Sleep Flashcards
secondary cell death
damage to gray matter…causes cell death by vascular compromise
blood flow, BBB, ischemia, edema
what are causes of secondary cell death?
glutamate or asp
excess release of these after trauma can cause excitotoxicity (in secondary cell death)
NMDA
these receptors alter the Ca permeability…aid in secondary cell death (excitotoxicity can cause upregulation of these receptors)
pressure and touch
what is usually first to recover after cut nerve (protopathic sensation)?
fine touch and fine motor
what may not recover after cut nerve (epicritic)?
steroids and NMDA antagonists
what are treatment interventions for neuronal degeneration/regeneration?
axon reaction
cytologic and biosynthetic changes in neuron after injury at level of soma
capase 3 and capase 9
these are activated in glutamate exocitotoxicity (after Ca channels are openend)…activated by Cyt c and then lead to apoptosis of cell
chromatolysis
characterized by vacuolation, enlarged nucleolus, dissolution Nissl substance, biosynhtesis structural proteins, axonal transport, membrane lipids
hypertrophy of glia (esp. astrocytes)
this can occur after nerve damage…prevents axon growth
axon reaction, chromatolysis, retrograde cell death
three steps in neuronal reaction to axotomy
NGF, BDNF
examples of chemicals that are released by target cells for neurotropism (maintenance of connections)
1-3 weeks
myelin debris is removed within this time period (usually by macrophages) in PNS
Bands of Bunger
chains of Schwann cells within a common basal laminar sheath
Schwann cell proliferation (confined by basal lamina)
most significant response of removal of axonal/myelinic debris
gliosis
after CNS injury…astrocytes become reactive and reinstate glial limiting membrane
NOGOs
molecules produced by oligodendrocytes that create barrier for regeneration in CNS (*inhibit myelin*)
semaphorins
chemical molecule that axons avoid while growing (grow away from them)…provide barrier for regrowth
astrocytic glial scar
this results from gliosis in CNS injury….forms barrier to regeneration
vascular MP and resident microglia
what removes phagocytic debris in CNS injury?
1-1.5 years
time frame that reinervation must occur to avoid target breakdown/degeneration
collateral sprouting
primary form of plasticity….degeneration leads to sprouting of adjacent fibers and formation of new synapses (*reactive synaptogenesis*)
1 mm/day
how fast does axon growth in regeneration?
chondroitin sulfate proteoglycans
example of extracellular molecule that is produced by reactive astrocytes and can impede regeneration in CNS
axonal growth ceases, synaptic transmission matures, cortical activation constrained
these can cause critical periods of plasticity to end (plasticity decrease with age)
long term potentiation
in cortical synaptic plasticity…this occurs due to precise timing of EPSP and spike activity