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MEMBRANEMEMBRANE
PHYSIOLOGYPHYSIOLOGY
Anita Ocampo-So, MD, FPSP, DPBA, MHA
Professor
Nervous SystemNervous System
A complex array of specialized
structures which serve to:
• Receive
• Store
• Transmit information
• Consist of the CNS and the PNS
• Neuron- basic unit of the NS
– 1 trillion neurons
NeuronsNeurons
• Made up of dendrites
• Soma
• Axon- axon terminal
• Has different organelles but no
centromere
• Classification according to
1. structure
2. Form
3. covering – Schwann cells
NeuronsNeurons
NeuronsNeurons
• structures aside from organelles
1. astrocytes
2. microglia
3. oligodendroglia – apoptosis
NeuronsNeurons
• Bell-Magendie Law
• Afferent – sensory
• Efferent – motor
• Afferent  200,000 interneuron 
10 efferent
NeuronsNeurons
Classification of NerveClassification of Nerve
FibersFibers
Class Conduction
Velocity
(m/sec)
Size
( μm)
Functions
A α 70-120 12-20 Proprioception
Somatic motor
β 30-70 5-12 Touch pressure
γ 15-30 3-6 Motor to muscle
spindle
δ 12-30 2-5 Pain,touch, cold
temp
B 3-5 <3 Preganglionic,
Autonomic
C 0.5-2 0.4-1.2 pain, temperature,
mechanoreception
Classification of NerveClassification of Nerve
FibersFibers
Coverings of NerveCoverings of Nerve
FibersFibers
1. endoneurium
2. perineurium
3. epineurium
Coverings of NerveCoverings of Nerve
FibersFibers
Properties of NerveProperties of Nerve
FibersFibers
1. Excitability
2. Conductivity
Myelinated FibersMyelinated Fibers
• Schwann cells
• Nodes of Ranvier
• Saltatory Conduction
–Advantages
• faster conduction
• saves energy
• less loss of ions
Myelinated FibersMyelinated Fibers
Resting MembraneResting Membrane
PotentialPotential
• Cells under resting conditions have an
electrical potential difference across
their plasma membrane. This potential
is the Resting Membrane Potential
(RMP)
• The cytoplasm is electrically (-) relative
to the ECF
• The RMP plays a vital role in the
excitability of nerve and muscle cells
and in other cellular responses
Genesis of the RMPGenesis of the RMP
1.Distribution of ions
• movement of ions depend on:
a. Concentration
b. Electrical potential difference
• if forces are equal = no movement
– Nernst equation
– Nernst equilibrium
EMF (mo) = (-)61log conc 1/conc 0
= (+)61
Genesis of the RMPGenesis of the RMP
– Gibbs-Donnan equilibrium
– Goldman-Hodgkin-Katz
2. Selective Permeability of the Membrane
3. Na+
- K+
pump
• RMP
– skeletal muscle (-)90mV
– nerve (-) 70 mV
Action PotentialAction Potential
Action PotentialAction Potential
• All-or-Nothing Principle
• Strength – duration curve
–Rheobase
–Utilization time
–Chronaxie
Refractory PeriodsRefractory Periods
• Absolute Refractory Period
• Relative Refractory Period
–nerve fibers are not
susceptible to fatigue
• Accommodation
Refractory PeriodsRefractory Periods
Local Excitatory States
• subthreshold stimulus
• inadequate duration of applications
According to their location
• receptor potential
• synaptic potential
• pacemaker potential
• end-plate potential
In general, moves the RMP closer to the
threshold potential
Synapse and SynapticSynapse and Synaptic
TransmissionTransmission
Synapse
• an anatomically specialized junction
between two neurons
• important in the transport of nerve
signals from one neuron (presynaptic) to
the next neuron (postsynaptic)
– 100 quadrillon synapses in the CNS
– 2 types
a. Electrical
b. Chemical
Presynaptic andPresynaptic and
Postsynaptic NeuronPostsynaptic Neuron
Presynaptic neuron
• has lots of mitochondria
• has NTs inside vesicles
• usual forms are ; round, dense, flat and
sphenoid
• intertwining – cerebellum
• basket and climbing – midbrain
Postsynaptic neuron
• contains the receptor proteins
Presynaptic andPresynaptic and
Postsynaptic NeuronPostsynaptic Neuron
Presynaptic
Postsynaptic
Presynaptic andPresynaptic and
Postsynaptic TransmissionPostsynaptic Transmission
1. axo-axonic
2. axo-dendritic
3. axo-somatic
Characteristics ofCharacteristics of
SynapsesSynapses
1.convergence
2.divergence
3.facilitation
4.post-tetanic potentiation
5.fatigue
6.after discharge
Characteristics ofCharacteristics of
SynapsesSynapses
7. subliminal fringe
8. occlusion
9. reverberation
10.inhibition
11.summation
– temporal
– spatial
Synaptic ResponsesSynaptic Responses
1. excitatory postsynaptic
potential
– can be graded response
which will bring the RMP
closer to the TP
2. inhibitory postsynaptic potential
– makes the membrane
hyperpolarized
Classes ofClasses of
NeurotransmittersNeurotransmitters
1. Acetylcholine
2. Biogenic amines – catecholamines,
serotonin, histamine
3. Amino acids – glutamate, GABA
4. Neuropeptides – endogenous opioids
5. Miscellaneous – nitric acid,
adenosine
Factors Affecting SynapticFactors Affecting Synaptic
EffectivenessEffectiveness
1. Presynaptic factors
2. Postsynaptic factors
3. General factors
ModulatorsModulators
Chemical messengers that elicit
complex responses that cannot
be described as either IPSPs
or EPSPs
Factors Affecting SynapticFactors Affecting Synaptic
TransmissionTransmission
1. acid-base states
a. alkalosis
b. acidosis
2. oxygen and CO2 concentrations
• Drugs
– those that excite
– those that inhibit
Neuromuscular JunctionNeuromuscular Junction
and N-M Transmissionand N-M Transmission
NeurotransmitterNeurotransmitter
ReceptorsReceptors
• metabotropic receptors
• ionophore
Acetylcholine SynthesisAcetylcholine Synthesis
and Metabolismand Metabolism
• Acetyl choline cholinesterase
acetate + choline
Events during N-MEvents during N-M
TransmissionTransmission
Action potential in Presynaptic Motor axon terminal
Increase in Ca++
ion permeability and influx of Ca++
into the Axon Terminal
Release of Ach from the Synaptic Vesicles into the
Synaptic Cleft
Diffusion of Ach to Postjunctional membrane
Events during N-MEvents during N-M
TransmissionTransmission
Combination of Ach with specific receptors on
postjunctional membrane
Increase in permeability of postjunctional
membrane to Na++ and K+ causes EPP
Depolarization of areas of Muscle membrane
adjacent to end plate and initiation of AP
Factors affecting NMFactors affecting NM
TransmissionTransmission
1. Ions
2. Drugs – curare, antibiotics
3. Acid – base conditions
4. Temperature
Clinical ApplicationsClinical Applications
• Hemicholiniums
• Curare
• Myasthenia Gravis
• Denervation supersensitivity
• Eaton-Lambert Myasthenia
Syndrome
Thank YouThank You
andand
Good DayGood Day

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