Ch 2- Physical and Electrical Properties of Cells in Nervous System Flashcards

(232 cards)

1
Q

What are neurons (nerve cells)?

A

Specialized cells that conduct messages in the form of electrical impulses throughout the body

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2
Q

What does the Cell Body (soma) do?

A

Synthesizes proteins used as neurotransmitters

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3
Q

What are the types of neuron processes?

A

Multiple dendrites

a single axon with axon-terminal branches (Telodendria)

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4
Q

What structures are usually found within neurons?

A
  • Cell body
  • Neuron process
  • Nucleus
  • Cytoplasm
  • Mitochondria
  • Nissl bodies
  • Smooth ER
  • Cytoskeleton
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5
Q

What are nissl bodies?

A

Clusters of RER - Synthesize proteins

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6
Q

What structures are found within the cytoskeleton?

A

Microtubules (Neurotubules): Help to transport substances between the cell body and axon terminals

Microfilaments

Neurofibrils: bundles of intermediate filaments (neurofilaments) that provide structural support

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7
Q

Describe neuron processes

A

Arm-like processes that extend from the cell body

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8
Q

What are the dendrites of a neuron?

A

The main receptive regions

Usually have branches called dendritic spines

Convey incoming messages toward the cell body

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9
Q

What is found on the plasma membranes of dendrites?

A

Contain numerous receptor sites for binding neurotransmitters from other cells

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10
Q

What is a neuronal axon?

A

A long, thin process

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11
Q

What is an axon hillock of a neuron?

A

A cone-shaped region where the axon joins the cell body

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12
Q

What is the Initial Segment of a neuron?

A

The part of the axon that joins the axon hillock

Has lots of voltage gated channels

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13
Q

What is the axoplasm of a neuron?

A

The cytoplasm of the axon

Contains various organelles

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14
Q

What is the axolemma of a neuron?

A

The plasma membrane of the axon

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15
Q

What are the branches along the length of an axon called?

A

axon collaterals

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16
Q

How do the axon and its axon collaterals end?

A

by dividing into many fine processes called terminal branches (telodendria)

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17
Q

What are axon terminals?

A

Aka synaptic terminals or synaptic knobs

Knob-like distal ends of the terminal branches

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18
Q

What is a neuronal synapse?

A

A specialized site where a neuron communicates with another neuron or effector cell

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19
Q

What 2 cells are involved in a neuronal synapse?

A

Presynaptic Cell: the neuron conducting the electrical signal toward the synapse

Postsynaptic Cell: the cell which receives the signal

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20
Q

What is a Neuromuscular Junction?

A

A synapse between a neuron and a muscle cell

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21
Q

What is a Neuroglandular Junction?

A

A synapse between a neuron and a gland

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22
Q

What is a neuronal synaptic cleft (gap)?

A

A narrow space

Separates the Presynaptic Cell and Postsynaptic Cell

Filled with interstitial fluid

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23
Q

What is Axoplasmic Transport?

A

The transport of materials between the cell body and axon terminals

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24
Q

In which direction along neurotubules within the axon does axoplasmic transport occur?

A

In both directions

Anterograde: Movement of materials from the cell body to the synaptic knob

Retrograde: Movement of materials from the synaptic knob to the cell body

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25
What powers axoplasmic transport?
Powered by mitochondria, kinesin, and dynein
26
How are neurons parts organized?
The organization of the parts of a neuron varies with the type of neuron
27
What are 3 common types of neurons based on structure?
Bipolar Neurons Pseudounipolar Neurons (Unipolar Neurons) Multipolar Neurons
28
How many processes do bipolar neurons have?
2 primary processes that extend from the cell body - A Dendritic Process - An Axon The cell body is between the 2 processes
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Where are bipolar neurons found?
in special sensory organs (sight, smell, hearing)
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How many processes do Pseudounipolar Neurons (Unipolar Neurons) have?
One process extends from the cell body and divides T-like into 2 axons The 2 axons form 1 continuous process No true dendrites
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Where are Pseudounipolar Neurons (Unipolar Neurons) found?
Found in sensory neurons of PNS
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How many processes do Multipolar Neurons have?
Multiple processes extend from the cell body 2 or more dendrites and 1 axon
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Where are Multipolar Neurons found?
All motor neurons that control skeletal muscles are Multipolar Neurons
34
What are the most common type of neurons in the CNS?
Multipolar Neurons
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Where are Purkinje Cells (Neurons) found?
In the cerebellum, Multipolar Neurons are called Purkinje Cells
36
What do the apical dendrites of Purkinje Cells form?
a large fan of finely branched processes | that enables them to receive input from a large number of neurons
37
What are the 3 Functional Classification of Neurons?
Sensory (Afferent) Neurons Motor (Efferent) Neurons Interneurons
38
Describe the function of sensory neurons?
Afferent neurons of the PNS Deliver impulses from sensory receptors to the CNS
39
Where are the cell bodies of sensory neurons located?
in peripheral sensory ganglia
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What are the 2 types of sensory neurons?
Somatic Sensory Neurons: monitor the external environment- Body position and movement Visceral Sensory Neurons: monitor internal conditions- status of organs
41
Describe the function of motor neurons?
Efferent neurons of the PNS Deliver impulses from CNS to peripheral effectors
42
What do Somatic Motor Neurons innervate and where are their cell bodies?
Innervate: Skeletal Muscles Cell Bodies: Are located in the CNS
43
What do Visceral Motor Neurons innervate?
Smooth Muscle Cardiac Muscle Glands Adipose Tissue
44
What kind of system is the Visceral Motor system?
A 2-neuron system: - Preganglionic Neuron: Cell body located in the CNS - Postganglionic Neuron: Cell body is located in peripheral autonomic ganglia
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What is the location of interneurons (Internuncial Neurons)?
Located between neurons Example: can process incoming sensory information from sensory neurons and stimulate a motor response by activating appropriate motor neurons Only found in the CNS
46
Are interneurons sensory or motor?
neither sensory or motor
47
What are the most common neuron in the body?
Interneurons make up over 99% of the neurons in the body
48
What is convergence in term of interactions between neurons?
Several neurons synapse on a single postsynaptic neuron
49
What does diverging mean in terms of interactions between neurons?
One neuron spreads stimulation to many neurons or neuronal pools in the CNS
50
What are glial cells?
Cells of the nervous system
51
Do glial cells generate or propagate action potentials?
No
52
How much of the volume of the CNS do glial cells make up?
Make up about half of the volume of the CNS
53
What is the function of glial cells?
Support neuronal survival and activities
54
What are the 4 types of Neuroglia in CNS?
Ependymal Astrocytes Oligodendrocytes Microglia
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What are the 2 types pf Neuroglia in PNS?
Satellite Cells Schwann Cells
56
What are ependymal cells?
Cilia (or microvilli) lined cells that form an epithelial membrane (ependyma)
57
What do ependymal cells line?
Central canal of the spinal cord Ventricles of the brain
58
What is the function of ependymal cells?
Produce, monitor and circulate CSF
59
Do ependymal cells have a basement membrane?
No basement membrane Basal ends of ependymal cells are elongated and extend into underlying gray mater
60
What are Astrocytes?
The most abundant glial cells Contain a numerous radiating processes
61
What are the functions of Astrocytes?
- Maintaining the Blood-Brain-Barrier: radiating processes with expanded perivascular feet wrap around capillary endothelial cells; Secrete chemicals that control the permeability of the capillary endothelial cells - Provide a structural framework for CNS neurons - Repair damaged neural tissue - Guide neuron development in the embryonic brain - Help adjust composition of interstitial fluid in the brain
62
What are Micoglia?
Immune system cells act as phagocytes Macrophages of the CNS
63
When do Microglia exist?
if the Resting state as Ramified Microglia if the Active state as Reactive Microglia
64
What are ramified microglia?
aka “resting microglia” Monitor CNS environment: explore CNS tissue via fine processes that continuously extend and retract If they detect damage, disease or infection, they are activated and become Reactive Microgli
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What activate Reactive Microglia?
Injury Infection Disease (e.g., MS, Parkinson Disease, Alzheimer Disease)
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What are the functions of Reactive Microglia?
Engulf and destroy - Pathogens - Foreign material - Necrotic tissue - Cellular debris and waste products Signal other immune cells for assistance
67
What are oligodendrocytes?
Cells with processes that extend out and coil around axons of CNS The processes produce and maintain myelin sheaths around segments of multiple axons of CNS
68
How does CSF form in ependymal cells?
forms as filtrate containing glucose, oxygen, vitamins, and ions (Na+, Cl-, Mg2+, etc)
69
What is the function of satellite cells?
Surround neuron cell bodies in ganglia of PNS Regulate the exchange of materials between the neuronal cell bodies and interstitial fluid
70
What do schwann cells do?
Encircle a segment of an axon Can then either - Coil around the axon forming myelin sheath around a segment of a single axon (myelinated internode); Several Schwann Cells are needed to enclose an axon along its entire length - Not coil around the axon
71
What are myelin sheaths composed of?
lipid and protein
72
What are Myelinated Internodes?
Areas of the axon wrapped in myelin that: - Insulate axons - Increase speed of nerve impulse conduction
73
What are Nodes of Ranvier?
The gaps between adjacent myelinated internodes Present on neurons with: - Myelinating Schwann Cells - Oligodendrocytes
74
What is Neurilemma?
The outer nucleated cytoplasmic layer of the Schwann Cell Lies outside of the Myelin Sheath Encloses the myelin sheath Helps in the regeneration of an injured axon
75
What is include in Neurilemma?
A thin cell membrane forming the outer layer Cytoplasm Nucleus of the Schwann Cell
76
Where are Neurilemma found?
Only present around axons of the PNS Oligodendrocytes dont have a neurilemma b/c their cell body and nucleus dont envelop the axon so, they generally dont regenerate after an injury
77
What are Nonmyelinating Schwann Cells?
Schwann Cells that surround axons of neurons in the PNS but coiling process doesnt occur Neurons associated are said to be unmyelinated Support and physically separate unmyelinated axons
78
Do Nonmyelinating Oligodendrocytes exist?
yes, but Few in number and Function is unknown
79
What are the steps in schwann cell myelination?
1. schwann cell starts to wrap around a portion of an axon 2. schwann cell cytoplasm and plasma membrane begin to form consecutive layers around axon 3. the overlapping inner layers of the schwann cell plasma membrane form the myelin sheath 4. eventually, schwann cell cytplasm and nucleus are pushed to periphery of the cell as the myelin sheath is formed
80
What are the steps in unmyelinated schwann cell axon formation?
1. schwann cell starts to envelop multiple axons | 2. the unmyelinated axona are enveloped by the schwann cell, but there are no myelin sheath wraps around each axon
81
What are he functions of Transmembrane Channels?
Serve as openings through the cell membrane Control the movement of ions across the membrane
82
What are the 2 Main Types of Membrane Channels?
Leak Channels (passive) Gated Channels (active)
83
Describe Leak (passive) membrane channels
Always open Allow for diffusion of a small number of ions through the cell membrane The plasma membrane has many more K+ leak channels than Na+ leak channels Help maintain a stable resting membrane potential
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How are K+ leak channels in comparison to Na+ leak channels/
K+ are “leakier” than Na+ leak channels So, its easier for K+ to leak out than for Na+ to enter
85
Describe Gated (active) membrane channels?
Open in response to a specific stimulus Close when the stimulus is removed
86
What are the 3 gated channels?
Modality (Mechanically)-Gated Ion Channels Ligand (Chemically)-Gated Ion Channels Voltage-Gated Ion Channels
87
Describe Modality (Mechanically)-Gated Ion Channels
Are specific to sensory neurons Open in response to - Mechanical Forces - Stretch - Touch - Pressure - Temperature Changes The force distorts the channel, causing the gate to open
88
Describe Ligand (Chemically)-Gated Ion Channels
A ligand is a chemical substance that binds to specific receptor Open in response to the binding of a ligand (e.g., chemical)-examples: - Neurotransmitters - Hormones - Specific Ions Are most abundant on dendrites and cell body of a neuron
89
Describe Voltage-Gated Channels
Open and close in response to changes in membrane potential (voltage) Participate in generation and conduction of APs Located in Axolemma of axons and Plasma membranes of muscle fibers
90
When open, what do membrane channels allow flow of?
Allows flow of ions between the extracellular and intracellular environments This results in a change in membrane potential
91
How is gradient defined?
The degree of inclination
92
How do ions, molecules and particles move in a gradient?
Tend to move down a gradient (from high concentration to low) until the concentration gradient is removed - dynamic equilibrium (uniform concentration) The steeper the gradient, the faster the rate of movement
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What are 3 examples of gradients?
Concentration Gradients Electrical Gradients Pressure Gradients
94
How do molecules move in the state of dynamic equilibrium?
Molecules will still move around (and cross a membrane) but there will be no net movement of the number of molecules from one area to another
95
What is a concentration gradient?
A state in which a substance is found in different concentrations either over a region of space or on opposite sides of a membrane A difference in ions, molecules, or particles between 2 regions
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How do substances move in a concentration gradient?
substance will move from an area of high concentration to an area of low concentration (down its concentration gradient)
97
What is an electrical gradient?
A difference in electrical charges between 2 regions The plasma membrane creates a difference in the distribution of positively charged ions (cations) and negatively charged ions (anions) between the 2 sides of plasma membrane
98
Electrical Gradient example: if there is a higher concentration of Na+ in the ECF compared to the ICF where does Na+ move?
Na+ is favored to diffuse into a cell because of the concentration gradient (chemical gradient and electrical gradient) This combination is referred to as the Electrochemical Gradient
99
Define Transmembrane Potential (Membrane Potential)
difference in electrical charge across plasma membrane due to differences in concentrations of ions inside and outside cell
100
What is Transmembrane Potential (Membrane Potential) important for?
Transmission of nerve signals Muscle contraction Glandular secretions The function of various other activities of the body
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What is Resting Membrane Potential?
The transmembrane potential in an undisturbed cell There is no net flow of ions across the membrane
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What are the charges of the inner surface and outer surface of the plasma membrane compared to each other?
Inner surface more negatively charged Outer surface more positively charged
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What is the charge range of the Resting Membrane Potential?
from -10 mV to -100 mV | Depending on cell type
104
What channels are open with Resting Membrane Potential?
Only leakage channels are open All gated Na+ and K+ channels are closed
105
What is the average resting membrane potential?
varies by cell type, but averages -70 mV
106
How is Resting Membrane Potential maintained?
Unequal distribution of ions in the ECF and cytosol Inability of most ions to leave the cell Leak channels Na+/K+ Pumps
107
What does Extracellular Fluid contain a high concentration of?
Na+ and Cl-
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What does Cytosol contain a high concentration of?
K+ and negatively charged proteins
109
Are K+ leak channels or Na+ leak channels more abundant in the plasma membrane?
more K+ leak channels
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What does a higher abundance of K+ leak channels as compared to Na+ leak channels lead to?
more K+ can diffuse down their concentration gradient and out of the cell than the amount of Na+ that can diffuse down their concentration gradient into the cell Result in: - Cytoplasmic surface of the plasma membrane is more negative - ECF surface is more positive
111
What are most anions inside the cell attached to?
Non-diffusible molecules or Large proteins most cannot leave
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What is the function of Na+/K+ Pumps?
Help maintain Resting Membrane Potential by: - Pumping out 3 Na+ - Pumping in 2 K+ Requires ATP
113
Define depolarization
Any shift from the Resting Membrane Potential toward a more positive potential
114
In what situation does depolarization occur?
Occurs when the resting membrane is exposed to a stimulus that opens the Chemical-Gated Na+ Channels Na+ enters the cell and creates a voltage change The positive charge of Na+ shifts the Transmembrane Potential toward 0 mV
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What is the maximum change in Transmembrane Potential proportional to?
the size of the stimulus
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What does a greater Transmembrane Potential stimulus lead to?
greater the number of chemical channels to open more Na+ that enters the cell greater the membrane area affected greater the degree of depolarization
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Define Hyperpolarization
A change in the Transmembrane Potential toward a more negative value than the Resting Membrane Potential (it “over shoots”)
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Hyperpolarization example: If the RMP is -70 mV, how would hyperpolarization occur?
Hyperpolarization would occur if the membrane potential becomes more negative than its RMP, say to -80 mV
119
What can cause hyperpolarization?
Opening of voltage-gated K+ channels: Allows K+ to flow out of the cell Opening of voltage-gated Cl- channels: Allows Cl- to flow into the cell
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When Transmembrane Potential changes in the membrane potential what are the 2 types of signals can be produced?
Graded Potentials Action Potentials
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Describe graded potentials
Also called local potentials Are a short-lived localized change in the resting membrane potential
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How do graded potentials spread?
Can not spread far (1 – 2 mm) from the site of stimulation These changes cause current flows that decrease in magnitude with distance
123
How does the magnitude of graded potentials vary?
Varies with strength of stimulus The greater the stimulus, the greater voltage change and the farther the current will flow
124
What will any stimulus that opens a Chemical-Gated Ion Channel produce?
a graded potential
125
How are localized current (graded potentials) established?
A stimulus causes Chemically-Gated Ion Channels to open at site of stimulation A small amount of a specific ion crosses the plasma membrane A localized change in the resting membrane occurs A localized current is established as the ions move along the cytoplasmic side of the plasma membrane The flow of current dies out
126
Why does the flow of current die out in a localized current (graded potentials)?
The ions entering the cell experience resistance to movement by contents of the cell The ions leak out through leakage channels
127
Where can graded potentials be generated?
sensory neurons motor neurons interneurons
128
Describe graded potentials in sensory neurons
At peripheral sensory receptors, sensory receptors have Modality-Gated Ion Channels When stimulated, these ion channels open allowing an influx of ions, generating a graded potential
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Describe graded potentials at Motor Neurons and Interneurons
On postsynaptic membrane graded potentials are generated in motor neurons and interneurons when they're stimulated by input from other neurons Presynaptic neuron releases neurotransmitter Binding of neurotransmitter to receptor on postsynaptic membrane opens Ligand-Gated Ion Channels This causes a change in the Resting Membrane Potential of postsynaptic cell Action of neurotransmitter on membrane channel determines whether synaptic potential will be depolarizing (excitatory) or hyperpolarizing (inhibitory)
130
What does a single nerve impulse produce?
a small local graded depolarization that cant induce an action potential
131
Define summation
The process of combining the electrical impulses
132
What does summation greatly increases the probability of?
that a postsynaptic membrane will reach threshold depolarization and result in an action potential
133
What are the 2 forms of summation?
Temporal Summation Spatial Summation
134
What is temporal summation?
The combined effect of a series of small potential changes that occur within milliseconds of each other Occurs when nerve impulses are received in rapid succession at a single synapse Effects of the 2nd (excitatory) stimulus are added to those of the 1st (excitatory) stimulus
135
In temporal summation, what does the first impulse produce?
A small local graded potential Before it dissipates, successive impulses trigger more small graded potentials These impulses summate and produce a much greater depolarization of the postsynaptic membrane than would result from a single impulse
136
What happens in temporal summation if the postsynaptic membrane reaches threshold depolarization?
An action potential can occur
137
When does spatial summation occur?
When simultaneous stimuli at different locations have a cumulative effect on the transmembrane potential Involves multiple synapses that are active simultaneously
138
What does the activity of one synapse produce in spatial summation?
a graded potential with localized effects
139
What happens if more than one synapse is active at the same time in spatial summation?
All will "pour“ Na+ across the postsynaptic membrane
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What happens at each active synapse in spatial summation?
The Na+ that produce the EPSP spread out along the inner surface of the membrane and mingle with those entering at other synapses The effects on the membrane are cumulative
141
What determines the degree of depolarization in spatial summation?
How many synapses are active at any moment Their distance from the initial segment
142
When does an action potential occur in spatial summation?
When the transmembrane potential at the initial segment reaches threshold
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What actions occur with no summation in temporal summation?
2 stimuli separated in time cause EPSPs that do not add together
144
What is spatial summation of EPSPs and IPSPs?
changes in membrane potential can cancel each other out
145
What are the steps in a summation action potential generation?
neurotransmitter release receptor binding ion channels open or close conductance change causes current flow postsynaptic potential changes postsynaptic cells excite or inhibit summation determines whether or not an AP occurs
146
What is an action potential?
A brief reversal of the membrane potential Consists of propagated changes in the transmembrane potential that, once initiated, affect the entire excitable membrane It is an electrical impulse that travels along the cell membrane and does not diminish as it moves away from its source
147
What must happen in terms of depolarization for an action potential to occur?
Depolarization has to be great enough to reach the membrane threshold causing the voltage-gated channels to open
148
What is threshold in terms of action potential?
The minimum voltage to stimulate an action potential Varies, but average is about -55 mV in many neurons
149
What are the cells with excitable membranes that can generate action potentials?
Neurons Muscle Cells
150
What is the principle way neurons communicate?
action potentials
151
What is the All-or-None principle?
A stimulus either triggers an action potential or does not produce one at all You can not have a partial action potential
152
When the threshold is reached what occurs with the impulse?
The impulse generated will travel the entire length of the membrane
153
What kind of actions potentials are produced by strong stimuli as compared to minimally sufficient stimuli?
Strong stimuli produce action potentials of the same voltage and duration as are produced by minimally sufficient stimuli
154
What depolarization is sufficient to trigger and action potential?
15 mV depolarization (from -70 mV to -55 mV)
155
What is the trigger zone (Spike Initiation Zone)?
In most neurons, where action potentials are generated at the junction of the axon hillock and initial segment as a result of a graded potential that occurred in the cell body or dendrites
156
What does the trigger zone have a high concentration of?
voltage-gated Na+ channels
157
What type of summation occurs with synaptic potentials initiated in the cell body and dendrites in the trigger zone?
spatially and temporally summated
158
What happens if the influx of Na+ reaches the Trigger Zone and is sufficient to depolarize the Trigger Zone to threshold?
The voltage-gated Na+ channels will open and an action potential will be propagated
159
What are the steps in an action potential at the trigger zone?
1. a graded potential above threshold reaches the trigger zone 2. voltage-gated Na+ channels open, and Na+ enters the axon 3. positive charge flows into adjacent sections of the axon by local current flow 4. local current flow from the active region causes new sections of the membrane to depolarize 5. refractory period prevents backward conduction. loss of K+ from the cytoplasm repolarizes the membrane.
160
What are the 3 steps in generation of an action potential?
Depolarization Repolarization Hyperpolarization
161
What is involved in the depolarization step of an action potential?
A stimulus opens the chemical-gated Na+ channels Opening of the voltage-gated Na+ channels occurs at the transmembrane potential known as threshold (–60 to –55 mV) When the voltage-gated Na+ channels open plasma membrane becomes much more permeable to Na+ Due to their electrochemical gradient Na+ rushes in and rapid depolarization occurs
162
What happens with the transmembrane potential in depolarization?
The transmembrane potential changes from – 70 mV to a positive value
163
After depolarization what kind of ions are found on the cytoplasmic side of the plasma membrane like?
cytoplasmic side of the plasma membrane now contains more + ions than – ions
164
Do all depolarizations lead to action potentials?
No, the stimulus must be significant enough to cause the membrane potential to reach the threshold The stimulus must cause a depolarization large enough to open voltage-gated Na+ channels to initiate an action potential
165
What happens as transmembrane potential approaches +30mV?
Repolarization begins Voltaged-gated Na+ channels close and Voltaged-gated K+ channels open K+ exit the cell and flows out, down its electrochemical gradient Transmembrane potential shifts back towards its resting level
166
What is repolarization in an action potential?
The process of returning the transmembrane potential to normal resting levels
167
What occurs on the cytoplasmic side of the plasma membrane during repolarization?
Starts to move away from a positive value and towards its resting potential as a result of ion movement through the membrane channels More positive ions are exiting the cell than entering
168
After repolarization how long do the voltage-gated Na+ channels remain inactivated?
Until the membrane has repolarized to near threshold levels At that level they remain closed but capable of opening
169
After repolarization when do voltaged-gated K+ channels begin closing?
as the membrane reaches the normal resting potential (– 70 mV) Until all of the K+ channels close K+ continue to exit the cell (until about – 90 mV) which causes a brief hyperpolarization
170
At what point does the repolarization phase end?`
when the membrane potential reaches its resting state (e.g., – 70 mV) but K+ will continue to exit until all K+ channels close
171
What is hyperpolarization of an action potential?
The phase during which the membrane potential temporarily becomes more negative than the resting potential
172
When are the K+ voltage channels finally closed?
at about – 90 mV AP has ended
173
How is resting potential restored after repolarization?
K+ leaks into the cell to restore normal resting electrical potential Na+/K+ pump restores normal resting ionic conditions
174
What is the absolute refractory period?
Period from opening (activation) of the voltage-gated Na+ channels until voltage-gated Na+ channels reset to original resting state During this time, the plasma membrane cannot respond to further stimulation because the voltage-gated Na+ channels either are Already open or Inactivated
175
What is the relative refractory period?
Begins when voltage-gated Na+ channels have returned to resting state with some voltage-gated K+ channels still open and repolarizing occurring Ends when the membrane has returned to resting potential During this time, axon’s threshold for AP generation is substantially elevated and a stimulus that would normally have generated an AP is not sufficient A very strong stimulus is needed to re-open the voltage-gated Na+ channels that have already returned to resting state and allow another AP to generate
176
What are the Sequence of Events that Transmit Sensory Information along an Axon?
1. Deformation of a peripheral receptor 2. Change in local membrane potential of the sensory ending 3. Development of an action potential in the sensory axon 4. Release of neurotransmitter from the sensory neuron presynaptic terminal 5. Binding of neurotransmitter to the ligand-gated channel on the postsynaptic cell membrane 6. Activation of postsynaptic membrane potential
177
What is the refractory period?
The period from the time an action potential begins until the normal resting potential has stabilized The membrane will not respond normally to additional depolarizing stimuli
178
What are the 2 parts of the refractory period?
Absolute Refractory Period Relative Refractory Period
179
What does the Absolute Refractory Period prevent?
Prevents the neuron from generating a second action potential Ensures that each action potential is a separate “all or none” event and one-way transmission
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What is the speed of nerve impulse transmission is affected by?
Myelin Diameter of Axon -The larger the diameter, the lower the resistance and the faster the propagation speed (b/c cytosol offers less resistance than the plasma membrane)
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What are the 2 ways an AP travel along an axon?
Continuous Propagation (unmyelinated axons) Saltatory Propagation (myelinated axons)
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What is Continuous Propagation (unmyeliated axons)?
The AP moves along the axon membrane in segments, starts at initial segment of axon The initial segment has an abundance of voltage-gated Na+ channels The local current spreads in all directions
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Why cant an axon cell body respond to an AP in continuous propogation?
Because it lacks voltage-gated Na+ channels
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In continuous propagation what happens to the previous segment as the next segment depolarizes?
an AP is generated and the previous segment enters Refractory period so, APs only move in one direction (forward)
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In continuous propagation, how does an AP move?
across the surface of the membrane in a series of tiny steps
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What is Saltatory Propagation (myelinated axons)?
Myelin increases the resistance to the flow of ions across the membrane Voltage-gated Na+ channels are concentrated at the nodes so only the nodes respond to depolarization Ions can only cross the plasma membrane at the Nodes of Ranvier The action potential “jumps” from node to node
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Are nerve impulses carried along an axon faster in continuous propagation or saltatory propagation?
Saltatory Propagation
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What are the three steps of Saltatory Propagation?
1. local potentials: local potentials usually generated in the neuron's dendrites accumulate and reach the trigger zone of the axon 2. action potentials: trigger zone depolarizes to threshold and generates an action (AP) 3. action potential propagation: the action potential is propagated down the axon to the axon terminals
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What is Neuroinflammation?
The response of the CNS to Infection, Disease, and Injury
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What is the Neuroinflammation response mediated by?
Reactive Microglia Astrocytes
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When are reactive microglia beneficial?
Engulf and destroy: Pathogens, Foreign material, Necrotic tissue, Cellular debris and waste products Signal other immune cells for assistance Produce neurotrophic factors (proteins) that support axonal regeneration and remyelination Mobilize astrocytes to: Reseal the blood-brain barrier and Provide nutritional support
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What kind of harmful effects can Neuroinflammation cause?
Death of neurons and oligodendrocytes Inhibit neural regeneration
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In what conditions can a correlation between abnormal glial activity and neural damage be seen?
Stroke Alzheimer's Disease Parkinson's Disease MS
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What kind of harmful correlation can reactive glial cells cause?
correlation between abnormal glial activity and neural damage
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When Microglia and Astrocytes become excessively activated this can cause them to what?
Lose their physiologic buffering function Release harmful substances such as: Inflammatory Cytokines and Proteinases Contribute to neuronal damage
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What is the reason for the dual role of a delicate balance between the protective roles and destructive roles of microglia?
not fully known
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For what function is myelin a critical component?
conduction of information in the nervous system 
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What happens to an AP as it travels along an axon from a myelinated region to an area where myelin has been damaged?
Resistance to the electrical signal increases as Na+ leaks out  Propagation of the electrical current slows and eventually may stop before it reaches the next site of conduction 
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Cell implantation advances have been made to enhance neuronal regeneration where/when?
In demyelinating disease and Following nerve trauma
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In animals, what does Schwann cell implants result in?
significant regeneration of axons across a spinal cord transection
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What is the significance of regeneration of axons across a spinal cord transection in animals?
It's often associated with improved motor function It has great potential as a medical intervention for individuals with spinal cord injury
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Following trauma to the spinal cord what is the migration path of Schwann cells and why?
From periphery into spinal cord injury site, where they participate in endogenous repair processes  B/c of Schwann cell’s intrinsic characteristics including the ability to secrete a variety of neurotrophic factors that help in the repair process 
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What are the capabilities of Transplanted Schwann Cells?
Myelinating Regenerating Axons Remyelinating Demyelinated Axons
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What does the transplantation of Schwann Cells result in?
significant regeneration of axons across a spinal cord
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What do axons remyelinated by transplanted Schwann cells exhibit?
restoration of conduction through the lesion with reestablishment of normal conduction velocity
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How do demyelinating diseases affect conduction?
Reduce or block conduction when current leaks out of previously insulated regions between the nodes
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What is Guillain-Barré Syndrome?
A life-threatening group of autoimmune disorders that attack the PNS?
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What are the subtypes of Guillain-Barré Syndrome?
Acute Inflammatory Demyelinating Polyneuropathy Acute Axonal Neuropathy
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What is the onset and cause of Guillain-Barré Syndrome?
Onset: rapid and often preceded by a Viral Infection or Bacterial Infection Cause: Unknown
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What is the suspected pathogenesis of Guillain-Barré Syndrome?
Depends on subtype Autoantibodies may attack the: Myelin causing demyelination of the axon OR Axon causing axonal degeneration
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What are the motor clinical manifestations of Guillain-Barré Syndrome?
Rapidly progressive ascending muscle weakness of the limb Starts in the legs Spreads upward to the arms and face Can lead to flaccid paralysis
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What are the sensory clinical manifestations of Guillain-Barré Syndrome?
Paresthesia Numbness Neuropathic Pain
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What are the ANS clinical manifestations of Guillain-Barré Syndrome?
Hypotension Arrhythmias Abnormalities in sweating
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Why is Guillain-Barré Syndrome usually a medical emergency?
Because it may involve respiratory muscles in which rapid respiratory failure can occur requiring use of a ventilator
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What population does Guillain-Barré Syndrome affect?
anyone at any age, male/female
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When are peak symptoms seen in Guillain-Barré Syndrome?
Often within 10 - 14 days
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What methods are used to diagnose Guillain-Barré Syndrome?
Examination Signs/Symptoms Loss of Deep Tendon Reflexes Nerve Conduction Studies, EMG Analysis of CSF: High levels of protein
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What is plasmapheresis?
A process that filters blood, separating plasma from the blood cells Blood cells are returned to the person Plasma, which contains the antibodies is removed Plasma is replaced with: Donated plasma or A plasma substitute
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What treatment methods are used for Guillain-Barré Syndrome?
High-dose Immunoglobulin Therapy Plasmapheresis
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Do people with Guillain-Barré Syndrome ever recover?
80% - 90% of persons achieve a full and spontaneous recovery within 6 - 12 months
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Explain the physiological issue that occurs with Guillain-Barré Syndrome?
Autoantibodies bind to and attack myelin Macrophages subsequently invade myelin Autoantibodies bind to the axolemma at the Nodes of Ranvier and damage the axon
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What is OT for Guillain-Barré Syndrome? directed at?
Activities of daily living, including self-care Stretching and range of motion exercises Return of functional mobility
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If voluntary movement is present in a person with Guillain-Barré Syndrome why should exercise be gentle?
To avoid causing damage in partially denervated muscles Because exercise of partially denervated muscles can interfere with axonal regrowth
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What is the most common demyelinating disorder?
Multiple Sclerosis
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What is Multiple Sclerosis?
A chronic inflammatory autoimmune demyelinating disease of the CNS Characterized by: Inflammation and Selective destruction of CNS myelin
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How does Multiple Sclerosis affect the PNS?
it doesnt
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Multiple sclerosis is the leading cause of what in early adulthood?
neurologic disability
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What is the age of onset for Multiple Sclerosis?
20 – 40 years of age
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Does MS affect men or women more?
Women affected twice as frequently as men
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What is the cause of MS?
Unknown but possibly related to: - Genetic Mutation: A group of genes that affect many immune functions - Environmental Factors like Exposure to the Epstein-Barr Virus, Smoking and Low levels of Vitamin D
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How can low levels of vitamin D cause MS?
Vitamin D activates receptors on immune regulatory cells Once activated, these cells decrease immune activity, potentially decreasing the likelihood of developing an autoimmune disease like MS
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When is MS more likely to occur?
If there is a family history of MS: 15% of individuals with MS have a first-degree relative with MS In individuals who live in a region where MS is more common - regions farther away from the equator