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Central Nervous System (CNS)
Brain and Spinal Cord
Peripheral Nervous System (PNS)
ANS, spinal nerves (peripheral nerves attached to spinal cord), cranial nerves (peripheral nerves attached directly to brianstem)
Trigeminal Nerve
3 branches that innervate the lower jaw, upper jaw, forehead, and teeth
Ophthalmic Branch
Forehead
Maxillary
Upper Jaw
Mandibular
Lower Jaw
Sensory Neurons of Trigeminal Nerve
Lie in the trigeminal ganglion adjacent to the brainstem
Afferent Neuron
Bring information into CNS (sensory axons)
Efferent Neuron
Information coming out of CNS (motor axons)
Interneurons
The majority of neurons; can be excitatory or inhibitory (intermediates). Connect sensory and motor neurons.
Sensory Neuron
Enter spinal cord
Motor Neuron
Leave spinal cord
Soma
Cell body. Integrator (summing excitatory and inhibition)
Dendrite
Receiving terminal (input)
Axon
Carries nerve impulse away from cell (output)
Axon Hillock
Start of an axon, final integration (adds all the signals in the dendritic field). Decides whether the cell will fire.
Secretory Cell
Produces abundant proteins. Looks similar due to NT release, acting as secretory products.
ER-Golgi Amount
Abundant with high rates of protein synthesis as it requires a lot to transfer and ship products to large axon.
Axoplasmic Transport
Anterograde and retrograde
Dynamic
Continual reorganizations of contacts
Signals
Passive transmission works for short distances
Action Potentials (APs)
Used to send long-range signals. Anesthetics block APs by blocking voltage gated sodium channels.
Anesthetics Effect
Anesthetics block APs by blocking voltage-gated sodium channels.
Dye Used for Neurons
Nissl Stain Dye
Nissle Stain Dye
Stains nucleic acids (DNA & RNA)
Nissle Bodies
Stacks of rER
Somatosensory Neurons (pseudounipolar)
Receptor endings in the periphery, then the cell body, then axon endings in the CNS. No synapse on the cell body
Trigeminal Nerve (Pseudounipolar)
Pain, pressure, vibration causes AP to fire across the axon through the trigeminal ganglion and then reaches the trigeminal sensory neurons synapse in the brainstem.
Schwann Cels
Produce myelin for axons in the PNS
Oligodendrocytes
Produce myelin for axons in the CNS (multiple axons at once)
Myelin
Type of insulation which increases speed of axon conduction (fast)
Free Nerve Endings
Sense pain & temperature. Thin axons without myelin or thin myelin (still have Schwann cells)
Encapsulated/Specialized Endings
Fine touch, vibration, pressure, texture. Thick myelinated axons.
Synapse
Neurons pass information from one cell to another chemically
Action Potentials
Na+ and K+ Channels, with their concentration gradients, explain membrane potentials and action potentials.
APs at Rest
Some K+ channels are partially open, Na+ channels are closed. K+ wants to leave cell while Na+ wants to go into the cell due to relative concentrations.
APs at Peak
Depolarization causes Na+ voltage-gated channels to open quickly, going into the cell. K+ channels open more slowly, Na+ channels close even more slowly.
Sodium Channels
Closed in resting state. Depolarization opens in a (+) feedback loop, leading to the rapid, explosive opening of all channels, causing further depolarization. Inactivation closes the channels, and the membrane repolarizes. With a delay (recovery from inactivation), channels are ready to open again for the next AP. Timing is critical, inactivation is slow, and activation is fast.
Myelin
Type of insulation preventing ion flux, and therefore APs, in parts of the axon covered by myelin. Faster conduction speed.
Nodes of Ranvier
Spaces without myelin in myelinated axons
Myelinated Axons
Rapid conduction of AP due to layers of insulation and localized concentration of Na+ channels.
Local Anesthetics
Block voltage-gated Na+ channels from the inside, stopping APs (Lidocaine). Requires time to diffuse through all layers.
pH and Anesthetic Effects
Lidocaines uncharged form penetrates tissue and into cell, then dissociated into charged (active form)
Inflammation and Anesthetics
Patients with infection, have inflammation sites that are acidic, meaning less uncharged form, taking longer to numb.
Peripheral Nerves
Contain both sensory and motor axons
Chemical Synapse
Axon terminus (pre-synaptic terminal) exocytosis vesicle with NTs, then go into the synaptic cleft, which bind receptors in the postsynaptic cell.
Synapse
Electrical synapse depolarization reaches axon terminal, causing Ca2+ to enter cell, causing exocytosis of NT, binding receptor post-synaptic cell, leading to depolarization of next neuron.
Most Common NT in Brain
Glutamate
Presynaptic Terminal
Synaptic vesicles hold NT, voltage-gated Ca2+ channels increase intracellular Ca2+ when AP arrives, MITO for energy. Each synaptic vesicle contains thousands of molecules of an NT.
Postsynaptic Cell
NT receptors excite (depolarize) or inhibit (hyperpolarize) dendrite.
Synaptic Cleft
At the neuromuscular junction, an enzyme breaks down and gets rid of NT. In CNS, NTs are removed through diffusion and transported in glia.
GABA (Gamma amino butyric acid)
Inhibitory (mainly brain)
Glycine
Inhibitory (spinal cord)
Acetylcholine
Excitatory (NM Junction) or inhibitory (cardiac to slow HR)
NT Receptor
Some NTs bind to different receptors; for example, glutamate and acetylcholine can be excitatory or inhibitory.
Glutamate
Excitatory in CNS
Oral Cavity Sensory Axons
Pseudo-unipolar cell bodies of sensory neurons lie in trigeminal (Gasserian) ganglion
Nocireceptors
Pain receptors from free nerve endings in tooth pulp (unmyelinated)
Ruffini Endings
Periodontal ligaments respond to pressure and stretch of the periodontal ligament (myelinated). Missing when impact is done, and the ability to precisely control of holding and crushing food by the teeth is impaired.
Epineurium
Around the nerve (adipocytes, fibroblasts, CT fibers, mast cell, small blood and lymph)
Perineurium
Around fascicles of axons (concentric layers of flattened cells + collage)
Endoneurium
Around single axons (Collagen fibers, fibroblasts, capillaries)
Glia
Cells in the brain without neurons, wrapping both myelinated and unmyelinated axons in the CNS and PNS. Insulation for axons, response to chemicals, releases trophic factors, and removes NTs after release.
Types of Glia
Schwann cell, oligodendrocytes, astrocyte, microglia
Astrocytes
Signal to blood vessels to increase blood flow or active brain areas, remove NTs, signal for BBB to form, surrond each synapse
Microglia
Respond to injury and act like macrophages by removing dead cells (phagocytosis, come from bone marrow)
Blood Brain Barrier (BBB)
Formed by tight junctions between endothelial cells of blood vessels.
White Matter
Myelinated axons
Grey Matter
Unmyelinated Axons
Wrapping of Schwann Cells
Myelinated (one Schwann cell per axon), unmyelinated (multiple axons per schwann cell)
Glia Maintenance
All neurons in the brain and spinal cord are covered by glia, which maintain homeostasis.
Axon Damage in PNS
The distal axon segment degenerates, while the proximal segment, which is connected to the cell body, begins to grow out, resulting in better recovery from a crush injury compared to a cut. Axons will find and grow down any basal lamina back to the target. With a crush, the basal lamina is intact, but with a cut, the growing axon can find the basal lamina of any distal axon and grow down the wrong basal lamina tube.
Axon Damage in CNS
Same as PNS, but axons will regrow. CNS axons recognize molecules on glia and tell them to stop growing. Axon regeneration is poor.