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The myoneural junction is the junction of the axon terminal of a motoneuron with the motor end plate, the extremely-excitable region of muscle fiber plasma membrane responsible for initiation of action potentials across the muscle's surface.

Mechanism of Action

Upon a arrival of an action potential at the axon terminal, calcium ions flow from a extracellular fluid into the motoneuron's cytosol and bind to particular intracellular proteins. These calcium-attached proteins reason neurotransmitter-containing vesicles to attach to a efferent neuron's cell membrane and thus release acetylcholine into the synaptic cleft. Acetylcholine so binds to the nicotinic acetycholine receptors that dot the motor end plate. A receptors come ion channels, and while attached by acetylcholine, it open, permitting sodium and potassium ions to flow in & away from a muscle's cytosol, severally. Because of the differences inside electrochemical gradients across a plasma membrane, other sodium moves in than potassium out, producing a local depolarisation of the prevent-shell called an end plate potential (EPP). This depolarisation spreads through a surface of the muscle cell into transverse tubules, eliciting a release of atomic number 20 from either the sarcoplasmic reticulum, thus initiating muscle contraction.

Neuromuscular Disease Center
Review of various muscle, nerve and neuromuscular disorders; links to relevant sites.

Lincolnshire Post-Polio Library: Neuromuscular Junction Transmission Defects
Article about anticholinesterase-responsive neuromuscular junction transmission defects in post-poliomyelitis fatigue.

Neuromuscular Junction Effects
Description of acetylcholinesterase inhibitors producing destructive changes at the neuromuscular junction. For medical professionals.

Sofija Kelic: Effects of Virus Infection of the Neuromuscular Junction in Vitro.
From the Karolinska Institutet in Sweden, an article about how toxic and infectious agents can disturb normal development of the neuromuscular junction.

Disorders of the Neuromuscular Junction
An introduction to disorders of the neuromuscular junction from Baylor College of Medicine.


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