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Nerve Impulses When a neuron is not actively transmitting a

nerve impulse, it is in a resting state, ready


Generating Nerve Impulses to transmit a nerve impulse. During the
resting state, the sodium-potassium pump
● A nerve impulse, like a lightning maintains a difference in charge across the
strike, is an electrical phenomenon. cell membrane of the neuron. The
A nerve impulse occurs because of sodium-potassium pump is a mechanism of
active transport that moves sodium ions out
a difference in electrical charge of cells and potassium ions into cells. The
across the plasma membrane of a sodium-potassium pump moves both ions
neuron. How does this difference in from areas of lower to higher concentration,
using energy in ATP and carrier proteins in
electrical charge come about? The
the cell membrane. Figure 11.4.3 shows in
answer involves ions, which are greater detail how the sodium-potassium
electrically charged atoms or pump works. Sodium is the principal ion in
the fluid outside of cells, and potassium is
molecules.
the principal ion in the fluid inside of cells.
These differences in concentration create
an electrical gradient across the cell
Resting Potential membrane, called resting potential. Tightly
controlling membrane resting potential is
critical for the transmission of nerve
impulses.

Action Potential

An action potential, also called a nerve


impulse, is an electrical charge that travels
along the membrane of a neuron. It can be
generated when a neuron’s membrane
potential is changed by chemical signals
from a nearby cell. In an action potential,
the cell membrane potential changes
Figure 11.4.2 quickly from negative to positive as sodium
The sodium-potassium pump maintains the ions flow into the cell through ion channels,
resting potential of a neuron. There is more while potassium ions flow out of the cell, as
negative charge inside than outside the cell shown in Figure 11.4.3
membrane. ATP is used to pump sodium
out and potassium into the cell. There is
more concentration of sodium outside the
membrane and more concentration of
potassium inside the cell due to the unequal
movement of these ions by the pump
Figure 11.4.3: An action potential speeds
along an axon in milliseconds. Sodium ions
flow in and cause the action potential, and The first channels to open are the sodium
then potassium ions flow out to reset the
resting potential. ion channels, which allow sodium ions to
enter the cell. The resulting increase in
positive charge inside the cell (up to about
+40 mV) starts the action potential. This is
called the depolarization of the membrane.
Potassium ion channels then open, allowing
potassium ions to flow out of the cell, which
ends the action potential. The inside of the
membrane becomes negative again. This is
called repolarization of the membrane. Both
of the ion channels then close, and the
sodium-potassium pump restores the
resting potential of -70 mV. The action
potential will move down the axon toward
the synapse like a wave would move along
the surface of the water. Figure 11.4.4
shows the change in potential of the axon
Figure 11.4.4: An action potential graph of membrane during an action potential. The
membrane potential over time. A neuron nerve goes through a brief refractory period
must reach a certain threshold in order to before racing resting potential. During the
begin the depolarization step of reaching refractory period, another action potential
the action potential. The figure also shows cannot be generated. In myelinated
the change in potential during the neurons, ion flows occur only at the nodes
repolarization and refractory periods of the of Ranvier. As a result, the action potential
axon. signal "jumps" along the axon membrane
from node to node rather than spreading
The change in membrane potential results smoothly along the membrane, as they do
in the cell becoming depolarized. An action in axons that do not have a myelin sheath.
potential works on an all-or-nothing basis. This is due to a clustering of Na+ and K+
That is, the membrane potential has to ion channels at the Nodes of Ranvier.
reach a certain level of depolarization, Unmyelinated axons do not have nodes of
called the threshold, otherwise, an action Ranvier, and ion channels in these axons
potential will not start. This threshold are spread over the entire membrane
potential varies but is generally about 15 surface.
millivolts (mV) more positive than the cell's
resting membrane potential. If a membrane
depolarization does not reach the threshold Transmitting Nerve Impulses
level, an action potential will not happen.
You can see in Figure 11.4.4 that two
depolarizations did not reach the threshold
level of -55mV.
The place where an axon terminal meets proteins called ion channels that span the
another cell is called a synapse. This is membrane. Ion channels have different
configurations: open, closed, and inactive,
where the transmission of a nerve impulse
as illustrated in Figure
to another cell occurs. The cell that sends 42.2.1
the nerve impulse is called the presynaptic
42.2.1. Some ion channels need to be
cell, and the cell that receives the nerve
activated in order to open and allow ions to
impulse is called the postsynaptic cell.
pass into or out of the cell. These ion

Some synapses are purely electrical and channels are sensitive to the environment

make direct electrical connections between and can change their shape accordingly. Ion

neurons. However, most synapses are channels that change their structure in

chemical synapses. The transmission of response to voltage changes are called

nerve impulses across chemical synapses voltage-gated ion channels. Voltage-gated

is more complex. ion channels regulate the relative


concentrations of different ions inside and
Nerve Impulse Transmission within a outside the cell. The difference in total
Neuron charge between the inside and outside of

For the nervous system to function, neurons the cell is called the membrane potential.

must be able to send and receive signals.


These signals are possible because each
neuron has a charged cellular membrane (a
voltage difference between the inside and
the outside), and the charge of this
membrane can change in response to
neurotransmitter molecules released from
other neurons and environmental stimuli. To
understand how neurons communicate, one
must first understand the basis of the
baseline or ‘resting’ membrane charge.
Figure 42.2.1
42.2.1: Voltage-gated ion channels open in
Neuronal Charged Membranes response to changes in membrane voltage.
After activation, they become inactivated for
The lipid bilayer membrane that surrounds a a brief period and will no longer open in
neuron is impermeable to charged response to a signal.
molecules or ions. To enter or exit the
neuron, ions must pass through special
Resting Membrane Potential are leaving the cell than are entering, this
causes the interior of the cell to be
A neuron at rest is negatively charged: the negatively charged relative to the outside of
inside of a cell is approximately 70 millivolts the cell. The actions of the sodium
more negative than the outside (−70 mV, potassium pump help to maintain the resting
note that this number varies by neuron type potential, once established. Recall that
and by species). This voltage is called the sodium potassium pumps bring two K+ ions
resting membrane potential; it is caused by into the cell while removing three Na+ ions
differences in the concentrations of ions per ATP consumed. As more cations are
inside and outside the cell. If the membrane expelled from the cell than taken in, the
were equally permeable to all ions, each inside of the cell remains negatively
type of ion would flow across the membrane charged relative to the extracellular fluid. It
and the system would reach equilibrium. should be noted that calcium ions (Cl–) tend
Because ions cannot simply cross the to accumulate outside of the cell because
membrane at will, there are different they are repelled by negatively-charged
concentrations of several ions inside and proteins within the cytoplasm.
outside the cell, as shown in the table
below. The difference in the number of
positively charged potassium ions (K+)
inside and outside the cell dominates the
resting membrane potential (Figure
42.2.2. When the membrane is at rest, K+
ions accumulate inside the cell due to a net
movement with the concentration gradient.
The negative resting membrane potential is
created and maintained by increasing the
concentration of cations outside the cell (in
the extracellular fluid) relative to inside the
cell (in the cytoplasm). The negative charge
within the cell is created by the cell
membrane being more permeable to
potassium ion movement than sodium ion
movement. In neurons, potassium ions are
maintained at high concentrations within the
cell while sodium ions are maintained at
high concentrations outside of the cell. The
cell possesses potassium and sodium
leakage channels that allow the two cations
to diffuse down their concentration gradient.
However, the neurons have far more
potassium leakage channels than sodium
leakage channels. Therefore, potassium
diffuses out of the cell at a much faster rate
than sodium leaks in. Because more cations
42.2.2: The (a) resting membrane potential channels close and cannot be opened. This
is a result of different concentrations of Na+ begins the neuron's refractory period, in
and K+ ions inside and outside the cell. A which it cannot produce another action
nerve impulse causes Na+ to enter the cell, potential because its sodium channels will
resulting in (b) depolarization. At the peak not open. At the same time, voltage-gated
action potential, K+ channels open and the K+ channels open, allowing K+ to leave the
cell becomes (c) hyperpolarized. cell. As K+ ions leave the cell, the
membrane potential once again becomes
negative. The diffusion of K+ out of the cell
Action Potential actually hyperpolarizes the cell, in that the
membrane potential becomes more
A neuron can receive input from other negative than the cell's normal resting
neurons and, if this input is strong enough, potential. At this point, the sodium channels
send the signal to downstream neurons. will return to their resting state, meaning
Transmission of a signal between neurons they are ready to open again if the
is generally carried by a chemical called a membrane potential again exceeds the
neurotransmitter. Transmission of a signal threshold potential. Eventually the extra K+
within a neuron (from dendrite to axon ions diffuse out of the cell through the
terminal) is carried by a brief reversal of the potassium leakage channels, bringing the
resting membrane potential called an action cell from its hyperpolarized state, back to its
potential. When neurotransmitter molecules resting membrane potential.
bind to receptors located on a neuron’s
dendrites, ion channels open. At excitatory
synapses, this opening allows positive ions
to enter the neuron and results in
depolarization of the membrane—a
decrease in the difference in voltage
between the inside and outside of the
neuron. A stimulus from a sensory cell or
another neuron depolarizes the target
neuron to its threshold potential (-55 mV).
Na+ channels in the axon hillock open,
allowing positive ions to enter the cell
(Figure 42.2.3 and Figure 42.2.4). Once
the sodium channels open, the neuron
completely depolarizes to a membrane
potential of about +40 mV. Action potentials
are considered an "all-or-nothing" event, in Figure 42.2.3
that, once the threshold potential is The formation of an action potential can be
reached, the neuron always completely divided into five steps: (1) A stimulus from a
depolarizes. Once depolarization is sensory cell or another neuron causes the
complete, the cell must now "reset" its target cell to depolarize toward the
membrane voltage back to the resting threshold potential. (2) If the threshold of
potential. To accomplish this, the Na+ excitation is reached, all Na+ channels open
and the membrane depolarizes. (3) At the terminals where it can initiate
peak action potential, K+ channels open neurotransmitter release. The speed of
and K+ begins to leave the cell. At the same conduction of an action potential along an
time, Na+ channels close. (4) The axon is influenced by both the diameter of
membrane becomes hyperpolarized as K+ the axon and the axon’s resistance to
ions continue to leave the cell. The current leak. Myelin acts as an insulator that
hyperpolarized membrane is in a refractory prevents current from leaving the axon; this
period and cannot fire. (5) The K+ channels increases the speed of action potential
close and the Na+/K+ transporter restores conduction. In demyelinating diseases like
the resting potential. multiple sclerosis, action potential
conduction slows because current leaks
Potassium channel blockers, such as from previously insulated axon areas. The
amiodarone and procainamide, which are nodes of Ranvier, illustrated in Figure
used to treat abnormal electrical activity in 42.2.5
the heart, called cardiac dysrhythmia, 42.2.5 are gaps in the myelin sheath along
impede the movement of K+ through the axon. These unmyelinated spaces are
voltage-gated K+ channels. Which part of about one micrometer long and contain
the action potential would you expect voltage gated Na+ and K+ channels. Flow
potassium channels to affect? of ions through these channels, particularly
the Na+ channels, regenerates the action
potential over and over again along the
axon. This ‘jumping’ of the action potential
from one node to the next is called saltatory
conduction. If nodes of Ranvier were not
present along an axon, the action potential
would propagate very slowly since Na+ and
K+ channels would have to continuously
regenerate action potentials at every point
along the axon instead of at specific points.
Nodes of Ranvier also save energy for the
neuron since the channels only need to be
present at the nodes and not along the
entire axon.

Myelin and the Propagation of the Action


Potential

For an action potential to communicate


information to another neuron, it must travel 42.2.5: Nodes of Ranvier are gaps in myelin
along the axon and reach the axon coverage along axons. Nodes contain
voltage-gated K+ and Na+ channels. Action In this article, we shall look at the stages of
potentials travel down the axon by jumping synaptic transmission and clinical conditions
from one node to the next. that arise in its pathology.

Synaptic Transmission
Chemical Synapse
The synapse or “gap” is the place where
information is transmitted from one neuron When an action potential reaches the axon
to another. Synapses usually form between terminal it depolarizes the membrane and
axon terminals and dendritic spines, but this opens voltage-gated Na+ channels. Na+
is not universally true. There are also ions enter the cell, further depolarizing the
axon-to-axon, dendrite-to-dendrite, and presynaptic membrane. This depolarization
axon-to-cell body synapses. The neuron causes voltage-gated Ca2+ channels to
transmitting the signal is called the open. Calcium ions entering the cell initiate
presynaptic neuron, and the neuron a signaling cascade that causes small
receiving the signal is called the membrane-bound vesicles, called synaptic
postsynaptic neuron. Note that these vesicles, containing neurotransmitter
designations are relative to a particular molecules to fuse with the presynaptic
synapse—most neurons are both membrane. Synaptic vesicles are shown in
presynaptic and postsynaptic. There are two Figure 42.2.6 which is an image from a
types of synapses: chemical and electrical. scanning electron microscope.

A synapse is a gap that is present between


two neurones. Action potentials are
propagated across the synapse by synaptic
transmission, also known as
neurotransmission. The neurone that sends
the signal is the presynaptic neurone, whilst
the postsynaptic neurone receives the
signal.

Neurotransmission starts with the release of


a readily available neurotransmitter from the
presynaptic neurone, followed by its
diffusion and binding to the postsynaptic
receptors. Then the postsynaptic cell
responds according to the neurotransmitter.
Following this, the neurotransmitter is
removed or deactivated, allowing the entire
cycle to occur again.
Communication at chemical synapses
requires release of neurotransmitters. When
the presynaptic membrane is depolarized, synaptic cleft so the postsynaptic
voltage-gated Ca2+ channels open and membrane can “reset” and be ready to
allow Ca2+ to enter the cell. The calcium receive another signal. This can be
entry causes synaptic vesicles to fuse with accomplished in three ways: the
the membrane and release neurotransmitter neurotransmitter can diffuse away from the
molecules into the synaptic cleft. The synaptic cleft, it can be degraded by
neurotransmitter diffuses across the enzymes in the synaptic cleft, or it can be
synaptic cleft and binds to ligand-gated ion recycled (sometimes called reuptake) by the
channels in the postsynaptic membrane, presynaptic neuron. Several drugs act at
resulting in a localized depolarization or this step of neurotransmission. For
hyperpolarization of the postsynaptic example, some drugs that are given to
neuron. Alzheimer’s patients work by inhibiting
acetylcholinesterase, the enzyme that
degrades acetylcholine. This inhibition of
The binding of a specific neurotransmitter the enzyme essentially increases
causes particular ion channels, in this case neurotransmission at synapses that release
ligand-gated channels, on the postsynaptic acetylcholine. Once released, the
membrane to open. Neurotransmitters can acetylcholine stays in the cleft and can
either have excitatory or inhibitory effects on continually bind and unbind to postsynaptic
the postsynaptic membrane, as detailed in receptors.
the table below. For example, when
acetylcholine is released at the synapse
between a nerve and muscle (called the
neuromuscular junction) by a presynaptic
neuron, it causes postsynaptic Na+
channels to open. Na+ enters the
postsynaptic cell and causes the
postsynaptic membrane to depolarize. This
depolarization is called an excitatory
postsynaptic potential (EPSP) and makes
the postsynaptic neuron more likely to fire
an action potential. Release of
neurotransmitters at inhibitory synapses
causes inhibitory postsynaptic potentials
(IPSPs), a hyperpolarization of the
presynaptic membrane. For example, when
the neurotransmitter GABA
(gamma-aminobutyric acid) is released from
a presynaptic neuron, it binds to and opens
Cl- channels. Cl- ions enter the cell and
hyperpolarize the membrane, making the
neuron less likely to fire an action potential.

Once neurotransmission has occurred, the


neurotransmitter must be removed from the

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