مواضيع المحاضرة:
background image

amus; and (5) areas of the cerebral cortex.

medulla, pons, and mesencephalon of the brain; (3) the cerebellum; (4) the thal-

areas in (1) the spinal cord at all levels; (2) the reticular substance of the

some deep structures. This information enters the central nervous system

portion of the sensory system, which transmits

Figure 45–2 shows the 

date.

for minutes, weeks, or years and determine bodily reactions at some future 

from the brain, or memory of the experience can be stored in the brain 

kinds of receptors. This sensory experience can either cause immediate reaction

receptors in the ears, tactile receptors on the surface of the body, or other 

, whether visual receptors in the eyes, auditory 

directions for performing specific nervous functions.

membranes of subsequent neurons). This forces the signal to travel in required

nervous system or peripheral body.

neuron. Then, this axon has many separate branches to other parts of the

fibers. Conversely, the output signal travels by way of a single axon leaving the

drites, but also on the cell body. For different types of neurons, there may be

shows a typical neuron of a type found in the brain motor cortex. Incoming

The central nervous system contains more than 100 billion neurons. Figure 45–1

Functional Unit

Central Nervous System Neuron: The Basic 

General Design of the Nervous System

through neuromuscular junctions.

nervous system, the reader should review Chapters 5 and 7, which present the

However, before beginning this discussion of the

body.

perform. It receives each minute literally millions of

The nervous system is unique in the vast complex-

Synapses, “Transmitter Substances”

System, Basic Functions of

C

H

A

P

T

E

R

 

4

5

555

Organization of the Nervous

ity of thought processes and control actions it can

bits of information from the different sensory
nerves and sensory organs and then integrates all
these to determine responses to be made by the

principles of membrane potentials and transmission of signals in nerves and

signals enter this neuron through synapses located mostly on the neuronal den-

only a few hundred or as many as 200,000 such synaptic connections from input

A special feature of most synapses is that the signal normally passes only in

the forward direction (from the axon of a preceding neuron to dendrites on cell

Sensory Part of the Nervous System—Sensory Receptors

Most activities of the nervous system are initiated by sensory experience 
exciting  sensory receptors

somatic

sensory information from the receptors of the entire body surface and from

through peripheral nerves and is conducted immediately to multiple sensory


background image

portant. For instance, one is ordinarily unaware of the

occur. More than 99 per cent of all sensory informa-

“Integrative” Function of the 

stimuli, and the higher regions with deliberate

automatic, instantaneous muscle responses to sensory

cific role, the lower regions concerned primarily with

motor cortex. Each of these areas plays its own spe-

(3) the basal ganglia; (4) the cerebellum; and (5) the

substance of the medulla, pons, and mesencephalon;

system, including (1) the spinal cord; (2) the reticular

Note in Figure 45–3 that the skeletal muscles can be

bodily systems; this is discussed in Chapter 60.

trolling smooth muscles, glands, and other internal

, for con-

system, called the 

traction. Operating parallel to this axis is another

“skeletal” motor nerve axis

Figure 45–3 shows the 

tated by the nerve signals.

of the nervous system, and the muscles and

body. These activities are collectively called 

tion of smooth muscle in the internal organs, and 

ate skeletal muscles throughout the body, (2) contrac-

system is to control the various bodily activities. This

The most important eventual role of the nervous

The Nervous System: A. General Principles and Sensory Physiology

556

Unit IX

Motor Part of the Nervous System—
Effectors

is achieved by controlling (1) contraction of appropri-

(3) secretion of active chemical substances by both
exocrine and endocrine glands in many parts of the

motor

functions
glands are called effectors because they are the actual
anatomical structures that perform the functions dic-

of

the nervous system for controlling skeletal muscle con-

autonomic nervous system

controlled from many levels of the central nervous

complex muscle movements controlled by the thought
processes of the brain.

Processing of Information—

Nervous System

One of the most important functions of the nervous
system is to process incoming information in such a
way that appropriate mental and motor responses will

tion is discarded by the brain as irrelevant and unim-

Brain

Spinal cord

Second-order
neurons

Axon

Synapses

Cell body

Dendrites

Anatomy and Physiology. Philadelphia: WB Saunders Co, 1987.)

tional parts. (Redrawn from Guyton AC: Basic Neuroscience:

Structure of a large neuron in the brain, showing its important func-

Figure 45–1

Golgi tendon

apparatus

Cerebellum

Motor cortex

Thalamus

Bulboreticular
formation

Pons

Somesthetic areas

Medulla

Spinal cord

Skin

Pain, cold,
warmth (Free
nerve ending)

Pressure
(Pacinian corpuscle)
(Expanded tip
receptor)

Touch
(Meissner's corpuscle)

Muscle spindle

Kinesthetic receptor

Joint

Muscle

Somatosensory axis of the nervous system.

Figure 45–2


background image

, and (3) the 

lower brain

, (2) the

spinal cord level

tional characteristics: (1) the 

tionary development. From this heritage, three major

The human nervous system has inherited special func-

Nervous System Function

bodily responses.

ences with stored memories; the memories then help

mechanism for future “thinking.” That is, the thinking

system, they become part of the brain processing

memory process, but what is known about this and

We know little about the precise mechanisms by

tions are only memories of the sensations.

riencing the original sensations, although the percep-

not excited. This gives the person a perception of expe-

sequences of synapses, even when the sensory input is

large number of times, the synapses become so facili-

. After the

the next time, a process called 

through sequences of synapses, these synapses become

That is, each time certain types of sensory signals pass

, and this, too, is a function of the synapses.

The storage of information is the process we call

, but even the basal regions of the 

the thinking processes. Most storage occurs in the 

response. But much of the information is stored for

signals, and often channeling these signals in many

weak signals while allowing strong signals to pass, but

synapses perform a selective action, often blocking

impulses, and others respond with only a few. Thus, the

times closing them. In addition, some postsynaptic

system can control synaptic transmission, sometimes

signals only with difficulty. Also,

neuron to the next with ease, whereas others transmit

system. Some synapses transmit signals from one

synaptic function. However, it is important to point out

Later in this chapter, we will discuss the details of

The synapse 

the entire body away from the stove, and perhaps even

And other associated responses follow, such as moving

system. Thus, if a person places a hand on a hot stove,

responses. This channeling and processing of informa-

the mind, it is immediately channeled into proper inte-

But, when important sensory information excites

roundings is usually relegated to the subconscious.

field of vision, and even the perpetual noise of our sur-

attention is drawn only to an occasional object in one’s

well as of the seat pressure when sitting. Likewise,

parts of the body that are in contact with clothing, as

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

557

grative and motor regions of the brain to cause desired

tion is called the integrative function of the nervous

the desired instantaneous response is to lift the hand.

shouting with pain.

Role of Synapses in Processing Information.

is the junction point from one neuron to the next.

here that synapses determine the directions that the
nervous signals will spread through the nervous

facilitatory and

inhibitory signals from other areas in the nervous

opening the synapses for transmission and at other

neurons respond with large numbers of output

at other times selecting and amplifying certain weak

directions rather than only one direction.

Storage of Information—Memory

Only a small fraction of even the most important
sensory information usually causes immediate motor

future control of motor activities and for use in 

cerebral cortex
brain and the spinal cord can store small amounts of 
information.

memory

more capable of transmitting the same type of signal

facilitation

sensory signals have passed through the synapses a

tated that signals generated within the brain itself can
also cause transmission of impulses through the same

which long-term facilitation of synapses occurs in the

other details of the sensory memory process are dis-
cussed in Chapter 57.

Once memories have been stored in the nervous

processes of the brain compare new sensory experi-

to select the important new sensory information and
to channel this into appropriate memory storage areas
for future use or into motor areas to cause immediate

Major Levels of Central

tional capabilities from each stage of human evolu-

levels of the central nervous system have specific func-

or  subcortical level

higher

brain or cortical level.

Cerebellum

Alpha motor fiber

Motor

area

Motor nerve

to muscles

Thalamus

Putamen

Globus pallidus

Subthalamic nucleus

Bulboreticular formation

Gamma motor fiber

Caudate
nucleus

Muscle spindle

Figure 45–3

Skeletal motor nerve axis of the nervous system.


background image

course of bodily activity.

ilarity to the nervous system. The fact that the basic

Figure 45–4 is a simple block diagram of a computer.

place.

forth, until complex sequences of thought or action take

sensation or motor activity, then to another, and so

This unit is analogous to the control mechanisms in our

, that determines the sequence of all operations.

sary to add still another unit, called the 

as computers become even more complex, it is neces-

anisms of our higher nervous system. Furthermore,

been stored in memory in the computer, which is anal-

more complex computers, the output is determined both

similar to that of simple reflexes of the spinal cord. In

directly by the input signals, operating in a manner

In simple computers, the output signals are controlled

portion of the nervous system, and output circuits that

common with the nervous system. First, all computers

When computers were first developed, it soon became

Nervous System with 

system performs specific functions. But it is the cortex

ery of the brain. Thus, each portion of the nervous

in the cerebral cortex, thus

In fact, it is the lower brain centers, not the cortex,

our thought processes, but it cannot function by itself.

Finally, the cerebral cortex is essential for most of

functions to determinative and precise operations.

lower brain centers are often imprecise. The vast store-

Without the cerebral cortex, the functions of the

memory storehouse. The cortex never functions alone

to do? The answer to this is complex, but it begins with

levels, one may ask, what is left for the cerebral cortex

response, reaction to pain, and reaction to pleasure,

emotional patterns, such as anger, excitement, sexual

cephalon, amygdala, and hypothalamus. And many

are controlled by areas in the medulla, pons, mesen-

mesencephalon. Feeding reflexes, such as salivation

and the reticular substance of the medulla, pons, and

medulla and pons. Control of equilibrium is a com-

ganglia. For instance, subconscious control of arterial

hypothalamus,

thalamus,

cerebellum,

and basal

of the brain—in the medulla, pons, mesencephalon,

Many, if not most, of what we call subconscious activ-

the cord centers to perform their functions.

the control centers of the cord, simply “commanding”

tion. In fact, the upper levels of the nervous system

vessels, gastrointestinal movements, or urinary excre-

against gravity, and (4) reflexes that control local blood

draw portions of the body from painful objects, (3)

cause (1) walking movements, (2) reflexes that with-

occur. For instance, neuronal circuits in the cord can

back to the body. This is far from the truth. Even after

the brain, or in the opposite direction from the brain

We often think of the spinal cord as being only a

The Nervous System: A. General Principles and Sensory Physiology

558

Unit IX

Spinal Cord Level

conduit for signals from the periphery of the body to

the spinal cord has been cut in the high neck region,
many highly organized spinal cord functions still

reflexes that stiffen the legs to support the body

often operate not by sending signals directly to the
periphery of the body but by sending signals to 

Lower Brain or Subcortical Level

ities of the body are controlled in the lower areas 

pressure and respiration is achieved mainly in the

bined function of the older portions of the cerebellum

and licking of the lips in response to the taste of food,

can still occur after destruction of much of the cere-
bral cortex.

Higher Brain or Cortical Level

After the preceding account of the many nervous
system functions that occur at the cord and lower brain

the fact that the cerebral cortex is an extremely large

but always in association with lower centers of the
nervous system.

house of cortical information usually converts these

that initiate wakefulness
opening its bank of memories to the thinking machin-

that opens a world of stored information for use by the
mind.

Comparison of the 

a Computer

apparent that these machines have many features in

have input circuits that are comparable to the sensory

are comparable to the motor portion of the nervous
system.

by input signals and by information that has already

ogous to the more complex reflex and processing mech-

central process-

ing unit

brain that direct our attention first to one thought or

Even a rapid study of this diagram demonstrates its sim-

components of the general-purpose computer are anal-
ogous to those of the human nervous system demon-
strates that the brain is basically a computer that
continuously collects sensory information and uses this
along with stored information to compute the daily

Problem

Answer

Output

Result of

operations

Initial

data

Procedure

for solution

Central

processing unit

Computational

unit

Information

storage

Input

components and their interrelations.

Block diagram of a general-purpose computer, showing the basic

Figure 45–4


background image

other neurons. Later, it will become evident that many

per cent on the soma. These presynaptic terminals are

dendrites and soma of the motor neuron, about 80 to

, which are great numbers of

cord; and the 

, which extends from the

the neuron; a single 

, which is the main body of

three major parts: the 

the anterior horn of the spinal cord. It is composed of

Figure 45–5 shows a typical 

Physiologic Anatomy of the Synapse

others.

tions of sensation, motor control, memory, and many

signals to be directed toward specific goals. Indeed, it

of the one-way conduction mechanism. It allows

Think for a moment about the extreme importance

trical synapses, which often transmit signals in either

at chemical synapses,

principle of one-way conduction

. This is the

mitter acts, called the 

, to the neuron on which the trans-

that secretes the transmitter substance, called the

the signals in one direction: that is, from the neuron 

most nervous system signals: they always transmit 

“One-Way” Conduction at Chemical Synapses.

However, it is by way of gap junctions and other

cussed in Chapter 4. Only a few examples of gap junc-

cell to the interior of the next. Such junctions were dis-

one cell to the next. Most of these consist of small

, in contrast, are characterized by

(GABA), glycine, serotonin, and glutamate.

epinephrine, histamine, gamma-aminobutyric acid

the best known are acetylcholine, norepinephrine,

substances have been discovered thus far. Some of 

some other way. More than 40 important transmitter

excite the neuron, inhibit it, or modify its sensitivity in

), and this transmitter in turn acts on recep-

. In these, the first neuron secretes at

chemical synapses

chemi-

There are two major types of synapses: (1) the 

Types of Synapses

patterns of impulses in successive neurons. All these

repetitive impulses, or (3) may be integrated with

next, (2) may be changed from a single impulse into

another. However, in addition, each impulse (1) may

impulses,” through a succession of neurons, one after

form of nerve action potentials, called simply “nerve

Central Nervous System

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

559

Synapses

Every medical student is aware that information is
transmitted in the central nervous system mainly in the

be blocked in its transmission from one neuron to the

impulses from other neurons to cause highly intricate

functions can be classified as synaptic functions of
neurons
.

—Chemical 

and Electrical

cal synapse and (2) the electrical synapse.

Almost all the synapses used for signal transmission

in the central nervous system of the human being are

its nerve ending synapse a chemical substance called a
neurotransmitter (or often called simply transmitter
substance
tor proteins in the membrane of the next neuron to

Electrical synapses

direct open fluid channels that conduct electricity from

protein tubular structures called gap junctions that
allow free movement of ions from the interior of one

tions have been found in the central nervous system.

similar junctions that action potentials are transmitted
from one smooth muscle fiber to the next in visceral
smooth muscle (Chapter 8) and from one cardiac
muscle cell to the next in cardiac muscle (Chapter 10).

Chemical

synapses have one exceedingly important characteris-
tic that makes them highly desirable for transmitting

presynaptic neuron

postsynaptic neuron

and it is quite different from conduction through elec-

direction.

is this specific transmission of signals to discrete and
highly focused areas both within the nervous system
and at the terminals of the peripheral nerves that
allows the nervous system to perform its myriad func-

anterior motor neuron in

soma

axon

soma into a peripheral nerve that leaves the spinal

dendrites

branching projections of the soma that extend as 
much as 1 millimeter into the surrounding areas of the
cord.

As many as 10,000 to 200,000 minute synaptic knobs

called presynaptic terminals lie on the surfaces of the

95 per cent of them on the dendrites and only 5 to 20

the ends of nerve fibrils that originate from many

Dendrites

Axon

Soma

the neuronal soma and dendrites. Note also the single axon.

Typical anterior motor neuron, showing presynaptic terminals on

Figure 45–5


background image

specific cellular functions.

serve as “second messengers” to increase or decrease

the postsynaptic neuron. These substances in turn

cytoplasm and activates one or more substances inside

“second messenger” activator

ion channel

types: (1) an 

synaptic neuron. The ionophore in turn is one of two

two important components: (1) a 

Figure 45–6. The molecules of these receptors have

, also shown in

The membrane of the postsynaptic neuron contains

“Receptor Proteins”

on the Postsynaptic Neuron—Function of

Action of the Transmitter Substance 

action potentials.

cules of acetylcholine are present in each vesicle, and

mitter acetylcholine, between 2000 and 10,000 mole-

potential. For those vesicles that store the neurotrans-

brane, allowing a few transmitter vesicles to release

. This binding in turn

membrane, called 

nal, it is believed that they bind with special protein

When the calcium ions enter the presynaptic termi-

following.

release is not known, but it is believed to be the 

to the number of calcium ions that enter. The precise

of calcium ions to flow into the terminal. The quantity

potential depolarizes the presynaptic membrane,

. When an action

voltage-gated calcium channels

. It contains large numbers

The membrane of the presynaptic terminal is called

Presynaptic Terminals—Role of Calcium Ions

Causes Transmitter Release from the

the neuronal receptor characteristics.

or inhibition of the postsynaptic neuron, depending on

naptic neuronal membrane, and this leads to excitation

The released transmitter in turn causes an immediate

tic terminal, depolarization of its membrane causes 

When an action potential spreads over a presynap-

new transmitter substance.

chondria provide adenosine triphosphate (ATP),

. The mito-

, inhibits if the

into the synaptic cleft, either 

that, when released

. The transmitter vesicles

mitochondria

inhibitory function of the synapse: the 

usually of 200 to 300 angstroms. The terminal has 

neuronal soma by a 

membrane surface of a postsomatic neuron. The presy-

synapse, showing a single presynaptic terminal on the

Figure 45–6 illustrates the basic structure of a

, or 

boutons, end-feet

oval knobs and, therefore, are sometimes called 

anatomical forms, but most resemble small round or

Presynaptic Terminals.

and, therefore, perform many different functions.

from only a few to as many as 200,000. These differ-

number of presynaptic terminals, which may range

ters; (3) the length and size of the axon; and (4) the

cell body; (2) the length, size, and number of dendrites,

postsynaptic neuron. But other presynaptic terminals

—that is,

The Nervous System: A. General Principles and Sensory Physiology

560

Unit IX

of these presynaptic terminals are excitatory
they secrete a transmitter substance that excites the

are  inhibitory—they secrete a transmitter substance
that inhibits the postsynaptic neuron.

Neurons in other parts of the cord and brain differ

from the anterior motor neuron in (1) the size of the

ranging in length from almost zero to many centime-

ences make neurons in different parts of the nervous
system react differently to incoming synaptic signals

Electron microscopic studies of

the presynaptic terminals show that they have varied

termi-

nal knobs,

synaptic knobs.

naptic terminal is separated from the postsynaptic

synaptic cleft having a width

two internal structures important to the excitatory or

transmitter vesi-

cles and the 
contain the transmitter substance

excites or  inhibits the

postsynaptic neuron—excites if the neuronal mem-
brane contains excitatory receptors
membrane contains inhibitory receptors

which in turn supplies the energy for synethesizing

a small number of vesicles to empty into the cleft.

change in permeability characteristics of the postsy-

Mechanism by Which an Action Potential

the presynaptic membrane
of 

these calcium channels open and allow large numbers

of transmitter substance that is then released from 
the terminal into the synaptic cleft is directly related

mechanism by which the calcium ions cause this

molecules on the inside surface of the presynaptic

release sites

causes the release sites to open through the mem-

their transmitter into the cleft after each single action

there are enough vesicles in the presynaptic terminal
to transmit from a few hundred to more than 10,000

large numbers of receptor proteins

binding component

that protrudes outward from the membrane into the
synaptic cleft—here it binds the neurotransmitter
coming from the presynaptic terminal—and (2) an
ionophore component that passes all the way through
the postsynaptic membrane to the interior of the post-

that allows passage of speci-

fied types of ions through the membrane or (2) a

that is not an ion channel

but instead is a molecule that protrudes into the cell

Transmitter vesicles

Mitochondria

Synaptic cleft

(200-300

angstroms)

Presynaptic

terminal

Soma of neuron

Receptor
proteins

Figure 45–6

Physiologic anatomy of the synapse.


background image

often stays open for a prolonged time, in contrast

opened in response to the G-protein; this channel

. Shown in the upper

Opening specific ion channels through the

can occur. They are as follows:

of neuron. Shown in Figure 45–7 are four changes that

nent performs one or more of multiple functions,

Inside the cytoplasm, the separated alpha compo-

the cytoplasm of the cell.

receptor protein. On activation by a nerve impulse, the

the G-protein, and beta (

G-protein in turn consists of three components: an

that protrudes into the interior of the cell. The 

upper left corner a membrane receptor protein. A 

. Figure 45–7 shows in the

systems. One of the most common types uses a group

There are several types of second messenger

inside the postsynaptic neuronal cell itself, and then it

by activating a “second messenger” chemical system

present. However, in many instances, prolonged post-

mitter substance is gone. The ion channels are not suit-

Many functions of the nervous system—for instance,

for very rapid control of postsynaptic neurons.

longer present, the channel closes equally rapidly. The

a millisecond; when the transmitter substance is no

channel, the channel usually opens within a fraction of

When a transmitter substance activates an ion

inhibits the neuron. Therefore, transmitter substances

allows negative electrical charges to enter, which

. Conversely, opening anion channels

turn excite this neuron. Therefore, a transmitter sub-

and allow positively charged sodium ions to enter, the

We will learn later that when cation channels open

pass.

sodium, potassium, and calcium cations are blocked,

channels and on through to the opposite side, whereas

become large enough, chloride ions pass into the

, when the channel diameters

anion channels

For the 

prevent their passage.

repel chloride ions and other anions

that of the hydrated sodium ion. But those same neg-

lined with negative charges. These charges attract the

cation channels

The 

of other anions.

anion channels

calcium ions as well, and (2) 

when opened, but sometimes allow potassium and/or

channels

ronal membrane are usually of two types: (1) 

The ion channels in the postsynaptic neu-

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

561

Ion Channels.

cation

that most often allow sodium ions to pass

that allow

mainly chloride ions to pass but also minute quantities

that conduct sodium ions are

positively charged sodium ions into the channel when
the channel diameter increases to a size larger than

ative charges 

and

mainly because their hydrated ions are too large to

positive electrical charges of the sodium ions will in

stance that opens cation channels is called an excita-
tory transmitter

that open these channels are called inhibitory 
transmitters
.

opening and closing of ion channels provide a means

“Second Messenger” System in the Postsynaptic Neuron.

the process of memory—require prolonged changes in
neurons for seconds to months after the initial trans-

able for causing prolonged postsynaptic neuronal
changes because these channels close within millisec-
onds after the transmitter substance is no longer

synaptic neuronal excitation or inhibition is achieved

is the second messenger that causes the prolonged
effect.

of proteins called G-proteins

G-protein is attached to the portion of the receptor

alpha (

a) component that is the activator portion of

b) and gamma (g) compo-

nents that are attached to the alpha component and
also to the inside of the cell membrane adjacent to the

alpha portion of the G-protein separates from the beta
and gamma portions and then is free to move within

depending on the specific characteristic of each type

1.

postsynaptic cell membrane
right of the figure is a potassium channel that is

to rapid closure of directly activated ion channels
that do not use the second messenger system.

Transmitter substance

G-protein

Opens

channel

K

+

Membrane

enzyme

Potassium

channel

Receptor
protein

1

2

3

4

Activates one or

more intracellular

enzymes

Activates gene

transcription

Specific cellular

chemical activators

Proteins and

structural changes

Activates
enzymes

ATP

cAMP

or

g

b

a

a

GTP

cGMP

tion in the second neuron.

the neuron’s membrane; 3, activat-

membrane of the second neuron;

G-protein are shown, including 1,

quent possible effects of the 

neuron’s cytoplasm. Four subse-

a “G-protein” into the second

second neuron by first releasing 

an initial neuron can activate a

which a transmitter substance from

Figure 45–7

“Second messenger” system by

opening an ion channel in the

2, activating an enzyme system in

ing an intracellular enzyme system;
and/or 4, causing gene transcrip-


background image

synapses.

closure of certain ion channels, and possibly even long-

numbers of neuronal receptors, long-term opening or

prolonged actions, such as long-term changes in

The neuropeptides, in contrast, usually cause more

to the brain and of motor signals back to the muscles.

nervous system, such as transmission of sensory signals

The small-molecule, rapidly acting transmitters are

much more slowly acting.

The other is made up of a large number of 

small-molecule, rapidly acting transmitters

give two groups of synaptic transmitters. One group

Many of them are listed in Tables 45–1 and 45–2, which

or postulated to function as synaptic transmitters.

as Synaptic Transmitters

number of excitatory receptors.

inside the neuron; this is inhibitory.

the exterior, which causes increased negativity

. This allows positive ions to diffuse to

inhibitory.

and increasing the negativity inside, which is

inside, thereby carrying negative charges inward

. This allows

Opening of chloride ion channels through the

number of inhibitory membrane receptors.

some instances, to increase the number of

to excite cell activity or, in

Various changes in the internal metabolism of the

positive than normal, which is excitatory.

to the outside. In either instance, the effect is to

. This decreases the

potassium channels, or both

Depressed conduction through chloride or

excitation. It is by far the most widely used means

. This raises the

numbers of positive electrical charges to flow to the

Opening of sodium channels to allow large

inhibition include the following.

The different molecular and membrane mechanisms

additional dimension to nervous function, allowing

inhibition. The importance of having inhibitory as well

excitation of the postsynaptic neuron, and others cause

Some postsynaptic receptors, when activated, cause

Excitatory or Inhibitory Receptors in the

tics of different neuronal pathways. We will return to

G-protein type or of other types, is extremely impor-

systems within the neuron, whether they be of the 

processes.

neurons do occur, especially in long-term memory

or its structure. Indeed, it is well known that

neuron, thereby changing its metabolic machinery

This is one of the

intracellular enzymes. In turn the enzymes can

The G-protein can directly activate one or more

structure itself, which in turn alters long-term

results, including long-term changes in cell

therefore, can initiate any one of many chemical

cyclic AMP or cyclic GMP can activate highly

. Recall that either

The Nervous System: A. General Principles and Sensory Physiology

562

Unit IX

2. Activation of cyclic adenosine monophosphate

(cAMP) or cyclic guanosine monophosphate
(cGMP) in the neuronal cell

specific metabolic machinery in the neuron and,

excitability of the neuron.

3. Activation of one or more intracellular enzymes.

cause any one of many specific chemical functions
in the cell.

4. Activation of gene transcription.

most important effects of activation of the second
messenger systems because gene transcription 
can cause formation of new proteins within the

structural changes of appropriately activated

It is clear that activation of second messenger

tant for changing the long-term response characteris-

this subject in more detail in Chapter 57 when we
discuss memory functions of the nervous system.

Postsynaptic Membrane

as excitatory types of receptors is that this gives an

restraint of nervous action as well as excitation.

used by the different receptors to cause excitation or

Excitation

1.

interior of the postsynaptic cell
intracellular membrane potential in the positive
direction up toward the threshold level for

for causing excitation.

2.

diffusion of negatively charged chloride ions to
the inside of the postsynaptic neuron or decreases
the diffusion of positively charged potassium ions

make the internal membrane potential more

3.

postsynaptic neuron

excitatory membrane receptors or decrease the

Inhibition

1.

postsynaptic neuronal membrane
rapid diffusion of negatively charged chloride ions
from outside the postsynaptic neuron to the

2. Increase in conductance of potassium ions out of

the neuron

3. Activation of receptor enzymes that inhibit cellular

metabolic functions that increase the number of
inhibitory synaptic receptors or decrease the

Chemical Substances That Function

More than 50 chemical substances have been proved

comprises 

.

neuropep-

tides  of much larger molecular size that are usually

the ones that cause most acute responses of the

term changes in numbers of synapses or sizes of

Table 45–1

Gamma-aminobutyric acid (GABA)

Class III: Amino Acids

Class II: The Amines

Small-Molecule, Rapidly Acting Transmitters

Class I

Acetylcholine

Norepinephrine
Epinephrine
Dopamine
Serotonin
Histamine

Glycine
Glutamate
Aspartate

Class IV

Nitric oxide (NO)


background image

ganglia, and many areas of the cortex. It is believed

nerve terminals in the spinal cord, cerebellum, basal

GABA

transmitter.

spinal cord. It is believed to always act as an inhibitory

is mainly in the striatal region of the basal ganglia. The

the substantia nigra. The termination of these neurons

inhibits others.

nervous system, where it excites some organs but

receptors instead. Norepinephrine is also secreted by

tory receptors, but in a few areas, it activates inhibitory

these areas, norepinephrine probably activates excita-

such as increasing the level of wakefulness. In most of

pons send nerve fibers to widespread areas of the brain

stem and hypothalamus. Specifically, norepinephrine-

vagus nerves.

nerve endings, such as inhibition of the heart by the

has an excitatory effect; however, it is known to have

thetic nervous system. In most instances, acetylcholine

neurons of the parasympathetic nervous system, and

the autonomic nervous system, (5) the postganglionic

skeletal muscles, (4) the preganglionic neurons of 

basal ganglia, (3) the motor neurons that innervate the

cortex, (2) several different types of neurons in the

Acetylcholine

transmitters are the following.

The most important of the small-molecule

Transmitters.

acetylcholine.

cles are recycled; choline is actively transported back

then again, inside the presynaptic terminal, the vesi-

reticulum that fills the space of the synaptic cleft. And

, which is present in the proteoglycan

cholinesterase

ronal signal transmission, the acetylcholine is rapidly

vesicles. When the vesicles later release the acetyl-

. Then it is transported into its specific

choline

in the presynaptic terminal from acetyl coenzyme A

stated earlier. This transmitter substance is synthesized

vesicle.

off to form a new vesicle. And the new vesicular 

membrane. However, within seconds to minutes, the

to release their transmitter substance, the vesicle mem-

are continually recycled and used over and over again.

The vesi-

Recycling of the Small-Molecule Types of Vesicles.

sium or chloride conductance, which causes inhibition.

ductance, which causes excitation, or to increase potas-

ion channels; an example is to increase sodium con-

within another millisecond or less. Most often the

described earlier. The subsequent action of the small-

transmitter into the synaptic cleft. This usually occurs

naptic terminal, a few vesicles at a time release their

Then, each time an action potential reaches the presy-

are synthesized in the cytosol of the presynaptic ter-

In most cases, the small-molecule types of transmitters

Small-Molecule, Rapidly Acting Transmitters

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

563

minal and are absorbed by means of active transport
into the many transmitter vesicles in the terminal.

within a millisecond or less by the mechanism

molecule type of transmitter on the membrane recep-
tors of the postsynaptic neuron usually also occurs

effect is to increase or decrease conductance through

cles that store and release small-molecule transmitters

After they fuse with the synaptic membrane and open

brane at first simply becomes part of the synaptic

vesicle portion of the membrane invaginates back to
the inside of the presynaptic terminal and pinches 

membrane still contains appropriate enzyme proteins
or transport proteins required for synthesizing and/or
concentrating new transmitter substance inside the

Acetylcholine is a typical small-molecule transmit-

ter that obeys the principles of synthesis and release

and choline in the presence of the enzyme 
acetyltransferase

choline into the synaptic cleft during synaptic neu-

split again to acetate and choline by the enzyme

into the terminal to be used again for synthesis of new

Characteristics of Some of the More Important Small-Molecule

is secreted by neurons in many areas

of the nervous system but specifically by (1) the ter-
minals of the large pyramidal cells from the motor

(6) some of the postganglionic neurons of the sympa-

inhibitory effects at some peripheral parasympathetic

Norepinephrine is secreted by the terminals of many

neurons whose cell bodies are located in the brain

secreting neurons located in the locus ceruleus in the

to help control overall activity and mood of the mind,

most postganglionic neurons of the sympathetic

Dopamine is secreted by neurons that originate in

effect of dopamine is usually inhibition.

Glycine is secreted mainly at synapses in the 

(gamma-aminobutyric acid) is secreted by

always to cause inhibition.

Neuropeptide, Slowly Acting Transmitters or Growth

Table 45–2

From other tissues

Vasoactive intestinal polypeptide (VIP)

Cholecystokinin

Vasopressin

Thyrotropin

-Melanocyte-stimulating hormone

Adrenocorticotropic hormone (ACTH)

Thyrotropin-releasing hormone

Factors

Hypothalamic-releasing hormones

Luteinizing hormone–releasing hormone
Somatostatin (growth hormone inhibitory factor)

Pituitary peptides

b-Endorphin
a
Prolactin
Luteinizing hormone

Growth hormone

Oxytocin

Peptides that act on gut and brain

Leucine enkephalin
Methionine enkephalin
Substance P
Gastrin

Nerve growth factor
Brain-derived neurotropic factor
Neurotensin
Insulin
Glucagon

Angiotensin II
Bradykinin
Carnosine
Sleep peptides
Calcitonin


background image

the neuron less excitable. This is the basis for the two

the membrane of the neuron more excitable, whereas

of the degree of excitability of the neuron. That is,

skeletal muscle fibers; the lower voltage is important

livolts. This is somewhat less negative than the 

45–8 shows the soma of a spinal motor neuron, indi-

Figure

Resting Membrane Potential of the Neuronal Soma.

to these neurons. Except for quantitative differences,

anterior horns of the spinal cord. Therefore, the events

The electrical events in neuronal excitation have been

only beginning to develop.

days, but others perhaps for months or years. Our

inhibitory receptors. Some of these effects last for

vation of specific genes in the cell nucleus, and/or 

ery of cells, prolonged changes in activation or deacti-

channels, prolonged changes in the metabolic machin-

they often cause much more prolonged actions. Some

as potent as the small-molecule transmitters. Another

ters. This is partly compensated for by the fact that the

neuropeptides, much smaller quantities of them are

However, the vesicle is autolyzed and is not reused.

the same manner as for small-molecule transmitters.

Finally, these vesicles release their transmitter at the

at the slow rate of only a few centimeters per day.

of the axon cytoplasm, traveling

into the cytoplasm. Then the transmitter vesicles are

Second, the Golgi apparatus packages the neuropep-

matically split into smaller fragments, some of which

occur: First, the neuropeptide-forming protein is enzy-

quently inside the Golgi apparatus, where two changes

The protein molecules then enter the spaces inside

cules by ribosomes in the neuronal cell body.

cytosol of the presynaptic terminals. Instead, they are

ters. The neuropeptides are not synthesized in the

The neuropeptides are an entirely different class of

Neuropeptides

seconds, minutes, or perhaps even longer.

neuron, it usually does not greatly alter the membrane

postsynaptic neurons nearby. In the postsynaptic

released in vesicular packets. Next, it diffuses into

needed, and it then diffuses out of the presynaptic 

mitters. Instead, it is synthesized almost instantly as

postsynaptic neuron. It is not preformed and stored in

standing. Nitric oxide is different from other small-

ior and for memory. Therefore, this transmitter system

Nitric oxide

mood of the person, perhaps even to cause sleep.

cord, and an inhibitor action in the higher regions of

horns of the spinal cord and to the hypothalamus.

brain and spinal cord areas, especially to the dorsal

bral cortex. It probably always causes excitation.

nervous system, as well as in many areas of the cere-

The Nervous System: A. General Principles and Sensory Physiology

564

Unit IX

Glutamate is secreted by the presynaptic terminals

in many of the sensory pathways entering the central

Serotonin is secreted by nuclei that originate in the

median raphe of the brain stem and project to many

Serotonin acts as an inhibitor of pain pathways in the

the nervous system is believed to help control the

is especially secreted by nerve terminals

in areas of the brain responsible for long-term behav-

might in the future explain some behavior and
memory functions that thus far have defied under-

molecule transmitters in its mechanism of formation
in the presynaptic terminal and in its actions on the

vesicles in the presynaptic terminal as are other trans-

terminals over a period of seconds rather than being

potential but instead changes intracellular metabolic
functions that modify neuronal excitability for

transmitters that are synthesized differently and
whose actions are usually slow and in other ways quite
different from those of the small-molecule transmit-

synthesized as integral parts of large-protein mole-

the endoplasmic reticulum of the cell body and subse-

are either the neuropeptide itself or a precursor of it.

tide into minute transmitter vesicles that are released

transported all the way to the tips of the nerve fibers
by  axonal streaming

neuronal terminals in response to action potentials in

Because of this laborious method of forming the

usually released than of the small-molecule transmit-

neuropeptides are generally a thousand or more times

important characteristic of the neuropeptides is that

of these actions include prolonged closure of calcium

prolonged alterations in numbers of excitatory or

knowledge of the functions of the neuropeptides is

Electrical Events During 
Neuronal Excitation

studied especially in the large motor neurons of the

described in the next few sections pertain essentially

they apply to most other neurons of the nervous
system as well.

cating a resting membrane potential of about 

-65 mil-

-90

millivolts found in large peripheral nerve fibers and in

because it allows both positive and negative control 

decreasing the voltage to a less negative value makes

increasing this voltage to a more negative value makes

Dendrite

Axon

Axon hillock

14 mEq/L
(Pumps)

?

Pump

120 mEq/L

8 mEq/L

-

65

mV

Na

+

: 142 mEq/L

K

+

: 4.5 mEq/L

Cl

-

: 107 mEq/L

neuronal somal membrane; origin of the intrasomal membrane

Distribution of sodium, potassium, and chloride ions across the

Figure 45–8

potential.


background image

inside the neuron, which is more negative than the 

This calculates to a Nernst potential of 

120 mEq/L inside the neuron and 4.5 mEq/L outside.

For potassium ions, the concentration gradient is 

to the exterior by the sodium pump, thus maintaining

61 millivolts. Therefore, those sodium ions

volts, not 

However, the actual membrane potential is 

61 millivolts.

on the interior, the membrane potential that will

Figure 45–8, 142 mEq/L on the exterior and 14 mEq/L

For the sodium concentration difference shown in

arate ions: sodium, potassium, and chloride.

Now, let us calculate the Nernst potential that will

) for negative ions.

. The potential will be negative

for that ion; the equation

the potential is of proper polarity and magnitude. A

differences to membrane potentials. It will be recalled

than outside.

ride ions, forcing them outward through the pores until

65 millivolts in the neuron. That is, this

be a weak chloride pump. Yet most of the reason 

. It also shows that the membrane

low concentra-

chloride ion

Figure 45–8 shows the 

pump) that pumps potassium to the interior.

(4.5 mEq/L). It shows that

low in the extracellular fluid

(120 mEq/L) but

The figure also shows that 

This sodium concentration gradient is caused by a

(14 mEq/L).

low inside the neuron

(142 mEq/L) but 

chloride ions. At the top, the 

neuronal function: sodium ions, potassium ions, and

Figure 45–8 also shows the concen-

Concentration Differences of Ions Across the Neuronal

inhibition—as explained in detail in the next sections.

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

565

modes of function of the neuron—either excitation or

Somal Membrane.

tration differences across the neuronal somal mem-
brane of the three ions that are most important for

sodium ion concentra-

tion is shown to be high in the extracellular fluid

strong somal membrane sodium pump that continually
pumps sodium out of the neuron.

potassium ion concentra-

tion is high inside the neuronal soma

there is a potassium pump (the other half of the Na

+

-

K

+

to be of high con-

centration in the extracellular fluid but 
tion inside the neuron
is quite permeable to chloride ions and that there may

for the low concentration of chloride ions inside the
neuron is the 

-

negative voltage repels the negatively charged chlo-

the concentration is much less inside the membrane

Let us recall at this point what we learned in Chap-

ters 4 and 5 about the relation of ionic concentration

that an electrical potential across the cell membrane
can oppose movement of ions through a membrane if

potential that exactly opposes movement of an ion is
called the Nernst potential
for this is the following:

where EMF is the Nernst potential in millivolts on the
inside of the membrane
(

-) for positive ions and positive (+

exactly oppose the movement of each of the three sep-

exactly oppose sodium ion movement through the
sodium channels calculates to be 

+

-65 milli-

+

that leak to the interior are immediately pumped back

the 

-65 millivolt negative potential inside the neuron.

-86 millivolts

61

log

= ±

¥

EMF mV

Concentration inside

Concentration outside

(

)

Ê
Ë

ˆ
¯

postsynaptic neuron, thus exciting it. (In this case, the

itive direction, it will elicit an action potential in the

that is, to a less negative value

45 millivolts. This positive

resting membrane potential. Thus, in Figure 45

The rapid in

membrane.

neuron, sodium ions diffuse rapidly to the inside of the

. Because of the large sodium concentration 

to increase the membrane’s permeability 

brane. This transmitter acts on the membrane excita-

Figure 45

65 millivolts.

everywhere in the soma is 

resting on its surface. The resting membrane potential

Figure 45

Excitatory Postsynaptic Potential.

see in subsequent sections of this chapter.

entering the neuron from multiple sources, as we shall

an action potential). This is an important principle,

soma (that is, as long as the neuron is not transmitting

another part. Therefore, any change in potential in any

ters), causing almost no resistance to conduction of

of the neuron. Furthermore, the diameter of

highly conductive electrolytic solution, the 

The interior of the neuronal soma contains a

Uniform Distribution of Electrical Potential Inside the

channels.

Keep these three Nernst potentials in mind and

chloride pump.

are moved back to the exterior, perhaps by an active

to the interior of the neuron, but those few that do leak

volts. Therefore, chloride ions tend to leak very slightly

millivolts inside the neuron, which is only 

and 8 mEq/L inside, yields a Nernst potential of 

Finally, the chloride ion gradient, 107 mEq/L outside

interior.

outside of the neuron, but this is opposed by continual

net tendency for potassium ions to diffuse to the

intracellular potassium ion concentration, there is a

65 that actually exists. Therefore, because of the high

-

pumping of these potassium ions back to the 

-70

slightly more

negative than the actual measured value of 

-65 milli-

remember the direction in which the different ions
tend to diffuse because this information is important
in understanding both excitation and inhibition of the
neuron by synapse activation or inactivation of ion

Soma.

intracellu-

lar fluid
the neuronal soma is large (from 10 to 80 microme-

electric current from one part of the somal interior to

part of the intrasomal fluid causes an almost exactly
equal change in potential at all other points inside the

because it plays a major role in “summation” of signals

Effect of Synaptic Excitation on the Postsynaptic Membrane—

–9shows the

resting neuron with an unexcited presynaptic terminal

-

–9shows a presynaptic terminal that has

secreted an excitatory transmitter into the cleft
between the terminal and the neuronal somal mem-

tory receptor 
to Na

+

gradient and large electrical negativity inside the

flux of positively charged sodium ions

to the interior neutralizes part of the negativity of the

–9B, the

resting membrane potential has increased in the posi-
tive direction from 

-65 to -

increase in voltage above the normal resting neuronal
potential—

—is called

the  excitatory postsynaptic potential (or EPSP),
because if this potential rises high enough in the pos-


background image

synapse.

5 millivolts, which

70 millivolts. This mem-

ux out of the cell, with the membrane potential

potential caused by activation of inhibitory synapses,

Figure 45

inhibitory postsynaptic potential (IPSP)

potential. Therefore, an increase in negativity beyond

. This

lular negativity, which is called 

more negative than usual. Thus, both chloride in

charged potassium ions to move to the exterior, and

negative than normal, approaching the 

uid to the interior, which 

brane. Therefore, opening the chloride channels 

This potential is more negative than the 

70 millivolts.

potential for chloride ions. We calculated the Nernst

of chloride ions. Now, to understand how the

open mainly chloride channels,

The inhibitory synapses

Inhibitory Postsynaptic Potential.

Effect of Inhibitory Synapses on the Postsynaptic Membrane—

65 millivolts.

that is, 20 millivolts more pos-

45 millivolts, which represents an

cannot generate action potentials at all. Thus, in Figure

they, like the neuronal soma, have very few voltage-

the dendrites, too, but not into all of them, because

the soma. In some instances, it travels backward into

Once the action potential begins, it travels periph-

20 millivolts. This is in contrast to the 

can the soma. The EPSP that will elicit an action

channels as does the soma and, therefore, can gener-

versely,

sodium channels to elicit an action potential. Con-

sodium channels in its membrane, which makes it dif-

where the axon leaves the neuronal soma. The main

does not begin adjacent to the excitatory synapses.

potential in the neuron. However, the action potential

When

cussed in detail in the next sections.

, which is dis-

at the same time or in rapid succession. This

45 millivolts. An increase of this

However, we must issue a word of warning. Dis-

itive than the resting value.)

that is, 20 millivolts more pos-

The Nervous System: A. General Principles and Sensory Physiology

566

Unit IX

EPSP is 

+20 millivolts—

charge of a single presynaptic terminal can never
increase the neuronal potential from 

-65 millivolts 

all the way up to 

-

magnitude requires simultaneous discharge of many
terminals—about 40 to 80 for the usual anterior motor
neuron—
occurs by a process called summation

Generation of Action Potentials in the Initial Segment of the
Axon Leaving the Neuron—Threshold for Excitation.

the EPSP rises high enough in the positive direction,
there comes a point at which this initiates an action

Instead, it begins in the initial segment of the axon

reason for this point of origin of the action potential
is that the soma has relatively few voltage-gated

ficult for the EPSP to open the required number of

the membrane of the initial segment has seven

times as great a concentration of voltage-gated sodium

ate an action potential with much greater ease than

potential in the axon initial segment is between 

+10

and 

+

+30 or +40

millivolts or more required on the soma.

erally along the axon and usually also backward over

gated sodium channels and therefore frequently

45–9B, the  threshold for excitation of the neuron is
shown to be about 

-

EPSP of 

+20 millivolts—

itive than the normal resting neuronal potential of 
-

Electrical Events During Neuronal
Inhibition

allowing easy passage

inhibitory synapses inhibit the postsynaptic neuron,
we must recall what we learned about the Nernst

potential for chloride ions to be about 

-

-65 millivolts

normally present inside the resting neuronal mem-

will allow negatively charged chloride ions to move
from the extracellular fl
will make the interior membrane potential more 

-70 millivolt

level.

Opening potassium channels will allow positively

this will also make the interior membrane potential

flux

and potassium efflux increase the degree of intracel-

hyperpolarization

inhibits the neuron because the membrane potential is
even more negative than the normal intracellular

the normal resting membrane potential level is called
an 

.

–9shows the effect on the membrane

allowing chloride influx into the cell and/or potassium
effl
decreasing from its normal value of 

-65 millivolts to

the more negative value of 

-

brane potential is 5 millivolts more negative than
normal and is therefore an IPSP of 

-

inhibits transmission of the nerve signal through the

70 mV

45 mV

65 mV

Resting Neuron

Spread of

action potential

Excited Neuron

Inhibitory

A

B

C

Initial segment

of axon

Excitatory

Na

+

influx

Cl

-

 influx

-

-

Inhibited Neuron

K

+

efflux

-

potassium ion efflux, chloride ion influx, or both.

ative intraneuronal membrane potential (

, with a more neg-

, Neuron in an 

with a less negative intraneuronal potential (

, Neuron in an 

neuronal potential of 

, with a normal intra-

Resting neuron

Three states of a neuron. 

Figure 45–9

A

-65 millivolts. B

excited state,

-45 millivolts) caused

by sodium influx. C

inhibited state

-70 millivolts) caused by


background image

becomes more positive by 0.5 to 1.0 millivolt. When

charges simultaneously, the total intrasomal potential

body. Therefore, for each excitatory synapse that dis-

exactly equally. This is true because of the very high

tation does occur. The reason for this is the following:

that is, they can add to one another until neuronal exci-

areas of the neuron, their effects can still 

terminals are usually stimulated at the same time.

threshold for excitation. However, many presynaptic

EPSP usually no greater than 0.5 to 1 millivolt, instead

The reason for this is that suf

Threshold for Firing

“Spatial Summation” in Neurons—

substances.

seconds, minutes, or hours. This is especially true for

dies away in about 15 milliseconds.

normal, thereby creating the IPSP. This potential also

for 1 to 2 milliseconds, and this decreases the intra-

the membrane to potassium or chloride ions, or both,

is, the inhibitory synapse increases the permeability of

Precisely the opposite effect occurs for an IPSP; that

10. This potential then slowly declines

of Figure 45

millivolts, thus creating the excitatory postsynaptic

this very short time, enough sodium ions diffuse

meable to sodium ions for 1 to 2 milliseconds. During

neuron, the neuronal membrane becomes highly per-

When an excitatory synapse excites the anterior motor

of this phenomenon more fully in subsequent chapters.

of signals in sensory tracts. We discuss the importance

another, which minimizes sideways spread and mixing

pathways in the nervous system. In fact, adjacent

arrives.

bril. The

opening anion channels, allowing large numbers of

aminobutyric acid). This has a speci

inhibitory transmitter substance is GABA (gamma-

on the postsynaptic neuron. In most instances, the

way.

, occurs in the following

signal ever reaches the synapse. This type of inhibition,

, another type of inhibition

operating at the neuronal membrane, which is called

Presynaptic Inhibition

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

567

In addition to inhibition caused by inhibitory synapses

postsynaptic inhibition
often occurs at the presynaptic terminals before the

called  presynaptic inhibition

Presynaptic inhibition is caused by release of an

inhibitory substance onto the outsides of the presy-
naptic nerve fibrils before their own endings terminate

fic effect of

chloride ions to diffuse into the terminal fi
negative charges of these ions inhibit synaptic trans-
mission because they cancel much of the excitatory
effect of the positively charged sodium ions that also
enter the terminal fibrils when an action potential

Presynaptic inhibition occurs in many of the sensory

sensory nerve fibers often mutually inhibit one

Time Course of Postsynaptic Potentials

rapidly to the interior of the postsynaptic motor
neuron to increase its intraneuronal potential by a few

potential (EPSP) shown by the blue and green curves

over the next 15 milliseconds because this is the time

required for the excess positive charges to leak out of
the excited neuron and to re-establish the normal
resting membrane potential.

neuronal potential to a more negative value than

Other types of transmitter substances can excite or

inhibit the postsynaptic neuron for much longer
periods—for hundreds of milliseconds or even for

some of the neuropeptide types of transmitter 

Excitation of a single presynaptic terminal on the
surface of a neuron almost never excites the neuron.

ficient transmitter sub-

stance is released by a single terminal to cause an

of the 10 to 20 millivolts normally required to reach

Even though these terminals are spread over wide

summate;

It was pointed out earlier that a change in potential at
any single point within the soma will cause the poten-
tial to change everywhere inside the soma almost

electrical conductivity inside the large neuronal cell

12

14

16

– 80

2

10

0

4

6

8

Action potential

Excitatory postsynaptic

potential

Resting membrane potential

16 synapses firing

16

8

4

8 synapses firing

4 synapses firing

Millivolts

Milliseconds

–60

–40

–20

+20

0

16

8

4

to threshold for excitation and cause a superim-

cause sufficient summated potential to elicit an

Excitatory postsynaptic potentials, showing that

Figure 45–10

simultaneous firing of only a few synapses will not

action potential, but that simultaneous firing of
many synapses will raise the summated potential

posed action potential.


background image

membrane potentials at these points. However, a

that is, note the 

tip ends; note the high levels of excitatory postsynap-

drites to the left, there are excitatory effects near the

stimulating the dendrites of a neuron. On the two den-

In Figure 45

Decrement of Electrotonic Conduction in the Den-

teristics, as follows.

generation of action potentials. Stimulation (or inhibi-

the dendrites to the soma. Transmission of electrotonic

occur. Yet they do transmit 

few voltage-gated sodium channels, and their thresh-

Can Transmit Signals Within the Same Neuron by Electrotonic

Most Dendrites Cannot Transmit Action Potentials—But They

vided by signals transmitted by way of the dendrites.

fore, the preponderant share of the excitation is pro-

20 per cent terminating on the neuronal soma. There-

neuron terminate on dendrites, in contrast to only 5 to

bers.

This provides a vast opportunity for summation of

ronal soma. And these dendrites can receive signals

The den-

for Exciting Neurons

Special Functions of Dendrites 

other sources.

very easily. Diffuse signals in the nervous system often

quently, another excitatory signal entering the neuron

ring level. Conse-

than normal, but not yet at the 

. That is, its

happens, the neuron is said to be 

ring by the postsynaptic neuron. When this

“Facilitation” of Neurons

less than threshold value for excitation, thus turning

excited by an EPSP, an inhibitory signal from another

tially nullify each other. Thus, if a neuron is being

time, these two effects can either completely or par-

Simultaneous Summation of Inhibitory and Excitatory Postsy-

This type of summation is

summate.

that is, they can 

if they occur rapidly enough, can add to one another;

greater the postsynaptic potential becomes. Thus, suc-

level, and the more rapid the rate of stimulation, the

Therefore, a second opening of the same channels can

for at most a millisecond or so. But the changed post-

res, the released

“Temporal Summation”

This effect of summing simultaneous postsynaptic

ring threshold had been reached, and an action

stimulation of 16 synapses. In this last instance, the

nally, a still higher EPSP was caused by

by simultaneous stimulation of 4 synapses; the next

gure was caused

10. The

axon. This is demonstrated in Figure 45

the EPSP becomes great enough, the 

The Nervous System: A. General Principles and Sensory Physiology

568

Unit IX

threshold for

firing will be reached and an action potential will
develop spontaneously in the initial segment of the

bottom postsynaptic potential in the fi

higher potential was caused by stimulation of 8
synapses; fi

fi
potential was generated in the axon.

potentials by activating multiple terminals on widely
spaced areas of the neuronal membrane is called
spatial summation.

Each time a presynaptic terminal fi
transmitter substance opens the membrane channels

synaptic potential lasts up to 15 milliseconds after the
synaptic membrane channels have already closed.

increase the postsynaptic potential to a still greater

cessive discharges from a single presynaptic terminal,

called temporal summation.

naptic Potentials.

If an IPSP is tending to decrease the

membrane potential to a more negative value while an
EPSP is tending to increase the potential at the same

source can often reduce the postsynaptic potential to

off the activity of the neuron.

Often the summated postsynaptic potential is excita-
tory but has not risen high enough to reach the thresh-
old for fi

facilitated

membrane potential is nearer the threshold for firing

fi

from some other source can then excite the neuron

do facilitate large groups of neurons so that they can
respond quickly and easily to signals arriving from

Large Spatial Field of Excitation of the Dendrites.

drites of the anterior motor neurons often extend 500
to 1000 micrometers in all directions from the neu-

from a large spatial area around the motor neuron.

signals from many separate presynaptic nerve fi

It is also important that between 80 and 95 per cent

of all the presynaptic terminals of the anterior motor

Conduction.

Most dendrites fail to transmit action

potentials because their membranes have relatively

olds for excitation are too high for action potentials to

electrotonic current down

current means direct spread of electrical current by ion
conduction in the fluids of the dendrites but without

tion) of the neuron by this current has special charac-

drites—Greater Excitatory (or Inhibitory) Effect by
Synapses Located Near the Soma.

–11,

multiple excitatory and inhibitory synapses are shown

tic potentials at these ends—

less neg-

ative

60 mV

-

40

-

40

-

30

-

30

-

10

-

20

-

20

-

20

-

35

-

50

-

60

-

50

-

60

-

70

-

75

-

I

I

I

I

I

I

-

40

-

50

-

75

-

70

-

60

E

E

E

E

E

E

E

E

E

E

A powerful effect of inhibitory synapses at the initial segment of

bition (I) of dendritic excitation in the dendrite that is uppermost.

(E) electrotonic potentials in the two dendrites to the left and inhi-

drites, showing, especially, decremental conduction of excitatory

Stimulation of a neuron by presynaptic terminals located on den-

Figure 45–11

the axon is also shown.


background image

ination, one can readily understand the importance of

maximum frequencies of discharge. With a little imag-

thresholds for excitation, and have widely differing

ferent neurons respond differently, have different

posing an inhibitory state on the neuron. Thus, dif-

ring can even be stopped, by superim-

decreased, or 

increasing their excitatory state. The frequency can be

state is above the threshold level. Their frequency of

frequency.

charge, whereas neuron 3 has the highest maximum

neuron 2 has the lowest maximum frequency of dis-

neuron 3 has a high threshold. But note also that

neuron 1 has a low threshold for excitation, whereas

neurons to varying levels of excitatory state. Note that

level. Figure 45

the threshold for excitation, the neuron will 

When the excitatory state of a neuron rises above

inhibitory state.

there is more inhibition than excitation, then it is said

. Conversely, if

than inhibition of the neuron at any given instant, then

the neuron. If there is a higher degree of excitation

The 

“Excitatory State.”

Neuron to Rate of Firing

Relation of State of Excitation of the

segment. This location provides especially powerful

potentials in the same way that the soma can. Also

trotonic conduction toward the soma. Thus, dendrites

inhibitory synapses acting on the same dendrite. These

synaptic potential, but nearer the soma are two

stimulated by both excitatory and inhibitory synapses.

11 is shown to be

uppermost dendrite of Figure 45

The

Therefore, those synapses that lie near the soma have

of the neuron, the greater will be the decrement, and

The farther the excitatory synapse is from the soma

through the membrane. This decrease in membrane

soma, a large share of the potential is lost by leakage

fore, before the excitatory potentials can reach the

to electric current. There-

ions, making them 

dendrites are long, and their membranes are thin and

lost before it reaches the soma. The reason is that the

Organization of the Nervous System, Basic Functions of Synapses, “Transmitter Substances”

Chapter 45

569

large share of the excitatory postsynaptic potential is

at least partially permeable to potassium and chloride

“leaky”

potential as it spreads electrotonically along dendrites
toward the soma is called decremental conduction.

the less will be excitatory signal reaching the soma.

far more effect in causing neuron excitation or inhibi-
tion than those that lie far away from the soma.

Summation of Excitation and Inhibition in Dendrites.

At the tip of the dendrite is a strong excitatory post-

inhibitory synapses provide a hyperpolarizing voltage
that completely nullifies the excitatory effect and
indeed transmits a small amount of inhibition by elec-

can summate excitatory and inhibitory postsynaptic

shown in the figure are several inhibitory synapses
located directly on the axon hillock and initial axon

inhibition because it has the direct effect of increasing
the threshold for excitation at the very point where the
action potential is normally generated.

“excitatory state” of a neuron is

defined as the summated degree of excitatory drive to

it is said that there is an excitatory state

that there is an 

fire repet-

itively as long as the excitatory state remains at that

–12 shows responses of three types of

Some neurons in the central nervous system fire

continuously because even the normal excitatory 

firing can usually be increased still more by further

fi

having different neurons with these many types of
response characteristics to perform the widely varying
functions of the nervous system.

10

15

20

25

30

35

Frequency of discharge per second

Excitatory state (arbitrary units)

0

5

Threshold

Neuron 1

Neuron 2

Neuron 3

0

600

500

400

300

200

100

neurons to different levels of excitatory state.

Response characteristics of different types of

Figure 45–12


background image

Science, 4th ed. New York: McGraw-Hill, 2000.

Kandel ER, Schwartz JH, Jessell TM: Principles of Neural

logue between genes and synapses. Science 294:1030, 2001.

Kandel ER: The molecular biology of memory storage: a dia-

Churchill Livingstone, 2003.

Haines DE, Lancon JA: Review of Neuroscience. New York:

Churchill Livingstone, 1997.

Haines DE: Fundamental Neuroscience. New York:

signaling. Arch Neurol 61:641, 2004.

Girault JA, Greengard P: The neurobiology of dopamine 

rosci 5:135, 2004.

receptors and control of transmitter release. Nat Rev Neu-

Engelman HS, MacDermott AB: Presynaptic inotropic

Ann N Y Acad Sci 994:175, 2003.

actions of peripheral hormones on melanocortin neurons.

Cowley MA, Cone RD, Enriori P, et al: Electrophysiological

the garbage, they recycle. Neuron 40:667, 2003.

Brasnjo G, Otis TS: Glycine transporters not only take out

Rev Neurosci 26:105, 2003.

Boehning D, Snyder SH: Novel neural modulators. Annu

mysteries that remain). Ann N Y Acad Sci 929:11, 2001.

Albright TD, Jessell TM, Kandell ER, Posner MI: Progress

From the measure of delay time, one can then estimate

into a pool of neurons and the consequent output volley.

synaptic delay.

simultaneously, is about 0.5 millisecond. This is called

required for all these events to take place, even when

elicit an action potential. The 

the receptor to increase the membrane permeability,

transmitter on the membrane receptor, (4) action of 

postsynaptic neuronal membrane, (3) action of the

naptic terminal, (2) diffusion of the transmitter to the

from a presynaptic neuron to a postsynaptic neuron, a

Synaptic Delay.

agents.

membranes, making them less responsive to excitatory

soluble, it has been reasoned that some of them might

tonic muscle spasms.

go into rapidly repetitive discharge, resulting in severe

whelming, and the neurons become so excited that they

inhibitory effect of glycine in the spinal cord. Therefore,

, especially the

the neurons; instead, it 

increase excitability of neurons. However, it does not 

threshold for excitation of neurons.

neuronal excitability, presumably by reducing the

found in coffee, tea, and cocoa, respectively, all 

, which are

, and 

others are known to decrease excitability. For instance,

known to increase the excitability of neurons, and

Many drugs are

Effect of Drugs on Synaptic Transmission.

the person becomes unconscious.

temporarily interrupted, because within 3 to 7 seconds,

neurons. This is observed when the brain

supply of oxygen. Cessation of oxygen for only a few

Effect of Hypoxia on Synaptic Transmission.

uremic acidosis, coma virtually always develops.

comatose state. For instance, in very severe diabetic or

Conversely,

momentarily, but even this short time can often precip-

to overbreathe. The overbreathing blows off carbon

neurons. This can be demonstrated especially well by

For instance, a

greatly increases neuronal excitability.

uids.

Effect of Acidosis or Alkalosis on Synaptic Transmission.

factors as well: (1) progressive inactivation of many of

few seconds to a few minutes of rapid stimulation. Part

tials, and the transmitter can be exhausted in only a

stance in the presynaptic terminals. The excitatory ter-

The mechanism of fatigue is mainly exhaustion or

anism against excess neuronal activity. This is dis-

Thus, the development of fatigue is a protective mech-

nally subdued so that the seizure ceases.

lose this excess excitability after awhile. For example,

system become overexcited, fatigue causes them to

Fatigue is an exceedingly important characteristic of

sively less in succeeding milliseconds or seconds. This

rst very great, but the 

synapses are repetitively stimulated at a rapid rate, the

When excitatory

Fatigue of Synaptic Transmission.

of Synaptic Transmission

The Nervous System: A. General Principles and Sensory Physiology

570

Unit IX

Some Special Characteristics

number of discharges by the postsynaptic neuron is at
fi

firing rate becomes progres-

is called fatigue of synaptic transmission.

synaptic function because when areas of the nervous

fatigue is probably the most important means by which
the excess excitability of the brain during an epileptic
seizure is fi

cussed further in the description of reverberating
neuronal circuits in Chapter 46.

partial exhaustion of the stores of transmitter sub-

minals on many neurons can store enough excitatory
transmitter to cause only about 10,000 action poten-

of the fatigue process probably results from two other

the postsynaptic membrane receptors and (2) slow
development of abnormal concentrations of ions
inside the postsynaptic neuronal cell.

Most

neurons are highly responsive to changes in pH of 
the surrounding interstitial fl

Normallyalkalosis

rise in arterial blood pH from the 7.4 norm to 7.8 to 
8.0 often causes cerebral epileptic seizures because of
increased excitability of some or all of the cerebral

asking a person who is predisposed to epileptic seizures

dioxide and therefore elevates the pH of the blood

itate an epileptic attack.

acidosis greatly depresses neuronal activ-

ity; a fall in pH from 7.4 to below 7.0 usually causes a

Neuronal

excitability is also highly dependent on an adequate

seconds can cause complete inexcitability of some

’s blood flow is

caffeinetheophylline

theobromine

increase

Strychnine is one of the best known of all agents that

do this by reducing the threshold for excitation of 

inhibits the action of some nor-

mally inhibitory transmitter substances

the effects of the excitatory transmitters become over-

Most anesthetics increase the neuronal membrane

threshold for excitation and thereby decrease synaptic
transmission at many points in the nervous system.
Because many of the anesthetics are especially lipid-

change the physical characteristics of the neuronal

During transmission of a neuronal signal

certain amount of time is consumed in the process of
(1) discharge of the transmitter substance by the presy-

and (5) inward diffusion of sodium to raise the excita-
tory postsynaptic potential to a high enough level to

minimal period of time

large numbers of excitatory synapses are stimulated

the 

Neurophysiologists can measure the

minimal delay time between an input volley of impulses

the number of series neurons in the circuit.

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