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Temporomandibular (jaw) joint (TMJ)
articulation of the
condyle of the mandible with the mandibular fossa of the
temporal bone
TMJ lateral ligament
prevents posterior displacement of mandible
TMJ Sphenomandibular ligament
on the medial side
Glenohumeral joint
hemispherical head of humerus articulates with glenoid
cavity of scapula
Glenoid labrum
fibrocartilage ring that deepens glenoid
cavity
Shoulder separation
results from a hit to the superior surface of shoulder forcing the acromion of scapula inferiorly – dislocates the clavicle from scapula at the acromioclavicular joint
Elbow joint
hinge joint that includes two articulations:
• Humeroulnar joint
• Humeroradial joint
Humeroulnar joint
trochlea of the humerus joins trochlear notch of the ulna
Humeroradial joint
capitulum of humerus meets head
of radius
proximal radioulnar joint
Head of radius fits into radial notch of ulna, not involved in hinge, held in place by annular ligament encircling radial head, pivot joint
Coxal(hip) joint
head of femur inserts into acetabulum of hip bone
Round ligament (ligamentum teres) of coxal bone
attaches fovea capitis on the head of the femur to the acetabulum of the coxal bone; contains artery that supplies blood to head of femur
Tibiofemoral (knee) joint
hinge joint between femur and
tibia; largest and most complex diarthrosis of the body
• Flexion and extension, but also capable of slight rotation
and lateral gliding when knee is flexed
patellofemoral joint
Patella and patellar ligament articulate with femur
lateral and medial menisci
Two shock absorbing cartilages in joint cavity joined by transverse ligament
Arthritis
a broad term for pain and inflammation of joints;
most common crippling disease in the United States
Rheumatologists
physicians who treat arthritis and other
joint disorders
Osteoarthritis
most common form of arthritis
• “Wear-and-tear arthritis”; results from years of joint wear
• Articular cartilage softens and degenerates; bone spurs develop on
exposed bone tissue causing pain
• Accompanied by crackling sounds called crepitus
Gouty arthritis
Occurs when uric acid or calcium salt crystals form within synovial
fluid. More common in males than females. Causes: family history,
increased age, alcohol consumption, foods rich in purines (animal
sources that break down into urate), high fructose corn syrup – soda
Rheumatoid arthritis
autoimmune attack against the joint tissues
• Misguided antibodies (rheumatoid factor) attack synovial
membrane, enzymes in synovial fluid degrade the articular
cartilage, joint begins to ossify
Ankylosis
solidly fused, immobilized joint
Arthroplasty
replacement of diseased joint with artificial
device called prosthesis
Endocrine system
communicates by means of chemical
messengers (hormones) secreted into to the blood
Nervous system
utilizes neurons (nerve cells) to send
messages from cell to cell by electrical and chemical
means; occurs in three steps:
3 steps in neural signaling
1. It receives stimuli from external environment and transmits
messages to central nervous system (CNS)
2. The CNS processes the information and determines the response
3. CNS issues commands to muscle and/or gland cells to carry out
the response
nerve
a bundle of nerve fibers (axons) wrapped in fibrous connective
tissue
ganglion
a knot-like swelling in a nerve where neuron cell bodies of the
PNS are concentrated
Sensory(afferent) division
carries signals from receptors (sense organs) to CNS
Somatic sensory division
carries signals from receptors in the
skin, muscles, bones, and joints
Visceral sensory division
carries signals from the viscera (heart,
lungs, stomach, and urinary bladder)
Motor(efferent) division
carries signals from CNS to
the effectors (glands and muscles that carry out the
body’s response)
Somatic motor division
carries signals to skeletal muscles;
causes voluntary muscle contraction and automatic reflexes
Visceral motor division (autonomic nervous system)
carries signals to glands, cardiac, and smooth muscle; no voluntary
control; responses called visceral reflexes
Sympathetic division of ANS
stimulates and prepares body for action (flight or fight)
Parasympathetic division of ANS
has a calming effect on body
Enteric plexus
within digestive tract wall,
enables coordination and communication within the digestive tract
tract
bundle of axons in CNS
nerve
A bundle of axons in PNS
nucleus
A cluster of neuronal cell bodies in CNS
ganglion
A cluster of neuronal cell bodies in PNS
Properties that allow neurons to communicate with other cells
Excitability, Conductivity, and Secretion
1. Excitability – ability to respond to stimuli
2. Conductivity – produce electrical signals that are
conducted to other cells
3. Secretion – when signal reaches end of the neuron’s
axon, the neuron secretes a neurotransmitter that signals
the next cell
Interneurons
receive signals from other neurons,
process this information, and make resulting “decisions”
Lies entirely within CNS, about 90% of all neurons
Na+/K+ pump
The Na+/K+ pump uses ATP energy to move 3 Na+ out and
2 K+ in, concentrating Na+ outside and K+ inside
Depolarization
is excitatory – makes a neuron more likely to fire an
action potential
Hyperpolarization
(membrane more negative) is inhibitory –
makes a neuron less likely to produce an action potential
Action potential
rapid up-and-down change in voltage
produced by the coordinated opening and closing of
voltage-gated ion channels
All or none
if threshold reached (-55 mV), neuron
fires up/depolarizes to the maximum voltage (+35 mV); if
threshold not reached, it does not fire an action potential
Non decremental
do not get weaker with distance. The
action potential is “regenerated” as it travels along the
axon
Irreversible
once started, an action potential travels all
the way down the axon and cannot be stopped by normal
means
Absolute refractory period
no stimulus of any strength will trigger another AP
• Caused by inactivation of voltage-gated Na+ channels – the
inactivation gate is insensitive to a change in membrane potential
Relative refractory period
an unusually strong
stimulus is needed to trigger a new AP
saltatory conduction/propagation
Action potentials seem to jump from node to node, move faster through myelinated regions, slows down when it reaches bare axon of nodes
two factors influencing nerve signal speed
diameter (wider axons have more surface area for faster conduction) and presence of absence of myelin (myelin speeds conduction)
Type A fiber
Myelinated, large diameter axons, FAST carries info to CNS quickly at 120 m/s
Type B fibers
Myelinated, medium diameter axons
• Carries intermediate info the CNS
• Ex: sensory info from viscera, motor output to peripheral
effectors
• Medium speed (18 m/sec)
Type C fibers
Unmyelinated, small diameter axons
• Carries slow info the CNS
• Ex: CNS output to involuntary muscles, glands
• Slow speed (1 m/sec)
Dendrites
most numerous neurites, resemble branching of a tree;
primary sites for receiving signals from other neurons
• Neurons can have one dendrite or thousands of dendrites
Axon
long, cylindrical extension; relatively unbranched
but may give off axon collaterals; specialized for rapid conduction of
nerve signals
Multipolar neuron
one axon and multiple dendrites;
most common type in body, most neurons in CNS
Bipolar neuron
one axon and one dendrite; examples
include olfactory cells, some neurons of retina, sensory
neurons of ear
Unipolar neuron
single process leading away from cell
body, splits into peripheral process and central process
• Both processes comprise the axon; only short receptive endings of
peripheral process are considered dendrites
Anaxonic neuron
many dendrites but no axon; found
in brain, retina, and adrenal gland
Axonal transport
two-way passage of materials along an
axon
Some materials (enzymes, ion channels) made in cell
body must be transported to the axon and terminal
Anterograde transport
movement away from cell body, down
the axon; driven by motor protein kinesin
Retrograde transport
movement up the axon toward the cell
body; driven by motor protein dynein
Rabies virus
bypasses CNS defenses by infecting the CNS through
retrograde transport – the virus is transported back to the CNS from the
infected nerve
Functions of neuroglia
Bind neurons together
• Form supportive tissue framework
• In fetus, guide migrating neurons to their destination
• Cover mature neurons (except at synapses)
• Prevents neurons from touching each other
• Gives precision to conduction pathways
Oligodendrocytes
form myelin sheaths in CNS
Ependymal cells
line internal cavities of brain;
secrete and circulate cerebrospinal fluid (CSF)
Microglia
macrophages; engulf debris, provide
defense against pathogens
Astrocytes
most abundant type; wide variety of
functions
• Provide framework for nervous tissue; extensions (perivascular
feet) contact capillaries and stimulate formation of blood-brain
barrier; adjust blood flow; supply neurons with lactate for energy;
secrete nerve growth factors; influence synaptic signaling;
regulate composition of tissue fluid; form scar tissue when
neurons are damaged, a process called astrocytosis or sclerosis
Schwann cells
envelop axons of PNS,
form myelin sheath, and assist in regeneration of damaged fibers
Satellite cells
surround nerve cell bodies in ganglia of PNS;
provide insulation around cell body and regulate chemical
environment
Brain tumors arise from
Meninges (protective membranes of CNS)
• Metastasis from nonneuronal tumors in other organs
• Glial cells that are mitotically active throughout life
Gliomas
tumors of glial cells; grow rapidly and are highly
malignant
Myelin sheath
spiral layers of insulation around an axon
• Formed by Schwann cells in PNS, oligodendrocytes in
CNS
• Sheath consists of the plasma membrane of these cells, 20%
protein and 80% lipid
Neurilemma
thick outermost coil of myelin, contains Schwann cell nucleus and most of its cytoplasm
Node of Ranvier
gap between segments
internodal segments
myelin covered segments
Initial segment
bare section of axon between the axon
hillock and the first glial cell
Trigger zone
axon hillock and initial segment of axon
• Plays important role in initiating nerve signal (the action potential)
Multiple sclerosis
Oligodendrocytes and myelin sheaths in CNS deteriorate
• Cause: may be autoimmune response that is triggered by a
virus
• Myelin replaced by hardened scar tissue
• Nerve conduction disrupted (double vision, tremors,
numbness, speech defects)
• Onset between 20 and 40 years of age and fatal from 25
to 30 years after diagnosis
Tay Sachs disease
Hereditary disorder seen mainly in infants of Eastern
European Jewish ancestry
• Usually fatal before age 4
• Abnormal accumulation of glycolipid called GM2 in the
myelin sheath
• Normally decomposed by lysosomal enzyme
• Enzyme missing in individuals homozygous for Tay–Sachs allele
• Accumulation of ganglioside disrupts conduction of nerve
signals
• Causes blindness, loss of coordination, dementia
Steps of nerve regeneration
Axon distal to the injury degenerates, macrophages clean
up tissue debris
2. Cell body swells, ER breaks up, and nucleus moves off
center
• Changes due to loss of nerve growth factors from target cell
3. Axon stump sprouts multiple growth processes
4. Schwann cell neurolemma, endoneurium, and basal
lamina form a regeneration tube
• Guides regrowth to original destination
5. Regeneration tube guides the growing axonal sprout back
to original target cells to re-establish their synapses
6. Once contact is re-established with original target, the
neurosoma shrinks and returns to its original appearance
• Nucleus returns to normal shape
• Atrophied muscle fibers regrow
Electric potential
difference in concentration of charged particles between one point and another
• Type of potential energy; measured in volts (V)
• Under some conditions, can produce a current
Current
flow of charged particle from one point to
another
• Example: flashlight battery
Resting membrane potential
charge difference across plasma membrane
• Typically −70 millivolts (mV) in an unstimulated, “resting”
neuron
• Negative value indicates more negatively charged particles on the
inside of the plasma membrane compared to outside
Leak/Passive channels
membrane channels that are always open. These channels are specific for their specific
ions (Ex: the Na+ leak channel only allows for Na+ to pass
through the channel down its concentration gradient)
Gated channels
channels that are normally closed, but can be stimulated to open These channels are also specific for its specific ion
Chemically gated channel
binding of a chemical (Ex: hormone, neurotransmitter, etc.) causes the channel to open. Found on neuron cell body, dendrites
Voltage gated channel
channel opens due to a change in the membrane potential. Found on neuron’s axon, skeletal and cardiac muscle membrane
Mechanically gated channel
channel opens due to physical stress/deformation on the cell’s plasma
membrane. Found on sensory receptors (touch, pressure, vibration)
Closed channel
closed but capable of opening
open channel
open and activated
inactivated channel
ions cannot pass through the channel, but
the channel is not considered “closed” – an “inactivation
gate” blocks the channel
Local potentials
Sensory neurons can be stimulated by chemicals, light, heat, or
mechanical forces. The stimulation triggers local, temporary
change in membrane potential.
• Example: chemical stimulant binds to a receptor on the neuron
• Opens Na+ chemically-gated channels to let Na+ enter the cell
• Influx of positively charged Na+ into the cell raises the membrane
potential (makes it less negative) – the cell depolarizes
local potential
the depolarization spreads from point of Na+ influx and gets diluted by ions and other solutes (like a ripple in a lake)
Synapse
point where an axon terminal meets the next cell
(another neuron, gland cell, muscle cell)
Electrical synapses
direct physical contact
between cells – links the cytoplasm of adjacent cells