup of positive charge in Compartment 1 produces an electrical potential that exactly offsets the K+ chemical concentration gradient.

At the potassium equilibrium potential:

Page 17: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Begin: K+ in Compartment 2, Na+ in Compartment 1; BUT only Na+ can move.

Ion movement: Na+ crosses into Compartment 2; but K+ stays in Compartment 2.

buildup of positive charge in Compartment 2 produces an electrical potential that exactly offsets the Na+ chemical concentration gradient.

At the sodium equilibrium potential:

Page 18: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Mammalian skeletal muscle cell -95 mV-90 mV

Frog skeletal muscle cell -105 mV -90 mV

Squid giant axon -96 mV -70 mV

Ek Observed RP

Difference between EK and directly

measured resting potential

Page 19: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Goldman-Hodgkin-Katz equation

Page 20: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

•Electrogenic

•Hyperpolarizi

ng

Role of Na+-K+ pump:

Establishment of resting membrane potential:Na+/K+ pump establishes concentration gradientgenerating a small negative potential; pump uses up to 40% of the ATP produced by that cell!

Page 21: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Click here to play theSodium-potassium Pump

Flash Animation

Page 22: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Origin of the normal resting membrane potential

K+ diffusion potential

Na+ diffusion

Na+-K+ pump

Page 23: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 24: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Action potential(动作电位)

Some of the cells (excitable cells) are capable to rapidly reverse their resting membrane potential from negative resting values to slightly positive values. This transient and rapid change in membrane potential is called an action potential

Page 25: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Negative after-

potential

Positive after-

potential

Spike potential After-potential

A typical neuron action potential

Page 26: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Electrotonic Potential(电紧张电位)

Page 27: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

The size of a graded potential(here, graded depolarizations) is proportionate to the intensity of the stimulus.

Page 28: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Graded potentials can be: EXCITATORY or INHIBITORY (action potential (action potential is more likely) is less likely)

The size of a graded potential is proportional to the size of the stimulus.

Graded potentials decay as they move over distance.

Page 29: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Graded potentials decay as they move over distance.

Page 30: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Local response(局部反应)

•Not “all-or-none” (全或

无)

•Electrotonic

propagation: spreading

with decrement (电紧张

性扩布)

•Summation: spatial &

temporal (时间与空间总和

Page 31: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Threshold Potential(阈电位) : level of depolarization needed to

trigger an action potential (most neurons have a threshold at -50 mV)

Page 32: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Ionic basis of action potential

Page 33: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

(1) Depolarization(去极化) :

Activation of Na+ channel

Blocker:

Tetrodotoxin

(TTX)

(河豚毒素)

Page 34: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

(2) Repolarization(复极化) :

Inactivation of Na+ channel

Activation of K+ channel

Blocker:

Tetraethylammoni

um

(TEA)(四乙胺)

Page 35: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 36: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

The rapid opening of voltage-gated Na+ channels explains the rapid-depolarization phase at the beginning of the action potential.

The slower opening of voltage-gated K+ channels explains the repolarization and after hyperpolarization phases that complete the action potential.

Page 37: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 38: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 39: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

An action potentialis an “all-or-none”sequence of changesin membrane potential.

Action potentials result from an all-or-none sequence of changes in ion permeability due to the operation of voltage-gated Na+ and K + channels.

The rapid opening of voltage-gated Na+ channels allows rapid entry of Na+, moving membrane potential closer to the sodium equilibrium potential (+60 mv)

The slower opening of voltage-gated K+ channels allows K+ exit, moving membrane potential closer to the potassium equilibrium potential (-90 mv)

Page 40: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Click here to play theVoltage Gated Channels

and Action PotentialFlash Animation

Page 41: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Mechanism of the initiation and termination of AP

Page 42: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Re-establishing Na+ and K+ gradients after AP

Na+-K+ pump

“Recharging”

process

Page 43: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Properties of action potential (AP)

•Depolarization must exceed threshold

value to trigger AP

•AP is all-or-none

•AP propagates without decrement

Page 44: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 45: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 46: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Voltage Clamp

How to study ?

Nobel Prize in Physiology or Medicine 1963

"for their discoveries concerning the ionic mechanisms involved in excitation and inhibition in the peripheral and central portions of the nerve cell membrane"

Eccles Hodgkin

Huxley

Page 47: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Currents recorded under voltage

clamp condition

Page 48: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Patch Clamp

Nobel Prize in Physiology or Medicine 1991

"for their discoveries concerning the function of single ion channels in cells"

Erwin Neher Bert

Sakmann

Page 49: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 50: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Video

The Squid and its Giant Nerve Fiber

 "The Squid and its Giant Nerve Fiber" was filmed in the 1970s at Plymouth Marine Laboratory in England. This is the laboratory where Hodgkin and Huxley conducted experiments on the squid giant axon in the 1940s. Their experiments unraveled the mechanism of the action potential, and led to a Nobel Prize. Long out of print, the film is an historically important record of the voltage-clamp technique as developed by Hodgkin and Huxley, as well as an interesting glimpse at how the experiments were done.

Page 51: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Video

Patch Clamp

Page 52: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Conduction of action potential(动作电位的传导)

Continuous propagation in the unmyelinated axon

Page 53: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Click here to play theAction Potential Propagationin an Unmyelinated Neuron

Flash Animation

Page 54: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Saltatory propagation in the myelinated axon

http://www.brainviews.com/abFiles/AniSalt.htm

Page 55: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Saltatorial Conduction: Action potentials jump from one node to thenext as they propagate along a myelinated axon.(跳跃性传导)

Page 56: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Click here to play theAction Potential Propagation

in Myelinated NeuronsFlash Animation

Page 57: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Excitation and Excitability(兴奋与兴奋性)

To initiate excitation (AP) Excitable cells Stimulation

Intensity

Duration

dV/dt

Page 58: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Strength-duration Curve(强度 -时间曲线)

Page 59: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Four action potentials, each the result of a stimulus strong enough to cause depolarization, are shown in the right half of the figure.

Threshold intensity(阈强度) & Threshold stimulus(阈刺激)

Page 60: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Refractory period following an AP:1. Absolute Refractory Period: inactivation of Na+

channel(绝对不应期)2. Relative Refractory Period: some Na+ channels

open(相对不应期)

Page 61: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:
Page 62: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Factors affecting excitability

Resting potential

Threshold

Channel state

Page 63: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

The propagation of the action potential from the dendritic to the axon-terminal end is typically one-way because the absolute refractory period follows along in the “wake” of the moving action potential.

Page 64: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

SUMMARY

Resting potential: K+ diffusion potential Na+ diffusion Na+ -K+ pump

Graded potential Not “all-or-none” Electrotonic propagation Spatial and temporal summation

Page 65: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Action potential Depolarization: Activation of voltage-

gated Na+ channel Repolarization: Inactivation of Na+

channel, and activation of K+ channel

Refractory period Absolute refractory period Relative refractory period

Page 66: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

CasePrimary Hyperkalemic Periodic Paralysis (原发性高血钾性周期性麻痹 )

A l0-year-old boy has sporadic attacks of muscle paralysis. The patient has four brothers, all of whom have suffered similar symptoms. The onset of these attacks is characterized by pain associated with contractures of the affected muscles. Later in the attack those muscles may become paralyzed and more flaccid. Episodes of pain and contracture frequently occur without subsequent paralysis. Analysis of blood samples taken during an attack indicates that the patient is hyperkalemic. Plasma K+ levels are normal when the patient is not having an attack. Biopsies of the patient's muscle show a significantly diminished level of intracellular K+ (83 mmol/kg wet tissue) compared with control muscle (95 mmol/kg wet tissue). Basal tissue activity of Na+, K+-ATPase is normal. Paralytic attacks are accompanied by diuresis with increased K+ excretion. Electrophysiologic studies of the patient show that during an attack the excitability and conduction times of motor neurons are normal, as is the function of the neuromuscular junction. Microelectrode studies show that during an attack the magnitude of the resting membrane potential of skeletal muscle cells is diminished compared with control muscle fibers. Electromyography shows that early pared with control muscle fibers. Electromyography shows that early in an attack the muscle contractures are associated with spontaneous action potentials in the affected muscle fibers. Later, during the paralytic phase of an attack, muscle cells become electrically inexcitable - the muscle cells do not respond electrically to stimulation of the motor axons that innervate them. A paralytic attack can be relieved by treating the patient with an insulin injection. Long-term administration of the 2-agonist salbutamol dramatically diminishes the occurrence of episodes of both contractures and subsequent paralytic attacks.

Page 67: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Questionsl. What might account for the patient being hyperkalemic during an

attack, while the potassium concentration in his skeletal muscle cells is diminished? What types of alterations of basic cellular processes might underlie this situation?

2. What explains the observation that the magnitude of the resting membrane potentials of the patient's skeletal muscle fibers is diminished during an attack?

3. Does the diminished resting membrane potential have anything to do with the spontaneous action potentials and contractures that occur early in an attack, before paralysis sets in?

4. How might the diminished resting membrane potential contribute to the paralytic phase of an attack, in which muscle cells are electrically inexcitable?

5. How might insulin terminate a paralytic attack?6. How might long-term administration of salbotamol diminish the

occurrence of attacks of contractures and paralysis?

Page 68: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

Answersl. The hyperkalemia with a concomitant decrease in the amount of K+ in muscle cells suggests that the

hrperkalemia is caused bf K+ efflux from the cells, but the cause of K+ efflux is not known. Net K+ efflux from muscle cells might occur because of diminished fate of K+ accumulation by the Na+, K+-ATPase, or an increased rate of K+ efflux from the cell, or a combination of both factors. The observation that Na+, K+-ATPase is normal does not completely rule out a malfunction of this protein during an attack.

2. Elevating extracellular K+ and decreasing the intracellular level of K+ would decrease the potassium equilibrium potential and thus decrease the magnitude of the resting membrane potential.

3. The decreased magnitude of the resting membrane potential initially brings the muscle cells closer to threshold for firing an action potential. For this reason, spontaneous, small fluctuations in the resting membrane potential may reach threshold. This results in spontaneous action potentials and contractions of skeletal muscle cells and leads to the contractures experienced by the patient early in an attack.

4. Prolonged depolarization of the muscle cell plasma membrane will lead to voltage inactivation of Na+ channels in the membrane, which will result in the muscle cell's being unable to fire an action potential. This is believed to be the cause of the paralytic phase of an attack and is supported by the observation that during the paralytic phase, the patient's skeletal muscle cells may be electrically inexcitable.

5. Insulin immediately and powerfully promotes the uptake of K+ by cells and the extrusion of Na+ from cells. Administration of insulin thus corrects the hyperkalemia restores cellular K+ levels toward normal, and causes the resting membrane potential for the affected skeletal muscle cells to become closer to the normal resting value. In this way insulin is believed to terminate an attack of contractures or paralysis in these patients.

6. Long-term administration of salbutamol, a β2-agonist, increases the activity of the Na+, K+-ATPase in skeletal muscle cells. In this way, salbutamol administraion leads to increased sequestration of K+ in muscle cells. Apparently this helps to prevent the K+ efflux that underlies episodes of hyperkalemia with resultant contractures that may be followed by periods of paralysis.

Page 69: Membrane potentials 膜电位 Xia Qiang, MD & PhD Department of Physiology Room C518, Block C, Research Building, ZJU School of Medicine Tel: 88208252 Email:

THANK YOU FOR YOUR ATTENTION!