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Transcript
Lecture 1
4th class
Pharmacology
Introduction to The Central Nervous System
Nervous system
Peripheral nervous system
(Neurons outside brain and spinal cord)
Efferent division
(neurons of which carry signals away
from the brain and spinal cord to the
peripheral tissues)
Autonomic
Central nervous system
(brain and spinal cord)
Afferent
neurons that bring informations
from periphery to CNS
somatic
(regulates the everyday requirements
of vital bodily functions without
the conscious participation of the
mind e.g smooth muscle of the viscera,
cardiac muscle, vasculature, and the
exocrine glands )
(involved in the voluntary control
of functions such as contraction of
the skeletal muscles essential
for locomotion)
sympathetic
parasympathetic
Enteric ( it’s a collection of nerve fibers that innervate
the gastrointestinal tract, pancreas, and gallbladder This system functions
independently of the CNS and controls the motility, exocrine and endocrine
secretions, and microcirculation of the gastrointestinal tract).
1
Most drugs that affect the central nervous system (CNS) act by altering
some step in the neurotransmission process. Drugs affecting the CNS
may act presynaptically by influencing the production, storage, release, or
termination of action of neurotransmitters. Other agents may activate or
block postsynaptic receptors.
Figure 1: neurotransmission process
Neurotransmission in the CNS
In many ways, the basic functioning of neurons in the CNS is similar to
that of the autonomic nervous system. For example, transmission of
information in the CNS and in the periphery both involve the release of
neurotransmitters that diffuse across the synaptic space to bind to specific
receptors on the postsynaptic neuron. In both systems, the recognition of
the neurotransmitter by the membrane receptor of the postsynaptic neuron
triggers intracellular changes. However, several major differences exist
between neurons in the peripheral autonomic nervous system and those in
the CNS.
The circuitry of the CNS is much more complex than that of the
autonomic nervous system, and the number of synapses in the CNS is far
greater. The CNS, unlike the peripheral autonomic nervous system,
contains powerful networks of inhibitory neurons that are constantly
active in modulating the rate of neuronal transmission. In addition, the
CNS communicates through the use of more than 10 (and perhaps as
many as 50) different neurotransmitters. In contrast, the autonomic
nervous system uses only two primary neurotransmitters, acetylcholine
and norepinephrine.
Neurotransmitter
postsynaptic effects
Acetylcholine
excitatory: involved in arousal, shortterm memory, learning and movement.
Norepinephrine
Biogenic Amines
Dopamine
Serotonin
GABA
Amino acids
Glycine
Glutamate
Neuropeptides
Substance P
Met-enkephalin
excitatory:
involved
in
arousal,
wakefulness
and
cardiovascular
regulation.
excitatory: involved in emotion, reward
systems and motor control.
excitatory/inhibitory: feeding behavior,
control of body temperature, Modulation
of
sensory
pathways
including
nociception (stimulation of pain nerve
sensors), regulation of mood and emotion
and sleep/wakefulness.
inhibitory: increase Cl- flux into
postsynaptic neuron, resulting in
hyperpolarization. Mediates the majority
of inhibitory postsynaptic potentials.
inhibitory: increases Cl- flux into
postsynaptic neuron, resulting in
hyperpolarization.
excitatory: mediates excitatory Na+
influx into postsynaptic neuron.
excitatory: mediates nociception (pain)
within the spinal cord.
` mediates analgesia as well as other
central nervous system effects.
Summary of some neurotransmitters of the central nervous system.
 GABA = γ-aminobutyric acid.
 In neuroscience, the reward system is a collection of brain structures that are
responsible for reward-related cognition, including positive reinforcement and
both "wanting" (i.e., desire) and "liking" (i.e., pleasure)
Synaptic Potentials
In the CNS, receptors at most synapses are coupled to ion channels; that
is, binding of the neurotransmitter to the postsynaptic membrane
receptors results in a rapid but transient opening of ion channels. Open
channels allow specific ions inside and outside the cell membrane to flow
down their concentration gradients. The resulting change in the ionic
composition across the membrane of the neuron alters the postsynaptic
potential, producing either depolarization or hyperpolarization of the
postsynaptic membrane, depending on the specific ions that move and
the direction of their movement.
Figure 2:Binding of the excitatory neurotransmitter, acetylcholine, causes
depolarization of the neuron.
Excitatory pathways
Neurotransmitters can be classified as either excitatory or inhibitory,
depending on the nature of the action they elicit. Stimulation of excitatory
neurons causes a movement of ions that results in a depolarization of the
postsynaptic membrane. These excitatory postsynaptic potentials (EPSP)
are generated by the following:
1) Stimulation of an excitatory neuron causes the release of
neurotransmitter molecules, such as glutamate or acetylcholine, which
bind to receptors on the postsynaptic cell membrane. This causes a
transient increase in the permeability of sodium (Na+) ions.
2) The influx of Na+ causes a weak depolarization or EPSP that moves
the postsynaptic potential toward its firing threshold.
3) If the number of stimulated excitatory neurons increases, more
excitatory neurotransmitter is released. This ultimately causes the EPSP
depolarization of the postsynaptic cell to pass a threshold, thereby
generating an all-or-none action potential. [Note: The generation of a
nerve impulse typically reflects the activation of synaptic receptors by
thousands of excitatory neurotransmitter molecules released from many
nerve fibers.]
B. Inhibitory pathways
Stimulation of inhibitory neurons causes movement of ions that results in
a hyperpolarization of the postsynaptic membrane. These inhibitory
postsynaptic potentials (IPSP) are generated by the following:
1) Stimulation of inhibitory neurons releases neurotransmitter molecules,
such as γ-aminobutyric acid (GABA) or glycine, which bind to receptors
on the postsynaptic cell membrane. This causes a transient increase in the
permeability of specific ions, such as potassium (K+) and chloride (Cl-)
ions.
2) The influx of Cl- and efflux of K+ cause a weak hyperpolarization or
IPSP that moves the postsynaptic potential away from its firing threshold.
This diminishes the generation of action potentials.
C. Combined effects of the EPSP and IPSP
Most neurons in the CNS receive both EPSP and IPSP input. Thus,
several different types of neurotransmitters may act on the same neuron,
but each binds to its own specific receptor. The overall resultant action is
due to the summation of the individual actions of the various
neurotransmitters on the neuron.
Figure 3: Binding of the inhibitory neurotransmitter, γ-aminobutyric acid (GABA),
causes hyperpolarization of the neuron.