basic neuroanatomy - univerzita...

83
Basic neuroanatom y © David Kachlík 30.9.2015

Upload: dinhkiet

Post on 07-Feb-2019

219 views

Category:

Documents


0 download

TRANSCRIPT

Basic

neuroanatomy

© David Kachlík 30.9.2015

Characteristic of nervous tissue

• Nervous tissue is specialized for intake, workabout

and transfer of infos and that way coordinates most of the functions in the body

• cells:

– proper excitability neurons

– Support cells (astrocytes, oligodendrocytes, microglia and

ependymal cells)

• Anatomically we divide nervous system into central

(CNS – brain and medulla spinalis) and peripheral (PNS – nerves and ganglias)

• In the CNS we distinguish gray and white matter

• White matter visage is due to myelin – lipoprotein complex covering individual axons

© David Kachlík 30.9.2015

Classification of nervous tissue cells

• Nervous tissue contains two types of cells:

– neurons – major cells carrying informations

– Glial cells (neuroglia, glia) (neuroglia) – provide

support for neurons, protect them and

participate in nutrition and function

• astrocytes (astrocytus)

• oligodendrocytes (oligodendrocytus)

• mikroglia (microgliocytus)

• Ependymal cells (ependymocytus)

© David Kachlík 30.9.2015

Neurons I

• Are principal units of nervous tissue

• Responsible for intake, workabout and transfer of signal

• Composed of cell body (soma, perikaryon), dendrites(dendritum) and axon (axon)

• Size of neurons vary in interval 5 µm (granular cells of cerebellum) to 150 µm (Purkynje cells of cerebellum)

• After delivery no mitoses (not valid for hippocampal cells and bulbus olfactorius)

• Wallerian neurodegeneration and neuroregeneration rules(axon and dendrite regenerate regularly, neuronal body only in several localities – dentate gyrus of hippocampus)

© David Kachlík 30.9.2015

Neurons II

© David Kachlík 30.9.2015

Neurons classification I• According to shape we divide neurons into:

– multipolar (neuron multipolare)• More then 2 outlets (axon + dendrites)

• Vast majority of neurons

– bipolar (neuron bipolare)• Only 2 extensions (axon + dendrite)

• retina, olfactory epithelium, ganglion n. vestibulocochlearis (VIII) etc.

– pseudounipolar (neuron pseudounipolare)• Only 1 extension, subs. Splitting into dendrite and axon „T“

shaped

• Sensory ganglia of spinal and cranial nerves

– unipolar (neuron unipolare)• only 1 extension

• Amacrine and horizontal cells of retina© David Kachlík 30.9.2015

Neurons classification II

© David Kachlík 30.9.2015

Neurons classification III

• From functional point we divide them into:

– motor neurons (neuron motorium)

• Controll effector organs (skeletal and smooth

muscles; endocrine and exocrine glands)

– sensory neurons (neuron sensorium)

• Maintain infos intake from body and environment

– interneurons (interneuron, neuron internuntiale)

• Create complicated net between sensory and morot neurons

© David Kachlík 30.9.2015

Perikaryon (soma) I

• Nucleus is big, ovoid and euchromatic with prominent nucleolus – great transcriptory activity

• GER is rich and on surface it has numerous

polyribosomes – together it forms so called Nissl substance

• GA is located only in perikaryon and it gives rise to

transport and secretory vesicules

• mitochondrias are concentrated mostly in axonal hillocks

and in pericaryon

© David Kachlík 30.9.2015

Perikaryon (soma) II

• From cytoskeletal structures are important:

– microtubules – maintain axonal transport (Hemeroff

theory of quantuum states mediating quantuum information share in the matter)

– neurofilaments – 10 nm thick intermediary filaments

specific for nervous tissue – stained by silver or gold.

• In the cytoplasm we may find also lipofuscin inclusions

(„pigment from wearing out“) or melanin

© David Kachlík 30.9.2015

Perikaryon (soma) III

© David Kachlík 30.9.2015

Dendrites

• Are short extensions amplifying neuron surface enabling 1 neuron to receive infos from many neurons

• In contrast to axon their width decreases with branching

• At the synapsis there are dendritic spikes (its decrease is effect of chronic stress –Sapolsky et al.)

• Cytoplasm of dendrites is almost equivalent to perikaryon, but no GA

© David Kachlík 30.9.2015

Dendritic

spikes

© David Kachlík 30.9.2015

Dendritic spikes

© David Kachlík 30.9.2015

Axon I

• Provides signal transduction from perikaryon and

its further elaboration to other neuron or effector cell

• neuron contains mostly 1 axon

• At the origin is axonal hillock with no ribosomes or GER from perikaryon

• In myelinized axons is between axonal hillock

and origin of myelin sheet inicial segment (dense layer under axolemma in EM) – here originates

action potencial

© David Kachlík 30.9.2015

Hillock and initial segment

© David Kachlík 30.9.2015

Axon II

• axon is not branching for most of its course with

exception of collateral branches returning into perikaryon

• Branching happens at the terminal part of axon and each branch has synaptic ending – so called

bouton terminaux

• synaptic endings may be present during axonal

course as boutons en passage

© David Kachlík 30.9.2015

Bouton

terminauxVisual cortex, Macaque, Nature

2006

© David Kachlík 30.9.2015

Axonal transport I• Due to missing GER is axon dependent of protein

supply from perikaryon

• Nutrition maintains axonal transport

• Function of axonal transport is granted by specific

microtubular organization – these function oas „railroad “

• „machine“ of carried particles (secretory vesicles

with neuromediators, mitochondrias etc.) is

molecular engine dynein and kinesin

• There is axonal transport anterograde (from

perikaryon) and retrograde (to perikaryon)© David Kachlík 30.9.2015

Axonal transport II

http://www.bio.unipd.it/~bubacco/html/body_lrrk2.html

© David Kachlík 30.9.2015

Synapse I

• synapse (synapsis) is specialized structure for

excitation transfer from on neuron to the other on (or on effector cell)

• According to transfer variant we divide synapses into:

– chemical (synapsis chemica): happens molecular

secretion diffusing to target cell

– electrical (synapsis electrica): cells are directly

connected by nexus – depolarization

propagates directly to target cell - rare

© David Kachlík 30.9.2015

Synapse II

• According to location are synapses:

– axodendritic (synapsis axodendritica) – most

common

– axosomatic (synapsis axosomatica)

– axoaxonal – for example in presynaptic

inhibition when carrying painful stimuli

– dendritodendritic (synapsis dendritodendritica) –rare

© David Kachlík 30.9.2015

Synapse III

© David Kachlík 30.9.2015

Chemical synapse I

• Three major subparts:

– presynaptic membrane (membrana presynaptica) –cytoplasmatic membrane of axonal terminal –

cytoplasm rich in secretory (synaptic) vesicules with neurotransmitter

– synaptic cleft (fissura synaptica) – 20-30 nm wide (wider

then between neuron and glia)

– postsynaptic membrane (membrana postsynaptica) –cytoplasmatic membrane of target cell containing

receptores for neurotransmitter

© David Kachlík 30.9.2015

Chemical synapse II

• synaptic transfer has several phases:

– Action potential after „arriving“ into synpase opens voltage

gated Ca2+ channels – influx of Ca2+ into axonal teminal

– Increased concentration of Ca2+ starts exocytosis of

synaptic vesicles

– Ca2+ is fast inactivated – pumped into ECT

– Mediators from synaptic vesicles diffuse to target cell and

react with its receptors

– By reaction with receptors is indirectly changed

permeability of post synaptic membrane for Na+, K+, Cl- or

other ions – creation of excitatory post synaptic potential

(EPSP) or inhibitory post synaptic potential (IPSP)

• Synaptic delay is 0,3-0,5 s© David Kachlík 30.9.2015

Chemical synapse III

© David Kachlík 30.9.2015

Neuromediators• Chemical substances at

the connection between neurons or neurons-muscles or other cells

• acetylcholin

• monoamines(noradrenalin, dopamin)

• serotonin

• GABA

• glycin

• Motor plate – presynaptic membrane of axon, synaptic cleft, postsynaptic membrane of muscle

• substance P, neuropeptid Y© David Kachlík 30.9.2015

Glial cells (neuroglia)

• More numerous then neurons 10-50x, but due to

smaller size form approx. 50 % of the CNS

• „cooperate“ with neurons – offer support,

nutrition, form myelin sheath of axons, phagocyte etc.

• Staining by silver or gold impregnation and histochemical methods

• Morphologically 4 types – astrocytes, oligodendrocytes, microglia and ependymal cells

• After delivery may do mitosis

© David Kachlík 30.9.2015

Astrocytes I

• Bigest neuroglial cells

• Emanates numerous extensions (so colled vascular pedicles) covering blood vessels

– Participate in hematoencephalic barrier

• Contain numerous 10 nm thick intermediary

filaments formed by glial fibrilal acidic protein

(GFAP)

• Offer neurons mechanical protection and help with metabolism

• In case of injury astrocytes proliferate and form glial scar

© David Kachlík 30.9.2015

Blood-brain barrier

(hematoencephalic barrier)

© David Kachlík 30.9.2015

Astrocytes II

• Morphologically we recognize 2 types:

– protoplasmic astrocytes

• Numerous granulas in cytoplasm

• Extensions are shorter and richly branching

• Occur mostly in grey matter

– Fibrilary astrocytes

• Longer externsions w/o branching

• Occur mostly in white matter

© David Kachlík 30.9.2015

Astrocytes III

© David Kachlík 30.9.2015

Astrocytes IV

© David Kachlík 30.9.2015

Oligodendrocytes I

• Smaller compared to astrocytes and have less intermediary filaments

• Form myelin sheath in the CNS

– Perform same function as Schwann cells in PNS

• Oligodendrocytes contain more axons at

once (in contrast to Schwann cells)

• Their number phylogenetically increases

© David Kachlík 30.9.2015

Oligodendrocytes II

© David Kachlík 30.9.2015

Microglia I• Smallest neuroglia

• Part of monocyto-macrophage system

– Mesodermic origin

• Movable and phagocytic

• Nuclei elongated

– As opposed to other glial cells that have round nuclei

• have „spiky“ shape

– During activation acquire shape of macrophages

© David Kachlík 30.9.2015

Microglia II

© David Kachlík 30.9.2015

Microglia III

© David Kachlík 30.9.2015

Ependymal cells I (ependymocyti)

• Originate from inner (germinal) zone of neuroepithelium

• Maintain epiteloid arrangement

• ependyme covers CNS cavities – brain ventricles, Sylvius

aqueduct, central canal of medulla spinalis

• Cells have nexus and zonulae occludentes

• Cillia at the apical pole facilitate flow of CSF

• tanycytes

– Special group o ependymal cells at the bottom of the 3rd

ventricle

– Have long extensions into nervous tissue

– May play role in chemical singal transduction from CSF

© David Kachlík 30.9.2015

Ependymal cells II

© David Kachlík 30.9.2015

Nerve fibers (neurofibra)

• Axons or dendrites covered by special sheaths of ectodermal origin

• Nerve fiber bundles form:

– In CNS tracts (cover is formed by

oligodendrocytes)

– In PNS nerves (cover formed by Schwann

cells)

• We recognize fibers:

– Non-myelinated

– myelinated © David Kachlík 30.9.2015

Non myelinated nerve fibers I

• In the CNS located freely between neurons and glial cells

• In the PNS „invaginates“ into simple rifts in

Schwann cells

• Schwann cells (Schwannocytus) located

along nerve fiber mutually interconnected

– missing Ranvier fissures

© David Kachlík 30.9.2015

Non myelinated nerve fibers II

© David Kachlík 30.9.2015

Myelinated nerve fibers I

• Myelination occurs in several steps:

– Invagination of axon into sulcus of sheat cell

(oligodendrocyte or Schwann cell) originate so

called mesaxon (mesaxon)

– mesaxon „rotates“ around axon by 150x

– By modification of cytoplasmic membrane of

covering cell originate lipoprotein complex

myelin

© David Kachlík 30.9.2015

Myelinated nerve fibers II

© David Kachlík 30.9.2015

Myelinated nerve fibers III

• Between individual Schwann cells is myelin sheath interrupted by Ranvier fissure (nodi interruptionis myelini)

• Interval between Ranvier fissures is named internodium and has length 1-2 mm

• In the CNS are Ranvier fissures not readily visible

• Schmidt-Lanterman incisure (incisurae myelini)

– cytoplasm of Schwann cell „imprisoned“ during

myelination inside myelin sheath

– Form lighter stripes in myelin sheath

http://en.wikipedia.org/wiki/Myelin_sheath_gap

© David Kachlík 30.9.2015

Myelinated nerve fibers IV

© David Kachlík 30.9.2015

Myelin sheath – electrone microscope

© David Kachlík 30.9.2015

Schmidt – Lanterman incisures

J Neurosci 2013 © David Kachlík 30.9.2015

Nerves I• Formed by bundles of nerve fibers

• Nerve fibers have coverings similar to muscle

fibers:

– endoneurium

• Layer of reticular fibers around individual nerve fibers

– perineurium

• „sleeve“ covering bundles of nerve fibers formed by

layers of epitheloid cells

• Numerous zonulae occludentes – non passable barrier

protecting nerve fibers

– epineurium

• Tissue cover of whole nerve© David Kachlík 30.9.2015

Nerves II

© David Kachlík 30.9.2015

Ganglia I• Nerve ganglia is accumulation of perikarya in

the PNS

• Have ovoid shape and their surface is covered by pouch from thick non arranged tissue

• Typical are so called satellite cells (gliocyti ganglionici) – snall cuboideal cells surrounding

neuronal perikarya

http://en.wikipedia.org/wiki/Dorsal_root_ganglion http://www.pharmainfo.net/introduction-autonomic-nervous-system/classification

© David Kachlík 30.9.2015

Ganglia II

• spinal ganglia

– sensory (ganglion sensorium)

– In posterior radices of spinal nerves and in the course of

cranial nerves (V, IX, X)

– Contain typical pseudounipolar neurons

– Bring in sensory inputs from periphery to CNS

• autonomous (vegetative) ganglia (ganglion autonomicum)

– In the course of autonomic nerves

– Contain multipolar neurons

– Layer of satellite cells is not complete

– intramural ganglia

• parasympatic ganglia in the wall of the hollow organs© David Kachlík 30.9.2015

Ganglia III

© David Kachlík 30.9.2015

Development of neural tube I

Nervous tissue originates from

neuroectoderm

• NE originates from ectoderm by induction of notochored

neural plate durgin neurulation process

creates neural tub = foundation of CNS

• Remnant of neuroectoderm separates

neural crest (crista neuralis) = foundation of

PNS and other structures (ectomesenchyme of the head ) © David Kachlík 30.9.2015

© David Kachlík 30.9.2015

Development of neural tube II

• Primary neurulation

– Separates ectoderm into three cell types

(inside positioned nerve tube, epidermis externally and cells of the neural crest)

• Secondary neurulation

– Cells of the nerve plate form chorda dorsalis

• In the time of 35th somite formation

© David Kachlík 30.9.2015

Development of neural tube III

Epitelium of nerve tube soon changes into multilayer neuroepithelium where are 3 layers:

• inner (germinal) zone (zona ventricularis; matrix germinalis)– Up to half of gravidity richly proliferates (origin of

neuroblasts)– Then reduced into ependyme

• Middle (shell) zone (zona intermedia; zona pallii)– Formed primarilly by migrating neuroblasts

– Gives rise to grey matter

• outer (marginal) zone (zona marginalis)– Formed by extensions of neuroblasts

– Gives rise to white matter

© David Kachlík 30.9.2015

Development of neural tube IV

© David Kachlík 30.9.2015

Somite (somitus)

• somitomeres around 3rd week

• At the end of 5th week 42-44 somites

http://www.aps.uoguelph.ca/~swatland/HTML10234/LEC5/LEC5.html

http://www.uprightape.net/Image_Pages/UA_Fig7-4_SomiteDevel.html

© David Kachlík 30.9.2015

Myotome

• Central part of initial

segment

• During differentiation

from 4th week it retain

longest epitheloid organization

• Gives rise to skeletal muscle

© David Kachlík 30.9.2015

Sclerotome

• Dorsomedial part of initial segment

• During differentiation from 4th week transforms into mesenchyme

• Thickens around chorda dorsalis

• Gives rise to axial skeleton (vertebras, costas, sternum) and basis of the skull

© David Kachlík 30.9.2015

• Ventrolateral part of initial segment

• During differentiation from 4th week transforms into mesenchyme

• Migrates into somatopleura

• Gives rise to connective tissue basis of skin (dermis and tela subcutanea)

• Parts arising from the same dermatome have same innervation via spinal root

Dermatome

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

Composition of brain tissue

• Grey matter (substantia grisea)– perikarya of neurons, mostly non myelinated

nerve fibers

– Protoplasmic astrocytes, oligodendrocytes andmicroglia

• White matter (substantia alba)– Mostly myelinated fibers

– Fibrilar astrocytes, oligodendrocytes and microglia

http://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/CNS230A.htmlhttp://fuckyeahnervoussystem.tumblr.com/post/1276369326/spinal-cord-light-micrograph-of-a-cross-section

© David Kachlík 30.9.2015

CNS description - parts

• Spinal cord (Medulla spinalis)• Brain stem (Truncus encephali)

– Oblongate (Medulla oblongata)– Pons (Pons) – formerly pons Varoli– Midbrain (Mesencephalon)– Hindbrain (Rhombencephalon)

• Cerebellum (Cerebellum)• Diencephalon (Diencephalon)• Terminal brain (Telencephalon)

– Bazal ganglia (nuclei basales)– Brain cortex (cortex cerebri)– Forebrain (ventral brain)

© David Kachlík 30.9.2015

Mesencephalon

Pons

Medulla oblongata

Medulla spinalis

Brain stem

© David Kachlík 30.9.2015

CNS description

• Inside CNS cavities

– 4th ventricle, 3rd ventricle and two lateral ventricles

• CNS covered by meninx:– Hard meninx (pachymeninx

= dura mater)

– Soft meninx (leptomeninx)

• arachnoidea (arachnoidea mater)

• pia (pia mater)

• Inside cavities cerebospinal fluid (liquor cerebrospinalis = CSF)

http://faculty.irsc.edu/FACULTY/TFischer/AP1/AP%201%20resources.htm

http://mortdev.blogspot.cz/2008/09/brain-autopsy.html

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

Brain stem

• Transfer of all ascending and descending nerve pathways(tractus)

• Reticular formation (RF; formatio reticularis)– Vitaly important reflexory centers

• Cardiac activity, respiration, vasomotorics, consciousness

• Nuclei of cranial nerves– n. III - XII

© David Kachlík 30.9.2015

CNS function

• Spine – reflexes, ascending and descending tracts

• Brain stem – vitally importatn reflexes (respiratory,

cardiovascular, vomitus, eye ball synchro)

• Midbrain – hormonal production, circadian rhythm,

termoregulation, food intake, autonomic regulation

• Terminal brain

– Brain cortex: functional cortical areas

– Basal ganglias: motion patterns

• limbic system – behavior, emotions, memory

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

Peripheral nervous system

(Systema nervosum periphericum)

• spinal nerves (nervi spinales) – 31 pairs

• cranial nerves (nervi craniales) – 12 pairs

• autonomic nerves (systema autonomicum)

– sympathetic (pars sympathica)

– parasympathetic (pars parasympathica)

– enteric system

© David Kachlík 30.9.2015

Macroscopy of spinal nerve branching

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

Pyramidal tract

(Tractus pyramidalis)

• 2-neuron pathway

• cerebral cortex → skeletal muscle

• 1st neuron = pyramidal cell of cortex

• 2nd neuron = alfa-motoneuron of anterior horn of spinal cord

• decussated (C1 level)

• disorder: central contralateral palsy

© David Kachlík 30.9.2015

Rami anteriores

nervorum spinalium

• plexus cervicalis (C1-4)

• plexus brachialis (C4-T1)

• nn. intercostales (T1-T12)

• plexus lumbalis (T12-L4)

• plexus sacralis (L4-S4)

• plexus coccygeus (S5-Co) © David Kachlík 30.9.2015

Plexus brachialis (C4-T1)

• truncus (trunk)superior (C4+C5+C6)medius (C7)inferior (C8+T1)

fissura scalenorum• fasciculus (cord)

lateralis medialisposterior

axilla - relation to a. axillaris• pars supraclavicularis• pars infraclavicularis

© David Kachlík 30.9.2015

Plexus brachialis - axilla

© David Kachlík 30.9.2015

© David Kachlík 30.9.2015

Plexus brachialis

Nerves and their roots

n. musculocutaneus C5-7

n. medianus C5-T1

n. ulnaris

n. cutaneus antebrachii med.

n. cutaneus brachii med.

C8-T1

n. axillaris C5-6

n. radialis C5-C8 (T1)

© David Kachlík 30.9.2015