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Level 3 Pharmaceutical Science MODULE 6 PART 4 THE NERVOUS SYSTEM Return homework to: Buttercups Training Ltd, 1-2 The Courtyard, Main Street, Keyworth, Nottingham, NG12 5AW Telephone number: 0115 937 4936 Email: [email protected] Website: www.buttercups.co.uk Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Contents Chapter 1 - The Organisation and Function of the Nervous System .................................... 2 1.1 Nerve Cells ................................................................................................................. 4 1.2 A Synapse ................................................................................................................... 6 Chapter 2 - The Central Nervous System............................................................................ 9 2.1 Spinal Cord ................................................................................................................. 9 2.2 The Reflex Arc ............................................................................................................ 9 2.3 The Brain .................................................................................................................. 11 Chapter 3 - The Peripheral Nervous System ..................................................................... 13 3.1 The Somatic System ................................................................................................. 13 3.2 The Autonomic System ............................................................................................. 13 Copyright Buttercups Training Ltd – February 2011 1 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Chapter 1 - The Organisation and Function of the Nervous System By the end of this chapter you will be able to: Understand how the different parts of the nervous system are related to each other Describe the key features of the different types of neurons and explain their function Explain how a nervous impulse travels from one neuron to the next This system, along with the endocrine system (the glands) organises the reactions of the body to internal and external changes. It is composed of the brain, the spinal cord and the nerves. They act together, communicating and carrying information to the brain, and instructions from it. There are two divisions of the nervous system: Brain and spinal cord forming the central nervous system Peripheral nervous system which connects the CNS to limbs and organs Nerves carry electric impulses from the central nervous system (CNS) to all parts of the body. They can make organs work and make glands secrete enzymes or hormones. Glands and muscles are called effectors because they effect a change when they receive a message. Nerves also carry messages back to the CNS from other parts of the body. They collect impulses from all the sensory organs - the five senses: sight, sound, smell, taste and touch. Nerve impulses from the sense organs to the CNS are called sensory. Those impulses from the CNS to effectors are called motor impulses. Nerves which connect the body to the CNS make up the peripheral nervous system. The peripheral nervous system is divided into two systems: autonomic and voluntary. A stimulus can therefore come from outside or inside the body. A change in blood glucose level, oxygen or rate of breathing, as well as experiencing pain or heat can trigger a nervous impulse. Copyright Buttercups Training Ltd – February 2011 2 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Overview of the Human Nervous System Human Nervous System Central Nervous System (CNS) Composed of brain and spinal cord Type of neuron – interneurons (relay) Somatic Nervous System (voluntary) Input from sense organs Output to skeletal muscles Sympathetic Nerves Cause ‘fight or flight’ responses Neurotransmitter noradrenaline Peripheral Nervous System (PNS) Connects CNS to limbs and organs Types of neurons – sensory and motor Autonomic Nervous System (involuntary) Input from internal receptors Output to smooth muscles and glands Parasympathetic Nerves Relaxing responses Neurotransmitter acetylcholine Copyright Buttercups Training Ltd – February 2011 3 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 1.1 Nerve Cells The central nervous system and the peripheral nerves are made up of nerve cells called neurons (or neurones – the spelling is interchangeable). The motor neurons carry impulses from the CNS to muscles and glands. The sensory neurons carry impulses from the sense organs to the CNS. Each neuron has a cell body consisting of a nucleus surrounded by cytoplasm. Branching fibres called dendrites make contact with other neurons. There are billions of them, all able to make contact with hundreds of thousands of others. Depending on the number of dendrites, a neuron could be classed as unipolar, bipolar or multipolar. A long thread of cytoplasm surrounded by a sheath runs from the cell body. This can be very short - just a few millimetres, or it can be very long - as much as a metre. The filament or thread is called a nerve fibre or axon. The cell bodies are located in the brain or in the spinal cord (or in ganglia outside of the CNS which we will discuss later) and the fibres run in the nerves. So, a nerve actually consists of hundreds of fibres bundled together. Along the length of the spinal cord are a number of junctions where messages are sorted or relayed to the brain. 1.1.1 Motor Neuron This relays messages from the brain or spinal cord to the muscles and organs Schwann cell nucleus Axon Myelin sheath Nodes of Ranvier Signal Dendrites Motor end plates on muscle fibres Cell body Copyright Buttercups Training Ltd – February 2011 4 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 1.1.2 Sensory Neuron This relays messages from sensory organs to the CNS Nodes of Ranvier Myelin sheath Dendrite Axon Receptors in skin Signal Signal Cell body Sensory Neuron 1.1.3 Interneuron (relay neuron) Relays messages from sensory neuron to motor neuron Make up the brain and spinal cord Dendrites Interneuron Cell body Signal Axon Synaptic endings Copyright Buttercups Training Ltd – February 2011 5 Synaptic endings Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 1.2 A Synapse Impulses need to move from one neuron to another. The journey of an impulse from the finger crosses 3 junctions before reaching the brain. These junctions are called synapses. A synapse is a gap between two neurons. In an electrical circuit you might expect a gap to result in a failure of the circuit. When the Christmas lights are switched on, if one bulb has blown, sometimes the whole lot won't work. However, there is a method of sending the message across the gap or synapse. At a synapse one end of the fibre is only a short distance away from the dendrite of another. When the impulse arrives, a tiny amount of a chemical substance called a neurotransmitter is released. This must travel across the gap and be accepted by the dendrite. It can only do this by a lock and key mechanism. It must be exactly the right shape to fit into the receptor or lock of the dendrite. This sets off the impulse in the next neuron. Sometimes you need several impulses to arrive before the neurotransmitter is released or ‘fired’. Synapses are also located between a neuron and a target cell – in the autonomic nervous system (involuntary) this is referred to as a neuro-effector junction, for example, the synapse where the nervous system meets the cells of the diaphragm below the lungs. In the somatic nervous system (voluntary) this is called the neuro-muscular junction, for example, the synapse where the nervous system meets the muscle cells in your leg. Copyright Buttercups Training Ltd – February 2011 6 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System When an electrical signal arrives at the end of a nerve fibre it triggers the release of the neurotransmitter which then transmits the signal by chemical means to the next cell At synapse or gap the neurotransmitter crosses into the receptor of the next cell Cell body of 1st neuron Cell body of 2nd neuron cell body of 3rd neuron Electrical impulse travels along axon The two most important neurotransmitters are called acetylcholine and noradrenaline. Different neurotransmitters have different effects and we will need to look at these later, but for now remember that each neuron only releases one transmitter. Copyright Buttercups Training Ltd – February 2011 7 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Take a Break! Electrifying stuff! It can get quite confusing understanding how the different parts of the nervous system link together. I find it useful to refer back to the ‘Overview of the Human Nervous System’ chart in this chapter if you ever find yourself a bit lost! Chapter 1 Summary The human nervous system works to quickly to send messages from sensory organs and receptors around the body to the brain, and then from the brain to muscles and organs. It is divided into the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS receives messages from the PNS through sensory neurons; it interprets them through an interneuron then passes the message back to the PNS, which then sends a message to the relevant muscle or organ through motor neurons. Messages are passed between neurons across a synapse which is a tiny gap between neurons. When an impulse reaches the synapse a chemical called a neurotransmitter is released. The neurotransmitter binds to a receptor in the next neuron and initiates another nervous impulse. A synapse is also located between a neuron and a target cell – in the autonomic nervous system (involuntary) this is referred to as a neuro-effector junction. In the somatic nervous system (voluntary) this is called the neuro-muscular junction. Chapter 1 Quiz - Test Yourself 1. What is a synapse? 2. Name the two most common neurotransmitters. 3. What is an effector? 4. What type of nerves would carry an impulse from your ear to your brain? 5. What is the long filament or thread of a nerve cell called? 5. Axon 4. Sensory nerves 3. A target gland or muscle that effects a change when it receives a message 2. Acetylcholine and noradrenaline 1. A tiny gap between two neurons. An impulse is passed across here through the release of a neurotransmitter Chapter 1 Quiz answers Copyright Buttercups Training Ltd – February 2011 8 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Chapter 2 - The Central Nervous System By the end of this chapter you will be able to: Describe how the spinal cord is involved in reflex actions Explain what a reflex action is Understand that there are different areas of the brain which are involved in different functions. Some are voluntary and some are involuntary. 2.1 Spinal Cord The spinal cord forms the link between the brain and the body. Most nerves pass through the spinal cord on the way to the brain. The spinal cord has grey matter on the inside shaped like an H and white matter surrounding it. The spinal cord has two functions: Conduction of nerve impulses to and from the brain Control of spinal reflex actions. The CNS receives messages from receptors. These messages have to go to the brain to be interpreted, an action decided upon, and then a response sent as an order to the effector. Sometimes this takes too long. If the body wants to bypass the brain it is called a spinal reflex action. Some nerves have structures called ganglia. In ganglia, the cell bodies and dendrites of neurons are stored together while the axons project out to other parts of the body. When the nerve leaves the brain or spinal cord it is called the pre-ganglionic nerve. After the ganglion it is called a post-ganglionic nerve. This will then travel to the muscle or gland. 2.2 The Reflex Arc A reflex action is an automatic response. Can you think of any reflex actions? List them here: Copyright Buttercups Training Ltd – February 2011 9 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System You may have mentioned blinking or the knee-jerk. In the knee-jerk one leg is crossed over another and the muscles are relaxed. If the tendon below the kneecap of the upper leg is tapped sharply what happens? A reflex arc makes the thigh muscle contract and the leg swings upwards. Hitting the tendon stimulates a stretch receptor. A receptor is something that receives a message. The receptor then sends a message via the sensory neurons. These impulses reach the CNS. In the middle part of the spinal cord the sensory fibre passes the message to a motor neuron across a synapse. This takes the message back to the effector, the thigh muscle. Do the sensory impulses ever reach the brain? Yes, you know it is happening. However, the reflex happens so quickly that the jerk is not caused by the brain. If you like, you could say it was bypassed to get a quicker response. Like any boss, it finally found out what was happening! Look at the diagram below of a reflex arc for a knee jerk and touching a sharp object. Trace the journey from the sensation to the action of the effector. Sensory (pain) receptor Sensory neuron Sensory (stretch) receptor Spinal cord Sensory neuron Interneuron Effector organ (bicep muscle) Motor neuron Motor neuron Effector organ (thigh muscle) Copyright Buttercups Training Ltd – February 2011 10 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 2.3 The Brain The brain could be thought of as a swelling at the front end of the spinal cord. Certain areas are greatly enlarged to deal with all the information arriving from the sensory fibres. I wonder if the only people who really need to know about the brain are brain surgeons and pathologists. Cerebrum Cerebellum Brain stem The following is a highly simplified representation of the regions of the brain. The medulla (located in the brain stem) is concerned with involuntary processes such as heart rate, temperature and breathing rate. It is therefore linked to the autonomic nervous system. The cerebellum controls posture, balance and co-ordination. The mid brain deals with eye reflexes. The cerebrum is thought to be the regions concerned with intelligence, memory, reasoning and learnt skills. It is situated at the front of the head and is divided into two halves called the right and left cerebral hemispheres which are connected together. The cerebrum has areas which are involved in differing functions: movement (the motor area), a sensory area receiving information from the skin, speech areas, visual areas, auditory receiving sound, taste and smell, the frontal area which makes decisions based on evidence from the others, and the memory area. The outer layer of the cerebrum is called the cerebral cortex. It is composed of grey matter, thousands of neurons. Most of the work is done here. It has a large surface area because of the large number of folds. The thalamus is situated below the cerebrum. It receives impulses from sense organs. The thalamus transmits these messages to the cerebral cortex. The hypothalamus is an important component of the autonomic nervous system as it controls endocrine function (the release of hormones). It is situated in front of the thalamus. It regulates thirst and hunger, it determines emotion, and it sends messages to the pituitary gland. Copyright Buttercups Training Ltd – February 2011 11 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Take a Break! Well there you have it, and here’s me thinking the knee jerk was some type of 80’s dance move. Time to have a break before tackling the end of chapter activities. Chapter 2 Summary The CNS is made up of the brain and spinal cord Most of the nerves that pass to the brain run through the spinal cord. Some reactions need to be instantaneous and do not have time to be processed by the brain – these are called reflex actions. There are interneurons within the spinal cord, and therefore messages can be loosely interpreted here. During a reflex action and receptor will be stimulated and pass a nerve impulse along sensory neurons to the spinal cord. Here the message is passed across an interneuron to motor neurons which then send the message to an effector. The brain is composed of several regions, all of which control certain processes. The medulla conducts the autonomic nervous system – its output messages are sent via sympathetic and parasympathetic nerves (you will learn about these later). The hypothalamus is a component of the autonomic nervous system but sends its output messages via hormones instead of nervous impulses. The cerebellum and cerebrum deal with voluntary, thought-processed movement. Chapter 2 Quiz - Test Yourself 1. What are the two functions of the spinal cord? 2 Which part of the CNS is involved in reflex actions? 3. What type of receptor is stimulated in the knee-jerk reflex? 4. In the knee-jerk reflex, what is the effector? 5. Which part of the brain conducts the autonomic nervous system through nerve impulses only? 5. Medulla 4. Thigh muscle 3. Stretch receptor 2. Spinal cord 1. Conduction of nerve impulses to and from the brain and control of spinal reflex actions Chapter 2 Quiz answers Copyright Buttercups Training Ltd – February 2011 12 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Chapter 3 - The Peripheral Nervous System By the end of this chapter you will be able to: Describe the organisation of the peripheral nervous system Explain some processes that are controlled by the somatic system Describe the organisation of the autonomic system and explain some of the processes that are controlled by it. Explain how the sympathetic and parasympathetic nervous systems differ from each other in terms of their effects and the neurotransmitters they use. What does this do? This connects the CNS with the rest of the body. The peripheral system can be divided into two sections: 1. Voluntary or somatic 2. Involuntary or the autonomic system 3.1 The Somatic System This carries nerve impulses from the sense organs to the CNS and then takes nerve impulses from the CNS to the skeletal muscles (those attached to the bones). Which nerves carry messages to the brain from other parts of the body? These sensory nerve impulses are sorted in the spinal cord and are then sent on to the brain. Messages from the brain are delivered to muscles by motor nerves. One motor nerve with its branching fibres can control thousands of muscle fibres. 3.2 The Autonomic System This deals with things such as digestion, respiration and circulation. It deals with processes that are not under your conscious control. The autonomic system is actually divided into two parts: the sympathetic and parasympathetic. Most organs are actually served by both systems. Generally, the effects of the parasympathetic are very different from those of the sympathetic system. It is the balance between these systems which keeps balance or homeostasis within the body. It is very important to know which system produces which effect because drugs often work by enhancing or blocking one system. Copyright Buttercups Training Ltd – February 2011 13 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 3.2.1 The Sympathetic System In very general terms the sympathetic system gets the body ready to fight or run. The parasympathetic system is peaceful and calming. Let's look at some of the effects and I'll tell you how I remember them. The sympathetic system is easier to remember if you think of a character ....Sexy Sidney or Saucy Sue. Imagine this character has become quite excited. Let us look at their bodily functions. Sexy Sid The Eyes: when you are attracted to someone your pupils dilate (get larger) The Heart Rate: you might expect Sexy Sidney's heart rate to increase Blood Vessels: these constrict leading to an increase in blood pressure Breathing: he might require to do some very deep breathing so the airways widen and breathing rate increases. The Digestive System: not the time for a visit to the loo so this is slowed down The Urinary System: as above The Liver: energy required so glucose released into the system The Skin: increased sweating in order to keep the body cool under stress, hairs stand to attention Copyright Buttercups Training Ltd – February 2011 14 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 3.2.2 The Parasympathetic System I remember this as Placid Percy or Plump Penelope - not interested in passion but dribbling at the sight of a cream doughnut. You could also think parachute as the parasympathetic system is all about slowing down and relaxing actions. The actions are the opposite of the sympathetic system so list them here: Eye: Circulation: Respiratory: Digestive: Liver: Excretory System: Skin: So, the parasympathetic system prevents the body systems from accelerating too much. It acts as a damper. So now you know what they do - but how do they manage it? The neurotransmitters released are not the same. Copyright Buttercups Training Ltd – February 2011 15 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System 3.2.3 Neurotransmitters In the autonomic nervous system, a neuro-effector junction is the junction between the neuron and the target cell (muscle, gland or neuron); in the somatic nervous system, a neuro-muscular junction is the junction between a neuron and a skeletal muscle. In the sympathetic system a nerve leaves the CNS heading towards a gland or involuntary muscle. It will have to pass a ganglion or two on the way. At the ganglion the transmitter is acetylcholine, however at the junction between the nerve and the muscle of the organ or gland (a neuro-effector junction) the neurotransmitter is noradrenaline. In the parasympathetic system the transmitter at both the ganglion AND the neuro-effector junction is acetylcholine. The example below shows the sympathetic and parasympathetic nerves controlling the heart rate, and the neurotransmitter that is released at each stage. In the somatic nervous system it is acetylcholine which is released at the neuro-muscular junction. • • Drugs which behave like noradrenaline are called adrenergics Drugs which behave like acetylcholine are called cholinergics Copyright Buttercups Training Ltd – February 2011 16 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Take a Break! The different parts of the nervous system are constantly interacting, and are so well co-ordinated that man can think, feel, and act on many different levels, without serious confusion, all at the same time. I hope your system has served you well during this study session. Chapter 3 Summary The somatic system carries nerve impulses from the sense organs to the CNS and then takes nerve impulses from the CNS to the skeletal muscles (those attached to the bones). It is under voluntary control Much of the human nervous system is concerned with routine, involuntary jobs, such as homeostasis, digestion, posture, breathing, etc. This is the job of the autonomic nervous system, Its motor functions are split into two divisions, with anatomically distinct neurons. Most body organs are innervated by two separate sets of motor neurons; one from the sympathetic system and one from the parasympathetic system. These neurons have opposite (or antagonistic) effects. In general the sympathetic system stimulates the ‘fight or flight’ responses to threatening situations, while the parasympathetic system relaxes the body. The details are listed in this table: Organ Sympathetic system Parasympathetic system Eye Dilates pupil Constricts pupil Tear glands No effect Stimulates tear secretion Salivary glands Inhibits saliva production Stimulates saliva production Lungs Dilates bronchi Constricts bronchi Heart Speeds up heart rate Slows down heart rate Gut Inhibits peristalsis Stimulates peristalsis Liver Stimulates glucose production Stimulates bile production Bladder Inhibits urination Stimulates urination At their neuro-effector junctions, parasympathetic nerves release the neurotransmitter acetylcholine whilst sympathetic nerves release noradrenaline. Copyright Buttercups Training Ltd – February 2011 17 Level 3 Pharmaceutical Science Module 6 Part 4 – The Nervous System Chapter 3 Quiz - Test Yourself 1. What does the autonomic nervous system do? 2. What does the somatic nervous system do? 3. How is the autonomic system divided? 4. What is the name of the neurotransmitter at the neuro-effector junction of the sympathetic system? 5. What is the name of the neurotransmitter at the neuro-effector junction of the parasympathetic system? 6. What effect does the sympathetic system have on heart rate? 7. What effect does the parasympathetic system have on digestion? 7. Stimulates digestion 6. Increases heart rate 5. Acetylcholine 4. Noradrenaline 3. Into the sympathetic and parasympathetic nerves 2. Control voluntary processes such as movement of the limbs 1. Control involuntary processes such as breathing rate, heart rate etc. Chapter 3 Quiz answers Copyright Buttercups Training Ltd – February 2011 18