Steps and events at the neuromuscular junction (NMJ)
1. an action potential propagates along the axon of an A-motor neuron to the presynaptic axon terminal
2. Depolarization of the axon terminal causes voltage-dependent calcium channels to open and Ca2+ ions flow from the extracellular fluid into the presynaptic neuron's cytosol.
3. The influx of Ca2+ causes neurotransmitters containing vesicles to dock and fuse to the presynaptic neuron's cell membrane.
4. Vesicle membrane fusion with the neuronal plasma membrane leads to exocytosis of the acetylcholine into the synaptic cleft.
5. Acetylcholine diffuses throughout the synaptic cleft and binds to the nicotinic acetylcholine receptors in the sarcolemma of the motor end-plate.
6. As acetylcholine unbinds from its receptor, it is degraded by the enzyme acetylcholinesterase, causing termination of the excitatory signal.
7. The choline can be then recycled back into the presynaptic terminal, where it is used to synthesize new acetylcholine molecules.