Lecture 4 Introduction Introduction Receptor Physiology
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The Cyprus International Institute for the Environment and Public Health In collaboration with the Harvard School of Public Health Introduction • Peripheral Nervous System Lecture 4 • Afferent Division • Sends information from the PNS to the CNS • Efferent Division The Peripheral Nervous System • Send information from the CNS to the PNS • Afferent Division (181-240) • Visceral afferents (subconscious input) • Pressure, O2, temperature, etc. • Sensory afferents (conscious input) Excluded: adaptation of pacinian corpuscle (185), labeled lines • Somatic sensation (186), acuity (186-187), phototransduction (200-203), on- off- center • Somesthetic sensation from skin • Proprioception from muscle joints, skin and ganglion cells (205) inner ear • Special senses • Vision, hearing, taste and smell • Efferent Division • Autonomic Nervous System Constantinos Pitris, MD, PhD • Cardiac muscle, smooth muscle, most exocrine glands, some endocrine glands, Assistant Professor, University of Cyprus adipose tissue [email protected] • Somatic Nervous system http://www.eng.ucy.ac.cy/cpitris/courses/CIIPhys/ • Skeletal muscle 2 Introduction Receptor Physiology • Sensation ≠ Perception • Receptors • Detect stimulus (detectable change) from different modalities (energy forms) • Perception • e.g. light, heat, sound, pressure, chemical changes • Our understanding (conscious • Adequate stimulus = the stimulus to which the receptor is most sensitive interpretation) of the physical world • Convert forms of energy into electrical signals (action potentials) • An interpretation of the senses • Process is called transduction • Different from what is out there • Types of receptors because • Photoreceptors • Responsive to visible wavelengths of light • Our receptors detect limited number • Mechanoreceptors of existing energy forms • Sensitive to mechanical energy • The information does not reach our • Thermoreceptors brain unaltered. Some features are • Sensitive to heat and cold accentuated and some are • Osmoreceptors suppressed • Detect changes in concentration of solutes in body fluids and resultant changes in osmotic activity • The brain interprets the information • Chemoreceptors and often distorts it (“completes the • Sensitive to specific chemicals picture” or “feels in the gaps”) to • Include receptors for smell and taste and receptors that detect O2 and CO2 concentrations in blood extract conclusions. and chemical content of digestive tract •Nociceptors • Interpretation is affected by cultural, • Pain receptors that are sensitive to tissue damage or distortion of tissue social and personal experiences stored in our memory 3 4 Receptor Physiology Receptor Physiology • Receptors may be • May adapt slowly or rapidly to • Specialized ending of an afferent neuron Chemically gated Diffusion sustained stimulation Æ receptor potential channels chemical • Separate cell closely associated with messenger • Types of receptors according to Receptor Slowly peripheral ending of a neuron Æ their speed of adaptation potential adapting generator potential (mV) • Potential generation • Tonic receptors • Separate receptor • Do not adapt at all or adapt slowly Afferent • Muscle stretch receptors, joint • Stimulus causes release of chemical neuron fiber Stimulus messenger Receptor proprioceptors (to continuously strength (separate cell) • Specialized afferent nerve ending receive information regarding Stimulus Stimulus on off • Stimulus alters receptor’s permeability posture and balance) Time which leads to graded receptor potential Voltage-gated channels • Phasic receptors • Usually causes nonselective opening of Rapidly all small ion channels Æreceptor • Rapidly adapting receptors adapting Off response (generator) potentials. • Tactile receptors in skin (the reason • The magnitude of the receptor potential Receptor you don’t “feel” your clothes or potential represents the intensity of the stimulus. watch) (mV) • A receptor potential of sufficient magnitude can produce an action • Adaptation is not the same as Afferent potential. neuron fiber habituation (synapse changes in Receptor Stimulus • This action potential is propagated along (separate cell) the CNS) strength an afferent fiber to the CNS. Stimulus Stimulus 5 6 on off Time Pain Pain • Pain • Three categories of nociceptors • Primarily a protective mechanism meant • Mechanical nociceptors • Respond to mechanical damage such as to bring a conscious awareness that cutting, crushing, or pinching tissue damage is occurring or is about to • Thermal nociceptors occur • Respond to temperature extremes • Storage of painful experiences in • Polymodal nociceptors memory helps us avoid potentially • Respond equally to all kinds of damaging harmful events in future stimuli • Presence of prostaglandins (released • Sensation of pain is accompanied by after tissue injury) motivated behavioral responses and • Lowers nociceptors threshold for activation emotional reactions • Greatly enhances receptor response to • Subjective perception can be influenced noxious stimuli by other past or present experiences • Aspirin-like drugs inhibit their synthesis Æ (Are you afraid of your dentist?) analgesic effect • Nociceptors do not adapt to sustained or repetitive stimulation 7 8 Pain Pain • Characteristics of pain • Two best known pain neurotransmitters Fast Pain Slow Pain • Substance P Somatosensory (Location of pain) Other cortical (Experience and Occurs on stimulation of mechanical Occurs on stimulation of polymodal • Glutamate cortex areas deliberation of pain) and thermal nociceptors nociceptors Higher (Perception of pain) Thalamus Carried by small, myelinated A-delta Carried by small, unmyelinated C fibers • Substance P brain fibers • Activates ascending (Behavioral and Hypothalamus emotional responses Produces sharp, prickling sensation Produces dull, aching, burning pathways that limbic system to pain) sensation transmit nociceptive Brain Reticular ( Alertness) signals to higher formation Easily localized Poorly localized stem Noxious levels for further stimulus Occurs first Occurs second, persists for longer time, more unpleasant processing Spinal cord Provoked and sustained by release of bradykinin Afferent pain fiber Substance P Nociceptor 9 10 Pain Pain • Glutamate • Brain has built in analgesic system • Suppresses transmission in pain pathways as they enter • Major excitatory spinal cord neurotransmitter • Suppress release of Substance P • Causes hypersensitivity in the • Depends on presence of opiate receptors • Endogenous opiates (morphine like substances) – area endorphins, enkephalins, dynorphin • Protection mechanism for • Factors which modulate pain healing and against further • Exercise (“runner’s high”) • Stress (survival mechanism) damage • Acupuncture • How does a sunburn feel? No perception of pain Periagueductal To thalamus gray matter Opiate Reticular receptor formation Noxious stimulus Endogenous opiate Transmission of pain impulses to brain blocked Afferent pain fiber Substance P 11 12 Nociceptor Vision Vision • Eye • Eye • Sensory organ for vision • Spherical, fluid-filled structure enclosed by three tissue layers Suspensory ligament Extrinsic eye muscle • Mechanisms that help protect • Sclera/cornea Choroid eyes from injury • Sclera – tough outer layer of Ciliary body Lacrimal Glands connective tissue; forms visible white • Eyeball is sheltered by bony Retina (under eyelid) part of the eye Conjunctiva socket in which it is positioned Sclera • Cornea – anterior, transparent outer •Eyelids layer through which light rays pass into Iris • Act like shutters to protect eye interior of eye Fovea from environmental hazards • Choroid/ciliary body/iris • Eyelashes • Choroid - middle layer underneath Pupil sclera which contains blood vessels • Trap fine, airborne debris such that nourish retina Lens as dust before it can fall into • Choroid layer is specialized anteriorly eye Cornea to form ciliary body and iris Optic nerve • Tears Aqueous humor • Retina Optic disc Canal for tear Pupil Sclera • Continuously produced by • Innermost coat under choroid Vitreous humor drainage Iris Blood vessels lacrimal glands • Consists of outer pigmented layer and • Lubricate, cleanse, bactericidal inner nervous-tissue layer • Rods and cones 13 14 Vision Vision • Eye • Convex structures of eye • Pupil produce convergence of • Round opening through which light enters the eye diverging light rays that reach •Iris • Controls amount of light entering eye eye • Contains two sets of smooth muscle networks • Two structures most • Circular (or constrictor) muscle • Radial (or dilator) muscle important in eye’s refractive • Pigment in iris is responsible for eye color ability are • Unique for each individual • Basis for latest identification technology • Cornea Parasympathetic stimulation Sympathetic stimulation • Contributes most extensively to + + eye’s total refractive ability • Refractive ability remains constant because curvature never changes • Lens • Refractive ability can be adjusted by changing curvature Circular Circular Radial Pupil Iris Radial as needed for near or far vision (constrictor) muscle muscle (dilator) muscle runs of iris of iris muscle runs (accommodation) circularly radially 15 Pupillary constriction 16 Pupillary dilation Vision Vision • Accommodation Far source Near source Normal eye (Emmetropia) Ciliary muscle Far source focused on retina without • Change in strength and shape of lens accommodation Lens • Accomplished by action of ciliary Pupillary Near source focused on retina with muscle and suspensory ligaments