MEMBRANE PHYSIOLOGY Anita Ocampo-So, MD, FPSP, DPBA, MHA
Professor
Nervous System A complex array of specialized structures which serve to: • Receive • Store • Transmit information • Consist of the CNS and the PNS • Neuron- basic unit of the NS – 1 trillion neurons
Neurons • • • • •
Made up of dendrites Soma Axon- axon terminal Has different organelles but no centromere Classification according to 1. structure 2. Form 3. covering – Schwann cells
Neurons
Neurons
•
structures aside from organelles 1. astrocytes 2. microglia 3. oligodendroglia – apoptosis
Neurons • • • •
Bell-Magendie Law Afferent – sensory Efferent – motor Afferent 200,000 interneuron 10 efferent
Neurons
Classification of Nerve Fibers Class
Conduction Velocity (m/sec)
Size ( μm)
Functions
A α
70-120
12-20
Proprioception Somatic motor
β
30-70
5-12
Touch pressure
3-6
Motor to muscle spindle
12-30
2-5
Pain,touch, cold temp
B
3-5
<3
C
0.5-2
0.4-1.2
γ δ
15-30
Preganglionic, Autonomic pain, temperature, mechanoreception
Classification of Nerve Fibers
Coverings of Nerve Fibers 1. endoneurium 2. perineurium 3. epineurium
Coverings of Nerve Fibers
Properties of Nerve Fibers
2. Excitability 4. Conductivity
Myelinated Fibers • Schwann cells • Nodes of Ranvier • Saltatory Conduction – Advantages • faster conduction • saves energy • less loss of ions
Myelinated Fibers
Resting Membrane Potential • Cells under resting conditions have an electrical potential difference across their plasma membrane. This potential is the Resting Membrane Potential (RMP) • The cytoplasm is electrically (-) relative to the ECF • The RMP plays a vital role in the excitability of nerve and muscle cells and in other cellular responses
Genesis of the RMP 1.Distribution of ions • movement of ions depend on: a. Concentration b. Electrical potential difference
•
if forces are equal = no movement – Nernst equation – Nernst equilibrium EMF (mo)
= (-)61log conc 1/conc 0 = (+)61
Genesis of the RMP – –
Gibbs-Donnan equilibrium Goldman-Hodgkin-Katz
Selective Permeability of the Membrane Na+ - K+ pump
•
RMP – –
skeletal muscle (-)90mV nerve (-) 70 mV
Action Potential
Action Potential • All-or-Nothing Principle • Strength – duration curve – Rheobase – Utilization time – Chronaxie
Refractory Periods • Absolute Refractory Period • Relative Refractory Period – nerve fibers are not susceptible to fatigue
• Accommodation
Refractory Periods Local Excitatory States • subthreshold stimulus • inadequate duration of applications According to their location • receptor potential • synaptic potential • pacemaker potential • end-plate potential In general, moves the RMP closer to the threshold potential
Synapse and Synaptic Transmission Synapse • an anatomically specialized junction between two neurons • important in the transport of nerve signals from one neuron (presynaptic) to the next neuron (postsynaptic) – 100 quadrillon synapses in the CNS – 2 types a. Electrical b. Chemical
Presynaptic and Postsynaptic Neuron Presynaptic neuron • has lots of mitochondria • has NTs inside vesicles • usual forms are ; round, dense, flat and sphenoid • intertwining – cerebellum • basket and climbing – midbrain Postsynaptic neuron • contains the receptor proteins
Presynaptic and Postsynaptic Neuron Presynaptic
Postsynaptic
Presynaptic and Postsynaptic Transmission 1. axo-axonic 2. axo-dendritic 3. axo-somatic
Characteristics of Synapses 1.convergence 2.divergence 3.facilitation 4.post-tetanic potentiation 5.fatigue 6.after discharge
Characteristics of Synapses 1. 2. 3. 4. 5.
subliminal fringe occlusion reverberation inhibition summation – temporal – spatial
Synaptic Responses 1. excitatory postsynaptic potential – can be graded response which will bring the RMP closer to the TP 2. inhibitory postsynaptic potential – makes the membrane hyperpolarized
Classes of Neurotransmitters 1. Acetylcholine 2. Biogenic amines – catecholamines, serotonin, histamine 3. Amino acids – glutamate, GABA 4. Neuropeptides – endogenous opioids 5. Miscellaneous – nitric acid, adenosine
Factors Affecting Synaptic Effectiveness 1. Presynaptic factors 2. Postsynaptic factors 3. General factors
Modulators
Chemical messengers that elicit complex responses that cannot be described as either IPSPs or EPSPs
Factors Affecting Synaptic Transmission 1. acid-base states a. alkalosis b. acidosis 2. oxygen and CO2 concentrations • Drugs – those that excite – those that inhibit
Neuromuscular Junction and N-M Transmission
Neurotransmitter Receptors • metabotropic receptors • ionophore
Acetylcholine Synthesis and Metabolism
• Acetyl choline cholinesterase acetate + choline
Events during N-M Transmission Action potential in Presynaptic Motor axon terminal
Increase in Ca++ ion permeability and influx of Ca++ into the Axon Terminal
Release of Ach from the Synaptic Vesicles into the Synaptic Cleft
Diffusion of Ach to Postjunctional membrane
Events during N-M Transmission Combination of Ach with specific receptors on postjunctional membrane
Increase in permeability of postjunctional membrane to Na++ and K+ causes EPP
Depolarization of areas of Muscle membrane adjacent to end plate and initiation of AP
Factors affecting NM Transmission
1. 2. 3. 4.
Ions Drugs – curare, antibiotics Acid – base conditions Temperature
Clinical Applications • • • • •
Hemicholiniums Curare Myasthenia Gravis Denervation supersensitivity Eaton-Lambert Myasthenia Syndrome
Thank You and Good Day