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00:02 And when we spoke about the action , this is our second lecture in

00:06 action potential and we spoke about the potential. In the first lecture,

00:10 already understood that it has the rising , the overshoot, the falling

00:14 And the undershoot, we also understood there are these equilibrium, the town

00:20 or ionic, the town charts for ion. And if there is an

00:25 membrane potential and mills which we abbreviate VM. OK. So recall that

00:32 equilibrium potentials are calculated using nurse And the Goldman equation is used to

00:41 the overall membrane potential of von. the differences are is that equilibrium potential

00:49 calculated for each ionic species. And membrane potential takes into consideration the permeability

00:58 p for each ion and calculates membrane based at least on sodium and

01:05 So it takes into consideration more than ionic species. We also spoke about

01:11 period here that would be absolute refractory once the membrane potential crosses the threshold

01:18 action potential generation and it's going through all or none event, the action

01:24 event nothing can be elicited from this . In in in uh in the

01:32 that no other action potential, no depolarization can be produced during this

01:39 which we call the absolute refraction However, once it crosses back through

01:45 threshold for action potentials in this time , you could have uh the ability

01:52 the cells if they receive a strong input to generate an action potential.

01:56 that's why this this period here following crossing of the threshold onwards, is

02:01 to as relative refractory period. So happens is we talked about that once

02:10 membrane potential reaches the threshold value. the membrane has to depolarize the threshold

02:18 of minus 45 millivolts or so, order for voltage gated sodium channels to

02:23 . So the first thing that happens depolarization, voltage gated sodium channels open

02:31 , more depolarization, more sodium fluxing more sodium channels open and the membrane

02:39 is being driven to the equilibrium potential sodium. However, there are two

02:46 that there are two reasons why the in potential doesn't reach the equilibrium potential

02:52 sodium. First of all, it's concept of the driving force that we

02:58 . The driving force is the difference the number and potential, which is

03:03 white line at any given moment along white line and equilibrium potential for specific

03:11 . So each ion will have its driving force at any given time along

03:17 changes of the number and potential OK. So for example, the

03:23 force or sodium ion at this When sodium channels, voltage gated sodium

03:34 just open up the driving force or is huge. So you can see

03:43 this arrow here which would indicate the of the driving force for sodium and

03:50 stopped at the equilibrium for sodium from white line of the membrane potential,

03:55 a big driving force. But once number and potential reaches a depolarized value

04:05 at the peak of the action Now, what you see is that

04:09 driving force for sodium has reduced So that's one reason why the membrane

04:18 doesn't reach the equilibrium potential for The second reason is the kinetics of

04:23 voltage gated sodium channels that you will about is that voltage gated sodium

04:28 Despite the fact that they're going through we call the positive feedback loop,

04:34 depolarization, more sodium influx, more open, more sodium influx, more

04:38 , more sodium influx, more channels , more depolarization. Despite this loop

04:43 the opening of the channels, those close very quickly and as they close

04:49 quickly, they're no longer open. , remember channels have to be permeable

04:55 an ion in order to have And if the channels are closed,

04:59 no more sodium conductance. Even in presence of the small driving force,

05:04 still no conductance for sodium because the are now closed at the same time

05:10 the member and potential. Once it's the peak of the action potential,

05:16 can see that at the peak of action potential, the membrane potential has

05:20 huge driving force for potassium. So a big difference between VM at the

05:28 of the action potential and EK for . And that's this huge driving

05:34 And so during the falling phase, is e flux and potassium is leaving

05:40 south and it's driving the membrane potential its own equilibrium potential value. It

05:47 succeeds to do that. And it has contributed to the fact that potassium

05:52 have different kinetics, they remain open as opposed to sodium channels. So

05:58 more hyper polarization and also remember the case of the leak potassium channels that

06:05 dominate the potential sort of closer to rusting number of potential? Mm.

06:12 is it clear what the driving force driving force again, is the difference

06:17 VM which is membrane potential and E VM and E potassium VM and E

06:24 . Each one of these ions during given moment as this membrane potential fluctuates

06:30 have increased or reduced driving forces depending where the number and potential is at

06:36 moment. Do we need to know like V and calcium channels open or

06:46 so do you need to know about and calcium channels? Actually, when

06:50 talk about action potential, we will on voltage gated sodium and potassium

06:55 When we talk about synaptic transmission, will shift our focus to uh calcium

07:02 preside and also posy. And when talk about inhibitory neurotransmission called Gaba or

07:10 ergic transmission, we will talk about chloride does but chloride influencing in general

07:16 cause hyper polarization. For the most . It's a very good question because

07:22 said there are four ionic species. how come you're just talking about sodium

07:25 potassium? Because if you do these of Goldman Equation and you compare it

07:30 electrophysiological recordings, you can pretty much rely on sodium and potassium perme abilities

07:37 these channels as the key uh uh essentially of where the number of potential

07:44 be and the main actors in the potential. So that's why we,

07:48 , we leave this uh on the for a minute. Very good

07:54 OK. So we record action potentials oscilloscope. We've already talked about how

07:59 were developed in the 19 fifties fast to pick up action potentials. So

08:04 array oscilloscopes and if you pluck an inside the cell, you will see

08:09 significant what looks like about 100 millivolt , the action potential, 100 millivolts

08:14 amplitude and again about one to few in duration. However, there are

08:20 methods of recording neuronal activity even from neurons. So when we talk about

08:26 , we said that these wires get in the person's brain and we said

08:31 not the same way as targeting cells the electrodes inside the cells. So

08:37 wires are left outside neurons, maybe touching them, but they're not in

08:43 neurons. And this is called extracellular . And then extracellular recordings are outside

08:48 south. If you're located close enough the axon initial segment, that's where

08:54 actual potential gets produced. You have ability to pick up this electrical activity

09:00 through the extracellular recording, which will an inverted shape as compared to the

09:05 reporting. And it will also be , very small in amplitude. And

09:10 we're talking about 100 micro volts potentially amplitude versus 100 millivolts. So it's

09:17 to the minus three. It's a story altogether which tells you that these

09:22 recordings are not reliable at picking up potentials from single cells unless it's really

09:29 an experimental setting. And very likely these extracellular electrodes do a lot of

09:35 is that they pick up action potentials several nearby cells or they essentially can

09:41 up what is called a compound activity compound action potential produced by several cells

09:48 the area from that electrode. And what Neuralink is recording. It's

09:52 It said we picked up a promising activity recordings with the neuralink implant and

09:58 recording essentially extracellular activity from neuronal approximating activity probably from tens hundreds if

10:06 thousands of cells. OK. But are different recordings. This again,

10:11 type of intracellular recording and extracellular recordings mostly experimental, except when there is

10:17 surgery neurosurgery. And the surgeon quite will utilize the help of a neurophysiologist

10:24 the operating room. And the neurophysiology help a surgeon determine which parts of

10:30 brain could be spared from surgery, parts of the brain show abnormal activity

10:35 further corroborate what they're seeing in the room with what already they have done

10:40 that the F MRI cat scans test uh all of these things. And

10:48 , when the neurosurgeon has a person's , their task is to be as

10:53 as possible. That means to remove little of the brain that is responsible

10:58 really important functions in order to help individual and to do that, you

11:02 want to sample electrical activity from the typically extracellularly with the help of

11:08 In order to help the neurosurgeon to that troubled area that needs to be

11:14 in patients. That's of course, cases when medications do not work or

11:20 you have um uh malignant growth that's in the brain action potential patterns.

11:27 you inject this current, if you the cell, this is the injected

11:31 . So notice that when you inject current, what we call artificially injected

11:36 because otherwise, biologically, it's the that create this current and action potentials

11:41 neural transmission. But we can also this positive current and record a

11:47 And typically, during the older you had to use two electrodes,

11:52 that would stimulate another one that would . And in modern electro physiology,

11:56 circuits inside these electrodes are very, fast. And so we would use

11:59 a single electrode to both stimulate and the recording activity because it's done,

12:05 done at such high frequence. But , anything that comes from the

12:10 I said in biology, when you a flat line, it's not

12:15 Uh but in instrumentation, you can many flat lines. So when you

12:20 an artificial uh artificially injected current, like a switch on and off.

12:26 the cell doesn't necessarily respond immediately with same. This is what we call

12:32 wave like pulse. This electrical this is a square wave like pulse

12:38 notice that the cell doesn't necessarily respond a square wave. It has a

12:43 shape that's due to the resistance and properties of the cell membrane, but

12:48 also responds obviously to the strongest stimuli the frequency of action potentials. So

12:56 you have a weak stimulus, you depolarize the plasma membrane. Again,

13:01 can see that these are the square that are produced by instrumentation by the

13:07 that inject these currents. These are square waves and these are the rounded

13:13 here because it takes time to build the charge across plasma membrane due to

13:19 resistive incapacitated properties of the plasma And then when the stimulus stops,

13:25 takes time and it's fast. So can be charged and recharged very quickly

13:31 a matter of milliseconds. But it's instant like you would see in the

13:35 wave instrumentation input. So if you a stronger stimulus, a stronger

13:43 then there's a possibility that the membrane the cell will reach the threshold for

13:50 potentials and will produce these five action . And if you increase the stimulus

13:57 further inject more positive current into a like this, then what you can

14:03 the response of the cell is a frequency of action potentials. And this

14:09 one of the basic rudimentary codes in brain is that the strength of the

14:16 , weak versus strong stimulus is in reflected in the frequency of the action

14:23 that the cells produce the stronger the . The more likely that cell is

14:29 to respond, the more likely it's to produce more action potentials during that

14:34 . So high frequency reflects the magnitude the depolarizing current. And that magnitude

14:41 equivalent to the strength of the weak stimulus and then not just

14:46 it could be obviously biological electrical not just by instrumentation versus a strong

14:52 stimulation. So you can have these , injected currents in different cells.

14:59 we already spoke about that, that can present the exact same stimulus,

15:03 same duration, the same amplitude and will see that the cells respond in

15:10 different patterns. So I keep referring these patterns of dialects of actions.

15:16 this is the code too because the of action for chars means the frequency

15:21 neurotransmitter release, that means frequency of post synaptic response from the cell.

15:29 you have a variety of these different . And as we discussed, most

15:34 the diversity in these dialects in the patterns of the action potentials comes from

15:42 inhibitory interneurons. There's a local circuit cells that will produce a diversity of

15:49 different dialects as opposed to the projection cells that will be fairly uniform in

15:56 functional output. But the projection cells they will communicate that output to other

16:02 . But that output can now be by the surrounding inhibitory cells that have

16:08 of these complex ways of talking to other and also talking to the parameter

16:12 and telling how parameter cell is going talk to the adjacent networks or project

16:17 information to the adjacent networks. One the coolest uh developments uh in recent

16:25 is the fact that we have voltage channels that we talked about. We

16:30 talk about mechanically gated channels, but are also light sensitive channels or channels

16:38 can be responsive to light and manipulated light. And so they are these

16:45 channels that are called channel or adoption Haller adoption and they were discovered in

16:55 . And the interesting thing is when adoption two is activated with blue

17:02 it will allow the influx of When Hale adoption is activated with yellow

17:11 , it will allow the influx of . So what sodium does to the

17:17 ? When sodium comes inside the the positive charge is going to cause

17:23 . But when chloride channels are activated chloride comes inside the cells, it

17:29 cause hyper polarization. So this is neat because uh although we don't talk

17:37 chloride in relation to action potentials, is one more unique way in which

17:42 flux of ions, the depolarizations and polarization can be studied and controls and

17:49 in animals. So what you can is the experiments are done in

17:59 but you can isolate these channels and general like frog side system that is

18:05 here, it's really good for studying activity. So if you want to

18:10 sodium channels versus potassium channels or you a new unusual sub type of the

18:17 , nobody reported you can over express in these systems in these frog eggs

18:23 that are very large of one millimeter diameter. And you can do electrophysiological

18:30 . So you can use these simple . And at first of course,

18:34 you isolate it from nature, these sensitive channels, you want to put

18:38 in more primitive systems, you want express it. For example, in

18:42 frog boo sides and then shine the on these eggs and actually record the

18:49 from the channels. So again, you have a target like a channel

18:54 you want to understand what it is , you'll say, well, why

18:57 you just, uh instead of you've discovered this channel and while you're

19:02 animals like rodents, why do you to go to the frog eggs to

19:07 that channel? Uh That's because a of times you can do easy manipulations

19:15 these systems and you can have a amount of the expression of these channels

19:21 understand once you stimulate these channels, exactly the response is from these

19:28 Now, you have sort of a a a very strong response from the

19:33 that you can manipulate easily. you can take that knowledge and this

19:37 the kinetics of this channel. you can take that knowledge and apply

19:42 knowledge and study those channels and those and high water species uh all the

19:48 up until humans. And in what is illustrated here is really cool

19:54 that this is a, a mouse has a a fiber optic cable

20:01 And remember we talked about genetic manipulations mice, we talked about transgenic

20:08 we talked about expressing genes. So would use those techniques, you would

20:13 a transgenic mouse, essentially, you introduce a new channel into that mouse

20:20 that channel is going to be light . And you can introduce the depolarizing

20:26 and the hyper polarizing channel. And really neat because you can now control

20:31 behavior of this mouse through the light . And depending on where it is

20:38 in the mouse's brain, you can the mouse's motor activity. If you

20:46 depolarization and sodium with blue light, moss is going to be more

20:52 And then through that same cable, turn on the yellow light and that

20:58 the hyper polarizing channels. And that starts inhibiting and slowing down or eliminating

21:06 movements, certain motor functions by, an animal. So there are multiple

21:14 in which this technology is being But ii, I imagine if you

21:20 eventually, of course, you cannot introduce a new gene into humans.

21:27 if there was some technology that allowed not necessarily genetic expression, but some

21:33 that allowed you to stimulate neurons or inhibit neurons with light and that you

21:41 apply it through the skull because the , you can actually make them very

21:48 , almost translucent. They will allow certain amount of light to come

21:52 So instead of implanting electrodes to stimulate inhibit certain parts of the brain,

21:57 would have these optic devices, so speak, that are attached to,

22:02 your skull, that that would be that's uh potentially gonna come into the

22:08 . But we have to find a way of having light sensitive channels in

22:13 humans, potentially or uh imagine a in which you could express light sensitive

22:21 only in the tumor. And by that tumor in viva in a whole

22:26 , a whole brain to certain you would be killing that tumor.

22:32 that's there's a lot of different, not just electro physiology. It's

22:36 you can use this functionality and in in general, not just with depolarization

22:41 polarization, but potentially in pathologies as . OK. Let's uh remind ourselves

22:49 we calculate equilibrium potentials using nurse we calculate membrane potential. Beyond using

22:56 Goldman equation which has the permeability We know that if we want to

23:03 a current for potassium, potassium current equal to conductance of potassium times G

23:10 delta V or in this case, difference between the membrane potential VM and

23:17 equilibrium potential, the driving force. you can also rewrite that the current

23:22 potassium is conductance times the driving force that ion. And this is for

23:29 ion. This is an example of ion, but you can rewrite it

23:33 sodium fluoride. Uh and, and . So let's look at this situation

23:40 where we have all of the channels the membrane, potassium and sodium

23:47 they're in the membrane, but they're . And so if you put in

23:51 an electrode across plasma membrane, it record zero millivolts because all the channels

23:57 closed. And there's no flux. . So there is a reversal potentials

24:03 minus 80 reversal or equilibrium potential minus . I use it uh interchangeably with

24:10 reversal potential because the currents actually reverse that value and flow in the opposite

24:15 . And you'll see that shortly, current is zero because there's no current

24:21 , the channels are all closed. . So the conductance is zero and

24:26 current is zero is driving 40 at . Millivolts is driving force for potassium

24:43 . What do you have to subtract zero at zero? Millivolts is the

24:58 force for potassium zero. Your time up for the question. Next question

25:05 zero. Millivolt is driving force for zero. No, right. I

25:14 one person shaking their head. That's . No and no. Why?

25:22 the driving force? What is the force? OK. All right.

25:36 start this lecture over. So the force is the difference between the memory

25:47 . What is the mene potential? do you calculate it? All

25:52 What is the potential? How do calculate it there? OK. So

25:57 this value is zero, what is value for potassium include your?

26:07 Let's go to the next slide. this is gonna be all in the

26:13 . So each has its own You put top that. What was

26:21 ? Zam is positive? 62. now wake up. So if GM

26:30 zero and E for potassium is minus is the driving 40. No,

26:41 VM is zero and equilibrium potential for is positive 62 driving for zero,

26:52 VM is zero and equilibrium potential for is zero. Is there any driving

26:58 ? No? OK, good. we got to this point now let's

27:02 this through. So we have driving here despite the fact that the membrane

27:09 VM is at zero, this is you read this figure VM is at

27:15 , right? But equilibrium potential for is minus 80. Equilibrium potential for

27:20 is positive 60 the channels are So there's no conductance. The driving

27:28 is huge for potassium 80. But 80 times zero of conductance gives a

27:38 of carbon. There's no carbon Now we open up potassium channels,

27:44 starts moving out of the cell. you can see that there is a

27:49 in the volt meter right at this . The volt meter is still measuring

27:55 value. There is flux of there's conductance of potassium, there's a

28:05 driving force for potassium zero with And therefore there is a dominant potassium

28:13 here that can be recorded. once the membrane potential goes all the

28:22 and hyper polarizes to minus 80 we now have a situation where the

28:28 are open and there is conductance of going in and out. But the

28:36 is zero. How is that That's because the driving force of minus

28:43 the driving force VM minus 80 minus 80 is equals zero. So this

28:52 you how if you have driving it doesn't mean you have a

28:58 you can have a huge driving But if the channels are closed,

29:01 no conductance, there's no current vice . You may have open channels with

29:07 lot of current flexing uh conductors going it, but the current is still

29:14 because there's no driving force. it's a zero mo and that tells

29:19 that there is no net flux, exact same amount of of potassium leaving

29:26 it is coming in. OK. keep that concept of the driving forces

29:31 mind. That's why I was drawing right here on the slide.

29:37 This is the driving force sticks right . The blue one and the yellow

29:42 to review this concept because I will a couple of questions regarding the driving

29:47 and how it's intertwined with the action and numbering potential. So at the

29:54 phase of the action potential, the is dominated by sodium before you have

30:00 depolarization. So a lot of questions I get or sometimes I get these

30:06 that say where does depolarization come If you have to reach the threshold

30:11 , where does this depolarization come You're telling us that at this threshold

30:16 of minus 45 millivolts voltage gated sodium will open up. So what is

30:22 this other depolarization for to reach. , it's actually synaptic inputs. So

30:28 the it's the stimulus of the synaptic . Now, these cells feel strong

30:33 depolarization, they depolarize and they start sodium uh at the resting membrane potential

30:42 dominated by potassium rising phase, dominated sodium following phase. It switches

30:49 you have the highest conductance for potassium the following phase and at the resting

30:53 potential because of the leak channels, leak channels, potassium conductance is are

30:59 dominating. Mhm. So a rising is sodium going in falling phase potassium

31:09 . Yeah. Does the current values we saw earlier indicate what direction of

31:15 moving in or is it just a which moving in and and yes and

31:21 no, because there would be positive negative uh uh p their values.

31:28 but uh you, you have to what eye on it is in order

31:31 know the direction of this fox positive versus negative um with concentration on

31:40 side of the battery, where is plus N versus the minus end because

31:44 one has their own battery. So days, we record action potentials and

31:51 a lot of electro physiology using this of patch clamp recordings. And this

31:57 an example of which we can bring electrode to the patch of the membrane

32:02 we can excise that patch of the and we can actually have multiple channels

32:07 sometimes pick up single channel activity. this is something that you apply a

32:13 across the uh uh channel here across whole electrode. And that voltage makes

32:19 channel uh ions move across and you pick up activity here from a single

32:25 . And I spoke that nothing in looks square wave like and it's actually

32:29 exactly square waved still, but the channel and channel recordings look a little

32:35 squarish compared to the overall number and responses that you saw that were more

32:42 . OK. And so the technique is really important in understanding how you

32:51 only record the currents but also manipulate currents and how you can use this

32:57 climb technique in understanding the reversals and flux of ions and also isolate individual

33:05 . This this technique is very important order for us to understand the subsequent

33:10 that we're going to talk about. . And there's a lot of it

33:13 we'll cover in the next couple of . So first of all, voltage

33:17 is a technique when you look at diagram, you're like, oh

33:23 Yeah, it's not that difficult. , this giant squid axon remember that

33:30 have a reference electrode which is your . It just says the outside of

33:34 uh axon and the solution is Then you have a electrode that goes

33:42 the Saxon mhm. This is what call internal electrode for measuring membrane

33:51 And it's measuring the membrane potential is difference between the outside of the cell

33:56 the inside of the cell. And is connected to voltage clamp amplifiers.

34:03 now we're taking the measurement from this here, let's say minus 60 millivolts

34:08 65 millivolts address. And we're putting measurement that VM measured VM into voltage

34:16 amplifier which compares membrane potential to the command potential. What is the command

34:25 ? So we did not want to from South passively. If you stick

34:30 electrode and you pass the current, can get a certain response and then

34:35 South will come back and to its membrane potential that it likes to sit

34:42 , let's say I the 65. that's not good enough for me.

34:46 an experimentalist, I heard that there these equilibrium potentials for potassium minus 80

34:52 nernst that calculated them. I heard there is equilibrium potential for sodium of

34:57 62. How do I demonstrate that if it exists theoretically? And we

35:05 it. Don't I need to have wet proof the recording of what is

35:11 on the paper. Sure. But do that, we need a voltage

35:15 and to do that, you have be able to command a lock membrane

35:21 at your desired values of experimental. don't want to study membranes at minus

35:27 . I want to study membranes at millivolts and to do that. You

35:31 to clamp the potential, lock it at zero millivolts and that's what voltage

35:38 allows you to do. So you the command potential here at the recording

35:45 showing minus 60. You said the potential at minus 50. Listen.

35:51 time when membrane is different from the potential, the clamp amplifier injects current

35:58 the axon through the second electrode right . This brown electrode, this feedback

36:05 causes the membrane potential to become same the command potential. So I said

36:11 at minus 50. I'm commanding you stay at minus 50. The cell

36:15 to minus 60 to say no, back to minus 50 I hold it

36:20 or clamp it there. That's what clamp stands for. Literally voltage clamp

36:27 . What you're doing, you're clamping voltage at a certain value minus 60

36:34 , positive 40 positive 60. And have the ability now to measure the

36:41 and the differences that are fluxing the that is flowing back into the axon

36:46 thus across its membrane can be measured . And this voltage clow technique is

36:52 important in order for us to understand currents at different values along that number

36:59 potential scale that we've been looking at minus 80 all the way to positive

37:05 for calcium reversals. This is exactly technique that Hoskin and Huxley used.

37:12 in 1963 they won the Nobel Prize Physiology and Medicine for their work on

37:18 action potential and came up with a and Huxley model of the action

37:22 mathematical model of the action potentials. And also we're doing experiments and they

37:30 using the voltage clamp. Yeah. remember that during the rising phase,

37:36 the rising phase, we have an of sodium during the falling phase,

37:42 have the outward current, which is efflux of potassium. How do we

37:47 that we have to actually isolate these ? And so you use the voltage

37:53 and you set the number and potential minus 26. So you depolarize it

37:58 . And what happens is this deflection , this early transient downward deflection.

38:05 is inward sodium current. And it that if you depolarize the plasma

38:10 you'll have inward sodium current that later taken over by this late and sustained

38:17 current that is outward, it's moving . So you depolarize and clamp the

38:24 . Now with your voltage clamp at millivolts at zero millivolts, you see

38:30 stronger influx because more depolarization, more coming in, more depolarization. So

38:36 is more depolarization, more sodium coming . But it's showing that sodium comes

38:41 here transiently. And at the same as you increase the sodium current immediately

38:47 following the sodium current, you have prolonged and sustained and also larger.

38:53 potassium current and that's because you now a greater driving force for potassium at

38:59 millivolts. And if you depolarize further positive 26 look what happens to the

39:05 current, it has decreased. So was larger at zero millivolts compared to

39:11 26. That means that the driving for sodium iron has reduced and the

39:17 channels are also closing and you still the sustained outward potassium current. What

39:25 with positive 52? Let's pretend this positive 62. And that's why I

39:29 you that different textbooks and different figures use different equilibrium potentials. But we

39:35 talking about the equilibrium potential for sodium in our exams and in our playbook

39:42 everywhere in our slides is at 62 . So let's just pretend they set

39:46 at 62 instead of 52. When said it at 62. What happens

39:52 inward cars? Why not exactly at qilib potential for son? But how

40:05 there's this huge outward cur because this driving force for potassium? You're correct

40:12 potassium channels are now open. Now notice what happens when you go

40:17 positive 65 value. So you cross threshold, you cross the equilibrium potential

40:22 62 positive for sodium. You cross . Now you're at 65 you see

40:28 little blip here, this little blip shows you that the current right here

40:34 of moving inward. Now, sodium starts moving outward and that's why we

40:39 it reversal potential. Also the current reverses its direction after it crosses the

40:46 dodge and you still have this massive depolarization. So they proposed that there

40:53 existence of sodium gates in the external . They studied the action potential.

40:59 described this early and transient inward current followed by the late uh persistent or

41:06 potassium current and action potential. And voltage clamp, they were capable of

41:15 . This is the NNN word sodium . Each one of these lines in

41:22 , each one of these lines is single sodium channel opening. That means

41:28 when there is depolarization, sodium channels up very quickly, but they don't

41:35 at the same time, they all within about millisecond of time. So

41:39 do open very quickly but not exactly the same time and they also close

41:45 quickly. So despite the fact that still depolarization here, there's something that

41:52 these channels very quickly and you'll understand that something is in the next

41:57 if you take the combined activity, activity from all of these individual sodium

42:03 and you sum across them, then have the sodium current here. That's

42:08 sump through all of the channels. showing that there is activation during depolarization

42:14 during the rising phase. But there also closure of these channels right as

42:20 membrane potential reaches the very peak of action potential. Now, so these

42:28 , these channels are uh referred to fast opening, fast activating, but

42:35 fast and activating for sodium channels. . If you look at the

42:41 we are looking at the same time here. So we're looking at this

42:45 phase of the action potential as the starts depolarizing and the more it

42:52 as you can see at the very of the membrane potential, most of

42:57 potassium channels are now open. So depolarization, these channels are voltage

43:04 but sodium channels are gated very quickly closed very quickly. And potassium

43:10 it takes some time to open. they're referred to as delayed rectifier channels

43:16 they're delayed in opening and they're open and they're called rectifier because potassium conduct

43:24 starts to rectify or to reset the potential. Sodium hiked it up to

43:31 40 potassium tries to rectify it and it back to resting membrane potential

43:39 So if you were to again sum all of the open potassium channels,

43:44 is the response that you would You would see a delayed activation of

43:50 channel and then prolonged, sustained activation it is rectifying the number and potential

43:56 resting. Now, if you were sum them across the inward versus

44:04 all the red and all of the activity, again, you will see

44:08 sodium is dominating with its influx, rising phase of the action potential and

44:15 outward currents. Again, this is current versus inward current, potassium,

44:21 currents or e flux is dominating the phase of the action potential. So

44:27 look at these sodium channels and why so special. This is the structure

44:33 voltage gated sodium channel. Each one these channels has four membrane sub

44:41 Each one of these subunits, 1234 six trans numbering segments. That's

44:53 between five and six. You have poor loop that Roderick mckinnon, we

44:58 about potassium channel had that very nice full hair thin lobe. And that's

45:03 Roderick mckinnon described also that serves to with the selectivity for this channel to

45:10 for sodium versus potassium. In this , sodium. That interesting thing and

45:16 exist between the four loop between S and the six S four has a

45:23 of philosophy. The trans number 87 four has a lot of positively charged

45:31 acid residues. Number of these are of amino acids, some of them

45:36 have the negative or the positive And so this one has a lot

45:42 positively charged amino acids within that S trans numbering segment. So these four

45:50 units have to come together and each of these subunits will have the poor

45:57 . So you will have, if have four subunits, you will have

46:02 loops coming into the inner lumen of channel, essentially serving as a filter

46:08 electrical seeing ionic seeing uh component to channel. This S four that is

46:16 with all of these positively uh charged acid residues is the vol of sensor

46:22 it's the gate, it's the the opening gate or voltage gated sodium

46:28 , voltage gated sodium channels at resting potential of minus 65 are closed.

46:35 if you depolarize the membrane, they open so closer to the threshold of

46:40 potential minus 45 minus 40 that gate is closed will open. And how

46:46 that happen? And how does this four play into it? So what

46:53 is the following when the channel four closed and the gates are closed.

47:00 positive sensor is drawn toward the inside the plasma number. The inside of

47:09 plasma membrane remember is negatively charged. there's a lot of minus minus minus

47:15 negative charge around here. And the charged S four is literally attracted to

47:22 negative charge and it's staying closer toward inside of the plasma membrane when there

47:30 depolarization, that means positive charge comes the cell. And once positive charge

47:38 into the South, it starts repelling S four voltage sensor. So negative

47:46 attracting and keeping it here. Once becomes depolarized, it starts repelling.

47:51 chart starts repelling the voltage sensor that sensor literally slides up within the

48:01 changes the confirmation of the channel and the opening of the channel.

48:08 So it's a, it's a physical and the confirmational change that you're seeing

48:13 the channel. And that's because of charge on the voltage sensor and the

48:20 uh attraction by negative numbering versus repulsion positively charged number. So again,

48:29 you look at this diagram, you have sodium channels that they open

48:36 very little delay. Once you have depolarization, they're very fast opening,

48:41 fast acting compared to potassium. they still open only for one

48:47 So now that we understand that this and voltage sensor slides and opens the

48:53 . Why does it close immediately? does it close within a millisecond?

48:57 has a second gate for. So can see here, depolarization in the

49:03 . But this channel is open and , open and closed, open and

49:09 . And this stimulus is sustained but more sodium channels are open. So

49:13 they opened and closed, now what is that you have to hyperpolarize the

49:19 or bring the membrane from minus 40 down to minus 65 millivolts at rest

49:25 then you can repeat the cycle of the channels again. Yeah. So

49:30 cannot open the channel again unless you the plasma membrane. And that's because

49:39 gated sodium channels have two gates. the way it works is that in

49:44 situation, it's closed, the gates closed. Nothing is fluxing. We

49:51 the membrane here, voltage sensor slides the numbers in previous slides. So

49:57 you depolarize the membrane, this s s four portion right here is going

50:03 slide up within the channel, it up within the channel and boom,

50:10 opens the channel and sodium was fluxing . But just as this sodium starts

50:18 in and the opening of this gate called activation gate, the activation gate

50:24 open and it changed the confirmation of channel. One little later, there's

50:30 second gate that we depict here as ball and chain. And as you

50:34 these arms of confirmational change for activation inactivation gate swings and plugs up the

50:43 channel closes it, it's called So in this position number three,

50:50 is corresponding to the traces above Number three, the channels are

50:58 And in order for this channel to closed and open again, we have

51:04 remove this ball and chamber. And only way this ball and Shane is

51:10 to leave is if we hyperpolarize the , we bring down the membrane potential

51:16 to minus 65 millivolt value here right to minus 65 millivolt value. What

51:23 is that now voltage sensor slides down it's sliding down, it's called de

51:32 it. It's de inactivate, it out an activation gate and allows for

51:38 activation gate to close and once it's , it's gonna wait for the next

51:45 . So activation gets open and once open, the ball and chain is

51:50 swing, it's gonna plug it up then it's gonna be there unless you

51:57 and the sensor slides into its original , deactivates and closes the channel.

52:04 there's two gates that are controlling And that's the reason why during the

52:08 potential as we talked about during the potential during the rising phase, sodium

52:16 not reach the equilibrium potential for One thing that we talked about is

52:21 size of the driving force as it . The other thing is simple fact

52:26 these channels close, they're open Once you open them, they

52:31 And the only way that you can them, you have to deactivate

52:34 close them and hyperpolarize the cell. . So this is a different absolute

52:43 period. Remember we talked about the relative versus absolute refractory period. So

52:53 the absolute refractory period, channels are , that's why you cannot, you

52:57 have them open again with more depolarization you have to hyperpolarize in order to

53:03 the confirmation of the channel for it open again. OK. So voltage

53:11 sodium channels, we already introduced a bit uh about epilepsy, um voltage

53:21 sodium channels and mutations in particular in gated sodium channels or voltage gated potassium

53:33 , calcium channels. If those mutations to neurological disorders, we refer to

53:39 as channelopathy. So it's channel It's a mutation that could be inherited

53:48 that leads to channel pathology. So things mutations in NAV NAV stands for

54:00 gated sodium channel and A for sodium for voltage gated. And this is

54:07 we're talking about. These channels are by voltage. When there is a

54:13 in voltage depolarization, it opens the when there's a change in involved it

54:22 , it flows the gates, there's chemical binding to these channels. The

54:30 in one direction will open the gate that direction will close the gate,

54:35 voltage gated channels in this case. . So N ad and it can

54:44 to a number of apple seeds. example is general generalized epilepsy with febrile

54:53 that we can abbreviate as guests generalized with febrile seizures. It's a severe

55:02 of childhood epilepsy. And this is voltage gated sodium channel that we looked

55:10 . This is the diagram of the of the voltage gated sodium channels.

55:15 the sequences of amina assets that we from these building blocks and everywhere you're

55:22 a green dot That means that a anywhere you see a green dot And

55:29 many sites on this channel. Any along the green areas of this channel

55:37 cause gaps. Let's talk a little about what this word means. Generalized

55:47 , generalized epilepsy typically versus non generalized focal epilepsy and generalized epilepsy and individual

55:57 consciousness during seizure. There's loss of . What is a febrile seizure or

56:07 seizure, pls, febrile seizures is good not taking things. Febrile seizures

56:13 hypothermia or heat induced seizures and the common type of seizures. And they're

56:21 common in little Children, little kids infants when your child has an infection

56:30 the temperature goes up above 100 You start worrying, you give them

56:36 medication to knock down their temperature. doesn't goes up to 100 and four

56:42 . You call a nurse say my is 100 and four degrees. I'll

56:47 go immediately rush them to emergency room hospital healthcare facility because our brains do

56:56 stay at 100 and four degrees comfortably a long time. As we overheat

57:02 our brains overheat, we experience hyperthermia we can evoke seizures that are

57:09 evoke seizures that are called febrile And many Children will have a febrile

57:16 and they'll get rushed to the hospital often and then their temperature gets knocked

57:20 and the infection is over and they and they'll never have another febrile seizure

57:25 in their lives. And they're not the left thing. And even if

57:28 years later, they have another infection their temperature spikes to 104 degrees,

57:32 kind of bring it down and they another febrile seizure again. It still

57:37 mean a person has epilepsy. So have to have repeated seizures and typically

57:43 are not provoked by anything that you , except for certain types of seizures

57:47 have very uh uh specific triggers such flash of strobe lights or certain sounds

57:54 odio GIC or sound devo seizures. febrile seizure by itself does not constitute

58:01 . Having single seizure on its own not qualify and give you a diagnosis

58:06 epilepsy. There has to be repeated uh and it has to be a

58:13 that's typically derived medical history observation, well as doing eeg recordings that we'll

58:20 about later in this course, electrons follow grounds where you record electrical activity

58:25 the caps that are placed on the . So, generalized epilepsy is a

58:33 form of epilepsy. This is a disorder. It's genetic because you have

58:38 mutation that leads to channelopathy as uh genes that are associated, it's called

58:46 one A gene. So the genes have a different name from what they

58:50 for, which is NAV a voltage sodium channel febrile seizure component.

58:56 what does that mean for individuals that this mutation? Why is the febrile

59:02 ? Plus? And that's because individuals have mutations in this channel, their

59:08 temperature doesn't have to go up to and 40 °F. Their body temperature

59:13 fluctuate by just two degrees outside of regular physiologic temperature, 37 to 3839

59:21 and they are very likely to experience seizure. So they don't really need

59:26 hypothermia conditions anymore. Their seizures are easily triggered and sometimes even by ambient

59:34 temperatures, we have uh thermal control our bodies. Right. So we

59:37 sweating when it's hot or we start shivering when it's cold to keep up

59:42 body temperature always within a certain physiological of 36.6 °C to 37.6. And

59:50 just fluctuates a little bit during the . When you get sick, it

59:54 have an infection on the virus. . By the way, you call

59:58 nurse and they say the child is and four °F, right? Um

60:06 do I do? Um three hours from the hospital, put them in

60:09 eyes box. That will be actually directions the nurses will give you try

60:14 . You tried this, put them the eyes back. You need to

60:18 a child from overheating and having It's not good if you know,

60:22 didn't say you would, you have . So it's OK to have febrile

60:25 . It's not, it's not a thing. It still takes the body

60:29 the brain to recover quite a bit a febrile seizure. So you want

60:32 do everything possible to try to knock the temperature, including a a cold

60:37 , an ice bath and that sometimes in extreme cases get placed in

60:42 There's another uh uh thing that's written here. It stands for sme I

60:49 this SME I says with severe my epilepsy of infancy, I don't have

60:56 pen, but I'll write it out lecture. SME I severe my chronic

61:01 of infancy and you see it comes red P and that means that if

61:07 have a mutation anywhere where there is red dot You're very likely to develop

61:12 different form of epilepsy with a severe chronic epilepsy of infancy. Some of

61:17 may have heard it as a Dra . Also, it's another name for

61:21 I is Dra syndrome. Uh So where you have green dots, generalized

61:30 , febrile seizures mutations where you have dots, severe micronic epilepsy of

61:36 If you have mutations along where there those blue dots, it's another form

61:41 epilepsy and orange ones you have another of. So it's a, it's

61:46 important channel, this voltage gated channel multiple sites on it that can lead

61:52 severe neurological disorder. And there mostly genetic channelopathy childhood. The the

62:00 childhood by by that, I mean the occurrence of seizures and emergence of

62:06 drive syndrome is during the early the first two years of life

62:15 All right. So next lecture, will come back and we will talk

62:21 neurotoxins and voltage gated sodium channels. cool story of toshi and nara

62:27 But

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