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CHAPTER OVERVIEW
The chapters preceeding Chapter 6 provided an important overview of physical and chemical
properties that contribute to human physiological function. In Chapter 6, these principles are
applied to the first organ system to be studied, the Nervous System. The Nervous System is an
important means for communication across the body, and this communication occurs via
changes in the electrical activity of neurons. This chapter will first describe the cells of the
Nervous System. Next, the mechanisms that determine the difference in charge across a
neuron cell membrane and how it is used as a means for communication from one neuron to
another is described. This chapter also summarizes the different classes of neurotransmitters,
one of the intercellular signaling molecules, that are used for neuron-to-neuron (or effector)
communication. The last section of this chapter summarizes the structural and functional
organization of the Nervous System
The junction between a nerve and a muscle is a neuromuscular junction, not a synapse. But
scientists soon realized that most nerve cells “talk” to each other as well as to the heart and
other muscles. This communication takes place by means of chemical messengers called
neurotransmitters.
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Chapter 6 is divided into four different sections to provide an overview of the structures and
functions of the Nervous System.
Section A: Cells of the Nervous System. Generalized cell structure was presented in Chapter
3. This chapter describes the specific cellular structures and functional classes of neurons, the
“nerve cells”. Glial cells, the second type of cells found in the Nervous System are also
described.
Section B: Membrane Potentials. This section brings together electrical principles from
physics and the movement of ions across the neurolemma to explain the how neurons changes
in membrane potential for communication. The differences between graded potentials and
action potentials are especially important to highlight and will be applied to many organ
systems: the Muscular System, the Cardiovascular System, and so on.
Section C: Synapses. Once a “message” has reached an axon terminal in one neuron, how can
it be relayed to a second neuron or other target tissue? The answer is via neurotransmitter
release into the synapse, or the junction between the presynaptic neuron and a postsynaptic
neuron/effector. If the neurotransmitter binds to receptors in the postsynaptic neuron, graded
potentials are generated and if they reach threshold an action potential will be created for the
continued propagation of the “message”. The different classes of neurotransmitters are also
described.
Section D: Structure of the Nervous System. This section begins with an overview of the
structural and functional organization of the Nervous System. It highlights information flow
between different divisions. Importantly, the autonomomic division of the Nervous System is
highlighted. The autonomic nervous system is a vital component of many homeostatic reflex
mechanisms as it innervates many different organs throughout the body. Upcoming
discussion of other organ systems throughout the body will hinge upon the understanding of
autonomic function.
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membrane transport mechanisms and specifically voltage- gated ion channels, the Na+/K+-
ATPase pump, and as a positive feedback example during action potential generation.
There are numerous instructor resources available for this very important topic; pay
specific attention to figures and tables in the text and consider the inclusion of animations
during class sections or as recommendations for out-of-class activities.
3. It is common for students to have questions about the similarities/differences for graded
potentials and action potentials. Temporal and spatial summation are sometimes also not
immediately clear to students. One suggestion is to approach summation like it is a math
problem, and actually find the sum of the changes in membrane potential in response to
EPSPs and IPSPs to see if it reaches threshold.
4. Fig. 6.27 is a great one to carefully review. It summarizes the sequence of events at a
chemical synapse, which can lead into a discussion of mechanisms for pre/post synaptic
modulation of the “message” being sent, EPSP/ IPSP generation on the postsynaptic
membrane, etc. These factors can be added in to the model depicted in Fig. 6.27.
5. Fig. 6.46 is also an excellent review to compare and contrast the somatic and autonomic
divisions of the peripheral nervous system. It highlights: general structural organization,
neurotransmitters released, classes of neurotransmitter receptors, epinephrine as a
neurohormone, dual innervation and antagonistic control of autonomic effectors.
6. Suggested topic for discussion:
Research efforts toward restoring function to damaged brain and spinal cord
Drugs and the blood-brain barrier. Suggested examples: Treatment of Parkinson’s
disease includes administering L-dopa but not dopamine because dopamine cannot
cross the blood-brain barrier. Allergy sufferers benefit from antihistamines but many of
the classical drugs (e.g., Benadryl) cross the blood-brain barrier and make the person
drowsy. Newer drugs (e.g., Claritin, Allegra) are effective antihistamines for sinus and
nasal allergy symptoms, but they do not cross the blood-brain barrier and thus cannot
affect one’s state of alertness.
LECTURE OUTLINE
SECTION A: Cells of the Nervous System
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LECTURE OUTLINE
SECTION B: Membrane Potentials
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c. Refractory periods: absolute and relative (Fig. 6.22)
4. Propagation of action potentials
a. Unidirectional, nondecremental propagation (Fig. 6.23)
b. Myelinated axons (Fig. 6.4)
LECTURE OUTLINE
SECTION C: Synapses
I. Transmission of neural signals from neuron to neuron: the synapse (Fig. 6.26)
A. Convergence and divergence in synaptic pathways (Fig. 6.25)
B. Mechanisms of neurotransmitter release (Fig. 6.27)
C. Excitatory and inhibitory postsynaptic potentials (Fig. 6.28, Fig. 6.29, Fig. 6.30, Fig. 6.32)
D. Synaptic integration (Fig. 6.31)
1. Temporal summation
2. Spatial summation
E. Regulation of synaptic strength (see Table 6.5)
1. Presynaptic mechanisms (Fig. 6.33)
2. Postsynaptic mechanisms
3. Modulation by drugs and disease (Fig. 6.34)
II. Classes of neurotransmitters or neuromodulators (see Table 6.6)
A. Acetylcholine (ACh) and cholinergic receptors
B. Biogenic amines
1. Catecholamines (Fig. 6.35)
a. Dopamine (DA)
b. Norepinephrine (NE)
c. Epinephrine (Epi)
2. Serotonin (5-hydroxytryptamine, 5-HT)
C. Amino acids
1. Excitatory: glutamate (Fig. 6.36)
2. Inhibitory
a. GABA (gamma-aminobutyric acid)
b. Glycine
D. Neuropeptides: endogenous opioids
E. Gases
1. Nitric oxide
2. Carbon monoxide
3. Hydrogen sulfide
F. Purines
1. ATP
2. Adenosine
G. Neuroeffector communication
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LECTURE OUTLINE
SECTION D: Structure of the Nervous System
I. Overview of the structures and general functions of the Nervous System (Fig. 6.37)
II. The Central Nervous System, CNS (see Fig. 6.37)
A. The Brain (Fig. 6.38, Table 6.7)
1. Cerebrum (see Fig. 6.38, Fig. 6.39)
a. Gray matter
i. Cerebral cortex
ii. Subcortical nuclei
b. White matter—fiber tracts and corpus callosum
2. Limbic system (Fig. 6.40)
3. Diencephalon—thalamus, hypothalamus, and epithalamus (Fig. 6.38)
4. Hindbrain: cerebellum (Fig. 6.38)
5. Brainstem—midbrain, pons, and medulla oblongata (Fig. 6.38)
B. Spinal cord (Fig. 6.41, 6-42)
1. Gray matter
a. Dorsal horns
b. Ventral horns
2. White matter—ascending and descending tracts
III. The Peripheral Nervous System, PNS: structure and general functions (see Fig. 6.7, Fig.
6.45, Fig. 6.46, Table 6.9)
A. Cranial and spinal nerves (Table 6.8, Fig. 6.42)
B. Somatic nervous system
B. Autonomic nervous system (Fig. 6.43, Fig. 6.44, Table 6.11)
1. Sympathetic division
2. Parasympathetic division
III. Protection of the brain
A. Cerebrospinal fluid (Fig. 6.47)
B. The blood-brain barrier
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identify that the basic unit of the nervous system is a nerve cell or neuron, which is
capable of transmitting electrical signals that lead to the release of chemical
neurotransmitters.
identify the structures—cell body, dendrites, and axon—found on most neurons.
describe the general sequence of information flow via electrical signals across the
different regions of a neuron.
name the myelin-forming cells in the CNS and PNS. Explain how myelin is formed, and
what its general function is.
define axonal transport, describe its general function, and identify two motor proteins
associated with this process.
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define graded potential and describe how local current surrounding the depolarized
region produces depolarization of adjacent regions.
describe how the magnitude of the graded potential is affected by the magnitude of the
stimulus, the distance the potential has traveled, and summation.
describe an action potential and identify the types of cells with excitable membranes
capable of generating action potentials.
compare and contrast graded potentials and action potentials.
discuss the importance of ligand-gated channels and mechanically-gated channels to the
initiation of an action potential and the importance of voltage-gated channels to the
excitability of the membrane.
reproduce an action potential as membrane potential vs. time and label its various parts
in terms of being depolarized, repolarizing, and after-hyperpolarized. Superimpose the
changing patterns of Na+ and K+ permeabilities on the action potential.
describe the mechanism of ion channel changes that generate and terminate action
potentials. Appreciate that the action potential is a good example of a physiologically
important positive feedback mechanism.
explain why the threshold potential must be reached in order for a neuron to generate an
action potential.
explain why action potentials are said to be “all-or-none.”
understand the ionic basis of relative and absolute refractory periods.
differentiate between action potential propagation in myelinated axons and in
unmyelinated ones.
provide a physiological description of three different ways that action potentials can be
initiated.
SECTION C: Synapses
6.8 Functional Anatomy of Synapses
Students should be able to:
differentiate between excitatory and inhibitory synapses.
discuss how the functional anatomy of a synapse can account for the one-way
conduction of action potentials in a neural circuit.
draw a model illustrating convergence and divergens of neural inputs and discuss the
implications of these processes for synaptic transmission of information.
compare the structural and functional similarities and differences between electrical
and chemical synapses.
recognize that electrical synapses have recently been described in widespread locations
in the adult mammalian nervous system.
diagram a typical chemical synapse.
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understand that neurotransmitters are stored in vesicles within the axon terminal.
outline the sequence of events that links action potential propagation to
neurotransmitter release.
discuss the role of Ca2+ in stimulating neurotransmitter exocytosis from synaptic
vesicles.
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6.13 Neurotransmitters and Neuromodulators
Students should be able to:
differentiate between neurotransmitters and neuromodulators.
list the six major classes of neurotransmitters and neuromodulators.
describe how and where acetylcholine is synthesized and metabolized.
discuss what is meant by the terms cholinergic neurons and cholinergic receptors; identify
nicotinic and muscarinic receptors as cholinergic receptors.
explain the link between Alzheimer’s Disease and cholinergic neuron function.
list five common biogenic amines.
describe the synthetic pathway for the catecholamines and how and where they are
metabolized. Understand why neurons that secrete norepinephrine or epinephrine are
called adrenergic neurons.
Identify the two major classes of adrenergic receptors.
describe the general functions/actions of the biogenic amine serotonin and the amino
acid neurotransmitters glutamate, GABA, and glycine.
discuss the role of glutamate in long-term potentiation and exitotoxicity.
discuss how the synthesis of neuropeptide neurotransmitters differs from that of other
types of neurotransmitters.
describe the general role of the opioid family of neurotransmitters. (The first one of
these to be discovered, beta-endorphin, was given its name because it resembled
“endogenous morphine” in relieving pain.)
discuss how gases such as nitric oxide, carbon monoxide, and hydrogen sulfide can act
as neurotransmitters.
recognize that the purines, ATP and adenosine, act principally as neuromodulators.
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recognize meningitis and hydrocephalus as examples of disease conditions related to
cerebrospinal fluid.
recognize that the brain is dependent upon a continuous supply of glucose and oxygen.
understand the importance of the blood-brain barrier in regulating the composition of the
brain’s extracellular fluid.
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1. Describe the direction of information flow 3. Where are afferent neurons, efferent neurons,
through a neuron in response to input from and interneurons located in the nervous
another neuron. What is the relationship system? Are there places where all three could
between the presynaptic neuron and the be found?
postsynaptic neuron?
Afferent neurons have dendrites and axonal
Information flows into the dendrites and cell body projections that originate near the skin or organs.
regions of most neurons, and out from axons and Their cell bodies are located outside the CNS in the
axon terminals. The presynaptic neuron releases dorsal root ganglia. They also contain central
neurotransmitters into the synaptic cleft which then processes, which is the part of the axon that projects
bind to receptors on the postsynaptic neuron to cause into the CNS. Efferent neurons have cell bodies that
an effect. lie within the CNS and axons that project out to
muscles, glands, or other neurons. Interneurons lie
entirely within the CNS. The enteric nervous system
2. Contrast the two uses of the word receptor. contains all three types of neurons, and the CNS
“Receptor” refers both to structures at the peripheral contains parts of all three types of neurons - the
endings of afferent neurons that respond to physical central processes of afferent neurons, the
or chemical changes in their environment by causing interneurons, and the cell bodies and first part of the
electrical signals to be generated in the neuron, and axon of efferent neurons.
to the proteins within cells or on the plasma
membrane of cells that are activated by an
intercellular messenger.
1. Describe how negative and positive charges carry the current. Thus, the ion-containing
interact. intracellular and extracellular fluids are relatively
good conductors of electrical current, but membrane
Negative charges repel negative charges, positive
lipids contain very few charged groups and are very
charges repel positive charges, and negative and
poor conductors (they have high electrical
positive charges are mutually attractive. The
resistance).
electrical force of attraction between positive and
negative charges increases with the quantity of
charge and with a decrease in distance between them.
3. Draw a simple cell; indicate where the
concentrations of Na+, K+, and Cl- are high and
2. Contrast the abilities of intracellular and low and the electric potential difference across
extracellular fluids and membrane lipids to the membrane when the cell is at rest.
conduct electrical current.
Water that contains dissolved ions is a relatively
good conductor of electricity because the ions can
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As stated above, (1) the relative ion concentrations
on either side of the membrane and (2) the relative
permeabilities of the membrane to the ions.
5. Which two factors involving ion diffusion 8. List the differences between graded potentials
determine the magnitude of the resting and action potentials.
membrane potential?
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(1) Graded potentials (GPs) have variable favored by the positive membrane potential and the
amplitude; action potentials (APs) are all-or-none higher intracellular K+ concentration. K+ efflux
once threshold depolarization is reached. AP repolarizes the cell.
amplitude is independent of the initiating event.
(2) GPs can be summed; APs cannot be summed.
10. What determines the activity of the voltage-
(3) GPs have no threshold; APs have a threshold gated Na+ channel?
that is usually about 15 mV depolarized relative to
The Na+ channel is said to be voltage-gated because it
the resting potential.
possesses charged amino acid residues that make it
(4) GPs have no refractory period; APs have both an open and close in response to changes in the
absolute and a relative refractory period. membrane potential. Negative membrane potentials
tend to close the channel and depolarization opens
(5) GPs are conducted passively and decrementally;
the channel. Additionally, the channel can be closed
APs are conducted actively and without decrement;
by an inactivation gate that physically blocks the
the depolarization is amplified to a constant value at
channel shortly after it is opened by depolarization.
each point along the membrane.
(6) The duration of GPs varies with the initiating
conditions; the duration of APs is constant for a 11. Explain threshold and the relative and absolute
given cell type under constant conditions. refractory periods in terms of the ionic basis of
the action potential.
(7) A GP can be a depolarization or a
hyperpolarization; an AP is always a depolarization, The threshold is the level of depolarization at which
with an overshoot (the cell becomes positive, inside Na+ influx just exceeds K+ outflux, so that there is a
with respect to outside) and an after- net flux of positive charge into the cell. The driving
hyperpolarization phase in neurons. force for K+ out of the cell increases as the membrane
depolarizes, but at threshold the increased
(8) GPs are initiated by environmental stimuli
permeability of the membrane for Na+ assures that
(receptors), neurotransmitters (synapses), or
the positive-feedback cycle can be sustained.
spontaneously; APs are initiated by membrane
depolarization (i.e., GPs that depolarize to The absolute refractory period corresponds to the
threshold). period when voltage-gated Na+ channels are already
opened or are inactivated (roughly the first part of
(9) The mechanism for eliciting GPs depends on
the repolarizing phase of the action potential). The
ligand-gated channels or other chemical or physical
relative refractory period corresponds to the period of
changes; the mechanism for APs depends on voltage-
increased K+ permeability after the first repolarizing
gated channels.
phase, and this is also the timing when some of the
voltage-gated Na+ channels have returned to their
9. Describe how ion movement generates the closed state. The reason that a suprathreshold
action potential. stimulus (i.e., greater depolarization than at rest) is
necessary for an action potential to be initiated
Depolarization by a graded potential opens voltage- during the relative refractory period is because some
gated Na+ channels. The higher extracellular Na+ K+ channels are still open during this time, and net
concentration and the negative membrane potential K+ efflux favors membrane hyperpolarization. Thus,
favor the influx of Na+, which carries a positive Na+ influx resulting from a new stimulus must
charge into the cell. This depolarizes the cell further exceed K+ efflux, which is occurring simultaneously.
which opens more Na+ channels which allows more
Na+ to enter. This positive feedback mechanism
accounts for the "spike" or upstroke of the action 12. Describe the propagation of an action potential.
potential. Na+ channel inactivation prevents further Contrast this event in myelinated and
influx of Na+. As the slower, voltage-gated K+ unmyelinated axons.
channels open, the efflux of K+ begins. K+ efflux is
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17
In unmyelinated axons, action potentials are saltatory conduction, and it is considerably faster
propagated by local current flow from the site of one than action potential propagation in unmyelinated
action potential to an adjacent part of the axon axons.
membrane. Positive charge flows from the
depolarized area in both directions along the
intracellular membrane (and negative charges do the 13. List three ways in which action potentials can
same along the outside of the membrane). In the be initiated in neurons.
“forward” direction, this current flow depolarizes the (1) receptor potentials
adjacent membrane to threshold, and an action
potential is generated. In the “backward” direction, (2) synaptic potentials
the membrane is still in the absolute refractory (3) pacemaker potentials
period, so it cannot be stimulated to generate another
action potential.
In myelinated axons the same process occurs, except
that current cannot flow across the membrane where
there is myelin because myelin has a very high
resistance to flow. Instead, the current flows along
the membrane from one interruption in the myelin (a
node of Ranvier) to the next. At the nodes, the
current flow causes depolarization to threshold and
an action potential is generated. This is called
SECTION C: Synapses
1. Describe the structure of presynaptic axon At inhibitory synapses, the binding of
terminals and the mechanism of neurotransmitter to its receptor results in a
neurotransmitter release. hyperpolarizing graded potential (an inhibitory
postsynaptic potential—IPSP) or a stabilization of
See Figure 6.27 and accompanying text for a
the membrane potential at (or below) its existing
description of the structure of presynaptic axon
value. The activated receptor at such synapses causes
terminals and the detailed mechanism of
ligand-sensitive channels for Cl- and/or K+ to open.
neurotransmitter release.
(In the cases where only Cl- channels open, a
hyperpolarizing potential is not recorded but the
2. Contrast the postsynaptic mechanisms of membrane is more stabilized at its resting level than
excitatory and inhibitory synapses. normal, because the increased membrane
permeability to Cl- makes it more difficult for other
At an excitatory synapse, the postsynaptic response ion types to change the membrane potential.)
to the released neurotransmitter is a depolarization Increasing the permeability to K+ causes the
(an excitatory postsynaptic potential—EPSP) postsynaptic membrane potential to become more
because binding of neurotransmitter to its receptor negative and closer to the K+ equilibrium potential.
causes ligand-sensitive channels for small, positively
charged ions to open. Even though the permeability
of the postsynaptic membrane is increased to both 3. Explain how synapses allow neurons to act as
Na+ and K+, both the electrical and concentration integrators; include the concepts of facilitation,
gradients favor Na+ influx, while the electrical temporal and spatial summation, and
gradient opposes the concentration gradient for K+. convergence in your explanation.
Therefore, there is net influx of Na+ and an increase
Neurons act as integrators because they receive
in membrane potential.
information in the form of synaptic activity from
more (often many, many more) than one presynaptic
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18
cell, a property known as convergence. The amount and desensitization of receptors. (9) Certain drugs
of depolarization caused by the discharge of and diseases can affect both the presynaptic and
neurotransmitter from a single excitatory synapse is postsynaptic factors listed above. General factors
only about 0.5 mV, much less than the ~15 mV include: (10) the area of synaptic contact;
depolarization needed to reach threshold. Thus, (11) enzymatic destruction of the neurotransmitter;
activation of a postsynaptic neuron to the point that (12) the geometry of the diffusion path, and (13) the
it will generate action potentials requires summation rate of neurotransmitter reuptake.
of many excitatory synaptic events. This occurs in
two ways: The same synapse continues to be
repeatedly activated before the previous EPSPs or 5. Discuss differences between neurotransmitters
IPSPs have died away—temporal summation; and and neuromodulators.
more than one synapse may be activated Neurotransmitters cause the postsynaptic events
simultaneously or within a short time of the first described above, i.e., they elicit EPSPs or IPSPs
synapse—spatial summation. The postsynaptic cell when they bind to receptors in the postsynaptic
integrates IPSPs as well as EPSPs. In order for the membrane. Neuromodulators have more complex
postsynaptic cell to become activated to threshold, effects, including influencing the postsynaptic cell’s
excitatory synaptic activity must be considerably response to specific neurotransmitters, or changing
greater than inhibitory synaptic activity. the rate of synthesis, release, reuptake, or metabolism
Facilitation refers to one presynaptic cell’s of a transmitter by the presynaptic cell. In other
(cell A) positive influence on another presynaptic cell words, they alter the effectiveness of the synapse.
(cell B) through an axo-axonic synapse. If the The two kinds of messengers also have different time
neurotransmitter from cell A causes cell B to release courses: neurotransmitters initiate events that occur
more neurotransmitter to postsynaptic cell C when within milliseconds and are short-lived. The
an action potential reaches cell B’s axon terminal, activation of receptors for neuromodulators often
then cell A has increased cell B’s synaptic brings about changes in the metabolic processes in
effectiveness by presynaptic facilitation. (Another neurons via G proteins coupled to second-messenger
presynaptic cell with an axo-axonic synapse with systems. Such changes can occur over minutes,
cell B could decrease the amount of hours, or even days. Neuromodulators can be
neurotransmitter released by cell B. This is synthesized by the presynaptic cell and co-released
presynaptic inhibition.) with the neurotransmitter at synapses, or they can be
hormones, paracrine substances, or immune-system
messengers.
4. List at least eight ways in which the
effectiveness of synapses may be altered.
(1) The presynaptic facilitation and inhibition 6. List the major classes of neurotransmitters and
described above is one way. Other presynaptic give examples of each.
factors include: (2) availability of neurotransmitter, (1) Acetylcholine, (2) biogenic amines: the
which is in turn dependent upon the availability of catecholamines dopamine, norepinephrine, and
precursor molecules and the amount or activity of epinephrine; serotonin; 5-HT; and histamine, (3)
the rate-limiting enzyme in the pathway for amino acids: glutamate, GABA, and glycine, (4)
neurotransmitter synthesis; (3) the axon terminal neuropeptides: endogenous opioids and morphine, (5)
membrane potential—the more depolarized the gases: nitric oxide, carbon monoxide, and hydrogen
terminals are, the more voltage-gated Ca2+ channels sulfide, and (6) purines: adenosine and ATP.
open; (4) the residual Ca2+ in the terminal from
previous action potentials; and (5) the presence of
autoreceptors. Postsynaptic factors include: (6) the 7. Detail the mechanism of long-term potentiation,
immediate past history of the postsynaptic and explain what function it might have in in
membrane; (7) effects of other neurotransmitters or learning and memory. See Figure 6.36 and
neuromodulators; and (8) up- or down-regulation accompanying text description for a detailed
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19
mechanism of long-term potentiation. This
mechanism might be central to learning and
memory, because it provides a way to strengthen
synapses that receive frequent, strong activation.
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6. Contrast the somatic and autonomic divisions superior mesenteric, and inferior mesenteric
of the efferent nervous system; mention at least ganglia—are in the abdominal cavity, closer to the
three characteristics of each. innervated organ. The parasympathetic ganglia all
lie within the organs innervated by the
The neurons of the somatic nervous system innervate
postganglionic fibers or close to them, and so the
skeletal muscle, whereas autonomic neurons
postganglionic parasympathetic fibers are quite
innervate smooth and cardiac muscle, glands, and
short.
neurons in the gastrointestinal tract. The somatic
system consists of single neurons between the CNS The two divisions differ functionally as well. To
and skeletal muscle cells, whereas the autonomic some extent the sympathetic division acts as a single
system has two-neuron chains (connected by a unit, whereas the parasympathetic division is made
synapse in a ganglion) between the CNS and the up of relatively independent components. Perhaps
effector organ. The output of the somatic system is most importantly, the two divisions often innervate
always excitatory, whereas the autonomic output can the same organ and usually have opposite effects. In
be excitatory or inhibitory. general, the sympathetic division is activated in
situations requiring physical action—the fight-or-
flight response—and also when one is under
7. Name the neurotransmitter released at each psychological stress. The parasympathetic
synapse or neuroeffector junction in the somatic system is more dominant in times of rest-or-
and autonomic systems. digest.
Acetylcholine is the neurotransmitter released by: (1)
the somatic motor neurons at neuromuscular
9. Explain how the adrenal medulla can affect
junctions; (2) the preganglionic fibers of both the
receptors on various effector organs despite the
parasympathetic and sympathetic divisions; and (3)
fact that its cells have no axons.
postganglionic, parasympathetic fibers.
Norepinephrine is released by postganglionic The adrenal medulla is essentially a sympathetic
sympathetic fibers. The adrenal medulla releases ganglion. The postsynaptic cells within the adrenal
epinephrine into the blood; it is considered a medulla secrete their chemical messengers—
neurohormone. primarily epinephrine with some norepinephrine and
small amounts of dopamine—into the blood;
therefore, the substances released by the adrenal
8. Contrast the sympathetic and parasympathetic medulla are considered neurohormones. The
components of the autonomic nervous system; neurohormones are transported via the blood to
mention at least four characteristics of each. effector cells having receptors sensitive to them.
The first difference is mentioned above: the
postganglionic fibers of each division secrete different
10. The chemical composition of the CNS
neurotransmitters.
extracellular fluid is different from that of
The two divisions also differ anatomically: the nerve blood. Explain how this difference is achieved.
fibers of the two divisions leave the CNS from
A complex group of blood-brain barrier mechanisms
different levels—the sympathetic fibers from the
closely controls the kinds of substances that enter the
thoracic and lumbar areas of the spinal cord, and the
extracellular fluid of the brain and the rate at which
parasympathetic fibers from the brain and the sacral
they enter. The blood-brain barrier comprises the
portion of the spinal cord. The locations of ganglia
cells that line the smallest blood vessels in the brain
also differ for the two divisions: most of the
(the capillaries), and has both anatomical features
sympathetic ganglia lie close to the spinal cord and
such as tight junctions and physiological transport
form two chains of ganglia, the sympathetic trunks.
systems that handle different classes of substances in
The postsynaptic fibers from these ganglia can be
different ways.
quite long. Other sympathetic ganglia—the celiac,
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
21
Figures
&
Chapter CONNECT
Section Tables Chapter Test CONNECT
Topics Review Question
(pages) (* denotes Questions Animations
Questions Bank
Physiological
Inquiry)
2. Neuron structure
3. Structure and
maintenance of
neurons
4. Functional classes of
neurons
Fig. 6.1, 6.2, 5. Anatomy of efferent,
Nervous Section A Recall and
6.1-6.5 6.3, 6.4, 6.5 afferent, and
System Comprehend:
(pp. 137-143) interneurons
Cells p. 143 #2
6. Glial cells
Table 6.1 7. The truth about glial
cells
8. Neural growth and
regeneration
9. The truth about neural
plasticity
1. General principles of
physiology
10. Basic principles of
electricity
11. Potential, current, and
resistance
12. Electrical properties of
membranes
13. Ion distribution
14. Nerst equation
15. Resting membrane
potential
16. Equilibrium potentials
Fig. 6.7, 6.8, Recall and
and ion flux
6.9, 6.10*, Comprehend:
17. Membrane potential
6.11*, 6.12*, #3, 4, 5, 6, 7,
terminology
6.13, 6.14,
18. Membrane potential
6.15*, 6.16, Apply,
glossary
6.17, 6.18, Section B Anayze, and
Membrane 6.5-6.7 19. Action potential
6.19*, 6.20, Evaluate:
Potentials (pp. 143-158) 20. Feedback control of
6.21, 6.22, pp. 157-158 # 1, 2, 5, 7, 8 Action potential
voltage-gated channels
6.23*, 6.24* propagation in an
21. Action potentials and
General unmyelinated axon
refractory periods
Principles
22. Graded vs. action
Table 6.2, Assessment:
potentials
6.3, 6.4 #2
23. Voltage clamp
experiment
24. Voltage clamp toxin
51. Charge movement
during an action
potential
52. Adjacent to an action
potential
53. One-way action
potential propagation
54. Directionality of action
potentials
55. Threshold definition
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 6 22
1. General principles of
physiology
25. Functional anatomy of
synapses
26. Label the synapse
Recall and 27. Neurotransmitter
Fig. 6.25, Comprehend: release
6.26, 6.27, #8, 9 28. Steps of
6.28, 6.29, neurotransmitter
6.30, 6.31*, Apply, signaling
6.32, 6.33, Section C Anayze, and 29. Excitatory chemical
6.8-6.14
Synapses 6.34, 6.35, Evaluate: synapses
(pp. 66-171)
6.36 p. 170 #6 30. Inhibitory chemical
synapses
General 31. Synaptic modification
Table 6.5, 6.6 Principles 32. EPSP vs. IPSP
Assessment: 33. Synaptic integration
#3 34. Synaptic facilitation
35. Long-term potentiation
36. Specific
neurotransmitters
37. Neuroeffector
communication
1. General principles of
physiology
37. Neuroeffector
Recall and communication
Fig. 6.37*, Comprehend: 38. Brain anatomy
6.38, 6.39, #1, 10 39. Nervous system terms
6.40, 6.41, 40. Brain region functions
6.42, 6.43, Apply, 41. Spinal cord
Structure
6.44, 6.45, Section D Anayze, and 42. Spinal cord injuries
of the 6.15-6.19
6.46*, 6.47 Evaluate: 43. Cranial nerves
Nervous (pp. 171-185)
p. 182 #3, 4, 44. Spinal nerves
System
Table 6.7, 45. Somatic vs. autonomic
6.8, 6.9, 6.10, General nervous system
6.11 Principles 46. Divisions of the ANS
Assessment: 47. Autonomic drugs
#1, 3 48. Ventricles of the brain
49. The truth about the
blood-brain barrier
50. Clinical case study
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
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Tūmbaku (tumbākū).—Tobacco used for the kalian or water-
pipe.
Tūmbūn (tumban).—Petticoats (made as very loose drawers).
Umbar (ambār).—A cellar or store-room, a go-down.
Ūtū or Ootoo (atw).—An iron (flat or otherwise).
Utu-kesh (atw kash).—An ironer.
Vakeel-u-dowleh (wakīl ud Dawlah).—An agent of
Government; the empty title given to native newswriters,
who are supposed to act as English Consuls, and whose
offices are sinecures.
Yabū (yābū).—A pony, a common horse, a horse.
Yahū (?).—A kind of common house pigeon.
Yakhjal (Yakh-chāl).—An ice-store; a pond (and wall) for
making ice.
Yaourt (Turkish).—Curdled milk, (Persian) “mast.”
Yashmak (Turkish).—A kind of veil, or face covering.
Yawash (Turkish).—Gently, slowly.
Yessaoul (yasāwal).—A mounted mace-bearer.
Zalābi or Zalābieh (zalībiyā).—A sweet cake or fritter eaten
in Ramazan at night.
Zambūrek (zambūrak).—A tiny cannon carried on and fired
from a camel’s back (from Zambūr, a wasp).
Zangal (zangāl).—A legging.
Zenda-Rūd, Zendarūd (Zanda-Rud).—The river at Ispahan.
Zil-es-Sultan (Zill us Sultan) (title).—Shadow of the King.
Zoban-i-Gunghishk (zabāni gunjishk).—Lit. sparrow’s
tongue, a kind of willow.
Zūlf (zulf).—A long love-lock, a curl.
FOOTNOTES
[1] See Appendix D, page 417.
[2] Turcomanchai was the place where the treaty between
Persia and Russia was signed, February 22, 1828. Erivan and
Nakchewan were ceded to Russia, and two millions agreed to be
paid to her.
[3] The form of these was very various, though the principle of
action was always the same: the smoke was conducted to the
bottom of a pint or more of water and then sucked up in bubbles
through it, a gurgling noise being produced. Some used the long
“snake” or nehpeech, a spiral of copper wire covered with
coloured leather, and forming a flexible air-tight tube some four
yards long; this was the more old-fashioned way, and required
good lungs. A servant held the pipe itself at the side of the
master’s chair. Others affected the wooden stem with the pipe;
this as a rule is held by the smoker himself, and no great effort is
required in smoking, as the tube is only eighteen inches long and
air-tight, which the “nehpeech” or “snake” seldom is, save when
quite new.
The portion between the pipe-head and the water-holder is as a
rule always the same: a wooden tube some fourteen inches or
more long, with numerous indentations, turned in a lathe, and
coming to a point, so that any pipe-head will fit it; from the end of
this an inner tube goes to within an inch of the bottom of the
water. Sometimes this tube is made of ebony, at other times
covered with silver, and rarely with gold. In its side at the bottom
is the hole for the snake-like tube, or the stick.
The water-reservoir is usually of glass, either plain crystal, or
cut Bohemian; the shape of these glasses is that of a wide-
mouthed, long-necked decanter, and the neck serves as the place
by which the whole contrivance is held. In summer a porous clay
bottle is generally used as cooler by all classes, rich or poor.
Another kind of reservoir called a narghil (narghil, a cocoa-nut)
is made, having its shape like a cocoa-nut, with a spike or small
knob at the sharp end; this rests on the ground, and is meant for
travelling. It is made of brass, silver, or gold, and often in the two
latter cases enamelled; the “meāna,” or middle tube, to this kind
of pipe is often two and a half feet long, and the stem two.
Yet another form of kalian exists for travelling, and that is a
copy of the glass reservoir, of a rather squat shape, in buffalo or
rhinoceros hide; this is often, indeed usually, covered with
enamelled plates of gold and silver, often encrusted with gems,
and is only in use among the very rich.
As the great personages of Persia are constantly travelling,
these more elaborate forms of pipe are frequent; and, as a man’s
pipe often gives an idea of his social position, money is very
freely lavished on them. The mouth-piece is simply either
wooden, or else the end is shod with silver. The head consists of,
among the poor, a clay reservoir for the tobacco. These cost a
farthing. But most Persians, though only of the lower middle
class, manage to have a silver pipe-head; this consists of three
pieces, the handle or chōb (wood), a carved and turned piece of
wood pierced with a conical hole which fits the meāna (or stem)—
this may be represented by the lower two-thirds of an old-
fashioned wine-glass, with a small foot; the fire-holder, which is of
gold, silver, or stone, is fitted to this, and represents the upper
third of the wine-glass; and on this all the ingenuity of the
Persians is lavished in the matter of ornament. From its under
edge hang four or six little silver or gold chains four inches long,
terminated by flattened balls.
Lastly, the wind-guard, which prevents the fire from falling or
being blown up into an excessive state of incandescence, is
usually made of silver, and is an inverted cone of the same size
as the fire-holder, fitted to it with accuracy, and provided with two
holes to give the requisite amount of draught; at the side two pairs
of chains depend from the upper edge of this, and are made to
reach as far as do the lower set.
The fire-holder is lined with a mixture of clay and plaster of
Paris, on which is placed the tobacco, freshly moistened and
rubbed into coarse fragments (though connoisseurs prefer a more
elaborate preparation)—about three-quarters of an ounce is
required; it is flattened and smoothed, the surplus water being
squeezed away. Upon it are placed morsels of live charcoal,
which are blown into a fierce flame, and the excess of water in the
reservoir or bottle being driven out by blowing from the bottle,
which is always nearly filled. A few draws are taken by the pipe-
boy to see that all goes well, and to get rid of the taste of fresh
charcoal, and get the tobacco well alight, and it is then handed to
the smoker as under weigh.
On the fire-holder, however—perhaps because it is opposite
the eye and so most conspicuous—are seen the highest efforts of
Persian art. It is, whenever it can be afforded, of purest gold,
though often thin; some rare exceptions are unornamented; more
ordinarily it is chased or covered with high repoussé work, or
elaborately engraved. Or it may be so encrusted with turquoises
till little, if any, of the original metal shows; or it may be
ornamented with elaborate enamels of birds and flowers, or of
fruit; and a favourite pattern is vine-leaves of transparent enamel
let into the deeply-cut metal, and the bunches of grapes of varied
colours.
More often three or four ovals, some two inches long, are filled
by portraits of a girl or boy—of course fancy ones—and the
spaces between them filled with flowers and birds. These
enamels are very beautiful, very costly, and very brittle; ten
pounds being a common price paid to an enameller to decorate a
gold head, while as much as one hundred tomans, or forty
pounds, are given by great and rich amateurs.
Of the kalians, the heads and reservoirs of which are thickly
encrusted with gems, I do not speak at present; I had few
opportunities at that time of seeing such, and, as a rule, they are
only possessed by the Shah, his sons and uncles. I trust the
reader will bear with this long but needful detail as to pipes.
[4] As a rule, in Persia every one is up by six a.m.
[5] Those who feel curious on the subject of modern Persian
medicine, I must refer to my article on the subject in the British
Medical Journal.
[6] The English Legation or Embassy is always called “The
Mission” in Persia, by the members of it, and the English in the
country.
[7] Futteh-Ali Shah had over seventy sons and daughters, and
a prince’s son in Persia is a prince.
[8] As some confusion may be experienced in the matter of
money terms, I may append the following table of coins:—
s. d.
(Copper) 2 pūls = 1 shahi (or shaie) or 0 0½
English
banabat or half-keran
” 10 shahis = 1 ” 0 5
(silver)
20 shahis = 1 keran (silver) ” 0 10
10 kerans = 1 toman (tomaun), gold ” 7 6
Kerans. s. d.
Rice (per maund, 14 lbs.) 2 1 6
Mutton ” ” 2 1 6
Beef ” ” 1½ 1 1½
Fowls (each) ¾ to 1 7d., 8d. and 0 9
Small chickens (each) ⅓ 0 3
Pigeons ” 0 2
Partridges ” ½ 0 4½
Eggs (40 to 60) 1 0 9
Butter (14 lbs.) 5 3 9
Clarified butter or ghee for
5 to 7 4s. to 5 0
cooking (14 lbs.)
Coffee, Mocha (per lb.) 1 9d. to 0 10
Tobacco (14 lbs.) 4 to 12 3s. to 10 0
Potatoes ” ½ to 2 4½d. to 1 6
Wood for firing (280 lbs.) 2½ 1 9
” broken, in small
5 3 9
quantities (280 lbs.)
Loaf-sugar, English (per lb.) ¾ to 1 6d. to 0 9
Charcoal, sifted (14 lbs.) ½ to 1 4½d. to 0 9
” unsifted ” ¼ to ½ 2d. to 0 4½
Grapes ” 7/20 to 15/20 3d. to 0 7
Dip candles ” 4 3 0
Commonest oil for servants
1½ 1 1½
(14 lbs.)
Bread (14 lbs.) 1 to 1½ 9d. to 1 1
Miles.
Saoudabad 20
Hadji Aga 20
Darathiar 16
56
Slept.
April 10th.— Turcomanchai 24
Meana 16
Jemalabad 12
Tercham 16
Aga Mezar 12
Nikibeg 20
100
[19] This is the one standard weight of Persia, the other being
the miscal or sixth part of our ounce. This, for convenience, is
supposed to consist of twenty nokods—the nokod being a grain
similar to our pea in appearance. The nokod is subdivided into
three gundums or grains (of wheat); these again into four kērāts
(or carats)—these latter, however, are only used in weighing
gems. The Tabriz maund (or batman) and the miscal and its
subdivisions are in use throughout Persia in mercantile affairs.
Further north than Ispahan the sere and the gerewankeh—the
latter about a pound, and borrowed from the Russians—are in
use. Other local weights exist, only known in special places. As a
rule, each village has its special weight (literally stone, “sang”),
and their maunds get lighter and lighter as one gets away from
the large cities.
[20] The cost had been—
Kerans.
Thirty jars, at five kerans 150
Twenty loads of grapes 750
Carriage of same 60
Cost of labour, etc. 100
1060
Per contra.
Kerans.
Paid to me by Jews for refuse, for arrack-making 50
Resale of jars 140
190