Synapse structure:
Pre-synaptic terminal (knob) → synaptic cleft (20-50 nm gap) → post-synaptic membrane
Pre-synaptic: releases neurotransmitters (from synaptic vesicles)
Post-synaptic membrane: HAS the RECEPTORS for neurotransmitters ✅
Myelin sheath and Schwann cells: insulation — not involved in neurotransmission
A synapse is the junction between two neurons (or between a neuron and an effector). Three components: Pre-synaptic terminal (bouton): knob-like ending of the axon. Contains mitochondria (ATP for vesicle release) and synaptic vesicles (store neurotransmitters). Synaptic cleft: narrow gap of 20-50 nm between pre and post-synaptic membranes. Post-synaptic membrane: membrane of the receiving cell (dendrite, cell body, or effector). Contains specific RECEPTORS for neurotransmitters. Process of synaptic transmission: Action potential arrives at pre-synaptic terminal → voltage-gated Ca2+ channels open → Ca2+ influx → synaptic vesicles fuse with pre-synaptic membrane (exocytosis) → neurotransmitters released into cleft → diffuse across cleft → bind to receptors on post-synaptic membrane → receptor-mediated response (depolarisation or hyperpolarisation of post-synaptic cell).
Neurotransmitters are chemical messengers released at synapses. Classification by effect: Excitatory: cause depolarisation of post-synaptic membrane (EPSP — Excitatory Post-Synaptic Potential). Brings membrane potential closer to action potential threshold. Inhibitory: cause hyperpolarisation (IPSP — Inhibitory Post-Synaptic Potential). Moves membrane potential further from threshold. Main neurotransmitters: Acetylcholine (ACh): at neuromuscular junction (NMJ) — excitatory. At some CNS synapses. Broken down by acetylcholinesterase (AChE). Glutamate: main EXCITATORY neurotransmitter in CNS. Binds AMPA, NMDA, kainate receptors. GABA (gamma-aminobutyric acid): main INHIBITORY neurotransmitter in CNS. Dopamine: reward, movement, motivation. Reduced in Parkinson disease. Excessive in schizophrenia. Serotonin (5-HT): mood, sleep, appetite. Low in depression → SSRIs increase it. Noradrenaline (norepinephrine): fight-or-flight, attention. Glycine: inhibitory in spinal cord.
Two main types of post-synaptic receptors: Ionotropic receptors (ligand-gated ion channels): neurotransmitter binding directly opens ion channel. Fast response (milliseconds). Examples: Nicotinic ACh receptor (nAChR): ACh → Na+ influx + K+ efflux → depolarisation → action potential. At NMJ (muscle) and some brain synapses. AMPA receptor: glutamate → Na+ influx → EPSP. GABA-A receptor: GABA → Cl- influx → hyperpolarisation → IPSP. Glycine receptor: Cl- influx → inhibition. Metabotropic receptors (G-protein coupled receptors, GPCR): neurotransmitter binds → activates G-protein → second messenger cascade. Slower but longer-lasting effect. Examples: Muscarinic ACh receptor (mAChR): heart, smooth muscle, glands. Coupled to Gi (heart — slows rate) or Gq. GABA-B receptor. Dopamine receptors (D1-D5). Most serotonin receptors.
Action potential (AP): the electrical signal that travels along a neuron. Resting membrane potential: -70 mV (inside negative). Maintained by Na+/K+-ATPase (3 Na+ out, 2 K+ in per ATP). K+ channels open → K+ leaks out → inside negative. Depolarisation: stimulus opens voltage-gated Na+ channels → Na+ rushes in → inside becomes positive → membrane depolarises (reaches -55 mV threshold → AP fires). Peak: +30 to +40 mV. Repolarisation: Na+ channels inactivate → K+ channels open → K+ rushes out → membrane repolarises. Hyperpolarisation (afterhyperpolarisation): K+ channels slow to close → membrane overshoots negative resting potential. Refractory period: absolute (no AP possible during Na+ channel inactivation) + relative (AP possible with stronger stimulus). All-or-nothing law: AP is all-or-nothing — once threshold reached, full AP fires regardless of stimulus strength. AP propagates along axon without decay.
Myelinated nerve fibres conduct signals faster and more efficiently than unmyelinated fibres. Myelin sheath: formed by Schwann cells (PNS) or oligodendrocytes (CNS) wrapping around the axon. Composed mainly of lipids (sphingomyelin) and proteins. Provides electrical insulation. Nodes of Ranvier: short gaps (1-2 micrometres) in the myelin sheath where axon membrane is exposed. Voltage-gated Na+ channels concentrated at nodes. Saltatory conduction: action potential jumps from node to node (saltatory = Latin for jumping). Current flows through myelinated internodal segments instantly (capacitative current) to next node → depolarises next node → fires AP → jumps to next node. Speed: myelinated fibres up to 120 m/s. Unmyelinated: 0.5-2 m/s. Myelinated fibres are also more energy-efficient (Na+/K+-ATPase only needs to restore ions at nodes). Demyelinating diseases: Multiple Sclerosis (MS) — autoimmune destruction of myelin in CNS → slowed/blocked conduction → variable neurological symptoms. Guillain-Barre syndrome — demyelination of PNS → ascending paralysis.
The NMJ is a specialised synapse between a motor neuron and skeletal muscle fibre. Pre-synaptic: terminal bouton of motor neuron. Contains ACh in synaptic vesicles. Post-synaptic: motor end plate of muscle fibre (sarcolemma). Contains nicotinic ACh receptors (nAChR) — ionotropic. Process: AP reaches motor terminal → Ca2+ influx → ACh released → ACh diffuses across synaptic cleft → ACh binds nAChR on motor end plate → nAChR opens (Na+ in, K+ out) → end plate potential (EPP) → triggers AP in sarcolemma → muscle contraction. Termination: acetylcholinesterase (AChE) in synaptic cleft breaks ACh → choline + acetate → choline taken up for new ACh synthesis. Clinical importance: Myasthenia gravis: autoimmune attack on nAChR → fewer functional receptors → muscle weakness. Treated with AChE inhibitors (neostigmine, pyridostigmine) → more ACh available. Botulinum toxin (Botox): blocks ACh release from pre-synaptic terminal → flaccid paralysis. Organophosphate pesticides: inhibit AChE → ACh accumulates → continuous muscle stimulation → spasm.
Reflex: automatic, rapid, stereotyped response to a stimulus that does not require conscious thought. Components of a reflex arc: Receptor: detects stimulus. Sensory (afferent) neuron: carries impulse from receptor to spinal cord (via dorsal root). Integration centre: spinal cord (or brain). Interneuron: connects sensory and motor neurons (in polysynaptic reflexes). Motor (efferent) neuron: carries impulse from spinal cord to effector (via ventral root). Effector: muscle or gland. Types of reflexes: Monosynaptic (stretch reflex): only one synapse (sensory → motor). Example: knee-jerk reflex (patellar tendon tap → quadriceps contraction). Polysynaptic: two or more synapses. Most reflexes. Example: withdrawal reflex (pain → flexor muscles contract, extensor relax). Spinal reflexes: mediated by spinal cord. Do not need brain. Can occur even after spinal cord injury (spinal shock then reflex recovery). Cranial reflexes: mediated by brainstem. Pupillary light reflex, gag reflex, blink reflex.
CNS (Central Nervous System): brain + spinal cord. Brain parts: Forebrain: cerebrum (highest functions — thought, language, voluntary movement, sensory), limbic system (emotion, memory, smell), thalamus (relay station), hypothalamus (homeostasis, autonomic). Midbrain: visual and auditory reflexes, reticular activating system. Hindbrain: pons (breathing rhythm, sleep), cerebellum (coordination, balance, fine motor), medulla oblongata (vital functions — heart rate, blood pressure, breathing). Spinal cord: 31 segments (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal). Reflex centre. Ascending (sensory) and descending (motor) tracts. PNS (Peripheral Nervous System): Somatic: voluntary (skeletal muscle control). Motor: CNS → skeletal muscle. Sensory: receptors → CNS. Autonomic: involuntary (smooth muscle, cardiac muscle, glands). Sympathetic (fight-or-flight): thoracolumbar. Parasympathetic (rest-and-digest): craniosacral.