Medical Physiology Block 2 Week 2 Flashcards Preview

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Flashcards in Medical Physiology Block 2 Week 2 Deck (47):

List the electrical and chemical steps in synaptic transmission, from arrival of an action potential in the nerve terminal to activation of receptors on the postsynaptic cell.

Electrical steps: opening of voltage-gated sodium channels followed by opening of voltage-gated potassium channels (opening of voltage-gated calcium channels at presynaptic terminal); Chemical steps: graded potentials received by dendrites and synaptic vesicles being released into the synaptic cleft


Compare and contrast the fast excitatory postsynaptic potentials (EPSPs) produced by acetylcholine at the neuromuscular junction, and by glutamate in the central nervous system. Discuss (a) the receptor types involved, (b) the ionic selectivity of the channels opened, (c) the typical quantal content, (d) the duration of the EPSP, and (e) the mechanism of removal of transmitter from the synaptic cleft.

NMJ: Ach, nicotinic Ach receptors (permeable to K and Na), 1-10 msec duration, terminated by acetylcholinesterase, about 100 quanta released per event;

CNS: Glutamate, NMDA (also permeable to calcium) and AMPA receptors, AMPA = 1-10 msec duration and NMDA = 10-100 msec duration, terminated by diffusion, sensitization or reuptake, about 1 quanta released per event

Note PSPs from both these conditions are generated by calcium-dependent exocytosis


Compare and contrast the functions and mechanisms of synaptic potentials mediated by AMPA- vs. NMDA-type glutamate receptors. Include the time course, the voltage dependence, the ion selectivity, and the pharmacology of the responses.

AMPA receptors: fast (small conductance), voltage independent, permeable to mostly K and Na, point to point transmission of information; NMDA receptors: slower, requires depolarization and glutamate binding (associative), voltage-dependent magnesium block, important in synaptic plasticity


Explain the mechanisms underlying fast, short term (millisecond-second) synaptic plasticity of EPSPs.

Low frequency stimulation (depression): reduction in quantal content (probably occurring in events utilizing large quantities of quanta), depletion of readily releasable vesicles; high frequency stimulation (facilitation): increase in quantal content (probably occurring in events where few quanta are being released), increase in presynaptic terminal calcium


Explain why long-term plasticity is attractive as a mechanism underlying learning and memory.

Associative: glutamate + depolarization (use dependent and requires many different neurons firing at the same time to cause depolarization); presynaptic Ca2+ influx and postsynaptic postsynaptic NMDA receptor binding


Explain the mechanisms underlying long-term (minutes-hours) synaptic plasticity, including long-term potentiation (LTP) of fast EPSPs on pyramidal neurons in the CA1 region of the hippocampus.

Glutamate release (pre) + depolarization (post) leads to Ca2+ influx (NMDAR) = LTP (actives calcium-calmodulin dependent kinase and increase the number of AMPA receptors at the postsynaptic membrane); LTD = phosphatases are reduction in the number of AMPA receptors at postsynaptic membrane


List several neurotransmitters that can activate ligand-gated ion channels. Describe the evolutionary relationships among their receptors.

Glutamate, Ach, serotonin, ATP, GABA (brain), glycine (spinal cord)


State the ionic mechanism of fast inhibitory postsynaptic potentials (IPSPs) mediated by Gamma-aminobutyric acid (GABA) in the central nervous system

Chloride conductance through GABA receptors lasting 10-100 msec, followed by termination through diffusion or reuptake (1 quanta released through calcium dependent exocytosis)


Explain why the a fast IPSP is inhibitory, even though the change in membrane potential is generally small and may even be a depolarization.

GABA-mediated IPSPs are inhibitory because the reversal potential of Chloride-selective channels is negative to the threshold of firing an action potential (IPSPs and EPSPs are differentiated by whether the reversal potential of a channel in above or below threshold)


Compare and contrast the mechanisms of release and action of nitric oxide (NO) to other neurotransmitters.

Not released by Ca2+-dependent exocytosis; Acts primarily via cGMP, protein kinase G; Can also chemically modify proteins


List several neurotransmitters that can activate G protein-coupled receptors.

Endocannabinoids, catecholamines (Dopamine, NE, E), peptides, glutamate, GABA, Ach


What is the difference in morphology of excitatory v. inhibitory neurons? What is the exception?

Excitatory- projection neuron; inhibitory- interneuron; exception Purkinje cells (inhibitory projection neurons)


Explain how neurons can release multiple neurotransmitters. Explain how release from large vs. small synaptic vesicles can be differentially regulated.

At low frequencies, neurons only release small synaptic vesicles; At high frequencies, neurons release both small synaptic vesicles and large dense core vesicles (large vesicles are released with slower kinetics and require significantly more intracellular calcium)


Describe the biochemical pathways involved in slow (G protein-mediated) synaptic actions in the nervous system.

Binding of a ligand to a receptor activates G proteins, which themselves can modulate channels or can activate cascades that modulate channels or change gene expression


Discuss how G protein-coupled receptors can be coupled to ion channels, and the resulting effects on membrane potential and neuronal excitability. Include examples of both “slow synaptic potentials” and “neuromodulation.”

Slow synaptic potentials: acetlycholine hyperpolarizes cardiac muscle by activating muscarinic receptors (open potassium channels); neuromodulation: Norepinephrine increases the number of action potentials during a depolarization by inhibiting voltage-independent calcium-dependent potassium channels


Explain how effects of activation of different G protein-coupled receptors can interact in a cell. Compare and contrast integration of synaptic information resulting from ligand-gated vs. G protein-coupled receptors.

Neurotransmitters may have both convergent and divergent effects (via G protein coupled receptors); convergent: multiple transmitters, each activating its own receptor type (activate common G protein), converge on a single type of ion channel in a single cell; divergent: Multiple receptors, multiple G proteins, multiple second messengers, multiple targets for a single neurotransmitter


Explain how diversity in the expression of voltage-dependent ion channels leads to diversity in neuronal firing patterns (e. g., adaptation).

Kinetics (opening and closing dynamics of channels), ion selectivity, and voltage dependence


What are the different firing patterns of neurons?

stay at a stable resting potential until stimulated via EPSPs; fire repetitively with no stimulus; fire at a constant frequency during a constant depolarization; fire only briefly at the start of a constant depolarization


Explain the role in signaling of the three functional compartments of a neuron: for receiving information, for conducting information over distance, and for transmitting information. Relate this to the anatomical structures involved (dendrites, cell body, axon, nerve terminals). Compare and contrast the structural and functional organization of motor neurons vs. somatic sensory neurons.

Motor neuron: dendrites and cell body receive information (spinal cord); axon conducts action potentials (peripheral nerve); nerve terminals transmit information (muscle)

Sensory neuron: sensory endings receive information (muscle); axon conduct action potentials (peripheral nerve; dorsal root ganglion (cell body) is bypassed); nerve terminals transmit information (spinal cord)


Compare the typical positions of GABA- vs. glutamate-mediated synapses on a neuron.

Glutamate: axodendritc and presynaptic neuron is a projection neuron; GABA: axosomatic (or near soma) and presynaptic neuron is an interneuron


Discuss how neurons integrate information on the millisecond time scale, using fast EPSPs and IPSPs.

Add EPSPs and subtract IPSPs (may also generate action potentials through voltage-gated calcium channels which effectively increase the dendrites length constant)


Explain temporal and spatial summation of fast synaptic inputs.

spatial summation: As an EPSP reaches the soma, it may also combine with EPSPs arriving by other dendrites on the cell; temporal summation: occurs when EPSPs arrive rapidly in succession; when the first EPSP has not yet dissipated, a subsequent EPSP tends to add its amplitude to the residual of the preceding EPSP (dependent on time constant of neuronal membrane)


Explain how synaptic potentials and intrinsic electrical properties of a neuron interact.

"Intrinsic electrical properties" = voltage-gated ion channels; these channels can either induce spontaneous neuronal firing or may modulate synaptic potentials by either increasing or decreasing the effective length constant


Is a synaptic potential attenuated as it flows towards the soma?

Yes; Extended cellular processes such as dendrites behave like leaky electrical cables (capacitative and ionic currents); Dendrites tend to be long and thin. Their cytoplasm has relatively low electrical resistivity (high resistance), and their membrane has relatively high resistivity (leaky); Branching increases attenuation because current has more paths to follow; Dendrites attenuate high-frequency (i.e., rapidly changing) signals more than low-frequency or steady signals.


Do dendrites have voltage-gated ion channels?

Yes; When the dendrites of Purkinje cells are stimulated strongly, they can generate large, sharp action potentials that are mediated by voltage-gated Ca 2+ channels (does not propagate down axon (action potentials are re-generated at axon initial segment through voltage-gated Na+ channels)


What would be the expected firing pattern for a neuron with fast voltage gated sodium channels and delayed rectifier potassium channels? if another set of slower activating potassium channels is inserted into the membrane?

Repetitive spikes (interneuron); adaptation (some pyramidal cells)


What is one mechanism for generating a spontaneous firing pattern?

Low voltage activated (LVA) T-type Ca++ channels; independent of sensory signal or transmission? (activated when a neuron hyperpolarizes)


Why is the threshold for an action potential lower at the initial segment compared to other segments of the neuron?

high density of voltage-dependent sodium channels


What are the effects of demyelination in the PNS?

decreased conduction velocity (lower length constant); frequency-related block (inactivation of some unmyelinated sodium channels); spontaneous activity; may excite nearby neurons (aberrantly); may stimulate remyelination (conduction velocity will still be slower since less myelin sheaths surround the site)


Where are neurons containing serotonin located? norepinephrine? dopamine? acetylcholine? What is the importance of these neurotransmitters?

raphe nuclei; locus coeruleus; substantia nigra and VTA; basal forebrain complex; modulate synaptic transmission (G protein-receptor coupled)


Which neurotransmitter is not released by calcium dependent exocytosis?

Nitric Oxide


Initiation of an action potential is most distant from the cell body in which cell type?

Sensory neurons


Which neurotransmitters are amino acids?

GABA (brain), glutamate, glycine (spinal cord)


Which neurotransmitters are simple amines?

cathecolamines (dopamine, NE, E); acetylcholine, serotonin, and histamine


What is different about secretion of dense-core secretory granules (compared to secretory vesicles?

storage of peptides; dense-core secretory granules are distributed randomly throughout the cytoplasm of the synaptic terminus (not organized in the active zone); act as neurotransmitters through G protein-coupled receptors (high frequency stimulation necessary); lack rapid inactivation mechanism


The slow muscarinic EPSP is faster than the late, slow peptidergic EPSP because…?

the peptide can activate receptors far from the site of release


Compare electrical synapses to chemical synapses in the CNS.

Electrical synapses do not amplify the signal passed from one cell to the next; they can only diminish it; lack inhibition; lack diversity in time course; lack synaptic plasticty


Which neurotransmitter hyperpolarizes cardiac muscle by activating muscarinic receptors?

acetylcholine (parasympathetic innervation)


How does Norepinephrine increase the number of action potentials during a depolarization?

by inhibiting voltage independent calcium dependent potassium channels


a synaptic potential is most likely to be excitatory (an EPSP) under what condition?

the reversal potential is positive to threshold for an action potential


Synaptic transmission at the neuromuscular junction and at a typical fast excitatory synapse in the brain are both what?

mediated by action potential-evoked calcium influx into the presynaptic nerve terminal (NMJ: about 100 quanta released; brain, 1 quanta)


Describe the structure of an ionotropic glutamate receptor.

the channel appears to consist of a tetramer of four subunits; each subunit contains a large extracellular region, followed by a transmembrane segment, a loop that partially enters the membrane from the cytosolic side, and then two more transmembrane segments (loop lines the channel pore)


GABA-mediated IPSPs are inhibitory if the reversal potential is what?

negative to threshold


Describe the structure of an ionotropic GABA receptor.

heteropentamer; The M2 domain of each of the five subunits presumably lines the central channel pore (four transmembrane domains per subunit); selectivity for Cl − may be determined by positively charged arginines and lysines near the mouth of the pore.


Which synaptic communication in the brain is similar to the NMJ?

Climbing fibers synapsing on Purkinje cells


How does acetylcholine or NE modulate a synapse?

loss of adaptation; with regards to acetylcholine, this is a result of inhibition of a slow activating potassium channel


How can acetylcholine lower heart rate? NE increase heart rate?

G protein-coupled receptor; opens potassium channels; modulates opening of calcium channels