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NURS 7310 > Neural Communication > Flashcards

Neural Communication Flashcards

1
Q

Action potential transmits signal from neuron cell body to the axon terminals.

A

Electrical communication

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2
Q

Neurotransmitters travel across the synapse and bind to post synaptic receptors.

A

Chemical Communication

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3
Q

Pituitary gland releases corticoptropin releasing hormone to signal to the adrenal glands to release cortisol

A

Hormonal communication

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4
Q

Communication begins with neuronal transmission from one part of the cell to another part of the same cell via their axons which is

A

electrical

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5
Q

Communication between neurons at synapses is

A

chemical

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6
Q

Neurons communicate with?

A

other neurons, end organs, and external sensory receptors (brain/afferent neurons)

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7
Q

What happens at the neuron?

A
  1. neurotransmitters bind with receptors on the neuron at the dendritic spines 2. Chemical changes inside the spine that are communicated via the dendrite to the cell body 3. if accumulation of signals is sufficiently large cell communicates down the axon to the axon terminals. 4. At the axon terminals cell-specific neurotransmitter released
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8
Q

How does the neuron signal the axon terminals to release neurotransmitter?

A

Signals come in at the dendrites and are accumulated by the cell body, if accumulation is sub threshold, cell is hyperpolarized and inhibited from signaling, if accumulation is at or above threshold the cell body sends a signal to the axon terminals to release neurotransmitter

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9
Q

What are action potentials?

A

An electrochemical process that is directly related to the structure of the cell wall and the concentrations of important ions on both sides of the wall

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10
Q

What are the most important voltage sensitive ion channels?

A

sodium and potassium

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11
Q

At rest voltage sensitive ion channels are?

A

closed

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12
Q

Identify the normal concentration of sodium and potassium ions.

A

Sodium is greater on the outside and potassium is greater on the inside of the cells

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13
Q

What happens when a cell depolarizes?

A

The cell opens and sodium ions rush in, to maintain homeostasis the potassium channels open and potassium ions pour out. The sodium channels close, then the potassium channels close. Then the sodium/potassium pump works to return ion concentrations back to homeostasis. Overall outcome is a wave of signal moving downstream.

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14
Q

What is absolute refractory period?

A

No signal can cause the neuron to fire both sodium and potassium channels are open

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15
Q

What is relative refractory period?

A

A larger than normal signal can cause the neuron to fire. Sodium ions begin to close but potassium channels still open.

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16
Q

What happens when the action potential arrives at an axon terminal?

A

It turns from electric to chemical. A calcium channel opens and calcium motivates vesicles to move toward cell walls. Vesicles bind with the cell wall. Exocytosis of contents of the vesicles, calcium channels close and neuron returns to its resting state.

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17
Q

Communication within a neuron is?

A

electrical

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18
Q

Communication between neurons is?

A

chemical

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19
Q

What are circiuts

A

the networks that coordinate behavior

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20
Q

What are pathways?

A

Projections or groups of neurons that project between structures that use the same neurotransmitter.

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21
Q

What are the three criteria for being a neurotransmitter?

A

must be stored in the presynaptic neuron, must be released with depolarization induced by the influx of calcium (in the presynaptic neuron), and it must bind with a specific receptor on the postsynaptic neuron.

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22
Q

What four amino acid neurotransmitters are there?

A

Glutamate, aspartate, GABA, and Glycine

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23
Q

What are the two subcategories of monoamines?

A

Catecholamines and Idoleamines

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24
Q

What are the three types of catecholamine neurotransmitters are there?

A

Dopamine, epinephrine, and norepinephrine

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25
Q

What are the five types of indolamine neurotransmitters are there?

A

serotonin, melatonin, acetylcholine, histamine, orexin/hypocretin

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26
Q

Which of the amino acid neurotransmitters are excitatory?

A

Glutamate and asparate

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27
Q

Which of the amino acid neurotransmitters are inhibitory?

A

GABA and Glycine

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28
Q

Which neuron keeps the brain up and running, and are essential for memory formation, motor skills, plasticity, and mental illness

A

Glutamate

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29
Q

What happens if there is too much Glutamate?

A

stroke, nerve cell toxicity

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30
Q

What does GABA do? What happens if there is not enough?

A

GABA puts the brakes on the brain and not enough GABA can cause seizures. They provide constraint over too much cortical circuitry.

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31
Q

What can increasing GABA treat?

A

epilepsy, insomnia, pain, anxiety, and the management of mania

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32
Q

Monoamine neurotransmitters have the capacity to

A

fine-tune and coordinate the response of the major neurons

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33
Q

Which medication groups inhibit the degradation of monoamines therefore causing an increase in monoamines?

A

MAO inhibitors

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34
Q

When Monoamine Oxidases (which breakdown monoamines) are inhibited an excessive amount of NE is released which can result in?

A

dangerous elevations in blood pressure (can result in stroke or death)

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35
Q

Why are some foods dangerous in relation to MAO Inhibitors?

A

Because certain food products and medications enhance the release NE which can exponentially increase the NE already being released by inhibiting MAO.

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36
Q

How do we acquire tyrosine?

A

It is diet dependent

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37
Q

Describe Catecholamine synthesis.

A

Tyrosine->Tyrosine hydroxylase-> L-DOPA-> Dopa Decarboxylase-> Dopamine-> Dopamine B-hydroxylase (DBH)-> Norepinephrine-> Phentolamine N-methyltransferase (PNMT)-> Epinephrine

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38
Q

What are the three nuclei that contain the cell bodies that project the three primary branches of the dopamine network?

A

Substantia nigra, cells of the ventral tegmental area, and the short tracts in the arcuate nucleus of the hypothalamus

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39
Q

What is the Nigrostriatl system or mesotriatal system?

A

Primary projections from the substantia nigra (located in the ventral midbrain) to the caudate and putamen (or collectively aka striatum)

40
Q

Parkinsons disease is the result of

A

loss of dopamine neurons in the substantia nigra

41
Q

EPS d/t antipsychotic medications causes those symptoms by?

A

blockading dopamine neurons in the substantia nigra

42
Q

The mesolimbocortical DA system includes

A

the ventral tegmental area (ventral midbrain) that project to the nucleus accumbens, prefrontal cortex, amygdala, and hippocampus.

43
Q

which part of the ventral tegmental area is involved with reward and substance abuse?

A

accumbens

44
Q

Which areas of the brain seem to be impaired in patients with ADHD?

A

Branches to the prefrontal cortex

45
Q

Current speculation implicates problems with the mesolimbic system with….what in schizophrenia?

A

positive symptoms

46
Q

Current speculation implicates problems with the mesocortical system with…what in schizophrenia?

A

negative symptoms

47
Q

the tuberoinfundibular dopamine system is…

A

the short tracts in the arcuate nucleus of the hypothalamus that release dopamine into the portal veins of the pituitary gland.

48
Q

How does dopamine affect the anterior pituitary

A

By inhibiting the synthesis and release of prolactin

49
Q

Any interruption between the DA and the prolactin producing cells will lead to

A

hyperprolactinemia

50
Q

Why might antipsychotics cause an increase in prolactin?

A

Because they block dopamine receptors and dopamine inhibits the release of prolactin

51
Q

All neurons that produce norepinephrine are called?

A

noradrenergic neurons

52
Q

Noradrenergic neurons convert

A

dopamine to norepinephrine

53
Q

50% of the NE neurons have their cell bodies located in the

A

locus coeruleus-small nuclei on each side of the brain stem.

54
Q

The remainder of NE neurons is found in

A

loose clusters in the medullary reticular formation

55
Q

NE system plays an important role in

A

alertness and anxiety

56
Q

What is a treatment for medication resistant depression?

A

Vagus nerve stimulation

57
Q

A high resting heart rate after an MVA is a predictor of?

A

later PTSD

58
Q

Vagus nerve stimulations may work by

A

regulating the locus coeruleus and the NE system

59
Q

Because NE is cleared from the synaptic cleft by a reuptake transporter that is also capable of taking up DA…atomoxetine may result in…

A

an increase in DA as well as NE

60
Q

Epinephrine plays a much greater role

A

outside the brain as a hormone, compared with its role as a CNS neurotransmitter

61
Q

No other neurotransmitter is more closely associated with modern neuropsychopharmacology than…

A

serotonin

62
Q

Serotonin is synthesized from

A

tryptophan an essential amino acid that cannot be synthesized in the body

63
Q

What are good sources of dietary tryptophan?

A

grains, meats, and dairy products

64
Q

What happens to serotonin in the pineal gland?

A

It is converted into melatonin

65
Q

Where do serotonin neurons reside in the brain?

A

the raphe nuclei in the brain stem

66
Q

Serotonin plays an important role in?

A

mood, anxiety, and sleep/wake cycle

67
Q

Blockade of the reuptake of the transmitter with the serotonin transporter results in…

A

increasing the availability of serotonin in the synaptic cleft which is the therapeutic effect of commonly prescribed anti-depressants.

68
Q

This neurotransmitter play a prominent role in the peripheral ANS and is the neurotransmitter at the neuromuscular junction.

A

ACh

69
Q

ACh in the CNS arise from cell bodies in the

A

brain stem and forebrain with prominent projections to the cortex and hippocampus

70
Q

ACh projections to the hippocampus that are involved with learning and memory are disrupted in

A

Alzheimer’s disease

71
Q

A recent study found that elderly people taking anticholinergic medications such as Benadryl and TCA’s

A

had poorer memory, increased brain atrophy, and worse performance on cognitive tests

72
Q

In the striatum, the ACh neurons balance the

A

dopaminergic input from the substantia nigra to coordinate extrapyramidal motor control

73
Q

Disruption of the balance with DA blocking antipsychotic agents can result in

A

EPS

74
Q

What medications can be given to restore the ACh/DA balance and restore normal movement in EPS?

A

anticholinergic agents

75
Q

Histamine, in the brain, is involved with

A

arousal and attention

76
Q

Most of the histamine cell bodies in the brain start in the

A

tuberomammillary nucleus of the posterior hypothalamus, with sparse but wise spread projections to all regions of the brain and spinal cord

77
Q

Histamine neurons are quiet when

A

mammals are sleeping

78
Q

Unintended sedation may occur with TCAs, clozapine or olanzapine due to

A

the blocking of the histamine transmission (antihistamines)

79
Q

When histamine neurons are active

A

mammals are cognitively and physically alert

80
Q

What medication indirectly activates the histamine neurons and has been used successfully as a treatment for narcolepsy, excessive sleepiness, and ADHD…

A

Modafinil

81
Q

Histamine 3 receptor antagonists are research medications that have the potential to

A

brighten the brain

82
Q

What neurotransmitters are similar to histamines?

A

Orexin/Hypocretin

83
Q

Where do Orexin/Hypocretin reside?

A

in the hypothalamus and have projections throughout the brain and spinal cord.

84
Q

What do Orexin/Hypocretin modulate?

A

sleep and wakefulness in the opposite direction of histamines.

85
Q

Orexin/Hypocretin antagonists have been developed and FDA approved for treatment of

A

insomnia

86
Q

Neuropeptides are

A

small chains of amino acids and are considerably larger than the classic neurotransmitters.

87
Q

Peptides must be transcribed from

A

mRNA on the ribosomes of the endoplasmic reticulum.

88
Q

Unlike monoamines, neuropeptides are not recycled by the neuron but rather are

A

broken down by degradative enzymes (peptidases) on the receptor membrane

89
Q

Depending on the tissue, synapse, and frequency of stimulation neuropeptides may act as

A

transmitters, hormones OR modulators

90
Q

Nitrous Oxide is poorly understood but MAY be involved with

A

aggression, sexual behavior, and migraine headaches

91
Q

Endocannabinoids are

A

the naturally occurring neurotransmitter that activates the cannabinoid (CB1) receptor (the same one marijuana activates)

92
Q

The cannabinoid receptor is widely expressed

A

throughout the brain on presynaptic terminals

93
Q

Endocannabinoids are retrograde messengers that when coupled with CB1 receptor

A

inhibit the release of the presynaptic neurotransmitter…which reduces neural activity, which causes the calming effect of marijuana

94
Q

The molecular pony express acting as a sequence of riders, handing on the message to the next specialized molecule, until the message has reached a functional destination, such as gene expression or activation of otherwise sleeping and inactive molecules.

A

Signal transduction

95
Q

What is the first messenger of signal transduction?

A

neurotransmitter

96
Q

Each molecular site within the transduction cascade of chemical and electrical messages is a potential location

A

for malfunction associated with a mental illness

NURS 7310 (15 decks)

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