6. Excitable Cells: Neural Communication Flashcards
What are the two main nervous systems?
- Central nervous system
- Peripheral nervous system
What structures make up the CNS?
- Brain
- Spinal cord
What structures make up the PNS?
All neuronal elements outside the brain and sponal cord:
- Cranial and spinal nerves -> Made of sensory and motor nerves
- Associated ganglia
- Supporting cells (e.g. Schwann cells)
Are sensory peripheral nerves divided into autonomic/somatic, parasympathetic/sympathetic, etc.?
They are sometimes divided into somatic and visceral afferent fibres, but CHECK THIS.
Draw a diagram to show the divisions of the nervous system.
What is the embryological origin of the central and peripheral nervous systems?
- CNS -> Neural tube
- PNS -> Neural crest
Describe the process by which peripheral nervous system cells develop (in terms of embryology).
They undergo:
- Specification
- Migration
- Differentiation
- Functional specification
What are the two divisions of the sensory division of the nervous system?
- Somatic sensory
- Consciously perceived
- Touch, pain, hearing, etc.
- Visceral sensory
- Not consciously perceived
- Stretch, chemical changes, taste, etc.
What are the two types of peripheral neurons?
Draw the structure of a reflex arc.
What are ganglia?
Egg-shaped structures containing cell bodies of neurons and glial cells supported by connective tissue.
i.e. It is where the cell bodies of neurons are.
What are unipolar, bipolar and multipolar neurons? Where is each found?
This essentially refers to the number of processes (e.g. axons) that come out of the cell body:
- Unipolar -> Sensory neurons with cell bodies in spinal and cranial nerve ganglia.
- Bipolar neurons -> Relatively rare. They are sensory neurons found in olfactory epithelium, the retina of the eye, and ganglia of the vestibulocochlear nerve.
- Multipolar neurons -> Most common. They are located in the central nervous system (brain and spinal cord) and in autonomic ganglia.
Where do sensory neurons have ganglia?
Near the spinal cord -> These are called DORSAL ROOT GANGLIA
What is found in dorsal root ganglia?
The cell bodies of sensory neurons.
Where do sensory neurons usually terminate?
At interneurons of the CNS.
What are some different categories of sensory neuron receptors?
- Thermoreceptors – Respond to changes in temperature
- Photoreceptors – React to light
- Chemoreceptors – Respond to chemicals
- Mechanoceptors – Respond to pressure, touch vibrations
- Nociceptors – Respond to pain
Where are sensory receptors found?
They are found at the ends of sensory neurons.
Give some examples of sensory nerve endings and what they detect. [IMPORTANT]
- Meissner corpuscle -> Fine touch
- Merkel disc -> Touch
- Pacinian corpuscle -> Coarse touch, Pressure, Vibration
- Free nerve endings -> Heat, Pain
- Ruffini endings -> Stretch
Remember:
- Meissner sounds smooth so it detects smooth touch, while Merkel sounds rough so it detects coarser touch
- ViP STaR = Vibration is detected by Pacinian corpuscles, while Stretch and Temperature are detected by Ruffini endings
- Free nerve endings detect heat and pain
What stimulus do Meissner corpuscles detect?
Fine touch
What stimulus do Pacinian corpuscles detect?
Coarse touch, Vibration, Pressure
What stimulus do free nerve endings detect?
Pain, Heat, Touch
What stimulus do Ruffini’s corpuscles detect?
Stretch
What stimulus do Merkel’s disks detect?
Touch
Draw the positions and appearance of different sensory nerve endings near the skin.
Remember: The two M’s are in the epidermis along with the free nerve endings, while the rest are in the dermis.
What is this?
Pacinian corpuscle
What is this?
Meissner’s corpuscle
Compare the motor neurons of somatic and autonomic nervous systems.
Somatic motor neurons:
- Single neuron network
- Monosynaptic
Autonomic motor neurons:
- Two neuron network
- Disynaptic
Compare the neurotransmitters that the somatic, parasympathetic and sympathetic nervous systems use.
- Somatic -> Acetylcholine
- Parasympathetic -> Acetylcholine (at both synapses)
- Sympathetic -> Acetylcholine (at ganglion) + Noradrenaline (at effector)
Name the different types of ganglia that the spec mentions. What is found in each?
- Dorsal root ganglia (where sensory neuron cell bodies are)
- Sympathetic (where postganglionic neuron cell bodies are)
- Parasympathetic (where postganglionic neuron cell bodies are)
- Enteric (where postganglionic neuron cell bodies are)
What parts of the body do the sympathetic, parasympathetic and enteric nervous systems provide motor supply to?
Sympathetic:
- Muscles
- Viscera
- Cardiac and smooth muscle
Parasympathetic:
- Viscera
- Cardiac and smooth muscle
- No musculo-skeletal supply
Enteric:
- Intrinsic nervous system of gut
What is the pre-ganglionic neurotransmitter?
Acetylcholine
Compare the general positions of ganglia in the somatic, parasympathetic and sympathetic nervous systems.
- Somatic -> No ganglia
- Parasympathetic -> Usually within (or near to) effector organs
- Sympathetic -> Usually within discrete ganglia closer to the spinal cord (e.g. paravertebral ganglia)
At what spinal levels do sympathetic and parasympathetic nerves arise from?
- Parasympathetic -> Craniosacral
- Sympathetic -> Tharcolumbar
Remember: PSP
Describe the different sympathetic ganglia. [IMPORTANT]
Paravertebral ganglia:
- Two paravertebral ganglia run either side of the spinal cord -> Supply multiple organs
- At the top of these are cervical ganglia -> Supply the head and thorax (heart and lungs)
Prevertebral (i.e. between the paravertebral ganglia and the target organs):
- Coeliac ganglia -> Supply foregut
- Superior mesenteric ganglia -> Supply midgut
- Inferior mesenteric ganglia -> Supply pelvic organs
What are the pre-ganglionic nerves that supply the coeliac, superior mesenteric and inferior mesenteric ganglia (sympathetic)? What body parts do these supply?
- Coeliac ganglion -> Greater splanchnic nerve
- Supplies the foregut
- Superior mesenteric -> Lesser splanchnic nerve
- Supplies the midgut
- Inferior mesenteric -> Least splanchnic nerves
- Supplies the pelvic organs
What are the different cervical ganglia and what do they supply? Is this sympathetic or parasympathetic?
- Superior cervical ganglion -> Head
- Middle cervical and stellate ganglia -> Heart and lungs
This is sympathetic.
What do the sympathetic paravertebral chains allow?
They allow nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated.
Where do the cervical ganglia receive nerve fibres from?
They receive fibres from the paravertebral chain, since no nerve roots come from the cervical region.
What exact fibres modulate the enteric nervous system?
- Pre-ganglionic parasympathetic fibres
- Vagus nerve
- Sacral fibres
- Post-ganglionic sympathetic fibres
- From prevertebral ganglia
What do sacral parasympathetic fibres supply?
Meissner’s and Auerbach’s plexus (enteric nervous system), as well as the lower gut and urogenital tract.
Draw the structure of the enteric nervous system.
What is the role of the enteric nervous system?
Coordinates the activities of the gut
What are the three types of neuron in the plexuses of the gut wall?
- Sensory
- Motor
- Secretomotor -> Induce a gland to secrete a substance
Describe the formation of the autonomic nervous system.
- The peripheral nervous system is derived from the neural crest, which forms when the neural tube closes.
- These then undergo migration and the time of migration determines the fate of the cells:
- First cells -> Form the enteric nervous system.
- Next -> Crest cells migrate through the somites to form the segmental paravertebral ganglia (sympathetic)
- Finally -> Parasympathetic ganglia and prevertebral sympathetic ganglia form.
- Pre-ganglionic fibres of the autonomic nervous system are CNS neurons that lie in the intermediate part of the spinal cord and are patterned by Shh signals from the notochord.
Why are the paravertebral chain ganglia arranged segmentally?
- The neural crest migrates through the cranial half of each somite and forms the segmental sympathetic chain ganglia.
- The caudal half of each somite contains inhibitory molecules that prevent neural crest migration.
How is the enteric nervous system formed?
Neural crest cells arise from the cervical levels, invade the gut and then colonise the entire gut in a caudal direction.
What is Hirschprung’s disease, what causes it and what are the symptoms?
- Caused by failure of neural crest cells to invade (or survive in) the gut wall
- This means that the enteric nervous system doesn’t develop fully
- The symptoms include constipation and megacolon (swelling of the colon and lack of peristaltic movement)
What are the three points where pre-ganglionic nerve fibres terminate in the sympathetic nervous system?
- Some terminate in the ganglia
- Some reach the paravertebral ganglia, go up or down the chain, and then terminate at a different spinal level
- Some pass to pre-vertebral/midline ganglia via the splanchnic nerves (without synapsing at the paravertebral chain)
What are midline ganglia?
They are pre-vertebral ganglia (sympathetic). [CHECK THIS - DOES IT ACTUALLY MEAN PARAVERTEBRAL?]
What does the sympathetic and parasympathetic supply to the head come from?
- Sympathetic -> From the superior cervical ganglion (at the top of the paravertebral chain)
- Parasympathetic -> Cranial nerves
Are cranial nevres parasympathetic or sympathetic?
Parasympathetic
What are the four cranial nerves you need to know about and what number are they?
- III - Occulomotor
- XII - Facial
- IX - Glossopharyngeal
- X - Vagus
Which cranial nerve is the occulomotor nerve and what does it supply?
- III
- Supplies the iris of the eye (via the ciliary ganglion)
Which cranial nerve is the facial nerve and what does it supply?
- VII
- Supply lacrimal glands and nasal mucosa (via the pterygopalatine ganglion)
- Supply salivary glands (via submandibular ganglion )
Which cranial nerve is the glossopharyngeal nerve and what does it supply?
- IX
- Supplies parotid salivary gland (via the otic ganglion)
Which cranial nerve is the vagus nerve and what does it supply?
- X
- Supplies the organs of the thorax and abdomen
Describe how peristalsis happens.
- Food in gut causes mechanical release of serotonin
- This stimulates cells in the submucosal plexus which in turn stimulate the myenteric plexus
- This causes peristalsis to happen
Compare the structures at the effector-end of somatic and autonomic motor neurons.
- Somatic motor neurons end in a synapse (motor end-plate)
- Autonomic nerves end in varicosities, which are a series of enlargements where neurotransmitter is released onto the effector
What is the exception to the rule that sympathetic post-ganglionic nerves use noradrenaline?
Sweat glands receive cholinergic control.
Describe how the adrenal gland relates to the sympathetic nervous system.
It is stimulated by pre-ganglionic fibres (by ACh release) to release catecholamines into the blood.
Which nerve innverates the adrenal gland?
Greater splanchnic
How are cardiovascular effects of the sympathetic system coordinated?
By CNS control centres.
What is Horner’s syndrome and what are the symptoms?
- Caused by lesions of the superior cervical ganglion (that supplies the head)
- Symptoms:
- Permanent constriction of the pupil
- Drooping eyelid (ptosis)
- A dry face and flushed face
How can excessive sweating (hyperhidrosis) be treated?
- Sympathetic chain can be cut to prevent sympathetic stimulation
OR
- Region injected with Botulinum toxin.
Is crying a sympathetic or parasympathetic action?
Parasympathetic
For the heart, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Increased heart rate -> Beta 1 (and beta 2)
- Increased force of contraction -> Beta 1 (and beta 2)
- Increased conduction velocity
Parasympathetic:
- Decreased heart rate
- Decreased force of contraction
- Decreased conduction velocity
For arteries, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Constriction mostly (alpha 1)
- Dilation of some (beta 2)
Parasympathetic:
- Dilation
For veins, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Constriction mostly (alpha 1)
- Dilation of some (beta 2)
Parasympathetic: None
For lungs, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Bronchial muscle relaxation (beta 2)
Parasympathetic:
- Bronchial muscle constriction
- Increased bronchial gland secretions
For the GI tract, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Decreased motility (beta 2)
- Constriction of sphincters (alpha)
Parasympathetic:
- Increased motility
For the liver, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Glycogenolysis (beta 2 and alpha)
- Gluconeogenesis (beta 2 and alpha)
- Lipolysis (beta 2 and alpha)
Parasympathetic:
- Glycogen synthesis
For the kidney, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Renin secretion (beta 2)
Parasympathetic: None
For the bladder, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Detrusor relaxation (beta 2)
- Contraction of sphincter (alpha)
Parasympathetic: None
For the uterus, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Contraction of pregnant uterus (alpha)
- Relaxation of pregnant and non-pregnant uterus (beta 2)
Parasympathetic: None
For the eye, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Dilates pupil (alpha)
Parasympathetic:
- Constricts pupil
- Increased lacrimal gland secretions
For the salivary glands, what is the effect of sympathetic and parasympathetic stimulation? What receptors does the sympathetic nervous system act on?
Sympathetic:
- Viscous salivary secretions (alpha)
Parasympathetic:
- Watery salivary secretions
What are the major parts of a neuron?
- Cell body
- Axon
- Dendrites
What is the difference between axons and dendrites?
- Axon
- Long process stretching from cell body
- Responsible for transmitting signals from cell body
- Dendrites
- Short cell processes
- Increase surface area for connecting with other axons and transmit signals to cell body
Remember: Axons Away
Describe the structural appearance of neuron cell bodies.
- Large nucleus
- Finely dispersed chromatin (indicative of a rich synthetic activity)
- Abundant rough endoplasmic reticulum (RER) with ribosomes
What are these purple structures?
Nissi bodies -> They are the cell bodies of neurons after they have been stained purple with basic dye.
What are axons specialised for?
Transmission of information away from the cell body.
What is the diameter and length of axons?
- Microscopic in diameter (1μm – 1 mm)
- Some may extend a meter or even longer
What are dendritic spines?
Plastic structures in dendrites that are implicated in motivation, learning and memory.
Describe the two types of polarity of neurons.
- Structural
- One domain specialised to receive incoming signals and the other for sending signals
- Functional
- Unidirectional impulse propagation
What are the three types of cytoskeleton element in neurons and what does each do?
- Microtubulules -> Transport
- Neurofilaments (a type of intermediate filament) -> Maintain axonal structure
- Microfilaments -> Allow changes in cell shape and act as scaffold for signal transduction systems
What molecules make up microfilaments in neurons?
Actin
What molecules make up microtubules in neurons?
Tubulin
What maintains neuronal polarity?
Bidirectional transport along the axon, using microtubules as skeletal tracks.
What are the two directions of transport in neurons?
- Anterograde -> Towards the tip of axons
- Retrograde -> Back from the tip of axons
What mechanochemical enzymes allow anterograde and retrograde transport along axons?
- Anterograde (towards the tip of axons) -> Kinesin
- Retrograde (back from the tip of axons) -> Dynein
What things are transported in a anterograde and retrograde direction along axons?
- Anterograde:
- Organelles
- Growth factors
- Neurotransmitters
- Retrograde:
- Endocytosis products to endosomes in cell body
What cells myelinate axons in the PNS and CNS?
- PNS -> Schwann cells
- CNS -> Oligodendrocytes
Describe how myelination of an axon by a Schwann cell occurs.
- Numerous layers of a Schawnn cell are wrapped around an axon
- Each turn forms a lamella of myelin
What is a mesaxon?
A pair of parallel plasma membranes of a Schwann cell, marking the point of edge-to-edge contact by the Schwann cell encircling the axon.
i.e. It is the point where the layers of a Schawann cell wrapped around an axon touch.
Do non-myelinated axons associate with Schwann cells?
Yes, they bury themselves in their cytoplasm (although the Schwann cells do not wrap around the axon like in myelinated axons).
What do oligodendrocytes do?
- Wrap myelin around several axons at once
- Found in the CNS
What are some functions of myelin?
- Provides support
- Facilitates fast axonal conduction
- Insulation
- Reduction of electrical capacitance for axons
What are the gaps between Schwann cells on an axon called?
Nodes of Ranvier
What is myelin made of?
- Phospholipids (70%)
- Proteins (30%)
What are 3 protein-encoding genes that are involved in myelin production?
- Protein zero (P0)
- Myelin basic protein (MBP)
- Proteolipid protein (PLP)
How do autoimmune diseases affect the nervous system and what are the symptoms?
- Caused by antibodies to glycosphingolipids
- Usually triggered by an acute infectious process
- Myelin regeneration occurs but there may also be axon damage
- Many patients become completely paralyzed and unable to breathe, 5% die from respiratory paralysis
An example is Guillain-Barre syndrome.
Do peripheral nerves contain just one axon?
No, they can contain very many.
How are neurons arranged in nerves?
Each nerve trunk contains:
- Bundles (fascicles) of fibres consisting of axons and Schwann cells
- Support cells and blood vessels
What are the 3 support tissues in nerves?
- Epineurium
- Perineurium
- Endoneurium
What do each of the epineurium, perineurium and endoneurium do?
- Epineurium
- Outer sheath binds individual nerve fascicles into a nerve trunk
- Perineurium
- Surrounds fasicles (bundles of axons)
- Endoneurium
- Surrounds axons and Schwann cells
What are the epineurium and endoneurium made of?
- Epineurium -> Type I collagen and fibroblasts
- Endoneurium -> Longitudinally orientated Type III collagen, fibroblasts and capillaries
What are the arrows pointing to?
Axons
In spinal nerves, are the dorsal and ventral roots sensory or motor?
- Dorsal is sensory (you can remember this because only sensory neurons synapse in the dorsal root ganglia)
- Ventral is motor