The Nervous System I: The Spinal Cord and Spinal Nerves Anatomy & Physiology I Chapter 9 Coordination and Control endocrine and nervous system maintain internal communication and coordination ◦ endocrine system - communicates by means of chemical messengers (hormones) secreted into to the blood ◦ nervous system - employs electrical and chemical means to send messages from cell to cell Functions of the Nervous System The nervous system carries out its task in three basic steps: 1. ◦ Sensory input Information gathered by sensory receptors about internal and external changes ◦ 2. ◦ 3. ◦ Integration Interpretation of sensory input by the CNS Motor output Activation of effector organs (muscles and glands) produces a response Sensory input Integration Motor output Two Major Divisions of Nervous System central nervous system (CNS) ◦ brain and spinal cord ◦ Integration and command center peripheral nervous system (PNS) ◦ all the nervous system except the brain and spinal cord ◦ nerves and ganglia ◦ nerves carry messages to and from the CNS PNS: Nerves and Ganglia nerve – a cable-like bundle of axons wrapped in connective tissue ◦ found only in the PNS ganglion – a knot-like bundle of neuron cell bodies wrapped in connective tissue Dendrites Cell body (Soma) (receptive regions) Typical Neuron (nerve cell) Axon (impulse generating and conducting region) Impulse direction Subdivisions of Nervous System Central nervous system (CNS) Peripheral nervous system (PNS) Brain Spinal cord Nerves Ganglia Peripheral Nervous System (PNS) Two functional divisions: 1. Sensory (afferent) division Transmits signal from receptors to the CNS Somatic sensory fibers—convey impulses from skin, skeletal muscles, bones, and joints Visceral Sensory fibers—convey impulses from visceral organs 2. Motor (efferent) division Transmits impulses from the CNS to effectors Effectors are muscles and glands Motor Division of PNS Somatic motor division (voluntary) 1. ◦ Conscious control of skeletal muscles Visceral motor division (involuntary) 2. ◦ Also called the autonomic nervous system (ANS) Regulates smooth muscle, cardiac muscle, and glands Two functional subdivisions ◦ ◦ Sympathetic Parasympathetic Peripheral nervous system (PNS) Central nervous system (CNS) Cranial nerves and spinal nerves Communication lines between the CNS and the rest of the body Brain and spinal cord Integrative and control centers Sensory (afferent) division Somatic and visceral sensory nerve fibers Conducts impulses from receptors to the CNS Somatic sensory fiber Motor (efferent) division Motor nerve fibers Conducts impulses from the CNS to effectors (muscles and glands) Somatic nervous system Somatic motor (voluntary) Conducts impulses from the CNS to skeletal muscles Skin Visceral sensory fiber Stomach Skeletal muscle Motor fiber of somatic nervous system Sympathetic division Mobilizes body systems during activity Sympathetic motor fiber of ANS Structure Function Sensory (afferent) division of PNS Motor (efferent) division of PNS Parasympathetic motor fiber of ANS Autonomic nervous system (ANS) Visceral motor (involuntary) Conducts impulses from the CNS to cardiac muscles, smooth muscles, and glands Parasympathetic division Conserves energy Promotes housekeeping functions during rest Heart Bladder Histology of Nervous Tissue Two principal cell types 1. Neurons—excitable cells that transmit electrical signals Histology of Nervous Tissue 2. Neuroglia (glial cells)—supporting cells: Astrocytes (CNS) Microglia (CNS) Ependymal cells (CNS) Oligodendrocytes (CNS) Satellite cells (PNS) Schwann cells (PNS) Neuroglia Neuroglia (glial cells) Protect and nourish nervous tissue Support nervous tissue Aid in cell repair Remove pathogens and impurities Regulation composition of fluids around and between cells Neurons (Nerve Cells) Special characteristics: ◦ Long-lived ( 100 years or more) ◦ Amitotic—with few exceptions ◦ High metabolic rate—depends on continuous supply of oxygen and glucose ◦ Plasma membrane functions in: Electrical signaling Cell-to-cell interactions during development Cell Body (Soma) Biosynthetic center of a neuron Spherical nucleus with nucleolus Well-developed Golgi apparatus Rough ER called Nissl bodies Axon hillock—cone-shaped area from which axon arises Clusters of cell bodies are called nuclei in the CNS, ganglia in the PNS Dendrites (receptive regions) Cell body (biosynthetic center and receptive region) Typical Neuron Nucleolus Axon (impulse generating and conducting region) Nucleus Nissl bodies Axon hillock Impulse direction Node of Ranvier Schwann cell (one interNeurilemma Terminal node) branches Axon terminals (secretory region) Processes Dendrites and axons Bundles of processes are called ◦ Tracts in the CNS ◦ Nerves in the PNS Dendrites Short, tapering, and diffusely branched Receptive (input) region of a neuron Convey electrical signals toward the cell body The Axon (nerve fiber) One long axon per cell Occasional branches (axon collaterals) Numerous terminal branches Knoblike axon terminals (synaptic knobs) ◦ Release neurotransmitters to excite or inhibit other cells Axons: Function Conducting region of a neuron Generates and transmits nerve impulses (action potentials) away from the cell body Myelin myelin sheath – an insulating layer around a nerve fiber ◦ formed by oligodendrocytes in CNS and Schwann cells in PNS ◦ consists of the plasma membrane of glial cells 20% protein and 80 % lipid Myelination production of the myelin sheath ◦ begins the 14th week of fetal development ◦ proceeds rapidly during infancy ◦ completed in late adolescence ◦ dietary fat is important to nervous system development Formation of a Myelin Sheath (A)Schwann cells wrap around the axon, creating a myelin coating. (B) The outermost layer of the Schwann cell forms the neurilemma. Space between each myelin sheath is the nodes (of Ranvier). Conduction Speed of Nerve Fibers speed at which a nerve signal travels along a nerve fiber depends on two factors ◦ diameter of fiber ◦ presence or absence of myelin signal conduction occurs along the surface of a fiber ◦ larger fibers have more surface area and conduct signals more rapidly ◦ myelin further speeds signal conduction Conduction Speed of Nerve Fibers conduction speed ◦ small, unmyelinated fibers - 0.5 - 2.0 m/sec ◦ small, myelinated fibers - 3 - 15.0 m/sec ◦ large, myelinated fibers - up to 120 m/sec slow signals supply the stomach and dilate pupil where speed is less of an issue fast signals supply skeletal muscles and transport sensory signals for vision and balance Diseases of Myelin Sheath degenerative disorders of the myelin sheath ◦ multiple sclerosis oligodendrocytes and myelin sheaths in the CNS deteriorate myelin replaced by hardened scar tissue nerve conduction disrupted (double vision, tremors, numbness, speech defects) onset between 20 and 40 and fatal from 25 to 30 years after diagnosis cause may be autoimmune triggered by virus Diseases of Myelin Sheath degenerative disorders of the myelin sheath ◦ Tay-Sachs disease a hereditary disorder of infants of Eastern European Jewish ancestry abnormal accumulation of glycolipid in the myelin sheath; disrupts conduction of nerve signals normally decomposed by lysosomal enzyme enzyme missing in individuals homozygous for Tay-Sachs allele blindness, loss of coordination, and dementia fatal before age 4 Diagram of a motor neuron The arrows show the direction of the nerve impulse. ZOOMING IN • How can you tell this is motor neuron and not a sensory neuron? Types of Neurons Sensory neurons (afferent neurons) ◦ Conduct impulses to spinal cord, brain Motor neurons (efferent neurons) ◦ Conduct impulses to muscles, glands Interneurons (association neurons) ◦ Conduct information within CNS Functional Classes of Neurons Peripheral nervous system 1 3 Central nervous system Sensory (afferent) neurons conduct signals from receptors to the CNS. Motor (efferent) neurons conduct signals from the CNS to effectors such as muscles and glands. 2 Interneurons (association neurons) are confined to the CNS. Nerves and Tracts Nerve: fiber bundle within PNS Tract: fiber bundle within CNS Organized into fascicles Connective tissue layers ◦ Endoneurium ◦ Perineurium ◦ Epineurium Anatomy of a Nerve Epineurium Perineurium Endoneurium Nerve fiber Rootlets Posterior root Posterior root ganglion Anterior root Spinal nerve Fascicle Blood vessels Blood vessels Fascicle Epineurium Perineurium Unmyelinated nerve fibers Myelinated nerve fibers Endoneurium Myelin The Nervous System at Work Electrical impulses sent along neuron fibers and transmitted between cells at junctions The Nerve Impulse Plasma membrane carries electrical charge (potential) Plasma membrane is polarized (negative charge) Membrane potential reverses, generates electrical charge (action potential) ◦ Resting state ◦ Depolarization ◦ Repolarization Sodium/potassium (Na+/K+) pump Myelin sheath speeds conduction The Synapse Junction point for transmitting nerve impulse Axon (presynaptic cell) Dendrite (postsynaptic cell) Synaptic cleft Neurotransmitters ◦ Epinephrine (adrenaline) ◦ Norepinephrine (noradrenaline) ◦ Acetylcholine Receptors Neurotransmitters and Psychoactive Drugs Psychoactive drugs affect neurotransmitter activity in the brain Used to treat depression, anxiety, obsessive-compulsive disorder (OCD) Selective serotonin reuptake inhibitors (Example: Prozac) ◦ Block serotonin uptake Others block norepinephrine, dopamine. A Synapse (A)The end-bulb of the presynaptic axon has vesicles containing neurotransmitter, which is released into the synaptic cleft to the membrane of the postsynaptic (receiving) cell. (B) Close-up of a synapse showing receptors for neurotransmitter in the postsynaptic cell membrane. The Spinal Cord Links PNS and brain Helps coordinate impulses within CNS Contained in and protected by vertebrae Spinal Cord and Spinal Nerves Nerve plexuses (networks) are shown. (A) Lateral view. (B) Posterior view. ZOOMING IN • Is the spinal cord the same length as the spinal column? How does the number of cervical vertebrae compare with the number of cervical spinal nerves? Structure of the Spinal Cord Unmyelinated tissue (gray matter) ◦ Dorsal horn ◦ Ventral horn ◦ Gray commissure ◦ Central canal Myelinated axons (white matter) ◦ Posterior median sulcus ◦ Anterior median fissure ◦ Ascending and descending tracts The Spinal Cord (A) Cross-section of the spinal cord showing the organization of the gray and white matter. The roots of the spinal nerves are also shown. (B) Microscopic view of the spinal cord in cross-section (x5). Meninges of Vertebra and Spinal Cord Posterior Meninges: Dura mater (dural sheath) Arachnoid mater Pia mater Spinous process of vertebra Fat in epidural space Subarachnoid space Spinal cord Denticulate ligament Posterior root ganglion Spinal nerve Vertebral body (a) Spinal cord and vertebra (cervical) Anterior Reflex Arc Components of a reflex arc (neural path) 1. Receptor—site of stimulus action 2. Sensory neuron—transmits afferent impulses to the CNS 3. Interneuron – (Integration center) within the CNS 4. Motor neuron—conducts efferent impulses from the integration center to an effector organ 5. Effector—muscle fiber or gland cell that responds to the efferent impulses by contracting or secreting Stimulus Reflex Arc Skin 1 Receptor Interneuron 2 Sensory neuron 3 Integration center 4 Motor neuron 5 Effector Spinal cord (in cross section) Typical Reflex Arc Numbers show the sequence of impulses through the spinal cord (solid arrows). Contraction of the biceps brachii results in flexion of the arm at the elbow. ZOOMING IN • Is this a somatic or an autonomic reflex arc? What type of neuron is located between the sensory and motor neuron in the CNS? Reflex Activities Simple reflex ◦ Rapid ◦ Uncomplicated ◦ Automatic Spinal reflex ◦ Stretch reflex Medical Procedures Involving the Spinal Cord Lumbar puncture (spinal tap) ◦ Cerebrospinal fluid (CSF) removed for testing Drug administration ◦ Anesthetic (an epidural) ◦ Pain medication Diseases and Other Disorders of the Spinal Cord Multiple sclerosis (MS) Amyotrophic lateral sclerosis Poliomyelitis Tumors Injuries ◦ Monoplegia ◦ Diplegia ◦ Paraplegia ◦ Hemiplegia ◦ Tetraplegia The Spinal Nerves 31 pairs Each nerve attached to spinal cord by two roots ◦ Dorsal root Dorsal root ganglion ◦ Ventral root Nerves near end of cord travel together in the cord until each exits from its respective intervertebral foramen Mixed nerves Branches of the Spinal Nerves Cervical plexus ◦ Phrenic nerve Brachial plexus ◦ Radial nerve Lumbosacral plexus ◦ Sciatic nerve Dermatomes Dermatomes A dermatome is a region of the skin supplied by a single spinal nerve. ZOOMING IN • Which spinal nerves carry impulses from the skin of the toes? From the anterior hand and fingers? Disorders of the Spinal Nerves Peripheral neuritis Sciatica Herpes zoster Guillain-Barré syndrome Autonomic Nervous System (ANS) The ANS consists of motor neurons that: ◦ Regulate the action of smooth and cardiac muscle and glands ◦ Make adjustments to ensure optimal support for body activities ◦ Operate via subconscious control Motor Divisions: Somatic vs. Visceral (ANS) Central nervous system (CNS) Peripheral nervous system (PNS) Sensory (afferent) division Motor (efferent) division Somatic nervous system Autonomic nervous system (ANS) Sympathetic division Parasympathetic division Somatic and Autonomic Nervous Systems The two systems differ in ◦ Effectors ◦ Efferent pathways (and their neurotransmitters) ◦ Target organ responses to neurotransmitters Effectors Somatic nervous system ◦ Skeletal muscles ANS ◦ Cardiac muscle ◦ Smooth muscle ◦ Glands Efferent Pathways Somatic nervous system ◦ A, thick, heavily myelinated somatic motor fiber makes up each pathway from the CNS to the muscle ANS pathway is a two-neuron chain 1. Preganglionic neuron (in CNS) has a thin, lightly myelinated preganglionic axon 2. Ganglionic neuron in autonomic ganglion has an unmyelinated postganglionic axon that extends to the effector organ Neurotransmitter Effects Somatic nervous system ◦ All somatic motor neurons release acetylcholine (ACh) ◦ Effects are always stimulatory ANS ◦ Preganglionic fibers release ACh ◦ Postganglionic fibers release norepinephrine or ACh at effectors ◦ Effect is either stimulatory or inhibitory, depending on type of receptors SOMATIC NERVOUS SYSTEM Cell bodies in central nervous system Peripheral nervous system Neurotransmitter at effector Effector organs Single neuron from CNS to effector organs Effect + ACh Stimulatory Heavily myelinated axon Skeletal muscle NE SYMPATHETIC ACh Unmyelinated postganglionic axon Lightly myelinated Ganglion Epinephrine and preganglionic axons norepinephrine ACh Adrenal medulla PARASYMPATHETIC AUTONOMIC NERVOUS SYSTEM Two-neuron chain from CNS to effector organs Acetylcholine (ACh) Blood vessel ACh ACh Lightly myelinated preganglionic axon Norepinephrine (NE) Ganglion + Unmyelinated postganglionic axon Smooth muscle (e.g., in gut), glands, cardiac muscle Stimulatory or inhibitory, depending on neurotransmitter and receptors on effector organs Divisions of the ANS Sympathetic division 2. Parasympathetic division Dual innervation 1. ◦ Almost all visceral organs are served by both divisions, but they cause opposite effects CN III Ciliary ganglion CN VII CN IX CN X Pterygopalatine ganglion Submandibular ganglion Otic ganglion Eye Lacrimal gland Nasal mucosa Submandibular and sublingual glands Parotid gland Heart Cardiac and pulmonary plexuses Celiac plexus Lung Liver and gallbladder Stomach Pancreas S2 S4 Pelvic splanchnic nerves Inferior hypogastric plexus Genitalia (penis, clitoris, and vagina) Large intestine Small intestine Rectum Urinary bladder and ureters Preganglionic Postganglionic Cranial nerve Eye Lacrimal gland Nasal mucosa Pons Sympathetic trunk (chain) ganglia Blood vessels; skin (arrector pili muscles and sweat glands) Superior cervical ganglion T1 Middle cervical ganglion Inferior cervical ganglion Salivary glands Heart Cardiac and pulmonary plexuses Lung Greater splanchnic nerve Lesser splanchnic nerve Celiac ganglion L2 Liver and gallbladder Stomach White rami communicantes Superior mesenteric ganglion Spleen Adrenal medulla Kidney Sacral splanchnic nerves Lumbar splanchnic nerves Inferior mesenteric ganglion Small intestine Large intestine Rectum Preganglionic Postganglionic Genitalia (uterus, vagina, and penis) and urinary bladder Sympathetic nervous system Thoracolumbar area Adrenergic system Activated in the four E’s: excitement, emergency, embarassment, exercise Role of the Sympathetic Division Mobilizes the body during activity; is the “fight-or-flight” system Promotes adjustments during exercise, or when threatened ◦ Blood flow is shunted to skeletal muscles and heart ◦ Bronchioles dilate ◦ Liver releases glucose Parasympathetic nervous system Arise in craniosacral areas Cholinergic system Role of the Parasympathetic Division Promotes maintenance activities and conserves body energy Its activity is illustrated in a person who relaxes, reading, after a meal ◦ Blood pressure, heart rate, and respiratory rates are low ◦ Gastrointestinal tract activity is high ◦ Pupils are constricted and lenses are accommodated for close vision Sympathetic Effects… On the iris - Pupillary dilation On the sweat glands – secretion On piloerector muscles – hair erection (goose bumps) On the heart – increased heart rate and force On blood vessels of skeletal muscle – vasodilation On blood vessels of skin – vasoconstriction On the bronchi and bronchioles – bronchodilation On the kidneys – reduced urine output On the GI Tract – decreased motility and secretion On the Liver – glycogen breakdown On the pancreas – decreased insulin secretion; decreased digestive enzyme secretion On the reproductive system – stimulation of orgasm and relaxation of the uterus Parasympathetic Effects... On the iris - Pupillary constriction On the heart – decreased heart rate and force On blood vessels of skin – vasodilation On the bronchi and bronchioles – bronchoconstriction On the bladder wall – contraction On the GI Tract – increased motility and secretion On the Liver – glycogen synthesis On the pancreas – increased digestive enzyme secretion On the reproductive system – stimulation of penile and clitoral erection Autonomic Nervous System The diagram shows only one side of the body for each division. ZOOMING IN • Which division of the autonomic nervous system has ganglia closer to the effector organ? Cellular Receptors “Docking sites” on postsynaptic cell membranes Two types: Cholinergic receptors ◦ Nicotinic (bind nicotine) on skeletal muscle cells ◦ Muscarinic (bind muscarine, a poison) on effector cells of PNS Adrenergic receptors ◦ Found on receptor cells of sympathetic nervous system ◦ Bind norepinephrine, epinephrine Drugs and the Nervous System sympathomimetics enhance sympathetic activity ◦ stimulate receptors or increase norepinephrine release cold medicines that dilate the bronchioles or constrict nasal blood vessels sympatholytics suppress sympathetic activity ◦ block receptors or inhibit norepinephrine release beta blockers reduce high BP interfering with effects of epinephrine/norepinephrine on heart and blood vessels parasympathomimetics enhance activity while parasympatholytics suppress activity End of Presentation