2. Neurones & glia Flashcards

1
Q

name the 3 types of glial cells and their general function

A
  1. astrocytes (most abundant type) - supporters
  2. oligodendrocytes - insulators
  3. microglia - immune response
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2
Q

name 5 functions of astrocytes

A
  1. structural support
  2. help provide nutrition for neurones: glucose-lactate shuttle
  3. remove neurotransmitters (uptake): control NT conc. (esp. important for toxic glutamate)
  4. maintain ionic environment: K+ buffering
  5. help to form BBB
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3
Q

describe the energy supply to neurones

A

Neurones don’t store or produce glycogen.

  • glucose enters interstitial space from blood via GLUT1 and then enters neurone via GLUT3
  • glucose supply can be supplemented by astrocytes via glucose-lactate shuttle: take up glucose (GLUT1) and store as glycogen (enough for 10-15min). Can then be broken down to lactate which can be taken up by neurones and converted to pyruvate
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4
Q

how is NT response at pre-synaptic terminal ended and spread of NTs in brain prevented

A

astrocytes keep NT conc. low: have transporters for NT uptake (e.g. glutamate) and recycling

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5
Q

how do astrocytes buffer brain ECF [K+] when high neuronal activity

A

astrocytes have very negative resting MP allowing K+ uptake through several channels/transporters:

  • K+ channel
  • Na/K ATPase
  • NKCC2 transporter
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6
Q

name 3 structures that form the BBB

A
  1. tight junctions between brain capillary endothelial cells
  2. basement membrane surrounding capillary
  3. end feet of astrocyte processes (promote formation of tight junctions)
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7
Q

explain why the CNS is described as ‘immune privileged’

A
  • Immune response is present: microglia act as phagocytes and APCs, and T cells can enter CNS
  • but inflammatory response is limited as rigid skull will not tolerate volume expansion (would lead to raised ICP) - CNS inhibits initiation of pro-inflammatory T cell resp.
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8
Q

name the 3 classes of neurotransmitter in the CNS

A
  1. amino acids
  2. biogenic amines - ACh, noradrenaline, dopamine, serotonin, histamine
  3. peptides - somatostatin, neuropeptide Y, substance P
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9
Q

name the main excitatory amino acid NT and describe its MOA

A

glutamate: causes excitatory post-synaptic potential (increased neuronal firing) by binding to Na/K ligand-gated channels

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10
Q

describe the generation of initial fast depolarisation at CNS excitatory synapses

A

i. pre-synaptic terminal releases glutamate which diffuses across cleft…
ii. binds to AMPA Rs (Na+/K+ channels) causing them to open…
iii. Na+ influx and membrane depolarisation

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11
Q

describe the role of glutamate Rs in learning and memory

A

i. strong, high frequency stimulation/glutamate release at synapse…
ii. activation of NMDA Rs (Na+/K+ and Ca2+ channel) allows Ca2+ entry…
iii. up-regulates AMPA Rs - LONG TERM POTENTIATION (LTP)

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12
Q

why can excess glutamate cause neurone damage

A

too much glutamate… too much Ca2+ entry through NMDA Rs… excitotoxicity

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13
Q

name the 2 main inhibitory amino acid NTs in the CNS - how do these act?

A
  1. GABA - acts in brain
  2. Glycine - acts in brainstem and spinal cord

GABA and glycine Rs have integral Cl- channels: opening of channel… Cl- influx… hyperpolarisation - inhibtiory post-synaptic potential decreases AP firing

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14
Q

how do barbiturates and benzodiazepines act in the CNS

A

Both bind to GABA Rs and enhance response to GABA - anxiolytic and sedative actions by decreasing neuronal activity

  1. barbiturates: sometimes used as anti-epileptic drugs
  2. benzodiazepines: used to treat anxiety, insomnia and epilepsy
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15
Q

what is the role of glycine in the patellar reflex

A

i. sensory neurones from quadriceps spindle Rs synapse with interneurones in spinal cord…
ii. interneurone synapses with motor neurone to reciprocal muscle (hamstrings) - releases glycine to inhibit APs

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16
Q

degeneration of which neurones in which brain region is associated with Alzheimer’s - how does this affect therapy

A
  • degeneration of cholinergic neurones (ACh) in nucleus basalis
  • therapy: ACh esterase inhibitors
17
Q

degeneration of which neurones in which brain region is associated with Parkinson’s

A
  • degeneration of dopaminergic neurones in substantia nigra

- therapy: levodopa - converted to dopamine by DOPA decarboxylase (AADC)

18
Q

why must carbidopa be given in combination with levodopa

A

carbidopa (cannot cross BBB) inhibits aromatic amino acid decarboxylase (AADC) in the periphery… inhibits peripheral metabolism of levodopa, allowing it to cross BBB for CNS function