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The Nervous System A. Introduction 1. Nervous control vs. endocrine control of the body 2. What does the nervous system do? a. Receive, process, store sensory information b. Integrate and interpret c. Stimulation of skeletal muscle d. Stimulation/inhibition of smooth and cardiac muscle e. Stimulation/inhibition of glands f. cognition The Nervous System A. Introduction 3. Why is the nervous system of prime importance to understanding aging effects on the body? a. It controls virtually all body functions b. Neurons are postmitotic – why is this important? The Nervous System B. Cells of the nervous system 1. Neurons a. Basic structure i. Cell body ii. Dendrites iii. Axon b. Fiber vs. nerve c. What is myelin? The Nervous System B. Cells of the nervous system 1. Neurons d. Types of neurons i. Motor ii. Sensory iii. Association (interneuron) e. What is a center? f. What is a ganglion? The Nervous System B. Cells of the nervous system 2. Neuroglia (glial cells) a. Support cells of the nervous system b. Greatly outnumber neurons c. Types of cells i. Astrocytes (CNS) ii. Oligodendrocytes (CNS) iii. Microglial cells (CNS) iv. Ependymal cells (CNS) v. Neurolemmocytes (Schwann cells) (PNS) The Nervous System C. Membrane potentials 1. What is a polarized membrane? 2. How is it formed? 3. What are voltage-gated channels? 4. Resting potential vs. action potential 5. Continuous conduction 6. Saltatory conduction The Nervous System D. The synapse 1. Presynaptic neuron 2. Synaptic cleft 3. Postsynaptic neuron 4. Excitatory neurotransmitters a. Acetylcholine c. Dopamine b. Norepinephrine d. Serotonin 5. Inhibitory neurotransmitters a. Gamma aminobutyric acid (GABA) b. Glutamate The Nervous System E. Organization of the nervous system Sensory peripheral nervous system Somatic receptors Visceral receptors Special sensory receptors Sensory receptors and neurons in the gut Motor peripheral nervous system Central nervous system Brain Somatic motor neurons (voluntary) to skeletal muscles Spinal cord Sympathetic and parasympathetic nervous systems Autonomic motor neurons (involuntary) to smooth muscle, cardiac muscle, and glands Enteric motor neurons (involuntary) in gut to smooth muscle and glands The Nervous System F. Central nervous system 1. Brain and spinal cord 2. Meninges a. Dura mater b. Arachnoid membrane c. Pia mater The Nervous System F. Central nervous system 3. Cerebrospinal fluid a. Subarachnoid space b. Ventricles and central canal c. Flow pattern The Nervous System F. Central nervous system 4. Cerebrum (white and gray matter) a. Hemispheres and lobes b. Gyrus – sulcus – fissure c. Cerebral cortex d. Functional areas f. i. Primary sensory areas ii. Primary motor areas iii. Association areas Basal ganglia (cerebral nuclei) The Nervous System F. Central nervous system 5. Cerebellum (white and gray matter) 6. Diencephalon (gray matter) a. Thalamus b. Hypothalamus c. Epithalamus 7. Brainstem (white and gray matter) a. Midbrain b. Pons c. Medulla oblongata The Nervous System F. Central nervous system 8. Spinal cord (white and gray matter) a. Regions i. Cervical ii. Thoracic iii. Lumbar iv. Sacral v. Coccygeal The Nervous System F. Central nervous system 8. Spinal cord b. Cross-sectional anatomy i. Horns a) b) ii. Roots a) b) iii. Dorsal = sensory nuclei Ventral = motor nuclei Dorsal = sensory axons Ventral = motor axons Tracts a) b) Ascending Descending The Nervous System F. Central nervous system 8. Spinal cord c. What is a reflex? i. Inborn ii. Unconscious iii. Unlearned d. Reflex arc components receptor sensory neuron integration center motor neuron effector The Nervous System G. Peripheral nervous system 1. Cranial nerves (12 pairs) 2. Spinal nerves (31 pairs) The Nervous System G. Peripheral nervous system 3. subdivisions a. Afferent i. Somatic sensory from skin, joints, skeletal muscles ii. Visceral sensory from organs b. Efferent i. Somatic (voluntary) motor to skeletal muscles ii. Autonomic (involuntary) motor to cardiac muscle, smooth muscle, glands a) b) Sympathetic nervous system Parasympathetic nervous system The Nervous System G. Peripheral nervous system 4. Autonomic nervous system a. Dual innervation b. Antagonistic c. Sympathetics i. Thoracolumbar ii. Fight-or-flight d. Parasympathetic i. Craniosacral ii. Feed- and-breed sympathetic parasympathetic The Nervous System H. Age-related changes 1. Nerve cells die with aging (~10,000 per day) a. Neurons do not undergo mitosis b. Therefore, lost neurons are not replaced c. Nervous tissue is gradually reduced 2. Other neuronal changes a. Axons swell b. Myelin diminishes c. Cytoskeleton decreases in abundance The Nervous System H. Age-related changes 3. Why does routine loss of neurons not affect function until very late in life? 4. Loss of neurons + loss of myelin = decreased brain mass a. Decrease isn’t uniform throughout brain b. 25% loss of cerebellum; other areas lose nothing c. Decline is size begins slowly at age 30, much faster at age 60; 10% gone by age 90 d. Ventricles enlarge, gyri become smaller, sulci widen The Nervous System H. Age-related changes 5. Loss of brain mass = loss of learning new skills a. What functions tend to have greater decline? i. Response times in reflexes ii. Integration of things observed iii. Alertness (brain reactivity time) b. What functions do not decline as quickly? i. Verbal ability ii. Memory The Nervous System H. Age-related changes 6. Some neurons sprout new axons and establish new synapses a. New synapses = net increase in connections b. Learning requires development of new synapses 7. However, there is age-related decline in IQ test scores a. Thought to be associated with neuronal loss b. Elderly may have as much as 25% loss in verbal ability c. Wide range of individual variability The Nervous System H. Age-related changes 8. Memory is affected by age a. Long-term memory least affected b. Higher intellects retain better memory c. Active brains retain memory longer 9. Decreased rate of nerve impulse conduction 10. Increased synaptic delay a. Decreased neurotransmitter released b. Decreased postsynaptic receptors The Nervous System H. Age-related changes 11. Reduced dendrites and dendritic spines 12. Intracellular neuronal changes a. Decreased Nissl substance (ribosomes) b. In the hippocampus, particularly: i. Neurofibrillary tangles ii. Neuritic plaques 13. Glial cell changes The Nervous System H. Age-related changes 14. Changes in sympathetic nervous system activity a. Increased norepinephrine secretion + b. Decreased removal of norepinephrine at the synapse + c. Decreased norepinephrine receptor sensitivity 15. Changes in parasympathetic nervous system activity The Nervous System I. Age-related dysfunctions 1. Decreased somatic reflex responses 2. Declining autonomic reflex responses a. Body temperature control b. Blood pressure control c. Urethral and anal internal sphincter control 3. Insomnia a. REM vs. non-REM sleep b. Difficulty falling asleep + frequent awakenings c. Reticular activating system dysfunction The Nervous System I. Age-related dysfunctions 4. Dementia (organic brain syndrome) a. What is it? b. Reversible vs. irreversible c. Categories i. Alzheimer’s disease ii. Non-Alzheimer’s disease iii. Multi-infarctional dementia iv. Parkinson’s disease v. Cerebrovascular accident (stroke) The Nervous System J. Take home messages 1. What are the divisions of the nervous system and how are they communicated together? 2. What is the basic structure and function of the neuron? 3. Neurons die with aging and aren’t replaced 4. Conduction velocities decrease with aging 5. Synaptic delay increases with aging 6. Reflex times increase with aging 7. Many intracellular changes with aging 8. What are dementias? end