dendrite arise. Seen only in embryonic stage of humans Bipolar: Have two poles. Axon arise from one and dendrite from the other. Commonly found in retina and olfactory cortex Multipolar: Have many poles. One pole gives rise to axon and all other poles give rise to dendrites. Commonest type of neuron Pseudopolar: two fibres fuse at a short distance from the cell body. E.g dorsal root ganglion. Here fibres come from a sensory receptor and the other enters the CNS Neurons can also be: Motor (carry motor impulse from CNS to periphery aka efferent nerves) and sensory (carry sensory impulses from periphery to CNS). Another classification is : Golgi type 1 (having long axons) and Golgi type 2 (having short axons) Nerve Fibres Classification Aside the earlier distribution of neurons we can classify nerve fibres as: Myelinated or Non-myelinated; Somatic or Visceral; Cranial or Spinal; Sensory or Motor; Adrenergic or Cholinergic; Type A or Type B or Type C. Properties of Nerve Fibres Excitability: A hallmark of nerves is their excitability. This is defined as the physiochemical change that occurs in a tissue when stimulus is applied. They can respond to electrical, chemical or mechanical stimuli. Two types of physiochemical disturbances are produced: local nonpropagated (synaptic, generator or electrotonic potentials-when subliminal stimulus applied) and Action potential: In nerves RMP is -70mV, firing level is -55mV, depolarization ends at =35mV. In skeletal muscle (-90mV, -75mV and +55mV) Conductivity: The ability of nerve fibres to transmit the impulse from the area of stimulation to other areas. Normally, in the body AP, is transmitted unidirectionally but experimentally it has been found to travel in either direction AP travels by depolarization of neighbouring areas Saltatory conduction is the form of conduction seen in myelinated fibres which is 50times faster than a nonmyelinated nerve Refractory period: Nerve fails to respond to any stimulus: Absolute and Relative RP. Summation:Response by 2 or more subliminal stimuli Adaptation: Greater excitability in the beginning with decreasing response until no response at all (inactivation of Na+ pump and increase efflux of K+) Infatigability: A nerve fibre cant be fatigued. The reason for this is that the nerve fibre can only conduct one AP at which time it is refractory All or None Law: Max response or none at all Degeneration and Regeneration of Nerve Fibres The various changes that occur in nerve fibre when injured are termed degenerative changes Sunderland classified nerve injury into: First degree injury: most common type, caused by applied pressure over a short period leading to hypoxia Second Degree: aka axonotmesis due to prolonged severe pressure resulting in Wallerian degeneration. Intact endoneurium. Repair takes about 18months Third degree: interrupted endoneurium.epi and perineurium are intact. Recovery is slow and incomplete. NB:3rd 4th and 5th degrees are called neurotmesis Fourth degree: epineurium and perineum are interrupted. Regeneration poor and incomplete Fifth degree: complete transection of nerve trunk with loss of continuity. Useful regeneration is not possible. Degenerative changes in Neuron: Wallerian/orthograde degeneration: pathologic changes tha t occurs at the distal cut end of nerve axon. The observed changes are: Swelling and breaking up of the axis cylinder into small pieces. After few days they appear as debris Slow disintegration of myelin sheath into fat droplets Rapid multiplication of schwann cells with invasion by macrophages removing the left overs of the above two. This leaves behind an empty neurilemmal tube which is later filled by schwann cell cytoplasm Retrograde degeneration: pathologic changes in a nerve cell body and axon proximal to a cut. Changes seen in the cell body are : Disintegration of Nissl granules by chromatolysis Disintegration of golgi apparatus Accumulation of fluid in cell body Displacement of nucleus towards periphery with dissapearance of neurofibrils Extrusion of the nucleus at certain time leading to irreversible damage Transneural degeneration: this is degenerative changes that occur in the neuron with which the cut afferent neuron synapse. E.g Chromatolysis in cells of LGB due to cutting of CN2 Dorsal horn cells degeneration when posterior nerve root is cut Degeneration of ventral horn cells when there is a tumour in cerebral cortex Nerve Fibre Regeneration This is referred to as the re-growth of damaged or lost part of a nerve tissue. It starts as early as day 4 after injury and completed after about 80 days Stages of Regeneration Extensions/pseudopodia called fibrils or regenerative sprouts are seen prox to the cut end Fibrils move towards distal cut end Some of the fibrils enter the neurilemma tube Schwann cells line up in the neurilemma tube guiding the fibrils into the tube Axon cylinder is fully established inside the neurilemma. A process completed in about 3 months from injury Formation of myelin sheath completed in 1 year Gradual increase of nerve diameter Nissl bodies and golgi apparatus appear in cell body Nucleus occupies centre Functional recovery takes a long to occur after the anatomical regeneration Criteria for Regeneration Gap between cut ends should be at most 3mm Neurilemma should still be present Intact nucleus Alignment of the two cut ends. Any displaced end makes regeneration not possible Receptors These are sensory (afferent) nerve endings that terminate in the periphery as bare unmyelinated endings in the form of specialized capsulated structures. There are many sensory receptors that relay information about the internal and environment to the CNS but do not reach consciousness Sensory receptors can be thought of as transducers that convert various forms of energy into action potential Cutaneous Mechanoreceptors: there are four types of mechanoreceptors that sense pressure and touch: Meissners corpuscles: dendrites encapsulated in connective tissue and respond to changes in texture and slow vibrations Merkel cells: expanded dendritic endings, that respond to sustained pressure and touch Ruffini corpuscles: enlarged dendritic endings with elongated capsules and they respond to sustained pressure Pacinian corpuscles: Consists of unmyelinated dendritic endings of a sensory nerve. Responds to deep pressure and fast vibration Nociceptors: Mechanical nociceptors: responds to strong pressure e.g from a sharp object Thermal nociceptors: activated by skin temp above 42C by severe cold Chemically sensitive nociceptors: responds to various chemicals like bradykinin, histamine, high acidity and irritants Polymodal nociceptors respond to a combination of these stumuli Impulses from nociceptors are transmitted via two fibres 1.the thin myelinated A fibres which release glutamate and is responsible for fast/epicritic pain. 2.unmyelinated C fibres which release both glutamate and substance P responsible for delayed second pain aka slow/protopathic pain There are varying number of receptors located on the endings of nociceptive sensory nerves that respond to noxious thermal, mechanical or chemical stimuli. Many of these form part of a family of nonselective cation channels called transient receptor potential (TRP) channels Thermoreceptor: Dendritic endings of A fibres and C fibres contain innocuous cold receptors whereas on C fibres there are innocuous warmth receptors. There are 4-10x as many cold-sensitive as heat sensitive spots on the skin 30C is the activation threshold of warmth receptors and they increase their firing rate as the skin temp increases to 46C. At 40C cold receptors are inactive but steadily increase their firing rate as skin temp falls to about 24C . Further drop in skin temp leads to decrease in the firing rate of the cold receptors until 10C below which they are inactive and cold becomes an effective local anaesthetic Visceroceptors These are situated in the viscera e.g Stretch receptors: Heart; Baroreceptors: Blood vessels; Chemoreceptors:GI tract; Osmoreceptors: Urinary tract, Brain Sensory Modality Stimulus Receptor Receptor system Energy class cell types Somatosens Touch Tap,flutter Cut Meissner ory mechRec corpc Somatosens Touch Motion Cut Hair follicle ory mechRec Rec Somatosens Touch Deep Cut Pacinian ory press,vibr mechRec corpc Somatosens Touch Touch, Cut Merkel cells ory pressure mechRec Somatosens Touch Sustained Cut Ruffini corpc ory press mechRec Somatosens Propioceptio Stretch MechRec Muscle ory n Spindle Somatosens Propioceptio Tension MechRec Golgi Tend ory n Org Somatosens Temp Thermal ThermoRec Cold/Warm ory Rec Somatosens Pain Chem,Ther ChemoRec,T Chem,therm ory m, Mech hermoRec,M ,mech echRe nocicp or Contd Vestibular Balance Angular MechRec Hair Accel cells(SCC Vestibular Balance Linear MechRec Haircells(oto Accel lith organ)
Olfactory Smell Chem ChemoRec Olf sens
neurn Gustatory Taste Chem ChemoRec Taste buds Properties of Receptors Specificity: aka Mllers law or doctrine of specific nerve energies. This refers to the response given by a particular type of receptor to a specific sensation. E.g pain receptors give response to pain sensation etc Adaptation:decline in discharge of sensory impulse when a receptor is stimulated continuously with constant strength. The rapidly adapting ones are called phasic receptors(touch and pressure) while the slowly adapting ones are called tonic receptors(muscel spindle, pain and cold receptors) Receptors obey Weber-Fechner law:This law states that the change in response of a receptor is directly proportional to the log increase in the intensity of stimulus. So, to double the response of a receptor, the strength of stimulus must be increased 100x Sensory transduction: A stimulated receptor is able to convert energy (stimulus) from the environment into electrical impulses (action potentials) in nerve fibres. A process known as transduction. Receptor potential does not obey all or none law. When the receptor potential is sufficiently strong (magnitude of about 10mV) action potential is devpd in the sensory nerve. There is opening of Na+ gated channel leaking to entrance of Na and devpt of receptor potential and local circuit of current. This will spread to the first node of ranvier. Opening of the voltage gated Na channels in first node of Ranvier leads to entrance of Na+ and subsequent generation of action potential in the nerve fibre. Sensory coding: This is the conversion of a receptor stimulus into a recognizable sensation. All sensory systems code for four elementary attributes of a stimulus viz: Modality (type of energy), Location (site on the body where stimulus originates), Intensity (response amplitude or freq of AP), Duration (time from start to end of a response in a receptor) Receptor potential: this is a non-propagated transmembrane potential diff that develops when a receptor is stimulated. aka generator potential. It is similar to EPSP in synapse, endplate potential in NMJ and electrotonic potential in nerve fibre. The Synapse This is the functional membrane-membrane contact or junction of a nerve cell with another nerve cell, an effector cell (muscle or gland) or a sensory receptor cell. It is the physiological but not anatomical continuity. Anatomical Classification: axoaxonic synapse; Axodendritic synapse, Axosomatic synapse dendrodendritic Functional classification: Electrical synapse: here the physiological continuity is provided by a gap junction. There is direct exchange of ions as such the AP reaching the presynaptic neuron directly enters the postsynaptic neuron. Less synaptic delay and impulse travel in either direction. Seen in cardiac and smooth muscles of intestine and epith cells of the lens in eye Chemical synapse: signals are transmitted by release of chemical transmitters. In the chemical synapse there is no continuity between the pre and post synaptic neurons because of the space called synaptic cleft between the two neurons. The neurotransmitter reaching the postsynaptic cause a Functions of Synapse The main function of synapse is impulse transmission. Some synapses however are inhibitory. On the basis of this they are classified as: Excitatory and Inhibitory Excitatory Function: EPSP: A nonpropagated electrical potential that develops during the process of synaptic transmission. When AP reaches the presynaptic terminal voltage gated Calcium channels are opened to allow entry of Ca2+ from ECF The Ca2+ cause the release of neurotransmitters from the vesicles by means of exocytosis. The excitatory neurotransmitter then reaches the postsynaptic memb via the cleft and binds with receptor protein forming a neurotransmitter receptor complex. This causes opening of ligand gated Na+ channels. Na+ from ECF enter the cell body of postsynaptic memb leading to mild depolarization called EPSP which is a local response in the synapse. If strong enough it can cause opening of Na+ channels in the initial segments of the axon with development of AP Inhibitory Function: it can be Presynaptic inhibition; Postsynaptic inhibition; and Renshaw inhibition. Postsynaptic Inhibition: when there is release of an inhibitory neurotransmitter e.g GABA, glycine and dopamine from the presynaptic terminal there is direct inhibition of impulse transmission. They can produce IPSP by opening ligand gated potassium channels as well as chloride channels. Exit of K+ and influx of Cl- leads to hyperpolarization which inhibits transmission Presynaptic inhibition:it is the synaptic inhibition which occurs because of the failure of presynaptic axon terminal to release the excitatory neurotransmitter substance. Aka indirect inhibition Renshaw Cell inhibition: It is the type of synaptic inhibition which is caused by Renshaw cells in the spinal cord. These are small motor neurons present in ant gray horn of spinal cord. When motor neurons send motor impulses some of the impulse stimulate the Renshaw cells by passing through collaterals. In turn the Renshaw cell send inhibitory impulses to alpha motor neurons so that the discharge is reduced. The importance of this is that impulses are adequately selected to omit or block excesses. Poisons like strychnine when introduced into the body destroys the inhibitory function at synaptic level resulting in repeated seizures. In Parkinsonism the inhibitory system is impaired resulting in rigidity.