L6 Flashcards
(90 cards)
What is the primary function of the Blood-Brain Barrier (BBB)?
Protects the brain and spinal cord from general circulation and carefully controls the ionic composition of extracellular fluid around neurons
What would happen if KCl was injected past the BBB?
Decreased K+ concentration gradient → depolarization → inactivation of Na+ channels → no more action potentials produced
Why can’t neurotransmitters float freely in the brain?
They would disrupt normal neuronal signaling by activating receptors inappropriately
How can the BBB be thought of structurally?
As a 2-fold entity: between blood vessels & interstitial fluid and between blood vessels & CSF
What is the potassium concentration in interstitial fluid compared to blood?
Lower in interstitial fluid (2.8 mEq/L) compared to blood (4.5 mEq/L)
What is the relationship between interstitial fluid and CSF?
Almost no barrier between them - virtually free diffusion with nearly identical chemical composition
What is interstitial fluid in the brain?
The fluid bathing the neurons with carefully regulated ionic composition.
What is CSF in relation to the brain?
Fluid that fills the cavities (ventricles) of the brain from general circulation
Why can’t dopamine be directly used to treat Parkinson’s disease?
It cannot cross the BBB
What treatment is used instead of direct dopamine for Parkinson’s disease?
L-DOPA, a precursor to dopamine that can cross the BBB
What side effect may occur in patients treated with L-DOPA?
Increased addictive behaviors
What causes the muscle stiffness in Parkinson’s disease?
Lack of dopamine
Why does MSG consumption often cause thirst?
It activates receptors outside the brain where the BBB doesn’t protect
Why might someone experience neck stiffness after consuming MSG?
MSG activates glutamate receptors outside the brain and in the PNS
Can MSG cross the blood-brain barrier?
No
Is the BBB continuous throughout the entire brain?
No, it’s purposely broken in certain areas
Why is the BBB broken at the hypothalamus?
To allow neurons to communicate freely with the bloodstream
What is the relationship between the pituitary gland and the BBB?
The BBB is broken to allow hormone release from the pituitary
What are circumventricular organs and why do they lack BBB?
Regions around the 3rd ventricle where neurons need to sense specific chemicals in blood
What’s the general rule about where the BBB is broken?
In areas that interact with the endocrine system or require sensitivity to blood metabolites
What are the three layers of meninges from outermost to innermost?
Dura mater, arachnoid membrane, and pia mater
What is the dura mater?
A very tough membrane forming a sac that contains the brain and spinal cord
What is the arachnoid membrane?
A delicate tissue layer between the dura mater and pia mater
What is the pia mater?
The innermost meningeal layer that lies directly on top of the brain