Midterm 2 Flashcards
what are the types of neuroglia?
- astrocytes - form BBB
- microglia - immune function
- ependymal cells
- oligodendria (CNS)
- Schwann cells (PNS)
- satellite cells
how do neuroglia differ from neurons?
- do not form synapses
- have only one type of projection
- are able to divide (glial cell precursors can differentiate)
- less electrically excitable
what does the peripheral nervous system consist of?
- sensory afferents
- somatic motor efferents (skeletal)
- autonomic efferents (cardiac, smooth)
what is grey matter? what is white matter?
- grey: inner part of spinal cord, contains neuronal cell bodies and dendrites
- white: outer part of spinal cord, contains axons of descending and ascending fibres
what is the dorsal column medial leminiscus?
- ascending tract (sensory)
- carries sensory input on fine touch, vibration, and proprioception ot the brain
- located on dorsal side of SC
- sacral, lumbar, thoracic, cervical (medial to lateral)
what is the spinothalamic pathway?
- ascending tract (sensory)
- carries sensory input on temperature, crude touch, and pain to the brain
- divided into lateral (from medial to lateral: cervical -> sacral) and anterior
what are the corticospinal tracts?
- descending pathways (motor)
- carry motor signals from the brain to the skeletal muscles to control movement
- pyramidal and extrapyramidal
- pyramidal divided into lateral (from medial to lateral: cervical -> sacral) and anterior
what are the functions of the CNS?
- gather and integrate info from PNS
- process and perceive info from PNS
- organize reflex and autonomic responses
- planning and executing voluntary movements
- higher functions like cognition, learning, and memory
what is the function of the cerebrum?
performs high-order functions, composed of specialized lobes where integration is devoted
what does the frontal lobe do?
control skeletal (voluntary) muscle movements
- coordinates information from other association areas
- controls some behaviours (PFC)
what does the temporal lobe do?
contains auditory cortex + auditory association area
- hearing
what does the occipital lobe do?
contains visual cortex + visual association area
- vision
what does the parietal lobe do?
contains primary somatosensory cortex + sensory association area
- sensory information from skin, musculoskeletal system, viscera, and taste buds
what is the purpose of association areas?
neural pathways extend from sensory areas to association areas, which integrate stimuli into perception (input goes to primary cortices, interpreted in association areas)
what is BA1-3? what is BA4?
- BA1-3 = sensory cortex
- BA4 = motor cortex
how is the cerebral cortex organized?
6-layered architecture
- superficial layers have connections with other cortical areas
- intermediate layers receive input from subcortical areas
- deep layers project to subcortical areas
- thickness of each layer varies around the cortex
what are cortical columns?
6-layered functional networks
- make up the basic processing module for the cortex
- different functions for each layer (ex. input vs output)
- size of each layer varies around the cortex (ex. sensory cortex will have bigger input layers)
what are cortical-subcortical loops?
information loops between the cortex and grey matter structures (thalamus and basal ganglia)
- thalamus: relay centre for sensory and motor info
- basal ganglia: movement processing
what structures make up the basal ganglia?
- putamen
- globus pallidus
- subthalamic nucleus
- caudate
what are examples of cortical-subcortical loops?
- motor circuit (motor coordination): sensorimotor and premotor cortex -> thalamus -> BG ->
- limbic circuit (emotion): limbic and paralimbic cortex, hippocampus, and amygdala -> thalamus -> BG ->
where do motor fibres crossover (i.e. where does the corticobulbar tract turn into the lateral corticospinal tract?)
medullary pyramids (decussation of pyramids)
how are autonomic fibres organized?
motor fibres are accompanied by sensory fibres (nerves are mixed)
what is a physiological example of mixed nerves?
with inflammation in the GI tract (ex. appendicitis), GI motility will decrease and patient will feel visceral pain (referred pain) that is poorly localized
- referred: pain felt in one location may be caused by damage in a different location
does afferent information reach consciousness?
no, ANS operates on a subcortical level
- involved in homeostatic regulation (heart rate, GI motility, etc.)
what neurotransmitters are involved in the ANS?
- glutamate (most common)
- ANGII
- CCK
- oxytocin
- somatostatin
how do autonomic reflex arcs differ from somatic?
ANS contains 2-neuron efferents
- presynaptic cell bodies in CNS, postsynaptic cell bodies in ganglia
what cranial nerves are part of the parasympathetic NS?
- III: oculomotor
- VII: facial
- IX: glossopharyngeal
- X: vagus
what are autonomic afferents called?
what type of fibres are preganglionic efferents? what type of fibres are postganglionic efferents? what are their conduction velocities?
- general visceral afferents (GVAs)
- preganglionic: type B fibres (3-15 m/s)
- postganglionic: type C fibres (0.5-2 m/s)
where are the preganglionic and postganglionic cell bodies in the sympathetic NS? what neurotransmitters do they use?
- preganglionic: thoracolumbar spinal cord; ACh
- postganglionic: peripheral ganglia (close to SC, far from target); NE
where are the preganglionic and postganglionic cell bodies in the parasympathetic NS? what neurotransmitters do they use?
- preganglionic: craniosacral spinal cord; ACh
- postganglionic: peripheral ganglia (near to or within the wall of the target organ); ACh
where do preganglionic efferent cells originate and how do they exit the spinal cord?
- concentrated in the lateral horn of SC
- exit SC via ventral root and enter the paravertebral ganglia at the same level
what happens to preganglionic efferents after the enter the paravertebral ganglia (chain of ganglia beside the SC)?
- some synapse there
- some give off collaterals that travel rostrally or caudally
- some pass through the ganglia and enter a splanchnic nerve to enter the prevertebral ganglia (within abdominal cavity)
what is a splanchnic nerve?
mixed nerve (motor and sensory) that innervate the viscera
- smooth muscles, glands, etc.
where are the cell bodies of presynaptic parasympathetic neurons situated?
- cranial nerves III, VII, IX, and X (brainstem)
- sacral spinal cord (S2-S4)
what is unique about the smooth muscle of blood vessels?
have only sympathetic innervation
what happens to ciliary muscle in response to sympathetic vs parasympathetic input?
SNS: a-adrenergic (NE)
- pupil dilation (mydriasis), enhances far vision
PNS: M3-muscarinic (ACh)
- pupillary constriction (miosis), enhances near vision
what happens to the heart in response to sympathetic vs parasympathetic input?
SNS: B1-adrenergic (NE)
- SA node and ventricles; increases HR and contractility
PNS: M2-muscarinic (ACh)
- decreased HR and contractility
what happens to the stomach and small intestine in response to sympathetic vs parasympathetic input?
SNS: a- and B2-adrenergic (NE)
- decreased motility, sphincter contraction, reduced secretions
PNS: M1-, M2-, and M3-muscarinic (ACh)
- increased motility, relaxation of sphincters, increased secretions
what happens to the lungs in response to sympathetic vs parasympathetic input?
SNS: B2-adrenergic (NE)
- bronchodilation, increased ventilation
PNS: M3-muscarinic (ACh)
- bronchoconstriction
what happens to the abdominal arterioles in response to sympathetic vs parasympathetic input?
SNS: a- and B2-adrenergic (NE)
- vasoconstriction; diversion of blood from the GI tract to muscles
PNS: M3-muscarinic (ACh)
- vasodilation
what happens to the salivary and lacrimal glands with parasympathetic stimulation? what happens to the bladder?
M3-muscarinic (ACh)
- increased secretion
M2- and M3-muscarinic (ACh)
- contraction, sphincter relaxation
how is the ANS controlled by the CNS? what regions regulate autonomic function?
- firing of ANS preganglionic cells is determined by pathways that synapse onto them
- hypothalamus, preoptic and septal regions, lateral hypothalamus
- important for temperature regulation, food/water intake
what does cooling do to the body? what does heating do to the body?
- cooling: causes shivering, piloerection (goosebumps), increase in thyroid activity
- heating: reduces thyroid activity, sweating, and vasodilation
what happens when there are lesions to the heat loss centre (preoptic area/anterior hypothalamus)?
prevents sweating and cutaneous vasodilation, leads to hyperthermia (overheating)
what happens when there are lesions to the heat conservation centre (posterior hypothalamus)?
hypothermia
what is activated when blood glucose levels drop?
glucoreceptors in the hypothalamus
what happens when there are lesions to the lateral hypothalamus?
suppresses appetite/food intake (aphagia), potentially causing starvation and death
what happens when there are lesions to the ventromedial area (satiety centre)?
hyperphagia, potentially causing obesity
what causes Argyll Robertson Pupil?
caused by syphilis, which is caused by treponema pallidum (acts on the parasympathetic fibres of CN3
what are the stages of syphilis that eventually leads to ARP?
- primary: single sore; days-weeks
- secondary: rash over the body, hands, and feet; months
- tertiary: neurological, cardiovascular ARP; years-decades
what is the physiology behind ARP?
pupil fails to respond to light but accommodation reflex is normal
- optic fibres that project to the pretectal area of the midbrain are damaged (possibly due to bacteria in subarachnoid space) -> pretectal area projects to EN nucleus that gives rise to parasympathetic innervation of the eye that controls the pupillary reflex
what is the sympathetic input for micturition?
tonic
- pontine micturition centre (supraspinal) sends sympathetic preganglionic nerves from the lumbar spinal cord that synapse on postganglionic nerve -> hypogastric nerve
- input from the hypogastric nerve inhibits detrusor (muscle lining wall of bladder) through B-adrenergic receptors and excites the internal sphincter through a-adrenergic receptors
what is the parasympathetic input for micturition?
- pelvic nerve contains visceral afferent innervation of the detrusor and sends it to the pontine micturition centre
- pontine micturition centre sends descending commands to the sacral spinal cord via the reticulospinal pathway
- pelvic nerve travels from sacral SC to excite the detrusor muscle and inhibit the internal sphincter
- pudendal nerve travels from sacral SC to excite the external sphincter (striated muscle) through voluntary contraction
how are biological membranes like a circuit?
- capacitor: plates correspond to inner and outer faces of the membrane
- variable resistance (inverse of conductance; g): corresponds to gated ion channels shown with a switch
- electromotive forces: separation of charged ions across the cell membrane, set up by Na+/K+-ATPase
what kind of properties do molecules need to have in order to cross the membrane without a channel?
- small
- lipophilic
- uncharged
how are ion channels structured?
transmembrane proteins with a single pore
- some are multimers of homomeric or heteromeric subunits (HCN, Kv)
- some are monomers with repeating TM subunits
how are Nav and Cav structured?
pores are formed by monomers with 4 repeating 6-TM spanning regions
what are properties of selective ion channel structure?
- TM protein segments arranged around a central pore
- selectivity filter that regulates which ions can permeate the pore
- gate that can be opened or closed (some have more than one gate)
- voltage-gated channels have a voltage sensor
- ligand-gated channels have an intracellular or extracellular ligand binding site
- some have binding sites for intracellular proteins or second messengers
what are the phases of gating of the Nav channel?
involves 2 gates: activation and inactivation (ball and chain)
- depolarization to threshold opens the activation gate
- inactivation gate then closes, halting ion flow
- inactivation cannot be opened until the membrane repolarizes
what are the primary mechanisms that establish the RMP?
- Na+/K+-ATPase
- K+ leak channels
- resting permeability to Na+ and Cl- (not much)
- RMP ~ -70 mV
what are the concentrations and permeability of K+?
- ECF: 5 mM
- ICF: 150 mM
- P: 1
what are the concentrations and permeability of Na+?
- ECF: 145 mM
- ICF: 15 mM
- P: 0.03
what are the concentrations and permeability of Cl-?
- ECF: 100 mM
- ICF: 25 mM
- P: 0.1
what are the concentrations and permeability of Ca2+?
- ECF: 1 mM
- ICF: 10^-7 mM
- P: 0
what is the electrochemical driving force of an ion?
the difference between the membrane potential and the eqm potential of a given ion (Vm-Eion)
for a positive ion, what happens when Vm-Eion>0?
ion flows outward
for a positive ion, what happens when Vm-Eion<0?
ion flows inward
for a positive ion, what happens when Vm-Eion=0?
ion flow stops
what is the Nernst equation?
Eion=61/z log ([ion]out/[ion]in)
- predicts the equilibrium potential of a given ion
what is the GHK equation?
what is it hoe?
- predicts membrane potential using multiple ions