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BSMC1210
Biology of the Mind
605
Pharmacology
Undergraduate 1
03/09/2016

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Term
What does the central nervous system consist of?
Definition
the brain and spinal cord
Term
What does the peripheral nervous system consist of?
Definition
the peripheral nerves:
efferent: nerves from the brain
afferent: nerves to the brain
Term
What are the two types of cell in the NS?
Definition
nerve cells and supporting cells
Term
Describe nerve cells
Definition
Neurones/neurons
100 billion
electrically active
Term
Describe supporting cells
Definition
Neuroglia, glial cells and glia
1-3x as many as neurones
Term
In the body, which parts of the following system are in the CNS?
sensory neurone
interneurone
motor neurone
Definition
sensory neurone axon terminals
interneurone
motor neurone cell body
Term
In the body, which parts of the following system are in the PNS?
sensory neurone
interneurone
motor neurone
Definition
sensory neurone receptor and cell body
motor neurone axon terminal (which goes to the effector organ)
Term
What do excitatory neurones do and what is the most common neurotransmitter?
Definition
they increase the activity of target cells
glutamate
Term
What do inhibitory neurones do and what is the most common neurotransmitter?
Definition
they decrease the activity of target cells
gamma-amino butyric acid (GABA)
Term
What are myelinated glial cells and where are they found?
Definition
Schwann cells in the PNS
Oligodendrocytes in the CNS
Term
What are the roles of astrocytes? (3) and where are they found?
Definition
- provide nutrients to the nervous tissue
- principle role in the repair and scarring process in the brain
- supporting glia
- CNS only!
Term
What is the PNS astrocyte equivalent?
Definition
satellite glia
Term
What are microglia?
Definition
immune cells of the CNS that clean CNS debris
Term
Define nucleus
Definition
collection of neuronal cells in the CNS
Term
Define tract
Definition
group of functionally related axons in the CNS
Term
Define nerve
Definition
a bundle of axons in the PNS
Term
Define ganglion
Definition
a collection of neuronal cell bodies in the PNS
Term
What is the somatic nervous system also known as and what does it contain?
Definition
voluntary nervous system
somatic motor neurons
sensory afferent fibres
Term
Describe efferent neurones
Definition
Found in the CNS
Axons are heavily myelinated
Flows from CNS to effectors
Acetylcholine
Term
Describe afferent neurones
Definition
Found in the PNS
Axons are either myelinated or unmyelinated
Sensory info to the CNS
Glutamate
Term
Define ganglion
Definition
a structure containing a number of nerve cell bodies, typically linked by synapses, and often forming a swelling on a nerve fibre.
Term
What is the location of the ganglia in sympathetic NS?
Definition
close to the CNS
Term
Describe the fibres in sympathetic NS
Definition
Short myelinated pre-ganglionic fibres
Long post-ganglionic fibres that branch extensively
Term
What is the post-ganglionic neurotransmitter in sympathetic fibres?
Definition
acetylcholine (which bind to muscarinic receptors)
Term
What neurotransmitter and receptors are used in the PNS ganglion?
Definition
Acetylcholine
Nicotinic
Term
What is the location of the ganglia in parasympathetic NS?
Definition
Ganglia close to/in target
Term
Describe the fibres in parasympathetic NS
Definition
Long myelinated pre-ganglionic fibres
Short post-ganglionic that branches minimally
Term
What is the post-ganglionic neurotransmitter in sympathetic fibres?
Definition
noradrenaline
Term
What does the enteric nervous system control?
Definition
autonomously controls the activity of the GI tract
controls gut motility and secretion of enzymes and acids
Term
What does the enteric nervous system mainly consist of?
Definition
myenteric plexus
Term
Describe the ENS nerves
Definition
receives autonomic innervation from the vagus (parasympathetic) and sympathetic chain
vagus nerve
Term
What does the forebrain consist of?
Definition
Cerebrum (cerebral hemispheres)
Thalamus
Hypothalamus
Term
What does the hindbrain consist of?
Definition
Pons
Medulla
Cerebellum
Term
What is the midbrain?
Definition
smallest part of the brain that connects the hindbrain to the forebrain and contains several pathways important to hearing and vision.
Term
Define rostral and give another word for it
Definition
towards the head of the body (superior)
Term
Define caudal and give another word for it
Definition
towards the tail of the body (inferior)
Term
Define ventral and give another word for it
Definition
towards the front of the body (anterior)
Term
Define posterior and give another word for it
Definition
towards the back of the body (posterior)
Term
Define gyri and sulci and what their roles are
Definition
Gyri = ridges in the brain
Sulci = grooves in the brain
Increase the amount of cerebral cortex that can fit in the skull
Term
What are the axis of the brain caused by?
Definition
cephalic brain flexure
Term
What joins the two hemispheres and from which view of the brain is this visible?
Definition
Corpus callosum: a broad band of nerves joining the two brain hemispheres (contains 200 million axons)
Midsagittal
Term
What is the reticular formation?
Definition
network of nerve pathways in the brainstem (hindbrain) connecting the medulla and midbrain. Responsible for alterness and CV function.
Term
What are Raphe nuclei?
Definition
found in midline areas of medulla and midbrain
contain a large proportion of 5-HT containing cells which project to either the spinal cord or forebrain
Term
What is the area prostrema?
Definition
medulla/pons structure that contain chemoreceptor trigger zone (CTZ)
controls vomitting
Term
What is the locus coeruleus
Definition
structure in pons
contrains noradrenaline postive cells
Term
What does the reticular formation receive information from? (5)
Definition
- spinal cord ascending tracts
- descending axons from cranial nerves, vestibular and cochlear reflexes
- cerebellum
- thalamus
- frontal, sensory and motor areas of the cortex
Term
What are the functions of dopamine pathways? (5)
Definition
- reward (motivation)
- pleasure, euphoria
- motor function
- compulsion
- preservation
Term
What are the functions of serotonin pathways? (4)
Definition
- mood
- memory processing
- sleep
- cognition
Term
What is the substantia nigra?
Definition
in the midbrain
made up of dopamine containing cells
responsible for the motor system
Term
Why does the substantia nigra appear darker?
Definition
due to presence of neuromelanin
Term
What disease affects the cells of the substantia nigra?
Definition
Parkinson's
Term
What is the role of the superior colliculus?
Definition
in the midbrain
receives visual inputs
brings eyes to focus of attention in conjunction with motor system
Term
What is the role of periaqueductal grey matter?
Definition
control of somatic pain sensations (emotive pain pathways and fear)
mid brain
Term
What is the red nucleus?
Definition
motor control structure in the midbrain
more active babies
Term
What is the role of the thalamus?
Definition
receives sensory information and sends signals to muscles. Relay centre in the brain.
Term
What is the role of the hypothalamus?
Definition
involved in homeostasis and endocrine functions
Term
What does the hypothalamus respond to?
Definition
heart rate
hunger
water balance
blood loss
body temperature
level of sex hormones in the blood
other limbic system structures
Term
What is the role of the pituitary gland?
Definition
important for hormone release
Term
Define the limbic system
Definition
a collection of structures involved in mood and emotion.
Term
What is the cerebral cortex?
Definition
outer layer of the cerebral hemisphere.
Term
What is below the cerebral cortex?
Definition
white matter consisting of large bundles of axons which are projections to and from the thalamus and from the cortex to the cerebellum, brain stem and spinal cord.
Term
What is the role of the basal ganglia
Definition
participate in the control of motor activity
Term
What diseases cause degeneration of the basal ganglia
Definition
Parkinsons and Huntingtons
Term
What are the major regions of the brain
Definition
Frontal lobe
Parietal lobe
Temporal lobe
Occipitial lobe
Cerebellum
Brainstem
Term
What is the role of the frontal lobe
Definition
conscious thought
planning
control of movement
Term
What is the role of the parietal lobe
Definition
somatic sensation
Term
What is the role of the temporal lobe
Definition
hearing
learning
memory
emotion
Term
What is the role of the occipital lobe
Definition
vision
Term
What is the cerebral cortex split into
Definition
somatosensory cortex (left, sensory homunculus)
motor cortex (right, motor homunculus)
Term
What are the meninges
Definition
3 layers of protective tissue that enclose the brain and spinal cord
Term
What are the 3 meninges layers?
Definition
Dura mater
Arachnoid mater
Pia mater
Term
Describe the outermost meninges layer
Definition
Dura Mater
thickest membrane which protects the CNS
not very flexible
Term
Describe the middle meninges layer
Definition
Arachnoid mater
Does not enter sulci
Below is CSF and has spider-like projections
Term
Describe the innermost layer
Definition
lies on the surface of the brain and spinal cord
enters sulci
Term
What are the cerebral ventricles?
Definition
series of interconnected fluid filled spaces that lie in the core of the forebrain and brainstem, Filled with cerebrospinal fluid (CSF)
Term
What is CSF?
where is it produced
where does it go
Definition
produced at site of the choroid plexus
flows through the ventricle system
eventually absorbed into venous circulation
flows into subarachnoid space and cleans brain
Term
What is the spinal cord
Definition
a segmented column with 30 pairs of spinal nerves attached to it
Term
What are spinal nerves made of
Definition
afferent and efferent axons from dorsal (sensory) and ventral (motor roots)
Term
Where do dorsal roots originate from?
Definition
a cluster of cells bodies in dorsal root ganglion
Term
Where do dorsal roots sent processes to?
Definition
the sensory receptors and grey matter of spinal cord
Term
How many sensory nerve branches are there?
Definition
3
Term
Describe the sensory nerves
Definition
- ascends to brainstem
- terminates locally in the spinal cord
- ascend a few segments to coordinate upper and lower muscle systems
Term
Compare rat brains to human brains
Definition
- rat brain lacks folds because they have less neurones
- they have 'old factory' bulbs due to their very acute sense of smell
Term
How are neurones classified? (5)
Definition
- number of neurites
- dendrites
- connections
- axon length
- neurotransmitter
Term
Give examples of neurones classified by number or neurites
Definition
unipolar
bipolar
multipolar
Term
Give examples of neurones classified by dendrites
Definition
shape of dendrite tree: pyramidal or stellate
Term
Give examples of neurones classified by connections
Definition
sensory
motor
interneurones
Term
Give examples of neurones classified by axon length
Definition
projection neurone
local circuit neurone
Term
Give examples of neurones classified by neurotransmitter
Definition
acetylcholine
GABA
glutamate
Term
What do glial cells do and do not do in the CNS
Definition
do not form chemical synapses with neurons although do participate in electrical signalling.
Term
What are the functions of glial cells
Definition
-support: help define synpatic contact and maintain signalling abilities of neurones
-mop up excess ions
-modulate rate of nerve signal propagation
-uptake NT after chemical neurotransmission
-aid recovery from neural injury
-help in neuronal development
Term
How can the potential difference of a membrane be measured?
Definition
stick electrodes inside neurones and measure the potential difference between inside and outside of cell
Term
What do ion pumps do?
Definition
actively move ions against conc gradient
create ion conc gradients
Term
What do ion channels do?
Definition
allow ions to diffuse down conc gradient
cause selective permeability to ions
Term
What causes channels to open?
Definition
1.chemicals (ligands/neurotransmitters)
2.voltage changes (voltage gated)
3.mechanically (eg stretch activated)
Term
Describe extracellular ion concentrations at the resting membrane potential
Definition
Na+ 150
K+ 4
Anions 0
Term
Describe intracellular ion concentrations at the resting membrane potential
Definition
Na+ 15
K+ 140
Anions 65
Term
Describe relative permeability of ion concentrations at the resting membrane potential
Definition
Na+ 1
K+ 50-75
Anions 0
Term
Which factors contribute to the resting membrane potential?
Definition
1. charged intracellular proteins
2. the Na+/K+ pump
3. potassium ions
4. sodium ions
Term
What else contributes to the negative intracellular space
Definition
large negatively charged intracellular proteins that cannot cross the membrane
Term
What does the Na+/K+ pump do?
Definition
-moves 3Na+ ions out for every 2K+ in (SO GET OUT, OKAY YOU CAN COME IN)
- thus inside becomes more negative
Term
Describe the forces acting on K+ and what they become together
Definition
K+ is forced out due to concentration gradient (membrane is freely permeable to K+)
K+ is forced in due to electrical gradient (because inside is -ve)
These become in equilibrium at rest
Term
What is the resting membrane potential
Definition
-70mV
Term
Describe the forces acting on Na+ and what they become together
Definition
Na+ is forced in due to concentration gradient (membrane is freely permeable to K+)
Na+ is forced in due to electrical gradient (because inside is -ve)

The membrane is only slightly permable to Na+ so the cell only becomes slightly more positive
Term
What does the Nernst equation calculate
Definition
the equilibrium potential of any ion (Eion)
Term
Define Equilibrium Potential (Eion)
Definition
the electrical potential difference that exactly balances an ionic concentration gradient
Term
Define ionic driving force
Definition
the difference between the real membrane potential (Vm) and rhw equilibrium potential (Eion)
Term
What else must be taken into consideration with the Nernst equation to calculate the RMP?
Definition
-Na+ flow into the cell at rest too
-Use the Goldrian-Hodgkin-Katz (GHK) equation to calculate Vm
Term
What are the factors that determine the resting membrane potential?
Definition
1. at rest, the membrane is relatively permeable to membrane ions
2. large negatively charged intracellular proteins (make inside -ve)
3. little leak to Na+ ions (into cell)
4. Na/K pump causes net loss of positive charge inside cell
Term
When does an AP occur?
Definition
when a neurone sends information down an axon, away from the cell body.
Term
What is an AP
Definition
an explosion of electrical activity that is created by a depolarising current, usually from a synaptic input from another neurone
Term
What are graded potentials?
Definition
changes in membrane potential that can be stimulated by injecting a current
Term
How can graded potentials vary?
Definition
they can be hyper-polarising or depolarising
varied magnitude
Term
How does a wave of depolarisation occur
Definition
- A stimulus results in a small patch of membrane becoming depolarised
- as positive ions flow towards -ve area (and -ve to +ve) local currents are created that depolarise adjacent membranes
Term
How does is the membrane potential altered
Definition
1. insertion of the electrode into the cell reveals a negative potential, the resting potential (-65mV)
2. inject a current through the current passing micro-electrode
Term
What do hyper-polarising current pulse produce?
Definition
negative charge produces only passive changes in the membrane potential
Term
What do depolarising current pulse produce?
Definition
cause passive changes unless threshold is reached
Term
When does an AP occur?
Definition
when threshold is reached
Term
List the phases of an AP
Definition
1. rising phase (depolarisation)
2. overshoot phase
3. falling phase (re-polarisation)
4. undershoot phase (after hyper-polarisation)
Term
Describe the changes in permeability of Na+
Definition
roughly follows the pattern of an AP
Term
Describe the changes in permeability of K+
Definition
Increases during re-polarisation and then falls again
Term
Describe the events of resting state of an AP
Definition
all voltage gates Na and K channels closed
(these are different to the ones open at rest)
Term
Describe the events of depolarisation of an AP
Definition
fast activation of gates which cause sodium channels to open
Term
Describe the events of repolarisation of an AP
Definition
inactivation of gates: Na+ channels close and K+ open
Term
Describe the events of undershoot of an AP
Definition
K+ channels remain open
Na+ channels closed
Term
Describe the events of resting state of an AP
Definition
all voltage gates Na and K channels closed
Term
What does a larger stimuli cause
Definition
greater number of action potentials (constant amplitude)
Term
List the different preparations used in electrophysiology
Definition
Single cells
Brain or spinal cord slices
Larger in vitro preparations (the brainstem spinal cord)
Intact nerve
Invertebrate preparations (eg snail brain)
Term
Which preparations are most stable and what does this mean?
Definition
SIngle cells, brain or spinal cord slices, larger in vitro preparations

no blood pressure or breathing pressure movement
Term
Describe single cell preparations and
Definition
- isolated neurone preparations (cultures etc)
- no synaptic connections (isolated)
Term
What are single cell preparations used for?
Definition
to find resting membrane potential/action potentials/how many APs/size
Term
Describe brain or spinal cord slices
Definition
neurones in vitro with local synaptic connections intact
Term
What are brain or spinal cord slices preparations used for?
Definition
how cells communicate with each other (excitatory/inhibitory)
used to record neuronal activity in an in vitro situation
Term
Describe larger in vitro preparations
Definition
- longer connections are maintained here
Term
What are large in vitro preparations used for and how?
Definition
used to see whether neurones are synapsing
stimulate the brain and record a synapse in the spinal cord
Term
Which preparation would be used to study local synaptic circuits?
Definition
brain slices
Term
How is a brain slice prepared?
Definition
- remove brain quickly from an anaesitised/sacrificed animal
- section brain tissue of interest in an artificial CSF (continuously oxygenated and 3mm thickness)
- use a vibroslice to obtain slices
Term
What do we use electrophysiology to measure?
Definition
1. membrane potential
2. action potentials
3. synaptic potentials
4. current flow through ion channels
5. action potential propagation
6. action potential firing rates
Term
Describe current clamp recording: (intracellular)
Definition
Glass electrode impales neuron and measures voltage inside cell compared to outside (ground). A current can also be injected into the cell through the electrode to de/hyperpolarise the membrane
Term
What is current clamp recording useful for measuring?
Definition
- resting membrane potential
- action potentials
- firing rate and synaptic potentials
most commonly used to record 'blind' from neurones in brain slices
Term
How can the morphology of the neurone be studied?

(form, shape, or structure)
Definition
1. fill the electrode with a dye
2. dye diffuses throughout the cytoplasm of neurone
3. dye can be visualised using light microscopy
4. allows for correlation of electrophysiological and neuroanatomical properties
Term
What does extracellular recording, record?
Definition
records voltage fro outside the cell, small signals, inverted signals

useful for recording AP firing rates without impaling the neurone

measure field potentials (synaptic potentials) from large population of neurons
Term
What does a multi-barrelled electrode allow in extracellular recording?
Definition
simultaneous recording and application of a number of different drugs (called microiontophoresis)
Term
What is a voltage clamp used for?
Definition
controlling the membrane potential (voltage) across the cell membrane to measure the current flowing through ion channels
Term
What was the Hodgkin and Huxley experiment and what did it discover?
Definition
- They studied the giant squid axon and measured the conductance through voltage gated ion channels whilst controlling (clamping) the voltage across the membrane.
- first complete description of the ionic mechanisms underlying the AP.
Term
In the H&H experiment, what did the recording electrode measure?
Definition
the membrane potential (Vm) and it was connected to the voltage clamp amplifier.
Term
In the H&H experiment, what did the voltage clamp amp do?
Definition
compared membrane potential to the desired potential (set by the experimenter)
Term
What happens when the Vm is different to the desired potential?
Definition
the voltage clamp amp injects current into the axon through the second (current passing) electrode. The current passed through the axon and thus across the axon is recorded.
Term
What do we figure out which current is involved?
Definition
block different ion channels
Term
What is added to block K channels and what does this leave?
Definition
tetraethyl ammonium
leaves inward current
Term
What is added to block Na channels and what does this leave?
Definition
tetradotoxin
leaves outward current
Term
What does current clamp recordings measure
Definition
changes in membrane potential (eg AP)
sometimes called intracellular recordings
Term
What does voltage clamp recording measure
Definition
changes in current (conductance) eg ionic currents underlying AP
clamp the membrane potential at set values and measure currents
Term
Describe patch clamp recording
Definition
1. a glass recording electrode is placed against the membrane of a neuron and gentle suction is applied
2. a very high resistance 'seal' is formed between the glass and the membrane (gigachm seal)
3. various recording configurations can be obtained to record electrical activity from the cell
Term
Describe single channel recording
Definition
- remove a part of a membrane and look at it in isolation
- single Na+ channels open in response to depolarisation
- measures microscopic currents
Term
What are xenopus oocytes used for?
Definition
- mrna sequence of ion channels can be injected into oocytes and will express the functional channels
- two electrode voltage clamp recordings can be made from oocytes due to their large size
- properties of the ion channel can be studied in isolation
Term
Why are oocytes used?
Definition
Families with a gene mutation have a history of epilepsy.
The gene mutation is found – this region encodes a potassium channel
The mutation is expressed in oocytes and we can look at how the potassium currents are affected
Term
How is brain tissue prepared for light microscopy?
Definition
1. sliced very thin so individual cells can be resolved under the microscope
2. brain tissue is very soft and must be fixed using formaldehyde
3. brain tissue is then sectioned using a microtome (10-200 um thick)
4. stains selectively colour some brain tissue cells
Term
What is the role of formaldehyde?
Definition
fixes proteins
prevents autolysis
decomposition
Term
How dos a vibratome work?
Definition
blade vibrates
Term
How does a cryostat work?
Definition
freeze and slice (10um)
Term
How does ultramicrotome work?
Definition
diamond knife (nanometer sections)
Term
Name 4 staining methods
Definition
DAPI
Nissl
Golgi
Nauta silver stain
Term
What is DAPI used to detect?
Definition
DNA in living and fixed neurones
Term
Define neurite
Definition
axon/dendrite
Term
What is Nissl stain used to detect? how?
Definition
neurones and glia in the brain
stains the nuclei and clumps of material (Nissl bodies - rough ER) surrounding nuclei in neurones
Term
What does Nissl stain label?
Definition
selectively labels neurones and glia
only labels nucleus region of the neurone (not neurites or axon terminals)
Term
What does Nissl stain indicate?
Definition
cytoarchitecture
Term
What does Golgi stain, stain?
Definition
both the cell body and neurites of the neurone
only stains a proportion of neurones in the tissue slice
Term
What did Golgi believe and who corrected him?
Definition
neurones were fused together
Cajal
Term
What was Cajal's neurone doctrine?
Definition
used Golgi stain
neurones are like other body cells and were the elementary unit of the brain
Term
What resolutions do electron and light microscopes have respectively?
Definition
0.1nm
0.1um
(electron has higher resolution)
Term
What was an electron microscope used to reveal?
Definition
used to tell if neurones are connected or not as the synapse is 0.02um
revealed the existence of synapses and neurone ultrastructure in mitochondria
Term
How does a transmission electron microscope work?
Definition
1. a stream of electrons is formed and accelerated towards the specimen using a positive electrical potential in a vacuum
2. electron stream is confined and focused using metal apertures and magnetic lenses into a thin focused, monochromatic beam
3. beam is focused onto the sample using a magnetic lens
4. imagine is formed by electron-tissue interaction detections
Term
What is immunohistochemistry?
Definition
Manufacturing antibodies appropriate for a specific protein that wants to be visualised inside a neurone. Allows a discrete labelling of cells that contain the candidate protein and is useful for localising cells using a particular neurotransmitter.
Term
How can multiple different proteins be tagged at the same time?
Definition
by using fluorescent tags alongside a microscope fitted with a fluorescent source (eg UV lamp)
Term
How do fluorophores work?
Definition
1. fluorophore absorbs a very specific wavelength of light
2. this excites electrons up to a higher level, they drop down and longer wavelength of light is emitted (therefore some energy has been lost).
Term
what wavelength of light does red and green emit?
Definition
red 570nm
green 515nm
Term
Define axoplasmic transport
Definition
neurones use microtubules to transport substances from the cell body to the axon terminal
Term
What is considered fast and slow axoplasmic transport?
Definition
Fast = 1000mm per day
Slow = 1-10mm per day
Term
Define anterograde transport
Definition
movement of substances from the soma to axon terminals
Term
Define retrograde transport
Definition
movement of substances from the axon terminals to the soma
Term
How do scientists trace the path of axons in the brain?
Definition
using axoplasmic transport
1. enzymes are injected into living brain tissue
2. enzyme is taken up by axon terminals and retrogradely transported to the cell body
3. staining is used to visualise enzyme location in brain tissue
Term
Which enzyme could be used
Definition
HRP
Term
What is trans-neuronal tracing?
Definition
more than one synapse
2 different coloured tracers can be injected in 2 different areas (eg thalamus and ganglion)
Term
Define electrical transmission
Definition
direct flow of ions from one neurone to another, hence direct influence of electrical current from one to another (eg gap junctions)
Term
Define gap junctions
Definition
are a specialized intercellular connection between a multitude of animal cell-types. They directly connect the cytoplasm of two cells, which allows various molecules, ions and electrical impulses to directly pass through a regulated gate between cells.
(half of the gap junction is in either neurone membrane)
Term
What makes a connexon?
Definition
6 connexin molecules
two connexons make a gap junction
Term
What are gap junctions modulated by?
Definition
ph
neurotransmitters
intracellular calcium
Term
Define chemical neurotransmission
Definition
neurotransmitter substance released from pre-synaptic cleft, diffuses across synaptic cleft, produces effect on postsynaptic neuron (eg central synapse)
Term
What is the distance between pre and post synaptic cell membranes in electrical synapses?
Definition
3.5nm (to allow for Henry channels)
Term
What is the distance between pre and post synaptic cell membranes in chemical synapses?
Definition
30-50nm (allowed by diffusion)
Term
Do electrical synapses have cytoplasmic continuity between pre and post synaptic cell membranes?
Definition
Yes because Henry channels form
Term
Do chemical synapses have cytoplasmic continuity between pre and post synaptic cell membranes?
Definition
No
Term
What are the ultrastructural components of electrical synapses
Definition
Gap junction channels
Term
What are the ultrastructural components of chemical synapses
Definition
Pre-synpatic active zones and vesicles
post synaptic receptors
Term
What is the agent of transmission in electrical synapses?
Definition
ionic current
Term
What is the agent of transmission in chemical synapses?
Definition
chemical transmitter
Term
Do electrical synapses have a synaptic delay?
Definition
no
Term
Do chemical synapses have a synaptic delay?
Definition
virtually absent
Term
Do electrical synapses have a synaptic delay?
Definition
at least 0.3ms, usually 5ms
Term
What is the direction of transmission in electrical synapses?
Definition
usually bidirectional
Term
What is the direction of transmission in electrical synapses?
Definition
Uni-directional
Term
Do electrical synapses show flexibility
Definition
No
Term
Do chemical synapses show flexibility
Definition
Great flexibility due to transmitters and post synaptic response
Term
What are the 5 stages of neurotransmission
Definition
1. synthesis
2. storage
3. release
4. post-synaptic effects
5. inactivation
Term
Where are amino acids and amino neurotransmitters synthesised
Definition
axon nerve terminal using synthesising enzymes that are transported from the cell body
Term
Where and how are peptides synthesised
Definition
in the cell body using protein manufacturing components and transported to the nerve terminal
Term
How and where are neurotransmitters stored?
Definition
NT are taken up into vesicles by transporters.
Vesicles cluster at regions called active zones.
Term
What causes synaptic release and what happens to the vesicles?
Definition
synaptic release occurs as a result of a rise in intracellular calcium.
vesicles discharge NT into the synaptic cleft and are recycled
Term
How is a NT inactivated?
Definition
1. broken down in synaptic cleft
2. undergoes re-uptake into terminal
3. diffuses away from synaptic region
Term
What are auto-receptors?
Definition
NT may bind to an auto-receptor on the pre-synaptic membrane which modulates transmission.
Term
Name the 4 main neurotransmitters
Definition
Acetylcholine
Amines
Peptides
Amino acids
Term
Where is acetylcholine found?
Definition
1. neuromuscular junction (released by motor neurones and enables contraction)
2. CNS: muscarinic and nicotinic receptors
Term
Give examples of amine NT
Definition
DA
NA
NE
Histamine
5-HT
Adrenaline
Term
What are peptide NT critical for?
Definition
central and peripheral NS
Term
Give examples of amino acid NTs
Definition
GABA and glycine (inhibitory NT)
Glutamate (major excitatory aa in brain, critical for excitatory neurotransmission).
Term
What define a chemical messenger as a neurotransmitter
Definition
1. must be synthesised in the neurone
2. must be present in the presynaptic terminal and be released in sufficient amounts to exert its supposed effects on postsynaptic neurone
3. when applied exogenously in reasonable concentrations, it must mimic exactly the actions of the endogenously released transmitter
4. there must be a specific mechanism for removing it from site of action
Term
What are the types of storage synaptic vesicles?
Definition
`Small clear vesicles (40-60nm): small molecule neurotransmitters
Large dense core vesicles (90-250nm): neuropeptide
Term
Define co-existence/co-transmission
Definition
when a single neurone synthesises and releases more than one transmitter substance
Term
Describe how calcium influx arrises and how this causes NT release
Definition
1. AP arrives in the pre-synaptic terminal causing depolarisation
2. this opens voltage gated calcium channels to open
3. calcium rushes into the terminal at active zone
4. calcium ions trigger NT release
Term
Describe synaptic vesicle cycling
Definition
1. free vesicles are target-ed to the active zone
2. vesicles dock with the active zone
3. the docked vesicle is primed for exocytosis
Term
What causes vesicle release and how
Definition
Due to increased intracellular calcium, vesicles undergo fusion and release their contents
the fused vesicle membrane is taken up into the cell by endocytosis
Term
What are SNARE proteins
Definition
proteins found on vesicles and pre-synaptic terminal membrane
Term
What is synaptobrevin and what is its role
Definition
vesicle bound protein with SNAP-25 on plasma membrane
vesicle docking/priming
Term
What is synaptotagmin and what is its role
Definition
Ca2+ sensor
Enables vesicle to fuse with presynaptic membrane to release neurotransmitter
Term
What are the two types of post-synaptic receptors?
Definition
metabotropic receptors
ionotropic receptors
Term
Describe metabotropic receptors
Definition
coupled to intracellular proteins that transduce the signal to the cell interior
slow response
Term
Describe ionotropic receptors
Definition
form ion channels that depolarise or hyperpolarise the post-synaptic cell
fast response
Term
How do pre and post synaptic APs differ?
Definition
pre is a standard AP
post are either excitatory (EPSP) or inhibitory (IPSP)
post are a sudden increase/decrease and then steady decline
Term
Describe electrical synapses
Definition
- facilitates communication between neural cells
- ions move directly between neurones
Term
Describe chemical synapses
Definition
- chemical NT diffuse across the synaptic cleft from one neurone to the other
Term
Are there more electrical or chemical synapses?
Definition
chemical
Term
How many known neurotransmitters are there?
Definition
>100
Term
Give examples of small molecule neurotransmitters:
Definition
amino acids
Ach
ATP
biogenic amines
5-HT
Endocannobinoids (lipids)
NO
Term
Where do small molecule NT come from?
Definition
they are synthesised by enzymes in the presynaptic neurone
Term
What are large molecule NT and where do they come from?
Definition
peptides are encoded within the genome
Term
What is the main excitatory neurotransmitter in the CNS?
Definition
Glutamate (amino acid)
Term
Where is glutamate formed from?
Definition
from glutamine by the enzyme glutaminase
Term
Which transporters are used to put glutamate into vesicles?
Definition
VGLUT
Term
What are the effects of glutamate?
Definition
binds to post-synaptic receptors and allow influx of sodium ions (some allow Ca2+)
generates EPSP
Term
What is the fate of glutamate?
Definition
will diffuse away and will be taken up by transporters (EAAT)
Term
Where can glutamate be taken up into?
Definition
back into the neurone or by glial cells
Term
How many synapses release glutamate?
Definition
over half
Term
What does too much glutamate cause?
Definition
excitotoxicity
eventual neuronal cell death
Term
What conditions cause too much glutamate
Definition
ischaemia
epilepsy (seizures)
hypoglycaemia
trauma
Term
What is the main inhibitory neurotransmitter in the CNS?
Definition
GABA
Term
Where is GABA formed from?
Definition
produced from glutamate and glutamic acid decarboxylase and pyridoxal phosphate
Term
Which transporters are used to put GABA into vesicles?
Definition
vescular
Term
What are the effects of GABA?
Definition
bind to receptors on postsynaptic membrane and allow Cl- through
Cl- enter the cell and more negative and therefore move away from threshold potential
generates IPSP by inhibiting AP firing due to influx of Cl-
Term
What is the fate of GABA?
Definition
Taken up by glial cells or back into the neurone
by GABA transporters
Term
How many synapses release GABA?
Definition
about 1/3 of synapses
Term
What does potenation of GABA signalling cause?
Definition
can reduce anxiety and be intoxicating
Term
What can GABA signalling potenation be caused by?
Definition
- benzodiazepines (antidepressants, hyponotics)
- babiturates (epilepsy)
- alcohol (intoxication and ataxia)
Term
Name some catecholamines and state how else they are related
Definition
dopamine, noraepinephrene and epinephrine
all synthesised along the same pathway
Term
Which drugs affect the dopamine/5-HT pathway?
Definition
antidepressants (eg prozac) - block 5-HT reuptake
cocaine blocks reuptake
ecstacy affects vesicular transport
antipsychotic (eg haloperidol) inhibits dopamine
Term
What does low frequency stimulation cause release of?
Definition
small molecule neurotransmitter
Term
What does high frequency stimulation cause release of?
Definition
release of both small and large dense core vesicles
Term
What effect do peptides have and how do they achieve this?
Definition
modulatory (pain and emotion/stress/appetite)
they bind to other cells to cause an internal change
Term
Which peptides are involved in modulating pain?
Definition
substance P
opiods
Term
Describe substance P
Definition
first peptide NT identified
release associated with pain signalling
Term
Describe opiods
Definition
inhibits substance P release
analgesic
inhibitory
Term
How is a NT signal terminated? give examples
Definition
1. inactivation of NT (eg ACH by cholinesterase)
2. reuptake of NT (ege glutamate, gaba, 5-ht..)
3. diffusion away from synapse (eg peptide) diffusion is slow and therefore long lasting action
Term
What are ionotropic receptors?
Definition
- made up of subunits
- one subunit will bind to the neurotransmitter
- binding causes the pore to open and ions travel through
Term
What are the individual subunits like in an ionotropic receptor?
Definition
either:
- four transmembrane helices
- three transmembrane helices and a pore loop
Term
Which transmembrane domain always faces inwards?
Definition
M2
responsible for regulating passing ions
Term
What effect does having a larger channel have?
Definition
calcium would be allowed through
Term
Describe the nACH receptior
Definition
bind Ach
permeable to Na+, K+ and sometimes Ca2+
5 subunits
Term
Describe the NMDA receptor
Definition
binds glutamate and glycine (co-agonist)
permeable to Na+, K+ and Ca2+
regulate synaptic plasticity and enhancing synaptic activity
Term
How can an NMDA receptor be blocked?
Definition
if an Mg2+ enters and binds
Term
Describe the NMDA receptor at resting potential
Definition
1. glutamate is released from the presynaptic membrane
2. glutamate binds to AMPA receptors and Na+ is allowed in and K+ out (depolarised)
3. glutamate bind to NMPA receptors and channel opens
4. Mg2+ blocks channel
Term
What effect does depolarisation have?
Definition
depolarisation reduces the driving force of Mg2+ so Mg2+ diffuses out of the channel
Term
What effect does Mg diffusing out of the channel have?
Definition
no driving force for Na+ to come in so the cell becomes repolarised and Mg2+ slowly comes back
Term
What occurs if there is a signal before Mg2+ re-entering
Definition
glutamate can bind and Na and Ca can come in
this will generate a second messenger signal
Term
Describe the GABAa receptor
Definition
mediates inhibitory neurotransmission
5 subunits
binds GABA
allow Cl- in or out
Term
Which other molecules can bind on a GABAa receptor?
Definition
-benzodiazepine
-barbiturates
-steroids
-picrotoxin
Term
Describe metabotropic receptors (eg GPCRs)
Definition
monomeric proteins
7 transmembrane domains
Term
Describe metabotropic receptors domains
Definition
extracellular = NT binding (domains 2,3,6 and 7)
intracellular = binding G-proteins
Term
Where do G-proteins bind?
Definition
loop between domains 5 and 6 and to portions of the C terminus
Term
Describe the norapinephrine mechanism
Definition
1. beta-adrenergic receptor
2. Gs
3. adenylyl cyclase
4. cAMP
5. protein kinase A
6. increase protein phosphorylation
Term
Describe the glutamate mechanism
Definition
1. mGLuR 1
2. Gq
3. phospholipase C
4a. diacycglycerol
4b IP3
5a PKC
5b Ca2+ release
6 increase protein phosphorylation and activate calcium binding proteins
Term
Describe the other glutamate mechanism
Definition
1. mGLuR 2
2. Gi
3. adenylyl cyclase
4. cAMP
5. PKA
6. decrease protein phosphorylation
Term
Define somatosensory system
Definition
responds to the external environment
Term
Define viscerosensory system
Definition
response to the internal environment
Term
What is the skin and deeper structures (eg muscle/viscera) innervated by?
Definition
a rich vast network of peripheral nerves
Term
What do primary afferents do?
Definition
axons bringing information from the somatic receptors
Term
What do motor efferents do?
Definition
axons taking information from CNS to peripheral structures
Term
Define afferent
Definition
feed into the spinal cord via a spinal nerve and the dorsal root
Term
Define efferents
Definition
leave the spinal cord via a ventral root and the spinal nerve
Term
What does the somatosensory system detect
Definition
touch
temp
pain
Term
How are somatosensory receptors classified?
Definition
tactile (innocuous) sensations
thermal sensations
nociceptive (painful sensations)
Term
What are tactile sensations mediated by
Definition
mechanoreceptors (Merkel, Ruffini, Meissner and Pacinian)
Term
What are thermal sensations mediated by
Definition
thermoreceptors localised to discrete zones that exhibit hold and cold responsiveness
Term
What are nociceptive sensations mediated by?
Definition
mechanical, thermal and polymodal nocicpetors
Term
Where are mechanoceptors found
Definition
just beneath the epidermis
Term
Where are Meissner corpuscles found
Definition
they sit between the dermal pupillae
Term
Where are Merkel's discs found
Definition
alligned with the pupillae
Term
Where are Pacinian corpuscles found
Definition
large encapsulated endings located in the subcatenous tissue
Term
Where are Ruffini's corpuscles found
Definition
located deep in dermis, long axis of the corpuscle is orientated parallel to the skin
Term
Describe the structure of a Meissners Corpuscles
Definition
comprised of looping axonal terminals and intertwined supporting cells
encapsulated
Term
What do Meissner corpuscles detect
Definition
low frequency vibrations
Term
How much sensory innervation of the human hand do meissner corpuscles account for?
Definition
40%
Term
Describe the structure of a Merkel disc
Definition
dome structure comprised of axon terminals and merkel cells
encapsulated
Term
How much sensory innervation of the human hand do merkel discs account for? and where are they abundent
Definition
25% of the mechanoreceptors in the skin
fingertips, lips and genetalia
Term
Describe the structure of a Pacinian corpuscle
Definition
sensory axon surrounded by fluid filled capsule (onion shape appearance)
encapsulated
Term
What is the tole of the fluid filled capsule in a Pacinian corpuscle
Definition
acts as a filler and only allows transcient disturbances at high frequency (250-350Hz) to activate nerve endings
Term
What do Merkel disc detect
Definition
small forms and shapes
Term
What do Pacinian corpuscles detect
Definition
high frequency vibrations
Term
Describe the structure of a Ruffini corpuscle
Definition
nerve terminals intertwined with collagen fibrils (20%)
encapsulated
Term
How much sensory innervation of the human hand do ruffini corpuscle account for?
Definition
20% of receptors in hand
Term
What do Ruffini corpuscles detect
Definition
pressure
Term
Describe the structure of free nerve endings
Definition
penetrate into epithelial cells, no apparent morphological specialisation
free ramify to upper regions of the dermis and epidermis
Term
What do free nerve endings detect
Definition
noxious stimuli
Term
Define receptive field
Definition
area of skin where stimuli evolve sensory receptor activation
Term
which receptors are found in punctate (discrete) zones?
Definition
meissners and merkels
Term
which receptors are found in broad zones?
Definition
pacinians and ruffinis
Term
How do sensory receptors work?
Definition
1. stimulus deforms/changes in nerve endings
2. alters the membrane permeability of the receptor membrane
3. produces a receptor (generator) potential
4. triggers an AP which travels along the axon to the CNS
Term
What does it mean that a sensory receptor is a pseudo-unipolar neurone
Definition
axon splits into two branches
one to periphery and one to the spinal cord
Term
How are sensory afferents innervating somatosensory receptors classified?
Definition
by diameter
Term
What does it mean if one has a large diameter
Definition
rapidly conducting afferents (group I and II)
associated with low threshold mechanoreceptors
Term
What does it mean if one has a small diameter
Definition
slow conducting afferents (group III and IV)
associated with nociceptors and thermoreceptors
Term
Describe the ascending locations in the mechanosensory pathway
Definition
spinal cord
medulla
thalamus
somatosensory cortex
Term
Describe the role of first order neurones
Definition
carries sensory info from the thalamus to the cerebral cortex
Term
Describe the role of second order neurones
Definition
carries information from the medulla to the thalamus (and crosses over to the other side)
Term
Describe the role of third order neurones
Definition
carries sensory info from the thalamus to the cerebral cortex
Term
Where do primary efferents enter?
Definition
dorsal horn of the spinal cord
Term
define nociception
Definition
sensory process that provides the signals that trigger pain
Term
define pain
Definition
feeling/perception of irritating sore stinging aching throbbing arising from a part of the body
Term
How is pain detected
Definition
by nociceptors (not mechanoreceptors)
Term
Where do nociceptors have their cell bodies
Definition
in the dorsal root ganglion in the same way as other sensory receptors
Term
Where does the transduction of painful stimuli occur
Definition
in the free nerve endings of un-myelinated 'c' fibres ad thinly myelinated 'Ad' fibres
Term
Define polymodal nociceptors
Definition
respond to mechanical, thermal and chemical stimuli (some nociceptors only respond to one)
Term
What do mechanical nociceptors respond to
Definition
strong pressure
Term
What do thermal nociceptors respond to
Definition
burning heat/extreme cold
Term
What do chemical nociceptors respond to
Definition
histamine or other chemicals
Term
Where are nociceptors found
Definition
the periphery as simple nerve endings
peripheral nerve fibres branches and terminates as naked un-myelinated endings in dermis
Term
How do pain afferents relate to histamine?
Definition
pain afferents send signals to CNS but also release signalling molecules such as substance P locally to increase the inflammatory response
Term
How do nociceptors differ to thermoreceptors
Definition
thermoreceptors send AP until temp is too high and cannot fire anymore (or distinguish between different temperatures)
nociceptors only begin firing at the thermoreceptor threshold
Term
What do pain afferents release
Definition
excitatory NT glutamate
synaptic terminals have vesicles containgin neuropeptides (eg substance P)
Term
What does the spinothalamic pathway process?
Definition
afferent inputs from peripheral mechanothermal and polymodal nociceptors
Term
Describe the spinothalamic pathway
Definition
contralteral
sensory inputs cross at the level of spinal cord and ascend on opposite side
Term
Where is info relayed to from the spinal cord?
Definition
thalamus and the onto the somatosensory cortex
Term
what is the white bit of the eye called?
Definition
sclera
Term
which muscles attach the eye ball backwards?
how many do people have?
Definition
extracular muscles
5 per eye
Term
How many muscle fibres are there per motor neurone
Definition
3
Term
which is humor is on the anterior of the eye and which is more posterior?
Definition
aqueous humour in front of the iris
vitreous humour
Term
What are the 3 areas of the retina?
Definition
macula
fovea
optic disc
Term
What vision is the macula responsible for
Definition
central vision
Term
What is the fovea
Definition
central/thinner region of the retina
concentrated in cone cells
Term
What is the optic disc
Definition
origin of blood vessels
optic nerve axons exit eye
known as the blind spot
Term
What is the role of the zonule fibres?
Definition
attach the lens to the retina
Term
What is the function of photoreceptors and what types are there?
Definition
they convert light energy to neural activity
cones and rods
Term
What vision are cones responsible
Definition
colour vision
trichromatic
concentrated in fovea
Term
What vision are rods responsible
Definition
achromatic
more sensitive to light
located in the periphery of retina
Term
What other cells are there in the retina?
Definition
bipolar cells
horizontal/amacrine cells
retinal ganglion cells
Term
What is the role of bipolar cells
Definition
to create the direct pathway from photoreceptors to ganglion cells
Term
What is the role of horizontal/amacrine cells
Definition
to create an indirect pathway
they are inhibitory and are therefore modulatory
'octopus' cells
Term
Why is dark deemed the stimulus for vision?
Definition
when it is dark a neurotransmitter is released onto bipolar cells (some ganglion) this can trigger an AP
Term
Describe signal transduction in the dark
Definition
ion channel G proteins
cGMP allows Na+ channels to open
therefore membrane potential rises
neurotransmitter is released
Term
Describe signal transduction in the light
Definition
cGMP is converted to GMP and Na+ channels do not open
Term
Where does the optic nerve travel?
Definition
cordially to the optic chiasm
Term
where does most of optic information go to?
Definition
lateral geniculate nucleus which synapses with second order neurones which synapse with the striate cortex/primary visual cortex
Term
Where else does optic information go to?
Definition
1. some crosses over (some right eye info does go to right side of brain)
2. some goes to the hypothalamus (eg regulating sleep)
3. some goes to the superior colliculus (spider reflex)
Term
Where do the majority of retinal ganglion cell axons terminate
Definition
lateral geniculate nucleus
Term
Define sound
Definition
a series of changes in air pressure which forms a sinusoidal wave
Term
What makes up the outer ear
Definition
Pinna (ear) made of elastic cartilage
auditory canal
Term
What divides the the outer and middle ear?
Definition
tympanic membrane
vibrates due to changes in air pressure
Term
What is the role of the middle ear
Definition
to magnify and amplify sound via the ossicles (bone)
x200
Term
How is sound detected
Definition
1. once the pressure wave has come down external auditory meatus it hits the tympanic membrane
2. pressure gain from outer to middle ear is 200 fold due to ossicles
2. pressure waves are turned into nerve signals in the inner
Term
What are the parts of the cochlea (3)
Definition
scala media
scala vestibuli
scala tympani
Term
What are the sensory receptors, where are they and how do they work?
Definition
inner hair cells on the scala media
vibration causes the organ of corti to move and tectoral membrane distorts the cilia of the inner hair cells
Term
How is sound turned into nerve impulses?
Definition
1.stereocillia are disturbed which produces mechanoelectrical transduction
2. the endolymph of the scala media is high in K+ and as a result opening of the channel causes the cell to depolarise
3. causes ca2+ channels to open which then transmits the signals via NT release. signals travel through the afferent nerves to the brain
Term
Where do sound signals go?
Definition
auditory complex
located on the superior temporal gyrus in the temporal lobe of the brain
Term
Define olfactory
Definition
smell
Term
Define gustatory
Definition
taste
Term
Define trigeminal
Definition
chemical
Term
How do we smell
Definition
1.olfactory epithelium lines nasal cavity below cribiform plate
2.odorants enter nasal cavity and dissolve in mucus secretion
3.dissolved odorants bind to cilia that project into nasal cavity
Term
How many fluid filled chambers is the cochlea made up of?
Definition
3
Term
Describe the mechanism for olfaction transduction
Definition
1. odorants bind to receptors on cilia
2. activation of G proteins and production of cAMP
3. cAMP binds to and opens cation (Ca2+ and Na+) channels
4. opening of Cl- channels
5. generates depolarisation
Term
State the organs involved in taste
Definition
mainly tongue
also: pharynx, palate and epiglottis
Term
State the taste sensation factors (3)
Definition
food odour/aromas
visual appearance
texture
Term
What are papillae and name the 3 types
Definition
taste sensitive structures on the tongue
circumvallate
foliate
fungiform
Term
Describe circumvallate papillae
Definition
largest
contain many thousand tastebuds
located at posterior
Term
Describe foliate papillae
Definition
elongated structure
contain hundreds of tastebuds
lie along the posterior lateral edge
Term
Describe fungiform papillae
Definition
smallest
contain one or two tastebuds
widespread across the anterior portion and tip of tongue
Term
Describe the mechanism for taste transduction
Definition
1. dissolved molecules interact with receptors
2. triggers membrane depolarisation and AP firing
3. accompanied by increase in intracellular calcium which initiates transmitter release
Term
In taste, where do first order neurones project to?
Definition
medulla
Term
In taste, where do second order neurones project to?
Definition
thalamus
Term
In taste, where do third order neurones project to?
Definition
gustatory cortex
Term
What must be rhythm be to be classified at circadian?
Definition
1. repeated once a day
2. persist in the absence of external cues
3. be able to be adjusted to match local times
Term
What is jet lag?
Definition
caused by altered light dark cycle and the body trying to put it back into pattern (takes a couple of days). Impairs physiological and psychological health and induced stress.
Term
What causes jet lag to differ?
Definition
going east or west
Term
What is the molecular basis of jet lag?
Definition
- gene expression in the suprachiasmatic nucleus (SCN) changes when unexpected flashes of light occur
- negative feedback system in nucleus slows down adaptation
Term
Where is the SCN?
Definition
in the hypothalamus and contains lots of interneurones
Term
What are retinal ganglion cells?
Definition
photoreceptors for detecting changes in light levels
Term
What does the pineal gland produce?
Definition
seep producing melatonin
Term
What parameters are there for melatonin?
Definition
1. body temperature
2. darkness
3. alterness
4. cortisol
5. growth hormone
6. potassium
Term
How does body temperature relate to sleep?
Definition
body temperature drops when you are asleep as melatonin increases
Term
How does melatonin change related to darkness?
Definition
melatonin increases as surroundings become more dark
Term
What else changes as melatonin increases?
Definition
alertness decreases
cortisol increases overnight
growth hormone increases overnight
potassium levels are higher during the day
Term
what causes sleep/coma?
Definition
brainstem lesions
Term
What does stimulation of midline brainstem areas alter?
Definition
cortisol EEG from non-REM to alert/awake form
Term
When are cholinergic neurones in pons/midbrain border active?
Definition
waking and REM sleep
inactive during non-REM sleep
Term
Which systems are activated in wakefulness?
Definition
- noradrenaline, serotonin and histamine
- neural systems
Term
What occurs in an ECG?
Definition
electrodes are placed on scalp and neural (electricity) activity measured
Term
Define sleep
Definition
readily reversible state of reduced responsiveness to and interaction with, the environment
Term
Which sleep stage is the most prominent and what occurs then?
Definition
Non-REM sleep – slow-wave stage is most
prominent
During non-REM sleep, physiological functions
decrease (muscle tone, heart rate, temperature)
Term
What also occurs as subject moves through sleep stages?
Definition
sleep becomes deeper
Term
What occurs after IV stage?
Definition
subjects enter Rapid Eye Movement stage
Term
How do EEG recordings during REM sleep compare to awake state?
Definition
similar
Term
What occurs during REM sleep?
Definition
1. Physiological functions increase almost to “awake” levels, energy consumption of brain is higher.
2. Lower motor neurones in spinal cord are inhibited:
– paralysis of large muscle groups
– BUT Muscles of eye movement & inner eye are strikingly
active
3. Incoming sensory stimuli are also blocked
– Don’t reach the cortex
Term
How long do subjects spend in REM sleep?
Definition
Subjects spend ~10 minutes in REM sleep, then brain usually goes back through stages I-IV
Term
What is somnambulism?
Definition
Sleep walking
– Peaks at 11 yrs, 40% will have suffered
– Stage 4 non-REM sleep
– Hard to wake up, slow wave sleep
Term
What is somniloquy?
Definition
Sleep talking
– Most people will have
– Garbled and non-sensical
Term
What are sleep terrors?
Definition
– 5-7 yrs
– Not nightmares (REM)
– Stage 3 & 4 non-REM
Term
Why do we sleep?
Definition
• Ecological: quiet time to avoid predation
• Metabolic: reduces energy expenditure,
• Learning: memory consolidation or erasure
Term
What happens if we are sleep deprived?
Definition
– Increased tension
– Increased irritability
– Depression
– Confusion
Term
Define learning
Definition
process of acquiring new information
Term
Define memory
Definition
persistence of learning in a state that can be revealed at a later time
Term
Define encoding
Definition
Processing of incoming information to be stored
Term
Define storage
Definition
The result of acquisition and consolidation; creation and maintenance of a permanent record
Term
Define retreival
Definition
Utilisation of stored information to create a conscious representation or to execute a learned behaviour
Term
What is memory split into?
Definition
short term/working memory and long term memory
Term
What is long term memory split into?
Definition
Declarative: knowledge we have conscious access to, including personal and world knowledge.

Non-declarative: or procedural memory. This is the other part of memory that we are less familiar with – the unconscious part, it is the memory of behaviours, skills and emotions.
Term
What is declarative memory split into?
Definition
Episodic: events
Semantic: facts
Term
What is non-declarative memory split into?
Definition
Priming
Skills and habits
Associative conditioning
Term
What is associative conditioning
Definition
skeletal musculature and emotional response
Term
What is the shortest term memory?
Definition
Sensory (immediate) memory
Lifetime of milliseconds to seconds
E.g. recalling a sentence from a conversation you are not paying attention to
Visual: iconic memory; audition: echoic memory
Term
How long does short term memory last and what is its capacity?
Definition
Lifetime of seconds to hours
E.g. remembering a phone number given by a friend before trying to dial it
Typically around 7 items (digit span)
Term
How long does long term memory last and what is its capacity?
Definition
Lifetime of days to years
E.g. recalling an event from childhood or last weekend.
Term
Therefore, where does sensory information go and what happens after each stage?
Definition
1. sensory memory
2. short term memory
3. long term memory

information is lost
Term
How do short term memories become long term memories?
Definition
rehearsal (otherwise lost within seconds)
then encoding in the hippocampus
Term
What happens if long term memory is not retrieved back into short term memory?
Definition
lost over time
Term
Describe the anatomy involved in the working memory model
Definition
3 brain regions involed
central executive is in charge
2 subordinate systems called visuospatial sketchpad and phonological loop
Term
What occurs in the visuospatial sketchpad?
Definition
visual information is processed and played around with
information storage in visual or visuospatial codes.
Term
What occurs in the phonological loop?
Definition
where auditory information is processed
mechanism for acoustically coding information in working memory
Term
What occurs in the central executive?
Definition
the bit of the brain where the information initially comes in to, and then eventually gets sent out from.
Term
Where in the brain is the phonological loop?
Definition
Left supramarginal gyrus (area 40)
Left premotor region (area 6
Term
Where in the brain is the visuospatial sketchpad?
Definition
Parieto-occipital regions of both hemispheres affect visuospatial performance (right hemisphere dominant).
Term
What are the visuospatial sketchpad and the phonological loop distinct from?
Definition
long term memory stores
Term
What are flashbulb memories?
Definition
a type of long term memory that you remember very clearly – although not always that accurately!
emotionally charged
Term
Where in the brain is long term memory formed?
Definition
Hippocampus
Mammillary body
Dorsal thalamus
Rhinal cortex
Term
Where in the brain is long term memory stored?
Definition
Neocortex
Frontal cortices on dorsolateral and anterolateral aspects
Term
What does the hippocampus resemble?
Definition
sea horse
Term
How is olfaction and memory linked? What structures in the brain are related?
Definition
certain smells invoke memories from years ago
Olfactory cortex is linked to hippocampus and amygdala, both important in memory
Term
How is music and memory linked?
Definition
musical training, or listening to music, are thought to improve memory
Term
Why does memory function decline as a part of the ageing process?
Definition
There is a decrease in the number of synaptic connections with age consistent with the idea that memories may be lost
Term
What is non-associative procedural learning?
Definition
change in motor response after repeated presentation of a stimulus.
Term
What are the two types of non-associative procedural learning?
Definition
a) Habituation –decrease in motor response.
b) Sensitisation – increase in motor response.
Term
What are the two types of associative procedural learning?
Definition
a) Classical conditioning change in passive motor response after learned association between two stimuli (e.g. Pavlov’s dogs).
b) Instrumental or operant conditioning change in active motor response after association between motor action and reward.
Term
Name the brain systems underlying procedural long-term memory
Definition
Basal ganglia
Prefrontal cortex
Amygdala
Sensory association cortex
Cerebellum
Term
Where does motor learning happen?
Definition
cerebellum
Term
Where does emotional learning happen?
Definition
amygdala
Term
Define anterograde amnesia
Definition
Inability to establish new memories
Term
Define retrograde amnesia
Definition
Difficulty in retrieving memories
Term
What is synaptic plasticity?
Definition
Synaptic plasticity is the ability of synapses to strengthen or weaken over time, in response to increases or decreases in their activity
Term
How are memories encoded?
Definition
increase the strength of a synapse through long term potentation
in the hippocampus
Term
What is the mechanism behind long term potentiation?
Definition
Increased number of vesicles and neurotransmitter
Increased number of AMPA-R
Increased surface area of the synaptic cleft
Term
Where does cognition occur?
Definition
in association cortices found in the frontal, temporal and parietal lobes.
Term
Where do association cortices receive input from?
Definition
- directly from other cortical areas
- highly processed information from primary sensory / motor areas via thalamic nuclei
- subcortical inputs
Term
What other cortical areas does association cortices directly receive input from?
Definition
directly from other cortical areas:
- motor and premotor cortices
- other primary and secondary sensory cortical regions

Remember you have two parts of your brain so will receive twice the input you think.
Term
Define ipsilateral cortico-cortical connections
Definition
input comes from the same hemisphere of brain
Term
Define interhemispheric cortico-cortical connections
Definition
connections cross the corpus collosum and join information from both hemispheres
Term
Which thalamic are involved and which cortices do they work with?
Definition
Pulvinar nucleus (parietal association cortex)
Medial dorsal nucleus (frontal association cortex)
(Anterior and ventral anterior nuclei)
Term
Where does association cortices receive subcortical inputs from?
Definition
- Dopaminergic neurones in the midbrain
- Noradrenergic / serotonergic neurones in the reticular formation
- Cholinergic neurones in the brainstem and basal forebrain
Term
Define attention
Definition
The state of selectively processing simultaneous sources of information
Term
What does attention involve?
Definition
Involves preferential processing of sensory information (e.g. visual, auditory)
Term
What does attention allow?
Definition
- Allows covert shifting (e.g. listening to a conversation whilst engaged in another).
- Allows increased reaction time to stimuli (e.g. faster braking when paying attention to the car in front).
Term
What is attention subject to?
Definition
Subject to external influences (e.g. a loud noise will shift our attention away from the task at hand).
Term
What is ADHD characterised by?
Definition
by inattention, hyperactivity, impulsiveness
Term
What does imaging suggest about ADHD sufferers?
Definition
Imaging suggests that prefrontal cortex and basal ganglia are smaller in sufferers
Term
What causes contralateral neglect syndrome?
Definition
Caused by lesion to right parietal cortex
Term
What are contralateral neglect syndrome sufferers unable to do?
Definition
- attend to objects in a portion of space
- to attend to stimuli presented to the side of the body (or visual space) opposite the lesion
Term
What causes Balint's syndrome?
Definition
lesion to parietal cortex
Term
What are the effects of Balint's syndrome?
Definition
Triad of visuospatial deficits:
- Simultanagnosia (inability to perceive visual scene as a whole)
- Optic ataxia (deficit in visually guided reaching)
- Ocular apraxia (difficulty in voluntary scanning of visual scenes)
Term
Define simultanagosia
Definition
inability to percieve parts of a visual scene as a whole
Term
Define optic ataxia
Definition
deficits in visually guided reaching
Term
Define ocular apraxia
Definition
difficulty in voluntary scanning of visual scenes
Term
Which association cortex mediates attention?
Definition
the parietal association cortex
Term
Is attention limited?
Definition
Yes
Term
Which parietal cortex is predominately responsible for attention?
Definition
Right
Term
What does covert shifting mean?
Definition
shifting your attention without appearing to do so
Term
What does Balint's syndrome cause?
Definition
visuo-spatial deficits
Term
What is emotion made up of?
Definition
feelings, expressive behaviour and physiological changes
Term
How is an emotion generated?
Definition
Evaluation of sensory input
Conscious / unconscious experience of a feeling
Expression of behavioural and physiological response
Term
What are the 3 components of an emotional response? give examples
Definition
Behavioural E.g. muscular movements (smile, frown etc).
Autonomic E.g. Sympathetic / parasympathetic activity
Hormonal E.g. Adrenaline release
Term
Which brain system is involved in emotional processing?
Definition
Limbic system
Term
Which structures have clear roles in emotional processing?
Definition
Amygdala
Orbitofrontal cortex
Cingulate gyrus / thalamus / ventral basal ganglia
Term
Where is the amygdala located?
Definition
deep in the brain's medial temporal lobe
Term
What would you be unable to recognise if you have damage to your amygdala?
Definition
fear
often confused with surprise
Term
Which nervous system is involved in expression of emotion?
Definition
autonomic
Term
What is the hippocampus involved in?
Definition
memory and learning
Term
Bilateral loss of the amygdala results in...
Definition
...loss of ability to recognise fear
Term
The orbitofrontal cortex is involved in...
Definition
...emotional decision making
Term
How many universal facial expression are humans able to recognise?
Definition
at least 6
Term
Which organs acts as the source of air for speech?
Definition
lungs
Term
Which organs acts as the source of sound for speech?
Definition
larynx
Term
Which organs modify/filter speech?
Definition
Pharynx, oral cavity (incl tongue, teeth, lips) and nasal cavity
Term
Which hemisphere is associated with language?
Definition
left
however, it is not unknown for someone to favour the right area
Term
Describe Broca's area
Definition
left frontal cortex; involved in language production.
Term
Describe Wernicke's area
Definition
left temporal cortex; involved in understanding spoken language.
Term
Define Aphasias
Definition
damage to specific brain regions which compromises language functions, without affecting sensory / motor processing.
Term
What is Broca's aphasia?
Definition
physical production of speech
Term
What is Wernicke's aphasia?
Definition
comprehension of speech
Term
What is conduction aphasia?
Definition
difficulty repeating words (arise from lesions to pathways connecting language centres)
Term
Which cortex is very important in overseeing many complex activities and be able to make decisions?
Definition
prefrontal cortex (Dorsolateral PFC and Ventromedial PFC)
Term
What are the functions of the Dorsolateral prefrontal cortex?
Definition
- initiating and shifting behaviour
- inhibiting behaviour
- stimulating behavioural consequences
Term
What are the functions of the ventromedial prefrontal cortex?
Definition
- Inhibition of socially inappropriate behaviour
- Sensitivity to the consequences of action
Term
Does the brain control the muscle directly?
Definition
No, the spinal cord is involved.
Term
What is a motoneurone?
Definition
lower motor neurone
Term
Describe spinal motor output
Definition
alpha motoneurones to muscles
Term
What is each motoneurone associated with?
Definition
muscle fibres forming a functional entity called the motor unit
Term
What do motor units vary in?
Definition
size
amount of tension produced
speed of contraction
degree of fatigability.
Term
Where are motoneurones innervating axial musculature located?
Definition
medially
Term
Where are motoneurones innervating distal musculature located?
Definition
laterally
Term
What makes up a motor unit?
Definition
4-5 muscle fibres innervated by a single motor neurone

(motoneurone + innervated muscle fibre)
Term
Describe the events that follow when an action potential arrives a at a neuromuscular junction
Definition
1. it causes vesicle to dock
2. The vesicles then release the neurotransmitter acetylcholine into the synaptic cleft
3. This then stimulates nicotinic receptors on the muscle fibre with the end result that myosin contracts the muscle fibre
Term
When is a muscle active?
Definition
when it is contracted
Term
What is a motorpool?
Definition
A motor pool consists of all of the motor neurons that innervate a single muscle
Term
How are the lumbar motorpools arranged?
Definition
in a rostrocaudal manner
hip: occupies the whole length of the lumbar cord
knee: most of it
ankle: lower lumbosacral segments
Term
What is the muscle spindle?
Definition
the sensory apparatus of the muscle
Muscle spindles are sensory receptors that primarily detect changes in the length of this muscle (Intrafusal muscle fibers).
Term
Where are muscle fibres found?
Definition
within the belly of a muscle
lies parallel to muscle fibres
Term
What do spindle fibres contribute to?
Definition
proprioception
the detection of position and movement of body in space
Term
What do spindle fibres enable?
Definition
regulation of muscle contraction and precisely matches force generation to motor task
Term
What routine neurological examination demonstrates the effects of spindle fibres?
Definition
when you tap the patellar tendon and stretches the muscle leading to muscle contraction

Muscles are always under some degree of stretch so this reflex is responsible for steady level of tension in muscle called muscle tone.
Term
What are extrafusal muscle fibres?
Definition
the skeletal standard muscle fibers that form bulk of muscle and generate muscle tension
Term
What are extrafusal muscles innervated by?
Definition
from alpha motor neurons
Term
What are intrafusal muscle fibres?
Definition
(spindles) have a sensory function and do not generate tension.
Term
What are intrafusal muscles innervated by?
Definition
gamma motor neurons.
Term
Describe muscle contraction in terms of spindle fibre sensitivity
Definition
1. Muscle relaxed, Spindle fibre sensitive to stretch of muscle
2. Muscle contracted, slackened spindle fibre not sensitive to stretch of muscle
3. Muscle contracted, contracted spindle fibre sensitive to stretch of muscle
Term
Name the two sensory afferents that emerge from the intrafusal system
Definition
sensory afferents Ia and II
Term
Describe the afferents associated with low threshold mechanoreceptors
Definition
Large diameter, rapidly conducting afferents (I/II)
Term
Describe the afferents associated with nociceptors and thermoreceptors
Definition
Small diameter, slow conducting afferents (III/IV)
Term
How is conduction velocity related to axon diameter
Definition
Conduction velocity is positively correlated with axon diameter.
Term
What effect does a contracting muscle have on a tendon?
Definition
When the muscle contracts the force acts directly on the tendon, and thus an increase in tension in the collagen fibres and in the golgi tendon organ.
Term
What is the Golgi tendon organ?
Definition
The Golgi tendon organ is a mechanoreceptor that detects changes in muscle tension, as when the muscle contracts the force acts directly on the tendon.
Term
What is the function of the GTO?
Definition
Acts like a strain gauge i.e. monitors muscle tension & the force of contraction.
Contributes to proprioception i.e. detection of position and movement of body in space .
Term
Where is the GTO found and what is it innervated by?
Definition
Lies in series with muscle fibres.
Acts like a strain gauge i.e. monitors muscle tension & the force of contraction.
Term
Describe the sensory input (afferents) from muscle spindles
Definition
Primary afferent, group Ia (senses stretch and rate of change in stretch),
Secondary afferent, group II (stretch only)
Group III and above are finer than the two above (nociceptive from muscle)
Term
Describe the sensory input (afferents) from tendon organs
Definition
group Ib (signal force change in the muscle)
Term
Describe the spinal somatic reflex pathway to flexors
Definition
monosynaptic
Term
Describe the spinal somatic reflex pathway to extensors
Definition
poly/oligosynaptic
Term
Describe the pathway for a monosynaptic reflex
Definition
Stretch reflex: -> Muscle spindle Ia afferent -> homonymous alpha Motoneurone -> OUTPUT
Term
Describe the pathway for a polysynaptic reflex
Definition
Crossed Extensor reflex (FRA reflex): -> Sensory afferent -> Interneuron -> motoneurone -> OUTPUT
Term
What are 3 characteristics of neurological diseases?
Definition
irreversible
loss of neurones
progressive
Term
Name 4 neurological disorders?
Definition
Alzheimer’s disease
Multiple sclerosis
Parkinson’s disease
Huntington’s disease
Term
What are the early symptoms of Alzheimers?
Definition
Short term memory
Disorientation - time then place
Difficulty with words, names, numbers
Clumsiness
Visuospatial orientation (gets lost)
Term
What are the later symptoms of Alzheimers?
Definition
Loss of social skills
psychosis + paranoia/hallucinations/delusions
bradykinesia/rigidity
Term
What are the latest symptoms of Alzheimers?
Definition
Mutism
Incontinence
Bedridden
Term
How does a brain with Alzheimers compare to one without?
Definition
Smaller
Wider sulci and narrowed gyri
central sulci much wider
Term
How do the ventricles change with Alzheimers?
Definition
the fluid filled spaces within the brain widens as the brain matter gets smaller
Term
Which lobe is affected in particular with Alzheimers?
Definition
temporal lobe
hippocampus (short term memory)
insula (language capabilities)
Term
What is measured in scans during Alzhiemers?
Definition
glucose uptake
measures metabolic activity and working neurones
Term
What do Alzhiemers patients experience first?
Definition
mild cognitive impairement
Term
What forms in the middle frontal cortex of Alzheimers patients?
Definition
beta amyloid plaques
Term
What forms in the hippocampal sector of Alzheimers patients?
Definition
Neurofibrillary tangles – hyperphosphorylated tau protein
Term
Which pathways are particularly affected in Alzheimers?
Definition
cholingeric
Term
What is the current treatment for Alzheimers?
Definition
AChE inhibitors
Term
What is the effect of AChE inhibitors?
Definition
Increases ACh levels
May slow progression
May improve cognition (‘nootropic effect’)
Term
What are the symptoms of multiple sclerosis?
Definition
Sensory changes
Muscle weakness
Coordination and balance
Speech
Swallowing
Visual
Fatigue,
Pain
Incontinence
Cognitive impairment
Depression
Mood swings
Term
What are the different forms of progression of MS? from most severe to lest severe
Definition
progressive-relapsing multiple sclerosis
secondary progressive multiple sclerosis
primary progressive multiple sclerosis
relapsing-remitting multiple sclerosis
Term
Describe progressive-relapsing multiple sclerosis
Definition
steady decline since onset with superimposed attacks
Term
Describe secondary progressive multiple sclerosis
Definition
initial relapsing-remitting MS that suddenly begins to have decline without periods of remission
Term
Describe primary progressive multiple sclerosis
Definition
steady increase in disability without attacks
Term
Describe relapsing-remitting multiple sclerosis
Definition
unpredictable attacks which may or may not leave permanent deficits by periods of remission
Term
How does the CNS change with MS?
Definition
MRI scans show reduction in total brain volume and therefore increase in ventricular size
Term
What causes MS?
Definition
autoimmune disorder
the body produces antibodies against their own bodies (specifically attack oligodendrocytes that produce myelin sheath)
Term
What are the symptoms of Parkinson's?
Definition
Tremor
Rigidity
Speech
Micrographia
Akinesia
Postural changes
Stoop
Shuffling
Term
What structure does PD affect specifically?
Definition
substantia nigra (which diminishes)
Term
Describe the pathway affected by PD
Definition
1. nerve cells project to striatum (dopaminergic from substantia nigra)
2. these project to the thalamus
3. these project to motor cortex
4. these project to skeletal muscle via spinal cord
Term
How is Huntington's disease different?
Definition
inherited
autosomal dominant (only one parent needs it to give you a 50% chance)
Term
Which protein is involved in Huntingtons?
Definition
Huntingtin
the more gultamine repeats you have the earlier it occurs and more rapidly it occurs
Term
What are the symptoms of HD? and what do they lead to?
Definition
Irritability, Moodiness, Antisocial behaviour >>> dementia
Fidgeting and restlessness >>> gross choreiform movements
Term
Where are neurones lost in HD?
Definition
cerebral cortex
corpus striatum
Term
What neuronic pathways are affected?
Definition
GABAergic and cholinergic
Term
What disorders of the central nervous systems are there?
Definition
Schizophrenia
Bipolar disorder
Depression
Anxiety disorders
Term
What are the positive symptoms of schizophrenia?
Definition
PSYCHOSIS
Hallucinations
Delusions
Thought disorder
Term
Describe hallucinations
Definition
sensory perception with no external stimulus
all senses
often voices
Term
What are delusions and what types are there?
Definition
often paranoid
primary delusions spontaneous, sudden
secondary delusions reflect situation
Term
How can psychosis affect thought disorder?
Definition
conscious thought
loosening of associations
speech and language
Term
What are the negative symptoms of schizophrenia?
Definition
Social withdrawal
Flattening of emotional responses
Anhedonia
Disinterest in everyday tasks
Cognitive deficits e.g. Attention, memory
Guilt, depression, anxiety, self harm
Can lead to suicide attempts (50%)
10% successful
Term
How does schizophrenia affect younger patients?
Definition
more positive symptoms, relapsing and remitting
Term
How does schizophrenia affect older patients?
Definition
more negative symptoms, chronic and progressive
Term
Is schizophrenia genetic?
Definition
YESSSS
Term
What are the environmental causes of schizophrenia?
Definition
Maternal viral infection
Maternal famine
Maternal stress
Cannabis consumption
Winter/spring birth
Urbanisation
Term
Describe the dopamine turnover hypothesis that explains schizophrenia
Definition
Increased DA activity leads to psychosis
DA antagonists or partial agonists antipsychotic
Mesolimbic pathway ↑ – positive symptoms
Mesocortical pathway ↓ – negative symptoms
Term
What is the new hypothesis related to schizophrenia?
Definition
More recently – NMDA receptors also involved
NMDA hypofunction hypothesis
Term
How does the brain change from schizophrenia?
Definition
loss of grey matter
Term
What is bipolar characterised by?
Definition
mood swings (mania and depression)
Term
Describe mania
Definition
Increased energy, activity, and restlessness
Excessively “high,” overly good, euphoric mood
Extreme irritability
Racing thoughts and talking very fast, jumping from one idea to another
Lack concentration
Insomnia
Unrealistic beliefs in one’s abilities and powers
Poor judgment
Spending sprees
A lasting period of behavior that is different from usual
Increased sexual drive
Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
Provocative, intrusive, or aggressive behavior
Denial that anything is wrong
Term
Describe depression
Definition
Lasting sad, anxious, or empty mood
Feelings of hopelessness or pessimism
Feelings of guilt, worthlessness, or helplessness
Loss of interest or pleasure in activities once enjoyed, including sex
Decreased energy, a feeling of fatigue or of being “slowed down”
Difficulty concentrating, remembering, making decisions
Restlessness or irritability
Sleeping too much, or can’t sleep
Change in appetite and/or unintended weight loss or gain
Chronic pain or other persistent bodily symptoms that are not caused by physical illness or injury
Thoughts of death or suicide, or suicide attempts
Term
What are the causes of bipolar?
Definition
Some evidence for genetics, e.g. Twin studies

Probably polygenic with environmental factors

5-HT, DA and Glu transmitter systems affected

Cell growth and/or maintenance pathways affected e.g. BDNF
Term
What are the emotional symptoms of depression?
Definition
Low mood, negative thoughts, misery, pessimism, apathy
Low self esteem
Indecisiveness
Anhedonia
Term
What are the biological symptoms of depression?
Definition
Retardation of thought, action
Loss of libido
Sleep, appetite disturbance
Term
What is thought to be the cause of depression?
Definition
Caused by decreased function of 5-HT and NA systems.
Evidence provided by testing drugs and measuring their effects
Term
Describe cortisol plasma levels in the depressed
Definition
High plasma cortisol levels (doesnt fall following dexamethasone)
Corticotrophin-releasing hormone (CRH) levels high and CRH injection into the brain causes depression symptoms
Term
What are the effects of depression on the actual brain?
Definition
Neurones lost in hippocampus, prefrontal cortex.
Term
What is the evidence of neurone loss in hippocampus, prefrontal cortex?
Definition
Vetricular enlargement
Hippocampal shrinkage
Prefrontal atrophy
Reduced neuronal activity in same
Term
What 3 ways are used to treat depression?
Definition
- monoamine uptake inhibition
- monoamine receptor antagonists
- monoamine oxidase inhibitors
Term
Give examples of monoamine uptake inhibitors
Definition
Tricyclic antidepressants (e.g. imipramine)
SSRIs (e.g. fluoxetine)
SNRIs (e.g. venlaflaxine)
NRIs (e.g. bupropion)
Term
Give examples of monoamine receptor antagonists
Definition
Non-selective blockers of especially α2 and 5-HT2
E.g. trazodone
Term
Give examples of monoamine oxidase inhibitors
Definition
Irreversible, non-competitive, non-selective for MOA-A/B (e.g. phenelzine)
Reversible, MAO-A selective (e.g. moclobemide)
Term
What are the fear responses of anxiety disorders?
Definition
Defensive behaviours
Autonomic reflexes
Arousal/alertness
Corticosteroid secretion
Negative emotions
Term
Name the 5 anxiety disorders with a very brief description
Definition
Generalised anxiety disorder
ongoing generalised anxiety
Obsessive compulsive disorder
compulsive ritualistic irrational behaviour
Panic disorder
sudden overwhelming attack
Post-traumatic stress disorder
recall of past experiences
Social phobia
fear of others
Term
What is the treatment for anxiety disorders and what do they affect?
Definition
Benzodiazepines, barbiturates
SSRIs/SNRIs
Buspirone

Affect GABA/5HT systems
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