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What is the most direct consequence of the temporary inactivation of voltage-gated sodium channels during the repolarization phase of a nerve action potential?

  • The neuron requires a weaker stimulus than normal to reach threshold, making it hypersensitive to new incoming signals.
  • The neuron is unable of responding to another stimulus, regardless of the strength, allowing the action potential to propagate unidirectionally. (correct)
  • The neuron immediately repolarizes to its resting membrane potential without an after-hyperpolarization phase.
  • The neuron can propagate signals more rapidly due to the reduced ion flow across the membrane.

During the rising phase of a nerve action potential, if the concentration of extracellular sodium ions was significantly reduced, what would be the most immediate effect?

  • The neuron would still depolarize, but the rate of depolarization would decrease. (correct)
  • The neuron would depolarize more rapidly due to the enhanced activity of the sodium-potassium pump.
  • The neuron would rapidly hyperpolarize due to the increased efflux of potassium ions.
  • The neuron would not be able to reach the threshold potential, preventing the initiation of an action potential.

How would the introduction of a drug that selectively blocks leaky potassium channels affect the resting membrane potential (RMP) of a neuron?

  • The RMP would become more negative, hyperpolarizing the neuron due to increased sodium influx.
  • The RMP would oscillate wildly as the sodium-potassium pump attempts to compensate for the blockage.
  • The RMP would become less negative, depolarizing the neuron due to decreased potassium efflux. (correct)
  • There would be no change in the RMP because leaky potassium channels only affect repolarization.

If the sodium-potassium pump in a neuron suddenly ceased to function, what long-term effect would this have on the neuron's ability to generate action potentials?

<p>The neuron would initially fire more action potentials, but eventually, the ion gradients would dissipate, and the neuron would become unable to fire. (B)</p> Signup and view all the answers

What is the most likely effect on nerve action potentials, if voltage-gated potassium channels were to open sooner than normal during an action potential?

<p>The repolarization phase would occur more rapidly, potentially shortening the action potential and leading to a pronounced after-hyperpolarization. (A)</p> Signup and view all the answers

How does the interplay between voltage-gated ion channels and the Na+/K+ pump contribute to neuronal signaling?

<p>Voltage-gated ion channels generate the action potential, whereas the Na+/K+ pump re-establishes the resting membrane potential after depolarization and repolarization. (B)</p> Signup and view all the answers

A neuron's resting membrane potential (RMP) is measured to be -60mV after an injury. Based on this information, what is the most likely effect on the neuron's excitability?

<p>The neuron's excitability will increase because the membrane is depolarized, bringing it closer to the threshold for firing an action potential. (C)</p> Signup and view all the answers

Using a modified Goldman equation, how would increasing extracellular $K^+$ concentration from 10 mM to 20 mM affect the resting membrane potential, assuming all other ion concentrations and permeabilities remain constant?

<p>It would cause a depolarization of the membrane, shifting the resting membrane potential to a more positive value. (A)</p> Signup and view all the answers

In a scenario where the permeability of $Na^+$ ions dramatically increases relative to $K^+$ ions, what immediate effect would this have on the neuron's membrane potential, according to the principles underlying the Goldman equation?

<p>The membrane potential would move closer to the Nernst potential for $Na^+$. (B)</p> Signup and view all the answers

What would be the direct impact on the resting membrane potential if the $Na^+$/$K^+$ pump were fully inhibited?

<p>The resting membrane potential would gradually depolarize as ion gradients dissipate. (B)</p> Signup and view all the answers

How does the relative number of leaky potassium ($K^+$) channels compared to leaky sodium ($Na^+$) channels affect the resting membrane potential?

<p>The higher number of leaky $K^+$ channels primarily dictates the resting membrane potential, pulling it closer to the equilibrium potential of $K^+$. (C)</p> Signup and view all the answers

What is the significance of the Nernst equation in the context of neuronal membrane potential?

<p>It predicts the equilibrium potential for a specific ion based on its concentration gradient across the membrane. (D)</p> Signup and view all the answers

Given an ion with an intracellular concentration of 140 mM and an extracellular concentration of 4 mM, what would be the approximate Nernst potential at physiological temperature, assuming the ion is positively charged?

<p>-94 mV (A)</p> Signup and view all the answers

If a neuronal membrane was exclusively permeable to sodium ions ($Na^+$), and the intracellular concentration of $Na^+$ is 14 mM while the extracellular concentration is 142 mM, what would be the resting membrane potential, according to the Nernst equation?

<p>61 mV (A)</p> Signup and view all the answers

How does the presence of both potassium ($K^+$) and sodium ($Na^+$) leaky channels complicate the calculation of the resting membrane potential, compared to a scenario where only one type of channel is present?

<p>It requires considering the relative permeabilities of both $K^+$ and $Na^+$ and their respective electrochemical gradients, rather than relying solely on the Nernst equation for a single ion. (C)</p> Signup and view all the answers

How would the resting membrane potential be affected if the permeability of sodium ions ($Na^+$) across the cell membrane drastically increased, while other factors remain constant?

<p>The resting membrane potential would become less negative, moving closer to 0 mV. (D)</p> Signup and view all the answers

If the $Na^+/K^+$ pump were completely inhibited, what is the most likely long-term effect on the resting membrane potential of a neuron?

<p>The resting membrane potential would gradually depolarize as ion gradients dissipate. (A)</p> Signup and view all the answers

Which alteration to the parameters within the Goldman equation would result in a more negative calculated resting membrane potential?

<p>Decreasing the extracellular concentration of $K^+$ (C)</p> Signup and view all the answers

How does the presence of protein anions within the intracellular fluid contribute to the establishment of the resting membrane potential?

<p>They contribute to the net negative charge inside the cell, preventing complete equilibrium of potassium ions. (C)</p> Signup and view all the answers

Consider a hypothetical neuron where the relative permeability of $Na^+$ to $K^+$ is 1:1 instead of the typical 1:100. How would this change impact the resting membrane potential, assuming all other factors remain constant?

<p>The resting membrane potential would become more positive, shifting closer to the $Na^+$ equilibrium potential. (A)</p> Signup and view all the answers

A researcher discovers a new ion channel that is selectively permeable to large, negatively charged molecules only found inside the cell. How would the activation of these channels likely affect the resting membrane potential?

<p>Cause a slight depolarization due to to movement of negative charge out of the cell. (D)</p> Signup and view all the answers

How would the resting membrane potential of a neuron be affected if the extracellular potassium concentration was artificially increased?

<p>The neuron would depolarize, potentially leading to increased excitability. (D)</p> Signup and view all the answers

In a hypothetical scenario, a drug selectively blocks the leaky potassium channels in a neuron. What immediate effect would this have on the neuron's resting membrane potential?

<p>Initially depolarize very slightly due to the change in ionic conductance, before other compensatory mechanisms take place. (A)</p> Signup and view all the answers

How does hypercalcemia affect the voltage sensor of ion channels, and what is the resulting effect on neuronal excitability?

<p>Hypercalcemia decreases the sensitivity of the voltage sensor; therefore, gates do not open as easily, reducing excitability. (B)</p> Signup and view all the answers

Which of the following scenarios would most likely result in increased neuronal excitability?

<p>A shift in the resting membrane potential from -90mV to -86mV. (A)</p> Signup and view all the answers

How do local anesthetics work at the molecular level to prevent pain?

<p>By reversibly blocking voltage-gated sodium channels at peripheral nerve endings. (A)</p> Signup and view all the answers

In the context of action potential propagation, what is the primary role of the Nodes of Ranvier?

<p>To serve as sites where action potentials are regenerated via saltatory conduction. (C)</p> Signup and view all the answers

A patient presents with muscle weakness and is diagnosed with hyperkalemic periodic paralysis. What is the underlying physiological mechanism causing these symptoms?

<p>Elevated extracellular potassium depolarizes the muscle cells, inactivating sodium channels and preventing action potential generation. (C)</p> Signup and view all the answers

An individual with Cushing's syndrome may experience muscle weakness due to electrolyte imbalances. Which of the following electrolyte disturbances is most likely to contribute to this symptom?

<p>Hypokalemia (D)</p> Signup and view all the answers

Which of the following glial cell types is primarily responsible for the myelination of axons in the central nervous system?

<p>Oligodendrocytes (C)</p> Signup and view all the answers

What is the most likely physiological cause of 'Saturday night paralysis,' where a person experiences temporary paralysis of skeletal muscles after prolonged compression of a limb?

<p>Pressure-induced block of nerve conduction in motor nerves, leading to temporary paralysis. (C)</p> Signup and view all the answers

In demyelinating diseases like Multiple Sclerosis and Guillain-Barré syndrome, loss of myelin leads to neuronal dysfunction. What is the MOST direct consequence of myelin loss on the electrical properties of neurons?

<p>Leakage of K+ through voltage-gated channels, causing hyperpolarization and conduction failure. (A)</p> Signup and view all the answers

The myelin sheath is crucial for rapid nerve conduction. Which cellular mechanism is MOST directly compromised by autoimmune reactions targeting myelin protein zero (P0) and PMP22?

<p>Saltatory conduction, by increasing the length constant and speed of action potential propagation. (B)</p> Signup and view all the answers

Mutations in myelin protein genes, as seen in Charcot-Marie-Tooth disease, lead to axonal degeneration. Which of the following is the MOST likely mechanism by which defective myelin causes axonal damage?

<p>Disrupted trophic support from glial cells, leading to axonal starvation and atrophy. (B)</p> Signup and view all the answers

Consider a neuron at rest. How would the resting membrane potential be affected if the extracellular concentration of K+ ions ([K+]o) were suddenly increased significantly?

<p>The resting membrane potential would become more positive, depolarizing the cell. (B)</p> Signup and view all the answers

A researcher is studying the effect of different ions on the resting membrane potential of a neuron. Which of the following changes would MOST likely result in a more negative (hyperpolarized) resting membrane potential?

<p>Increasing the permeability of the membrane to K+. (B)</p> Signup and view all the answers

During the repolarization phase of an action potential, voltage-gated K+ channels open, allowing K+ ions to flow out of the cell. What direct effect does this K+ efflux have on the neuron's membrane potential?

<p>It makes the membrane potential more negative, moving it towards the K+ equilibrium potential. (D)</p> Signup and view all the answers

The threshold for generating an action potential is a critical concept in neurophysiology. What is the MOST accurate description of the action potential threshold?

<p>The level of depolarization at which the positive feedback loop for sodium influx becomes self-sustaining, triggering a full action potential. (B)</p> Signup and view all the answers

Following an action potential, there is a brief period of hyperpolarization known as the after-hyperpolarization. Which ionic event is MOST directly responsible for this after-hyperpolarization?

<p>Continued efflux of potassium ions through voltage-gated channels that remain open longer than necessary. (C)</p> Signup and view all the answers

Flashcards

Resting Membrane Potential (RMP)

The electrical potential difference across a nerve cell membrane when it is not transmitting a signal.

Depolarization

A rapid change in membrane potential, from negative to positive, initiating an electrical signal.

Overshoot

The point during an action potential when the inside of the cell becomes more positive than the outside.

Repolarization

The return of the membrane potential to its resting value after depolarization.

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After-hyperpolarization

A brief period after repolarization where the membrane potential is more negative than the resting membrane potential.

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Goldman Equation

An equation used to determine the resting membrane potential across a cell's membrane, considering the permeability and concentration gradients of multiple ions.

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K+ vs Na+ Permeability

Potassium (K+) has significantly higher permeability across the cell membrane compared to Sodium (Na+).

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Leaky K+ Channels

Channels in the cell membrane that allow K+ ions to pass through, contributing to the resting membrane potential.

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Leaky Na+ Channels

Channels in the cell membrane that allow Na+ ions to pass through contributing to the resting membrane potential.

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Protein Anions

Negatively charged proteins inside the cell that cannot cross the membrane, contributing to the negative resting membrane potential.

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Na+/K+ Pump

A protein that uses energy (ATP) to actively transport Na+ out of the cell and K+ into the cell, maintaining concentration gradients.

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Resting Membrane Potential

The electrical potential difference across the cell membrane when the cell is at rest, typically around -70mV to -90mV depending on the cell type.

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Contributors to the resting membrane potential?

Protein anions, leaky K+ channels, leaky Na+ channels, and the Na+/K+ pump all contribute!

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Action Potential Feedback

Cycle involving voltage-gated ion channels during action potential.

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Na+/K+ Pump Role

Returns the membrane to its resting state ionic concentrations after an action potential.

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K+ Permeability

The neuronal membrane is more permeable to K+ than to Na+ because there are significantly more leaky K+ channels.

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Equilibrium Potential

The electrical potential difference across a membrane at which there is no net movement of a specific ion.

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Nernst Equation

A formula used to calculate the equilibrium potential of an ion based on its concentration gradient across a membrane.

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RMP and K+ Permeability (-94mv)

If the cell is ONLY permeable to K+ the Resting Membrane Potential is -94mv

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Guillain-Barré Syndrome Cause

Autoimmune reactions against myelin proteins (like P0 and PMP22) lead to demyelination in the peripheral nervous system.

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Charcot-Marie-Tooth Disease Cause

Mutations in myelin protein genes disrupt myelin, leading to axonal degeneration and peripheral neuropathies.

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Multiple Sclerosis Mechanism

Immune system attacks myelin in the central nervous system, causing inflammation, injury, and nerve damage.

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Effect of Demyelination

Loss of myelin leads to K+ leakage, hyperpolarization, and failure of action potential conduction.

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Effect of increased extracellular K+

An increase in extracellular K+ concentration would move the resting membrane potential from a normal value of −90 mV to −70 mV.

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What causes Depolarization?

The opening of voltage-gated Na+ channels.

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Action Potential Threshold

The critical level of depolarization required to trigger an action potential.

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What causes After-hyperpolarization?

Opening of voltage-gated K+ channels

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Hyperkalemia's Effect

Increases neuron excitability by depolarizing the resting membrane potential (RMP).

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Hypercalcemia's effect

Reduces neuron excitability. Elevating the threshold makes it harder to reach action potential.

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Local Anesthetics Action

They reversibly block voltage-gated Na+ channels at nerve endings, preventing action potential propagation.

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Saltatory Conduction

Action potential 'jumps' between Nodes of Ranvier due to myelin insulation, speeding up conduction.

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Glia Types

Astrocytes, myelinating glia (oligodendrocytes/Schwann cells), and microglia.

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Hyperkalemic Periodic Paralysis

Shifts the RMP to -60 mV, inactivating Na+ channels and preventing action potential generation.

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Saturday Night Paralysis

Motor nerves are vulnerable to pressure, leading to temporary paralysis.

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Cushing Syndrome

Electrolyte imbalance (hypokalemia)

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Study Notes

  • Neurons communicate through electrical and chemical signals.
  • Key to neuronal communication is understanding basic neurophysiology.
  • The resting membrane potential and action potential are crucial for nerve function.

Resting Membrane Potential

  • Neurons have a resting membrane potential between -65 to -90 mV.
  • The inside of the neuron is negative compared to the outside.
  • This negativity comes from negatively charged proteins inside the neuron.
  • Ionic movement across the cell membrane is responsible for the -90 mV.

Distribution of Ions

  • Ions distribute across the nerve cell membrane
  • K+ is more concentrated inside.
  • Na+ is more concentrated outside.
  • Specific values are 140 mEq/L inside vs. 4 mEq/L outside for K+.
  • Specific values are14 mEq/L inside vs. 142 mEq/L outside for Na+.

Ion Movement and Equilibrium

  • No net movement of ions exists when separated by a phospholipid membrane at equilibrium.

Permeability

  • Permeability refers to the ability of ions to cross the neuronal membrane
  • Neurons have channels for K+ passage, known as "leaky K+ channels".
  • Neurons also have leaky Na+ channels.
  • Neuronal membrane has two types of leaky channels at rest: K+ and Na+.
  • There are significantly more leaky K+ channels than Na+ channels.
  • Therefore, the neuronal membrane is more permeable to K+ than to Na+.

Nernst Equation

  • Equilibrium potential uses the Nernst equation.
  • Equation: EMF (millivolts) = ±61 x log (Concentration inside / Concentration outside).
  • The potential is positive if a negative ion diffuses from inside to outside.
  • The potential is negative if a positive ion diffuses from inside to outside.
  • Constant R is gas constant
  • Constant T is absolute temperature
  • Z is the charge of the ion.
  • Constant F is Faraday's constant.

Nernst Potential for K+

  • Applying the Nernst equation for K+ yields -94 mV if the cell is permeable only to K+.

Nernst Potential for Na+

  • Applying the Nernst equation for Na+ yields 61 mV if the cell is permeable only to Na+.

Goldman Equation

  • The Goldman equation accounts for the permeability of multiple ions: EMF (millivolts) = -61 x log ( (PNa * [Na+]i + PK * [K+]i)/(PNa * [Na+]o + PK * [K+]o) ).
  • Membrane is more permeable to K+ than Na+
  • The relative permeability of K+ to Na+ is 100 to 1.
  • Using the Goldman equation with a K+ to Na+ permeability ratio of 100 to 1, the resting membrane potential is -86 mV.
  • The resting membrane potential is -86 mV if the K+ concentration outside of the cell has been increased
  • These calculations confirm the resting membrane potential of a neuron is approximately -90 mV.

Mechanisms for Resting Membrane Potential

  • Fixed Proteins
  • Distribution of ions (Na+, K+) across the membrane

Factors Influencing RMP

  • The resting membrane potential is closer to K+ equilibrium because the membrane is more permeable to K+ than Na+.
  • Changes in extracellular K+ concentration affect RMP
  • Hyperkalemia depolarizes the neuronal membrane.
  • A small change in extracellular K+ causes big change in RMP.

Nerve Action Potential

  • Nerve action potential involves rapid changes in the neuronal membrane potential.
  • These changes spread information along the nerve.
  • Key components include depolarization, overshoot, repolarization, and after-hyperpolarization.
  • A threshold potential of ~-15 mV needs to be reached to generate an action potential.

Action Potential Players

  • Key players in action potential generation are:
    • Leaky K+ channels
    • Leaky Na+ channels
    • Na+/K+ pump
    • Voltage-gated Na+ channels
    • Voltage-gated K+ channels
  • Voltage-gated channels open after reaching a depolarizing threshold (~15 mV).
  • Voltage-gated Na+ channels open first, followed by voltage-gated K+ channels

Voltage-Gated Channels

  • Voltage-gated Na+ channels have three states: closed, open, and inactivated.
  • They exhibit fast dynamics, opening and inactivating quickly.
  • Voltage-gated K+ channels have two states: closed and open.
  • They exhibit slow dynamics, opening and closing slowly.

Channel Dynamics

  • At rest, only leaky channels are active, maintaining the resting membrane potential.
  • Voltage-gated Na+ channels open, causing rapid depolarization.
  • Channels become inactivated with Na+ channels closing very quickly.

Conductance

  • Na+ conductance increases rapidly but is short-lived during action potential.
  • K+ conductance increases more slowly and remains elevated for a longer period.

Excitability and Refractory Periods

  • After channels reset and the cells return to baseline permeability, there are distinct periods of excitability.
  • Initially, during the absolute refractory period, the cell is unable to fire.
  • Then, followed by a relative refractory period, it is more difficult for the cell to fire.
  • Ion permeability is linked to the refractory period based on its relation to the action potential graph

Additional Facts

  • Feedback control mechanism is used to regulate voltage-gated ion channels in the membrane.
  • Depolarization opens Na+ channels and is a positive feedback.
  • Hyperpolarization triggers K+ efflux and is a negative feedback.
  • The Na+/K+ pump restores the membrane potential to resting state ionic concentrations.

Membrane Potential

  • Anything that depolarizes the resting membrane potential increases excitability.

Goldman Equation

  • Lowering the permeability of K+ yields a more positive RMP of approx -69mV versus default -86mV

Hyperkalemia

  • Hyperkalemia increases excitability.

High Calcium Level

  • Elevating extracellular calcium decreases excitability.

Calcium Blocking

  • Calcium blocks channels from opening

Clinical Correlation

  • Therapeutic interventions can modulate neuronal excitability.
  • Hyperkalemia requires treatment with low-potassium diet and intravenous calcium.
  • Local anesthetics block voltage-gated Na+ channels at nerve endings.

Action Propagation

  • The action continues along the nerve through the initial axon segment

Glial Cells

  • Three main types of glia: astrocytes, myelinating glia (oligodendrocytes/Schwann), and microglia.

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