Stimulated Excitable Cells Flashcards

1
Q

What are the types of excitable cells?

A

Excitable Cells = cells that can fire APs
– Neurons
• APs are critical for neuronal communication
• Neurons integrate inputs and fire AP to trigger release of neurotransmitter

– Muscle
• Skeletal: contraction driven by Na+-mediated AP
• Cardiac: myocyte contraction, sinoatrial (SA) node generates APs to set pacemaker rhythm
• Smooth: Ca2+ mediates depolarisation and contraction

– Some endocrine cells
• e.g., pancreatic β cells, pituitary

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2
Q

What are the stimulus-response characteristics?

A

• Receptive endings of neurons respond electrically to specific stimuli
– Primaryafferents:touch,sound, light, heat, etc.

• Local reactive electrical potentials are graded
– Vm change varies with the magnitude of the stimulus

• Receptor potentials (graded)
– in sensory receptive zone

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3
Q

Describe signal transduction

A

• Receptors for specific stimuli are linked to ion channels

– Direct link: receptor and channel are part of the same molecule, e.g. ACh receptor at neuro-muscular junction (fast)
– Indirect link: via 2nd messenger systems (slower)
– Stimulation causes change in ion conductance and Vm

• Post-synaptic potentials (graded)
– In post-synaptic dendrites receiving chemical inputs from pre-synaptic neurons

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4
Q

What is the length constant?

A

Receptor potentials and postsynaptic potentials are decremental, i.e., they get smaller with more distance from the site of initiation

• Length constant λ (lambda)
– Distance over which a graded potential decays to 37% (1/e) of its maximal amplitude
– Greater λ means less decrement over distance
– Depends on intracellular (ri) and transmembrane resistance (rm)
– Typical λ values for neurons are 0.1-1.5 mm, i.e., depolarization spreads locally only over short distances

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5
Q

What are the length constant and cable properties?

A

Compared to small axons, larger diameter axons have

– Internal cross-sectional area
• larger

– Intra-axonal resistance to ion flux
• Less

– Lengthconstant
• Greater

– Conductionspeed
• Greater

Examples (diameter and conduction velocity shown)
– Human small unmyelinated fibre: 0.2 – 1.5 μm, 0.5 - 2 m/s
– Squid giant axon: 0.5 – 1 mm, 20 - 25 m/s

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6
Q

How does axonal diameter affect conduction velocity?

A

Small-diameter axon -> small cross-sectional area -> high intracellular resistance -> short length constant

Large diameter axon -> large cross-sectional area -> low intracellular resistance -> long length constant

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6
Q

How does axonal diameter affect conduction velocity?

A

Small-diameter axon -> small cross-sectional area -> high intracellular resistance -> short length constant

Large diameter axon -> large cross-sectional area -> low intracellular resistance -> long length constant

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7
Q

How does AP initiation occur?

A

Input integration
– Graded potentials generate an AP if their sum exceeds the depolarization threshold at a special axonal region

• Impulse Initiation Zone (IIZ)
– Near axonal hillock (at start of axon), or near sensory nerve endings in sensory neurons
– Contains the highest density of voltage-gated Na+ channels
– Most excitable part of neuron
– Site of AP initiation

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8
Q

What is the Nav structure-function relationship?

A

• 4 α subunits, each has 6 transmembrane domains
• S4 is positively charged, confers voltage sensitivity
• S5 and S6 line the inner ion pore
• Rings of amino acids around pore confer ion selectivity
• Intracellular loops: inactivation gate (D3-D4 short link)
and phosphorylation sites (long intracellular links)

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9
Q

What is the Nav activation gate?

A

The S4 transmembrane domain confers voltage sensitivity: Positively charged amino acids move outwards on depolarization, because the inside becomes more positive, pushing positive charges out. This opens the central pore and constitutes the activation (m) gate.

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10
Q

What is the Nav inactivation gate?

A

Outward movement of the S4 transmembrane domain with depolarization also exposes amino acids on the internal S4-S5 links that bind the IFMT (isoleucine, phenylalanine, methionine and threonine) motif in the short D3- D4 intracellular link. The bound inactivation (h) gate blocks ion flux

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11
Q

What is Saltatory conduction ?

A

• Myelin sheaths
– Wrap short axon segments
– FormedbySchwanncellsin PNS, oligodendrocytes in CNS
– Rich in lipids, act as electrical insulator

• AP ‘jumps’ from one unmyelinated node of Ranvier to the next, between the myelinated sections

• More energy-efficient and
much faster AP conduction

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12
Q

Describe rapid conduction in myelinated axons

A

• Unmyelinated axon (top)
• Current from depolarized region
depolarizes adjacent region, conducting the AP

• Myelinated axon (bottom)
• Current from a depolarized
node of Ranvier cannot depolarize directly adjacent regions since they are insulated (myelinated)
• But the current is sufficient to depolarize the next, making the AP ‘jump’ from node to node
• Since the insulated sections don’t need to be depolarized (which takes time), AP conduction is much faster.

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13
Q

How did measured size and conduction velocity diminished?

A

Measured human nerve conduction velocity (NCV) in major peripheral nerves of the arms and legs would normally be in the range 40-65 m/s. Significant slowing or even failure AP transmission indicates deficits in AP conduction, possibly due to an electrolyte disturbance, ion channel abnormality or demyelinating disease. More in the PNS disorders lecture

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14
Q

What are the disorders of myelination?

A

• Diseases that lead to myelin sheath damage, slow or blocking AP conduction

• Some examples (more detail in PNS disorders lecture) :
– CNS
• Myelinoclastic disorders (myelin is being destroyed) – Usually autoimmune, e.g. multiple sclerosis (MS)
• Leukodystrophic disorders (myelin is not properly produced) – e.g., CNS neuropathies due to vitamin B12 deficiency

 – PNS
    • Guillain–Barré syndrome or chronic inflammatory demyelinating polyneuropathy, both autoimmune conditions targeting Schwann cells
  • Symptoms include muscle weakness, loss of muscle control, ataxia, loss of sensation, paresthesias (abnormal sensations)
  • Diagnostic methods include tendon reflex testing (e.g. patellar or Achilles tendon), MRI (to detect larger lesions), and electrodiagnostics such as nerve conduction velocity studies
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15
Q

What are the effects of local anesthetics on Nav?

A

-Lidocaine binds to the open pore with high affinity

  • Lidocaine prevents the return of the domain III voltage sensor to the resting state after repolarization
  • Net effect is a preferential NaV block in actively firing neurons where open NaV channels are available for binding lidocaine
16
Q

Explain the suppression of action potentials by Lidocaine

A

• Blue trace (A)
– Action potentials in afferent during muscular stretch

• Purple trace (B)

*Lidocaine blocks action potentials but not graded potentials
– Absence of action potentials due to lidocaine-induced blockage of voltage-gated Na+ channels

17
Q

What are the clinical implications of anesthetics?

A

Local anesthetics may preferentially act on firing and depolarized neurons
– ‘Use-dependent’ suppression of APs
– Selective for firing neurons

• Selective small fibre block
– With careful titration lidocaine can reduce pain (Type IV and III fibres) but not motor control or proprioception (Type I fibres)
• Not usually clinically practical

18
Q

What are the main anti-seizure drugs?

A
  • Bind to and stabilize inactive configurations of Na , blocking Na+ flux V
  • Action is ‘use-dependent’ because they preferentially affect firing or depolarized cells (more inactivated NaV channels present)
  • Similar to local anesthetics like lidocaine

– Specific binding preferences may differ but common effect is suppression of trains of action
potentials
– Important anti-epilepsy drugs
– Dose-dependent blocking of pain but not normal sensation
– Can stabilize m