Chapter 12 – Nervous System Comprehensive Study Notes (copy)

Nervous System: Core Purposes and High-Level Roles

  • Communication & control super-system linking body and mind.

    • Collects information

    • Receptors scattered throughout body detect internal & external stimuli.

    • Sensory (afferent) signals travel via nerves toward spinal cord & brain.

    • Processes & evaluates information

    • CNS (brain + spinal cord) integrates data, compares to memory/homeostatic set-points and decides on responses.

    • Initiates responses

    • Motor (efferent) output sent through peripheral nerves to effectors (muscle or gland cells) that carry out actions such as muscle contraction or hormone secretion.

    • Underpins consciousness, reflexes, learning, homeostasis and survival behaviors.

Structural & Functional Organization

  • Structural split

    • Central Nervous System (CNS): brain + spinal cord (integration centers).

    • Peripheral Nervous System (PNS): nerves (axon bundles) + ganglia (PNS cell-body clusters).

  • Functional split

    • Sensory (afferent) division → “Input”

    • Somatic sensory: consciously perceived (skin, eyes, ears, proprioceptors).

    • Visceral sensory: usually unconscious (blood pressure, CO₂ levels, stretch of GI tract, kidneys, heart).

    • Motor (efferent) division → “Output”

    • Somatic motor: voluntary control of skeletal muscle.

    • Autonomic/Visceral motor: involuntary control of cardiac muscle, smooth muscle & glands.

      • Sympathetic (fight/flight) & Parasympathetic (rest/digest) subdivisions coordinate opposite physiologic states.

Neurons – Fundamental Cellular Units

General Characteristics
  • Excitability – membrane potential changes when stimulated.

  • Conductivity – electrical signals propagated along membrane via sequential opening of voltage-gated channels.

  • Secretion – release of neurotransmitters (NTs) at synapses.

  • Extreme longevity – often survive > 100 years.

  • Amitotic – most lose mitotic ability after fetal development (clinical consequence: limited replacement after injury).

Detailed Structure
  • Cell body (soma/perikaryon)

    • Contains nucleus, organelles, ribosome-rich chromatophilic (Nissl) bodies → intensive protein synthesis.

    • Initiates or integrates graded potentials.

  • Dendrites

    • Short, tapering, highly branched, unmyelinated.

    • Receive synaptic input; greater number = larger surface area for information.

  • Axon

    • Single long process (may branch as axon collaterals → telodendria → synaptic knobs).

    • Attaches at axon hillock; cytoplasm = axoplasm; membrane = axolemma.

    • Synaptic knobs house vesicles filled with NT; release on arrival of action potential.

  • Cytoskeleton

    • Microfilaments + microtubules + neurofilaments → bundled into neurofibrils providing tensile strength (like steel cables running length of axon).

Axonal Transport
  • Provides bidirectional "railway" for organelles, enzymes, toxins, viruses.

  • Fast transport (~400 mm/day)

    • Uses ATP-powered motor proteins along microtubules.

    • Anterograde: vesicles, mitochondria, membrane proteins.

    • Retrograde: used vesicles, growth factors, sometimes pathogens (e.g., rabies virus) → clinical relevance.

  • Slow transport (0.1–3 mm/day)

    • Axoplasmic flow; only anterograde; carries enzymes, cytoskeletal subunits.

Classification
  • Structural

    • Multipolar (many dendrites, 1 axon) – majority, incl. all motor neurons.

    • Bipolar (1 dendrite, 1 axon) – rare, retina & olfactory epithelium.

    • Unipolar (pseudounipolar) – sensory neurons; single process splits into peripheral & central branches.

    • Anaxonic – dendrites, no axon; interneurons in CNS; modulate local circuits.

  • Functional

    • Sensory/afferent → mostly unipolar; convey input to CNS.

    • Motor/efferent → all multipolar; convey output from CNS.

    • Interneurons → 99 % of neurons; analysis & integration; shapes reflexes & higher cognition.

Nerves & Connective Tissue Organization

  • Nerve = bundle of parallel axons in PNS (analogous to multi-conductor cable).

  • Connective wrappings:

    • Epineurium – dense irregular CT, encloses entire nerve incl. blood vessels.

    • Perineurium – dense irregular CT around each fascicle (axon bundle); forms blood-nerve barrier.

    • Endoneurium – delicate areolar CT around each axon; electrically insulates.

  • Classification

    • Cranial vs. spinal (origin).

    • Sensory, motor, or mixed (function). Majority of named nerves are mixed though each individual axon transmits only one modality.

Synapses – Where Neurons Communicate

  • Electrical synapses – rare; gap junctions; virtually no delay (e.g., some eye & brainstem nuclei for rapid synchronous activity).

  • Chemical synapses – predominant; ~0.3–5 ms synaptic delay.

    1. AP arrives at presynaptic knob.

    2. \text{Ca^{2+}} influx via voltage-gated channels.

    3. Vesicle fusion & NT exocytosis.

    4. NT diffuses across cleft (≈30 nm) & binds postsynaptic receptors → graded potential.

    5. Termination by enzymatic degradation, reuptake, or diffusion away.

Glial (Neuroglial) Cells – Support Squad

CNS Glia
  • Astrocytes (most abundant)

    • Perivascular feet form Blood-Brain Barrier (BBB) regulating substance entry.

    • Regulate extracellular K⁺ & neurotransmitter levels; recycle NT.

    • Provide structural framework, guide neuronal migration, fill space of dead neurons (form scar tissue → obstacle to regeneration).

  • Ependymal cells

    • Line ventricles & central canal; with capillaries form choroid plexus → secrete & circulate cerebrospinal fluid (CSF) via cilia.

  • Microglia

    • Immune, phagocytic; remove debris & pathogens; act as CNS "janitors" & antigen-presenting cells.

  • Oligodendrocytes

    • Myelinate CNS axons; single cell wraps segments of many axons; speeds conduction & conserves energy.

PNS Glia
  • Satellite cells: surround cell bodies in ganglia; regulate nutrient/waste exchange; electrical insulation.

  • Neurolemmocytes (Schwann cells): myelinate single 1 mm segments of PNS axons; produce neurilemma vital for regeneration.

Myelination

  • Myelin = multiple concentric layers of glial plasma membrane (high lipid → glossy white).

  • PNS: Schwann cell wraps only one small segment; outermost layer with cytoplasm & nucleus called neurilemma; gaps → nodes of Ranvier (neurofibril nodes).

  • CNS: Oligodendrocyte projects to many axons; no neurilemma.

  • Unmyelinated fibers: In PNS, multiple axons sit in Schwann cell groove without full wrapping; in CNS, bare.

Demyelinating Disorders (Clinical)
  • Multiple Sclerosis (MS): autoimmune attack on CNS myelin; scarring → conduction block; variable sensory & motor deficits.

  • Guillain-Barré Syndrome: acute autoimmune demyelination of PNS; ascending muscle weakness; often reversible.

Axon Regeneration

  • PNS: possible if soma intact & some neurilemma remains.

    • Success ↑ when damage minimal & distance to target short.

    1. Axon severed.

    2. Distal segment undergoes Wallerian degeneration; proximal swells.

    3. Neurilemma + endoneurium create regeneration tube.

    4. Schwann cells secrete nerve growth factors guiding new axon.

    5. Reinnervation restores function.

  • CNS: poor regeneration due to oligodendrocyte inhibitory molecules, axon crowding, and astrocytic scar tissue.

Membrane Proteins: Pumps & Channels

  • Pumps: active transport against gradient; require ATP.

    • \text{Na}^+/\text{K}^+ pump moves 3 \text{Na}^+ out / 2 \text{K}^+ in → maintains gradients & adds \approx -3\,\text{mV} to RMP.

    • \text{Ca}^{2+} pumps keep intracellular calcium low.

  • Channel types

    • Leak (passive) – always open (e.g., K⁺ leak channel critical for RMP).

    • Chemically gated – open when NT binds (on dendrites/soma).

    • Voltage-gated – open/close with membrane potential (dense on axon & bouton). \text{Na}^+ channel has 3 states: resting, activation, inactivation.

    • Modality-gated – respond to physical stimuli (pressure, light, temperature) in sensory receptors.

Electrical Foundations – Ohm’s Law & RMP

  • Ohm’s Law: I = \dfrac{V}{R}.

  • Resting Membrane Potential (RMP) ≈ -70\,\text{mV}.

    • Driven primarily by K⁺ efflux (chemical gradient) limited by negative interior (electrical gradient).

    • Presence of some Na⁺ leak (inward) shifts equilibrium from -90\,\text{mV} (K⁺ only) to -70\,\text{mV}.

    • Na⁺/K⁺ pump maintains gradients long-term and uses up to 70 % of neuronal ATP (high metabolic demand – explains vulnerability to hypoxia).

Signal Reception – Graded Potentials (Receptive Segment)

  • EPSP (excitatory): usually Na⁺ or Ca²⁺ entry → depolarization.

  • IPSP (inhibitory): K⁺ exit or Cl⁻ entry → hyperpolarization.

  • Properties: variable amplitude, decremental, short-lived, can sum.

Integration – Summation at the Axon Hillock (Initial Segment)

  • Spatial summation: simultaneous input at multiple locations.

  • Temporal summation: rapid succession from one presynaptic neuron.

  • Threshold: ~-55\,\text{mV} needed to open voltage-gated Na⁺ channels → all-or-none firing rule (like pulling a trigger, extra force doesn’t make bullet faster).

Action Potentials & Propagation (Conductive Segment)

  • Phases

    1. Resting: all voltage-gated channels closed.

    2. Depolarization: Na⁺ channels open, Na⁺ rushes in, membrane to +30\,\text{mV}.

    3. Repolarization: Na⁺ channels inactivate; K⁺ channels open, K⁺ exits.

    4. Hyperpolarization: K⁺ channels slow to close → membrane dips to \approx -80\,\text{mV}.

    5. Return to RMP by leak & pumps.

  • Refractory periods

    • Absolute (~1 ms): no second AP possible (Na⁺ inactivation gates).

    • Relative: stronger stimulus can fire (membrane hyperpolarized).

  • Conduction modes

    • Continuous (unmyelinated): every segment undergoing full AP; slower & energy costly.

    • Saltatory (myelinated): APs only at nodes; internodal charge flow fast; velocity ↑ & ATP cost ↓.

Velocity & Frequency

  • Speed increases with axon diameter & myelination.

    • Group A: large, myelinated, \le 150\,\text{m/s} (somatic motor, proprioception).

    • Group B: small, myelinated, ~15 m/s; Group C: small, unmyelinated, ~1 m/s (visceral pain, autonomic motor).

  • Stimulus intensity encoded by frequency (spikes/sec), not amplitude; ceiling set by refractory period.

Neurotransmitters

  • ~100 identified; stored in vesicles; release triggered by \text{Ca^{2+}}.

  • Chemical Classes

    • Acetylcholine (ACh) – prototype; at NMJ, autonomic ganglia, CNS arousal.

    • Biogenic amines: catecholamines (dopamine, norepinephrine, epinephrine), indolamines (serotonin, histamine).

    • Amino acids: glutamate (major CNS excitatory), GABA & glycine (inhibitory).

    • Neuropeptides: endorphins (analgesia), substance P (pain), neuropeptide Y (appetite).

  • Functional Classes

    • Excitatory vs. inhibitory (depends on receptor subtype).

    • Direct (ionotropic) vs. indirect (metabotropic, G-protein/2nd messenger).

Acetylcholine Lifecycle Example
  1. Synthesized from choline + acetate → stored in vesicles.

  2. Released into cleft by exocytosis.

  3. Binds nicotinic (ligand-gated cation channel → EPSP) or muscarinic (G-protein, slower EPSP/IPSP).

  4. Cleared by acetylcholinesterase → acetate + choline; choline recycled.

  • Drugs: Curare blocks nicotinic receptors (paralysis); Organophosphates inhibit AChE (toxicity); Galantamine (AChE inhibitor) treats Alzheimer’s; SSRIs reduce serotonin reuptake (mood).

Neuromodulators
  • Produce longer-lasting, widespread effects.

    • Nitric oxide (NO): gaseous; retrograde messenger; vasodilator in PNS (e.g., erectile function).

    • Endocannabinoids: lipid-based; modulate memory, appetite; mimic THC.

  • Facilitation vs. Inhibition at synapses adjusts responsiveness by altering NT release or receptor density.

Neural Circuits / Pools – Information Routing Architectures

  • Converging: many inputs → one output (e.g., multiple senses → salivary nucleus → salivation).

  • Diverging: one input → many outputs (e.g., motor cortex → multiple muscle groups for walking).

  • Reverberating: feedback loop sustains activity (e.g., respiratory center rhythm during sleep).

  • Parallel-after-discharge: input diverges then reconverges with different delays → complex higher-order calculations (possible role in problem solving).

Tumors & Pathology Insight

  • Primary brain tumors often arise from mitotically active support cells (meninges, glia) → e.g., gliomas; may be benign or malignant capable of metastasis.

    • Illustrates importance of glial mitotic control and blood-brain barrier in oncology.


Ethical & Practical Implications:

  • Understanding conduction & regeneration drives neuroprosthetics and rehabilitation (e.g., nerve grafts using Schwann cell tubes).

  • Knowledge of demyelinating diseases informs strategies for immunomodulation & remyelination therapies.

  • Drug design targeting specific NT clearance (SSRIs) or receptor subtype (nicotinic vs. muscarinic) must consider synaptic dynamics & side-effects.

  • Advances in neuromodulators (endocannabinoids, NO) raise societal discussions around cannabis use, cognitive enhancement, and vascular health.