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26 Cards in this Set

  • Front
  • Back

Describe the structure of the chemical synapse.

Chemical transmission is unidirectional with a presynaptic cell, a cleft, and a postsynaptic cell.



A terminal bouton resides at the end of the presynaptic neuron, this contains copious synaptic vesicles harboring neurotransmitter molecules.

Describe the structure of the electrical synapse.

The electrical synapse involves a pair of connexons forming a gap junction (continuous pore) between two cells that is permeable to ions & small molecules. This is a bidirectional flow dependent upon concentration & electrical gradient. This flow is the conduction of the passive electrotonic current aspect of the action potential propagation.

Describe the structure of a gap junction.

Six connexins together form a connexon channel in a cell membrane. A pair of connexons make a continuous pore or gap junction between adjacent membranes.

Describe the gap junctions involvement in the conduction of the passive electrotonic current.

This enables the adjacent cell to become depolarized as the action potential moves close to the gap junction in the initial cell.

Explain how chemical transmission is achieved.

Neurotransmitter molecules are synthesized & packed in vesicles. . . .


An AP arrives at the presynaptic terminal. . . .


Voltage gated Calcium ion channels open. . . .


A rise in calcium ions triggers fusion of synaptic vesicles with the presynaptic membrane. . . .


Transmitter molecules diffuse across the synaptic cleft & bind to specific receptors on the postsynaptic cell. . . .


Bound receptors activate the postsynaptic cell. . . .


Neurotransmitter is being cleaved, is taken up by the presynaptic cell or diffuse away. . . .

Describe an ionotropic receptor.

These involve ion channels that are gated by neurotransmitters binding to the receptor. . . .



This is a fast response of ~1 ms. . . .



Examples include Nicotinic receptors found through the ANS & in skeletal muscle.

Describe metabotropic receptors.

These are G-protein coupled receptors that trigger a second messenger system in order to produce their effect. . . .



This is a slower response of ~minutes. . . .


Examples include Muscarinic receptors found in the atria of the heart & are coupled with Heterotrimeric G-proteins.

Remember that Post-Synaptic Responses that occur in a neuron as a consequence of the ligand-gating of ionotropic channels are typically produced as a result of what?

Sodium Ion influx

Where do you find Ionotropic receptors?

Nicotinic receptors in the ANS & Skeletal muscle.

Where do you find Metabotropic receptors?

Muscarinic receptors in the atria of the heart connected to a GPCR.

Explain how Excitatory and inhibitory postsynaptic responses can be produced.

Excitatory responses cause depolarization of the postsynaptic membrane & usually involve sodium or calcium ions through the ionotropic receptor/channels into the postsynaptic cell.



Inhibitory responses keep the membrane negative or hyperpolarized & usually involve the increasing of Potassium efflux or by allowing chlorine ions influx.

Describe how synaptic transmission can be modified by drugs.

Presynaptic terminal - inhibiting the release or fusion of the vesicle contents into the synaptic cleft. . . .


Postsynaptic receptor - inhibiting a receptor blocks neurotransmission. . . .


Degrading enzymes or the Reuptake process - blocking degradation or reuptake will enhance neurotransmission through higher concentrations. . . .

Describe SSRIs

Selective Seratonin Reuptake Inhibitor.



Stops the reabsorption of seratonin which causes an increased concentration and thus an increase in neurotransmission on the postsynaptic membrane.

Define the terms Motor End plate, Motor Unit, Motor Axon, & Muscle fiber.

Motor end plate is the terminal ends of the axons that form a terminal arborization or a branching to innervate 10-500 muscle fibers. 1 end-plate region per muscle fiber. . . .


Motor unit - Motor neuron Axon + Muscle Fiber. . . .


Motor Axon - axon of the motor neuron.


Muscle fiber - portion of the muscle surrounded by the endomysium.

Describe the structure of the neuromuscular junction & how it relates to function.

Presynaptic | Synaptic Cleft | Postsynaptic



The cleft is ~30-50 nm wide


Name the neurotransmitter & receptor type that mediate neuromuscular transmission

Acetylcholine & Acetylcholine receptors

Explain what is meant by an 'end plate potential', how it is generated, & how it is important for initiating an action potential in the muscle fiber.

Chemically induced change in the electrical potential of the motor end plate (the portion of the muscle-cell membrane that lies opposite the terminal of a nerve fiber at the NMJ. . . . .



Nerve impulse > release of neurotransmitter ACh from terminal > binds to receptor on end plate > open channel > influx of Na+ into the muscle cell > depolarizes the membrane > enzyme degrades ACh > channels close > membrane return to resting state.

Explain how neuromuscular transmission can be affected and/or inhibited by various agents including toxins, drugs, & antibodies.

1. Neurotransmitter release by presynaptic terminal
2. Alter reuptake or Degradation
3. Response by postsynaptic cell
4. Image of blocking agents

Describe the Acetylcholinesterase inhibitor useful in treating Myasthenia Gravis

Physostigmine

Describe the aspect of neurotransmission inhibited by the Botulinum toxin.

ACh release due to inability of the vesicle docking at the presynaptic membrane.

Describe Myasthenia Gravis, the location of neurotransmitter interference, and the s/sx.

Myasthenia Gravis - primary autoimmune disorder, that attacks the neuromuscular transmission.


Location of assault: auto-antibodies against the nicotinic ACh receptors & muscle-specific TK receptors. These are on the postsynaptic side AKA Muscle. . . .


S/SX:dysarthria, muscle weakness, reduced exercise tolerance, SOB, ptosis, more evident at the end of the workday. EXCEPT: muscle strength test is normal.


Describe Lambert-Eaton Syndrome, the location of neurotransmitter interference, and the s/sx.

Lambert-Eaton Syndrome is an autoimmune disorder characterized by muscle weakness in the limbs.


Location: Antibodies attack the presynaptic voltage-gated calcium channels.


S/SX: Very similar to MG yet with autonomic dysfunction, dry mouth, muscle weakness, & hx of small cell lung CA. These usually improve during the day.

Describe Botulism, the location of neurotransmitter interference, and the s/sx.

Botulinum toxin, enough said.



Location: the toxin irreversibly inhibits the vesicle docking at the presynaptic membrane.



S/SX: nausea, vomiting, diarrhea, dry mouth, muscle weakness (low score muscle strength test)

Predict the effect of inhibition of Acetylcholinesterase on neuromuscular transmission

Inhibit the enzyme that breaks down ACh will induce greater neuromuscular transmission.

Name a drug used to treat Myasthenia Gravis that inhibits Acetylcholinesterase

Physostrigmine



Pyridostigmine bromide or Mestinon

Explain the purpose of a synapse and the need for synaptic transmission

Purpose: transmission of information from cell to cell via synapses through either chemical or electrical means.