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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.