S3: Modulatory and Arousal Systems Flashcards

1
Q

Describe the specific pathway and given an exampple

A

Specific pathways are associated with sensory, motor and cognitive processing.

  • They carry information that is highly specific and event related (i.e. the pattern of neuronal firing encodes a specific meaning and is based on the event that occurred).
  • These pathways are information rich and primarily have inotropic receptors (they still have some metabotropic receptors though). This allows fast and time dependent synaptic transmission, avoid delay and allows important information to be shared rapidly.
  • The anatomy of specific pathways is that they are precisely localised and they project distinctly to their targets.
  • E.g. primary visual pathway
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2
Q

Describe a modulatory pathway and give examples

A

The modulatory pathways control the state of specific systems and they are not involved in information processing and so the pattern of firing in their axons isn’t encoding information.

  • These system increase/decrease their AP firing in order to change the state of the sleep-wake cycle, behavioural state etc. For example, by causing a specific neurone to open its K+ channels quicker so that it can fire again quickly.
  • The primary receptor type are metabotropic hence there is slow synaptic transmission because they work via intracellular cascades. These cascades can even promote permanent changes in the post synaptic cell for example, by up/down regulating expression of particular gene.
  • The anatomy of this pathway is diffuse connections so they also have a diffuse wide spread of information.
  • E.g. occurs in the brainstem and basal forebrain.
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3
Q

What is an electroencephalogram (EEG)?

A

Electrodes are applied on surface of scalp and they can measure activity in the cerebral cortex.

  • There is correlation between the pattern of EEG and brain state.
  • The EEG represents the summed activity of millions of nerve cells.
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4
Q

Describe pattern of EEG when awake or asleep

A
  • Awake: High frequency of activity with low amplitude. This is because an individual will be alert and attentive so the population of cells in the cortex will be processing information. Each individual cell will be firing its unique pattern reflecting the information it is carrying, Because each cortex cell is firing in its own unique manner, the population will be firing asynchronously, this means their summed activity will largely cancel out and this is what we see in the EEG (low amplitude).
  • Slow wave sleep (deepest): Large amplitude of signals and lower frequency of oscillations. The cortex is receiving waves of synchronous activity from the thalamus so the cortical neurones will also fire synchronously at regular intervals. Each neurones AP will summate at the same time and stop at the same time and so the EEG shows large peaks and troughs.
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5
Q

Describe the awake pathway in our brain

A

When awake, the thalamus is acting as a transferor if information.

  • When awake the retinal cell will respond to sensory (visual) input. The retinal cell will be excited and send impulses down its afferent to the thalamic cell. The thalamic cells will then pass this information quite accurately to the cortex via projecting axons.
  • For the thalamic cell to do this, it needs to be supported by modulatory inputs which are inhibitory interneurones acting on them.
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6
Q

Describe the asleep pathway in our brain

A

When asleep, these modulatory inputs (inhibitory interneurone) stop so the thalamic cells start to fire spontaneously (depolarise), sending waves of impulses when cell reaches threshold. These are at regular intervals.

  • It is now ignoring sensory input form the retina, as there will be many of these cells in the thalamus that would usually be collecting info from the visual system they will all start firing these waves synchronously.
  • Hence cortex is no longer receiving information from the outside world and instead it is receiving waves of meaningless impulses carrying no information which explains our EEG while we are asleep.
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7
Q

List stages of the sleep-wake cycle with EEG

A
  • Awake: EEG low amplitude high frequency (20-40 Hz activity).
  • Starts to fall asleep: Amplitude goes up and frequency goes down.
  • Drops down from sleep 1 to 4: 4 is the deepest stage of sleep due to synchronisation of firing in the thalamus and cortex. There us about 4Hz activity (4 cycles a second or less).
  • The individual will remain in deep sleep for some time and then sleep will begin to lighten and pass back up to stage 3 and 2 sleep.
  • Instead of entering stage 1 sleep, the person will enter a period of REM sleep.
  • This is one cycle and lasts about 90 minutes. Over the course of the night, we go through multiple cycles. As the night goes on, the period of REM sleep gets longer and period of deep sleep shorter.
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8
Q

Describe REM sleep

A

REM is rapid eye movement sleep.

  • The EEG of a person in REM sleep looks like that of a person who is awake, especially in the frontal lobe.
  • The cortex is active and processing information (no longer synchronous activity in the thalamus and cortex from stage 4 sleep).
  • The eyes dart around below the lids and the muscles in the ear are active.
  • Heart and respiratory rate will increase and if you wake a person in this stage, it is likely they will report that they were dreaming.
  • During REM sleep the majority of skeletal muscle in the body is paralysed to prevent the sleeper acting out their dreams.
  • If we wake up naturally it is usually in the period of REM sleep.
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9
Q

Can EEG change when person is awake?

A

Yes. Faster EEG rhythm are associated with attention and concentration. The modulatory systems are asjusting the activity of the cortex.

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10
Q

List the main ‘modulatory’ pathways

A
  • Acetylcholine (Pontomesencephalic tegmentum and Basal forebrain).
  • Noradrenaline (Locus coeruleus).
  • Dopamine (Substantia Nigra) and Ventral tegmental area).
  • Histamine (Hypothalamus).
  • Orexin/hypocretin (Hypothalamus).
  • Serotonin (raphe nuclei).
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11
Q

What are the two origins for cholinergic modulatory input in the brain?

A

This is where the cell bodies are and where the axons will project from.

  • Pontomesencephalic tegmentum.
  • Basal forebrain.
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12
Q

Describe the pontomesencephalic tegmentum as a cholinergic modulatory input

A

Pontomesencephalic tegmentum is close to the pontine region of the brainstem. The cells in this region primarily project to the thalamus.

  • The Ach modulatory pathways in the thalamus primarily act to desynchronise thalamic cells.
  • It also increases thalamic responsiveness to external stimuli coming in when a person is awake and thus help restore connection with the outside world when a person is waking up.
  • However this pathway doesn’t do this on its own, it is working as part of what wakes us up.
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13
Q

Describe the basal forebrain as a cholinergic modulatory input

A

The axons from the basal forebrain project throughout the neocortex and into the hippocampal complex. The axons mainly start from the basal nucleus of meynert or the medial septal nucleus.

  • It has widespread connections.
  • The modulatory projections from the basal forebrain to the cortex will modulate cortical cells by increasing their reponse strength and selectivity, they will also promote plasticity.
  • So increased activity in these areas are associated with being awake, attentive, increased cognitive activity and increased activity for learning and memory.
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14
Q

Describe the big pathology associated with the ACh (cholinergic) modulatory system

A

It is Alzheimer’s. Alzheimer’s damages the frontal cortex and so damages the circuitry in the regions we use to think with and also damages the pathways that enhance the effectiveness of that circuitry.

  • This is a double whammy impact that causes cognitive decline and memory issues.
  • The only effective treatment is to give acetylcholinesterase inhibitors which will prevent metabolism of Ach in the synaptic cleft and thus its removal. Hence it enhances the effectiveness of any remaining cholinergic input to the cortex.
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15
Q

Describe the noradrenaline modulatory system

A

The origin of the NA modulatory axons is the Locus coruleus. This isn’t a single location rather it spreads out as a long thin line of cells running down the brainstem.

  • The locus coruleus projects everywhere including down the spinal cord (involved in producing analgesia.
  • Stimulation of the cortical cells by these modulatory noradrenergic fibres increases the cortical neurones response amplitude and selectivity and increases plasticity.
  • Hence this modulatory system is associated with shifting from sleep to wakefulness, in being awake and vigilant especially being alert to novel stimuli (e.g. when foraging and need to be alert to danger). It also is involved in learning and memory through supporting LTP at synapses.
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16
Q

What is dysfunction of the noradrenergic modulatory system associated with?

A

Dysfunction in the brains noradrenergic system is associated with anxiety and depression. Antidepressants like monoamine oxidase inhibitors and NA reuptake inhibitors increase noradrenergic transmission which is why we think NA pathways are related to mood. It also works as an analgesic where it can go down spinal cord and switch off the pain pathways.

17
Q

What are the two dopaminergic modulatory projections from the brains stem?

A
  • Substantia nigra.

- Ventral tegmental area.

18
Q

Describe the substantia nigra as a dopinergic modulatory projection

A
  • The axons project up to the basal ganglia.
  • Dopamine release from these neurones to the basal ganglia cells is involved in the initiation of voluntary movement.
  • Degeneration of this pathway causes Parkinson’s disease. We try to reduce the severity of the symptoms of Parkinson’s by giving drugs that enhance existing dopaminergic connections (e.g. by giving L –DOPA).
19
Q

Describe the ventral tegmental area as a dopinergic modulatory projection

A
  • Projects are more widespread to the frontal cortex, limbic lobe and related structures like the amygdala and nucleus accumbens (pleasure centre).
  • High activity in these areas is associated with being awake and alertness to rewarding/aversive stimuli leading to adaptive behaviour (recognising what is good and bad).
20
Q

Why are drugs that increase dominergic transmission in the VTA often drugs of addiction?

A

Their effect on reinforcing behaviour (rewarding stimuli, you want to repeat it, this is adaptive behaviour) which can become maladaptive due to severe addiction.
Amphetamines can cause schizophrenia like symptoms (psychosis). So it is thought that hyper-responsiveness of these pathways in the VTA may be in part responsible for schizophrenia.
Further evidence comes from the fact anti-psychotic drugs tend to have anti-dopaminergic effect.

21
Q

Describe the histamine modulatory system

A

Histamine is also a NT and it is a very important one

  • The origin of histamine modulation to the brain comes from a cluster of cells within the hypothalamus called the tuberomammillary nucleus/histaminergic cells in the hypothalamus.
  • They project to both thalamus and cortex and even have some connections to the brainstem.
  • They are thought to play a key role in the sleep-wake cycle, in the shift from sleep to wakefulness. They are thought to excite the wake-promoting circuits. Hence activity in these pathways are associated with being awake and alert to novel stimuli (such as danger).
22
Q

How do old histamines affect the histamine modulatory system?

A

Old antihistamines would cross the blood-brain barrier which is why they would cause drowsiness because they reduce the ability of this pathway to signal normally.

23
Q

Describe the orexin/hypocretin modulatory pathway

A

The orexin modulatory pathway arises from a small cluster of cells in the hypothalamus.

  • It is important as it appears to switch on circuit for the sleep-wake cycle.
  • The neurones originating from the hypothalamus will switch on the wake promoting circuits and do so in response to various things. In particular, it responds to nutritional status so it is thought to be for evolutionary reasons in that if foraging you need to be alert and awake for danger. The orexingeric neurones innervate and can “switch on” other modulatory centres in the brain e.g. The ones in the basal forebrain and brainstem.
  • The orexin pathways are also linked to reward centres of the brain.
  • So these pathways function to make us awake and vigilant (activity of these circuits is proportional to how awake you are e.g. very active = very awake) and due to it receiving feedback on nutritional status it is likely to play a role in energy homeostasis.
24
Q

What does dysfunction of the orexin pathways lead to?

A

Dysfunction of these orexin pathways (in humans tends to be reduced number of orexin neurones and reduced levels of orexin in their CSF) leads to narcolepsy.

  • If you lose function in these pathways it means the sleep-wake cycle becomes extremely disrupted. Patients will have very fragmented sleep and have excessive daytime sleepiness sometimes just dropping straight to sleep out of nowhere.
  • There also appears to be disruption of REM sleep, they may even fall into REM state while they are awake.
  • Many because of this also show cataplexy in which a strong emotional stimuli can trigger a sudden loss of muscle tone (what would happen if a person was dreaming, to stop you moving around in your dreams).
25
Q

Describe the serotonin modulatory pathway

A
  • Arise from the Raphe nuclei.
  • The axons spread down through brainstem (involved in analgesia, in supressing ascending pain pathways) and back into cerebellum but the upwards neurones go thought the whole brain.
  • These modulatory neurones are involved in shifting from sleep to wakefulness, however it is most active in states of quiet wakefulness (when relaxing, day dreaming etc.).
    They are thought to help maintain appropriate responses to stress and involved in mood.
26
Q

What is dysfunction of the serotonin modulatory system associated with?

A

Dysfunction of the brain serotonergic system is associated with anxiety and depression. Drugs that increase serotonergic transmission act as antidepressants (e.g. MAO inhibitors, SSRIs).
Reduced activity in the serotonergic pathways may also be associated with pathological pain states.

27
Q

What modulatory NT does the brainstem, hypothalamus and basal forebrain release?

A

Brainstem: Ach, NA, Serotonin.
Hypothalamus: Orexin, Histamine.
Basal Forebrain: Ach.

28
Q

Describe how modulatory pathways control arousal (from sleep to wakefulness)

A

It most likely starts off in the hypothalamus oxrexinergic cells which will switch on and stimulate activity in the histamine cells.
- Together these neurones will project and switch on activity in the serotonergic, cholinergic and noradrenergic brainstem centres.
- This collection of modulatory nuclei are known as the ascending reticular activating system (ARAS).
- ARAS pathways will then activate the basal forebrain cholinergic centres and their axons will project throughout the whole brain and the cortex activity will start up.
- All these pathways (SE, Ach, NA) are implicated in wakefulness and in attention and vigilance to surroundings (except SE).
EEG will be seen to be desynchronised and the response strength and selectivity of the neurones in the brain will increase.

29
Q

Describe how lesions can affect the modulatory system’s ability to arouse

A
  • If a person has a large lesion affecting one of the modulatory nuclei (not including orexinergic) in the brainstem could lead to a coma.
  • Smaller legions seem to have less effect on waking, as there is some overlapping of these modulatory pathways.
  • Narcolepsy would be dysfunction with the orexinregic cells causing a serious sleep disorder.
30
Q

Describe how modulatory pathways control falling asleep

A
  • The key to switching the wake-promoting circuits off appears to be another hypothalamic centre but these are GABAergic neurones coming from the venterolateral preoptic nucleus (in hypothalamus).
  • These neurones will inhibit the orexinergic and histaminergic cells, they will also inhibit the ARAS. Hence activity in the wake-promoting circuits has been suppressed by the GABAergic cells.
  • These GABAergic cells are under the control of the suprachiasmatic nucleus (also in hypothalamus) which is the control centre for our circadian rhythm, it promotes sleepiness at the right times of the day.
  • If you are awake for longer then the more adenosine builds up in the brain as it is a by-product of neural activity, as it builds up it activates the GABAergic cells making us more and more tired. When asleep it can efficiently be removed.
31
Q

What can affect the modulatory system’s ability to make us fall asleep (faster or slower)

A
  • We use caffeine to antagonise the receptors for adenosine, this helps keep us awake.
  • Illness can also cause sleepiness as the increased levels of immune by-products tend to switch on the GABAergic cells.
  • If you lesion the venterolateral preoptic nucleus where the GABAergic neurones come from means you are likely to develop intractable insomnia.
32
Q

Describe how modulatory pathways control REM sleep

A

The person has fallen asleep and the wake-promoting areas of the brain are either turned down significantly or switched off completely.

  • When we move into REM sleep, the cholinergic centre in the pontomesencephalic tegmentum switches back on and its axons will activate and desynchronise the thalamus.
  • This stops this constant wave of synchronous activity to the cortex and so these cortical neurones wake up in the basal forebrain which then increase activity in the higher cortical areas.
  • These cholinergic pathways alone are not enough to wake a person up, it requires a collective team effort. However with this cholinergic pathway it frees the cortex from the waves of activity and now is able to produce meaningful activity that is internally generated. This is dreaming.
33
Q

What modulatory pathways control cognitive performance?

A

The important ones appear to be Ach, NA and orexins.
These boost response strength and selectivity as well as learning and memory!
The greater the activity in these systems the more focused you will be and more attentive and more you will be able to remember!

34
Q

What modulatory pathways affect anxiety and depression?

A

Serotonin, Noradrenaline and dopamine have an effect in mental state when these systems are not functional enough.

35
Q

What modulatory pathway is pleasure and reward?

A

Dopamine pathways to cortex and limbic structures.