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00:01 This is lecture 10 of Neuroscience and second lecture on neurotransmission. And when

00:08 talk about neural transmission, we talked these different process of amino acid neurotransmitter

00:16 amine peptide. The difference is between release synthesis of neurotransmitters versus peptides.

00:26 non classical neurotransmitters such as adenosine and TP uh also lipid soluble gas ll

00:37 and endocannabinoid. The slide compared and the differences between neurotransmitter and secret granule

00:47 neuropeptide synthesis and release. Also the that they can be co expressed at

00:52 synaptic exon terminals and core releases. thus, exocytosis as we already spoke

01:00 requires that the action potential that gets at the axon initial. Uh the

01:07 hill out here and gets regenerated in not to run beer that once it

01:12 exon terminal, it's the same So you first of all have in

01:16 exon terminal depolarization because of the action and that depolarization and external terminal open

01:25 CALS. So, and the axon and at the nodes of Ron

01:32 you have high densities of voltage gated channels and potassium channels that are necessary

01:37 produce and reproduce the action potential with node of Ron beer, you'll also

01:42 voltage gated sodium and potassium channels at external terminals. But in addition of

01:48 terminals, you also have pretty robust of pre synoptic, we call them

01:54 gated calcium channels. And so when arrives at the exon terminal, it

01:59 local voltage gated calcium channels, influx calcium through these channels will promote the

02:06 of this vesicular Nero in complex with membrane t smear complex. The protein

02:15 complex interactions will bring the membrane of vesicle to the membrane of the neuron

02:21 cause a fusion exocytosis that followed by . So, the vesicle gets recycled

02:29 into the prey terminal. The neurotransmitters will bind to po synoptic receptors and

02:35 either get broken down here. Uh as acetylcholine by acetylcholinesterase or it will

02:42 reimported back, reimported back into the terminals with the transporters. So,

02:52 uh synopsis will have glutamate transporters that bring them back into neurons. And

02:57 will have glutamate transporters and we vesicles load them up back into the

03:01 Gabba synopsis will have Gabba transporters. synopsis will have choline trans support us

03:08 , coding back into the presyn But it's the same kind of a

03:13 and the same uh similar way in these molecules gets released and then recycled

03:20 into the pre synoptic terminals. So image illustrates first of all on the

03:27 , the electron microscopy, it's called electro photo micrograph of uh uh essentially

03:38 photograph and what it shows it shows presumed calcium channels and you can see

03:43 little buttons and they align all along is the active zone, the presci

03:49 zone. And so this is the channels when neuron is not being stimulated

03:56 when neuron is being stimulated, this still those buttons are calcium channels.

04:01 now you're seeing these craters and you're at the presynaptic neuron. And what

04:07 craters are is that these craters is fusion of the vesicle, the vesicle

04:12 fusing and it's releasing its content into synapse which you are facing.

04:17 you are now on the postsynaptic side this presynaptic term. And uh as

04:24 spoke from the very beginning of this , we always wanted to understand different

04:31 of neurons that are present in the . And our understanding of different subtypes

04:35 neurons stemmed originally from understanding the morphology these cells. So how different they

04:42 like and where they located it, also talked about specific markers. So

04:48 molecular profiles that make these neurons subset neurons a different subtype, which is

04:54 a subset of neurons which is a subtype of cells. And uh with

05:01 advent of fast cameras and fast microscopy became increasingly more interested in the functions

05:10 tracking the functions of these neurons. not just using electrophysiology but using,

05:17 imaging techniques with electrophysiology, you're still limited. If you're doing a single

05:24 recording or what we call a field field potential recording, you're still limited

05:31 how many probes you can place underneath microscope. So if you're patching cells

05:36 whole cell patch clamp recordings, you be amazing and you may patch four

05:43 at the same time. And that that in a single experiment, you

05:46 visualize activity in in four cells. uh uh to record activity in poor

05:54 . Electrophysiological activity. Imaging allows you visualize multiple different neurons, multiple different

06:02 . And uh since the seventies or , neuroscientists have been able to develop

06:09 imaging techniques. One of the most techniques for studying function of neurons.

06:16 when you study morphology, a molecular , molecular profile of cell markers may

06:22 the function or of these cells or expression of different molecules. And that

06:29 you profile the molecular profiles, but become increasingly more interested in tracking individual

06:37 . So, calcium imaging is a common way to correlate electrophysiological activity or

06:44 in neurons with increased concentrations in Uh So this is an example of

06:53 sensitive dye and these experiments where uh of these experiments, this one that

06:58 shown was performed by Rodolfo Lina's probably one of the most famous South

07:03 American neuroscientists. And what Rodolfo Li showed is that here, what you're

07:10 at, you're looking here at the of calcium. So it's almost like

07:14 huge map of calcium concentration. So means where there, where there is

07:18 red, that means it's the highest of the calcium and where there's a

07:23 , it's low concentration of the you're looking in particular intracellular calcium

07:29 So remember there's a lot more calcium the outside of the South than there

07:34 on the inside. So this calcium going through Russia inside the South.

07:40 , what is evident here is that neuron is not stimulated, like in

07:44 electron micrograph here, you have these clearly spatially defined peaks if they present

07:51 spatially confined micro concentrations of calcium that obviously located very closely to the vesicles

08:00 the active cells during the stimulation. can see that there's massive influx of

08:07 inside the cell, but you also that spatial specificity. So there's a

08:11 of calcium prey ical and the calcium . Cynical is now going to interact

08:16 the protein complex on the decibel. is calcium sensitive diet. And you're

08:21 at a single cell here, you're really at a single synapses. So

08:25 have a resolution with these island sensitive and the speeds to visualize the release

08:31 neurotransmitters basically or influx of calcium. you have the resolution to do it

08:37 a level of a single synapse. calcium sensitive diet and calcium sensitive

08:43 that means whenever there's increase in it's pretty well correlated with increase in

08:49 or depolarization in neurons. There are sensitive diets, there are potassium sensitive

08:57 . So there are ion sensitive dyes will basically just like you see changes

09:02 calcium levels. We call them spatial patterns because these patterns are in space

09:09 they happen over time before stimulation. follow legal spatial temporal patterns of calcium

09:18 . You can have spatial temporal patterns sodium fluxus. And there are also

09:22 sensitive dyes that instead of tracking the ion of calcium or sodium potassium will

09:30 correlated with the membrane potential changes with depolarizations of hyper polarization. Those dyes

09:37 be applied on the tissue or they be genetically encoded. So you have

09:44 , genetically encoded calcium indicators, which that they already contain a marker for

09:53 inside the cell. And when calcium go up, you can image that

09:58 and you genetically express it. Advantage genetically expressed dyes such as genetically expressed

10:05 sensitive or genetically expressed voltage uh sensitive is that you can drive into specific

10:13 of the brain and with specific you can drive them potentially to be

10:18 within specific subsets of neurons in the sub type of nerves. I only

10:23 to express calcium, let's say only the excited or cells in the hippocampus

10:30 nowhere else. And that's what you do with genetically expressed uh voltage indicators

10:37 JVI. And um remember when we the structure of the voltage gated sodium

10:45 . We said that S four is voltage sensing subunit and a lot of

10:50 dyes and especially the uh uh the dyes that you apply, not

10:56 they penetrate throughout the membrane, but ones that you genetically express, they're

11:02 be targeting those voltage sensing domains. it will be targeting that you attach

11:10 indicator onto a voltage sensor domain and gated sodium channel. That would be

11:16 four transmembrane segment. So, calcium necessary. So you have calcium influx

11:25 exocytosis. It there is a synaptic . It's sort of a calcium uh

11:31 protein. It's a whole protein but one of them is synaptic Tagment

11:36 detects calcium and it detects calcium. allows for the fusion of the v

11:40 vesicular snare with A T snare. have the confirmational change in the proteins

11:46 are activated. The vesicle mene incorporated the presynaptic membrane neurotransmitter is released and

11:54 vesicle is unbound and recovered via the . So what's interesting in the

12:03 And that doesn't happen in the We already talked about how neuromuscular junction

12:08 has an abundance of vasa and so vesicles that get released. And you

12:14 get this potential, which is massive large in amplitude always generates an actual

12:20 of the muscle. When we talk how in CNS, you can have

12:23 smaller boin api potentials because you all any potentially one vesicle cause very small

12:31 by synoptic with the PSP. And addition to that, in some

12:36 you don't even get a full So these uh neurotransmitter vesicles are docked

12:42 primed for release, they're very close the membranes already, the protein complexes

12:49 influx of calcium. Sometimes there's a fusion where the pore opens only partially

12:55 just a little release of neurotransmitter and returns into this position where it can

13:00 primed again, dark and primed So this is referred to as kiss

13:05 run. So the vesicle comes, gives a little puck to the membrane

13:11 a little bit of neurotransmitter but then away. It doesn't commit to the

13:15 release, so to speak. And other instances of the actual potential is

13:21 properly. Calcium and flux is also enough. You have full fusion release

13:27 neurotransmitter. The endocytosis happens to have Claritin coding classics that have been

13:34 They get coated by Claritin, they acidified with a high proton gradient in

13:40 end with the help of A TP then cot transporters. Uh this proton

13:46 will be driving in partial the You have transported that neurotransmitter that prepares

13:53 vesicle the to repeat the whole In some instances, when vesicles get

13:59 up or too used up, they taken back into the early endo home

14:04 they get reprocessed into the new vesicle then placed again into the cycle of

14:10 followed by endocytosis. So we talked how you have excitatory glutamate and inhibited

14:19 and you will keep learning more and about the systems. Uh The next

14:23 is going to be pretty much dedicated glutamate and Gaba signaling. The glutamate

14:28 will cause influx of sodium will cause of cop potential Gaba release and Gaba

14:36 to these lien gated channels will cause of fluoride negative charge, flexible inside

14:41 cell will cause this hyper polarization in form of IP sp. So these

14:47 the major dominant amino acid neurotransmitters. is the major excitatory Gaba is the

14:54 inhibitor neurotransmitter in the seal nuts. these are transmitter gated channels because glutamate

15:00 to bind to this receptor in order open up the channel Gaba has to

15:05 to this receptor in order to open its channel. OK. So they

15:09 receptor channels. So as we talked in these uh neuromuscular junctions, we

15:17 this massive potential and it doesn't mean this potential will always be 40

15:23 It can be 50 millivolts, it be 70 millivolts. But the interesting

15:28 about potential activation in neuromuscular junction is we always have a delta of 40

15:35 millivolts about 45 to about 55. that's always significant enough to drive the

15:41 to produce an action deduction. This the threshold for action production.

15:45 Epp always crosses this threshold However, talked about how in central synapsis you

15:53 have very small responses. And uh we also understand is that there is

16:01 certain number of neurotransmitters inside the So that NASA will contain what we

16:13 to as squatter or quantum quantum amount that neurotransmitter chemical. And it actually

16:23 between 6000 individual molecules. So, , well, that, that's

16:28 That's really standardized quantum unit. it is variation in this amount 2000

16:36 4000, let's say a P Cyl molecules in the, in the

16:41 but it's not between two and 20,000 . So there is some approximate number

16:48 about the same between the 6000 So it's almost double in some

16:55 Uh And in neurons, what we about in neurons, we get these

17:00 small EPSP. So if you have synapse and you stimulate the synapse and

17:06 released a single vesicle here, you're get a very small EPSP and you

17:14 record, you can actually record spontaneous . That's what how it's quite often

17:20 . So, electrophysiological spontaneous activity will you, I drew that in the

17:26 before very small fluctuations like the one just showed you sometimes it'll be

17:31 sometimes it will be hyper polarizing, or large or very large until they

17:38 the threshold. And so you have EP SPS and you have these IP

17:43 . And if you have depolarization and of single neurotransmitter vesicle. You can

17:49 what we call mini, mini miniature potentials. Uh And in these

17:55 potentials, you basically will find the depolarization that you'll always find. And

18:02 they end up being approximately 0.5 millivolts , in size and then you'll find

18:10 of them that will be, let's 1.5 millivolt in size. And what

18:16 means is that if you release one and one synapse, you activate this

18:24 . And if you find something that one millivolt, that means you're now

18:29 two vesicles, two synopsis three times gonna be 1.5 millivolts. And so

18:35 the cell in the C MS to the threshold for action potential, you

18:40 have to simultaneously activate terms of the synopsis or increase the vesicular release or

18:48 repetitive trains of action potentials in order that this epsp can reach the threshold

18:55 like lay potential does so easily at neuromuscular junction. So C MS Synopsis

19:02 not as reliable as the neuromuscular They're not as strong in depolarizations,

19:09 as reliable. It be partial full fusion and small potentials. And

19:17 junction is what we call high fidelity . That means that potential always results

19:25 a twitch of a muscle and you get potential when you have a release

19:31 a single neuromuscular junction. So we used the acetylcholine example in the past

19:40 we'll continue using acetylcholine example. We at it in neuromuscular junction. And

19:45 was very easy in the neuromuscular junction there was only one sub type of

19:50 acetylcholine receptor and that was nicotinic acetylcholine . So, neuromuscular junction only has

19:58 acetylcholine receptors and those are ionotropic. this is the acetyl colony resaca that

20:05 a channel. Remember, neuromuscular junction of a PSE colon receptors caused the

20:11 , initial depolarization in the muscle before opened up voltage gated sodium channels and

20:17 the muscular action potential. So now the CNS, the story is different

20:24 the CNS, we actually have receptor and we also have metabotropic or muscarinic

20:30 coma receptors. They're abbreviated as M RS. So, nicotinic versus muscarinic

20:41 the suit of Colleen it is in synapse. First of all, on

20:46 street and not the terminal, it synthesized with Chat coen aid transferase.

20:52 makes cline a co a chat synthesizes as ach transporter uploads it into the

21:01 vesicle fuses releases ach ach binds to receptor, either the trophic or metabotropic

21:10 these chemicals are released and they bond the receptors, they don't stay there

21:14 forever. They induce a confirmational they'll open a channel and they dissociate

21:20 they float away from those receptors, don't have a covalent bond to the

21:26 that will hold them on there for . So if it is something that

21:30 the channel, we know it's called . And a lot of them are

21:35 agonists. That means that they bind bind, bind and, and

21:38 If there's a lot more of it in the synapse, it may bind

21:43 to another receptor that hasn't altered its yet. But as it induces this

21:51 of nerves and it's in the acetylcholine gets broken down by acetylcholinesterase.

21:58 it has an enzyme that degrades it the synapse into choline acetic acid.

22:05 choline gets transported back into the presynaptic through cline sodium cot transport. So

22:13 has to be reuptake back. This called reuptake of neurotransmitter. And then

22:19 has to get synthesized and to see colline and then it has to have

22:24 ach transported in the vesicle to load up in the vesicle and repeat the

22:30 cycle. So molecules don't stay in synopsis for long. They do their

22:35 binding to the receptor sac and causing response, either ionotropic or metabotropic G

22:42 coupled response. And then they get back in some instances. Acetylcholine,

22:48 get degraded within the actual synapse. , we're gonna talk uh quite a

22:55 about uh but so I don't talk me as we talk about acetylcholine

23:02 And uh there's a section in your that's called bacteria, spiders,

23:07 And you and people used to be on you, but it's and

23:12 So why are we talking about And how is Botox actually relevant to

23:21 or cholinergic neural transforms? So, everybody has heard of botulinum or

23:31 No. So this is uh canned , like if it's improperly stored,

23:37 it's expired, that's why you don't it expired cans to food. Uh

23:41 drives, uh you have to give uh non expired food uh as a

23:48 . So uh quite often there will bacteria that form inside poorly stored or

23:56 or preserved food. And those bacteria generate boche line of toxins and they're

24:04 . And if you eat bad canned , ingestion of these toxins can be

24:11 actually. Uh And why is And how it works? The mechanisms

24:18 action of toxin is by blocking a release. It targets the snare

24:28 Remember, the snare protein is on vesicle side. And so Botox botulinum

24:36 , there's different variations of it A CBD FG. And that's one of

24:44 toxins. Here are these sharkies, they essentially do is they chew up

24:50 protein complexes and these snare and these complexes and they don't allow for the

24:56 protein complexes to inter right? We to have this protein protein complex interaction

25:02 order to bring the vital and cause . So these guys snip off these

25:09 protein complex interactions and interfere with the release a pseudo code. Now let's

25:21 on online and please forgive me if open things that have commercials. So

25:30 guy and his wife are getting like for years, right? So you

25:35 to repeat these treatments. Sometimes they you champagne when you do that because

25:39 encourages people to go, you and relax a little bit as they

25:43 injected in their, in their But why are we talking about that

25:48 is because it, here it deals wrinkles. So it's Botox for Beauty

25:55 it deals with wrinkles, how it with wrinkles by blocking acetylcholine release.

26:01 do we have wrinkles because we move on our face as we talk,

26:06 we gesture and the more we the more we gesture, the more

26:11 we form around our eyes, cheeks, whatnot, forehead. And

26:18 Botox injections do is they block this release. So like he said,

26:24 , look at me seven days look at me 30 days later and

26:29 has a little bit of those wrinkles because his muscles are not contracting now

26:34 much. And therefore there's not really showing off of those wrinkles. So

26:41 amount of this toxin, they they didn't feed him bad canned

26:46 but they controlled the mouth and the the syringe now is a, is

26:51 , is a beauty treatment. You have to repeat it. So

26:56 , his wife is doing it for . How many times a year?

27:01 don't know, some people do it lot, you know, uh and

27:07 the housewives of whatever, how many these they get a year, you

27:12 . So let's go back and look more commercials. Let's go for Botox

27:20 migraine before treating your chronic migraine, or more headache days a month each

27:33 four hours or more. You're not only one with questions about Botox.

27:38 prevents headaches and don't have chronic migraine they even start with about 10 minutes

27:43 treatment once every three months. Look at this, Doctor Botox.

27:48 look at this. This is now we're talking about the Botox treatment

27:53 migraines and this is the regimen. just missed it right here. 10

27:58 of treatment every three months. So three months, you have to get

28:03 injection. All right, they've I believe, close to 200,000

28:10 This is the FDA food and drug . This is the agency that regulates

28:15 the medications and drugs. Uh They it for migraine migraines. It has

28:21 approved for for a while. What's, what's the, what's the

28:28 of action there? Obviously quite a of drugs. We don't know the

28:33 of action. We know now, example, that we're using Botox.

28:37 it's gonna uh inhibit neurotransmitter release a . But a lot of drugs like

28:44 drugs or, or other medications, don't even know mechanisms of action.

28:50 don't exactly know what type of channel mine or after you don't really need

28:56 know that pharmaceutical companies don't really need know that they would like to know

29:03 everybody else would like to know that scientists would like to know that pharmaceutical

29:08 want to make sure it's safe and . And so if it treats

29:13 it treats cancer and it's safe, get the mechanism of action. You

29:18 , it's a scientist that have to more of that work rather than the

29:22 companies. But, and you, either judge yourself, is that good

29:27 is that bad? The more we to know about what drugs do,

29:32 more mechanisms of action already to deliver drug on the market. A billion

29:36 for you. A drug in 10 of work, the army of

29:41 95% of them fail clinical stage three . That's, that's so if you're

29:48 now tell people that are developing the , you must show me all the

29:53 of action in the brain and then stomach is just swallowing and everywhere.

29:58 know, that's another what, 20 years before you have a,

30:01 drug treatment. So it's something You don't think about a lot.

30:07 , the cell drugs we know very the mechanism of action. How do

30:11 do? They target cox one cox anti inflammatories, you know, all

30:16 that. But others, especially newer . Uh so even Blockbuster things,

30:21 don't know about the big Blockbuster. , is. 0000, Z A

30:29 C A, one C inhibitors. a huge thing. Most of them

30:32 injection, there's a pill and the is doing really well, you

30:37 And so, uh, there are also kind of a trends in what

30:41 pharma follows. Uh, so everybody now on the bag bandwagon of a

30:45 C, you know, losing weight a one C 50 cents looks

30:50 but I don't think he went to gym. So anyways, so now

30:56 have it as medicine and it's FDA . Notice the size of injection just

31:03 a video where a guy Ryan which name was getting injections here also.

31:09 it's similar size of injection except you more on the head, on the

31:14 of the head, you go more the back and it reduces some of

31:19 muscle spasms associated with migraines. And mechanisms of action is not very clear

31:25 we are still trying to figure out migraines come about and we know some

31:29 , how they do the cellular mechanisms it but not in, in complete

31:35 overview of what happens during migrants. therefore, it's not exactly clear exactly

31:41 it works with control of migraines. know, in other words, if

31:45 took the pill cholinesterase uh uh something inhibits uh vesicular release, for

31:53 you know, then and would it the same effect? So there's other

31:59 intermediaries and cellular processes that may be . Now, uh Black widow

32:07 we actually have blue, pretty much that's like poisonous, lives in

32:13 It's rattlesnakes on the, on the coast here and on the marshes,

32:19 have funky wasps, you have We don't have Taiwanese Con for

32:25 It looks like it would be in . Uh but black widow spiders we

32:31 inside, they have venom. So lot of these critters will have

32:36 venoms will have different compositions of These venoms can kill um they can

32:45 other animals. Um We just had very interesting talk in our department about

32:52 wasp that injects its venom into, fly larvae and take over the larvae

33:00 actually grow out of it babies out it, you know, so different

33:05 have different functions evolutionarily but they contain molecules lact toin. In this

33:13 black widow spider, it punctures cells depletes calcium and it can facilitate neurotransmitter

33:21 without calcium. Whoa That's really What's going on. So it's probably

33:29 puncturing holes in the cells, making leaky and somehow even without calcium fluxing

33:37 properly, it still is promoting this neurotransmitter release as facilitating. So,

33:45 stops neurotransmitter release. This Lato toin neurotransmitters. Taiwanese cobra expresses alpha bunger

33:55 toxin. Alpha bunger toxin is targeting ay and poin subject. So you

34:04 the cica release, you can inhibit or promote it. You also have

34:10 receptors that you can target and postsynaptic receptors cause desensitization and causes respiratory muscle

34:22 . So, this is a Taiwanese . I mentioned that already in this

34:27 . Who do you call those Who do you call when you get

34:32 by a cour poison control? Don't 911. They won't know anything.

34:42 nobody ever has to do it but control, they know how to deal

34:46 these kind of things and they'll walk through. If you call 911 nurse

34:51 somebody, they'll be like, we'll come pick you up, you

34:55 , you're two hours away. Wait, dead muscle paralysis. So

35:01 when it comes to people, or you or us, we synthesize

35:07 kind of phosphates which are nerve which are chemical weapons such as sarin

35:13 , for example, um, nerve , uh, are illegal in military

35:23 . But they have been used, been used by terrorist organizations and

35:27 There was a famous Tokyo Metro attack the nineties with the nerve gas.

35:36 , last week, uh, Russians Navalny. Supposedly they killed Navalny.

35:43 don't have a confirmation of that. , but this is not the first

35:48 they tried to kill him. They tried to kill him with nerve gas

35:52 I think it's 2020 I believe. . They put it in his under

35:57 he got on the plane and they managed to rescue him and save him

36:04 pump him out. So this the uh attempt is not clear how he

36:09 . If he was poisoned with nerve , there is an uh theory that

36:13 was punched after a long cold When his heart slowed down, he

36:17 punched to basically drive him into a arrest. So it's not clear.

36:23 then why would anybody put nerve gas the underwear? I'll tell you

36:28 First of all, if you put on somebody's hands or their shirt,

36:34 will affect others. These substances are, are quite penetrative on

36:39 Ok? So if you expose it somebody else or something like that through

36:43 , you know, they could be floating up a little bit because their

36:47 is pretty volatile. Ok? So don't want to do that, you

36:52 to target one person. The other is we talk about how is the

36:57 way in the body to get medications drugs, right? We already talk

37:01 of the things you swallow. And we talk about it goes in the

37:04 system, only a fraction of that goes into the guts. It goes

37:08 the blood, it penetrates blood brain into the brain. And we

37:13 oh, nasal sprays are more You can drive something directly into the

37:17 through nasal sprays. Discuss transdermal. said, oh, if you do

37:21 , you bypass the digestive system, get directly into the blood, the

37:26 goes systemically because distributed, right? of the best ways to distribute things

37:31 through either anal or vaginal suppositories because have very strong blood supply in those

37:38 . And you also bypass digestive right? Because it goes directly from

37:44 areas, it goes directly into the . So that's why they put it

37:48 his underwear. Otherwise, if you to uh eliminate a lot of

37:52 you just release it, release it the air, what it does?

37:57 an irreversible ach E inhibitor. So i irreversibly blocks this. Remember we

38:04 about reversible versus irreversible. So irreversible it and want it if they hang

38:09 it if they bound to ach E bo so you have overabundance of

38:17 you have desensitization too much ach you desensitization of ach with Softwares and uh

38:26 basically you now have a, you a problem, you're leaving this uh

38:34 E you're inhibiting it but you now too much ach. So when we

38:40 about neurons in the brain, we signaling in the brain. But a

38:44 of these things is respiratory failure too obviously you have ach signaling in the

38:51 . So as we discussed, including the diaphragm muscles, uh Periton is

38:57 in insecticide, it's toxic in high . It is also uh targeting uh

39:05 acetylcholine system. And finally, the that are called esterase inhibitors. Most

39:14 the Alzheimer's medications on the market are erse inhibitors or sc nease inhibitors.

39:23 , add this to your rolodex page the Alzheimer's disease. We talked about

39:28 cellular pathology, hallmarks of cellular beta amyloid clocks, Tau Tangles.

39:36 talked about symptomology, memory, things that. And then I said,

39:44 about these chemicals as they're involved in neurological disorders. So in Alzheimer's

39:50 there's going to be an early loss cholinergic neurons. Think about how cholinergic

39:56 are confined to these nuclei that we about. So that's all there

39:59 There's just 23 nuclei that produce these neurons. Ok. So what does

40:08 medication do? This medication increases the of acetylcholine because it blocks acetylcholinesterase.

40:16 there's more acetylcholine and there's no cure Alzheimer's disease. So the only thing

40:22 you can do with Alzheimer's disease is can slow down the progression of the

40:27 . Remember, we talked about how , it starts early days, it

40:31 until it can get severe stages of disease. So all it does,

40:36 slows down the progression of the So let's say if the progression of

40:41 disease, let's say it's 10 years the time you have this disease to

40:47 prediction of the terminal end of your , it's 10 years. So what

40:53 medications do is they prolong and alter progression and then the effect of Alzheimer's

41:00 alters it by 20% or more. 10 plus 20% that's 12 years you

41:10 , so it slows down the hopefully gives you a longer lifespan,

41:16 there's nothing that can cure the There's a new medication that came

41:23 That was all the rave last year slows down the progression. About 30%

41:28 not act with cholinergic mechanisms. Um there's also melanin that targets glutamate receptor

41:38 D A receptor. It's used as medication, but most of the stuff

41:41 on the market to treat Alzheimer's disease block acetyl coma service. Yeah.

41:51 the problem? What if you don't acetyl pill in urine? What is

41:57 drug going to do? Nothing? ? So if these neurons are

42:04 that means that there's not enough acetyl being synthesized. So if you put

42:09 drug that really breaks down that, blocks its breakdown, that's not very

42:18 . So you guys have to think new medications for Alzheimer's. This

42:22 you have to think about what else be done. Why can't we just

42:26 a seal codeine? Ok, I don't know about polling and just

42:32 polling and how about injecting it? about spraying it through the nose?

42:39 guys are gonna have to figure out new medications for Alzheimer's disease.

42:44 all right, let's move neuropharmacology. already are becoming pretty good at

42:50 It's really understanding mechanisms of actions of pharmacological agents, drugs and molecules and

42:56 they interact with the neurotransmitter release, they interact with the receptors where they

43:01 and bind on the receptors. study effects of drugs on nervous system

43:07 just like we have agonists which basically open the channels. We also have

43:16 and that can inhibit neurotransmitter receptors antagonists of opening them or activating them.

43:24 can close the receptor channels or it deactivate the metabotropic cascades of those

43:33 defective neurotransmission, influx of calcium or one of these transporters or breakdown of

43:41 . For example, and the synoptic is associated with neurological and psychiatric or

43:49 mental disorders. Carrara is an antagonist aid Cobe himself. So this is

44:00 the presence of Curare. What happens that unplayed potential becomes very small.

44:07 , Kari will block the action potentials the muscle and botulinum toxin acts how

44:19 toxin prevents the vesicle fusion. So , you can target neuropharmacologically. You

44:25 target vesicle release, you can target this case, vesicle release, you

44:30 target postsynaptic receptors or you can target mechanisms in the synapse to transport them

44:38 synthesize or degrade, there's different So Gaba, for example, will

44:45 Gaba, it's an inhibitory synapse and if it binds to Gaba, a

44:51 , which is an ionotropic Gaba receptor will cause influx of fluoride and will

44:58 IP sp with many pre synoptic terminals contain auto receptors, especially Gaba,

45:06 terminals, auto receptors means that this releases Gaba and there are postsynaptic

45:14 But on this pre synoptic membrane, are Gabba B receptors, these are

45:20 receptors. And if you activate Gaba receptor presyn ically, it will now

45:27 this voltage gated calcium channel and block influx of calcium. Therefore, it's

45:33 to block its own Gabor release. this is like a negative feedback

45:42 You're releasing Gaba, small amounts of will target postsynaptic neurons and cause IP

45:50 fees. And if there is more Gaba being released, that GBA can

45:56 and bind to Gaba, the autore which through G protein coupled cascade will

46:03 calcium and block Gaba release and negative to them. So again, you

46:11 target, if you're looking at If you targeted presynaptic Gava B

46:18 you could interfere with and activated this coupled receptor, you could interfere with

46:25 Gaba release sort of like a safety . And it's very common in in

46:33 inhibitor or transmitter release in particular. when we talk about metabotropic signaling,

46:42 signaling, in particular, uh like , this would be like an example

46:49 muscarinic se boline receptor that will like binance of that receptor. It's not

46:54 channel, instead it's activating G protein it contains different subunits and catalytic subunits

47:01 this Eoin complex and interact with the ion channel. In the case of

47:06 aceto colon interacted with potassium channel also of interacting this is referred to as

47:15 shortcut path instead of interacting through duo couple with other ion channels. It

47:21 activate secondary messenger cascades. It can activate enzymes and secondary messenger cascades inside

47:29 cell. So the secondary messenger cascades influence many other molecules inside the

47:36 including transcription factors, uh and the of the nuclear level synaptic integration.

47:47 , it's the process by which multiple potentials combined within one posy tic neurons

47:54 that a single neuron will be receiving of inputs and it will be receiving

48:00 of excitatory inputs. Blue dots blue , be sorry synopsis and then inhibitory

48:09 orange synopsis. And it can receive of inputs within, let's say 20

48:17 . It's a very short time period it's constantly going to be computing and

48:24 and averaging over those inputs. Integrating information. The SOMA has to integrate

48:29 information has to do it within milliseconds that this neuron can decide it might

48:34 follow us enough to produce an action and communicate that information downstream to the

48:40 networks. So there are strategies by neurons summ made their signals,

48:48 And one of those strategies is spatial in spatial summation. This is a

48:55 axon on the lap here with a action potential that causes a small

49:00 But if this neuron, this dendrite receiving three synopsis and the the activation

49:08 the synopsis is immediate at the same . But across space. So this

49:13 spatial summation, you get much larger in the EPSP. Now you have

49:20 three synoptic potentials together into this much GPS P. In other situations,

49:29 will use a strategy of temporal In that case, it's the same

49:36 , the same axon. But instead sending a single Axion control, it

49:41 send the train of action controls down axon repetitively release neurotransmitter, a few

49:48 release more neurotransmitter, a few milliseconds release more neurotransmitter. And what happens

49:54 then you have a temporal summation or in time. And notice that if

50:00 is a without any summation, this spatial summation and this is temporal

50:11 And what you can see is that get the highest depolarization level, the

50:17 effective way is to do spatial summation temporal summation happens over time. So

50:25 gets released, you generated EPSP but EPSP is rep polarizing second neurotransmitter vesicle

50:33 third release. So there is a here. There's a time delay

50:37 OK. It's temporal summation. But is still a good strategy to increase

50:42 depolarization level. Yeah. Would there a period there or no?

50:47 it would be. And each cell have a different refractory period. So

50:53 . Uh it's a very good Then you'll have a few milliseconds delayed

50:57 typically those action potentials will come interspersed a few milliseconds. It will it

51:03 come at a frequency at which the hill can produce them recover. It

51:07 depend on the speed of the action . Good question. OK. Now

51:14 have another issue to deal with is we talked about action potentials, we

51:20 about nodes of Ranvier in this image at the very beginning, we said

51:26 these nodes of Ranveer and Axon Hillock loaded with voltage gated sodium channels.

51:34 So just keep that in mind and regenerates because it's insulated, it's

51:42 Well, that's not the case with guns. So they're not myelinated.

51:48 Axon is special, Axon gets the gets the myelin dendrites do not.

51:54 so what happens is if you have depolarization, let's say this electrode here

51:59 mimics the synaptic input. But let's you produce a strong depolarization, injected

52:05 current. And this is the site the injection which is essentially do.

52:12 the site of an induction will have or maximum amount of current that you

52:17 generate right here with disperse reporting you'll see this massive depolarization.

52:24 if you stick a second electrode, micrometers away a certain distance away and

52:31 forward along this dendritic cable, which see is that it's only a small

52:37 of that depolarization that travels down the . And the rest of this current

52:43 leaks out because of the lack of insulation. So this is non insulated

52:49 the distance distance which from 100%. o over exponential X lambda, lambda

52:59 the length, constant length constant is distance. How far does this signal

53:08 ? And the length constant measures from and exponential decay to 37%.

53:18 This is the lambda here and the here is the length constant of the

53:26 . So the decay exponential decay from to 37%. And that's the white

53:34 . But different cells will have different constants. Some cells will have really

53:41 length constants and other cells will have lengths. What does that mean?

53:51 means that if it's a long length , that means the signal is going

53:56 be able to far travel much farther . If it's a short length

54:04 that means that the signal is going leak out very quickly and will be

54:09 distance away. OK? Within this decay reaching the 37%. Ok.

54:17 in reality, dendrites are not straight , they have very complex branching.

54:23 so the current is gonna be taking turns and branching, right.

54:31 Many dendrites have voltage gated sodium calcium potassium channels. So there's a strategical

54:37 to have a lot of these voltage channels that will promote the flux of

54:43 over the selma. They can act amplifiers of finn potentials rather than just

54:50 leaking the current. So if you the voltage voltage gated channels, you

54:54 boost and continue the travel of this dendritic sodium channels. And some cells

55:00 carry electrical signals in opposite direction from outward along the dendrite. That's how

55:07 back propagating action potential, the sodium back propagating from the SOMA into the

55:14 or from the Axon into the SOMA into the dendrite. OK. And

55:20 think that I'm gonna leave it here . Uh maybe and a little bit

55:25 today, we'll come back, review couple of these slides and then we're

55:29 jump into, into Glutamate and Java we'll get into details of uh how

55:35 , the neurotransmitter cycle and how gar involved in Glutamate and Java cycling in

55:42 . So see everyone on Thursday. you like

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