You will note that the 3 chpts on this test build on the chpt on cells and 
on molecules.  Review these as well!

NEURAL CONTROL MECHANISMS               Chpt 8

The nervous system is divided into two parts: 
  The central nervous system (CNS) comprises the brain and spinal 
    cord - integrates  incoming information and determines response
  The peripheral nervous system (PNS) consists of  afferent and efferent 
    neurons extending from the CNS - routes for input to and output from CNS

Information flow through the NS follows the pattern of the reflex arc 
(concept introduced in Ch7)

Structure and Maintenance of Neurons 

  Neuron - functional unit of the nervous system - the nerve cell
            
     The cell body contains the nucleus, a large variety of organelles 
       including rough ER, Golgi, neurofilaments and neurotubules
            
     Processes - extended portions of the nerve cell
       Dendrites receive information from other neurons;
                increase receptive surface area
                are single or branched -  relatively short
       Axon (nerve fiber) transmits outgoing signals to target cells 
                    (other neurons or effector cells)
          Axon terminal at distal end contains neurotransmitters which 
            are released to stimulate the target cell
          Axon may be covered with sections of myelin separated 
            by nodes of Ranvier,                   
	  Myelin sheath is extension of membrane of either -
            Schwann cell in PNS or oligodendrocyte in CNS 

          Neurotransmitters are syn on ribosome attached to ER, packaged 
            into vescicles(by Golgi) and moved 'down' length of axon by
              slow axonal transport - axoplasmic flow
              fast axonal transport -  motor proteins (use ATP) walk vesicles
                along microtubules [16in/day]
              retrograde transport - return path, also fast; 
                can be subverted by toxins, viruses

   Glial cells - numerous, provide physical support, assist in growth and 
     development of neurons;  regulate the ECF composition and transfer 
     glucose, ions, etc from capillaries to neurons, blood-brain barrier; 
     act as immune agents to remove damaged cells or 'invaders'  

Functional Classes of Neurons   Table 8-1
	
Neurons are classified in three ways: 
a.  Afferent neurons transmit information into the CNS from receptors at 
their peripheral endings. 
b.  Efferent neurons transmit information out of the CNS to effector 
cells. 
c.  Interneurons lie entirely within the CNS and form circuits with other 
interneurons or connect afferent and efferent neurons.

Information is transmitted between these cells across a synapse 
     neurotransmitters released by a presynaptic neuron and 
     combine with receptors on a postsynaptic neuron
	
Neural Growth and Regeneration *

Neurons develop from neuroepithelial cells of embryonic neural tube, 
  migrate to their final location, and send out processes to their target cells. 
Growth of neuronal processes stimulated by neurotropic growth factors

Cell division to form new neurons is markedly slowed after birth and 
  practically  non-existent by puberty

Repair to neurons is limited:  
      damaged peripheral neurons may regrow the axon to their target organ
      damaged neurons of the CNS do not regenerate or restore significant 
        function.

How does the NS function?

The Resting Membrane Potential 

 An electrical disequilibrium  exists because of an uneven distribution of 
   ions across the plasma membrane

   Due to the presence of large quantities of proteins with negatively charged 
     regions in cytoplasm, the interior of a cell is negatively charged 
     relative to the outside
   Also there is a higher conc of K+ inside the cell relative to the exterior

 ECF contains lots of Na+ and Cl- ions

 This differential is the membrane potential  (Vm) see Fig 8-7
             can be measured by a voltmeter
             Vm  expressed as millivolts; avg  -70 mV  
        
Membrane potentials are generated mainly by diffusion of ions and are 
  determined by 
     (a) the ionic concentration and electrical gradients across 
         the membrane, and 
     (b) the membrane's relative permeabilities to different ions

         Plasma-membrane Na,K-ATPase pumps maintain intracellular sodium 
           concentration low and potassium high  F 8-13 
	
         Other ion channels:  Cl- and Ca++

Graded Potentials and Action Potentials - Electrical Signals 

  Neurons signal information by graded potentials and action potentials (APs).
 
  Excitability - ability to generate and conduct action potential  

  Graded potentials are local potentials (local current flow = net movement of 
    positive electrical charge),  magnitude can vary; extend over short 
    distances- within 1 or 2 mm of their site of origin; 
               
    Response to opening of chemically-gated ion channels
    Often named in relation to function or location   Table 8-3.
    If  GP reaches trigger zone of neuron and depolarizes membrane to threshold 
       voltage  -  an AP is generated

  Action potential is a rapid change in the membrane potential during which the 
     membrane rapidly depolarizes and repolarizes. Fig 8-18  
     APs provide long-distance transmission of information through the NS 

     APs occur in excitable membranes because these membranes contain 
        voltage-gated sodium channels which open as the membrane depolarizes; 
        causes a positive feedback toward the sodium equilibrium (conc)
          potential.  DEPOLARIZATION 
     AP ends as the sodium channels close and voltage-gated potassium channels 
        open, which restores the resting conditions.  REPOLARIZATION 
     **see Fig given in class           
              
     Depolarization of excitable membranes triggers APs only when the membrane
        potential exceeds the  threshold value  F 8-20 
     Regardless of the size of the stimulus, if the membrane reaches threshold, 
        the APs generated are all the same size. 
 
     A membrane is refractory for a brief time even though stimuli that were 
        previously effective are applied. 
               
     APs are propagated without any change in size from one site to another 
        along a membrane. F 8-21 
     In myelinated nerve fibers, APs manifest saltatory conduction
              
Functional Anatomy of Synapses 

  When the action potential reaches the axon terminal, the depolarization 
    opens the voltage-gated Ca++ channels;  Ca++  enters raising the calcium 
    concentration within the terminal
  Ca++  signals the synaptic vesicles to release, by exocytosis, 
    neurotransmitter into the synaptic cleft. 

  A neurotransmitter, which is stored in synaptic vesicles in the 
    presynaptic axon terminal
  The neurotransmitter diffuses across the synaptic cleft and binds 
    to receptors on the postsynaptic cell; the activated receptors usually 
    open ion channels. 

  Activation of the Postsynaptic Cell 
     Whether a postsynaptic cell fires action potentials depends on the 
       number of synapses that are active and whether they are excitatory or 
       inhibitory.

     An excitatory synapse brings the membrane of the postsynaptic cell closer
       to  threshold. F 8-27
     At an excitatory synapse, the electrical response in the postsynaptic 
       cell is called an excitatory postsynaptic potential (EPSP)

     An inhibitory synapse hyperpolarizes the postsynaptic cell or 
       stabilizes it at its resting potential   F 8-28
     At an inhibitory synapse, response is an inhibitory postsynaptic 
       potential (IPSP). 

     Usually at an excitatory synapse, channels in the postsynaptic cell that
       are permeable to sodium, potassium, and other small positive ions 
       are opened; 
     At inhibitory synapses, channels to chloride and/or potassium 
       are opened. 

     The postsynaptic cell's membrane potential is the result of temporal 
       and spatial summation of the EPSPs and  IPSPs at the many active 
       excitatory and inhibitory synapses on the cell. F 8-30

Synaptic Effectiveness 
     Synaptic effects are influenced by pre- and postsynaptic events, 
     drugs, and  diseases (Table 8-6).

Electrical Synapses

   May occur between cells of approx = size
   Requires an area(s) of contact with low electrical resistance
   Gap junctions serve as channels to permit rapid flow of ions
   Common in embryos; later more restricted in distribution - cardiac 
    muscle, brain 
      Electric eel

Neurotransmitters and Neuromodulators Table 8-7.

   Both require specific receptors in pm of target cell 

   In general, neurotransmitters cause EPSPs and IPSPs, and neuromodulators 
     cause, via second messengers, more complex metabolic effects in the 
     postsynaptic cell. 

   The actions of neurotransmitters are usually faster than those of 
     neuromodulators. 

   A substance can act as a neurotransmitter at one type of receptor and 
     as a neuromodulator at another. 

   Important neural messengers

     Acetylcholine (ACh) - in both CNS and PNS
       In PNS:  Target cell of motor neuron is muscle, neuromuscular 
                  junction localized - EPSPs lead to action potential in 
                  muscle cell
                Targets of autonomic motor neurons include glands, heart, 
                  and gut
       Removed from receptor by AChE  [inhib by nerve gas]     
   
     Biogenic amines - family of NTs, similar activity

       Serotonin - CNS, regulation of mood, behavior, appetite
                   Many subtypes of receptors [permit variety 
                   of specialty drugs]

       Dopamine - midbrain, motor control [Parkinson's]; 
                  mid and forebr, behavior and reward, 
                  sensitive to addictive agents 

       Norepinephrine - CNS and PNS, behavioral arousal, NT for cardiac 
                  and sm mus.

     Amino acids - excitatory activity -memory
                   inhibitory activity - often involved in motor control
                    [GABA impt in CNS - deficiency=Huntington's chorea]

     Neuropeptides - CNS,  Neuromodulators, mechanism complex and poorly 
                     understood
                     Endogenous opioids -  raise pain threshold
                     Neuropeptide Y - response to stress, circadian rhythms…

TEXT: SecD Summary [edited] 
I. Inside the skull and vertebral column, the brain and spinal cord 
   are enclosed in and protected by the meninges.
	
Central Nervous System: Spinal Cord 
I. The spinal cord is divided into two areas: central gray matter, 
   which contains nerve cell bodies and dendrites; and white matter, 
   which surrounds the gray matter and contains myelinated axons organized 
   into ascending or descending tracts. 
	
II.The axons of the afferent and efferent neurons form the spinal nerves.

Central Nervous System: Brain 
I. The brain is divided into six regions: cerebrum, diencephalon, midbrain, 
   pons, medulla oblongata, and cerebellum.  F 8-38,40,41 
II.The midbrain, pons, and medulla oblongata form the brainstem, which
   contains the reticular formation (medulla - reg. centers for heart 
   rate, bl. pressure, breathing). 
III.The cerebellum plays a role in posture,coordination of movement, and 
    some kinds of memory. 
IV.The cerebrum, made up of right and left cerebral hemispheres, and the 
   diencephalon together form the forebrain. 
   The cerebral cortex forms the outer shell of the cerebrum and is 
   divided into parietal, frontal, occipital, and temporal lobes. 
   Region links sensory and motor functions (association); interpretaion,
   thought, learning;
V. The diencephalon contains the thalamus (relay center) and hypothalamus
   (integration center for regulation of internal organs - input to 
   medulla and sp.cord). 
VI.The limbic system is a set of deep forebrain structures associated with 
   learning and emotions.

Peripheral Nervous System 
I. The peripheral nervous system consists of 43 paired nerves¾12 pairs 
   of cranial nerves and 31 pairs of spinal nerves. 
   Most nerves contain axons of both afferent and efferent neurons. 
II.The efferent division of the peripheral nervous system is divided into
   somatic and autonomic parts. 
   The somatic fibers innervate skeletal-muscle cells and release the 
   neurotransmitter acetylcholine. 
   The autonomic nervous system innervates cardiac and smooth muscle, 
   glands, and gastrointestinal-tract neurons. 

   Each autonomic pathway consists of a preganglionic neuron with 
   its cell body in the CNS and a postganglionic neuron with its 
   cell body in an autonomic ganglion outside the CNS. 
   a. The autonomic nervous system is divided into sympathetic and 
      parasympathetic components. The preganglionic neurons in both 
      sympathetic and parasympathetic divisions release acetylcholine; 
      the postganglionic parasympathetic neurons release mainly acetylcholine; 
       and the postganglionic sympathetics release mainly norepinephrine. 
   b. The adrenal medulla is a hormone-secreting part of the sympathetic 
      nervous system and secretes mainly epinephrine. 
   c. Many effector organs innervated by the autonomic 
       nervous system receive dual innervation.

Pay particular attention to
Tables 1,2,3,7,9,11
Fig  2,3,7,8,11-14,18,20,21,25,27,28,30,31,36,38

We will refer to this portion of Chpt 8 as we continue in the course.
Epsecially Table 8-13. don't memorize it now

Blood Supply, Blood-Brain Barrier Phenomena, and Cerebrospinal Fluid 
	I.	Brain tissue depends on a continuous supply of 
glucose and oxygen for metabolism. 
	II.	The brain ventricles and the space within the 
meninges are filled with cerebrospinal fluid, which is formed in 
the ventricles. 
	III.	The chemical composition of the extracellular 
fluid of the CNS is closely regulated by the blood-brain barrier.