Neural Degeneration Flashcards
Neurons don’t die unless you have a
Pathology or injury
Cells do age causing
Dendritic and axonal connection processes to slow, in general
Cns neurons are less capable of regeneration than other
Types of cells in the body
The pre and post synaptic membranes must be well-nourished or
The cell body will degenerate
Axon degeneration or death affects not only that neuron but
The other neurons which used to be connected to the now dysfunctional/damaged axon
The axon MAY be able regenerate to some degree
But glial cells disrupt this process in the cns
While groups of neurons may die off at once
Even if only a few are injured such as of it Alzheimer’s
Once a neuron in the cns is gone. It’s gone forever
Excerptions- olfactory epithelium and hippocampus
New research-implant stem cells to encourage new neurons (pd)
Although the network itself may reorganize its efforts called
Neuroplasticity
Axons MAY be able to regenerate if
The cell body is intact
Primary neuronal cell death-necrosis
Immediate death/degeneration
As a direct result of some type of trauma, injury, disease, anoxia
Cell body
Secondary neuronal cell death
Occurs hours/days/weeks after the primary trauma/injury
In strike secondary cell death occurs in region near primary trauma/injury
Variable processes and or outcomes
Secondary neuronal cell death continued
Depends on blood flow, edema, inflammation, and the integrity if the BBB
If swelling/bleeding then new wave if cell death, unexpected
Necrosis
Death of cell
No longer exists, or can no longer function
Causes of primary cell death
Anoxia/ total lack of oxygen
Hypoxia/ insufficient oxygen
Trauma-focal
Toxic/metabolic poisoning/disrupts cellular mechanisms
Trauma/focal
Damage to cytoskeleton, intracellular organelles
Damage to BBB
Damage to axon causing death
Axonal (retrograde) reaction - secondary cell death
- Changes and/or death to the cell body
- initial trauma but cell body remain intact
- but axon no longer maintain action potential, disruption extends back into cell body itself
- as a result to damage to the axon
Process of cell death
Internal changes to cell body take place Cell body swells Nucleus becomes displaced Disruption of BBB and deterioration of cytoskeleton occur Cell body disintegrates, explodes
Process of cell death continued
Macrophages take over to liquify the mess of necrotic tissue
Phagocytes work to remove the dead mass tissue
May take several months to years
Tissue removal will leave a cavity in the brain-take months to years
Wallerian (anterograde) degeneration
Degeneration to the distal part of the axon away from the site of the actual injury
Process of wallerian
The distal part of the axon will swell within 24 hours
Within days, the muscles which were previously Innervate by this axon will become denervated- see changes in muscle tone-atrophy
Wallerian process
Within 1 week the axon and it’s myelin are disintegrated
Macrophages and phagocytes take over to liquify and remove dead tissue
May take months to years to remove everything
In rue meantime macrophages and phagocytes block the site of injury
Axonal damage/death affects
Receiving (post synaptic) and transmitting (presynaptic)
The resulting impact depends on the
Extent of involvement this axon had with its region/network