5. Neurophysiology II Flashcards

1
Q

Synaptic transmission

How to convert an electrical signal into a chemical signal and back again.

  1. Presynaptic region
    - ____ to ____
    - ____ triggered transmitter
    release
  2. Synaptic cleft
    - diffusion of ____
  3. Postsynaptic region
    - ____ to ____
    - ____-linked potential changes
A

electrical
chemical
voltage

neurotransmitters
chemical
electrical
receptor

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2
Q

Presynaptic region in axon terminal

Chemical storage of neurotransmitter in synaptic vesicles.

Presynaptic potential and thus ion channels regulate neurotransmitter release

Voltage-gated channels conduct AP’s down the axon to the terminal (1).

Depolarization gates open voltage- gated ____ channels to permit entry of Ca+2 into presynaptic terminal during an AP (2).

This influx of Ca+2 is the trigger for synaptic vesicles already ____ (3) to fuse with the membrane (4) and release ____ into the synaptic cleft (5).

A

Ca++
docked
NT

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3
Q

Presynaptic region: vesicles docked and ready to go

First line of synaptic vesicles in position to release when signal of Ca2+ elevation received

Voltage gated Ca2+ channels ____ close by to make process more accurate and rapid - 200 μs

Ca2+ rises from 100 nM to 100 μM – ____x

A

physically

1000

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4
Q

Presynaptic region: vesicles in terminal bouton

* \_\_\_\_ provides energy to load NT into vesicles
* \_\_\_\_-demanding region of the cell
A

mitochondria

energy

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5
Q

Presynaptic region: synaptic vesicle

____ helps dock, and binds increasing ____ to initiate release

• Load vesicles with NT
	○ \_\_\_\_: proton pump to pump + charge protons (acts as counter ion to negative charges of glutamate)
• Proteins necessary for targeting vesicles at release
	○ \_\_\_\_
	○ \_\_\_\_ - key protein needed to move vessels into right position
• Proteins involved with docking of vessels
	○ \_\_\_\_
	○ \_\_\_\_
• Synaptotagmin: where \_\_\_\_ binds
	○ Reason why we have rapid entry of Ca++
A

synaptotagmin
Ca++

glutamate

calmodulin-dependent kinase II
synapsin

synaptophysin
synaptobrevin

calcium

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6
Q

Presynaptic region: targeting, docking and fusion of synaptic vesicle

Also “____” release

• \_\_\_\_: anchor vesicle
• \_\_\_\_: calcium binding unit C2A and C2B
• When vesicles are waiting for AP in absence of Ca++
	○ Loosely \_\_\_\_ and primed
• When Ca++ enters via channels
	○ \_\_\_\_ twisting of docking proteins
	○ \_\_\_\_ of synaptoatotegmin start to move - putting their elbows through double membrane
	○ Takes a lot of \_\_\_\_ to break vesicular and PM at synapse
• Fusion of vesicular and PM takes a lot of energy
	○ Mediated through \_\_\_\_ changes of protein
• Expansion of pore
	○ NT released
• Kiss and run
	○ A little semi-opening for a little \_\_\_\_ to release and it closes up again
	○ \_\_\_\_ emptying of synaptic vesicle on plasma membrane
• Membrane turnover on synaptic membrane
A

kiss and run

synaptobrevin
synaptotegmin
tethered
tighter
C2
energy
allosteric
NT
incomplete
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7
Q

Transport of synaptic vesicle

Is ____ until after docking with SNARE complex, my boy!

____ leads synaptotagmin to insert in the membrane causing a mechanical
trigger that opens the pore.

____ isoforms cleave SNAP 25, syntaxin or synaptobrevin, thus preventing neurotransmitter release

t-SNAREs are the target snares on the ____.
v-SNAREs are on the ____.

[points to tethering complex] You can see it is tethered and the tethering complex brings it close and holds it in position. The SNARE complex begins to loosely form and is ____ until fusion. This happens so neurotransmitter can be released immediately
when calcium arrives.

Once calcium comes in, that fusion occurs really quickly, and the neurotransmitter is released.
[points to bottom diagram] This is the best picture showing how ____ is
primed and interacts with the v and t-SNARES. Once that calcium comes in, you can really see the Synaptotagmin starting to fuse.

A

reversible
Ca++
botox

plasma membrane
vesicle

reversible
synaptotagmin

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8
Q

Botox soldiers with chainsaws

____ used for injection, exhibits an LD50 of 40-56 ng when injected iv, one of most powerful toxins known

• Cleave \_\_\_\_ machinery
	○ B, D, F, and G cleave \_\_\_\_
	○ A and E cleave \_\_\_\_ and \_\_\_\_
• Impede with botox - prevent synaptic release, prevents vesicular fusion
• Injecting botox into regions with \_\_\_\_ interactions - preventing the movement of those muscles
	○ No laughter lines, wrinkles because you prevent the NM transmission
A
snare
synaptobrevin
snap-25
syntaxin
neuromuscular
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9
Q

Synaptic cleft: the gap between two neurons or between a neuron and its effector organ

  1. Neurotransmitters diffuse across the synaptic cleft to the postsynaptic membrane
  2. Neurotransmitter is either taken up into the ____ terminal or inactivated by ____ located in the cleft.

____ volume: 200-300 angstroms small enough for fast diffusion
Filled with matrix, enzymes, receptors, other proteins

• \_\_\_\_ - feedback mechanisms, can stop or induce interactions
A

presynaptic
enzymes
small
autoreceptors

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10
Q

How does the neurotransmitter signal stop?

  1. ____ degradation. (e.g. acetylcholinesterase)
  2. Messages can be transported back into the ____ terminal for recycling.
  3. ____ of the message away from the site of the post-synaptic receptors.

Important to limit concentration of transmitter both ____ and ____ to ensure specific signaling

A

enzyme
presynaptic
diffusion

spatially
temporally

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11
Q

Increasing 5-HT (serotonin) in synaptic cleft by blocking uptake

• Inhibit \_\_\_\_ uptake, thereby resulting in a build up of serotonin in the cleft
A

presynaptic

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12
Q

Postsynaptic region

• Receptors for the neurotransmitter
– ionotropic vs metabatropic:
type dictates ____
• Neurotransmitter binding causes change in the membrane potential
– the particular ion flowing through the channel will determine whether the effect is ____ or ____ depending upon its Nernst potential

• Ionotropic channels
	○ Ligand gated ion channels
• Metabotropic channels
	○ GPCR
• Choice between is going to affect the speed of the response
• \_\_\_\_ can activated both in same synapse, but lead to different outcomes
• NT targets and opens ionotropic:
	○ If Na-selective: lets more Na+, thereby depolarize - \_\_\_\_
	○ If K-selective (flows out), or Cl- (flows in): hyperpolarize - \_\_\_\_
• NT targets metabotropic:
	○ Essentially an enzyme, and acts as a GPCR
	○ Activates \_\_\_\_ pathway
		§ Alters state of \_\_\_\_ channels - can open them
		§ However, they can also \_\_\_\_ the channels (opposite scenario)
	○ Change \_\_\_\_ transcription, learning signals
A

timing
excitatory
inhibitory

glutamate
EPSP
IPSP

second messenger
ion (ionotropic)

close
gene

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13
Q

Postsynaptic region: Ionotropic receptors

  • Ionotropic receptors are ____ gated channels
  • Distinct agonist binding and pore regions of receptor – contain all ____ aspects of normal ion channels
  • Very ____ – low msec

•Examples:
NMDA – binds ____,
____ permeable depolarization- excitatory
GABA A – binds ____, Cl- permeable, ____ entry hyperpolarization- inhibitory
____ – dental pain

• Need NT binding site
	○ Acetylcholine has two binding sites
• Binding leads to allosteric changes, opening the pore and allows ions to travel in direction of electrochemical gradient
• P2X for \_\_\_\_ important in dental pain
A

ligand
exciting
fast

glutamate
Na+/Ca+

GABA
Cl-
P2X

ATP

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14
Q

Ionotropic P2X receptors: key mediators of dental pain

  • Identify dental pulp nerves by injecting with fluorescent dye, allowing transport to soma in ____ before removing
  • Extracellular ____ applied to cell initiates action potentials, adapting. Pharmacologically and immunohistochemically identified as P2X2/P2X3 hybrid channel
  • Think ATP released from ____ dental tissue
    • Recorded from patch clamp - you add ATP - you see AP coming from the neuron
    • Occur in a ____, two ____
A
trigeminal ganglion
ATP
inflamed
trimer
domains
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15
Q

Postsynaptic region: Metabotropic receptors

Receptor initiates multiple steps before changing membrane potential

Links to depolarization or hyperpolarization more ____ because more steps

Much ____ than ionotropic receptors but can have longer ____ effects

Important for ____ signal

G-protein coupled, tyrosine kinases etc

• G-proteins
	○ Requires hydrolysis of \_\_\_\_ to GDP following allosteric changes in receptor
• Usually span \_\_\_\_ membranes
• Alpha, beta and gamma subunits
	○ \_\_\_\_: PLC, release of Ca+ from ER, and can activate phospho on membrane
	○ \_\_\_\_: stimulatory - increases activity of adenylate cyclase and increase cAMP
	○ \_\_\_\_: inhibitory - reduce cxn of cAMP
A
variable
slower
modulating
amplifying
GTP
7
Aq
Gs
Gi
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16
Q

Postsynaptic region: Metabotropic receptors

  • Binding of neurotransmitter initiates allosteric changes in receptor
  • G protein activated – GDP replaced by GTP, ____ dissociates from Gβγ
  • Much more GTP than GDP so initially supply no problem but can be after continued stimulation
  • Gα and/or Gβγ activate additional enzymes – in this case Gα stimulates ____ to produce cAMP• GTP to GDP, release of P, transferred to GDP, activating ____
    • Binds adenylate cyclase, turning ATP to cAMP
    • More GTP to GDP usually within cell
    ○ Not the ____ step
    • Beta, gamma, are very ____ on their own
A

Galpha
adenylate cyclase

Galpha
rate-limiting
active

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17
Q

Postsynaptic region: Metabotropic receptors and the release of intracellular Ca2+

  • Stimulated receptor activates ____
  • Gqα activates ____
  • PLC activates ____
  • IP3 binds to membrane on ____
  • ____ released from ER
  • Mediates many actions• ____ are the second biggest source of Ca++ in cell
    ○ ____ leading to release of signal
A
Gqalpha
PLC
IP3
ER
Ca++

lysosome
TLR3

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18
Q

Adrenaline (epinephrine) has multiple responses depending upon what GPCR it stimulates

* Different receptors depending on g-proteins coupled to
* Alpha1 - Gq - PLC - IP3 - release of \_\_\_\_ from ER - contraction of \_\_\_\_ muscle
* Alph2 - Gi - \_\_\_\_ adnylyl cyclase - reduction o of Camp
* Beta - Gs - increase \_\_\_\_ - increased by cAMP (blocked by \_\_\_\_)
A
Ca++
smooth
inhibits
adenylate cyclase
beta blockers
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19
Q

Proposed purinergic signaling pathways underlying the cellular responses associated with P2 receptor activation in various areas of the tooth

Be aware that a single neurotransmitter (ATP)
Can initiate ____ in a single organ.

Many of these linked to ____

• P2Y6 (metabotropic channel (leads to transcriptional regulation of cytokine \_\_\_\_)
• P2X7 - cytokine \_\_\_\_
• Mechanical stress - P2Y - \_\_\_\_ - second messengers - influence inflammation
• Nerve cells - \_\_\_\_ stimulation P2X2A3 - pain
• Stimulate ATP mediating via \_\_\_\_, leads to activation of inflammasome \_\_\_\_ - used to trigger maturation and release of \_\_\_\_ (major inflammatory cytokine around)
• Occurs in both \_\_\_\_ and \_\_\_\_ cells
• Drugs based on \_\_\_\_ to stop pain
	○ Opioid crisis will force development of more analgesic pathways
A

multiple responses

inflammation

IL6
IL8
PKA
ATP
connexin
NLRP3
IL1beta
neural
non-neural
purines
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20
Q

Postsynaptic density: molecular scaffolding to keep receptors in place, mediate effects of stimulation

  • PSD across from docked synaptic vessicles
  • ____ and ____ elements
  • Clusters ____ and receptors
  • Important in ____ potentiation - ____ – ____- transcription• When PS receptors stimulated they’re support in PS density
    • NMDA important in learning
    • Organization in PSM is critical in consequences of NT activation
    ○ ____
    ○ Very tightly regulated underneath the ____
A
cytoskeletal
regulatory
ion channels
long-term
NMDAR
CAMKII

rafts
membrane

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21
Q

PSD-95 marks synapse location on dendrites

____ –
gets synaptic vesicles to pre- synaptic release site
PSD-95
SYNAPSE

* Protein that indicates where PSD are located
* Neuron in culture and stain in green (PSD-95)
* Synapsin in yellow
* Many sites where \_\_\_\_ and \_\_\_\_ are together (\_\_\_\_and \_\_\_\_)
A
synapsin
synapsin
PSD
presynaptically
postsynaptically
22
Q

Key steps in synaptic transmission

  1. An AP travels down axon and depolarizes presynaptic terminal.
  2. ____ channels open in response to the depolarization.
  3. Ca+2 enters the synaptic terminal through Ca+2 channels.
  4. Increased [Ca+2] activates neurotransmitter release from ____.
A

Ca++

vesicles

23
Q

Key steps in synaptic transmission
5. Neurotransmitter in the synaptic cleft either:
a) binds to ____ on the postsynaptic membrane
b) is ____ or ____ away or is recycled before it binds to a receptor
6. The post-synaptic membrane potential changes:
a) Depolarizes if excitatory
b) Hyperpolarizes if
inhibitory

A

receptors
degraded
diffused

24
Q

Many drugs of interest interfere with synaptic transmission

Drugs can be used to enhance or impede many steps in synaptic process

• Drugs that have been developed target neurotransmission - multiple ways to increase or decrease the transmission by manipulating the process
• Agonistic:
	○ Increase synthesis of \_\_\_\_ (precursor)
	○ Destroy degrading \_\_\_\_
	○ Inhibit the negative feedback of autoreceptors
	○ Stop the \_\_\_\_, increasing cxn in cleft
• Antagonistic
	○ Increase molecules that break down NT
	○ Break down molecules that synthesize
	○ Block \_\_\_\_ receptors
A

NT
enzymes
reuptake

postsynaptic

25
Electrical synapses * All synapses discussed until now chemical synapses, message spread between neurons ____ nm apart by chemicals released into synaptic cleft * Also electrical synapses – cells ____ connected through ____, ____ nm apart. ____, but no gain. Usually ____. • Amount of ____ is greatly reduced ○ Bidirectional via gap junctions • Made up of ____ that make up a ____
``` 20-30 mechanically gap junctions 3 faster bidirectional ``` processing connexins connexon
26
Gap junctions * Gap junctions important in ____ or ____ communication * In addition to electrical signal, allow passage of compounds
``` glial-glial glial-neuronal 1000 nucleotides cAMP block ```
27
``` Neuronal transmission – how to code in the post synaptic membrane A. Generation of an EPSP or IPSP B. Spontaneous release of neurotransmitter vesicle packets C. Generation of an AP D. Pre-synaptic inhibition E. Spatial summation F. Facilitation G. Temporal summation H. Adaptation I. Synaptic efficacy J. Synaptic fatigue ```
YAY
28
Neuronal transmission A. Generation of an EPSP or IPSP Binding of neurotransmitter to receptor opens channels and changes membrane potential In CNS, ____ synaptic event usually not enough for an action potential alone – only changes 0.5- 1 mV IPSP - Inhibitory post synaptic potential - Receptor lets in Cl- (or out K+) to hyperpolarize membrane EPSP -Excitatory post synaptic potential -Receptor lets in Na+ or Ca2+ to depolarize membrane * Relates binding of NT to ____ that either depolarizes or hyperpolarizes the membrane * Depolarize: Na or Ca inwards * Inhibitory: Cl in or K out
single | ionotropic
29
Neuronal transmission B. MEPSPs While release is usually triggered, can occur ____: miniature excitatory post- synaptic potential MEPSP (or MEPP in NMJ) show quantal release with all vesicles the same ____. Show response to the amount of transmitter in a single vesicle. Warning: Many aspects of quantal release discovered with NMJ with all-or-none signaling Numbers of quanta per AP, amplitude of MESPS can be much less in ____ so need more individual terminals to converge. • Release of Ach leads to depolarization of ____ mV • Relating to quantal releases ○ Vesicles have same amount of ____ within them • Figured out using NMJ ○ All-or-none signaling - hits threshold in order to contract ○ Don't apply for ____ • ____ release, more variation in the amount • Require many more vesicles to be released in order to lead to AP
spontaneously size CNS 1 material CNS kiss-and-run
30
Neuronal transmission C. Generation of an AP In CNS, single synaptic event usually not enough for an action potential alone ____ mV depolarization necessary to reach AP threshold in post synaptic cell - 0.5-1 mV each synaptic event Requires many ____ to release transmitter and sum together Effectiveness of summing dependent on ____ and ____ release occurs • Require multiple synaptic release events to reach AP ○ Depolarize by 20 mV to reach threshold ○ 0.5-1 mV per event
10-20 terminals where when
31
Neuronal transmission D. Presynaptic inhibition Inhibitory synapses can contact the presynaptic terminals thereby making it more difficult to excite the terminal and release neurotransmitter. ____ or ____ are the usual inhibitory neurotransmitters. Stimulation of these inhibitory pathways may have relatively ____ effects on the presynaptic membrane. ____ inhibition can also limit transmission of pain signals • Inhibit the presynaptic terminal prevent release of NT • GABA/glycine - inhibitory NT - influx of Cl • Modulation of pain ○ ____ - transmission of pain from first to second order neuron ○ ____ - reduces the release of substance P - inhibit the transmission of the pain signal
GABA glycine long-term presynaptic substance P enkephalin
32
Inhibition or excitation depends on ion channels opened in postsynaptic cell • ____ spreads to spike initiating - AP
depolarization
33
Neuronal transmission E. Spatial summation/ G. Temporal summation Temporal: Each postsynaptic depolarization lasts ____ msec. Arrival of another stimulus from same ____ neuron in this interval adds to the depolarization, may reach threshold Spatial: Stimuli from +1 presynaptic neurons in close ____ sum together If one input is excitatory and the other inhibitory, ____ each other out
15 presynaptic proximity cancel
34
Neuronal transmission E. Spatial summation/ G. Temporal summation • Graded EPSPs and IPSPs come in through ____, but “Go/No Go decision” on whether to fire made by voltage gated ____ channels at ____.
dendrites Na+ axon hillock
35
Neuronal transmission E. Spatial summation/ G. Temporal summation Remember that because graded potentials reduce amplitude with ____, proximity to ____ can alter influence. Here we begin to see how the distance can affect this. In the end, the further you are away from the axon initiating segment, the ____ influence you really will have on the membrane potential. Excitatory synapses can depolarize the dendrites quite a lot. But, it is a ____ transmission. So it will fade with distance. Inhibitory input closer to the ____ (spike initiating zone) is going to have a bigger affect. So you can modulate the impact that this release has by changing where it is and by changing whether or not you have the synapse getting closer to where you decide on that action potential. Because that dissipation of the signal will reduce the impact of the signals that come from farther away.
``` distance soma less graded axon initiating segment ```
36
Neuronal transmission F. Facilitation * For a limited time after the arrival of an action potential, the post synaptic nerve is ____: a given input will produce a larger post synaptic response * Facilitation depends on spike frequency – ____ msec * Facilitation is due to increases in local ____ levels in presynaptic terminal, more synaptic vesicles are released if second action potential arrives quickly, larger post synaptic response This will give you an enhanced post-synaptic response due to the ____ presence of calcium in the pre-synaptic cleft.
facilitated 10-20 Ca++ residual
37
Neuronal transmission H. Adaptation Change in ____ over time – code signal in ____ of action potentials Frequently seen in ____ receptors In rapidly adapting neuron, ____are signaled In slowly adapting neuron, response is more ____ (Remember, amplitude of action potential is all or none, but ____ is what changes) Slowly adapting: Sensation more ____ at start but present throughout stimuli * Changes in ____ or ____ are effective at detecting change * AP are all the same ____, but the frequency determines the coding
``` responsiveness frequency sensory on and off sustained or tonic ``` frequency acute vision movement magnitude
38
Neuronal transmission J. Synaptic efficacy Synaptic efficacy: efficiency of ____ between different neurons Changes in efficacy underlie ____and memory Efficacy altered by: ____ (alkalosis increases ____) hypoxia (decreases ____) anesthetics (usually ____ threshold and thus decrease ____) How big a change in the post synaptic membrane potential will release from a given synapse make – gain in the system In ____, all or none but in ____, more subtle * How big a change in the PSM will release from a given synapse will make * Not an all-or-none response… * Stimulating presynaptic neurons… you can determine which one is ____ than the other * Can quantify how far from ____ by seeing if it can form an AP…
``` coupling learning pH excitablity excitability increase excitability ``` NMJ CNS stronger soma
39
Neuronal transmission J. Synaptic fatigue Most neurons store enough neurotransmitter for ____ synaptic discharges. Over-excitation can lead to a depletion of ____ resulting in a loss of ____ Fatigue sources: loss of ____ loss of ____
``` 10,000 NT excitability neurotransmitters ionic gradients ```
40
What are these neurotransmitters whose binding enables synaptic transmission? • Depends on the ____ of fit… How ____ is the drug in the active site
tightness | stable
41
Neurotransmitter requirements 1. The neurotransmitter must be synthesized in the ____ and stored in the ____ 2. The neurotransmitter must be released from the ____ upon depolarization 3. Application of the neurotransmitter ____ (with a pipette) must generate the same response as stimulating the ____
``` neuron nerve terminal terminal exogenously presynaptic nerve ```
42
TABLE OF NEUROTRANSMITTERS LOOK AT THIS!
YA
43
Classes of Neurotransmitters 1. ____ 2. Amino acids 3. ____ 4. Opioid 5. ____
biogenic amines neuropeptides other
44
Classes of Neurotransmitters 1. Biogenic amines: a. ____: Dopamine (DA) - ____, motivation Epinephrine (Epi) (adrenaline) – ____ Norepinephrine (NE) – ____, attention b. ____: Acetylcholine (ACh) ____- muscle contraction CNS - ____ and ____ term memory c. ____: Serotonin (5HT) - ____, mood Histamine - sleep, ____ response, immune respons
catecholamines movement fight or flight stress cholinergic peripheral learning short indolamine anger sexual
45
Classes of Neurotransmitters 2. Amino acids: a. Excitatory: ____ and ____ Na+ entry depolarizes membrane Important for ____ and memory Too much glutamate - ____ b. Inhibitory: ____ and ____Cl- entry hyperpolarizes membrane Throughout CNS, recent evidence suggests signaling in ____ cells too. ____ and ____ are the most widely recognized excitatory and inhibitory neurotransmitters respectively
glutamate aspartate learning excitotoxic glycine GABA non-neural glutamate GABA
46
Receptor for glutamate in dental pulp The EM picture on the left (A), you can see ____ (Metabotropic glutamate receptor 5), there are axons (labeled by white arrow heads) here in the human coronal pulp. In the Schwann cell (area labeled S), there are electron dense product. In the cross section on the right (B)- you can see the ____ neurons and neurotransmitters (labels with *) next to a Schwann cell (labeled S). So you have these receptors and ____ signaling in your dental pulp.
mGluR5 unmyelinated glutamate
47
Classes of Neurotransmitters 3. Neuropeptides (Not inclusive) ____, somatostatin, neuropeptide Y, ____ Very ____neurotransmitters - diffusion to great ____ and still activate receptors at ____ concentrations Usually act at ____ ____ is important in pain transmission. • Act similarly to a hormone, and ____
substance P vasoactive interestinal polypeptide (VIP) potent distances low G-protein coupled receptors substance P large
48
NPY increases in dental pulp with carries In this picture of neuropeptide Y (NPY) in a dental pulp, you can see that the 1st pic (labeled A) is the control vs. the 2nd pic (labeled B) with carries. And you can see there is an increase in ____ staining (green) the pulp in the carries, with the ____ neuron marker, (so it is within the neurons). So again, you can see an increase in these ____ when you have a patient with a lot of carries.
NPY PGP-9.5 neurotransmitters
49
Classes of Neurotransmitters 4. Opioid or opiate peptides: ____, enkephalin ____ neurons and in neurons of the ____ ____ or ____ manner depending on the target neuron receptors. Opioids may also act ____ to alter the efficiency of the synaptic output. Enkephalin pathways are important in ____.
``` endorphin CNS GI tract excitatory inhibitatory presynaptically dental analgesia ```
50
Neuronal transmission D. Presynaptic inhibition Inhibitory synapses can contact the presynaptic terminals thereby making it more difficult to excite the terminal and release ____. ____ or ____ are the usual inhibitory neurotransmitters. Stimulation of these inhibitory pathways may have relatively ____ effects on the presynaptic membrane. Presynaptic inhibition can also limit transmission of ____ signals Presynaptic inhibition can limit ____
``` neurotransmitter GABA glycine long-term pain pain ```
51
Classes of Neurotransmitters 5. Other neurotransmitters: ____, cAMP, cGMP, ____ ATP increasingly recognized for its role in mediating ____ and ____ – general and in oral cavity. ATP released by damaged tissue to activate ____ receptors on ____ neuron ATP released at ____, acts on postsynaptic receptors, modulates release from ____ receptors. • Damaged cells release ATP, neurons have receptors, afferent neuron carries signal, and receptors in dorsal horn going to the thalamus… complex signaling network - because ATP was the first NT from a ____ sense
NO ATP pain inflammation ionotropic P2X afferent synapse presynaptic primitive
52
Summary 1. In the presynaptic neuron, the depolarization from the action potential opens voltage-gated Ca2+ channels which trigger fusion of synaptic vesicles to the membrane and release of transmitter 2. After crossing the synaptic cleft, neurotransmitters bind to ____ or ____ receptors to change the membrane potential of the postsynaptic membrane 3. The small change in potential following a synaptic event can be modified by ____ and ____ summation to reach ____ for action potential 4. A variety of neurotransmitters and their receptors enable complex signaling across the nervous system
``` ionotropic metabotropic spatial temporal threshold ```