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Neural Control Mechanisms Section A John Paul L. Oliveros, MD

Human physiology part 4

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Page 1: Human physiology part 4

Neural Control Mechanisms Section AJohn Paul L. Oliveros, MD

Page 2: Human physiology part 4

Neural Tissue• Neuron:

▫ basic unit of the nervous system

▫ Serves as integrators• Neurotransmitters:

▫ chemical messengers released by nerve cells

• Parts:▫ Cell body▫ Dendrites▫ Axon▫ Axon terminals

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Neural Tissue• Parts of a neuron

▫ Cell Body Contains nucleus and

ribosomes Genetic information

and machinery for protein synthesis

▫ Dendrites Receive inputs from

other neurons Branching increases

the cell’s receptive surface area

▫ Axon AKA nerve fiber Single long process that extends

from the cell body to its target cells

INITIAL SEGMENT AKA axon hillock Portion of axon closest to the

cell body plus parts of the cell body

“Trigger zone” Collaterals

Main branches of the axon▫ Axon Terminal

Ending of each branch of axon Releases neurotransmitters

▫ Varicosities Bulging areas along the axon Also releases neurotransmitters

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Neural Tissue• Myelin Sheath

▫ Layers of plasma membrane wrapped around the axon by a nearby supporting cell

▫ Speeds up conduction of electrical signals along the axons and conserves energy

▫ Oligodendroglia: CNS▫ Schwann cells: PNS

• Nodes of Ranvier▫ Spaces between adjacent

sections of myelin▫ Axons plasma is exposed

to ECF

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Neural Tissue• Axon Transport

▫ Movement of various organelles and materials from cell body to axon and its terminal

▫ To maintain structure and function of the axon▫ Microtubules

Rails along which transport occurs▫ Linking proteins

Link organelles and materials to microtubules Function as motors of axon transport and ATPase enzymes Provide energy from split ATP to the motors

▫ Axon Terminalcell body Opposite route of transport Route for growth factors and other chemical signals picked up at

the terminals Route of tetanus toxins and polio and herpes virus

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Neural Tissue

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Neural Tissue• synapse

▫ Specialized junction between two neurons where one alters the activity of the other

• Presynaptic neuron▫ Conducting signals

toward a synapse• Postsynaptic neuron

▫ Conducts signals away from a synapse

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Neural tissue• Glial Cells/Neuroglia

▫ 90% of cells in the CNS▫ Occupy only 50% of CNS▫ Physically and metabolically support neurons▫ Types:

Oligodendroglia Form myelin covering of CNS axons

Astroglia Regulate composition of ECF in the CNS Remove K+ ions and neurotransmitters around syapses Sustain neurons metabolically (provide glucose and remove ammonia) Embryo: guide neuron migration and stimulate neuron growth Many neuron like characteristics

Microglia Perform immune functions in te CNS

Schwann cells Glial cells of the PNS Produce myelin sheath of the peripheral nerve fibers

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Neural Growth and degeneration• Embryo:

▫ Precursor cells: develop into neurons or glial cells▫ Neuron cell migrates to its final location and sends out processes▫ Growth cone: specialized tip of axons that finds the correct route and

final target of the processes▫ Neurotropic factors: growth factors for neural tissue in the ECF

surrounding the growth cone or distant target▫ Synapses are then formed once target tissues are reached▫ Neural development occurs in all trimesters of pregnancy and upto

infancy permanent damage by alcohol, drugs, radiation, malnutrition, and viruses

• Fine tuning:▫ Degeneration of neurons and synapses after growth and projection of

axons▫ 50-70% of neurons die by apoptosis▫ Refining of connectivity in the nervous system

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Neural growth and regeneration• Neuron damage

▫Outside CNS Does not affect cell body Severed axon can repair itself and regain

significant function Distal axons degenerates Proximal axon develops growth cone and grows

back to target organ▫Within CNS

No significant regeneration of the axon occurs at the damage site

No significant return of function

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Section BMembrane Potentials

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Basic principles of electricity• Electric potential

▫ Potential of work obtained when separated electric charges of opposite signs are allowed to come together

• Potential differences/potential▫ Difference in the amount of charge

between two points▫ Volts: unit of electric potential▫ Millivolts: measurement in

biological systems• Current

▫ Movement of electric charge▫ Depends on the potential

differences between charges and the material on which they are moving

• Resistance▫ Hindrance to electric charge

movement

• Ohms law: ▫ I= E/R

• Insulator▫ Materials with high

electrical resistance• Conductor

▫ Materials with low electrical resistance

▫ e.g. water

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Resting Membrane Potential• Resting membrane

potential▫ The potential difference

across the plasma membrane under resting conditions

▫ Inside cell: negative charge (-70mV)

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Resting membrane potential• Magnitude of membrane

potential is determined by:▫ Differences of specific ion

concentrations in the intracellular and extracellular fluids

▫ Differences in membrane permeabilities to the different ions

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Resting membrane potential• Equilibrium potential:

▫ the membrane potential at which flux due to concentration gradient is equal to the flux due to electrical potential but at opposite directions

▫ No net movement of ion because opposing fluxes are equal

▫ Membrane potential will not undergo further change

▫ Its value depends on the concentration gradient of an ion across the membrane

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Resting membrane potential

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Resting Membrane Potential• In a resting cell, Na+ and K+

ion concentrations don’t change because the ions moved in and out by the Na+,K+-atpase pump equals that moved by the membrane channels electrical potential across membranes remain constant

• Electrogenic pump▫ Pump that moves net charge

across the membrane and contributes to the membrane potential

▫ Na+,K+-ATPase pump: Sends out 3 Na+ ions for

moving in 2K+ ions Makes the inside of the cell

more negative

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Graded Potentials and Action Potentials• Nerve cells transmit and process

information through transient changes in the membrane potential from it s resting level

• Two forms of signals▫ Graded potential

Over short distances▫ Action potential

Long distance signals• Depolarized

▫ Potential is less negative than the resting level

• Overshoot▫ A reversal of the membrane potential

polarity▫ Cell inside becomes positive relative to

the outside• Repolarize

▫ When the depolarized membranepotential returns toward the resting value

• hyperpolarize▫ The potential is more negative than the

resting lavel

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Graded potential• Changes in the membrane

potential confined to a relatively small region of the plasma membrane

• Die out within 1-2 mm of site• Produced by a specific

change in the cell’s environment acting on a specialized region of the membrane

• Magnitude of the potential change can vary

• Local current is decremental▫ Amplitude decreases with

increasing distance from the origin

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Graded Potential

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Graded Potential

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Action Potentials• Rapid and large alterations in

the membrane potential • 100mV from -70mV then

reporalize to its resting membrane

• Excitable membranes: ▫ Plasma membranes capable

of producing action potentials

▫ e.g. Neurons, muscle cells, endocrine cells, immune cells, reproductive cells

▫ Only cells in the body that can conduct action potentials

• Excitability:▫ Ability to generate action

potentials

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Ionic basis of action potentials• Resting state:

▫ K+ and Cl- ion membranes open▫ Close to K+ equilibrium

• Depolarizing phase▫ Opening of voltage-gated Na+

channels 100x▫ More + Na ions enter the cell▫ May overshoot: inside on the cell

becomes positvely charged• Short duration of action potentials

▫ Resting membrane returns rapidly to resting potential because Na+ channels undergo

inactivation near the peak of the action potential to then close

Voltage gated K+ channels begin to open

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Ionic basis of action Potentials• Afterhyperpolarization

▫ Small hyperpolarization of the membrane potential beyond the resting level

▫ Some of voltage gated K+ ions are still open after all Na+ have closed

• Chloride permeability does’t change during action potential

• The amount of ions involve is extremely small and produces infinitesimal changes in the intracellular ion concentration

• Na+,K+-ATPase pump makes sure that concentration gradient of each ions are restored to generate future action potentials

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Mechanism of ion-channel changes

• 1st part of depolarization: ▫ Due to local current opens up

voltage gated channels sodium influx increase in cell’s positive charge increase depolarization (positive feedback)

▫ Delayed opening of K+ channels• Inactivation of Na+ channels:

▫ Due to change in the conformation channel proteins

• Local anesthetics▫ e.g. Procaine, lidocaine▫ Block voltage gated Na+ channels▫ Prevent sensation of pain

• Animal toxins:▫ Puffer fish: tetrodotoxin▫ Prevent na+ component of action

potential• In some cells: Ca++ gates open

prolonged action potential

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Threshold and the all-or-none response• The event that initiates the

membrane depolarization provides an ionic current that adds positive charge to the inside of the cell

• Events:▫ K+ efflux increases

Due to weaker inside negativity

▫ Na+ influx increases Opening of voltage gated

channels by initial depolarization

As depolarization increaes mor voltage gated channels open

▫ Na+influx eventually exceeds K+ efflux positive feedback starts action potential

• Threshold potential▫ Membrane potential when the net

movement of positive charge through ion channels is inward

▫ Action potential only occurs after this is reached

▫ About 15mV less negative than resting membrane potential

• Threshold Stimuli ▫ strong enough to depolarize the

membrane to threshold potential• Subthreshold potentials

▫ Weak depolarizations▫ Membrane returnsto resting level

as soon as stimuli is removed▫ No action potential generated

• Subthreshold stimulus▫ Stimuli that causes subthreshold

potentials

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Threshold and the all-or-none response• Stimuli with magnitude more

than the threshold magnitude elicit action potentials with exactly the same amplitude with that of a threshold stimulus▫ Threshold:

membrane events not dependent on stimulus strength

Depolarization generates action potential because the positive feedback is operating

• All-or-none response▫ Action potentials occur

maximally or they do not occur at all

• Firing of the gun analogy

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Refractory periods• Absolute refractory period

▫ During action potential, a 2nd stimulus, no matter how strong, will not produce a 2nd action potential

▫ Na+ channels undergo a closes and inactive state at the peak of the action potential

▫ Membrane must be repolarized to return Na+ channels to a state which they can be opened again

• Relative refractory period▫ Interval followng the absolute

refractory period during which a 2nd action potential can be produced

▫ Stimulus must be greater than usual

▫ 10-15ms longer in neurons▫ Coincides with the period of

hyperpolarization▫ Lingering inactivation of Na+

channels and increased number of K+ channels open

▫ Additional action potentials fired Depolarization exceeds the

increased threshold Depolarization outlasr the

refractory period

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Action Potential Propagation• The difference in potentials

betwen active and resting regions causes ions to flow

• Local current depolarizes the membrane adjacent to the action potential site to its threshold potential producing another action potential action potential propagation

• Gunpowder trail analogy• Action potentials are not

conducted decrementally• Direction of the propagation is

away from a region of the membrane that has been recently active▫ Due to refractory period

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Action potential propagation• Muscle cells

▫ Action potentials are initiated near the middle of these cylindrical cells and propagate towards the 2 ends

• Nerve cells▫ Initiation at one end and propagate

towards the other end• Velocity of action potential

propagation depends on▫ Fiber diameter

The larger, the faster▫ Myelination

Myelin is an insulator Action potential only in the nodes of

ranvier Concentration of Na+ channels is

high Saltatory conduction/ jumping of

action potentials from one node to the other as they propagate

Faster conduction

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Initiation of action potential• Afferent neurons

▫ Initial depolarization threshold achieved by a graded potential (receptor potential) generated by sensory receptors at the peripheral ends

• Efferent neurons/ interneurons▫ Depolarization threshold due to either:

1. Graded potential generated by synaptic input

2. Spontaneous change in the neurons membrane potential (pacemaker potential) Occurs in absence of external

stimuli e.g. Smooth muscle, cardiac

muscles Contnuous change in membrane

permeability no stable resting membrane potential

Implicated in breathing, heart beat, GIT movements

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Section CSynapses

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Synapses• Anatomically specialized

junction between 2 neurons• Electrical activity of a

presynaptic neuron influences the elcetrical/metabolic activity of a postsynaptic neuron

• 100 quadrillion synapses in the CNS

• Excitatory synapse▫ Membrane potential of

postsynaptic neurons is brought closer to the threshold

• Inhibitory synapse▫ Postsynaptic neuron

membrane potential is brought further away from the threshold or stabilized

• Convergence▫ Neural input from many

neurons affect one neuron

• Divergence▫ Neural input from one

neuron affects many other neurons

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Functional anatomy of synapses• 2 types of synapses:

▫ Electrical synapses Pre and postsynaptic cells joined by

gap junctions Numerous in cardiac and smooth

muscle cells Rare in mammalian nervous system

▫ Chemical synapses Synaptic cleft

Separates pre and post synaptic neurons

Prevents direct propagation of electric current

Signals transmitted by means of neurotransmitter

Co-transmitters Additional neurotransmitter

simultaneously released with another neurotransmitter

Synaptic vesicles Store neurotransmitter in the

terminals

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Functional anatomy of synapses

• Presynaptic cell:▫ Action potential axon terminal

depolarization voltage-gated Ca++ channels open Ca++ enters fusion of synaptic vesicles to PM release of transmitters by exocytosis

• Postsynaptic cell:▫ Binding of neurotransmitters to

receptors opening or closing of specific ligand sensitive -ion channels

• One way conduction across synapses in general

• Brief synaptic delay (0.2 sec) from action potential at presynaptic neuron to membrane potential changes in post synaptic cell

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Functional anatomy of synapses

• Fate of unbound neurotransmitters1. Are actively transported back to the axon

terminal/glial cells2. Diffuse away from the receptor site3. Enzymatically transformed into

ineffective substances • 2 kinds of chemical synapse

▫ Excitatory Response is depolarization Open postsynaptic-membrane ion channels

permeable to positvely charged ions Excitatatory postsynaptic potential (EPSP)

Potential change wherien there is net movemnt of positively charge ions into the cell to slightly depolarize it

Graded potential to bring the postsynaptic neuron closer to threshold

▫ Inhibitory Lessens likelihood for depolarization and

action poterntial Opening of Cl- or sometimes K+ channels Inhibitory postsynaptic potential (IPSP)

Hyperpolarizing graded potential

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Activation of a postsynaptic cell• In most neurons, one

excitatory synaptic event by itself is not enough to cause threshold to be reached in the postsynaptic neuron

• Temporal summation:▫ Axon stimulated before the

1st EPSP has died away▫ The 2nd EPSP adds to the

previous one and creates a greater input than from 1 input alone

▫ Input signals arrive at the same cell at different times

▫ The potentials summate because there is a greater number of open ion channels

• Spatial summation:▫ 2 inputs occured at different

locations on the same cell

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Activation of a postsynaptic cell

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Synaptic effectiveness• A presynaptic terminal does

not release a constant amount of neurotransmitters everytime it is activated

• Presynaptic synapse (axon-axon synapse)▫ Axon terminal of one ends on

an axon terminal of another ▫ Effects:

Presynaptic inhibition Decrease the amount of

neurotransmitter secreted Presynaptic facilitation

Increase the amount of neurotransmitter secreted

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Modification of Synaptic transmission by Drugs and Disease

• All synaptic mechanisms are vulnerable to drugs

• Agonist:▫ Drugs that bind to a receptor and

produces a response similar to normal activation of a receptor

• Antagonis:▫ Drugs that bind to the receptor but

aren’t able to activate it• Diseases:

▫ Tetanus toxin Protease that destroys certain

proteins in the synaptic-vesicle docking mechanism of inhibitory neurons to neurons supplying the skeletal muscle

▫ Botulinum toxin and spider venom Affect neurotransmitter release from

synaptic vesicles Interfere with docking proteins Act on axons different from those

acted upon by tetanus toxin

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Synaptic effectiveness

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Neurotransmitters and Neuromodulators• Neuromodulators

▫ Messengers that cause complex responses/modulation

▫ Alter effectiveness of synapse▫ Modify postsynaptic cell’s response

to neurotransmitters▫ Change the presynaptic cell’s

release, release, re-uptake, or metabolism of a transmitter

▫ Receptors for neuromodulators bring about changes in the metabolic processes in neurons via G-proteins

▫ Changes occur within minutes, hours, or days enzyme activity Protein synthesis

▫ Associated with slower events Learning Development Motivational states Sensory/motor activities

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Neurotransmitters and neuromodulators• Acetylcholine (ACh)

▫ Synthesized from choline and acetyl coenzyme A

▫ Reducing enzyme: acetylcholinesterase

▫ Mostly in the PNS, also in CNS

▫ Nerve fibers: cholinergic▫ Receptors: nicotinic,

muscarinic▫ Function: attention,

learning, memory▫ Pathology: Alzheimers

• Biogenic amines▫ Synthesized from AA and

contain an amino group▫ MC: dopamine,

norepinphrine, serotonin, histamine

▫ Epinephrine: biogenic amine hormone secreted by adrenal medulla

▫ Norepinephrine: important neurotransmitter in CNS and PNS

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Neurotransmitters and neuromodulators• Catecholamines

▫ Dopamine, norepinephrine, epinephrine

▫ Contain a catechol ring and an amine group

▫ Synthesized from tyrosine▫ Reducing enzyme: Monoamine

oxidase ▫ Catecholamine releasing

neurons mostly in brainstem and hypothalamus but axons go to all parts of the CNS

▫ Function: state of consciousness, mood, motivation, directed attention, movement, blood-pressure regulation, and hormone release

• Catecholamines▫ Fibers: adrenergic,

noradrenergic▫ Receptors: Alpha, Beta

Further divide in Alpha1, alpha2, Beta1 and Beta2 receptors

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Neurotransmitters and neuromodulators

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Neurotransmitters and neuromodulators• Serotonin

▫ Biogenic amine synthesized from trytophan

▫ Effects have slow onset and innervate virtually every structure of the brain and spinal cord.

▫ Has 16 different receptor types▫ Function:

Motor: excitatory Sensation: inhibitory

▫ Lowest activity during sleep and highest during alert wakefulness

▫ Motor activity, sleep, food intake, reproductive behavior, mood and anxiety

▫ Present in non-neural cells (e.g. Platelets, GI tract, immune system)

• Amino Acid Neurotransmitters▫ Amino acids that function as

neurotransmitters▫ Most prevalent neurotransmitter in

the CNS and affect virtually all neurons there

▫ Excitatory Amino Acids Glutamate Aspartate Function: learning, memory, neural

development Pathology: epilepsy, alzheimers,

parkinsons disease, Neural damage after stroke, brain

trauma Drugs: phencylidine (angel dust)

▫ Inhibitory Amino Acids GABA (gamma-aminobutyric acid) Glycine Drugs: valium

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Neurotransmitters and neuromodulators• Neuropeptides

▫ Composed of 2 or more AA linked together by peptide bonds

▫ Function as hormones or paracrine agents

▫ Synthesis: from large proteins produced by ribosomes

▫ Fibers: peptidergic▫ Endogenous opioids

B-endorphin, dynorphins, enkephalins

Receptors are site of action of opiate drugs (morphine, codeine)

Function: analgesia, “jogger’s high”, eating and drinking behavior, CVS regulation, mood and behavior

▫ Substance P Released by afferent neurons Relay sensory information into the

CNS

• Nitric Oxide▫ Diffuse into the intracellular

fluid of nearby cells from cells of origin

▫ Messenger between neurons and effector cells

▫ Activate cGMP▫ Function: learning,

development, drug tolerance, penile erection, sensory and motor modulation

• ATP▫ Very fast acting excitatory

transmitter• Adenine

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Section DStructure of the nervous system

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Structure of the nervous system• Definition of terms

▫ Axon/nerve Long extension from a

single neuron▫ Nerve

Group of many nerve fibers that are travelling together to the same general location in the PNS

▫ Pathway/tract A group of nerve fibers

travelling together in the CNS

▫ Commisure Pathway/tract that links the

right and left halves the CNS

• 2 types of pathways in the CNS▫ Long neural pathways

Neurons with long axons carry information directly between the brain and the spinal cord or between large regions of the brain

Little opportunity for alteration in the information transmitted

▫ Multineural/multisynaptic pathways Made up of many neurons and

many synaptic connections Many opportunities for neural

processing along the pathway• Ganglia

▫ Group of neuron cell bodies in the PNS

• Nuclei▫ Group of neuron cell bodies in the

CNS

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Structure of the nervous system

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Spinal Cord• Gray matter

▫ Composed of: interneurons cell bodies and dendrites of efferent neurons entering fibers of afferent neurons ganglia

▫ More cells than myelinated fibers▫ Butterfly shaped and gray

• White matter▫ Groups of myelinated axons of interneurons

(fiber tracts / pathways)• Dorsal root

▫ Where groups of afferent fibers from the PNS enter the SC

• Dorsal root ganglia▫ Small bumps on the dorsal root▫ Contain cell bodies of afferent neurons

• Ventral roots▫ Where axons of the efferent nerves leave the

SC• Spinal nerves

▫ Where the dorsal and ventral root combine a short distance from the SC

▫ 31 pairs, divided into 4 levels (cervical, thoracic, lumbar, sacral)

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Spinal Cord

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Brain• 4 subdivisions

▫ Cerebrum▫ Diencephalon▫ Brainstem▫ Cerebellum

▫ Forebrain: Cerebrum Diencephalon

▫ Brainstem: Midbrain Pons Medulla oblongata

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Brain• Cerebral ventricles

▫ 4 interconnected cavities▫ Filled with cerebrospinal

fluid

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Brain

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Brain

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Brain

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Peripheral nervous system• Consists of 43 pairs of

nerves• Each nerve fiber is

surrounded by a schwann cell that wrap some of the fibers with its membrane (myelin sheath)

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Autonomic nervous system• Efferent innervation of all

tissues other than skeletal muscle

• Parallel chains, each with 2 neurons, connect the CNS and the effector cells

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Autonomic nervous system• Anatomy of sympathetic

nervous system▫ Preganglionic sympathetic

fibers leave the spinal cord only between T1-L3

▫ Sympathetic trunks extend throughout the entire length of the spinal cord (cervical to sacral)

▫ Ganglia outside T1-L3 receive preganglionic fibers from the thoracolumbar region

▫ Preganglionic fibers travel up or down for several segments before forming synapses with postganglionic neurons

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Autonomic nervous system• Neurotransmitters

▫ Acetylcholine Major neurotransmitter

released between pre- and postganglionic fibers in the autonomic ganglia

▫ Parasympathetic Acetylcholine: major

neurotransmitter between postganglionic fibers and effector cells

▫ Sympathetic Norepinephrine: major

neurotransmitter between postganglionic fibers and effector cells

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Autonomic nervous system

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Autonomic nervous system• The heart, many glands,

and smooth muscle cells have dual innervation (both sympathetic and parasympathetic)

• Usually the effect of sympathetic is the opposite of parasympathetic innervation in these tissues

• The activity of parasympathatetic and symphatetic is reciprocal with each other

• Fight-or-Flight response▫ Full response of the

sympatheitic nervous system▫ Increase response during

physical or psychological stress

▫ Animal is forced to challenge an attacker or run away from it Heart rate and BP increases Blood flow to skeletal

muscles, heart, and brain increases

Liver releases glucose Pupils dilate Blood flow to GIT and skin

decreased

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Autonomic nervous system

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Blood supply, blood brain barrier phenomenon, cerebrospinal fluid• meninges

▫ Protect and support the CNS▫ Produce, circulate and absorb CSF

• 3 layers▫ Dura mater: next to the bone▫ Arachnoid: in between▫ Pia mater: next to nervous tissue

• Cerebrospinal fluid▫ Fills the space between the

arachnoid and the pia mater (subarachnoid)

▫ Hydrocephalus: flow of CSF is obstructed CSF accumulates Increase ventricular pressure

compression of BV in brain inadequate blood flow to neurons neuronal damage and mental retardation

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Blood supply, blood brain barrier phenomenon, cerebrospinal fluid• Glucose

▫ In normal conditions, it is the only substrate metabolized by the brain to supply its energy requirements

• Stroke▫ Neuronal death due to

stoppage of blood supply to a region of a brain

• Blood supply▫ 2% of body weight▫ Receives 12-15% of total

blood supply▫ High oxygen utilization

• Blood-brain barrier▫ Complex group of mechanisms that

closely control both the kinds of substances that enter the extracellular fluid of the brain and the rates in which they enter

▫ Minimizes harmful substance that enter but reduces access of immune system to the brain

▫ Made up of cells that line up the smallest blood vessels of the brain

▫ Lipid soluble substances enter the brain easily

▫ Non-lipid soluble substances uses membrane transport proteins

• Choroid plexus▫ Cells in the area secrete CSF▫ Responsible for decreased K+ and

Ca++ and increased Na+ and Cl- in CSF compared to plasma

▫ Trap toxic heavy metals (e.g. lead)

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The end