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18/10/2012 THE NERVOUS SYSTEM Dr Sarah Harney Department of Physiology [email protected] • How is the Nervous System Organised? • What are the functions of different brain regions? • How does the nervous system transmit information? • What happens in neurodegenerative diseases? 1 18/10/2012 The Human Nervous System Central Nervous System (CNS) Brain Spinal Cord Peripheral Nervous System (PNS) Peripheral Nervous System Afferent Efferent Information from periphery to CNS Information from CNS to periphery Sensory neurons Somatic Nervous System Autonomic Nervous System Skeletal muscle Sympathetic Nervous System Smooth muscle – gut, blood vessels, bladder Parasympathetic Nervous System 2 18/10/2012 Sympathetic and Parasympathetic divisions of the Autonomic Nervous System • Opposing effects on many systems • Use different neurotransmitters A Few Facts about the Brain • The adult human brain weighs 1300-1400 g • The brain weighs 2% of total body weight • Brain volume is 1400 ml (80% of total cranial volume, blood 10% and CSF 10%) • 78 % brain volume is water, ~12% lipid, 8% protein • There are 100 billion neurons in the brain • The brain uses 20% of total resting oxygen From: http://faculty.washington.edu/chudler/facts.html 3 18/10/2012 Brain - protection • Protected by: – cranial bones – meninges • pia mater • arachnoid • dura mater – Cerebrospinal fluid Blood Supply to the Brain Blood brain barrier • The brain receives 20% of blood flow from the heart • Blood flow through whole brain is 750-1000 ml/min •The blood brain barrier has tight junctions between the blood vessel endothelial cells that limit the flow of substances into the brain 4 18/10/2012 The Brain can be Divided into Lobes Reading, writing, Spatial judgement Personality, Motor activity Vision Memory Brain component Cerebral cortex Cerebral cortex Basal nuclei (lateral to thalamus) Basal nuclei Thalamus (medial) Thalamus Hypothalamus Hypothalamus Cerebellum Cerebellum Midbrain Brain stem Brain stem (midbrain, pons, and medulla) Pons Medulla Spinal cord 5 18/10/2012 The Brain Stem • Brain stem consists of: – medulla oblongata – pons – midbrain • Brain stem produces automatic behaviours essential for survival • Respiration, heart rate • vomiting The Cerebellum • Approximately 10% of brain mass but contains nearly half of all brain neurons • Coordinates skeletal muscle contraction • Regulates posture and balance 6 18/10/2012 The Diencephalon • Thalamus – edits all sensory inputs (except smell) to cerebral cortex – functions in cognition and awareness • allows crude recognition of pain, temp and pressure – relays information from cerebellum to primary motor cortex The Diencephalon Hypothalamus • • • • • • Major regulator of homeostasis Produces hormones , regulates pituitary hormones Regulates emotional responses and behaviours related to sexual arousal Regulates eating and drinking Controls body temperature Regulates circadian rhythms and consciousness Pituitary gland • Secretes growth hormone • Secretes a number of hormones that act on the thyroid, adrenals and gonads Pineal gland • Secretes melatonin, regulates circadian rhythm 7 18/10/2012 The Cerebral Cortex • outer part of brain • • allows ‘consciousness’ The human cortex makes up 77% of total brain volume Different regions of cortex are specialized for specific functions Motor cortex Somatosensory cortex Sensory associative cortex Pars opercularis Visual associative cortex Broca’s area Visual cortex Primary Auditory cortex Wernicke’s area 8 18/10/2012 Major Functions 1. Sensory perception 2. Voluntary control of movement 3. Language 4. Personality traits 5. Sophisticated mental events, such as thinking memory, decision making, creativity, and self-consciousness 1. Inhibition of muscle tone 2. Coordination of slow, sustained movements 3. Suppression of useless patterns of movements 1. Relay station for all synaptic input 2. Crude awareness of sensation 3. Some degree of consciousness 4. Role in motor control 1. Regulation of many homeostatic functions, such as temperature control, thirst, urine output, and food intake 2. Important link between nervous and endocrine systems 3. Extensive involvement with emotion and basic behavioral patterns 1. Maintenance of balance 2. Enhancement of muscle tone 3. Coordination and planning of skilled voluntary muscle activity 1. Origin of majority of peripheral cranial nerves 2. Cardiovascular, respiratory, and digestive control centers 3. Regulation of muscle reflexes involved with equilibrium and posture 4. Reception and integration of all synaptic input from spinal cord; arousal and activation of cerebral cortex 5. Role in sleep-wake cycle Brain component Cerebral cortex Basal nuclei Thalamus Hypothalamus Cerebellum Brain stem (midbrain, pons, and medulla) Table 5-2, p. 141 fMRI Activity in Cortex during Movement Foot Action Hand Action Mouth Action 9 18/10/2012 Electroencephalogram (EEG) • Record of electrical activity in cortical neurons • “Brain waves” • Major uses – Clinical tool in diagnosis of cerebral dysfunction – Used in legal determination of brain death – Used to distinguish various stages of sleep – Used to diagnose abnormal brain activity in epilepsy 10 18/10/2012 Electroencephalogram (EEG) EEG waves have characteristic frequencies: Delta Theta Alpha Beta Gamma 0.5 - 4 Hz 4 - 7 Hz 8 - 13 Hz 13-30 Hz 40 Hz EEG Activity Correlates with different Sleep Stages 11 18/10/2012 EPILEPSY Partial Seizure •Localised electrical discharge •Involuntary muscle contraction •Abnormal sensory experiences Generalized Seizure •Frequent •Synchronous discharge throughout seizure Spinal Cord • Extends from brain stem through vertebral canal • 31 pairs of spinal nerves emerge from spinal cord through spaces formed between arches of adjacent vertebrae – Named for region of vertebral column from which they emerge • 8 pairs cervical (neck) nerves • 12 pairs thoracic (chest) nerves • 5 pairs lumbar (abdominal) nerves • 5 pairs sacral (pelvic) nerves • 1 pair coccygeal (tailbone) nerves 12 18/10/2012 Spinal Nerves Length of human spinal cord = 45 cm (male); 43 cm (female) Length of human vertebral column (male) = 71 cm Length of human vertebral column (female) = 61 cm The spinal cord • Spinal cord protected by: – vertebrae – meninges • pia mater • arachnoid • dura mater – cerebrospinal fluid 13 18/10/2012 Cerebrospinal fluid • Total volume 125-150 ml • Mechanical protection • Chemical protection • Medium for exchange between blood and nervous tissue • CSF is removed in a lumbar puncture (spinal tap) to test for infection Functional Classes of Neurons 14 18/10/2012 Spinal reflexes • Spinal cord acts as integrating centre for spinal reflexes – Reflex - rapid, predictable, involuntary sequence of actions that occur in response to a particular stimulus. Components of a reflex arc Reflex arc has five components: – receptor – sensory neuron – integration centre – motor neuron – Effector • Somatic reflex – skeletal muscle • Autonomic reflex – smooth muscle, cardiac muscle or gland Pain, temperature, pH, changes in internal environment 15 18/10/2012 Afferent neurons have specialized sensory receptors Taste buds Rods and cones of the retina Inner ear hair cell cilia Olfactory receptors Types of Receptors • Photoreceptors – Responsive to visible wavelengths of light • Mechanoreceptors – Sensitive to mechanical energy • Thermoreceptors – Sensitive to heat and cold • Osmoreceptors – Detect changes in concentration of solutes in body fluids and resultant changes in osmotic activity • Chemoreceptors – Sensitive to specific chemicals – Include receptors for smell and taste and receptors that detect O2 and CO2 concentrations in blood and chemical content of digestive tract • Nociceptors – Pain receptors that are sensitive to tissue damage or distortion of tissue 16 18/10/2012 How do neurons function? Basic Anatomy of a Neuron 17 18/10/2012 Neuronal cell types are many and varied Cellular neuroanatomy was described in detail by Santiago Ramon y Cajal (Nobel Prize 1906) Cerebellum Prefrontal cortex Hippocampus The Brain also contains Glial Cells 18 18/10/2012 Glia – comes from Greek word for glue Astrocytes – are responsive to change in extracellular Ca2+, have a role in cell signalling Provide nutrients to neurons Can become reactive astrocytes in stress and are involved in degeneration and scarring Oligodendrocytes – produce myelin Microglia – the immune cells of the brain. Release immune signalling molecules and mediate degeneration during chronic inflammation Neural Communication – Synaptic Transmission • Nerve and muscle are excitable tissues • Can undergo rapid changes in their membrane potentials • Can change their resting potentials into electrical signals – Electrical signals are critical to the function of the nervous system and all muscles 19 18/10/2012 Neurons use electrical and chemical signalling 1. electrical 2. Chemical synapse 3. electrical The Resting Membrane Potential High Na+ + + + - - K+ , + High ++ Cl-, various anions - - - • The cell membrane maintains different ion concentrations inside the neuron compared to the extracellular fluid • K+ is high inside the cell, Na+ is high outside the cell •The cell also contains Cl- and other anions (e.g. HCO3-, PO3-), making it more negatively charged with respect to the outside • Separation of positive and negative charges forms an electrical potential difference, or voltage -this known as the membrane potential (Vm) • Neurons have a membrane potential of ~-60 to -70 mV 20 18/10/2012 The Action Potential • Rapid changes in membrane potential are a critical property of excitable cells i.e. nerves and muscle • Channels in the cell membrane permeability selectively allow the flow of ions into or out of the cell • Channels can be opened by changes in membrane potential or by binding of neurotransmitters • They are selective for specific ions e..g voltage-gated Na+ channels, voltage-gated K+ channels • The Action Potential is a brief (1-2 ms) reversal in membrane potential which is propagated along an axon 60 + 30 mV •An action potential, or spike, is fired if Vm crosses a threshold (~ 40 mV) 40 20 Vm (mV) 0 -20 -40 - 70 mV -60 0 10 Time (ms) 20 Voltage-gated channels mediate the Action Potential Na+ Closed channel ---- K+ K+ Cl- Na+ Open channel outside +++ Cl- Na+ Na+ + Na K+ Cl- ---K+ inside + + + ++ -K+ Cl- -Cl- Na+ Cl- + Na+ Na Cl• Depolarization to a threshold (~-40 mV) opens voltage-gated Na+ channels • Na+ enters the cell, making the membrane potential more positive e.g from -70 to + 30 mV (Depolarization) • K+ channels open to allow K+ to flow out of the cell, returning the cell to the resting potential (Repolarization) • The resting distribution of ions across the cell membrane is restored by the activity of ion pumps 21 18/10/2012 Action Potentials Permeability Changes and Ion Fluxes During an Action Potential Types of Changes in Membrane Potential 22 18/10/2012 Action Potentials propagate along the axon and trigger neurotransmitter release at the axon terminals Conduction velocity of action potential = 0.6-120 m/s (2-400 km/h) Myelination • Most mammalian axons are myelinated. • The myelin sheath is provided by oligodendrocytes (CNS) and Schwann cells (PNS). • Myelin is insulating, preventing passage of ions over the membrane. • Myelinated axons make up the white matter of the brain, the neuronal cell bodies are the grey matter 23 18/10/2012 Saltatory Conduction • • • Myelinated regions of axon are electrically insulated. Electrical charge moves along the axon rather than across the membrane. Action potentials occur only at unmyelinated regions: nodes of Ranvier. Myelin sheath Node of Ranvier Multiple Sclerosis is caused by Demyelination of Axons • Autoimmune disease – immune system attacks myelin • Leads to loss of nerve conduction • Chronic inflammation leads to nerve degeneration Red = Myelin Green = Axon Demyelination leads to degeneration and retraction of the affected axon 24 18/10/2012 Action potential propagation results in transmitter release from the axon terminal Chemical Synapses 25 18/10/2012 Synapses • • • Junction between two neurons Primary means by which one neuron directly interacts with another neuron Anatomy of a synapse: Presynaptic neuron – conducts action potential toward synapse – Axon terminal– contains synaptic vesicles – Synaptic vesicles – stores neurotransmitter (carries signal across a synapse) – Postsynaptic neuron – neuron receiving the signal – Synaptic cleft – space between the presynaptic and postsynaptic neurons Neurons have 1000-10000 synapses From: Synapse Web, Kristen M Harris http://synapses.clm.utexas.edu/ Neurotransmitters • Vary from synapse to synapse • Same neurotransmitter is always released at a particular synapse • Quickly removed from the synaptic cleft • Some common neurotransmitters – Acetylcholine – Dopamine – Norepinephrine – Epinephrine – Serotonin – Histamine – Glycine – Glutamate – Aspartate – Gamma-aminobutyric acid (GABA) 26 18/10/2012 Long-term Potentiation is a model of learning and memory Synaptic strengthening is induced by high frequency stimulation (e.g. 100 Hz), resulting in a sustained increase in synaptic current amplitude Synaptic current HFS Before HFS After HFS 500 pA 10 ms From Kopec and Malinow, 2006 Dendritic spines are larger after LTP and have more neurotransmitter receptors Amplitude HFS Time Neurogenesis and Degeneration 27 18/10/2012 New neurons are made in specific areas in the adult brain Dentate gyrus -new neurons shown in green Tashiro et al. • Generation of new neurons- neurogenesis – in adult brain was first described in 1998, Eriksson et al., Nat. Med. 4: 1313-17 • New neurons are generated throughout adult life in only 2 brain areas in humans, the the dentate gyrus region of the hippocampus and the subventricular zone near the lateral ventricle • Neurogenesis is stimulated by exercise and by drugs used to treat depression such as tricyclic antidepressants and selective serotonin reuptake inhibitors e.g. Prozac Migration and maturation of new neurons in dentate gyrus Lie et al., Annu Rev Pharmacol Toxicol 2004. • New neurons migrate from the border of the granule cell layer • New cells become integrated in the existing network of cells however, many die off • Functional significance of neurogenesis still not well understood 28 18/10/2012 Brain disease The brain is composed of 1011 neurons Neurons are dying everyday: at least 0.5% a year after age 50 ALZHEIMER’S DISEASE Estimated that 4,000,000 people in U.S. have Alzheimer's disease. Estimated that 25-35% of people over age 85 have dementia. Caring for patient with Alzheimer's disease can cost $47,000 per year (NIH). 40,000 patients with AD in Ireland 29 18/10/2012 Alzheimer’s is associated with Amyloid plaque deposition and Neurofibrillary Tangles Brain section NFT = neurofibrillary tangle i.e abnormal tau protein • Alzheimer’s disease (AD) is recognised post-mortem by plaques and tangles in brain tissue • Plaques - abnormal deposition of b-amyloid protein, neurotoxic, causes neurodegeneration • Tangles – abnormal deposition of Tau protein, normally a structural protein within cells Synaptic inputs to neurons are lost in Alzheimer’s disease Synaptic inputs on synaptic spines are dramatically reduced Shankar et al. (2007) J. Neurosci. 27: 2866-2875 AD animal model Normal neuron Normal dendrite with spines AD model Walsh and Selkoe review Neuron (2004) AD begins with a loss of dendrites in Alzheimer’s animal model - Dendrites are where neurons receive inputs 30 18/10/2012 AD progression leads to severe degeneration PET normal brain NORMAL PET AD brain AD Parkinson’s Disease 31 18/10/2012 Parkinson’s Disease is Due to a Loss of Dopamine Neurons Loss of pigmentation in substantia nigra due to loss of dopaminergic neurons Mattson (2000) Nat. Rev. Mol. Biol. 1:120-129 Treatment • Drugs (L-DOPA, precursor for dopamine synthesis), associated with side effects including impulsive behaviour and compulsive gambling • Deep brain stimulation (neurostimulator) –stimulation via implanted electrode inhibits abnormal brain activity, relieving symptoms 32 18/10/2012 Protein misfolding and aggregation is a common feature of a number of neurodegenerative diseases Alzheimer’s disease Protein: b-Amyloid, tau Brain region: hippocampus and cortex Huntington’s disease Protein: Huntingtin Brain region: Striatum, cortex Parkinson’s disease Protein: a-Synuclein Brain region: Substantia nigra Prion disease e.g. CJD Protein: b-amyloid Different brain regions ALS (Motor neuron disease) Protein: Superoxide dismutase (SOD1) Brain region: Motor cortex, brainstem From Soto (2003) Nat. Rev. Neurosci. 4, 49-60 33