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SYNAPSE
BY THE END OF THE LECTURE
YOU SHOULD BE ABLE TO
ī‚  Define and classify synapse
ī‚  Discuss steps of synaptic transmission
ī‚  Describe intracellular second messenger systems for
synaptic transmission
ī‚  Classify neurotransmitters, and know about the main
excitatory and inhibitory ones
WHAT IS A SYNAPSE?
DEFINITION:
It is the anatomic site of electrical communication betweens
neurons or neurons and muscles or glands.
SYNAPSE
ī‚  Information is transmitted in the nervous system
mainly in the form of nerve action potentials,
called simply “nerve impulses,”
ī‚  Where two neurons come into close proximity and
functional inter neuronal communication occurs,
the site of such communication is referred to as a
synapse.
ī‚  The central nervous system contains more than 100 billion neurons.
ī‚  Incoming signals enter this neuron through synapses located mostly on
the neuronal dendrites, but also on the cell body.
ī‚  The output signal travels by way of a single axon leaving the neuron.
ī‚  A special feature of most synapses is that the signal normally passes
only in the forward direction
Classification:
ī‚  Anatomical
ī‚  Functional
ANATOMICAL CLASSIFICATION
ANATOMICAL CLASSIFICATION
ī‚  Axoaxonic synapse
ī‚  Axodendritic synapse
ī‚  Axosomatic synapse
â€ĸAs many as 100,000 (1 lac)
presynatic terminals on soma
and dendrites combined
â€ĸ80-95% on dendrites
â€ĸ5-20% on soma
PHYSIOLOGICAL CLASSIFICATION
PHYSIOLOGICAL CLASSIFICATION
ī‚  On the basis of mode of impulse transmission.
ī‚  Chemical
ī‚  Electrical
CHEMICAL SYNAPSES
Almost all the synapses used for signal transmission in the central
nervous system of the human being are chemical synapses.
In these, the first neuron or presynaptic neuron secretes at its nerve
ending a chemical substance called a Neurotransmitter.
This transmitter in turn acts on receptor proteins in the membrane of
the next neuron or post synaptic neuron to excite the neuron, inhibit
it, or modify its sensitivity in some other way.
Transmission is one-way.
CHEMICAL SYNAPSE:
ī‚  Presynaptic membrane, cleft, post synaptic
membrane
ī‚  One way transmission
ī‚  Neurotransmittors
ī‚  Excitatory---
ī‚  Inhibitory----
ī‚  Synapse labelled excitatory or inhibitory
CHEMCIAL
SYNAPSES
CAN
FURTHER BE
EXCITATORY
AND
INHIBITORY
SEQUENCE OF EVENTS
ELECTRICAL SYNAPSES
ī‚  Are characterized by direct open fluid channels that conduct
electricity from one cell to the next.
ī‚  Most of these consist of small protein tubular structures called
gap junctions that allow free movement of ions from the interior
of one cell to the interior of the next.
ī‚  Only a few examples of gap junctions have been found in the
central nervous system
PHYSIOLOGIC ANATOMY OFTHE
CHEMICAL SYNAPSE
ACTION OF THE TRANSMITTER
SUBSTANCE
ON THE POSTSYNAPTIC NEURON—
FUNCTION OF “RECEPTOR
PROTEINS”
ī‚  The membrane of the postsynaptic neuron contains large
numbers of receptor proteins,
ī‚  The molecules of these receptors have two important
components
(1) a binding component
(2) an ionophore component (ion channel or G protein linked)
ION CHANNELS
The ion channels in the postsynaptic neuronal
membrane are usually of two types:
1. cation channels that most often allow sodium ions to pass
when opened, but sometimes allow potassium and/or
calcium ions as well,
2. anion channels that allow mainly chloride ions to pass but
also minute quantities of other anions.
“Second Messenger” System in the Postsynaptic Neuron
ī‚  There are several types of second messenger
ī‚  systems.
ī‚  One of the most common types uses a group of proteins called G-
proteins
ī‚  prolonged postsynaptic neuronal excitation or inhibition is achieved
by activating a “second messenger” chemical system inside the
postsynaptic neuronal cell itself, and then it is the second messenger
that causes the prolonged effect.
Post synaptic potential
Excitatory
Inhibitory
Depends on the presence of
Receptors in the Postsynaptic Membrane
Excitation
īļ Opening of sodium channels to allow large
numbers of positive electrical charges to flow to the interior of the
postsynaptic cell.
īļ Depressed conduction through chloride or
potassium channels, or both.
īļVarious changes in the internal metabolism of the postsynaptic
neuron to excite cell activity
Inhibition
īļ Opening of chloride ion channels through the postsynaptic neuronal
membrane
īļIncrease in conductance of potassium ions out of the neuron
īļActivation of receptor enzymes that inhibit cellular metabolic
functions that increase the number of inhibitory synaptic receptors
or decrease the number of excitatory receptors
G PROTEINS AS SECOND
MESSENGERS
CHEMICAL SYNAPTIC
TRANSMITTERS
ī‚  2 types:
ī‚  Small-molecule, rapidly acting neurotransmitters
ī‚  cause most acute responses of the CNS
ī‚  Larger molecular size neuropeptides
ī‚  cause more prolonged actions, such as long-term changes in numbers of
neuronal receptors, long-term opening or closure of certain ion channels
TYPES OF
NEUROTRANSMITTERS
Small-Molecule, Rapidly ActingTransmitters
Class I
Acetylcholine
Class II:The Amines
Norepinephrine
Epinephrine
Dopamine
Serotonin
Histamine
Class III: Amino Acids
Gamma-aminobutyric acid (GABA)
Glycine
Glutamate
Aspartate
Class IV
Nitric oxide (NO)
Neuropeptide, Slowly ActingTransmitters or
Growth Factors
Hypothalamic-releasing hormones
Thyrotropin-releasing hormone
Luteinizing hormone–releasing hormone
Somatostatin (growth hormone inhibitory factor)
Pituitary peptides
Adrenocorticotropic hormone (ACTH)
Luteinizing hormone
Thyrotropin
Growth hormone
Vasopressin
Oxytocin
Peptides that act on gut and brain
Leucine , enkephalin
SYNAPTICTRANSMITTERS
Small molecules
ī‚  Acute response
ī‚  Short action
ī‚  Synthesized in cytosol of
nerve terminal
ī‚  Stored in small vesicles that
are reused
Neuropeptides
ī‚  Slow to act
ī‚  Prolonged action
ī‚  Synthesized in cell body
ī‚  Stored in large vesicles thar
are autolyzed after release
of neuropeptide
FEATURES OF SYNAPTIC TRANSMISSION
Students should be able to
ī‚  Understand features of synaptic transmission
ī‚  Apply or relate the concepts of excitation and inhibition of
synapse with certain clinical abnormalities
FEATURES/PROPERTIES OF
SYNAPSE
ī‚  EPSP/IPSP
ī‚  Fatigue of SynapticTransmission
ī‚  Synaptic delay
ī‚  Role of Synapses in Processing Information
ī‚  Effect of Acidosis or Alkalosis on SynapticTransmission
ī‚  Effect of Hypoxia on SynapticTransmission.
ī‚  Effect of Drugs on SynapticTransmission
EFFECT OF SYNAPTIC EXCITATION ONTHE
POSTSYNAPTIC MEMBRANE—
EXCITATORY POSTSYNAPTIC POTENTIAL.
ī‚  shows a presynaptic terminal
ī‚  that has secreted a transmitter
into the cleft
ī‚  This transmitter acts on the
membrane excitatory receptor
to increase the membrane’s
permeability to Na+.
ī‚  sodium ions diffuse rapidly to
the inside of the membrane.
EPSP
ī‚  This positive increase in voltage above the
normal resting neuronal potential-that is, to a
less negative value-is called the excitatory
postsynaptic potential (or EPSP)
ī‚  if this potential rises high enough in the positive
direction, it will elicit an action potential
ī‚  Discharge of a single presynaptic terminal can
never increase the neuronal potential from -65
millivolts all the way up to -45 millivolts.
ELECTRICAL EVENTS DURING
NEURONAL
INHIBITION
Inhibitory post synaptic
potential
The inhibitory synapses
Open mainly chloride
channels,
An increase in negativity
beyond the normal resting
membrane potential level is
called an inhibitory
postsynaptic potential (IPSP)
TYPES OF INHIBITION
ī‚  Post synaptic inhibition
ī‚  Presynaptic inhibition
WHAT MAKES A INHIBITORY/EXCITATORY
SYNAPSE
Excitatory synapse Inhibitory synapse
Opening of sodium channels to allow
large numbers of positive electrical
charges to flow to the interior of the
postsynaptic cell.
Opening of chloride ion channels
through the postsynaptic neuronal
membrane.
Depressed conduction through chloride
or potassium channels, or both.
Increase in conductance of potassium
ions out of the neuron.
Various changes in the internal
metabolism of the postsynaptic neuron to
increase excitatory membrane receptors
or decrease the number of inhibitory
membrane receptors.
Activation of receptor enzymes that
increase the number of inhibitory
synaptic receptors or decrease the
number of excitatory receptors.
SUMMATION
Spatial: at same time. Many presynaptic terminals
(EPSP of at least 10-20 mV is required to reach threshold. One EPSP is
usually 0.5 to 1 mV.
ī‚  Remember whatever membrane potential change occurs, it is spread
over the entire soma (high electrical conductivity). It will die in time
not over distance)
ī‚  Temporal: Same terminal. Many times
When impulse comes- channels open for a millisecond and close-
EPSP/IPSP lasts for 15 msec then dies.
Repeated impulse- channels open again and again- EPSPs summate
before they die-amplify-maybe threshold is threshold is reached.
SPATIAL SUMMATION
ī‚  “Spatial Summation” in
Neurons
ī‚  many pre synaptic
terminals are usually
stimulated at the same time.
ī‚  Even though these terminals
are spread over wide areas of
the neuron, their effects can
still summate;
ī‚  that is, they can add to one
another until neuronal
excitation does occur.
TEMPORAL SUMMATION
ī‚  Successive discharges from
a single presynaptic
terminal if they occur rapidly
enough, can add to one
another;
ī‚  that is, they can
“summate.”This type of
summation is called
temporal summation.
EPSP
ī‚  Summation
ī‚  Amplitude varies
ī‚  Dies off
ī‚  Ligand gated channels
Action potential
ī‚  All or none law
ī‚  Fix amplitude
ī‚  Length of nerve fiber
ī‚  Voltage gated channels
ī‚  Shows absolute and relative
refractory period
-CONCEPTS OFTHRESHHOLD,
FACILITATION
SYNAPTIC FATIGUE
ī‚  When excitatory synapses are repetitively stimulated at a rapid
rate, the response by the postsynaptic neuron is at first very
great, but the firing rate becomes progressively less in
succeeding milliseconds or seconds.
ī‚  This is called fatigue of synaptic transmission.
ī‚  The development of fatigue may be a protective mechanism
against excess neuronal activity
THE MECHANISM OF FATIGUE IS
MAINLY
ī‚  exhaustion or partial
exhaustion of the stores of
transmitter substance in the
presynaptic terminals.
ī‚  progressive inactivation of
many of the postsynaptic
membrane receptors
ī‚  slow development of
abnormal concentrations of
ions inside the postsynaptic
neuronal cell.
SYNAPTIC DELAY
During transmission of a neuronal signal from a presynaptic
neuron to a postsynaptic neuron, a certain amount of time is
consumed
ī‚  This is called the synaptic delay.
ī‚  Minimum delay time is 0.5 milliseconds
ī‚  From the measure of delay time, one can then estimate the
number of series neurons in the circuit.
REASONS FOR SYNAPTIC DELAY
ī‚  discharge of the transmitter substance by the presynaptic
terminal,
ī‚  diffusion of the transmitter to the postsynaptic neuronal
membrane,
ī‚  action of the transmitter on the membrane receptor,
ī‚  action of the receptor to increase the membrane permeability,
and
ī‚  inward diffusion of sodium to raise the excitatory postsynaptic
potential to a high enough level to elicit an action potential.
PROCESSING INFORMATION
AND MEMORY
ī‚  The storage of information --- memory, is a function of the
synapses.
ī‚  Each time certain types of sensory signals pass through
sequences of synapses, these synapses become more capable of
transmitting the same type of signal the next time, a process
called facilitation.
ī‚  The synapses become so facilitated that signals generated
within the brain itself can also cause transmission of impulses
even when the sensory input is not excited.
ī‚  This gives the person a perception of experiencing the original
sensations, although the perceptions are only memories of the
sensations.
DRUGS INCREASING NEURONAL
EXCITABILITY
ī‚  Caffeine
ī‚  theophylline
ī‚  theobromine
found in coffee, tea, and cocoa, respectively, all increase neuronal
excitability, presumably by reducing the threshold for excitation
of neurons.
IMPORTANT
NEUROTRANSMITTERS
ī‚  GABA
ī‚  Glycine
ī‚  Serotinin
ī‚  glutamate
SHOULD KNOWâ€Ļ
ī‚  Most common excitatory NT in CNS – glutamate
ī‚  Most common inhibitory NT in CNS – glycine, GABA
ī‚  NT can be inactivated via:
ī‚  Diffuses out of synaptic cleft
ī‚  Actively transported into pre-synpT
ī‚  Enzymatically degreaded (if the NT is acetycholine)
SUMMARY
â€ĸA synapse is the anatomic site of electrical communication
betweens neurons or neurons and muscles or glands. It can
be Chemical or electrical
â€ĸSteps include Spread of AP in presynaptic membraneīƒ  Ca
influxīƒ  Nt releaseīƒ  post synaptic receptorsīƒ  IPSP or EPSP
â€ĸG proteins act as intracellular second messengers; their
alpha and beta/gamma subunits triggering different
intracellular events
â€ĸNeurotransmitters maybe classified as Rapidly acting small
molecules or slowly acting neuropeptides/ growth factors
SENSORY RECEPTORS
Dr. Sadia Nazir
Assistant Professor Physiology
LMDC
ī‚  Student should be able to
â€ĸ Understand the types of sensory receptors
â€ĸ Enumerate and understand the properties of receptors
SENSORY RECEPTORS
ī‚  Information about the internal and external environment
activates the CNS via a variety of sensory receptors.
ī‚  These receptors are transducers that convert various forms of
energy in the environment into action potentials in neurons.
ī‚  Stimulus is an event or particular form of energy that evokes a
specific functional reaction in an organ or receptor. (mechanical,
chemical, EMG, temp)
SENSE ORGANS
ī‚  Receptors are dendritic endings of afferent neurons that are
associated with non-neuronal cells forming sense organs.
ī‚  The term Sensory unit
means sensory axon and all
its peripheral branches.
ī‚  The receptive field of
a sensory neuron is the
particular part of the body
surface in which a stimulus
will trigger the firing of that
neuron.
CLASSIFICATION OF SENSORY
RECEPTORS
Type of sensation
ī‚  Mechanoreceptors
ī‚  Thermoreceptors
ī‚  Nociceptors
ī‚  Electromagnetic
ī‚  Chemoreceptors
Distance of perception
ī‚  Teleceptors
ī‚  Exteroceptors
ī‚  Interoceptors
ī‚  Proprioceptors
CLASSIFICATION OF RECEPTORS
ī‚  Mechanoreceptors
Epidermis & dermis
Joints, tendons, ligaments &
muscles
Cochlea
Vestibular apparatus
Baroreceptors in vessels
ī‚  Thermo receptors
Warmth & cold
ī‚  Nociceptors
Pain
ī‚  Electromagnetic
Rods & cones
ī‚  Chemoreceptors
Taste & smell
Carotid & aortic bodies
Hypothalamus
Osmoreceptors
TACTILE MECHANORECEPTORS
Encapsulated
ī‚  Meissner’s corpuscles in
dermal papilla
ī‚  Pacinian corpuscles in
dermis, ligaments, joint
capaules
ī‚  Ruffni’s end organs in
dermis and in deeper tissues
Non-Encapsulated
ī‚  Free nerve endings in dermis,
ligaments, cornea, bones
ī‚  Hair end organs in hairy skin
ī‚  Merkel’s discs in non hairy and
hairy skin
Mechanoreceptors
Skin (epidermis, dermis)
Deeper tissues
SENSORY CODING
Receptors encode four elements of stimuli
ī‚  Modality
ī‚  Location
ī‚  Intensity
ī‚  Duration
MODALITY OF SENSATION
ī‚  Differential Sensitivity of Receptors for particular stimulus or
specific energy for which it is designed
ī‚  When nerve fiber from the receptors is stimulated the
perception is that for which the receptor is specialized, no
matter where and how that nerve is stimulated.This is Muller’s
law of specific energy.
ī‚  The specificity of nerve fibers for transmitting only one modality
of sensation is called the labeled line principle.
EXPLANNATION
ī‚  Each nerve tract terminates at a specific point in
the central nervous system, and the type of
sensation felt when a nerve fiber is stimulated is
determined by the point in the nervous system to
which the fiber leads.
ī‚  For instance if a pain fiber is stimulated, the
person perceives pain regardless of what type of
stimulus excites the fiber.
ī‚  Likewise, if a touch fiber is stimulated by electrical
excitation of a touch receptor or in any other way,
the person perceives touch.
LAW OF PROJECTION
ī‚  No matter which part of a pathway you stimulate between
the receptor and the brain center, your brain will locate the
stimulus where receptors are (e.g. phantom limb)
ī‚  reorganization of brain map in somatosensory cortex
ī‚  Some believe it can be blocked by local anesthetics in
spinal cord.
ī‚  A phantom limb is the sensation that an amputated or
missing limb is still attached to the body.
ī‚  Approximately 60 to 80% of individuals with an amputation
experience phantom sensations in their amputated limb, and
the majority of the sensations are painful.
ī‚  Phantom sensations may also occur after the removal of body
parts e.g. after amputation of the breast, extraction of a tooth
(phantom tooth pain) or removal of an eye (phantom eye
syndrome)
DALE’S LAW
ī‚  At one type of synapse only one type of neurotransmitter is
released
TRANSDUCTION OF SENSORY
STIMULI INTO RECEPTOR POTENTIAL
AND NERVE IMPULSES
Receptor Potentials
When pressure is
applied to pacinian
corpuscle , a small
non-propogated
depolarizing potential
develops called
receptor potential.
MECHANISMS OF RECEPTOR
POTENTIALS.
ī‚  Different receptors can be excited in one of several ways to cause receptor
potentials:
ī‚  (1) by mechanical deformation of the receptor, which stretches the receptor
membrane and opens ion channels;
ī‚  (2) by application of a chemical to the membrane, which also opens ion channels;
ī‚  (3) by change of the temperature of the membrane, which
alters the permeability of the membrane; or
ī‚  (4) by the effects of electromagnetic radiation,
RELATION OFTHE RECEPTOR
POTENTIALTO ACTION POTENTIALS
ī‚  When the receptor potential rises above the threshold for eliciting
action potentials in the nerve fiber attached to the receptor, then
action potentials occur.
ī‚  More the receptor potential rises above the threshold level, the
greater becomes the action potential frequency.
RELATION OFTHE RECEPTOR POTENTIAL
TO ACTION POTENTIALS
ī‚  More the receptor potential
rises above the threshold
level, the greater becomes
the action potential
frequency.
RELATION BETWEEN STIMULUS
INTENSITY ANDTHE RECEPTOR
POTENTIAL.
ī‚  Amplitude increases rapidly
and then less rapid rise at
high stimulus strength
ī‚  the frequency of repetitive
action potentials transmitted
from sensory receptors also
increase
ī‚  But very strong stimulation
decrease action potentials
as well
ADAPTATION OF RECEPTORS
ī‚  Another characteristic of all
sensory receptors is that they
adapt either partially or
completely to any constant
stimulus after a period of time.
ī‚  That is, when a continuous
sensory stimulus is applied, the
receptor responds at a high
impulse rate at first and then at
a progressively slower rate
until finally the rate of action
potentials decreases to very
few or often to none at all.
MECHANISMS BY WHICH RECEPTORS
ADAPT.
ī‚  part of the adaptation results from readjustments in the
structure of the receptor itself,
ī‚  and part from an electrical type of accommodation in the
terminal nerve fibril
ī‚  Slowly Adapting Receptors
Detect Continuous Stimulus
Strength—The “Tonic”
Receptors.
ī‚  impulses from the muscle
spindles and Golgi tendon
apparatuses allow the nervous
system to know the status of
muscle contraction
ī‚  Receptors of the macula in the
vestibular apparatuses
ī‚  pain receptors
ī‚  baroreceptors of the arterial tree
ī‚  chemoreceptors of the carotid
and aortic bodies.
ī‚  Rapidly Adapting Receptors
Detect Change in Stimulus
Strength—The “Rate
Receptors,” “Movement
Receptors,” or “Phasic
Receptors.”
ī‚  Pacinian and meissner’s
ī‚  Importance of the Rate
Receptors—Their Predictive
Function.
TYPES OF NERVE FIBERS
ī‚  To classify nerve fibers
ī‚  To understand the properties and differences of nerve fibers
NERVE FIBERSTHATTRANSMIT
DIFFERENTTYPES OF SIGNALS, AND
THEIR PHYSIOLOGIC CLASSIFICATION
nerve fibers come in all sizes between 0.5
and 20 micrometers in diameter—
the larger the diameter, the greater the conducting velocity
The range of conducting velocities is between 0.5 and 120 m/sec
GENERAL CLASSIFICATION OF
NERVE FIBERS
In the general classification, the fibers are divided into types
ī‚  A, B and C,
ī‚  A&B are myelinated. C fibers are not
ī‚  the type A fibers are further subdivided into
ī‚  A Îą (annulospiral endings)
ī‚  A β (touch and pressure)
ī‚  A ÉŖ (motor to muscle spindles)
ī‚  Aδ (Pain and temp)
ī‚  B fibers are pre-ganglionic fibers
ī‚  C fibers are post ganglionic and also transmit slow pain
ALTERNATIVE CLASSIFICATION USED
BY SENSORY PHYSIOLOGISTS
ī‚  Group Ia
Muscle spindle
ī‚  Group Ib
Golgi tendon organs
ī‚  Group II
Cutaneous tactile receptors
ī‚  Group III
Fibers carrying temperature, crude touch, and pricking pain sensations
ī‚  Group IV
Un-myelinated fibers carrying pain, itch, temperature, and crude touch
sensations
Diameter in
micrometers
Conduction
velocity in m/sec
Motor FiberType
AÎą 0.12-20 0.72-120 Extrafusal skeletal
muscle fibers
AÎŗ 0.12-8.2 0.12-48 Intrafusal muscle
fibers
B 0.21-33 0.86-18 Preganglionic
autonomic fibers
C 0.2-2 0.5-2 Postganglionic
autonomic fibers
Peripheral nerve
fibers
Afferents Diameter of nerve
fibers in mm
Conduction velocity
in m/sec
Receptors
Sensory FiberType
AÎą Ia and Ib 0.13-20 0.80-120 m/sec Primary muscle spindle
Golgi tendon organ
Aβ II 0.16-12 0.35-75 Secondary muscle
spindles, skin
mechanoreceptors
Aδ III 0.11-5 0.15-30 Skin mechanoreceptors
thermal receptors, fast
pain
C IV 0.2-1.5 0.5-2 Slow pain and temp
ī‚  Transmission of Signals of Different Intensity in NerveTracts-
ī‚  Spatial andTemporal Summation
Temporal summation
ī‚  A mean for transmitting
signals of increasing
strength is by increasing the
frequency of nerve impulses
in each fiber, which is called
temporal summation.
Spatial summation
RELAYING OF SIGNALS IN
NEURONAL POOL
DIVERGING PATHWAYS
Two types of divergence
ī‚  Amplifying type in same direction
ī‚  Divergence into multiple tracts to enter multiple areas of brain
CONVERGING PATHWAYS
CONVERGENCE OF SIGNALS
ī‚  Convergence means signals from multiple inputs uniting to
excite a single neuron.
ī‚  Convergence from a single source.That is, multiple terminals
from a single incoming fiber tract terminate on the same
neuron.
ī‚  Convergence can also result from input signals (excitatory or
inhibitory) from multiple sources
NEURONAL CIRCUITWITH BOTH
EXCITATORY AND INHIBITORY
OUTPUT SIGNALS
ī‚  RECIPROCAL INHIBITION CIRCUIT (Flexors & extensors of legs)
PROLONGATION OF A SIGNAL BY A
NEURONAL POOL-
"AFTERDISCHARGE”
A signal entering a pool causes a prolonged output discharge,
called after-discharge, after the incoming signal is over.
The input stimulus may last only 1 millisecond or so, and yet the
output can last for many milliseconds or even minutes.
The most important mechanisms by which after-discharge occurs
are the following.
ī‚  Synaptic after-discharge due to long acting neurotransmitter
ī‚  Reverberatory circuits
REVERBERATORY, OR
OSCILLATORY CIRCUIT
ī‚  The output neuron simply
sends a collateral nerve fiber
back to its own dendrites or
soma to re-stimulate itself.
ī‚  Once the neuron
discharges, the feedback
stimuli could keep the
neuron discharging for a
protracted time.
CONTINUOUS SIGNAL OUTPUT
FROM SOME
NEURONAL CIRCUITSWITHOUT
INPUT
(1) continuous intrinsic
neuronal discharge
(inter-neurons of spinal
cord & cerebellum)
(2) continuous reverberatory
circuits that do not fatigue
RHYTHMICAL SIGNAL OUTPUT
MECHANISMS OF STABILIZING
NERVOUS SYSTEM FUNCTION
ī‚  Inhibitory circuits
ī‚  Synaptic fatigue
Short term by synaptic fatigue
Long term by affecting no. of synaptic receptors

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Understanding Synaptic Transmission and Neurotransmitters

  • 2. BY THE END OF THE LECTURE YOU SHOULD BE ABLE TO ī‚  Define and classify synapse ī‚  Discuss steps of synaptic transmission ī‚  Describe intracellular second messenger systems for synaptic transmission ī‚  Classify neurotransmitters, and know about the main excitatory and inhibitory ones
  • 3. WHAT IS A SYNAPSE? DEFINITION: It is the anatomic site of electrical communication betweens neurons or neurons and muscles or glands.
  • 4. SYNAPSE ī‚  Information is transmitted in the nervous system mainly in the form of nerve action potentials, called simply “nerve impulses,” ī‚  Where two neurons come into close proximity and functional inter neuronal communication occurs, the site of such communication is referred to as a synapse.
  • 5. ī‚  The central nervous system contains more than 100 billion neurons. ī‚  Incoming signals enter this neuron through synapses located mostly on the neuronal dendrites, but also on the cell body. ī‚  The output signal travels by way of a single axon leaving the neuron. ī‚  A special feature of most synapses is that the signal normally passes only in the forward direction
  • 8. ANATOMICAL CLASSIFICATION ī‚  Axoaxonic synapse ī‚  Axodendritic synapse ī‚  Axosomatic synapse
  • 9.
  • 10. â€ĸAs many as 100,000 (1 lac) presynatic terminals on soma and dendrites combined â€ĸ80-95% on dendrites â€ĸ5-20% on soma
  • 12. PHYSIOLOGICAL CLASSIFICATION ī‚  On the basis of mode of impulse transmission. ī‚  Chemical ī‚  Electrical
  • 13. CHEMICAL SYNAPSES Almost all the synapses used for signal transmission in the central nervous system of the human being are chemical synapses. In these, the first neuron or presynaptic neuron secretes at its nerve ending a chemical substance called a Neurotransmitter. This transmitter in turn acts on receptor proteins in the membrane of the next neuron or post synaptic neuron to excite the neuron, inhibit it, or modify its sensitivity in some other way. Transmission is one-way.
  • 14.
  • 15.
  • 16.
  • 17. CHEMICAL SYNAPSE: ī‚  Presynaptic membrane, cleft, post synaptic membrane ī‚  One way transmission ī‚  Neurotransmittors ī‚  Excitatory--- ī‚  Inhibitory---- ī‚  Synapse labelled excitatory or inhibitory
  • 20. ELECTRICAL SYNAPSES ī‚  Are characterized by direct open fluid channels that conduct electricity from one cell to the next. ī‚  Most of these consist of small protein tubular structures called gap junctions that allow free movement of ions from the interior of one cell to the interior of the next. ī‚  Only a few examples of gap junctions have been found in the central nervous system
  • 21.
  • 23.
  • 24. ACTION OF THE TRANSMITTER SUBSTANCE ON THE POSTSYNAPTIC NEURON— FUNCTION OF “RECEPTOR PROTEINS” ī‚  The membrane of the postsynaptic neuron contains large numbers of receptor proteins, ī‚  The molecules of these receptors have two important components (1) a binding component (2) an ionophore component (ion channel or G protein linked)
  • 25. ION CHANNELS The ion channels in the postsynaptic neuronal membrane are usually of two types: 1. cation channels that most often allow sodium ions to pass when opened, but sometimes allow potassium and/or calcium ions as well, 2. anion channels that allow mainly chloride ions to pass but also minute quantities of other anions.
  • 26.
  • 27.
  • 28. “Second Messenger” System in the Postsynaptic Neuron ī‚  There are several types of second messenger ī‚  systems. ī‚  One of the most common types uses a group of proteins called G- proteins ī‚  prolonged postsynaptic neuronal excitation or inhibition is achieved by activating a “second messenger” chemical system inside the postsynaptic neuronal cell itself, and then it is the second messenger that causes the prolonged effect.
  • 29. Post synaptic potential Excitatory Inhibitory Depends on the presence of Receptors in the Postsynaptic Membrane
  • 30. Excitation īļ Opening of sodium channels to allow large numbers of positive electrical charges to flow to the interior of the postsynaptic cell. īļ Depressed conduction through chloride or potassium channels, or both. īļVarious changes in the internal metabolism of the postsynaptic neuron to excite cell activity
  • 31. Inhibition īļ Opening of chloride ion channels through the postsynaptic neuronal membrane īļIncrease in conductance of potassium ions out of the neuron īļActivation of receptor enzymes that inhibit cellular metabolic functions that increase the number of inhibitory synaptic receptors or decrease the number of excitatory receptors
  • 32.
  • 33. G PROTEINS AS SECOND MESSENGERS
  • 34. CHEMICAL SYNAPTIC TRANSMITTERS ī‚  2 types: ī‚  Small-molecule, rapidly acting neurotransmitters ī‚  cause most acute responses of the CNS ī‚  Larger molecular size neuropeptides ī‚  cause more prolonged actions, such as long-term changes in numbers of neuronal receptors, long-term opening or closure of certain ion channels
  • 36. Small-Molecule, Rapidly ActingTransmitters Class I Acetylcholine Class II:The Amines Norepinephrine Epinephrine Dopamine Serotonin Histamine Class III: Amino Acids Gamma-aminobutyric acid (GABA) Glycine Glutamate Aspartate Class IV Nitric oxide (NO)
  • 37. Neuropeptide, Slowly ActingTransmitters or Growth Factors Hypothalamic-releasing hormones Thyrotropin-releasing hormone Luteinizing hormone–releasing hormone Somatostatin (growth hormone inhibitory factor) Pituitary peptides Adrenocorticotropic hormone (ACTH) Luteinizing hormone Thyrotropin Growth hormone Vasopressin Oxytocin Peptides that act on gut and brain Leucine , enkephalin
  • 38. SYNAPTICTRANSMITTERS Small molecules ī‚  Acute response ī‚  Short action ī‚  Synthesized in cytosol of nerve terminal ī‚  Stored in small vesicles that are reused Neuropeptides ī‚  Slow to act ī‚  Prolonged action ī‚  Synthesized in cell body ī‚  Stored in large vesicles thar are autolyzed after release of neuropeptide
  • 39. FEATURES OF SYNAPTIC TRANSMISSION
  • 40. Students should be able to ī‚  Understand features of synaptic transmission ī‚  Apply or relate the concepts of excitation and inhibition of synapse with certain clinical abnormalities
  • 41. FEATURES/PROPERTIES OF SYNAPSE ī‚  EPSP/IPSP ī‚  Fatigue of SynapticTransmission ī‚  Synaptic delay ī‚  Role of Synapses in Processing Information ī‚  Effect of Acidosis or Alkalosis on SynapticTransmission ī‚  Effect of Hypoxia on SynapticTransmission. ī‚  Effect of Drugs on SynapticTransmission
  • 42. EFFECT OF SYNAPTIC EXCITATION ONTHE POSTSYNAPTIC MEMBRANE— EXCITATORY POSTSYNAPTIC POTENTIAL. ī‚  shows a presynaptic terminal ī‚  that has secreted a transmitter into the cleft ī‚  This transmitter acts on the membrane excitatory receptor to increase the membrane’s permeability to Na+. ī‚  sodium ions diffuse rapidly to the inside of the membrane.
  • 43. EPSP ī‚  This positive increase in voltage above the normal resting neuronal potential-that is, to a less negative value-is called the excitatory postsynaptic potential (or EPSP) ī‚  if this potential rises high enough in the positive direction, it will elicit an action potential ī‚  Discharge of a single presynaptic terminal can never increase the neuronal potential from -65 millivolts all the way up to -45 millivolts.
  • 44. ELECTRICAL EVENTS DURING NEURONAL INHIBITION Inhibitory post synaptic potential The inhibitory synapses Open mainly chloride channels, An increase in negativity beyond the normal resting membrane potential level is called an inhibitory postsynaptic potential (IPSP)
  • 45. TYPES OF INHIBITION ī‚  Post synaptic inhibition ī‚  Presynaptic inhibition
  • 46.
  • 47. WHAT MAKES A INHIBITORY/EXCITATORY SYNAPSE Excitatory synapse Inhibitory synapse Opening of sodium channels to allow large numbers of positive electrical charges to flow to the interior of the postsynaptic cell. Opening of chloride ion channels through the postsynaptic neuronal membrane. Depressed conduction through chloride or potassium channels, or both. Increase in conductance of potassium ions out of the neuron. Various changes in the internal metabolism of the postsynaptic neuron to increase excitatory membrane receptors or decrease the number of inhibitory membrane receptors. Activation of receptor enzymes that increase the number of inhibitory synaptic receptors or decrease the number of excitatory receptors.
  • 48. SUMMATION Spatial: at same time. Many presynaptic terminals (EPSP of at least 10-20 mV is required to reach threshold. One EPSP is usually 0.5 to 1 mV. ī‚  Remember whatever membrane potential change occurs, it is spread over the entire soma (high electrical conductivity). It will die in time not over distance) ī‚  Temporal: Same terminal. Many times When impulse comes- channels open for a millisecond and close- EPSP/IPSP lasts for 15 msec then dies. Repeated impulse- channels open again and again- EPSPs summate before they die-amplify-maybe threshold is threshold is reached.
  • 49. SPATIAL SUMMATION ī‚  “Spatial Summation” in Neurons ī‚  many pre synaptic terminals are usually stimulated at the same time. ī‚  Even though these terminals are spread over wide areas of the neuron, their effects can still summate; ī‚  that is, they can add to one another until neuronal excitation does occur.
  • 50. TEMPORAL SUMMATION ī‚  Successive discharges from a single presynaptic terminal if they occur rapidly enough, can add to one another; ī‚  that is, they can “summate.”This type of summation is called temporal summation.
  • 51.
  • 52. EPSP ī‚  Summation ī‚  Amplitude varies ī‚  Dies off ī‚  Ligand gated channels Action potential ī‚  All or none law ī‚  Fix amplitude ī‚  Length of nerve fiber ī‚  Voltage gated channels ī‚  Shows absolute and relative refractory period
  • 54.
  • 55. SYNAPTIC FATIGUE ī‚  When excitatory synapses are repetitively stimulated at a rapid rate, the response by the postsynaptic neuron is at first very great, but the firing rate becomes progressively less in succeeding milliseconds or seconds. ī‚  This is called fatigue of synaptic transmission. ī‚  The development of fatigue may be a protective mechanism against excess neuronal activity
  • 56. THE MECHANISM OF FATIGUE IS MAINLY ī‚  exhaustion or partial exhaustion of the stores of transmitter substance in the presynaptic terminals. ī‚  progressive inactivation of many of the postsynaptic membrane receptors ī‚  slow development of abnormal concentrations of ions inside the postsynaptic neuronal cell.
  • 57. SYNAPTIC DELAY During transmission of a neuronal signal from a presynaptic neuron to a postsynaptic neuron, a certain amount of time is consumed ī‚  This is called the synaptic delay. ī‚  Minimum delay time is 0.5 milliseconds ī‚  From the measure of delay time, one can then estimate the number of series neurons in the circuit.
  • 58. REASONS FOR SYNAPTIC DELAY ī‚  discharge of the transmitter substance by the presynaptic terminal, ī‚  diffusion of the transmitter to the postsynaptic neuronal membrane, ī‚  action of the transmitter on the membrane receptor, ī‚  action of the receptor to increase the membrane permeability, and ī‚  inward diffusion of sodium to raise the excitatory postsynaptic potential to a high enough level to elicit an action potential.
  • 59. PROCESSING INFORMATION AND MEMORY ī‚  The storage of information --- memory, is a function of the synapses. ī‚  Each time certain types of sensory signals pass through sequences of synapses, these synapses become more capable of transmitting the same type of signal the next time, a process called facilitation. ī‚  The synapses become so facilitated that signals generated within the brain itself can also cause transmission of impulses even when the sensory input is not excited. ī‚  This gives the person a perception of experiencing the original sensations, although the perceptions are only memories of the sensations.
  • 60. DRUGS INCREASING NEURONAL EXCITABILITY ī‚  Caffeine ī‚  theophylline ī‚  theobromine found in coffee, tea, and cocoa, respectively, all increase neuronal excitability, presumably by reducing the threshold for excitation of neurons.
  • 62. SHOULD KNOWâ€Ļ ī‚  Most common excitatory NT in CNS – glutamate ī‚  Most common inhibitory NT in CNS – glycine, GABA ī‚  NT can be inactivated via: ī‚  Diffuses out of synaptic cleft ī‚  Actively transported into pre-synpT ī‚  Enzymatically degreaded (if the NT is acetycholine)
  • 63. SUMMARY â€ĸA synapse is the anatomic site of electrical communication betweens neurons or neurons and muscles or glands. It can be Chemical or electrical â€ĸSteps include Spread of AP in presynaptic membraneīƒ  Ca influxīƒ  Nt releaseīƒ  post synaptic receptorsīƒ  IPSP or EPSP â€ĸG proteins act as intracellular second messengers; their alpha and beta/gamma subunits triggering different intracellular events â€ĸNeurotransmitters maybe classified as Rapidly acting small molecules or slowly acting neuropeptides/ growth factors
  • 64. SENSORY RECEPTORS Dr. Sadia Nazir Assistant Professor Physiology LMDC
  • 65. ī‚  Student should be able to â€ĸ Understand the types of sensory receptors â€ĸ Enumerate and understand the properties of receptors
  • 66. SENSORY RECEPTORS ī‚  Information about the internal and external environment activates the CNS via a variety of sensory receptors. ī‚  These receptors are transducers that convert various forms of energy in the environment into action potentials in neurons. ī‚  Stimulus is an event or particular form of energy that evokes a specific functional reaction in an organ or receptor. (mechanical, chemical, EMG, temp)
  • 67. SENSE ORGANS ī‚  Receptors are dendritic endings of afferent neurons that are associated with non-neuronal cells forming sense organs.
  • 68. ī‚  The term Sensory unit means sensory axon and all its peripheral branches. ī‚  The receptive field of a sensory neuron is the particular part of the body surface in which a stimulus will trigger the firing of that neuron.
  • 69. CLASSIFICATION OF SENSORY RECEPTORS Type of sensation ī‚  Mechanoreceptors ī‚  Thermoreceptors ī‚  Nociceptors ī‚  Electromagnetic ī‚  Chemoreceptors Distance of perception ī‚  Teleceptors ī‚  Exteroceptors ī‚  Interoceptors ī‚  Proprioceptors
  • 70. CLASSIFICATION OF RECEPTORS ī‚  Mechanoreceptors Epidermis & dermis Joints, tendons, ligaments & muscles Cochlea Vestibular apparatus Baroreceptors in vessels ī‚  Thermo receptors Warmth & cold ī‚  Nociceptors Pain ī‚  Electromagnetic Rods & cones ī‚  Chemoreceptors Taste & smell Carotid & aortic bodies Hypothalamus Osmoreceptors
  • 71. TACTILE MECHANORECEPTORS Encapsulated ī‚  Meissner’s corpuscles in dermal papilla ī‚  Pacinian corpuscles in dermis, ligaments, joint capaules ī‚  Ruffni’s end organs in dermis and in deeper tissues Non-Encapsulated ī‚  Free nerve endings in dermis, ligaments, cornea, bones ī‚  Hair end organs in hairy skin ī‚  Merkel’s discs in non hairy and hairy skin
  • 73.
  • 74. SENSORY CODING Receptors encode four elements of stimuli ī‚  Modality ī‚  Location ī‚  Intensity ī‚  Duration
  • 75. MODALITY OF SENSATION ī‚  Differential Sensitivity of Receptors for particular stimulus or specific energy for which it is designed ī‚  When nerve fiber from the receptors is stimulated the perception is that for which the receptor is specialized, no matter where and how that nerve is stimulated.This is Muller’s law of specific energy. ī‚  The specificity of nerve fibers for transmitting only one modality of sensation is called the labeled line principle.
  • 76. EXPLANNATION ī‚  Each nerve tract terminates at a specific point in the central nervous system, and the type of sensation felt when a nerve fiber is stimulated is determined by the point in the nervous system to which the fiber leads. ī‚  For instance if a pain fiber is stimulated, the person perceives pain regardless of what type of stimulus excites the fiber. ī‚  Likewise, if a touch fiber is stimulated by electrical excitation of a touch receptor or in any other way, the person perceives touch.
  • 77. LAW OF PROJECTION ī‚  No matter which part of a pathway you stimulate between the receptor and the brain center, your brain will locate the stimulus where receptors are (e.g. phantom limb) ī‚  reorganization of brain map in somatosensory cortex ī‚  Some believe it can be blocked by local anesthetics in spinal cord.
  • 78. ī‚  A phantom limb is the sensation that an amputated or missing limb is still attached to the body. ī‚  Approximately 60 to 80% of individuals with an amputation experience phantom sensations in their amputated limb, and the majority of the sensations are painful. ī‚  Phantom sensations may also occur after the removal of body parts e.g. after amputation of the breast, extraction of a tooth (phantom tooth pain) or removal of an eye (phantom eye syndrome)
  • 79. DALE’S LAW ī‚  At one type of synapse only one type of neurotransmitter is released
  • 80.
  • 81. TRANSDUCTION OF SENSORY STIMULI INTO RECEPTOR POTENTIAL AND NERVE IMPULSES Receptor Potentials When pressure is applied to pacinian corpuscle , a small non-propogated depolarizing potential develops called receptor potential.
  • 82. MECHANISMS OF RECEPTOR POTENTIALS. ī‚  Different receptors can be excited in one of several ways to cause receptor potentials: ī‚  (1) by mechanical deformation of the receptor, which stretches the receptor membrane and opens ion channels; ī‚  (2) by application of a chemical to the membrane, which also opens ion channels; ī‚  (3) by change of the temperature of the membrane, which alters the permeability of the membrane; or ī‚  (4) by the effects of electromagnetic radiation,
  • 83.
  • 84. RELATION OFTHE RECEPTOR POTENTIALTO ACTION POTENTIALS ī‚  When the receptor potential rises above the threshold for eliciting action potentials in the nerve fiber attached to the receptor, then action potentials occur. ī‚  More the receptor potential rises above the threshold level, the greater becomes the action potential frequency.
  • 85. RELATION OFTHE RECEPTOR POTENTIAL TO ACTION POTENTIALS ī‚  More the receptor potential rises above the threshold level, the greater becomes the action potential frequency.
  • 86. RELATION BETWEEN STIMULUS INTENSITY ANDTHE RECEPTOR POTENTIAL. ī‚  Amplitude increases rapidly and then less rapid rise at high stimulus strength ī‚  the frequency of repetitive action potentials transmitted from sensory receptors also increase ī‚  But very strong stimulation decrease action potentials as well
  • 87. ADAPTATION OF RECEPTORS ī‚  Another characteristic of all sensory receptors is that they adapt either partially or completely to any constant stimulus after a period of time. ī‚  That is, when a continuous sensory stimulus is applied, the receptor responds at a high impulse rate at first and then at a progressively slower rate until finally the rate of action potentials decreases to very few or often to none at all.
  • 88. MECHANISMS BY WHICH RECEPTORS ADAPT. ī‚  part of the adaptation results from readjustments in the structure of the receptor itself, ī‚  and part from an electrical type of accommodation in the terminal nerve fibril
  • 89. ī‚  Slowly Adapting Receptors Detect Continuous Stimulus Strength—The “Tonic” Receptors. ī‚  impulses from the muscle spindles and Golgi tendon apparatuses allow the nervous system to know the status of muscle contraction ī‚  Receptors of the macula in the vestibular apparatuses ī‚  pain receptors ī‚  baroreceptors of the arterial tree ī‚  chemoreceptors of the carotid and aortic bodies. ī‚  Rapidly Adapting Receptors Detect Change in Stimulus Strength—The “Rate Receptors,” “Movement Receptors,” or “Phasic Receptors.” ī‚  Pacinian and meissner’s ī‚  Importance of the Rate Receptors—Their Predictive Function.
  • 90. TYPES OF NERVE FIBERS
  • 91. ī‚  To classify nerve fibers ī‚  To understand the properties and differences of nerve fibers
  • 92. NERVE FIBERSTHATTRANSMIT DIFFERENTTYPES OF SIGNALS, AND THEIR PHYSIOLOGIC CLASSIFICATION nerve fibers come in all sizes between 0.5 and 20 micrometers in diameter— the larger the diameter, the greater the conducting velocity The range of conducting velocities is between 0.5 and 120 m/sec
  • 93. GENERAL CLASSIFICATION OF NERVE FIBERS In the general classification, the fibers are divided into types ī‚  A, B and C, ī‚  A&B are myelinated. C fibers are not ī‚  the type A fibers are further subdivided into ī‚  A Îą (annulospiral endings) ī‚  A β (touch and pressure) ī‚  A ÉŖ (motor to muscle spindles) ī‚  Aδ (Pain and temp) ī‚  B fibers are pre-ganglionic fibers ī‚  C fibers are post ganglionic and also transmit slow pain
  • 94. ALTERNATIVE CLASSIFICATION USED BY SENSORY PHYSIOLOGISTS ī‚  Group Ia Muscle spindle ī‚  Group Ib Golgi tendon organs ī‚  Group II Cutaneous tactile receptors ī‚  Group III Fibers carrying temperature, crude touch, and pricking pain sensations ī‚  Group IV Un-myelinated fibers carrying pain, itch, temperature, and crude touch sensations
  • 95. Diameter in micrometers Conduction velocity in m/sec Motor FiberType AÎą 0.12-20 0.72-120 Extrafusal skeletal muscle fibers AÎŗ 0.12-8.2 0.12-48 Intrafusal muscle fibers B 0.21-33 0.86-18 Preganglionic autonomic fibers C 0.2-2 0.5-2 Postganglionic autonomic fibers
  • 96. Peripheral nerve fibers Afferents Diameter of nerve fibers in mm Conduction velocity in m/sec Receptors Sensory FiberType AÎą Ia and Ib 0.13-20 0.80-120 m/sec Primary muscle spindle Golgi tendon organ Aβ II 0.16-12 0.35-75 Secondary muscle spindles, skin mechanoreceptors Aδ III 0.11-5 0.15-30 Skin mechanoreceptors thermal receptors, fast pain C IV 0.2-1.5 0.5-2 Slow pain and temp
  • 97. ī‚  Transmission of Signals of Different Intensity in NerveTracts- ī‚  Spatial andTemporal Summation
  • 98. Temporal summation ī‚  A mean for transmitting signals of increasing strength is by increasing the frequency of nerve impulses in each fiber, which is called temporal summation. Spatial summation
  • 99. RELAYING OF SIGNALS IN NEURONAL POOL
  • 100.
  • 102. Two types of divergence ī‚  Amplifying type in same direction ī‚  Divergence into multiple tracts to enter multiple areas of brain
  • 104. CONVERGENCE OF SIGNALS ī‚  Convergence means signals from multiple inputs uniting to excite a single neuron. ī‚  Convergence from a single source.That is, multiple terminals from a single incoming fiber tract terminate on the same neuron. ī‚  Convergence can also result from input signals (excitatory or inhibitory) from multiple sources
  • 105. NEURONAL CIRCUITWITH BOTH EXCITATORY AND INHIBITORY OUTPUT SIGNALS ī‚  RECIPROCAL INHIBITION CIRCUIT (Flexors & extensors of legs)
  • 106. PROLONGATION OF A SIGNAL BY A NEURONAL POOL- "AFTERDISCHARGE” A signal entering a pool causes a prolonged output discharge, called after-discharge, after the incoming signal is over. The input stimulus may last only 1 millisecond or so, and yet the output can last for many milliseconds or even minutes. The most important mechanisms by which after-discharge occurs are the following. ī‚  Synaptic after-discharge due to long acting neurotransmitter ī‚  Reverberatory circuits
  • 107. REVERBERATORY, OR OSCILLATORY CIRCUIT ī‚  The output neuron simply sends a collateral nerve fiber back to its own dendrites or soma to re-stimulate itself. ī‚  Once the neuron discharges, the feedback stimuli could keep the neuron discharging for a protracted time.
  • 108. CONTINUOUS SIGNAL OUTPUT FROM SOME NEURONAL CIRCUITSWITHOUT INPUT (1) continuous intrinsic neuronal discharge (inter-neurons of spinal cord & cerebellum) (2) continuous reverberatory circuits that do not fatigue
  • 110. MECHANISMS OF STABILIZING NERVOUS SYSTEM FUNCTION ī‚  Inhibitory circuits ī‚  Synaptic fatigue Short term by synaptic fatigue Long term by affecting no. of synaptic receptors