Kummer Flashcards

(149 cards)

1
Q

Spinal cord
structure

A

grey matter (within) -> soma
white matter (outside) -> fibers
past L1 vertebrae no spinal cord, only cauda equina

dorsal horn: somatosensory fibers, somata in DRG (pseudounipolar neurons)
lateral horn: sympathetic fibers for ANS
ventral horn: motor neurons

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2
Q

different fiber qualities

A
  • somato-motor: efferent, voluntary movements of striated muscle
  • somato-sensible: afferent, general body sensation
  • viscero-motor: efferent, involuntary movement of smooth musculature
  • viscero-sensible: afferent, body sensation of organs
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3
Q

afferent

A

transmission towards CNS

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4
Q

efferent

A

transmission towards periphery (away from CNS)

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5
Q

transmission towards periphery

A

efferent

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6
Q

transmission towards CNS

A

afferent

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7
Q

autonomic NS

A

sympathicus and parasympathicus
innervates all organs except skeletal muscule

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8
Q

sympathicus

A

fight or flight
- GANGLIA: paravertebral interconnected to sympathetic tract
- PRE-GANG: from thoracic and lumbar segments, NT is ACh, direct innervation of adrenal medulla
- POST-GANG: to target, NT is NA except to sweat glands (ACh)
- RECEPTORS: metabotropic A/NA (qiss)

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9
Q

sympthicus
ganglia

A

paravertebral interconnected to sympathetic tract

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10
Q

sympathicus
pre-ganglionic neurons

A

from thoracic and lumbar segments
NT is ACh
to second order neurons, except direct innervation of adrenal medulla

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11
Q

sympathicus
post-ganglionic fibers

A

to target
NT is NA, except to sweat glands (ACh)

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12
Q

sympathicus
receptors of targte organs

A

metabotropic A/NA receptors
alpha1&2, beta 1&2 (qiss)

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13
Q

parasympathicus

A

rest and digest (recovery of organism)

  • GANGLIA: close to target organ
  • NT: pre- and post-ganglionic fibers both use ACh
  • RECEPTORS: nAChR or mAChR (M1&3 Gq, M2&4 Gi)
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14
Q

parasympathicus
ganglia

A

close to target organ

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15
Q

parasympathicus
pre-ganglionic fibers

A

from medulla oblongata and sacral segments
NT is ACh

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16
Q

parasympathicus
post-ganglionic fibers

A

NT is ACh

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17
Q

parasympathicus
NT

A

ACh pre and post-ganglionic

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18
Q

sympathicus
NT

A

ACh preganglionic
A/NA postgaglionic

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19
Q

ganglionic
receptors

A

nAChR
mAChR (M1&3 Gq, M2&4 Gi)

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20
Q

mAChR

A

target organs of parasympathicus
M1&3 Gq
M2&4 Gi

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21
Q

Cranial nerves
I

A

N. olfactorius
smell

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22
Q

Cranial nerves
II

A

N. opticus
sight, crossing of nasal portion in chiasma opticum

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23
Q

Cranial nerves
III

A

N. occulomotorius
eye movement with IV and VI

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24
Q

Cranial nerves
IV

A

N. trochlearis
eye movement with III and VI

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25
Cranial nerves V
N. trigeminus N. ophthalamicus, N. maxillaris, N. mandibularis
26
Cranial nerves VI
N. abducens eyemovement with III and IV
27
Cranial nerves VII
N. facialis taste buds and mimic
28
Cranial nerves VIII
N. vestibulocochelaris hearing and balance
29
Cranial nerves IX
N. glossopharyngeus middle ear, palate, pharynx
30
Cranial nerves X
N. vagus parasympathicus
31
Cranial nerves XI
N. accessorius M. trapezius and M. sternocleidomastoideus
32
Cranial nerves XII
N. hypoglossus tongue
33
N. olfactorius
Cranial nerve I smell
34
N. opticus
Cranial nerve II sight nasal portions cross in optic chiasma
35
N. occulomotorius
Cranial nerve III eye movment with IV and VI
36
N. trochlearis
Cranial nerve IV eye movement with III and VI
37
N. trigeminus
Cranial nerve V N. ophthalamicus, N. maxillaris, N. mandibularis
38
N. abducens
Cranial nerve VI eye movement with III and IV
39
N. facialis
Cranial nerve VII taste buds and mimic
40
N. vestibulocochlearis
Cranial nerve VIII hearing and balance
41
N. glossopharyngeus
Cranial nerve IX midear, palate and pharynx
42
N. vagus
Cranial nerve X parasympathicus
43
N. accessorius
Cranial nerve XI M. trapezius, M. sternocleidomastoideus
44
N. hypoglossus
Cranial nerve XII tongue
45
meninges
Dura mater arachnoidea Pia mater
46
macroscopic structure cortex
two hemispheres by longitudinal fissure Sulcus centralis separates frontal and parietal lobe Sulcus lateralis separates parital and temporal lobe Sulcus parieto-occipitalis separates parietal and occipital lobe
47
vetricles
2 lateral, 3 and 4 contain CSF, acts as blood in brain
48
cortex architecture
organized in 6 layers - Stratum moleculare - granulosum and pyramidale externum - granulosum and pyramidale internum - Stratum multiforme organized in cortical columns as processing unit of brain (eventually)
49
comissural fibers
interconnect hemispheres corpus callosum as biggest structure, with anterior and posterior comissure
50
Thalamus
primary input region, projects to cortix -> RELAY AND FILTERING - LATERAL GENICULATE NUCLEUS: relay station for visual tract - MEDIAL GENICULATE NUCLEUS: relay station for auditory tract
51
brain region relaying and filtering
Thalamus - LATERAL GENICULATE NUCLEUS: relay station for visual tract - MEDIAL GENICULATE NUCLEUS: relay station for auditory tract
52
Lateral geniculate nucleus
part of Thalamus (relay and filter) relay station for visual tract
53
Medial geniculate nucleus
part of Thalamus (relay and filter) relay station for auditory tract
54
Hippocampus
memory and learning via LTP
55
brain region memory and learning
hippocampus via LTP
56
amygdala
emotions close proximity and strongly interconnected to hippocampus
57
brain region emotion
amygdala close proximity and strongly interconnected to hippocampus
58
cerebellum
movement coordination motor control -> fine tuning, movement learning contains purkinje cells alterations in cerebellum activity in depression and addiction
59
brain region movement coordination
cerebellum motor control -> fine tuning, movement learning contains purkinje cells alterations in cerebellum activity in depression and addiction
60
glutamatergic system receptors
AMPA: ionotroptic, tetramer NMDA: ionotropic, tetramer Kainate: ionotropic, hetero- or monomers mGluR: 3 groups -> 1&5 Gq, 2&3 Gi/o, 4 &6-8 Gi/o
61
AMPA "meric" structure iono vs metabotropic
tetramer ionotropic
62
NMDA "meric" structure iono vs metabotropic
tetramer ionotropic
63
Kainate "meric" structure iono vs metabotropic
heterodimers or monomers ionotropic
64
mGluR types
3 groups, metabotropic (Class C) - 1&5 Gq - 2&3 Gi/o - 4, 6-8 Gi/o
65
GABAergic system Receptors
GABA-A: ionotropic, cys-loop receptor, pentamer GABA-B: metabotropic, Gi/o
66
GABA-A "meric" structure iono vs metabotropic
cys-loop receptor pentamer ionotropic (Cl)
67
GABA-B iono vs metabotropic
metabotropic (Class B) Gi/o
68
dopaminergic system
main DA populations in midbrain (VTA and SN) SN - Striatum - basal ganglia (impaired in PD) VTA-mesolimbic circuit: reward and addiction, depression, psychosis D1-like receptors (DRD1 and 5) Gs D2-like receptors (DRD2-4) Gi
69
dopaminergic circuit pathways
SN - Striatum - basal ganglia (impaired in PD) VTA - mesolimbic circuit: reward and addiction, depression, psychosis
70
D1-like receptors
DA receptors metabotropic DRD1 and DRD5 Gs
71
D2-like receptors
DA receptors metabotropic DRD2-4 Gi
72
Pramipexole
targetd DRD3 alternative to L-DOPA to prevent Levodopa-induced dyskinesia
73
noradrenergic system
precursor of A/NA is DA receptors are metabotropic -> quiss main locus = locus coeruleus project to brain areas and spinal cord (descending pain control)
74
serotonin system
ionotropic: 5HTR3, cys loop, excitatory metabotopic: 5HTR1 &5 Gi/o, 5HTR2 Gq/11, 5HTR4-7 Gs main loci = Raphe nuclei project to brain areas and spinal cord (descending pain control)
75
noradrenergic neurons location and projection
main locus = LOCUS COERULEUS project to other brain areas and spinal cord (descending pain control)
76
precursor A/NA
DA
77
alpha1 receptor
A/NA Gq
78
alpha2 receptor
A/NA Gi
79
beta1 receptor
A/NA Gs
80
beta2 receptor
A/NA Gs but also Gi reported
81
beta3 receptor
A/NA Gs
82
adrenergic receptors iono vs metabotropic
metaboropic (qiss)
83
serotonin receptors iono vs metabotropic
5HT3 ionotropic others metabotropic 5HTR1 &5 Gi/o, 5HTR2 Gq/11, 5HTR4-7 Gs
84
serotonin neurons locus and projection
main locus is RAPHE NUCLEI project to other brain areas and spinal cord (Descending pain control)
85
5HT1R
metabotropic serotonin receptor Gi/o
86
5HT5R
metabotropic serotonin receptor Gi/o
87
5HT2R
metabotropic serotonin receptor Gq/11
88
5HT3R
ionotropic serotonin receptor cys loop, excitatory
89
5HT4R
metabotropic serotonin receptor Gs
90
5HT5R
metabotropic serotonin receptor Gs
91
5HT6R
metabotropic serotonin receptor Gs
92
5HT7R
metabotropic serotonin receptor Gs
93
cholinergic system
located among others in Nucleus basalis Myenert apparently relevant to cognition and attention (AD) nAChR: ionotropic cys loop receptor (excitatory) mAChR: metabotropic (M1 like M1,3 and 5 Gq) (M2 like M2,4 Gi/o)
94
cholinergic neurons localization
among others: Ncl. basalis Myenert
95
cholinergic neurons function
apparently relevant to cognition and attention (AD)
96
cholinergic system receptors
nAChR: ionotropic cys loop receptor (excitatory) mAChR: metabotropic (M1 like M1,3 and 5 Gq) (M2 like M2,4 Gi/o)
97
mAChR
- M1 like: M1, M2 and M3, Gq - M2 like: M2 and M4, Gi/o
98
cortical IN subdivisions
PV+: ca. 40% of cortical IN SST+: ca 30% 5HT3aR+: ca 30%
99
types of IN influence in neuronal circuits
- recurrent inhibition: activated neuron activates self-inhibiting IN - feed-forward inhibition: neuron activates IN, IN inhibits other neuron - desinhibition: IN inhibits IN, subsequent neuron is desinhibited
100
recurrent inhibition
activated neuron activates self-inhibiting IN
101
feed-forward inhibition
neuron activates IN, IN inhibits other neuron
102
desinhibition
IN inhibits IN, subsequent neuron is desinhibited
103
spinal cord reflex circuit
pain of stubbed toe to DRG DRG activates motor neuron (extensor) collateral of motor neuron activates Ranshaw cell Ranshaw cell inhibits flexor
104
retinal contrast enhancement circuit
lateral inhibition of neighbouring photoreceptors by horizontal cells (IN)
105
Striatal neuron populations
- MSN: GABAergic projection neurons, express D1 or D2 or both - ChAT+: TANs, cholinergic IN - GABAergic IN: PV+ (FS) or NPY+ (LTS)
106
MSN
medium spiny neurons GABAergic projection neurons of striatum express D1 or D2 or both input from other MSN collaterals, somatic inhibition by PV+ or ChAT+ input from Thalamus, cortex, amygdala, DA/5HT/NA-midbrain
107
input on MSN
- from other MSN collaterals, somatic inhibition by PV+ or ChAT+ - from Thalamus, cortex, amygdala, DA/5HT/NA-midbrain
108
Striatum GABAergic projection neurons
MSN (medium spiny neurons) express D1 or D2 or both input from other MSN collaterals, somatic inhibition by PV+ or ChAT+ input from Thalamus, cortex, amygdala, DA/5HT/NA-midbrain
109
Striatum TANs
tonically-active aspiny (inter)neurons ChAT+ IN excitatory input from cortex and Thalamus inhibitory input from MSN axon collateralls DA input activate DA termials
110
Striatum ChAT+ IN
tonically-active aspiny (inter)neurons (TANs) excitatory input from cortex and Thalamus inhibitory input from MSN axon collateralls DA input activate DA termials
111
input on ChAT+
excitatory input from cortex and Thalamus inhibitory input from MSN axon collateralls DA input activate DA termials
112
Hippocampus structure
Dentate gyrus Cornu ammonis: 4 distinct layer (lacunosum moleculare - radiatum - pyramidale - oriens)
113
hippocampal microcircuitry
entorhinal cortex over perforant pathway to DG over mossy fibers to CA3 over Schaffer collterals glutamatergic to CA1 in CA1 via AMPA/NMDA LTP
114
hippocampal microcircuitry PP
perforant pathway to DG
115
hippocampal microcircuitry MF
mossy fibers from DG to CA3
116
hippocampal microcircuitry SC
Schaffer collaterals glutamatergic transmission from CA3 to CA1
117
hippocampal microcircuitry experiment LTP
stimulus of pre-synaptic fibers in perforant pathway recording of EPSPs in CA1 prolonged signal detection if high-frequency stimulation beforehand
118
basal ganglia function
selection and implementation of purposeful actions in response to external and internal cues facilitating of movement also emotions, language, descicion making, working memorry, etc
119
basal ganglia included brain regions
- Striatum - Globus palllidus - Substantia nigra - Subthalamic nucleus
120
neuronal populations Striatum
- MSN (GABAergic projection neurons) - ChAT+ IN - GABAergic IN (PV+ FS, NYP+ LTS)
121
neuronal populations Globus pallidus
- PV+: GABAergic, FS, to brainstem and thalamus - PV-: GABAergic, to brainstem and thalamus, collateral projections to striatum
122
neuronal populations subthalamic nucleus
- excitatory glutamatergic neurons (two distinct subpopulations projections to GP and SN) - few GABAergic IN
123
neuronal populations Substantia nigra
- PARS COMPATA: dopaminergic neurons project to dorsal striatum and preforntal cortex (nigro-striatal and nigro-prefrontal tract) - PARS RETICULATA: GABAergic neurons project to thalamus, superior colliculus and motor cortex
124
MC - Str - Thalamus direct pathway
MC and SNc active Glu and DA to striatal D1-expressing cells (GABAergic) more GABA to GPi and SNr less GABA to Thalamus -> DESINHIBITED Glu to MC
125
MC - Str - Thalamus indirect DA pathway
MC and SNc active Glu and DA to striatal D2-expressing cells (GABAergic) less GABA to GPe more GABA to STN less Glu to GPi and SNr less GABA to Thalamus -> DESINHIBITED Glu to MC
126
MC - Str - Thalamus indirect Glu pathway
MC and SNc not active less Glu and DA to D2-expressing cells (GABAergic) no D2 inhibition and more GABA to GPe less GABA to STN more Glu to GPi and SNr more GABA to Thalalmus -> INHIBITED less Glu to MC
127
MC - Str - Thalamus MC
motor cortex Glu to Striatum
128
MC - Str - Thalamus SNc
DA to Striatum (D1 and D2) project to GPi and SNr or GPe
129
MC - Str - Thalamus GPe
GABAergic input from D2-expressing MSN (striatum) project to STN
130
MC - Str - Thalamus STN
glutamatergic input from GPe (GABA) project to GPi and SNr
131
MC - Str - Thalamus GPi
GABAergic input from D1-expressing MSN (striatum, GABA) or STN (Glu) projects to Thalamus (GABA)
132
MC - Str - Thalamus SNr
GABAergic input from D1-expressing MSN (striatum, GABA) or STN (Glu) projects to Thalamus (GABA)
133
somatosensation crossing the midline
- pain, temperature and coarse touch cross in spinal cord segment - fine touch, vibration and proprioception cross in medulla
134
mechanoreceptors of the skin
- Merkel corposculum: light perpendicular touch, SAI - Ruffini corposculum: tangential skin stretch, SAII - Meissner corposculum: low freq.vibrations, RA - Pacini corposculum: high freq. vibrations, PC
135
Merkel corposculum
light perpendicular touch, SAI
136
Ruffini corposculum
tangential stretch, SAII
137
Meissner corposculum
low frequency vibration, RA
138
Pacini corposculum
high frequency vibration, PC
139
receptors for noxious stimuli
- mechanical force: Piezo - cold: TRPM8 - heat: TRPV1 - chemicals: ASIC (acid sensing ion channel)
140
Hyperalgesia
excessively strong pain sensation same stimulus leads to increased receptor potetial cause is usually in spinal cord or neuronal
141
Allodynia
usually not painful stimuli are painful reduced stimulus leads to same receptor potential cause is ususally nerve ending focused (e.g. reduced opening threshhold of receptors)
142
Resting pain
pain sensation without mechanical or thermal stimulus
143
Pain and inflammation
inflammatory soup (cytokines, chemokines, peptides, K+, ATP, etc) stimulates nociceptors -> ANTIDROMIC AXON REFLEX leads to SP and CGRP release -> SP increases permeability -> CGRP increases vasodilation -> mast cell degranulation (histamine) NEUROGENIC INFLAMMATION
144
Neurogenic inflammation
caused by inflammatory stimuli inducing an antidormic axon reflex (SP and CGRP release)
145
Substance P
increases permeability, mast cell degranulation released by antidromic axon reflex in response to inflammatory stimuli
146
CGRP
Calcitonin Gene-Related Peptide - increases vasodilation, mast cell degranulation - released by antidromic axon reflex in response to inflammatory stimuli
147
sensitization (pain, increase)
pain is a plastic sensation -> can be increased and decreased, also interconnected with emotions (e.g. depression can lead to sensitization) - central sensitization via LTP - peripheral sensitization by inflammatory mediators
148
gate control theory
sensation has to compete with other sensory information true for pain, attention, hearing, etc.
149
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