Three types of muscle tissues exist: skeletal, cardiac, and smooth. Skeletal and cardiac muscles are striated muscles. The actin and myosin filaments are arranged in large parallel arrays in bundles, giving the muscle fibers a striped or striated appearance when they are viewed through a microscope.
Skeletal muscle is the most abundant tissue in the body, accounting for 40% to 45% of the total body weight. Most skeletal muscles are attached to bones, and their contractions are responsible for movements of the skeleton. Skeletal muscle differs from cardiac and smooth muscle in that it is enervated by the somatic rather than the auto-nomic nervous system. Cardiac muscle, comprising the myocardium, is designed to pump blood continuously. It has inherent properties of automaticity, rhythmicity, and conductivity. The pumping action of the heart is controlled by impulses originating in the cardiac conduction system and is modified by blood-borne neural mediators and impulses from the autonomic nervous system. Smooth muscle is found in the iris of the eye, the walls of blood vessels, hollow organs such as the stomach and urinary bladder, and hollow tubes, such as the ureters, that connect internal organs.
Neither skeletal nor cardiac muscle can undergo the mitotic activity needed to replace injured cells. Smooth muscle, however, may proliferate and undergo mitotic activity. Some increases in smooth muscle are physiologic, as occurs in the uterus during pregnancy. Other increases, such as the increase in smooth muscle that occurs in the arteries of persons with chronic hypertension, are pathologic.
Although the three types of muscle tissue differ significantly in structure, contractile properties, and control mechanisms, they have many similarities. In the following section, the structural properties of skeletal muscle are presented as the prototype of striated muscle tissue. Smooth
muscle and the ways in which it differs from skeletal muscle are also discussed. Cardiac muscle is described in Chapter 23.
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