NEURO Flashcards
White matter
Axonal structure
Connects different part of the cortex together and connects cortical matter to the deep grey matter
How does magnetic resonance imaging work
Body has tiny magnets - brain is 75% water
Hydrogens have protons - causes it to have magnetic moment
What does the image intensity depend on in T2 weighted images
T2 - more fluid = brighter signalling.
Water content, tissue structure, blood flow, perfusion, diffusion and paramagnetic
What is T1 weighted images related to
Time it takes for the magnetisation to realign with the magnetic field
Why do white and grey matter have different relaxation time?
Approx. 50% of tissue volume in white matter is from myelin structures - relaxation of 1H in lipid structures is very short.
Therefore white matter shows very bright
What does diffusion MRI measure
Measures how freely water diffuses in a variety of directions - what is the max and min diffusion.
How does functional magnetic resonance work
Venous side is paramagnetic - variation in magnetic field so decrease in MR signal
How does positron emission tomography work
Emit beta particles - annihilation occurs and 2 gamma ray released in opposite direction.
Scanner detects rays and joins lines together to where annihilation occurs.
Relating to metabolism of cellular functions
Microtubules
Polymer of the protein tubulin – located in axons and dendrites and important in axoplasmic transport
Microfilaments
Polymer of the protein actin – found throughout the neuron but particularly abundant in axons and dendrites
Neurofilaments
A type of intermediate filament – particularly abundant in axons and important in regulating axonal shape
Glial cells
‘Support cells’ within the nervous system and can be classified into 4 categories based on structure and function.
Can myelinate axons
Astrocytes
Most numerous type of glial cell within the human brain.
Regulate extracellular environment in the brain
Microglia
Accounts 5-15% of total CNS cell number - broadly distributed in brain and spinal cord
Function of microglia
Phagocytosis of neuronal and glial debris
Synaptic connection remodelling
Directing neuronal migration during brain development.
Ependymal cells
Lines the ventricular system and acts as a physical barrier separating brain tissue from CSF
Oligodendrocytes and schwann cells
Function to provide myelin - a membranous sheath around axons to neurons in the nervous system
Oligodendrocytes
Situated in CNS - myelinate many axons
Schwann cells
Situated in the peripheral NS - myelinate only single axon
Glutamate synthesis
Glutamine into glutamate
By enzyme glutaminase - phosphate activated.
Transported into vesicles by VGLUT - counter transport with H+
Degradation of glutamate
Glutamate reabsorbed from synaptic cleft into glial cell via EAAT
Glutamate into glutamine by glutamine synthetase
Then move through SN1 and SAT2 into neuron.
Consequences of glutamate signalling in the brain
Excitatory neurotransmitters will lead to neuronal membrane depolarisation - membrane becomes more + value.
ESPC - flow of ions, change in current across post synaptic membrane
EPSPs - increase the chances of action potential
Excitotoxicity
Pathological process by which excessive excitatory stimulation leads to neuronal damage and death
Mechanism of long term potentiation (LTP)
Glutamate activates AMPA receptors – Na+ flowing leading to post synaptic neuron and cause depolarisation
NMDA receptors open. Removing the voltage gated Mg2+ ion block
Ca2+ ions enter the cell activate post-synaptic protein kinases such as calmodulin kinase II (CaMKII) and protein kinase C
CaMKII and PKC trigger a series of reactions leading to insertion of new AMPA receptors into post synaptic membrane
AMPA receptors increase sensitivity to glutamate and increase ion channel conductance
This underlies the initial phase of LTP
Memantine
Low affinity NMDA receptor antagonist that blocks the NMDA receptor ion channel to reduce glutamate mediated neurotoxicity
Glutamate
Major excitatory neurotransmitter in CNS
GABA
Major inhibitory neurotransmitter in CNS
Synthesis of GABA
Glutamate converted in GABA by GLUTAMATE DECARBOXYLASE
Has a co-factor - PYRIDOXAL PHOSPHATE.
Degradation of GABA
GABA converted into Succinic semialdehyde by GABA transaminase
Then becomes succinic acid by SUCCINIC SEMIALDEHYDE DEHYDROGENASE
GABA A receptors
Ionotropic
Ligand gated Cl- channel
GABA B receptors
Metabotropic
G protein coupled receptors - lead to efflux of K+ and prevent entrance of Ca2+
Cerebellum
Does not initiate movement but detects differences in ‘motor error’ between intended movement and actual movement.
Aids motor cortex to produce precise and co-ordinated movement
Purkinje cells
Class of GABAergic neurons - send projections deep to cerebellar neurons.
Epilepsy
Brain disorder characterised by periodic and unpredictable seizures mediated by the rhythmic firing of of large groups of neurons.
GABA A receptor enhancers
Barbiturates
Benzodiazepines
GAT blockers
Tiagabine
GABA transaminase inhibitor
Vigabatrine
GAD modulators
Gabapentin Valproate
Glycine
2nd major inhibitory neurotransmitter in CNS
Synthesis of Glycine
3-phosphoglycerate converted into serine converted into Glycine
By SERINE HYDROXYMETHYL TRANSFERASE
Degradation of glycine
Various enzymes responsible for the breakdown of glycine.
Glycine into serine = SERINE HYDROXYMETHYL-TRANSFERASE
Glycine receptor
Ligand gated Cl- channel
Hyperekplexia
Rare disorder characterised by hypertonia (increased muscle tone) and an exaggerated startle response.
Gene mutations - can disrupt normal glycinergic neurotransmission
Can lead to neuronal hyperexcitability
List the 4 main systems in Monoamine system
Noradrenergic locus coeruleus
Serotonergic Raphe Nuclei
Dopaminergic substantia Nigra and ventral tegmental area
Cholinergic basal forebrain and brain stem complexes
List the 4 systems with common principles in monoamine system
Small set of neurons at core
Arise from brain stem
1 neuron influences many others
Synapses release transmitter molecules into extracellular fluid
Synthesis of Noradrenaline
Tyrosine into DOPA by TYROSINE HYDROXYLASE
DOPA into Dopamine by DOPA DECARBOXYLASE
Dopamine into noradrenaline by DOPAMINE BETA HYDROXYLASE
Noradrenaline into Adrenaline by PHENYLETHANOLAMINE N METHYL TRANSFERASE
Regulation of noradrenaline
Reserpine depletes NA stores by inhibiting vascular uptake.
Amphetamine enter vesicles displacing NA into cytoplasm, increasing NA leakage out of neuron.
Cocaine blocks NA re-uptake
What is dopamine involved with
Movement
Inhibition of prolactin release
Memory consolidation
Where are D1 and D2 receptors found
Striatum, limbic system, thalamus, and hypothalamus
Where are D3 receptors found
Limbic system
Where are D4 receptors found
Cortex and limbic system
Main pathways of Dopamine
Substantia nigra to basal ganglia
Midbrain to limbic cortex
Termination of Noradrenaline
Neuronal uptake and MAO
Termination of Dopamine
MAO, neuronal uptake
Serotonin function
Mood. Psychosis (5HT antagonism antipsychotic)
Sleep/wake (5-HT linked to sleep, 5-HT2 antagonist inhibit REM sleep)
Feeding behaviours (5HT2A antagonist increase appetite)
Pain, migraine (5HT inhibit pain pathway)
Vomiting
5-HT1 receptors
inhibitory, limbic system – mood, migraine
5-HT2 receptors
excitatory, hallucinogenic, limbic system & cortex
5-HT3
excitatory, medulla – vomiting
5-HT4
Presynaptic facilitation (ACh) - cognitive enhancement
5-HT6 and 5-HT7
Novel targets, cognition, sleep
Synthesis of serotonin
Tryptophan into 5 hydroxytryptophan by TRYPTOPHAN HYDROXYLASE
hydroxytrptophan into serotonin by DOPA DECARBOXYLASE
Pharmacological effects of amphetamine like drugs
Increase alertness and locomotion stimulation.
Euphoria/excitement
Anorexia
Decrease physical and mental fatigue
Cocaine pharmacological effects
Euphoria
Locomotor stimulation
Heightened pleasure
Effects of MDMA
Inhibits monoamine transporters (mainly 5-HT)
Large increase in 5-HT (followed by depletion)
• Increase 5-HT linked to psychotomimetic effects
• Increased DA linked to euphoria (followed by rebound dysphoria)
Where does the pituitary lie
In the bony cavity (sell turcica or pituitary fossa) in the sphenoid bone
Connected to hypothalamus by a stalk
What are the key nuclei where neuroendocrine secretory cells are in the hypothalamus
Medial
pre-optic
arcuate
paraventricular
Function of TRH/TSH
TRH from the hypothalamus stimulates the anterior pituitary to release TSH
TSH acts on thyroid to increase T4/T3 secretion – T3 is most potent thyroid hormone and target tissues contain a deiodinase enzyme (DI) to convert T4 to T3
Pituitary also express DI to convert T4 into T3 for negative feedback
Where is vasopressin and oxytocin synthesised
Supraoptic and paraventricular nuclei
Mechanism of Tyrosine kinase
Binding of insulin or growth hormone to its cell surface receptor leads to dimerisation of the receptors
Recruit tyrosine kinases and phosphorylate target protein to induce biological responses.
Laron syndrome
Mutation in GH receptor
Defective hormone binding or decrease efficiency of receptor dimerization leading to GH resistance.
What happens when oxytocin and GnRH bind to GPCRs
Stimulate phospholipase C
Phospholipase C converts PIP2 into IP3 and DAG
IP3 stimulates Ca2+ release from intracellular stores.
DAG activates PKC - stimulates phosphorylation of proteins and alter enzyme activities to initiate biological response
Cytoplasmic/nuclear receptors
Steroid and thyroid hormones - diffuse across the plasma membrane of target cells and bind to intracellular receptors in the cytoplasm or nucleus.
Receptors function as hormone regulated transcription factors, controlling gene expression
Nuclear receptors, commonly share transcriptional domain
Disorders of neuro-hormone production
Pituitary adenoma Hypothyroidism Hyperthyroidism Addison's disease Cushing's syndrome
Pituitary adenoma
Too much GH – gigantism & acromegaly Too much ACTH excess cortisol secretion (Cushing syndrome) Hypogonadism & infertility Hypopituitarism Too much PRL (hyperprolactinaemia)
Hypothyroidism
COMMON CAUSE = Hashimoto’s disease - immune system makes antibodies against thyroid
If untreated can lead to mental retardation, slow growth, cold hands and feet and lack of energy