2 - Neuronal Ion Channels and Disease Flashcards

(52 cards)

1
Q

How many neurons are in our nervous system?

A

85 Billion

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2
Q

How many synapses are in our nervous system

A

Over 100 Trillion

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3
Q

Model Neuron Components

A

Input (Dendrites)
Integration (Dendritic Tree & Cell Body)
Action Potential Initiation (Axon Hillock)
Conduction (Myelinated Axon)
Output (Synaptic Bouton)

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4
Q

3 types of electrical signal responses from different neuronal populations

A

No Adaptation (Fire Continuously)
Adaptation (Fire, then slow their firing rate)
Pacemaker (No excitatory input required)

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5
Q

Ion Channels - 2 Essential Properties

A

Gating (Open or closed)

Permeation (Selectivity and conductance of ion flow through the channel)

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6
Q

4 types of Ion Channel gating

A

Voltage Gated
Ligand Gated (Extracellular Ligand)
Ligand Gated (Intracellular Ligand)
Stress Activated

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7
Q

Sodium Potassium Pump - Function

A

Keep K+ in and Na+ out

Keep inside more (-) than outside

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8
Q

Reversal Potential

A

The point at which Na+ no longer feels a drive into the cell

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9
Q

Potassium Channel Structure

A
Tetramer
Each subunit has:
Intracellular N-Terminus
6 Transmembrane regions
Intracellular C-Terminus
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10
Q

On a Potassium Channel subunit, what senses the voltage change?

A

Transmembrane Regions 1 - 4

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11
Q

On a Potassium Channel subunit, what forms the pore, itself?

A

Transmembrane Regions 5 & 6

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12
Q

Sodium Channel Structure

A

Single subunit with long intracellular/extracellular regions dividing the channel into 4 domains that behave like a tetramer, even though they’re technically all connected.
Comes with lots of proteins and junk to regulate the channel’s activity

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13
Q

Calcium Channel Structure

A

Like a Sodium Channel. Four domains stitched together for the main pore-forming Alpha-1 Subunit, with auxiliary subunits (like Beta-1) crucial for getting the channel to the cell surface.

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14
Q

Why do Calcium Channels need a Beta subunit?

A

To reach the cell surface

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15
Q

Inward Rectifier Potassium Channels

A

Open in basal state. Think “leak channels” from Mowsh.

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16
Q

2 types of Voltage Gated Calcium Channels

A

Low Voltage Activated (T-Type)

High Voltage Activated (L-Type, P/Q-Type, N-Type, R-Type)

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17
Q

Nodes of Ranvier contain high concentration of

A

Voltage Gated Sodium Channels

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18
Q

Presynaptic Terminus contains high concentration of

A

Voltage Gated Calcium Channels

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19
Q

Diseases Linked to Calcium Channels

A

Autism
Epilepsy
Self-Biting Behavior
Neuropathic Pain

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20
Q

Diseases Linked to Potassium Channels

A

Long QT Syndrome
Paralysis
Diabetes

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21
Q

Diseases Linked to Sodium Channels

A

Long QT Syndrome
Epilepsy
Cardiac Arrhythmias
Pain

22
Q

4 main ways Voltage-Gated Ion Channels go bad

A

Mutations (Ion channelopathies)
Autoimmune Diseases
Defects in expression level
Mislocation within cell

23
Q

Painful Sodium Channelopathies

A
Inherited Erythromelagia
PEPD
Overlap Syndrome
Channelopathy associated insensitivity to pain
Painful peripheral neuropathies
24
Q

Inherited Erythromelagia - Channel & Mutation

A

Nav1.7 - Gain of function, primarily enhanced activation

25
Inherited Erythromelagia - Pattern
Pain - Distal limbs (intense burning & flushing)
26
PEPD (Paroxysmal Extreme Pain Disorder) - Channel & Mutation
Nav1.7 - Gain of function, primarily impaired fast-activation
27
PEPD (Paroxysmal Extreme Pain Disorder) - Pattern
Pain - Perirectal, periorbital, perimandibular
28
Overlap Syndrome - Channel & Mutation
Nav1.7 - Enhanced activation + impaired fast-inactivation
29
Overlap Syndrome - Pattern
Mixed
30
Channelopathy associated insensitivity to pain - Channel & Mutation
Nav1.7 - Loss of Function
31
Painful Peripheral Neuropathies - Channel & Mutation
Nav1.7 OR Nav1.8 - Gain of function, multiple effects on channel
32
Painful Peripheral Neuropathies - Pattern
Early pain usually distal
33
Painful Na Channelopathies - Typical Channel
Nav1.7
34
Sodium Channel Speeds (In Health)
Fast Activation | Fast Inactivation
35
Generalized Epilepsy with Febrile Seizures - Mutation
Altered channel inactivation (Alpha and/or Beta-1 subunits) causing persistent inward current
36
Multiple Sclerosis - Proposed Mechanism
Demyelination disease Sodium channels more widely distributed Increased Nav1.6 sodium influx Na+/Ca++ Exchanger compensates, leaving us with high intracellular calcium
37
Kv7.1 Channels - Location
Heart & Inner Ear
38
Leading cause of Long QT Syndrome
Kv7.1 Mutation leading to exertion-triggered cardiac arrhythmias
39
Retigabine
Makes Potassium Channels unresponsibe, no longer fire action potentials
40
M Channels
Regulated by Muscarinic Receptor activation
41
Kv7.2 and Kv7.3
Heterotetramers that cause BFNS
42
BFNS
Benign Family Neonatal Seizures - A loss of function mutation in potassium channels Kv7.2 and Kv7.3
43
Queen of Ion Channels
Calcium Channels - Beyond contributing to the electrical properties of the neuron, they serve as the bridge between electrical and chemical signals
44
Cav2.1 Channelopathies
Familial Hemiplegic Migraine | Episodic Ataxia Type 2
45
Familial Hemiplegic Migraine
Migraines with weakness on one side of the body, can last up to weeks. From a Cav2.1 Channelopathy (missense mutation). Sometimes acompnaies by coma and ataxia
46
Episodic Ataxia Type 2
Severe discoordination of motor activities. From a Cav2.1 Channelopathy via truncation or incorrect splicing, leading to a nonfunctional Cav2.1 channel.
47
Cav1.2 Channelopathy
Timothy Syndrome
48
Timothy Syndrome
Multisystem - Including Arrhythmias, Autism, Abnormal Facial Features, Webbed Fingers. From a subtle gain-of-function mutation in Cav1.2, allowing slightly more Calcium in after inactivation
49
Opiate Analgesia Mechanism of Action
Acts on GPCR on presynaptic terminus, which sends 2nd messenger to inhibit Ca2+ channel.
50
Medical Marijuana Mechanism of Action
Acts on cannabinoid receptors, which inhibit voltage-gated Ca2+ channels, reducing synaptic release.
51
Target of Gabapentin
Alpha-2-delta subunit of Cav channels
52
Gabapentin
Treats neuropathic pain and epilepsy