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Attachments 2012 03_7
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Attachments 2012 03_7


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  • 1. Synapse and NMJ Dr Irum Rehman
  • 2. DEFINITION“ The site of connection of motor neuron with skeletal muscle making a functional contact is called as NEUROMUSCULAR JUNCTION.”
  • 3. Neuromuscular Junction- Neuromuscular Junction A neuromuscular junction exists between a motor neuron and a skeletal muscle.- Synapse A junction between two excitable tissues.
  • 4. INNERVATION OF SKELETAL MUSCLE FIBERSLarge, myelinated nerve fibersOriginate from large motor neurons in the anterior horns of the spinal cordEach nerve fiber, branches and stimulates from three to several hundred skeletal muscle fibersThe action potential initiated in the muscle fiber by the nerve signal travels in both directions toward the muscle fiber ends
  • 5. MOTOR END PLATE• The nerve fiber forms a complex of branching nerve terminals that invaginate into the surface of the muscle fiber but lie outside the muscle fiber plasma membrane• Entire structure - motor endplate.• Covered by one or more Schwann cells that insulate it from the surrounding fluids.
  • 6. AXON TERMINAL• SYNAPTIC VESICLES – Size 40 nanometers – Formed by the Golgi apparatus in the cell body of the motor neuron in the spinal cord. – Transported by axoplasm to the neuromuscular junction at the tips of the peripheral nerve fibers. – About 300,000 of these small vesicles collect in the nerve terminals of a single skeletal muscle end plate.
  • 7. • MITOCHONDRIA – Numerous – Supply ATP – Energy source for synthesis of excitatory neurotransmitter, acetylcholine• DENSE BARS – Present on the inside surface of neural membrane
  • 8. • VOL TAGE GATED CALCIUM CHANNELS – Protein particles that penetrate the neural membrane on each side 0f dense bar – When an action potential spreads over the terminal, these channels open and calcium ions diffuse to the interior of the nerve terminal. – The calcium ions, exert an attractive influence on the acetylcholine vesicles, drawing them to the neural membrane adjacent to the dense bars.
  • 9. – The vesicles then fuse with the neural membrane and empty their acetylcholine into the synaptic space by the process of exocytosis– Calcium acts as an effective stimulus for causing acetylcholine release from the vesicles– Acetylcholine is then emptied through the neural membrane adjacent to the dense bars and binds with acetylcholine receptors in the muscle fiber membrane
  • 10. MUSCLE FIBER MEMBRANE• SYNAPTIC TROUGH – The muscle fiber membrane where it is invaginated by a nerve terminal and a depression is formed• SYNAPTIC CLEFT – The space between the nerve terminal and the fiber membrane is called the synaptic space or synaptic cleft
  • 11. • SUBNEURAL CLEFT – Numerous smaller folds of the muscle membrane at the bottom of the gutter – Greatly increase the surface area.• ACETYLCHOLINE RECEPTORS – Acetylcholine-gated ion channels – Located almost entirely near the mouths of the sub neural clefts lying immediately below the dense bar areas
  • 12. ACETYLCHOLINE RECEPTORS• Acetylcholine-gated ion channels• Molecular weight -275,000
  • 13. • SUBUNITS – Two alpha, one each of beta, delta, and gamma – Penetrate all the way through the membrane – Lie side by side in a circle- form a tubular channel – Two acetylcholine molecules attach to the two alpha subunits, opens the channel• RESTING STATE – 2 Ach molecules not attached to the alpha subunit – Channel remains constricted
  • 14. • OPENED Ach CHANNEL – 2 Ach molecules attached to the alpha subunit of receptor – Diameter- 0.65 nanometer – Allows important positive ions—SODIUM, potassium, and calcium to move easily through the opening. – Disallows negative ions, such as chloride to pass through because of strong negative charges in the mouth of the channel that repel these negative ions.
  • 15. • SODIUM IONS – Far more sodium ions flow through the acetylcholine channels to the inside than any other ions – The very negative potential on the inside of the muscle membrane, –80 to –90 mili volts, pulls the positively charged sodium ions to the inside of the fiber – Simultaneously prevents efflux of the positively charged potassium ions when they attempt to pass outward
  • 16. • END PLATE POTENTIAL – Opening the acetylcholine-gated channels allows large numbers of sodium ions to pour to the inside of the fiber – Sodium ions carry with them large numbers of positive charges – Creates a local positive potential change inside the muscle fiber membrane, called the end plate potential. – End plate potential initiates an action potential that spreads along the muscle membrane – Causes muscle contraction
  • 17. Events of Neuromuscular Junction Propagation of an action potential to a terminal button of motor neuron. Opening of voltage-gated Ca2+ channels. Entry of Calcium into the terminal button. Release of acetylcholine (by exocytosis). Diffusion of Ach across the space. Binding of Ach to a receptor on motor end plate.
  • 18. Examples of Chemical Agents and Diseases that Affect the NeuromuscularMechanism that Junction Chemicals or DiseaseAlters Release of Acetylcholine* Cases explosive release of acetylcholine * Black widow spider venom* Blocks release of acetylcholine * Clostridium botulinum toxinBlock acetylcholine Receptor* Bind reversibly * Curare* Auto antibodies inactivate acetylcholine * Myasthenia gravis receptorsPrevents inactivation of acetylcholine* Irreversibly inhibits acetylcholinesterase * Organophosphates* Temporary inhibits acetylcholinesterase * Neostigmine
  • 19. Synapse• Definition• Types• Anatomical and Physiological
  • 20. Properties/ Characteristics• A combination of neurotransmitter and a synapse will always be either3 Excitatory Or2 Inhibitory
  • 21. One-way conduction• Synapses generally permit conduction of impulses in one-way i.e. – from pre-synaptic to – post-synaptic neuron.
  • 22. Spatial Summation in Neurons• Excitation of a single presynaptic terminal?? – 0.5 to 1 millivolt• 10 to 20 millivolts - required to reach threshold• Many presynaptic terminals are usually stimulated at the same time.• Add to one another until neuronal excitation• Spatial summation – Summing simultaneous postsynaptic potentials by activating multiple terminals on widely spaced areas of the neuronal membrane
  • 23. Temporal Summation• A presynaptic terminal fire – changed postsynaptic potential – lasts up to 15 milliseconds• Second opening of the same channels -increase the postsynaptic potential to - still greater level• Successive discharges from a single presynaptic terminal• Rapid enough- add to one another• This type of summation is called Temporal summation.
  • 24. Facilitation of Neurons• If the summated postsynaptic potential is excitatory………….• But has not risen high enough to reach the threshold• The neuron is said to be facilitated.• Another excitatory signal - excite the neuron very easily
  • 25. Fatigue of Synaptic Transmission.• When excitatory synapses are repetitively stimulated at a rapid rate• Number of discharges by the postsynaptic neuron is at first very great• But the firing rate becomes progressively less in succeeding milliseconds or seconds.• Fatigue of synaptic transmission.• Protective mechanism – Against excess neuronal activity • Prevent over excitation
  • 26. Mechanism Of Fatigue• Exhaustion or partial exhaustion of the stores of transmitter substance• Progressive inactivation of many of the postsynaptic membrane receptors• Slow development of abnormal conc. of ions inside the postsynaptic neuronal cell
  • 27. Effect of Acidosis or Alkalosis on Synaptic Transmission.• Neurons are highly responsive to changes in pH• Alkalosis greatly increases neuronal excitability – 8.0 often causes cerebral epileptic seizures• Acidosis greatly depresses neuronal activity; – a fall in pH from 7.4 to below 7.0 – Severe diabetic or uremic acidosis, – Coma
  • 28. Effect of Hypoxia• Neuronal excitability is also highly dependent on an adequate supply of oxygen.• Cessation of oxygen for only a few seconds can cause complete inexcitability of some neurons – If Brain’s blood flow is temporarily interrupted, – Within 3 to 7 seconds, the person becomes unconscious.
  • 29. Effect of DrugsStimulants:• Caffeine, Theophylline, and Theobromine, – found in coffee, tea, and cocoa• By reducing the threshold for excitation of neurons.• Strychnine inhibits the action of some inhibitory transmitter substancesInhibitory• Most Anesthetics increase the neuronal membrane threshold for excitation
  • 30. Synaptic delay Is the minimum time required for transmission across the synapse the synaptic delay 0.5 millisecond.This time is taken by• Discharge of transmitter substance by pre- synaptic terminal• Diffusion of transmitter to post-synaptic membrane• Action of transmitter on its receptor• Action of transmitter to ↑ membrane permeability• Increased diffusion of Na+ to ↑ post-synaptic potential
  • 31. Convergence When manypre-synaptic neurons converge on any singlepost-synaptic neuron
  • 32. Divergence Axons of mostpre-synaptic neurons divide into many branches that divergeto end on many post- synaptic neurons.
  • 33. Properties of synapse• Neurotransmitter receptor complex• One-way conduction• Summation in Neurons• Facilitation of Neurons• Fatigue of Synaptic Transmission• Effect of Acidosis or Alkalosis on Synaptic Transmission• Effect of Hypoxia & Drugs• Synaptic delay• Convergence & Divergence
  • 34. Comparison of Synapse and NMJ