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Introduction
1. CARS
2. Psych/soc
3. Bio/biochem
3.1 1A: Structure and function of proteins and their constituent amino acids
3.2 1B: Transmission of genetic information from the gene to the protein
3.3 1C: Heredity and genetic diversity
3.4 1D: Principles of bioenergetics and fuel molecule metabolism
3.5 2A: Assemblies of molecules, cells, groups of cells
3.6 2B: Structure and physiology of prokaryotes and viruses
3.7 2C: Processes of cell division, differentiation, and specialization
3.8 3A: Structure and functions of nervous and endocrine systems
3.9 3B: Structure and functions of main organ systems
3.9.1 Circulatory system
3.9.2 Digestive system
3.9.3 Excretory and reproductive systems
3.9.4 Muscular and skeletal systems
3.9.5 Respiratory system
3.9.6 Integumentary (skin, hair, nails) system
3.9.7 Lymphatic and immune systems
4. Chem/phys
Wrapping up
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3.9.4 Muscular and skeletal systems
Achievable MCAT
3. Bio/biochem
3.9. 3B: Structure and functions of main organ systems
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Muscular and skeletal systems

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Muscle system

The muscular system is integral to support and mobility, providing the force needed for posture, locomotion, and movement. It also assists in peripheral circulatory assistance by helping propel blood and lymph through vessels, particularly when skeletal muscles contract. In the cardiopulmonary system, the heart is a muscular pump that circulates blood. Contractions of the skeletal muscles around the deep veins help compress them, facilitating blood flow. Similarly, when the diaphragm contracts during breathing, it draws blood into the chest cavity and compresses the abdominal veins.

Additionally, it plays a crucial role in thermoregulation through the shivering reflex, where rapid, minor contractions generate heat.

Structure of muscle types

The muscular system encompasses three major types of muscle:

  • Smooth muscle is nonstriated, involuntary, and contains spindle‐shaped cells each with a single nucleus. It contracts more slowly, sustaining prolonged actions without tiring quickly.
  • Cardiac muscle is striated, involuntary, and features branching fibers that usually have one nucleus per cell.
  • Skeletal muscle is striated, voluntary, and composed of long, multinucleated fibers. It can rapidly contract but easily fatigues.

Striations arise from repeating units called sarcomeres, whose arrangement of actin and myosin filaments creates alternating dark (A) and light (I) bands.

Smooth muscle still uses the sliding filament mechanism (myosin pulling on actin) but lacks these organized sarcomeres, explaining its nonstriated appearance.

Structure of a skeletal muscle fiber and its repeating sarcomere units
Structure of a skeletal muscle fiber and its repeating sarcomere units

Mechanism of contraction

During contraction, the T-tubule system helps transmit electrical impulses deep into the muscle fiber, prompting the sarcoplasmic reticulum to release calcium ions. These ions interact with the contractile apparatus, composed primarily of actin and myosin filaments, causing them to slide past one another and generate force.

Different fiber types within skeletal muscle influence contraction speed and fatigue resistance: some fibers contract quickly and generate high force but tire rapidly, whereas others contract more slowly but sustain activity for longer. As a result, the contractile velocity varies among muscle types, with skeletal muscle fibers displaying a broad range:

  • Fast-twitch (quick bursts)
  • Slow-twitch (endurance-focused)
  • Smooth muscle contracting more slowly
  • Cardiac muscle maintaining a rhythmic, fast-enough pace to circulate blood efficiently.

During muscle contraction, crossbridges form as myosin heads bind to actin filaments, generating force through cyclic interactions. The fundamental unit of contraction is the sarcomere, defined by Z lines at its boundaries, an M line in its center, and an H zone where only myosin filaments are present due to a lack of overlapping actin.

Sliding filament model showing sarcomere contraction and filament overlap
Sliding filament model showing sarcomere contraction and filament overlap

Regulation and fatigue

Troponin and tropomyosin are key regulatory proteins: tropomyosin blocks myosin-binding sites on actin when the muscle is relaxed, and troponin, upon binding calcium, shifts tropomyosin to expose these sites. Calcium regulation of contraction is central to this process—calcium released from the sarcoplasmic reticulum binds to troponin, initiating the crossbridge cycle that ultimately results in muscle contraction.

Motor neurons govern muscle contraction. Somatic motor neurons innervate skeletal muscles under conscious control, whereas autonomic motor neurons regulate smooth and cardiac muscle involuntarily. At the neuromuscular junction, the axon terminal of a neuron releases neurotransmitters onto the motor end plate of the muscle fiber, triggering an action potential that leads to contraction.

Voluntary muscles like those in the arms or legs can be consciously activated, whereas involuntary muscles (such as intestinal smooth muscle or the heart) are managed by sympathetic and parasympathetic signals, enabling fight‐or‐flight or rest‐and‐digest responses, respectively.

Oxygen debt occurs when muscles, during intense exercise, rely on anaerobic metabolism due to insufficient oxygen supply, leading to the accumulation of metabolic byproducts and causing fatigue.

Skeletal system

The skeletal system provides structural rigidity, serving as the body’s framework. It also stores calcium, releasing it under the influence of parathyroid hormones when blood levels drop. In addition, bones shield sensitive organs—like the skull protecting the brain—and house marrow where blood cells are formed.

The skeletal structure features specialized bone types that fulfill different roles, from load-bearing to enabling precise movement. Joints vary in design, ranging from immobile sutures in the skull to freely moving hinge or ball-and-socket joints, all of which balance mobility with stability. Humans have an endoskeleton, an internal framework supporting muscle attachments; in contrast, an exoskeleton encloses the body externally (as seen in insects).

Bone composition

At the macroscopic level, a bone is a solid structure containing internal canals through which blood vessels and nerves travel, and it features small cavities where cells reside. Bone tissue is built upon a calcium/protein matrix composed primarily of calcium salts, collagen fibers and mineral deposits (largely hydroxyapatite) that grant tensile and compressive strength.

The cellular composition of bone involves:

  • Osteoblasts (forming new bone)
  • Osteocytes (maintaining bone tissue)
  • Osteoclasts (breaking down bone)

This structure is enveloped by a membrane rich in stem cells that give rise to osteoblasts and osteoclasts. Microscopically, bone consists of cells, primarily osteocytes, embedded in an extracellular matrix organized into cylindrical units called osteons, each with a central canal. This matrix is a calcium-protein matrix composed of calcium salts, collagen fibers, and a ground substance that acts as a glue.

Bone growth and remodeling

Bone growth and remodeling are achieved through the coordinated actions of these cells.

  • Lengthwise growth happens when osteoblasts add new bone tissue at the knobs (epiphyseal regions) at the ends of long bones, while osteoclasts resorb and reshape bone tissue to maintain proper size and form.
  • Growth in diameter occurs when osteoblasts deposit new bone on the outer surface, and osteoclasts remove bone from the inner surface, creating a hollow structure. This balance ensures bones remain strong yet not excessively heavy.

Cartilage, ligaments and tendons

Cartilage provides a flexible cushion at many joints and shapes structures like the nose and ears. Although it has no direct blood supply, it resists friction and absorbs shock efficiently.
Both ligaments and tendons contribute to skeletal function: ligaments connect bones to one another, stabilizing joints, while tendons anchor muscles to bone, facilitating movement.

Endocrine control of the skeletal system relies on hormones such as parathyroid hormone, calcitonin, and vitamin D to regulate bone remodeling and calcium homeostasis, ensuring strong bones and balanced mineral levels.

Specialization of bone types

The skeletal system consists of various specialized bone types and joints that work together to provide support and mobility. Long bones are rod-shaped and form the arms, legs, and fingers, offering leverage and support for movement. In contrast, short bones are roughly cube-shaped and are found in the wrist and ankle, where stability is prioritized over extensive movement. Flat bones are thin and broad—such as those in the sternum, scapulae, ribs, and skull—serving protective roles and providing surfaces for muscle attachment, while irregular bones have complex shapes, like vertebrae and hip bones, which do not conform to the other categories.

Joint structures

A joint is the location where two bones meet, and these connections can be either mobile or immobile.

Mobile joints, also known as synovial joints, contain a fluid-filled cavity that lubricates and facilitates movement. Specific examples include

  • the ball-and-socket joint (the shoulder and hip) that allows for the greatest range of motion
  • the hinge joint (like the elbow) that permits bending and straightening
  • the gliding joint (as in the wrist) that enables sliding movements.

Non-mobile joints connect bones with cartilage or fibrous tissue, such as the sutures in the skull or the rib-to-sternum connections, providing stability with little or no movement.

Endoskeleton vs. exoskeleton

Humans possess an endoskeleton, an internal framework that supports the body, whereas an exoskeleton is an external structure made of chitin, as seen in insects.

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