Midterm 2 Review Lectures 4-6 Flashcards
Describe the 7 Stages of synaptic communication
- AP arrives at presynaptic terminal
- Membrane of the presynaptic terminal depolarizes; Ca2+ channels open
- Influx of Ca2+ into neuron terminal, combined w/ the liberation of Ca2+ from intracellular stores, triggers movement of synaptic vesicles toward a release site in membrane
- Synaptic vesicles fuse with the membrane and release NT into the cleft
- NT diffuses across synaptic cleft
- NT contacts a receptor on postsynaptic membrane & binds to that receptor
- Binding causes receptor to change shape
Differentiate between presynaptic facilitation and inhibition.
Presynaptic Facilitation: when NT
binding causes local depolarization of postsynaptic axon terminal = increased release of NT
Presynaptic Inhibition: when NT
binding causes hyperpolarization of postsynaptic axon terminal = decreased release of NT
Describe 3 ways that neurotransmitters are removed from the synaptic cleft.
- NT transporters; target for drugs (reuptake inhibitors)
- Enzymatic Degradation
acetylcholinesterase - Uptake by Glial Cells
astrocytes
What are the 3 ways that a postsynaptic receptor may transduce a signal.
- Directly open ion channels
- Indirectly open ion channels
- Indirectly activate a cascade of intracellular events
Ion channels open indirectily using what?
Metabotropic Receptors
Receptor stimulation results in release of what?
G Protein
Myasthenia Gravis is an autoimmune disease that results in muscle
weakness. Describe the cause of this and list potential treatment
options
- nicotinic ACh receptors are blocked / degraded by thymus gland
-ACh is unable to bind to nACh receptors on muscle cell
-results in muscle weakness as postsyn potentials cant be generated at postsyn memb
treatment: plasmapheresis, immunosuppression, thymectomy
When a neurotransmitter binds to a receptor, which determines
whether the response is inhibitory or excitatory?
The receptor (binds to its NT then has resulting effect)
When a G-protein causes a cascade of intracellular events, this is part
of what system:
* Second-messenger
system
* Immediate cell-to-cell
communication
* Ionotropic transduction
system
* Direct ion channel.
activation
Second Messenger System
Divergent pathways are…
Conscious and unconscious sensory input transmitted to
cerebrum and brainstem
Describe the three different pathways that transmit somatosensory information.
- Conscious Relay Pathway
- Divergent Pathways
- Unconscious Relay Pathways
Ion channels opened indirectly using metabotropic receptors cause what?
slow acting reactions
Unconscious relay pathways are…
Unconscious proprioception and postural information to
the cerebellum Somatosensory Pathways
Conscious relay pathways
Conscious discriminative sensory perception
What 2 tracts are of the Conscious Relay Pathway?
- Dorsal Column Tract
- Spinothalamic Tract
What 2 tracts are of the Conscious Divergent Pathway?
- Spinomesencephalic Tract
- Spinoreticular Tract
- Spinolimbic Tract
What 2 tracts are of the Unconscious Relay Pathway?
- Proprioceptive Tracts (high fidelity)
- Internal Feedback Tracts
What are the two main sensory transmission
pathways
- the sensation conveyed by each pathway
- the feature that they have in common
- Dorsal Column/Medial Lemniscum Tract
-fine touch
-vibration
-conscious proprioception - Anterolateral / Spinothalamic Tract
-crude touch
-temperature
-fast pain
common: both composed of myelinated axons (white matter) rapid transmission
**both of the conscious relay pathway
Conscious Relay Pathways utilize a __ _____ neuron pathway to transmit input from ____ ____ to _______ _____________ ______
3 projection ; primary somatosensory cortex
Conscious Relay Pathways are responsible for what perceptions?
all 4;
-touch
-proprioception
-temperature
-pain
Describe the process of neurotransmission
in a 3 neuron projection pathway for conscious perception of touch, proprioception, and vibration
DCML Tract
1. First Order Neuron
-receptor to dorsal root ganglion to medulla
2. Second Order Synapse
-medulla synapse - decussate
-medulla to thalamus via medial lemniscus
3. Third Order Synapse
-thalamus synapse - decussate
-thalamus to primary somatosensory cortex
What is Discriminative Touch?
localization of tactile and
vibration stimuli
What is Conscious Proprioception?
awareness of movements and relative positions of body parts
What are the 2 pathways of the DCML
- Fasciculus Cuneatus ML
- Fasciculus Gracilis ML
Discriminative touch from the face is provided by 3 branches from what?
The Trigeminal Nerve
Discriminative Touch from the face is a ___ ____ pathway
Three Neuron Pathway
What is meant by Somatotopic Organization
arrangement where a specific part of the body is associated with a distinct location in the central nervous system; sensory humunculus
A lesion of DCML tract in the Cerebrum, Midbrain, Pons, Upper Medulla result in…
Contralateral Loss
What is meant by Contralateral Loss
loss of impairment of sensation, movement, or function
occurring on opposite side of the body as the brain/spinal cord lesion
A lesion of DCML tract in the Lower Medulla, Spinal Region, or Peripheral Region result in…
Ipsilateral Loss
What is meant by Ipsilateral Loss?
loss of impairment of sensation, movement, or function
occurring on the same side of the body as the brain/spinal cord/PNS lesion
Describe the process of neurotransmission in a 3 neuron projection pathway for conscious perception of crude touch, temperature, and fast pain.
- First Order Neuron
- Receptors > DRG > Dorsal Root (in spinal cord) - Second Order Neuron
- Dorsal Horn Synapse > Decussation > Thalamus - Third Order Neuron
- Thalamic Synapse > Primary Somatosensory Cortex
Fast Pain from the Face is provided by..
3 branches of the Trigeminal Nerve
Based on the projection pathways for conscious perception of crude touch, temperature and fast pain, describe crossed analgesia
A pathological circumstance where a single lesion can cause pain sensation to be lost on the ipsilateral side of face and contralateral side of body
Fast Pain:
immediate sharp sensation indicating location of injury
Fast pain is transmitted through what?
Spinothalamic Tract