8. Physiology of Somatosensation Flashcards

1
Q

Somatosensory System

____
Proprioception
____
Temperature

* Touch can mean many things
* Pain - \_\_\_\_
* Temperature is integrally related to \_\_\_\_; works in both directions
A

touch
pain
noxious
pain

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2
Q

Functions of the Somatosensory System
• ____ the organism.
• Innocuous sensations from innocuous stimuli- ____, ____.
• Noxious sensations from noxious stimuli- ____ conditions or ____insult that is either real or potential damage.

A
protect
thermal
tactile
internal
external
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3
Q

Somatosensory Receptors

Know this table, my boy!

* Proprioception can be both in \_\_\_\_ and \_\_\_\_
* A lot of overlap between \_\_\_\_ and \_\_\_\_
A

dynamic
static
nociceptors
thermoreceptors

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4
Q

Mechanoreceptors of the Skin

* Hairy and glabur skin (non-hairy)
* Glabur > \_\_\_\_, and soles of feet
* Lips - transition of epithelium (wet pink tissue) and dermis - \_\_\_\_ border
* Hairy skin > nerve that goes to hair root and wraps itself around it; sensitive to deflection of the hair; weight of mosquito on hair will make you aware that it's there (it's that \_\_\_\_)
* How do you figure out where the bug is that lands on you? Have to know \_\_\_\_, and \_\_\_\_ it is (map inside brain)
A
palms
vermillion
sensitive
sensation
where
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5
Q

• Receptors coding: superficial vs. deep
○ Important impact on sensitivity
○ Closer to surface > ____ their receptive field; it’s defined the same no matter where it is
§ The stimulation that acts on neuron that activates it
○ Spot that’s as small as spot on thumb, may be sufficient for it to excite the neuron (small receptive); comes from fact that they’re more sensitive bc they’re more ____
§ The deeper it is, the harder it is to get to > less sensitive; when it’s deeper it can be impacted by things going from further afield
• Fast adapting vs slow adapting
○ FA > in presence in cont stim, it responds at ____, but then eventually stops responding
○ SA > the opposite, initially responds when contacted, but in presence of ongoing stimulation, it does not ____ > enable you to know that’s something there without seeing it
• FAI > ____ corpuscles
○ ____ detector - particularly sensitive to on/off but not during - good ____ detector; feeling textures, “you’re not moving, but the world is”
○ Two ways to activate > you’re holding still, or the world is holding still and you’re moving
• SAI > ____ disc

A
smaller
superficial
beginning
adapt
meissner
change
vibration
merkel
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6
Q
  • Pacinian corpuscle > ____, large receptive field, ____, deep tissue ____ detector > hotspot of max sensitivity up to first joint of ____ and push hard, other areas will know it; ____ receptive field is a property of it being deep
    • Also in fingertips; all the way along the finger, if you press in one area, you can activate a neuron somewhere else
    • Rafini ending > ____, responds as long as it’s stimulated; good at tugging on the skin (sensitive to ____)
A
deep
FA
vibration
pinky
large
SA
stretch
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7
Q

Mechanoreceptors in the skin vary in the size and structure of their receptive fields

* Top: Type I; bottom: Type I; L SA, R FA
* \_\_\_\_ receptive fields for superficial, and \_\_\_\_ fields for deep ones
A

smaller

larger

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8
Q
  • Superficial have small RF, ____/lips/____ > most sensitive spots in whole body; tongue and lips are more sensitive than your ____ at detecting small sized bumps
    • Not nerve specific, more specific to the ____ of the area of the body; the more sensitive, the more ____ populated it is > more info processed
A
face
tongue
fingertips
region
densely
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9
Q
  • Top row: as it ramps on, the neuron responds, as continues to indent doesn’t ____ much, as lets go there’s another ____
    • Bottom row: responds ____ before stimulation, as long as you indent, never stops responding
A

adapt
response
spontaneously

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10
Q

Mechanoreceptors in the skin vary in their distribution and density

* Dots depict mechanoreceptors' density and distribution throughout the skin
* Superficial (left 2 on the figure): \_\_\_\_ and \_\_\_\_ are the more sensitive mechanoreceptors. Especially dense in the regions (e.g. tip of your \_\_\_\_) where sensitivity is important
* Deep (right 2 on the figure): \_\_\_\_ and \_\_\_\_ are more \_\_\_\_ distributed except at the tips.
* Ruffini's corpuscle makes \_\_\_\_ for sensitive superficial receptors.
* These receptors are more numerous on the \_\_\_\_ than the back of your hand
A
merkel's disk
meissner's corpuscle
fingers
ruffini's
pacinian corpuscles
evenly
room
palm
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11
Q

Two-point Discrimination

* 2 point discrimination > take two sharp pencils, and touch body simultaneously on body, and if you're touching with 1/2 > if they're far enough, you'll be able to say you're touching two pencils, when get close enough > cannot tell whether two or one > threshold
* More \_\_\_\_, the closer you can bring the pencils together and you can tell that there's two there
* Fingers have a low 2PD (2-3mm); \_\_\_\_ and \_\_\_\_, and everything else is insensitive
* \_\_\_\_ arm higher 2PD (4cm)
* Problem with 2PD > involves guess whether there are two/one guessing > \_\_\_\_ issue with the guessing
A
sensitive
face
toes
upper
statistical
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12
Q

Grading Orientation Thresholds

  • 2AFC procedure used to estimate the finest grating for which two orthogonal orientations of the ridges can be discriminated.
  • expressed in ____, the threshold grove width = ____ width.
  • ____ movement prohibited to assure that subject’s response reflects oriented, spatial modulation in the population of MRAs activated.
    • Plastic chip that has grooves sticking out of surface
    • Ask if the grid is ____ or ____ (2-alternative force test)
    • The ____ the ridge, the easier it is to accomplish
A

mm
ridge
lateral

horizontally
vertically
bigger

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13
Q

Letter Recognition Thresholds

  • tracking procedure used to estimate the ____ letters whose identity can be discerned.
  • ____ movement encouraged to maximize information obtained about letter identify.
  • 48 stimuli used: A, I, J, L, O, T, U, and W at heights 3, 4, 5, 6, 7, and 8 mm.
  • ____ male and ____ female subjects, each tested once.• Used for mapping sensitivities inside the mouth
    ○ People can “read” with their tongue, not just braille
    • Use only certain letters
    • ____mm tall letter > can easily figure it out
    ○ The smaller, the more difficult
A
shortest
lateral
10
10
10
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14
Q
  • ____ papillae and ____ makes the sensitivity
    • Dye tongue blue, and press plastic on top > the papillae are pink, the tissue in between stain dark
    • Two different people’s histological tongues over the same area (cm^2) are shown here . Notice that the tongue on the right has smaller but more numerous papillae, thus more ____ to stimuli because each papillae is innervated by a nerve.
    • Each papillae has ____, and they run up inside and loop around and come back down again > with low-mag can see the capillaries
A

fungiform
filliform
sensitive
capillary loops

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15
Q

• X-axis: density of ____ papillae (the larger the number, the more sensitive your tongue to mechanical stimuli)
• Y-axis: threshold height for letter recognition (the larger the number, less sensitive your tongue)
• For people with a lot of papillae, ____ threshold height
• Superimposed on top of this is the sensitivity to ____ compound
◦ Back from taste lecture, T2R38 responsible for detecting anti-thyroid drugs, PTC or PROP (some of us might have experienced bitter strips of small PTC papers - some people can taste them, some can’t depending on what alleles you have for the T2R38 receptors)
◦ If you have 2 copies of sensitive alleles from mom and dad, you’ll be very sensitive to ____; if you have 2 copies of insensitive alleles, not very sensitive to PTC.
◦ Trend observed from the graph above: the more sensitive they are to bitter compound, the more ____ they have per given area; this is an ____ (not a ____ relationship)

A
fungiform
low
bitter
PTC
papillae
association
causal
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16
Q

Proprioceptors
• Joint and capsule of joint tell you the ____ of the limb
• Muscle, when ____, tells you when the muscle is being shortened/lengthened
○ When using > shortening (gets fatter) and there’s nerves that get in and wrap around
• Receptors that go to tendons > ____ organs (tells you when there’s tension on ligament or organ) > ____ or ____ motion
○ Prosopagnocia
• Patellar tendon reflex > not an active movement, it’s a ____ movement
○ Leg reacts as if someone grabs on and pulls it back, you will resist

A
position
stretched
golgi tendon
active
passive

passive

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17
Q

PROPRIOCEPTORS
•Muscle spindles– specialized stretch receptors in muscle that provide information about muscle ____ and ____
•Golgi tendon organs– located at the junction between muscle and ____ that provide information about changes in muscle ____
•Joint receptors– located in joint capsules that provide information about joint ____ and limb ____
•Stereognosia

A
length
thickening
tendons
tension
movement
position
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18
Q

• As increase of weight, gravity pulls mug downward > feeling in ligament is ____ stretching > maintain the angle, so return back to lock on angle and increase tension in muscle

A

passive

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19
Q

Innocuous and Noxious Thermal Sensations

Body temperature = 36-37 deg C
• Past the ends of this scale we perceive as hot/cold and painful; inside the scale that’s shown here we perceive
as ____
• Historically, it was thought that we had cold and warm receptors in our body which get maximally stimulated at 2 specific temperatures (one below and one above our normal body temperature) as shown by the 2 peaks on this graph. As we fall away from these peaks either above or below it, these receptors get stimulated less.

But this can’t really be the case since we experience cool and warm as continuous range of variation; how do we account for that if activity falls off as we go to higher/lower temperatures (away from the peaks)? It turns out that we have dozens of receptors that are ____ stimulated at every ____ that cover this whole range. This yields a more accurate measure of what temperature we’re experiencing

A

innocuous
maximally
couple degrees

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20
Q

• What is sensitive to temperature? Molecular channel
• Free nerve endings > unmyelinated ____ fibers > responsible for noxious and thermal sensations
• Large family > M, C, V, etc, marker of ____ taste cells (polysystic), and ____
• Bite into red hot chili pepper > you feel warmth > not changing temp of mouth, but the receptors (____, V class, ____, normally for thermal sensation), and being changed by a chemical instead of thermal
○ ____ > looks like vanilla
○ Causes the illusion of ____ (bright red > thermally sensitive, and different ranges
• ____ > response to menthol > same mechanism as capsaicin for TRP channels, but here acting on cool channels
○ Causing the illusion of cold, feels cold even though temp isn’t changing
• This is all ionotropic!
• ____ > horse radish/wasabi/irritating compounds > no thermal sensation, just irritation and pain, associated with “extreme cold”

A
C
sour
TRPa1
vanillioid
TRPV1
capsaicinoids
heat
TRPM8
ANK (TRPa1)
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21
Q
  • Not a 7 TM, not GPCR; ____ channels!

* Sometimes have extra loops, EC as well, or huge IC loops > has to do with binding and what gates them open

A

ion

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22
Q

• ____ > normal threshold of anything over 43 (close to BT); maximum response is higher
• ____ > doesn’t start until 52 (near to threshold for pain)
• Switch from red to blue > ____ (below BT) > innocuous cooling (not painful)
• Circular > some of the TRP channels can be activated by extreme cold; low T > you can activate the red ones as well
○ When you refer to holding to ice > hand starts to burn (“ice-burn”) > gives rise to ____
• When you get extreme T > injure tissue > will actually burn it
• Bruise > sensitive to ____ (innocuous things become painful) > good thing > doesn’t want you to reinjure an injury
○ Radiotherapy > give fractionated a little bit of a time, transformation of tissue from reinjury that makes it difficult to heal
○ If you continue to burn > will have tough time to healing properly
• Neurogenic inflammation, neurons participating in pain (____ etc.) > acted upon > mere stimulation > tissue inflamed
○ Capsaicin > ____ > area will be raised inflamed and red > may eventually go away (but hot shower will make it red again)
• ____ can be driven by tissue damage, or it can go straight to activating receptors (even in absence of tissue damage > neurogenic inflammation)
• ____ > ion channel that is sens to horse radish
• Whole family of receptors from fruit flies > similar ion channel > offer fruit fly horse radish it won’t go near
○ Flies without receptor > painless > load it with horse radish they will still eat it, and they have some thermal differences
○ Everything we know about TRP comes from fruit fly

A
TRPV1
TRPV2
TRPM8
extreme pain
touch
TRPa1
lipophilic
inflammation
TRPa1
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23
Q

The dorsal root ganglion neuron is the sensory receptor in the somatosensory system

• Cell body for nerve endings is in periphery > \_\_\_\_ (not a nucleus)
	○ Dorsal root ganlgion
	○ Pacinian corpuscle, axon up into \_\_\_\_ column eventually, and will go to brain and the \_\_\_\_ is in DRG
A

ganglion
spinal
cell body

24
Q

• Spine has ____ nerve rootlets (ventral and dorsal, one pair for L one for R)

A

paired

25
Q

• Can map out nerve outlets > ____
• Face/eyes/nose, mouth > have nerve rootlets that take care of them, but they’re not spinal, they’re in the brain (still ____)
• Notice the ____ and how the ____ are innervated by different nerve rootlets.
◦ If you had a patient who came in with numb ____ and ____ finger, you wouldn’t suspect a nerve crush, because those two fingers are innervated by 2 different nerves. It must be caused by a factor higher up in the nervous system (e.g. ____ cortex).
◦ Same applies for the ____. These are even weirder since the big toe is ____in half

A
dermatomes
CNS
hands
fingers
middle
ring
sensory
toes
split
26
Q
  • Face by V; thee branches (opthalmic - bridge of ____ and upper eyelids, ____, max - lower eyelid, ____ and upper lip, and mandibular > front of ____chin and lower lip)
    • Injection into someone to work on lower jaw > lower lip goes number and ____ won’t
A

nose
forehead
ear
upper lip

27
Q

Sensory pathways
• Information crosses over > decussate (right brain processes left side, vice-versa)
• All senses > ____ pathway (olf also have direct projections to cortex)
• Proprioception and touch (dorsal input) > DRG > not until brainstem/medulla > first ____
○ Touch for heel (sacral), DRG off the sacral spine, dendrite from specialized nerve findings down into heel > sens goes up leg through body in DRG, up on same____ of spine, up to brainstem and synapse
§ One cell goes from bottom of foot to brainstem
○ Crossovers, decussates and go up the other side of brain via ____ pathway

* Pain/thermal > come up, synapse as soon as enters \_\_\_\_  column > decussates immediately > up spine on \_\_\_\_  side
* Weird phenomena > car accident > lumbar hemicrush on spine (left side crushed) > examples!
* Temp sensation and pain sensations go hand in hand
A

thalamo-cortico
synapse
side
thalamo-cortico

spinal
contralateral

28
Q

Neural Coding of Skin Sensations

• \_\_\_\_ fiber responsible for all thermal sensation and all pain sensations (small, unmyelinated); require a lot of \_\_\_\_
• Int fibers > \_\_\_\_ > myelinated or unmyelinated
• Large fibers > touch > \_\_\_\_ > very fast, use a lot of \_\_\_\_ and they're myelinated > saltatory conduction bt nodes of ranvier
• Gate theory of pain > somatosensation can have impact on \_\_\_\_ sensation
	○ When we smash our shin against our bed, why do we rub the area? We're stimulating tactile fibers (\_\_\_\_).
	○ Brain has a gate - when activated, \_\_\_\_ and \_\_\_\_ fibers get inhibited.
A

C
adelta
abeta
energy

pain

abeta

c fibers
a-delta

29
Q

Neural Integration

  1. Spatial summation
  2. Temporal summation

• ____ summation: e.g. if we were to stimulate an area on our body with a beam of light, we’ll find it warm. Not changing the intensity/power of the light, when we shine the light over a dime-sized area, we’ll feel it as being
“warmer” than when it’s shined over a dollar bill sized area because we’re integrating over a larger area.

• ____ summation: e.g. if we were to stimulate a designated area on our body with a beam of light for 2 seconds vs. .5 seconds, 2 seconds will feel warmer. This is integrating over ____.

• These two systems give us a good sensitivity to stimuli, but there’s also a tradeoff. The more spatial integration you have, the less the ____ you have. As you integrate information over a larger area, it becomes more difficult to resolve what’s going on.
◦ e.g. take the light example again - blindfold a subject. They can feel the warmth of the light, but will not be able to localize the source of light.

A

spatial
temporal
time

spatial resolution

30
Q

Organizing Principles of Somatosensory Systems

  1. Certain somatosensory modalities are grouped into the same pathways.
    • ____ and proprioception
    • ____ and temperature
  2. The ____ deals with the contralateral world, so all pathways will cross (decussate).
  3. Information from the body is processed separately from information from the ____.
  4. All sensory information must synapse in the ____.
A
touch
pain
cortex
face
thalamus
31
Q

There are 3 main pathways that carry somatosensory information

  1. Dorsal column/medial lemniscus pathway
    • Carries information about discriminative ____, pressure, vibration and ____ from the ____
  2. Anterolateral Column/Spinothalamic pathway
    • Carries information about crude touch, pain, and ____ from the ____
  3. Trigeminal system
    • Carries information about touch, proprioception, pain and temperature from the ____ and ____
A

touch
propcrioception
body

temperature
body

face
oral cavity

32
Q

• This is the trigeminal pathway that follows the same principals for the rest of the body.
• Red line: touch and proprioception
◦ DRG input travels up the spinal cord and into ____ for its first synapse where decussation occurs and continues to the ____ pathway.

• Blue line: pain and temperature
◦ first synapse happens as soon as the fiber enters the ____ cord and decussation immediately occurs at the level of entry to ____ travel up to the ____ pathway.

A

medulla
thalamocortical

spinal
contralaterally
thalamocortical

33
Q

Dorsal Column/Medial Lemniscus Pathway Conveys:

  1. Touch with ____
  2. Touch gradations of intensity
  3. ____ or varying input
  4. Movement over skin
  5. Joint ____
  6. Light pressure

Carried on large ____ fibers - high energy

A

localization
vibration
propriosensation
A-beta myelinated

34
Q

DCML Pathway

• As fibers come in from the legs (lower down) and arms (higher up), they go up the spinal column in the order they come into the spinal column. They synapse at the ____ and decussates to go up through the midbrain and into the thalamic relay where they synapse to go into the cortex. Notice that the leg synapses on to the ____ side of the cortex; arms in the ____ side.

A

medulla
medial
lateral

35
Q

Mechanosensitive Pathways in the Spinal Cord

• The reflex arc is shown in yellow.
• sensory = dorsal; motor coming out ventral
• Then goes up (not yet synapsing anywhere) ____ in a nucleus in the spinal column into the dorsal column
(gracile fasciculus which is shown on the next slide)

A

ipsilaterally

36
Q

• As new info comes in, built on top of the old information. So leg (old info) is situated in the ____while the arm (new info) is built laterally in the ____.

A

gracile fasculus

cuneate fasciulus

37
Q

• You have a map inside the body. As you get up into the brainstem, gracile and cuneate nuclei (long columns inside the CNS) have synapses occurring as they ____.

A

decussate

38
Q

• VPL: ventroposterior lateral portion of the ____! ____ pathway synapses in this specific portion of the thalamus before moving on to the somatic sensory cortex.

A

thalamus

dorsal column/medial lemniscus

39
Q

Spinothalamic Pathway (Anterolateral) Conveys:

  1. ____
  2. Thermal sensation (cold and warm)
  3. Touch difficult to ____
  4. Deep Pressure
  5. ____
  6. Itch

Carried on small ____ fibers and ____ fibers

A

pain
localize
tickle

A-delta myelinated
unmyelinated C

40
Q

S/A Pathway

• Again being carried in smaller, unmyelinated fibers - pain, itch, and temperature fibers synapse as soon as it enters the ____ and decussates to run up the spine and brainstem ____.

• In somatosensory cortex, there’s a map of a distorted body.
◦ On parts of the body where there are a lot more neurons, much more brain is devoted to processing those regions. ____, face, lips, teeth, gums, tongue, and inside of your mouth takes up about ____ the space in the somatosensory cortex.

A

spinal cord
contralaterally
fingertips
2/3

41
Q

Trigeminal System

  • Remember this is not spinal, this is the brain. But the same principals from what we saw in the spine apply for the trigeminal system.
  • ____ and ____ information is bundled together. ____ and ____ is bundled together. Touch and proprioception synapse ____ (higher up in the brain) than do pain and temperature bundles.
A
touch
proprioception
pain
temperature
later
42
Q

The trigeminal system has 2 main components that carry somatosensory information about the face.

____– discriminative touch and proprioception

____– crude touch, pain and temperature

A

main sensory/principal nucleus of V

spinal nucleus of V

43
Q
  • Yellow: where the ____ enters
  • Red: Pain runs along the ____
  • Green: ____ carries touch and proprioception
A

trigeminal nerve
spinal nucleus
principal nucleus

44
Q

Trigeminal system
• Principal nucleus > ____ from face > runs ____ and doesn’t decussate until thalamus > ____ region of somatosenosry
• Pain association > long sausage of V > crosses immediately > ____ > cortex
• Principles for toes/fingers are the same for the face!

A

touch/proprio
ipsilateral
facial
thalamus

45
Q

Somatopic Organization in the Human Primary Somatosensory Cortex

• Face/mouth/fingers > where the neurons are, most \_\_\_\_ populated
• Generated by Wilder Penfield > tries to identify \_\_\_\_ began in peoples heads
	○ Helped epiletics
A

densely

grand mal seizures

46
Q

Examples of Nociceptive Sensations and Reflexes

\_\_\_\_
Coughing 
\_\_\_\_ 
Sneezing 
\_\_\_\_
Scratching 
\_\_\_\_
Itch 
\_\_\_\_
Numbing
A
pain
warmth
burn
cooling
tingle
47
Q

Function of the Somatosensory System
• ____ the organism.
• ____ sensations from innocuous stimuli- thermal, tactile.
• ____ sensations from noxious stimuli- internal conditions or external insult that is either real or potential damage.

A

protect
innocuous
noxious

48
Q

• Let’s briefly revisit neurogenic inflammation here. As we activate one of these neurons, the neuron can trigger ____ to degranulate (filled with inflammatory soup) and open up ____ (dilate and become leaky).

A

mast cells

capillaries

49
Q

Mechanisms of sensory irritation

• Neuron can trigger a couple responses > \_\_\_\_ to degranualte > inflam soup > tissue becomes inflamed
• They then (where capillaries are) oopen them up (\_\_\_\_) > leaks out and contirbutes to \_\_\_\_ of tissue > flare
	○ Triggered by neurons \_\_\_\_ (tissue damage/neuorgenic information)
A

mast cells
extravasate
redness/swelling
activation

50
Q

Slow and Fast Pain

  • Fast pain is asociated with sharp, pricking, stinging sensations and is carried on ____ fibers which are ____ on the skin.
  • Slow pain is associated with dull ache, throbbing, chronic pain and is caried on ____ that tend to be ____ in the tissue.
A

myelinated A-delta fibers
superficial
nociceptive C-fibers
deeper

51
Q

Three general categories of painful stimuli:
• ____
• Thermal.
• ____ – including both exogenous (____) and endogenous compounds such as acids, ____, serotonin, histamine, ____ enzymes, prostaglandins, ____, and others

A
mechanical
cheical
chilis
bradykinin
proteolytic
acetylcholine
52
Q

Coding
• Labeled line or specific nerve energies
• ____ pattern theory

A

cross-fiber

53
Q

Neural Coding in Somatosensation

  • ____ nociceptors
  • thermal nociceptors
  • ____-nociceptors

TOP THREE ARE ____

  • ____ receptors
  • cold receptors
  • ____ receptors

ABOVE THREE ARE ____

A

polymodal
mechano
pain

tactile
warm
innocuous touch, cooling, and heat

54
Q

Specific ion channels are sensitive to different stimuli

WARM/HOT
____ responds to heat, capsaicin and acidic pH. 41°C threshold.

____ 53° C threshold ____ 39- >50° C
____ 30-42° C

COOL/COLD
____ responds to menthol and 25° C
____ also responds to menthol, eugenol, cinnamic acid and below 20° C; co-expressed with TRPV1 ____% of the time.

A

TRPV1 (VR1)
TRPV2
TRPV3
TRPV4

TRPM8
TRPA1
50

55
Q
Endogenous Pain Killers
\_\_\_\_
\_\_\_\_
These play very important roles in reward and motivational systems as well: \_\_\_\_,
Sex,
\_\_\_\_
Thermoregulation.
A

endorphins
enkephalins
feeding
sleep/wake

56
Q

Thermal, Nociceptive and Mechanical Cross-Fiber Coding

  • Painful Heat is carried by ____ fibers and ____ sensitive nociceptors. •Synthetic Heat involves both ____ and ____ fibers.
  • Cool fibers can inhibit ____ fibers.
  • ____ can inhibit cold-induced nociception.
  • ____ can inhibit itch and pain in general – rubbing injury.
  • ____ can inhibit itch and pain in general also.
  • There are individual fibers that are mechanical, thermal and nociceptive sensitive. Very sensitive to change in input.
  • Cold fibers have ____ sensitivity ranges 20-25° C and above 50 ° C
  • Some mechanoreceptors are thermally sensitized by ____ – ____ illusion: cold objects feel ____ than warm objects.

Functional Interpretations:
Defending body temperature to mild cooling globally
Identifying and sensing cold objects.

A
warm
heat
cool
warm
warm
touch
touch
cooling
bimodal
cooling
weber's
heavier
57
Q

Warm + Cool = Painful

• Each one is innocuous > it will feel like intense pain tho > \_\_\_\_
	○ The only time to experience (something can't be both cold and warm)
	○ \_\_\_\_ and \_\_\_\_ are activated at same time > only way to interpret is tissue damage and something is wrong
• \_\_\_\_ and \_\_\_\_ go hand in hand
A
cross-fiber coding
TRPM
TRPV
thermal
pain