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How does synaptic integration occur in the CNS and how does it differ from the neuromuscular junction?
CNS neurons communicate via chemical synapses (like neuromuscular junctions).
Each CNS neuron receives thousands of excitatory & inhibitory inputs.
Muscle cells: innervated by only one motor neuron → no integration needed.
CNS neurons must integrate all inputs to determine output (firing).
Knowledge of synaptic integration largely from alpha motor neurons in vertebrate spinal cord.

What are the main synapse types in the CNS?
Axosomatic: axon → soma.
Axodendritic: axon → dendrite.
Axo-axonic: axon → another axon.

How might axo-axonic synapses influence action potential generation?
Presynaptic axon synapses directly onto another axon terminal.
This direct input depolarizes the terminal enough to open voltage-gated Ca²⁺ channels.
Ca²⁺ influx → neurotransmitter release even without a full action potential in the postsynaptic neuron’s axon.
Eliminates reliance on graded potentials (no decay) and bypasses need for an AP to reach the terminal.
Result: any signal from the presynaptic neuron reliably triggers neurotransmitter release.
How does the patellar (knee-jerk) reflex work?
Tapping the patellar tendon stretches the quadriceps, activating stretch receptors.
These receptors send signals through an afferent neuron to the spinal cord.
That afferent neuron does two things:
Excites an efferent motor neuron → contracts the quadriceps → leg kicks forward.
Excites an inhibitory interneuron, which hyperpolarizes the efferent motor neuron to the hamstring → hamstring relaxes.
This spinal reflex happens without involving the brain, enabling fast, automatic movement.

What is the function of inhibitory synapses?
Inhibitory synapses prevent the postsynaptic neuron from firing an action potential.
They hyperpolarize or stabilize the membrane potential below threshold.

How can excitatory transmission be studied in the knee-jerk reflex?
Each stretch receptor connects to multiple afferent neurons.
Stimulating one afferent neuron produces a small EPSP in the postsynaptic motor neuron—not enough for an action potential.
Stimulating all afferent neurons together causes their EPSPs to summate, reaching threshold.
This summation triggers a full action potential in the motor neuron → muscle contraction.
Therefore, the reflex relies on the combined input of many afferent neurons, not just a single one.

How do inhibitory interneurons ensure hamstring relaxation during the patellar reflex?
One inhibitory interneuron firing → small IPSP in the hamstring motor neuron → slight hyperpolarization (not enough to prevent contraction).
Stimulating all sensory afferents → strong excitation of the inhibitory interneurons → large IPSP in the hamstring motor neuron.
This strong hyperpolarization prevents any action potential, even if excitatory signals arrive.
Key point: Inhibitory interneurons themselves receive EPSPs (they must be excited), but they produce IPSPs in the hamstring motor neuron.

What are EPSPs and what causes them?
EPSPs: depolarizations that increase likelihood of postsynaptic AP.
Caused by neurotransmitter release → binds to postsynaptic receptors → membrane depolarization.
Single EPSPs: small (<1 mV), below threshold.
Thousands of EPSPs can sum in space & time to reach threshold.
Ion flux: likely Na⁺ influx (sometimes Ca²⁺).

What are IPSPs and how do they affect postsynaptic neurons?
IPSPs: hyperpolarizations that decrease likelihood of AP.
Can sum with EPSPs → reduce EPSP amplitude.
Can reduce probability of reaching threshold.
Ion flux: likely Cl⁻ influx or K⁺ efflux.

How do EPSPs and IPSPs interact to determine if an action potential occurs?
Balance between excitatory (EPSP) and inhibitory (IPSP) inputs changes over time.
Neurotransmitters bind receptors → open/close ion channels → change conductance → alter current flow.
Summation of all inputs determines membrane potential → whether threshold is reached → AP generation.

How do spatial and temporal summation influence action potential generation?
Spatial summation: EPSPs from different synapses on dendrite combine → may reach threshold.
Temporal summation: repeated EPSPs from same synapse in quick succession overlap → may reach threshold.
Real cases: Spatial + temporal summation through same sets of axons

How do postsynaptic currents spread, and where is integration most effective?
Currents spread electrotonically toward axon hillock (spike initiation zone).
Potentials decay with distance from synapse.
Axon hillock: lower threshold due to high density of voltage-gated Na⁺ channels → key site for AP initiation.
If current starts at point A (further) vs point B (closer), A decays more.

How does synaptic integration use action potential frequency to encode signal strength?
Action potentials are all-or-nothing, so their amplitude never changes.
What does change is frequency: stronger depolarization at the soma/axon hillock → more frequent APs.
Weak depolarization just above threshold → low-frequency firing (longer gaps due to relative refractory period).
Strong depolarization → high-frequency firing, APs occur as soon as channels recover.
Postsynaptic cells interpret frequency, not AP size, as the signal strength (e.g., intense pain = very high firing rate).

What happens to firing frequency as depolarization increases?
Increased depolarization → more action potentials.
Beyond a certain depolarization, firing rate plateaus (absolute refractory period).

What happens in a muscle fiber when a single motor neuron fires one action potential?
One motor neuron AP → one AP in the skeletal muscle fiber.
This produces a single muscle twitch, shown on a myogram.
A twitch has two phases:
Contraction phase: muscle tension rises.
Relaxation phase: tension falls back to baseline.
The exact timing varies by muscle type, but the key idea is: one AP → one brief contraction (twitch).

What is wave summation and how does it lead to tetanus?
Wave summation: repeated stimulation → less relaxation time → stronger contraction.
Caused by high AP frequency in motor neuron.
Tetanus: sustained contraction (no relaxation) due to rapid stimuli.
Useful for sustained tension (e.g., lifting), but can cause cramps if uncontrolled.
