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BDS2 - BAMS > Action Potential Mechanisms > Flashcards

Action Potential Mechanisms Flashcards

1
Q

what exists across the membrane of all cells

A

A potential difference exists across the membrane of all cells
resting membrane potential
in the range 20-90mV

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2
Q

is the ICF negative or positive with respect to the ECF

A

negative

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3
Q

what are the charges like in the ICF and the ECF

A

equal numbers of positive and negative charges in the ECF and ICF
ion / charge distribution is polarised

At the very membrane side - there are only negative charges around the inside and only positive charges around the outside
This is created (it is not natural)
= resting membrane potential
Just because it is called resting does not mean it happens without the involvement of energy

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4
Q

what is the composition of Na+, K+ and Cl- ions in the ECF and ICF

A

Ion ECF (mM) ICF (mM)
Na+ 145 15
K+ 4 150
Cl- 110 10

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5
Q

what are the diffusion gradients

A

Na wants into the cell
K wants out of the cell
= driving force

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6
Q

what is the diffusion potential

A

resting membrane is impermeable to Na+

resting membrane is very permeable to K+ (there is a channel that allows K to pass through - K helps to create the arrangement of the membrane potential)

diffusion of K+ leaves excess negative charge inside the cell
this potential gradient arising from diffusion is the resting membrane potential

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7
Q

what does the RMP arise from

A

The RMP arises from the separation of charges on either side of the membrane
the RMP is due mainly to the diffusion of K+ from cell interior through K+ channels

the small amount of Na+ that leaks into the cell is expelled from the Na+/K+ pump

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8
Q

what else causes the RMP apart from the diffusion of K+ from cell interior

A
  • the Na+/K+ pump contributes by exchanging unequal numbers of Na+ and K+
    the pump moves 3 Na+ outwards and 2 K+ inwards
    the Na+/K+ pump is electrogenic

Na enters the cell through diffusion but leaves the cell by active transport (the pump)

K leaves the cell through diffusion but returns to the cell by active transport (the pump)
ATP is converted to ADP

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9
Q

what is action potential

A

the process of bringing from the RMP to an inverted arrangement and back again

rising phase = Na influx - voltage gated Na channels

falling phase = K efflux - voltage gated K channels

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10
Q

what are ion channels

A
  • membrane proteins (also termed transmembrane protein), usually 4 domains
  • aqueous channel through membrane
  • gated opening
    > ligand
    > voltage (needs to reach a certain voltage before they will open or close)
  • ion selective / specific
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11
Q

what type of gated opening does Na+, K+ and Ca++ have?

A
  • Na+ = voltage gated
    > has more than 1 gate
    > m-gate and h-gate
  • K+ = voltage gated
  • Ca++ = ligand gated
    > something connects to the channel and causes it to open this way
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12
Q

explain voltage-gated sodium channel

A
  • when the channel is closed initially
    > m-gate is closed
    > h-gate open
  • channel opens
    > m-gate opens
    > h-gate open
    > there is an influx of Na
  • channel closed (refractory)
    > m-gate open
    > h-gate closes
    > happens once the action potential has over shot and the reverse now happens
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13
Q

explain voltage-gated potassium channel

A

just open gate opening and closing

  • channel close
  • channel open
    > potassium leaves the cell
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14
Q

how does action potential begin

A

a stimulus is applied and causes depolarisation
the membrane potential moves towards the threshold (-55mV)
> m gate closed
> h gate open
(assume RMP is -70mV)

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15
Q

what happens when the membrane potential reaches the threshold

A 
threshold = -55mV
> Na+ channels start opening
 (m gate opens)
> Na+ influx (enters the cell)
> more depolarisation and more channels are recruited to cause a greater level of depolarisation
> K+ channels remain closed
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16
Q

what happens when all the Na+ channels are open

A

there is maximum Na+ influx and the membrane protein over shoots 0mV
Na+ channel still open
K+ channel still closed

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17
Q

what happens when the membrane potential reaches +35mV

A

> Na+ channels shut - inactivation / h-gate closes
K+ channels open = efflux of K+ begins
the reverse of the process that has been happening occurs
- stops movement of Na
- starts movement of K
- start repolarising the cell

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18
Q

what happens during K+ efflux of AP

A

AP down stroke = recovery phase
Na channels shut = refractory period
K channels open and K efflux continues

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19
Q

what happens when the membrane potential returns to the resting level

A

kinda like everything resets
> ion channels return to resting state
> excitability restored

20
Q

what is a big factor in the refractory period

A

h-gate

21
Q

give a summary of action potential

A

• AP is all or none; amplitude is independent of stimulus

• At 'threshold'
○ As it reaches -55mV - triggered
○ Voltage-gated Na+ channels open
○ Na+ diffuse in; = further depolarisation
○ Positive feedback involved here

• ‘peak’
○ Na+ channels close; voltage gated K+ channels open;
○ K+ diffuse out = repolarisation

• Return to resting membrane potential

22
Q

where are the gates of the Na channels found

A

inside the cell
This is important because if we are going to block the sodium channel then it needs to be blocked from inside the channel
Important with LA

23
Q

what is the refractory period

A

After an AP is initiated, the neuron cannot generate another AP until the first one has ended
The period of inexcitability is called the refractory period
It is due to the inactivation of voltage-gated sodium channels
The inactivation (‘h’) gates are shut, and so Na+ cannot diffuse into the neuron

Action potentials cannot add together; they are all or none events
If we didn’t have the refractory period then the AP could move in one direction and then in another direction

24
Q

what are the consequences of the refractory period

A
  • Limits maximum firing frequency of action potentials in axons
  • Ensures unidirectional propagation of action potentials
  • Prevents summation of APs

• Prevents summation of contraction in cardiac muscle
The cardiac AP lasts as long as the ventricular contraction

25
Q

what is action potential propagation

A
  • An AP in one section of axon sets up longitudinal current flow
  • This depolarises adjacent ‘resting’ parts of the axon
  • The AP is regenerated further along the axon
  • More current flows, and the next region of axon is activated
  • Action potentials travel along the axon as waves of depolarisation (Have the AP crawling)
26
Q

why can the AP only crawl in one direction

A

due to the refractory period

27
Q

how does current flow in ECF and ICF

A

from positive to negative regions
this current flow alters the membrane potential in adjacent region and the AP creeps along the axon
in this way the AP travels along the length of the axon

28
Q

what increases the speed of AP propagation

A
  • large axon diameter
    > large axons conduct impulses more rapidly than small ones
    > rapid conduction is achieved only with very large axons
  • myelination (speeds up process of conduction)
29
Q

what do we need a fast process of conduction for and what doesn’t need a fast process of conduction

A

fast
> posture fine tuning

doesn’t need fast
> bowel movements

30
Q

why do myelinated axons use more energy

A

they have schwann cells that need to be fed and maintained as well as he axon themselves

31
Q

what does myelin consist of

A

many layers of cell membranes wrapped around the axon

32
Q

what lays down myelin

A

glial cells - Schwann cells

33
Q

what does myelin do

A

forms an insulating layer reducing leakage of current from axon

34
Q

what are the intervals interrupting the myelin sheath called and why are they needed

A

= nodes of ranvier
Need intervals so there is space so the AP can jump
They are where you have AP transmission
here the axon membrane is exposed to the ECF and ion flow can occur (allows for exchange of ions)

35
Q

does myelinated axons or non-myelinated axons have more channels and why

A

myelinated axons have more channels
the node of ranvier has a higher concentration of channels
need an efficient AP over the spaces

36
Q

what is saltatory conduction

A
  • In myelinated nerve, the passive currents spread further along the axon
  • There are fewer regeneration steps per unit length of axon
  • Thus, the AP propagates more rapidly than in unmyelinated axons
37
Q

explain how axons appear altogether and name the membranes that go around them

A

> axon - myelinated
then covered in a membrane of connective tissue (endoneurium)
axons are arranged in bunches and these groups are covered by a perineurium
there are blood vessels around the perineurium
the whole structure is covered by the epineurium

these membranes of connective tissue are made of lipid layers = structure with a high concentration of lipids

38
Q

how can the axons in the peripheral nerves be different from each other

A

• Size
○ Axon diameter
○ Conduction velocity

• Function
○ Sensory
○ Motor

39
Q

name axon types found in cutaneous nerves

A

a beta
a delta
c

40
Q

explain structure and function of a beta axons

A

myelinated

mechanoreceptors

41
Q

explain structure and function of a delta axons

A 
myelinated
mechanoreceptors
thermoreceptors (cold)
nociceptors
chemoreceptors (taste)
42
Q

explain structure and function of c fibre axons

A

unmyelinated
mechanoreceptors
thermoreceptors
nociceptors

associated with sharp pain and controlling blood vessels

43
Q

why should the dentist ask the patient questions after delivering LA

A

good technique

  • Time is important, want as much anaesthetic as possible to act as early as possible
    ○ This is done by recognising where the anaesthetic is at work
- Questions:
○ Can you feel your lip / tongue?
○ Have they movement of the tongue?
○ Can they feel the touch / light pressure?
○ Can they feel the cold?
  • Assess to see which receptors have been anaesthetised
    ○ Helps with knowing are the nociceptors and mechanoreceptors actually numb to be able to start the procedure
44
Q

what type are axons are more associated with ANS

A

non-myelinated axons

45
Q

what happens as an axon enters the tooth

A

some myelinated axons might become non-myelinated

inside the pulp there is not as many myelinated axons

myelination has an affect on how LA works

BDS2 - BAMS (18 decks)

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