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35 Cards in this Set

  • Front
  • Back
Glia
(name)
Astrocytes
Microglia
Oligodendrocytes
Schwann cells
Ependymal cells
Astrocytes
large star-shaped
wrap synapses
wrap bv
absorb NT
maintain ionic balance
growth, devt, repair in CNS
Microglia
small
mobile
brain immune system
Oligodendrocytes
myelination of axons in CNS
Schwann cells
myelination in PNS
Ependymal Cells
line ventricles
Critical factor for selectivity in ion channels
size of channel pore
Phenytoin (Dilantin)
antiepileptic drug that acts by prolonging the duration of sodium channel inactivation
Lidocaine or Procaine
anesthetic/antiarythmic drugs that acts by prolonging the duration of sodium channel inactivation
Generalized Epilepsy with Febrile seizures
some inherited forms due to reduced inact of Na channels
TTX (tetrodotoxin)
binds outer mouth of Na channel thereby blocking the pore
death usually by respiratory paralysis
Ion channel diversity
(1) the nervous system is very heterogeneous in terms of electrical properties of indiv neurons and
(2) that heterogeneity is the result of different cells having different compliments of ion channels
MS
Disease mech
breakdown of myelin sheath around axons in CNS
results in slow AP and eventual failure to propogate (conduction block) due to:
(1) current leak
(2) insufficient Na channels
caused by attack on myelin by immune system
autoimmune? viral infection?
MS
negative symptoms due to?
Symptoms?
due to reduction in AP velocity or actual failure to conduct AP
Symptoms:
muscle weakness, reduced motor coordination, visual deficits that worsen at elevated temps
MS
positive symptoms due to?
Symptoms?
due to ephaptic transmission
depol of one axon stim AP in neighbor axon (crossed wires)
Symptoms:
tonic seizures, akinesia, diplopia, nystagmus, paresthesia (usually movement dependent)
Lhermitte's sign
MS
4 clinical courses
(name)
Relapsing-Remitting (85%)
Primary-Progressive (10%)
Secondary-Progressive
Progressive-Relapsing (5%)
Hypocalcaemia
hyperexcitatability
Hypercalcemia
hypoexcitable
Haloperidol (Haldol)
dopamine agonist that block NT receptor
used to treat schizophrenia
L-Dopa
used to increase NT by increasing the level of NT
(it is a Dopamine precursor)
Tx: Parkinson's disease
Prozac (fluoxetine)
Zoloft
SSRI
prevent re-uptake via transporters
Donepezil (Aricept)
acetylcholinesterase inhib
increases NT levels
Tx: Alzheimer's
Molecular Mech of transmitter release
Docking
attachment of synaptic vesicle to active zone
requires synapsin
Molecular Mech of transmitter release
Priming
preparing vesicle for exocytosis
Syntaxin and SNAP-25 (both presyn term membrane) bind with
synaptobrevin (syn vesicle mem)
to form SNARE complex,
which brings vesicle in close contact with membrane
Molecular Mech of transmitter release
Fusion and Exocytosis
fusion of membranes, release of NT
the actual Ca triggered event
Ca binds synaptotagmin
Molecular Mech of transmitter release
Endocytosis of vesicle
Clathrin coats vesicle
Dynamin completes the separation from presyn membrane
Botulism and Tetanus
block synaptic transmission by acting on synaptic vesicle release
Types of NT
Biogenic Amines
epi, norepi, dopamine, serotonin, histamine
primarily neuromodulatory (metabo) except 5HT3 receptor = ionotropic
Types of NT
Amino Acids
Glutamate - main excite in brain, act on both
GABA: inhib, acts on both
Glycine: inhib, iono only
GABA
inhib NT
acts on iono (GABA-A) and metabo (GABA-B)
Ach
excitatory mainly places
both
Synaptic Plasticity
short-term
increased vs. depression
increased due to increased NT released at presyn terminal due to accumulation of intracell Ca2+
Depression is decrease due to repeated activation of neuron
LTP
strong synaptic stimulation by tetanus, depol NMDA to remove Mg, Ca2+ influx triggers events leading to increase in receptors (AMPA) that are ionotropic but not voltage dependent
Partial epilepsy
seizure in discrete focal region of brain
if motor component only a small set of muscles affected
Simple partial:
motor symptoms (repetitive flexion/extension) but does not affect consciousness
Complex partial:
impaired consciousness, and
can include hallucinations and complex, goal-oriented motor behaviors
Generalized epilepsy
large regions of brain
always loss of consciousness
Absence (petit mal) involve loss of con but no motor symptoms
Generalized tonic-clonic (grand mal) involve loss of con and tonic-clonic mvments
tonic - increased muscle tone
clonic - repetitive, jerky mvments