Most drugs affecting the nervous system work as a result of their effects on synapses. Such drugs may affect the release of neurotransmitters, or they may modify their effects.
Most drugs affecting the nervous system work as a result of their effects on synapses. Such drugs may affect the release of neurotransmitters, or they may modify their effects.
The nervous system contains billions of neurons, of which there are 3 main types: sensory neurons, which carry signals from sense receptors into the central nervous system (CNS); motor neurons, which carry signals from the CNS to muscles or glands; and interneurons, which form all the complex electrical circuitry within the CNS itself.
When a neuron transmits (“fires”) an electrical impulse, a chemical called a neurotransmitter is released from the axon terminals at synapses (junctions with other neurons). This neurotransmitter may make a muscle cell contract, cause an endocrine gland to release a hormone, or affect an adjacent neuron.
Different stimuli excite different types of neurons to fire. Sensory neurons, for example, may be excited by physical stimuli, such as cold or pressure. The activity of most neurons is controlled by the effects of neurotransmitters released from adjacent neurons. Certain neurotransmitters generate a sudden change in the balance of electrical potential inside and outside the cell (an “action potential”), which occurs at one point on the cell’s membrane and flows at high speed along it. Others stabilize neuronal membranes, preventing an action potential. Thus, the firing pattern of a neuron depends on the balance of excitatory and inhibitory influences acting on it.
If the cell body of a neuron is damaged or degenerates, the cell dies and is never replaced. A baby starts life with the maximum number of neurons, which decreases continuously thereafter.... neuron
Two types of sperm cells are produced: one contains 22 autosomes and a Y sex chromosome (see SEX CHROMOSOMES); the other, 22 autosomes and an X sex chromosome. All the ova, however, produced by normal meiosis have 22 autosomes and an X sex chromosome.
Two divisions of the NUCLEUS occur (see also CELLS) and only one division of the chromosomes, so that the number of chromosomes in the ova and sperms is half that of the somatic cells. Each chromosome pair divides so that the gametes receive only one member of each pair. The number of chromosomes is restored to full complement at fertilisation so that the zygote has a complete set, each chromosome from the nucleus of the sperm pairing up with its corresponding partner from the ovum.
The ?rst stage of meiosis involves the pairing of homologous chromosomes which join together and synapse lengthwise. The chromosomes then become doubled by splitting along their length and the chromatids so formed are held together by centromeres. As the homologous chromosomes – one of which has come from the mother, and the other from the father – are lying together, genetic interchange can take place between the chromatids and in this way new combinations of GENES arise. All four chromatids are closely interwoven and recombination may take place between any maternal or any paternal chromatids. This process is known as crossing over or recombination. After this period of interchange, homologous chromosomes move apart, one to each pole of the nucleus. The cell then divides and the nucleus of each new cell now contains 23 and not 46 chromosomes. The second meiotic division then occurs, the centromeres divide and the chromatids move apart to opposite poles of the nucleus so there are still 23 chromosomes in each of the daughter nuclei so formed. The cell divides again so that there are four gametes, each containing a half number (haploid) set of chromosomes. However, owing to the recombination or crossing over, the genetic material is not identical with either parent or with other spermatozoa.... meiosis
A pharmaceutical preparation of acetylcholine is instilled into the anterior chamber of the eye as a *miotic during intraocular surgery.... acetylcholine
– the corpus callosum. Other clefts or ?ssures (sulci) make deep impressions, dividing the cerebrum into lobes. The lobes of the cerebrum are the frontal lobe in the forehead region, the parietal lobe on the side and upper part of the brain, the occipital lobe to the back, and the temporal lobe lying just above the region of the ear. The outer 3 mm of the cerebrum is called the cortex, which consists of grey matter with the nerve cells arranged in six layers. This region is concerned with conscious thought, sensation and movement, operating in a similar manner to the more primitive areas of the brain except that incoming information is subject to much greater analysis.
Numbers of shallower infoldings of the surface, called furrows or sulci, separate raised areas called convolutions or gyri. In the deeper part, the white matter consists of nerve ?bres connecting di?erent parts of the surface and passing down to the lower parts of the brain. Among the white matter lie several rounded masses of grey matter, the lentiform and caudate nuclei. In the centre of each cerebral hemisphere is an irregular cavity, the lateral ventricle, each of which communicates with that on the other side and behind with the third ventricle through a small opening, the inter-ventricular foramen, or foramen of Monro.
BASAL NUCLEI Two large masses of grey matter embedded in the base of the cerebral hemispheres in humans, but forming the chief part of the brain in many animals. Between these masses lies the third ventricle, from which the infundibulum, a funnel-shaped process, projects downwards into the pituitary body, and above lies the PINEAL GLAND. This region includes the important HYPOTHALAMUS.
MID-BRAIN or mesencephalon: a stalk about 20 mm long connecting the cerebrum with the hind-brain. Down its centre lies a tube, the cerebral aqueduct, or aqueduct of Sylvius, connecting the third and fourth ventricles. Above this aqueduct lie the corpora quadrigemina, and beneath it are the crura cerebri, strong bands of white matter in which important nerve ?bres pass downwards from the cerebrum. The pineal gland is sited on the upper part of the midbrain.
PONS A mass of nerve ?bres, some of which run crosswise and others are the continuation of the crura cerebri downwards.
CEREBELLUM This lies towards the back, underneath the occipital lobes of the cerebrum.
MEDULLA OBLONGATA The lowest part of the brain, in structure resembling the spinal cord, with white matter on the surface and grey matter in its interior. This is continuous through the large opening in the skull, the foramen magnum, with the spinal cord. Between the medulla, pons, and cerebellum lies the fourth ventricle of the brain.
Structure The grey matter consists mainly of billions of neurones (see NEURON(E)) in which all the activities of the brain begin. These cells vary considerably in size and shape in di?erent parts of the brain, though all give o? a number of processes, some of which form nerve ?bres. The cells in the cortex of the cerebral hemispheres, for example, are very numerous, being set in layers ?ve or six deep. In shape these cells are pyramidal, giving o? processes from the apex, from the centre of the base, and from various projections elsewhere on the cell. The grey matter is everywhere penetrated by a rich supply of blood vessels, and the nerve cells and blood vessels are supported in a ?ne network of ?bres known as neuroglia.
The white matter consists of nerve ?bres, each of which is attached, at one end, to a cell in the grey matter, while at the other end it splits up into a tree-like structure around another cell in another part of the grey matter in the brain or spinal cord. The ?bres have insulating sheaths of a fatty material which, in the mass, gives the white matter its colour; they convey messages from one part of the brain to the other (association ?bres), or, grouped into bundles, leave the brain as nerves, or pass down into the spinal cord where they end near, and exert a control upon, cells from which in turn spring the nerves to the body.
Both grey and white matter are bound together by a network of cells called GLIA which make up 60 per cent of the brain’s weight. These have traditionally been seen as simple structures whose main function was to glue the constituents of the brain together. Recent research, however, suggests that glia are vital for growing synapses between the neurons as they trigger these cells to communicate with each other. So they probably participate in the task of laying down memories, for which synapses are an essential key. The research points to the likelihood that glial cells are as complex as neurons, functioning biochemically in a similar way. Glial cells also absorb potassium pumped out by active neurons and prevent levels of GLUTAMATE – the most common chemical messenger in the brain – from becoming too high.
The general arrangement of ?bres can be best understood by describing the course of a motor nerve-?bre. Arising in a cell on the surface in front of the central sulcus, such a ?bre passes inwards towards the centre of the cerebral hemisphere, the collected mass of ?bres as they lie between the lentiform nucleus and optic thalamus being known as the internal capsule. Hence the ?bre passes down through the crus cerebri, giving o? various small connecting ?bres as it passes downwards. After passing through the pons it reaches the medulla, and at this point crosses to the opposite side (decussation of the pyramids). Entering the spinal cord, it passes downwards to end ?nally in a series of branches (arborisation) which meet and touch (synapse) similar branches from one or more of the cells in the grey matter of the cord (see SPINAL CORD).
BLOOD VESSELS Four vessels carry blood to the brain: two internal carotid arteries in front, and two vertebral arteries behind. These communicate to form a circle (circle of Willis) inside the skull, so that if one is blocked, the others, by dilating, take its place. The chief branch of the internal carotid artery on each side is the middle cerebral, and this gives o? a small but very important branch which pierces the base of the brain and supplies the region of the internal capsule with blood. The chief importance of this vessel lies in the fact that the blood in it is under especially high pressure, owing to its close connection with the carotid artery, so that haemorrhage from it is liable to occur and thus give rise to stroke. Two veins, the internal cerebral veins, bring the blood away from the interior of the brain, but most of the small veins come to the surface and open into large venous sinuses, which run in grooves in the skull, and ?nally pass their blood into the internal jugular vein that accompanies the carotid artery on each side of the neck.
MEMBRANES The brain is separated from the skull by three membranes: the dura mater, a thick ?brous membrane; the arachnoid mater, a more delicate structure; and the pia mater, adhering to the surface of the brain and containing the blood vessels which nourish it. Between each pair is a space containing ?uid on which the brain ?oats as on a water-bed. The ?uid beneath the arachnoid membrane mixes with that inside the ventricles through a small opening in the fourth ventricle, called the median aperture, or foramen of Magendie.
These ?uid arrangements have a great in?uence in preserving the brain from injury.... divisions
Sensory These carry signals to the central nervous system (CNS) – the BRAIN and SPINAL CORD – from sensory receptors. These receptors respond to di?erent stimuli such as touch, pain, temperature, smells, sounds and light.
Motor These carry signals from the CNS to activate muscles or glands.
Interneurons These provide the interconnecting ‘electrical network’ within the CNS.
Structure Each neurone comprises a cell body, several branches called dendrites, and a single ?lamentous ?bre called an AXON. Axons may be anything from a few millimetres to a metre long; at their end are several branches acting as terminals through which electrochemical signals are sent to target cells, such as those of muscles, glands or the dendrites of another axon.
Axons of several neurones are grouped
together to form nerve tracts within the brain or spinal cord or nerve-?bres outside the CNS. Each nerve is surrounded by a sheath and contains bundles of ?bres. Some ?bres are medullated, having a sheath of MYELIN which acts as insulation, preventing nerve impulses from spreading beyond the ?bre conveying them.
The cellular part of the neurones makes up the grey matter of the brain and spinal cord – the former containing 600 million neurones. The dendrites meet with similar outgrowths from other neurones to form synapses. White matter is the term used for that part of the system composed of nerve ?bres.
Functions of nerves The greater part of the bodily activity originates in the nerve cells (see NERVE). Impulses are sent down the nerves which act simply as transmitters. The impulse causes sudden chemical changes in the muscles as the latter contract (see MUSCLE). The impulses from a sensory ending in the skin pass along a nerve-?bre to affect nerve cells in the spinal cord and brain, where they are perceived as a sensation. An impulse travels at a rate of about 30 metres (100 feet) per second. (See NERVOUS IMPULSE.)
The anterior roots of spinal nerves consist of motor ?bres leading to muscles, the posterior roots of sensory ?bres coming from the skin. The terms, EFFERENT and AFFERENT, are applied to these roots, because, in addition to motor ?bres, ?bres controlling blood vessels and secretory glands leave the cord in the anterior roots. The posterior roots contain, in addition to sensory ?bres, the nerve-?bres that transmit impulses from muscles, joints and other organs, which among other neurological functions provide the individual with his or her
proprioceptive faculties – the ability to know how various parts of the body are positioned.
The connection between the sensory and motor systems of nerves is important. The simplest form of nerve action is that known as automatic action. In this, a part of the nervous system, controlling, for example, the lungs, makes rhythmic discharges to maintain the regular action of the respiratory muscles. This controlling mechanism may be modi?ed by occasional sensory impressions and chemical changes from various sources.
Re?ex action This is an automatic or involuntary activity, prompted by fairly simple neurological circuits, without the subject’s consciousness necessarily being involved. Thus a painful pinprick will result in a re?ex withdrawal of the affected ?nger before the brain has time to send a ‘voluntary’ instruction to the muscles involved.
Voluntary Actions are more complicated than re?ex ones. The same mechanism is involved, but the brain initially exerts an inhibitory or blocking e?ect which prevents immediate re?ex action. Then the impulse, passing up to the cerebral hemispheres, stimulates cellular activity, the complexity of these processes depending upon the intellectual processes involved. Finally, the inhibition is removed and an impulse passes down to motor cells in the spinal cord, and a muscle or set of muscles is activated by the motor nerves. (Recent advances in magnetic resonance imaging (MRI) techniques have provided very clear images of nerve tracts in the brain which should lead to greater understanding of how the brain functions.) (See BRAIN; NERVOUS SYSTEM; SPINAL CORD.)... neuron(e)