1/65
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai | Chat |
|---|
No analytics yet
Send a link to your students to track their progress
• A surgical intervention in which a hole is drilled or scraped into the skull, exposing the dura mater to treat health problems related to intracranial diseases
• It is often used to relieve pressure beneath a surface
• Today often called craniotomy
Epidural hematoma:
◦ Bleeding/clotted blood between the skull and the dura
Subdural hematoma:
◦ Bleeding/clotted blood underneath the dura
◦ It is deeper
• Craniotomy: A piece of skull is removed and then replaced
• Craniectomy: A piece of skull is removed and not replaced
Chemical communication
◦ One of the first ways cells used to network
◦ Bacteria use this method
◦ Works well, but is limited by diffusion
◦ Example: if perfume is spilled, it takes time for someone on the other side of the room to smell it
◦ Therefore, there needs to be a faster way
Stretching cells
◦ Cells can be brought closer together through stretching
◦ Cells communicate at a synapse
◦ Problem: the signal still has to travel a long way through the cell
Electricity
◦ Provides a faster form of communication
◦ Like how quickly lights in a house turn on
◦ Neurons use electricity
◦ Electrical pulses travel down neurons
What are the two types of aphasia and how do they differ?
Wernicke’s aphasia
Located in the temporal lobe
Fluent speech
Speech makes no sense
Poor comprehension
Often less aware that their speech is impaired
Usually less frustrated by the speech problem
Also called:
Sensory aphasia
Fluent aphasia
Broca’s aphasia
Located in the frontal lobe
Non-fluent speech — struggles to produce words
Telegraphic (agrammatical) speech
Speech does make sense
Good comprehension
Usually aware that their speech is impaired
Often becomes frustrated because they know what they want to say but struggle to produce it
Also called:
Motor aphasia
Nonfluent aphasia
Production aphasia
A rapid loss of brain function(s) due to a loss of blood supply to a brain region(s)
Ischemic stroke
Caused by a blockage in the cerebral blood supply
Leads to loss of blood supply to a brain region
Hemorrhagic stroke
Caused by a blow-out/bleeding in the cerebral blood supply
Leads to loss of normal blood supply to a brain region
Transient Ischemic Attack (TIA)
Often called a “mini stroke”
There are about 3–10× more non-neurons than neurons in the human brain
Mast cells
Immuno-active cells in the CNS
Respond to neuroinflammation
Microglia
Specialized macrophages
Macroglia
Astrocytes/astroglia
Regulate the chemical environment
Help regulate blood supply
CNS
Oligodendrocytes/oligodendroglia
Form myelin
CNS
Radial glia
Neuron progenitors/stem cells
Act as scaffolds and “highways”
CNS
Schwann cells
Form myelin
PNS
Satellite glial cells
Environmental regulation
PNS
• CNS: Oligodendrocytes / oligodendroglia
• PNS: Schwann cells
Surgery
Remove the seizure focal point
Cut the corpus callosum
Helps prevent the seizure from spreading between the two sides of the brain
Drugs
Cause a use-dependent increase in the inactivation time of voltage-dependent Na⁺ channels
Enhance GABAergic inhibition
Ion channels
Integral membrane proteins
Selective for specific ion(s)
Allow passive ion movement across the membrane
Ions move in the direction of their electrochemical gradient
Ion transporters
Integral membrane proteins
Selective for specific ion(s)
Actively move ions across the membrane
Move ions opposite to their chemical gradient
Maintain chemical gradients across the membrane
What are some important functions of astrocytes?
Potassium regulation
Astrocytes link with each other to widely regulate K⁺
Blood flow
Astrocytes modulate and control blood flow in the brain
Astrocyte-neuron communication
Communicate through Ca²⁺ and gliotransmitter signaling
Occurs at the tripartite synapse
How do use-dependent Na⁺ channel-inactivating drugs help treat epilepsy, and what is the drawback?
The drug increases how long voltage-gated Na⁺ channels stay inactivated
Inactivated Na⁺ channels cannot reopen right away
This makes the neuron less excitable and harder to generate another action potential
Why this helps epilepsy:
Seizures involve neurons firing excessively
Because the effect is use-dependent, more active Na⁺ channels are affected more
This makes highly active/seizure-firing neurons less likely to keep firing
Possible drawback:
Neurons can become too difficult to excite
Normal action potential generation may also be reduced
What is the difference between the activation gate and inactivation gate of a voltage-gated Na⁺ channel?
Activation gate
Controls whether the channel pore opens
Opens when the membrane is sufficiently depolarized
When it opens, Na⁺ can flow through the channel
Inactivation gate
Is separate from the activation gate
Quickly blocks the channel after it opens
Stops Na⁺ flow even though the activation gate had opened
Makes the channel temporarily unable to open again
The 3 states
Closed
Activation gate is closed
Inactivation gate is not blocking the pore
No Na⁺ flows
The channel is ready to open if enough depolarization occurs
Open
Activation gate opens because of depolarization
Inactivation gate has not blocked the pore yet
Na⁺ flows into the neuron
Inactivated
The inactivation gate blocks the pore
Na⁺ can no longer flow
The channel is temporarily unable to reopen
What is the difference between the absolute and relative refractory periods?
Absolute refractory period
Cannot generate another action potential
Voltage-gated Na⁺ channels are inactivated
Because the Na⁺ channels cannot reopen yet, another AP is impossible
Relative refractory period
Another action potential is possible, but harder to generate
Some voltage-gated K⁺ channels are still open
K⁺ continues leaving the neuron, keeping the membrane closer to Eₖ and farther from threshold
Some voltage-gated Na⁺ channels may still be inactivated
A stronger stimulus is therefore needed to reach threshold
How does an action potential propagate down an axon?
Depolarization causes an AP at one site on the membrane
The nearby membrane then generates another AP
This repeats down the length of the axon
Therefore, the AP is a regenerative, high-fidelity process that replicates itself over and over
AP causes depolarization of the nearby membrane through passive current flow, which decays with distance
If passive current flows in both directions, why does an action potential normally move in only one direction?
Passive current does move in both directions
But the membrane behind the AP has inactivated voltage-gated Na⁺ channels
Those Na⁺ channels cannot reopen yet
Therefore, another AP cannot be generated backward
The AP continues forward
What happens if current is injected into the middle of an axon before an action potential has occurred?
The injected current can open voltage-gated Na⁺ channels and generate an AP
The AP will travel in both directions
This happens because voltage-gated Na⁺ channels on both sides are available/active and not yet inactivated
What are the two ways to increase action potential (AP) conduction speed?
Increase axon diameter
The bigger the axon, the faster the action potential travels
Example: the squid giant axon is about 1 mm in diameter
This is about 100–1000× the size of a mammalian axon
Add myelin
Myelin makes action potentials travel faster by allowing the signal to “jump” over parts of the axon
This is called saltatory conduction
What is the Node of Ranvier?
An unmyelinated, specialized region of the axonal membrane
Contains the highest density of voltage-gated ion channels on the axon
Nodes are usually about 1–2 mm apart
This is about as far as passive current can reliably travel and still bring the next region to threshold when myelin is present
How does myelin increase action potential propagation?
Allows passive current to move more effectively down the axon
Causes less current loss across the membrane
Capacitance is increased
There is very little cytoplasm between the plasma membranes that form the myelin sheath
This effectively creates a thicker membrane, especially in terms of its electrical properties
If myelin is lost (demyelination)
Passive current may not effectively reach the next Node of Ranvier
Action potentials can slow down or stop
What is multiple sclerosis (MS) and how does it affect action potentials?
Multiple sclerosis is a neurodegenerative disease of the CNS
Involves oligodendrocytes/myelin
It is an autoimmune disease
Causes are still poorly understood
Loss of myelin can cause action potential propagation to slow down or stop
Signs and symptoms vary greatly:
Between different people
Over the course of the disease
This relates to localization of function and the degenerative nature of the disease
Some people lose the ability to walk independently
Others experience long periods of remission
There is currently no cure
Treatments can:
Speed recovery from attacks
Modulate the disease course
Manage symptoms
What molecules are involved in synaptic vesicle docking, fusion, and neurotransmitter (NT) release?
SNARE proteins
Help dock synaptic vesicles in place
v-SNAREs
Located in the vesicular membrane
Example: synaptobrevin
t-SNAREs
Located in the terminal membrane
Examples: syntaxin and SNAP-25
Synaptotagmin
Mammals have 15 synaptotagmins
Some detect Ca²⁺
Involved in docking the synaptic vesicle to the membrane
Help trigger fusion of the vesicle with the membrane
This fusion allows NT release
How is neurotransmitter (NT) action stopped?
Diffusion
Always a component
Enzymatic degradation
Common for NTs that are proteins, such as neuropeptides
Also occurs with ACh
Reuptake
Common for small-molecule NTs
NTs are actively taken back from the synaptic cleft
Can be taken up by:
Presynaptic terminal
Perisynaptic glial cells
Examples: GABA and glutamate
What different states/pools can synaptic vesicles be in at a chemical synapse?
Readily releasable pool
Vesicles are docked at the active zone
Ready to fuse with the presynaptic membrane and release neurotransmitter
Recycling vesicles
Vesicles are being recycled after neurotransmitter release
Their membrane is reused to form vesicles again
Reserve pool
Vesicles are stored farther from the active zone
Not immediately ready for release
Can be recruited when more vesicles are needed
What are the characteristics of a chemical synapse?
“SLOW BUT SMART”
Has a physical gap between the presynaptic and postsynaptic cells
Called the synaptic cleft
Information is carried by a chemical signal
Called the neurotransmitter (NT)
Slower than electrical synapses
Presynaptic terminal:
Contains synaptic vesicles
Has an active zone
Loaded with mitochondria
Postsynaptic site:
Has a postsynaptic density
Contains receptors
Perisynaptic glia are nearby
Astroglia in the CNS
Schwann cells in the PNS
A single synapse can release multiple chemical signals
What are the characteristics of an electrical synapse?
“FAST BUT DUMB”
Plasma membranes of two cells come together at gap junctions
Channels form a continuous pore through both cell membranes
Allows direct current flow from one cell to another
Very fast
Ion exchange can be bidirectional
Useful for synchronizing many neurons
Examples: escape in goldfish, ink release in Aplysia
Current flows through gap junctions
Formed by connexins
Quaternary structure = connexon
Can also allow moderate-sized compounds through
Also present in glia and muscle
More common during development in the vertebrate nervous system
Drawbacks:
Bidirectional
Less versatile
Signal is not amplified
Polarity cannot change
Less potential for modulation
T or F? neurons can receive input from many synapses simultaneously
True
What are the major types of chemical signaling?
Classical endocrine signaling
Hormones travel in the bloodstream to reach their target
Paracrine signaling
Chemical signal acts on nearby targets
Autocrine signaling
Chemical signal acts on the same cell that secreted it
Synaptic transmission
Neurotransmitters act at synapses
Very close-range signaling
These categories are based mainly on the distance the chemical signal travels from the releasing cell to the target cell(s)
What are the two general categories of neurotransmitters (NTs)?
Neuropeptides
More than 100 known
Usually 3–36 amino acids long
Examples:
Enkephalins
Substance-P
Somatostatin
CART
Some act as hormones in one context and neurotransmitters in another
Typically synthesized and packaged in dense-core vesicles
Small-molecule neurotransmitters
Monoamines:
Serotonin (5-HT)
Histamine
Octopamine
Catecholamines
Catecholamines:
Dopamine
Epinephrine
Norepinephrine
Acetylcholine
Amino acids:
Glutamate
GABA
Glycine
Aspartate
Purines:
ATP
Adenosine
Packaged in synaptic vesicles
How do neuropeptides and small-molecule neurotransmitters differ in synthesis and packaging?
Neuropeptides
Synthesized like other proteins in the cell
Then transported to the axon terminal
Small-molecule NTs
Synthesized, if necessary, in the terminal
Packaged in the terminal
Some can even be synthesized in the vesicle
What is the difference between anterograde and retrograde axonal transport?
Anterograde transport
Moves material toward the axon terminal
Uses kinesin
Retrograde transport
Moves material back toward the cell body
Uses dynein
What is the acetylcholine (ACh) life cycle?
Packaging ACh into vesicles
A proton pump creates a proton gradient across the vesicle membrane
The ACh transporter uses energy from this proton gradient to move ACh into the vesicle
Stopping ACh action
ACh is degraded in the synaptic cleft by AChE
AChE = acetylcholinesterase
Recycling
Choline is transported back into the terminal
Choline is used to make more ACh
The slide identifies a rate-limiting step, but the pasted text does not specify which step it is
Too much choline can cause:
Hypotension
Liver damage
What happens to catecholamines after they are released?
Catecholamines include:
Dopamine
Norepinephrine
Epinephrine
After release, catecholamines are taken up by neurons and glia
Uptake occurs through Na⁺-dependent transporters
These transporters are blocked by cocaine
Once catecholamines return to the presynaptic terminal, they are either:
Repackaged, or
Degraded by monoamine oxidase (MAO)
How is serotonin (5-HT) synthesized and recycled?
Tryptophan → 5-hydroxytryptophan (5-HTP)
Enzyme: tryptophan hydroxylase
This is the rate-limiting step
5-HTP → serotonin (5-HT)
Enzyme: 5-HTP decarboxylase
After serotonin is released:
Taken back up by the serotonin transporter
Once back in the presynaptic terminal, it is either:
Repackaged, or
Degraded by MAO (monoamine oxidase)
How are GABA and glutamate taken up and packaged?
Selectively taken up by:
GABA transporters
Glutamate transporters
GABA and glutamate usually do not require synthesis inside the neuron
They are pumped in from outside the neuron
Na⁺ provides the energy source for uptake
Packaging into vesicles:
GABA vesicular transporters package GABA
Glutamate vesicular transporters package glutamate
Both use the proton gradient as their energy source
If neuron A inhibits neuron B, and neuron B excites neuron C, what happens to neuron C when neuron A becomes more active?
A becomes more active
B gets suppressed
B fires less
So B sends less excitatory input to C
C gets less of a “push” toward threshold
Therefore C is less likely to fire
If neuron A inhibits neuron B, and neuron B inhibits neuron C, what happens to neuron C when neuron A becomes more active?
Neuron A inhibits neuron B
Neuron B therefore becomes less active
Neuron B normally inhibits neuron C
If B is less active, it gives less inhibition to C
So neuron C is released from some inhibition
This is called disinhibition
Therefore, neuron C is more likely to fire action potentials
What are postsynaptic potentials (PSPs), EPSPs, and IPSPs?
Postsynaptic potential (PSP)
A change in membrane potential (voltage) in the postsynaptic neuron
Because it measures voltage, this is associated with current clamp
EPSP = excitatory postsynaptic potential
Makes the postsynaptic neuron more likely to reach threshold
IPSP = inhibitory postsynaptic potential
Makes the postsynaptic neuron less likely to reach threshold
What are postsynaptic currents (PSCs)?
A change in membrane current in the postsynaptic neuron
Recorded in voltage clamp
Can be:
EPSC = excitatory postsynaptic current
IPSC = inhibitory postsynaptic current
How do you interpret postsynaptic current/voltage traces?
PSCs and PSPs appear as curves
A downward current deflection means:
Positive ions are moving into the neuron, or
Negative ions are moving out
To test which ion carries the current:
Remove that ion from the extracellular fluid
ACh channels open because:
ACh binds to them
ACh channels close because:
ACh is broken down by acetylcholinesterase
If the deflection is flipped when comparing figures:
One trace may be showing voltage instead of current
What is the reversal potential (Eₛᵧₙ)?
The membrane potential of a postsynaptic neuron or other target cell at which a neurotransmitter causes no net current flow
Every synapse has a reversal potential
The reversal potential depends on which ions are allowed to flow
Reversal potential and threshold potential determine whether a synapse is excitatory or inhibitory
How does the reversal potential determine whether a synapse is excitatory or inhibitory?
If Eₛᵧₙ is more positive than threshold:
Excitation results
The synapse makes the neuron more likely to reach threshold
If Eₛᵧₙ is more negative than threshold:
Inhibition results
The synapse makes the neuron less likely to reach threshold
How do you define excitatory and inhibitory synapses using reversal potential?
Excitatory synapse
Activation of a ligand-gated ion channel produces a reversal potential that is depolarized compared with threshold
Inhibitory synapse
Activation of a ligand-gated ion channel produces a reversal potential that is hyperpolarized compared with threshold
How does the reversal potential depend on which ions a synapse allows to flow?
If only Cl⁻ channels open:
Eₛᵧₙ = ECl
If more than one ion can flow:
Eₛᵧₙ lies between the equilibrium potentials of those ions
Example:
If Cl⁻ and K⁺ channels both open, Eₛᵧₙ would be somewhere between ECl and EK
Are synapses that open Cl⁻ channels excitatory or inhibitory?
Inhibitory
Example values:
Threshold = −50 mV
ECl = −65 mV
RMP = −70 mV
Because ECl is more negative than threshold, opening Cl⁻ channels cannot bring the neuron to threshold
Even a very large number of active Cl⁻ synapses would not bring the cell to threshold
What is synaptic integration?
A neuron typically receives input from hundreds or thousands of synapses
Some inputs make the neuron more likely to reach threshold
Other inputs make it less likely to reach threshold
The neuron combines:
All active synaptic inputs
Its intrinsic properties
The “decision” to fire one or more APs is usually made at the axon hillock
What is the role of the axon hillock/spike initiation zone?
It is usually where the “decision” to fire an action potential is made
The membrane voltage must reach threshold at the axon hillock to initiate an AP
Before the axon hillock reaches threshold, current flow is mostly passive
What happens during passive current flow along a dendrite?
Local depolarization of one region depolarizes adjacent membrane
Unlike an action potential, the amplitude decreases with distance
The amount of decay depends on:
Internal resistance
Membrane resistance
What is the dendritic length constant (λ)?
The distance from the original depolarization at which the depolarization has decreased to 37% of its original amplitude
What is the difference between spatial and temporal summation?
Spatial summation
Inputs are combined across nearby locations/spaces
Temporal summation
Inputs are combined because they occur close together in time
Spatial and temporal summation can occur simultaneously
Summation is not simply addition/subtraction
As membrane potential changes, the driving forces also change
Why can the same number of open Na⁺ channels cause a larger depolarization when the resting membrane potential is more negative?
A more negative RMP creates a larger electrical driving force for Na⁺
The stronger driving force causes a larger depolarizing effect when the Na⁺ channels open
What are the general properties and locations of neurotransmitter (NT) receptors?
Most receptors are highly specific for a particular neurotransmitter
Each neurotransmitter can have many different receptors
The receptor determines the effect of the neurotransmitter
NT receptors can be located on:
Postsynaptic membrane — always
Presynaptic membrane — sometimes
Called autoreceptors
Perisynaptic glial membrane — usually, maybe always
Two major categories:
Ionotropic receptors
Metabotropic receptors
What are ionotropic receptors?
Ligand/neurotransmitter-gated ion channels
Ions flow directly through the receptor
Open very quickly:
Within about 0.5 ms to a few ms
Stay open for tens of milliseconds
Usually made of 4–5 protein/polypeptide subunits
Each subunit has 4 transmembrane domains
Different combinations of subunits → different receptor subtypes
Pharmacology can be used to define receptor subtypes
Receptor agonists
Receptor antagonists
What is an example of an ionotropic receptor?
Nicotinic acetylcholine receptor (nAChR)
Made of 5 subunits
Forms an ion channel in the membrane
Therefore, it is an ionotropic receptor
What is the difference between a receptor agonist and receptor antagonist?
Receptor agonist
Binds to a receptor
Mimics the effect of the natural ligand/neurotransmitter
Examples:
NMDA
AMPA
Muscarine
Nicotine
Agonists often give receptor classes their names
NMDA and AMPA receptors are glutamate receptors
Muscarinic and nicotinic receptors are ACh receptors
Receptor antagonist
Binds to a receptor
Blocks the normal action of the neurotransmitter
Examples:
AP5 → NMDA receptor antagonist
CNQX → AMPA receptor antagonist
Atropine → muscarinic AChR antagonist
Curare → nicotinic AChR antagonist
Why can the same neurotransmitter have different effects?
The effect depends on which receptor the neurotransmitter activates
Example:
Glutamate is typically excitatory
But its exact action depends on the receptor present on the postsynaptic membrane
Different drugs acting on different glutamate receptors helped reveal different receptor classes
What are the characteristics of the AMPA receptor?
Ionotropic glutamate receptor
Gated only by glutamate
Allows cations to flow in and out of the neuron
Principal gated ions:
Na⁺
K⁺
Typically excitatory
What are the characteristics of the NMDA receptor?
Ion channel gated by:
Voltage
Glutamate
Low levels of glycine
For the channel to open:
Glutamate must bind
Glycine must bind
Postsynaptic membrane must be strongly depolarized
Strong depolarization removes the Mg²⁺ block from the channel
Useful for producing long-term changes inside the postsynaptic neuron
What happens at a glutamatergic synapse containing both AMPA and NMDA receptors?
Glutamate is released from the presynaptic terminal
Glutamate binds to both AMPA and NMDA receptors
AMPA receptors open
Na⁺ flows into the postsynaptic cell
Membrane depolarizes
If depolarization becomes strong enough:
The Mg²⁺ plug is forced out of the NMDA channel
Na⁺ and Ca²⁺ can then flow through NMDA receptors
Further depolarizes the membrane
Triggers signal-transduction pathways
Can recruit other ion channels
Can change gene expression in the postsynaptic neuron
What are the characteristics of the GABAₐ receptor?
A type of GABA receptor
Usually inhibitory
Associated with Cl⁻ flow
A variety of drugs can alter the effect of GABA when it binds to the receptor
Neurosteroids can also alter GABA effects naturally
What is a neurosteroid?
A hormone produced inside the brain
Can be produced by:
Neurons
Glia
Can act through paracrine signaling
Glia can therefore serve as a source of neurosteroids
What are metabotropic receptors?
G-protein-coupled receptors
Are NOT ion channels
Ions do not flow directly through them
Typically monomeric
One protein
7 transmembrane domains
Use one or more metabolic steps to cause:
Changes in membrane permeability
Changes in cellular metabolism through second messengers
Slower than ionotropic receptors:
About 30 ms–1 s
Effects last longer:
Hundreds of milliseconds to minutes or longer
Use intracellular messengers such as:
cAMP
IP₃
cGMP
Pharmacology also defines metabotropic receptor subtypes
What is the difference between nicotinic and muscarinic acetylcholine receptors?
Nicotinic ACh receptor (nAChR)
Ionotropic
Forms an ion channel
Typically allows Na⁺ and K⁺ to flow
Found at the neuromuscular junction
Curare is an nAChR antagonist
Curare is paralytic
Muscarinic ACh receptor (mAChR)
Does NOT form an ion channel
Therefore, it is metabotropic
Atropine is an mAChR antagonist
How can metabotropic/G-protein-coupled receptors affect a neuron?
One pathway:
Acts through the G-protein β/γ subunits
Can quickly alter membrane permeability
Another pathway:
Uses a second-messenger cascade
Produces greater signal amplification
Can alter membrane permeability or other cellular properties
Much slower
How does the β₁-adrenergic receptor produce neuromodulation?
Typical ligand = norepinephrine
Norepinephrine is typically made by neurons in the locus coeruleus
It is then sent to other parts of the brain
Short-term effect:
Can close K⁺ channels
These are usually leak channels
Long-term effect:
Activates signal-transduction pathways
Can cause changes in gene expression