NMP Duke final Flashcards
Types of Sleep
normal sleep + REM sleep
Normal sleep
Stage 1
β-waves
Normal sleep
Stage 2
α-waves
Normal sleep
Stage 3
θ-waves; considered; light sleep; broken into stages I and II
Normal sleep
Stage 3
part 1
α with θ; the θ waves characteristic of light sleep are taking over the awake brain
Normal sleep
Stage 3
part 2
θ with spindles (spindles are alpha bursts; its like the awake doesn’t want to let go)
Normal sleep
Stage 4
δ-waves; considered deep sleep; broken into stages III and IV
Normal sleep
Stage 4
part 3
δ with spindles; deeper sleep is setting in but
α still tries to burst in
Normal sleep
Stage 4
part 4
δ
A person gets more out of sleep if they go through these stages _____________
in order
Physiologic Properties of Deep Sleep
Stage 4
↓ respiratory rate (10-8 bpm)
↓ muscle tone
↓ sympathetic tone (can drop by 10 -30%)
↓ metabolic rate (MR)
↑parasympathetic tone (↓HR, ↑ GI motility/secretions, relaxed sphincters, sexual arousal)
REM sleep
AKA
paradoxical sleep, or
β-wave sleep
REM sleep
occurs every
90 mins
REM sleep
duration
2-3 minutes, up to 30 mins (rarely longer than 10 mins)
REM sleep
β-waves come heavily from
striate cortex
During REM sleep what tract is activated by the PPN?
lateral reticulospinal tract
During activation of the reticulospinal tract by the PPN, what is happening?
inhibiting extensors, so you’re paralyzed during REM
How does the PPN regulate REM?
first sending to the LG; PPN→LG→Striate cortex
area 17
Regulation of Wakefulness vs. Sleep Centers
AKA
flip-flop circuit
Narcolepsy
a sudden loss of muscle tone
that is often accompanied by the onset of sleep
Orexin / hypocretin
produced primarily in lateral and tuberal (medial) hypothalamus; it is responsible for
wakefulness
narcoleptic people often show decreased
levels of orexin
If both (ascending chemical pathways (wakefulness), and PPN (REM))are stimulated, why don't we have wakefulness and REM and the same time?
The asecnding pathways actually inhibit the PPN
so if orexin is firing, the net result is wakefulness because orexin’s stimulative effect on the PPN
is negated
pre-optic nucleus
(anterior medial hypothalamus)
induces
non-REM sleep
pre-optic nucleus
action
It sends GABA-ergic axons to inhibit both the
lateral/tuberal hypothalamus and the ascending chemical pathways.
third major sleep center
PAG
PAG
action
sends GABA-ergic axons to the ascending pathway, but not to the orexin-producing hypothalamus
PAG
result
it induces REM sleep, like the PPN
What happens when the PAG is on?
he ascending chemical pathways are shut down
the PAG shuts off wakefulness centers, prevents them from turning off the PPN, and it leaves the production of orexin on, so PPN is stimulated even more = REM sleep
The PPN is the beginning of what pathway?
pontogeniculocalcarine pathway
the PPn activates what cells in the medulla?
n. gigantocellularis
n. gigantocellularis
messages what?
the lateral reticulospinal tract which inhibits extensors mm. = paralysis during REM sleep
skeletal muscle Ach receptors? AKA
nicotinic
Skeletal muscle AP—–>generic description
The AP comes down, releases ACh, & new AP is initiated in the skeletal muscle. This means we have fired the sarcolemma.
The AP comes down, releases ACh, & new AP is initiated in the skeletal muscle. The AP runs along the membrane until it hits an invagination. What invagination?
T-tubules with sodium channels and DHP receptors
What is DHP?
voltage-sensitive, integral membrane protein w/ cytosolic domain that contacts a ryanodine
recetpor on the SR(sarcoplasmic reticiulum)
Ryanodine Receptor is?
protein embedded in SR membrane. A true Ca2+
channel: comes in tetrads too
What happens when the AP hits the DHP?
It changes conformation.
The cytosolic loop causes the ryanodine to change conformation too, causing an opening of Ca2+ channels of the SR = Ca2+ release into the cell!
What are the steps of AP—>skeletal muscle contraction?
- AP enters skeletal muscle
- AP enters T-tubule & reaches DHP receptor
- DHP changes conformation
- DHP cytosolic domain causes a Ryanodine conformation change too
- Ryanodine opens
- Ca2+ pours out of SR into cell
- Ca2+ binds to Troponin at TnC
- Troponin changes conformation
- Tropomyosin is moved out of the way
- Myosin can bind to actin
- Skeletal muscle contraction
What must be pumped back into the SR?
Ca2+
As Ca2+ levels decrease, what can change conformation?
troponin
What sits in the groove in troponin blocking myosin from binding?
tropomyosin