Unit 9 Nervous System Dr. Moattar Raza Rizvi Principles of Physiology Nervous System The Nervous system has three major functions: Sensory – monitors internal & external environment through presence of receptors Integration – interpretation of sensory information (information processing); complex (higher order) functions Motor – response to information processed through stimulation of effectors muscle contraction glandular secretion General Organization of the nervous system • Two Anatomical Divisions – Central nervous system (CNS) • • – Brain Spinal cord Peripheral nervous system (PNS) • • • All the neural tissue outside CNS Afferent division (sensory input) Efferent division (motor output) – – Somatic nervous system Autonomic nervous system General Organization of the nervous system Brain & spinal cord This Slide Summary Important Histology of neural tissue Two types of neural cells in the nervous system: Neurons - For processing, transfer, and storage of information Neuroglia – For support, regulation & protection of neurons Neuroglia (glial cells) CNS neuroglia: • astrocytes • oligodendrocytes • microglia • ependymal cells PNS neuroglia: • Schwann cells (neurolemmocytes) • satellite cells CNS neuroglia Astrocytes • create supportive framework for neurons •play a role in the establishment of a bloodbrain chemical barrier. •monitor & regulate interstitial fluid surrounding neurons • secrete chemicals for embryological neuron formation • stimulate the formation of scar tissue secondary to CNS injury CNS neuroglia Oligodendrocytes • create myelin sheath around axons of neurons in the CNS. Myelinated axons transmit impulses faster than unmyelinated axons Microglia • “brain macrophages” • phagocytize cellular wastes & pathogens •Increase during infection of the CNS CNS neuroglia Ependymal cells • line ventricles of brain & central canal of spinal cord •Cells found in the choroid plexus that secrete cerebrospinal fluid PNS neuroglia Schwann cells • surround all axons of neurons in the PNS creating a neurilemma around them. Neurilemma allows for potential regeneration of damaged axons • creates myelin sheath around most axons of PNS Satellite cells • support (structurally & functionally) groups of cell bodies of neurons within ganglia of the PNS Neuron: Structure Neuron: Structure •Most axons of the nervous system are surrounded by a myelin sheath (myelinated axons) of Ranvier •The presence of myelin speeds up the transmission of action potentials along the axon •Myelin will get laid down in segments (internodes) along the axon, leaving unmyelinated gaps known as “nodes of Ranvier” •Regions of the nervous system containing groupings of myelinated axons make up the “white matter” •“gray matter” is mainly comprised of groups of neuron cell bodies, dendrites & synapses (connections between neurons) Anatomical organization of neurons Neurons of the nervous system tend to group together into organized bundles The axons of neurons are bundled together to form nerves in the PNS & tracts/pathways in the CNS. Since most axons are myelinated, these regions will look white in appearance (“white matter”) The cell bodies of neurons are clustered together into ganglia in the PNS & nuclei/centers in the CNS. These parts are not myelinated, therefore will look gray in appearance (“gray matter”) Neural Tissue Organization Figure 8-6 Structural Classification of neurons Structural classification based on number of processes coming off of the cell body: Multipolar neuron • multiple dendrites & single axon • most common type Structural Classification of neurons Bipolar neuron • two processes coming off cell body – one dendrite & one axon • only found in eye (retina), ear & nose (olfactory mucosa) Unipolar neuron • single process coming off cell body, giving rise to dendrites (at one end) & axon (making up rest of process) Functional Classification of neurons Functional classification based on type of information & direction of information transmission: • Sensory (afferent) neurons – • transmit sensory information from receptors of PNS towards the CNS • most sensory neurons are unipolar, a few are bipolar • Motor (efferent) neurons – • transmit motor information from the CNS to effectors (muscles/glands/adipose tissue) in the periphery of the body • all are multipolar • Association (interneurons) – • transmit information between neurons within the CNS; analyze inputs, coordinate outputs • are the most common type of neuron (20 billion) • are all multipolar (short dendrites and a long or short axon) Reflex arc Reflex – a quick, unconscious response to a stimulus to protect or maintain homeostasis. e.g. stretch reflex, withdrawal reflex Reflex arc – neural pathway involved in the production of a reflex. Structures include: • receptor • sensory neuron • integrating center (brain or spinal cord; may or may not involve association neurons (interneurons)) • motor neuron • effector Reflex arc Stretch reflex - simplest type of reflex - no association neuron involved Simplified Withdrawal reflex Neuron Function Neurons at rest have an unequal distribution of charged ions inside/outside the cell, which are kept separate by the plasma membrane • more Na+ ions outside • more K+ ions inside • large negatively charged proteins & phosphate ions inside The sum of charges makes the outside of the membrane positive, & the inside of the membrane negative Neuron Function Because of the difference of ionic charges inside/outside the cell, the membrane of the resting neuron is “polarized” The difference in charges creates a potential electrical current across the membrane known as the “membrane potential (transmembrane potential)” Neuron Function At rest, the transmembrane potential can also be referred to as the “resting membrane potential” (RMP) The RMP of a neuron = -70mV Neuron Function For ions to cross a cell membrane, they must go through transmembrane channels “leakage channels” – open all the time, allow for diffusion “gated channels” – open & close under specific circumstances (e.g. voltage changes) Because Na+ & K+ can move through leakage channels of nerve cells, the resting membrane potential is maintained by the sodium-potassium exchange pump Neuron Function When a stimulus is applied to a resting neuron, gated ion channels can open If a stimulus opens gated K+ channels, positive charges leave cell membrane potential becomes more negative (-70mV -90mV) This change in membrane potential is known as hyperpolarization Neuron Function When a stimulus causes Na+ gates open, Na+ diffuses into the cell This changes the electrical charge inside the cell membrane, bringing it away from its RMP of -70mV toward 0mV When the membrane potential (i.e. -70 mV) becomes less negative or in other words, approaches zero, the membrane is said to be depolarized This change in membrane potential is known as depolarization Neuron Function If a stimulus only affects Na+ gates at a specific site of the axon, the depolarization is small & localized only to that region of the cell. This is known as a graded potential But if the stimulus reaches a certain level (threshold level), voltage controlled Na+ gates will begin to open in sequence along the length of the axon. The depolarization will propagate along the entire surface of the cell membrane This propagated change in the membrane potential is known as an action potential (nerve impulse) Action potentials • APs involve the movement of Na+ ions into the cell (causing depolarization of the membrane), followed immediately by K+ ions moving out of the cell through voltage controlled K+ gates (causing repolarization of the membrane), that propagates down the length of the cell • APs are due to voltage changes that open & close gated Na+ & K+ channels within excitable cells • Only nerve cells & muscle cells are excitable, i.e. can generate APs. • Once an AP begins, it will propagate down the entire cell at a constant & maximum rate. This is known as the “all or none” principle Action Potential Conduction Depolarization to threshold Activation of voltageregulated sodium channels and rapid depolarization Sodium ions Local current Potassium ions Inactivation of sodium channels and activation of voltage-regulated potassium channels Transmembrane potential (mV) +30 DEPOLARIZATION 3 REPOLARIZATION 0 2 _ 60 _ 70 The return to normal permeability and resting state Threshold 1 4 Resting potential REFRACTORY PERIOD 0 1 2 Time (msec) 3 Action Potential Conduction • Nerve cell at rest (RMP= -70mV) • Stimulus applied to cell • Na+ gates at axon hillock cause localized depolarization (graded potential) • If stimulus is strong enough, flow of Na+ ions into cell reach threshold level triggering opening of voltage gated Na+ channels & formation of an action potential (nerve impulse) Action Potential Conduction • Once threshold is reached, Na+ will quickly diffuse into the cell causing a rapid depolarization of the membrane •(-70 mV0 mV +30 mV) • this depolarization will spread to adjacent parts of the membrane, activating more voltage controlled Na+ gates in succession Action Potential Conduction • When the transmembrane potential reaches +30mV, Na+ gates will close & K+ gates will open • K+ will quickly exit cell resulting in repolarization of membrane & return to resting state Action Potential Conduction A. Action Potential B. Depolarization C. Repolarization D. Threshold E. Stimulus F. Resting state G. Refractory period Propagation of an Action Potential Continuous propagation (continuous conduction) • Involves entire membrane surface • Proceeds in series of small steps (slower) • Occurs in unmyelinated axons (& in muscle cells) Propagation of an Action Potential Saltatory propagation (saltatory conduction) Involves patches of membrane exposed at nodes of Ranvier Proceeds in series of large steps (faster) Occurs in myelinated axons “The Big Picture” • “Information” travels within the nervous system primarily in the form of propagated electrical signals known as action potentials. • An action potential occurs due to a rapid change in membrane polarity (depolarization followed by repolarization) • Depolarization is due to the influx of sodium ions (Na+); repolarization is due to the efflux of potassium ions (K+) Conduction across synapses In order for neural control to occur, “information” must not only be conducted along nerve cells, but must also be transferred from one nerve cell to another across a synapse Most synapses within the nervous system are chemical synapses, & involve the release of a neurotransmitter Neurotransmitters are stored in vesicles that are located primarily in specialized portions of the Axon The Structure of a Typical Synapse Synaptic knob is a part of a neuron comes in close proximity to another neuron at the synapse Events at a Typical Synapse Events at a Typical Synapse • An action potential arrives & depolarizes the synaptic knob (end bulb) • Before repolarization can occur, Ca+2 gates open & Ca+2 diffuses into end bulb • Repolarization occurs Events at a Typical Synapse • Ca+2 causes the synaptic vessicles to fuse with the end bulb membrane causing the exocytosis of the neurotransmitter Events at a Typical Synapse • The neurotransmitter diffuses across the synaptic cleft & binds to its receptors on the post synaptic membrane, causing an effect on the post synaptic cell Synapse The effect on the post synaptic neuron will depend on whether the neurotransmitter released is Excitatory (e.g. Ach, norepinephrine (NE)) Inhibitory (e.g. seratonin, GABA) Excitatory neurotransmitters cause Na+ gates to open in the post synaptic membrane depolarization (impulse conduction) Inhibitory neurotransmitters cause K+ or Cl- gates to open in the post synaptic cell hyperpolarization (no impulse conduction) Synapse The effects of neurotransmitters on the post synaptic neurons are usually short lived because most neurotransmitters are rapidly removed from the synaptic cleft by enzymes or reuptake The Central & Peripheral Nervous System The Central Nervous System Meninges – Connective tissues that surround and protect the brain and spinal cord (CNS) • Dura Mater – tough, fibrous outer layer; •2 layers thick around brain with creation of dural sinuses between layers; •1 layer around spinal cord with epidural space external • Arachnoid – “spidery” web-like middle layer • Pia Mater – delicate, thin inner layer; extension of pia mater (“filum terminale”) extends from tip of cord to coccyx to anchor cord in place Subarachnoid space – between arachnoid & pia mater; contains cerebral spinal fluid (CSF) Cranial Meninges Pia mater: The membrane that supplies most of the blood to the brain Spinal Meninges Most of the cerebrospinal fluid is found in the subarachnoid space The Spinal Cord • Begins at foramen magnum & ends at L2 vertebral level by forming conus medularis •Has 2 thickened areas- -cervical enlargement supplies nerves to upper extremity (conus medularis) -lumbar enlargement supplies nerves to lower extremity • Made up of 31 spinal cord segments The Spinal Cord Dorsal root ganglion (DRG) Dorsal root Ventral root •Each spinal cord segment has a pair of • dorsal roots with their associated dorsal root ganglia (DRG) • ventral roots The Spinal Cord • Each dorsal root contains the axons of sensory neurons (unipolar neurons) • Each dorsal root ganglion contains the cell bodies of these sensory neurons • Each ventral root contains the axons of motor neurons (multipolar neurons whose cell bodies are within the cord) The Spinal Cord The dorsal & ventral roots of each segment come together at the intervertebral foramen (IVF) to form a mixed spinal nerve Spinal Nerves • Part of the PNS • Contain both motor & sensory fibers (“mixed nerve”) • 31 pair of nerves – each nerve forms from union of dorsal/ventral root of spinal cord segment & exits between vertebra at IVF (intervertebral foramen) •8 pair cervical spinal nerves – 1st cervical nerve exits between occipital bone & C1, 8th cervical nerve exits the IVF between C7-T1 • 12 pair thoracic spinal nerves • 5 pair lumbar nerves • 5 pair sacral nerves • 1 pair coccygeal nerves Spinal Nerves Below the conus medularis, spinal nerves must angle downward (in the subarachnoid space) before exiting their IVF. These spinal nerves make up the cauda equina Spinal Nerves • Once formed, spinal nerves will branch •The branches of most spinal nerves (comprised of axons) interweave to form nerve plexuses • peripheral nerves then branch from the plexuses to provide motor & sensory innervation to specific areas of the body Nerve Plexus 4 major plexuses cervical brachial lumbar sacral Spinal Nerve plexuses Cervical plexus (C1-C5) gives off phrenic nerve Brachial plexus (C5-T1) gives off median, ulnar & radial nerve Lumbar plexus (T12-L4) gives off femoral nerve Sacral plexus (L4-S4) gives off sciatic nerve No plexus forms between T2-T11 – intercostal nerves Sectional Anatomy of the Spinal cord Posterior median sulcus Posterior column Posterior gray horn sensory Central canal Lateral column Gray commissure Anterior column Lateral gray horn (T1-L2, S2S4) - autonomic Anterior gray horn motor Anterior median fissure “The Big Picture” The spinal cord has a narrow central canal surrounded by “horns” of gray matter connected by a commissure. Gray matter horns contain sensory & motor nuclei (groups of cell bodies). Gray matter is surrounded by white matter “columns” which are made up of groups of myelinated axons creating organized ascending & descending tracts. Tracts (Sensory & Motor Pathways) • Groups of axons found in the white matter columns of the spinal cord that carry specific information • Ascending tracts - carry sensory information up the spinal cord to areas of the brain • Descending tracts – carry motor information from the brain down to specific levels of the spinal cord • Ascending & descending tracts within the spinal cord are part of the sensory & motor pathways of the nervous system Tracts (Sensory & Motor Pathways) Ascending Tracts (sensory pathways) Spinothalamic tracts carries poorly localized touch, pressure, pain & temperature from cutaneous receptors to the thalamus from thalamus, some of this sensory info reaches primary sensory cortex of the cerebrum for “interpretation” & conscious awareness Ascending Tracts (sensory pathways) Posterior Columns carries highly localized discriminative (fine) touch, vibration, conscious proprioception (position sense) to nucleus in medulla oblongata (M.O.) from M.O., info travels along rest of pathway to thalamus & then to primary sensory cortex of cerebrum Spinocerebellar carries proprioceptive (positional) information to the cerebellum (unconscious awareness) Posterior Column Pathway Descending Tracts (motor pathways) Corticospinal (pyramidal) carries commands from primary motor cortex of cerebrum for conscious (voluntary) control of skeletal muscles. most fibers cross in “pyramidal decussation” of medulla oblongata so that left cerebral cortex controls muscles on right side of body, & vice-versa. Medial & lateral pathways originate from a variety of brain nuclei & send signals to motor neurons in the spinal cord for (subconscious) coordination of skeletal muscle activity, maintenance of posture & muscle tone. Corticospinal (pyramidal) Pathway “The Big Picture” Ascending & descending tracts are part of larger sensory & motor pathways These sensory & motor pathways include the afferent & efferent neurons of the PNS Sensory & motor information gets in/out of spinal cord via spinal nerves The Brain Brain stem medulla oblongata (M.O.) Cerebrum pons midbrain Diencephalon T H M thalamus PP hypothalamus midbrain Cerebellum epithalamus (pineal gland) mamillary body pons m.o. Cerebrum Cerebellum Cerebrospinal Fluid (CSF) clear, colorless fluid formed by filtration of blood plasma by choroid plexuses within ventricles of the brain. circulates through ventricles, into central canal of spinal cord & around brain & SC in subarachnoid space. Reabsorbed through arachnoid granulations into dural sinuses & then into bloodstream functions in protection of CNS, support, nutrient supply, waste removal sample of CSF can be taken at subarachnoid space inferior to the conus medularis by “lumbar puncture” (spinal tap) CSF Circulation The Brainstem Medulla oblongata continuation of the SC above the foramen magnum contains the pyramidal decussation cranial nerve nuclei (XII-VIII (cochlear) cardiac, vasomotor, & respiratory reflex centers Pons The region of the brain stem located between the midbrain and medulla oblongata cranial nerve nuclei (VIII (vestibular) – V) respiratory center The Brainstem Midbrain cerebral peduncles – location of descending (motor) tracts Corpora quadrigemina superior colliculi – visual reflex centers inferior colliculi – auditory reflex centers cranial nerve nuclei (IV-III) reticular formation – network of interconnected nuclei throughout brainstem responsible for maintaining states of consciousness (awake & aroused) Visual and auditory reflexes are centered in Midbrain The Diencephalon Thalamus surrounds 3rd ventricle 2 halves connected by intermediate mass comprised of sensory nuclei The thalamus is a primary site of sensory integration The Diencephalon Hypothalamus mamillary bodies – reflex centers associated with eating, & processing of olfactory sensations connects to pituitary gland via the infundibulum has many important functions relating to maintaining homeostasis including: integrating nervous & endocrine systems through control over pituitary gland integration of ANS from visceral stimuli hunger/satiety, thirst, body temp. regulation hormone production (ADH, oxytocin) subconscious coordination of motor responses associated with rage, pleasure, pain, sexual arousal The Diencephalon Pineal gland secretes Melatonin which helps regulate day-night cycles (circadian rhythm) Limbic system functionally related areas in cerebrum, thalamus & hypothalamus involved in emotional states & behaviors linking conscious areas of cerebrum with unconscious areas of brainstem long term memory Cerebrum Higher thought processes for learning and memory are primarily in the cerebrum gyrus sulcus Lobes of Cerebral Hemispheres The central sulcus in the cerebrum, separates the frontal from the parietal lobe. Central sulcus Parietal lobe Parieto-occipital sulcus Frontal lobe Occipital lobe Lateral sulcus (Insula is deep to lateral sulcus) Temporal lobe Lobes of Cerebral Hemispheres insula Gray & White matter of cerebrum Gray matter – outer cortex & inner nuclei (centers) White matter – deep to cortex; comprised of fibers (pathways for communication): association commissural projection White matter of cerebrum association fibers – connect gyri in same hemisphere commissural fibers – connect gyri in opposite hemispheres (e.g. corpus callosum) projection fibers – connect cerebrum with other parts of brain & spinal cord Functional areas of Cerebrum Motor and Sensory areas Association areas Cerebral processing centers Motor & Sensory primary motor cortex (precentral gyrus) primary sensory cortex (postcentral gyrus) Motor & Sensory Motor & Sensory primary motor cortex (precentral gyrus) primary sensory cortex (postcentral gyrus) gustatory cortex visual cortex auditory cortex olfactory cortex Association areas • interpret incoming somatic motor association area (premotor cortex) sensations; coordinate motor responses visual association area Cerebral Processing Centers • higher-order integrative centers • may be unilateral general interpretive area (Wernike’s) –Lt hemisphere usually motor speech center (Broca’s) Lt hemisphere usually Prefrontal cortex (bilat.) The Cerebellum 2 hemispheres connected by vermis separated from cerebrum by transverse fissure outer folia with inner arbor vitae functions include control of skeletal muscles (unconscious) for balance, coordination & posture Stores patterns of movement links to brainstem by cerebellar peduncles transverse fissure arbor vitae (white matter) folia (gray matter) Cranial Nerves 12 pairs of nerves (part of PNS) that connect to the brain; provide motor, sensory &/or autonomic (parasympathetic) function Cranial Nerves (know #, name & basic function) I Olfactory – smell II Optic – sight III Oculomotor – motor to eye muscles; ANS for accommodation of lens & pupil constriction IV Trochlear – motor to one eye muscle V Trigeminal – motor to muscles of mastication, sensation to face & mouth VI Abducens – motor to one eye muscle VII Facial – motor to muscles of facial expression; taste; ANS to lacrimal & salivary glands VIII Vestibulocochlear – equilibrium & hearing IX Glossopharyngeal – swallowing, taste, ANS to salivary glands, sensory reception from monitoring of blood pressure in large arteries X Vagus – sensation from viscera; ANS visceral muscle movement (respiratory, digestive, cardiovascular systems) XI Accessory – motor to muscle of pharynx, SCM & Trapezius XII Hypoglossal – motor to tongue muscles Autonomic Nervous System (ANS) Motor regulation of smooth muscle, cardiac muscle, glands & adipose tissue (“visceral effectors”) through stimulation of “visceral efferent fibers” Sympathetic (Σ) division – “fight or flight” response Parasympathetic (PΣ) division – rest & repose (“conserve & restore”) response “dual innervation” – if organ receives both Σ & PΣ, one division excites, the other inhibits activity Overview of ANS anatomy Somatic efferent: CNS Somatic motor neuron Skeletal muscle Visceral (autonomic) efferent: CNS Preganglionic neuron Autonomic ganglion (myelinated, cholinergic) Postganglionic neuron Visceral effector unmyelinated, cholinergic or adrenergic) (excitatory synapse) Effect may be excitatory or inhibitory depending on receptors Sympathetic cell bodies of preganglionic neurons in lateral gray horns of spinal cord T1-L2 (“thoracolumbar division”) axons of pregg Σ neurons travel to: sympathetic chain ganglion, or prevertebral (collateral) ganglion,& adrenal medulla pregg Σ fibers release Ach postgg Σ neurons usually release norepinephrine (NE) effects on visceral effectors usually excitatory but depend upon specific receptor present - alpha (α) or beta (β) Sympathetic Lateral gray horns T1-L2 Preganglionic neuron (myelinated, cholinergic) Σ Chain ganglion Prevertebral ganglion (excitatory synapse) Postganglionic neuron Visceral effector unmyelinated NE released (adrenergic) Effect may be excitatory or inhibitory depending on receptors Alpha(α) or beta (β) Parasympathetic cell bodies of preganglionic neurons found in cranial nerve nuclei (III, VII, IX, X) & lateral gray horns S2-S4 (“craniosacral division”) pregg PΣ neurons travel to terminal ganglion (close to) or intramural ganglion (within wall) of effector both pre & postganglionic PΣ fibers release Ach effects on organ depend on specific receptor present (nicotinic or muscarinic) Parasympathetic CNs (III, VII, IX, X) & Lateral gray horns S2S4 Preganglionic neuron (myelinated, cholinergic) Terminal ganglion Intramural ganglion (excitatory synapse) Postganglionic neuron Visceral effector unmyelinated Ach released (cholinergic) Effect may be excitatory or inhibitory depending on receptors Nicotinic or Muscarinic Activities of the ANS Effects of Sympathetic Activation -“fight or flight” response (energy expenditure): increased cardiovascular & respiratory activity increased blood flow to brain (increased alertness), skeletal muscles, heart muscle, lungs increased visual acuity (pupil dilation) release of energy reserves from adipose, liver, & skeletal muscles decrease in “non-essential” functions (ie. digestion) release of Epi & NE from adrenal medullae to continue effects Activities of the ANS Effects of Parasympathetic Activation -“rest & repose” response (conserve & restore energy): decreased cardiovascular & respiratory activity increased GI motility & enzyme secretion pupil constriction nutrient uptake & energy storage into adipose, liver, & skeletal muscles (glycogen)