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Ganong's Review of Medical Physiology, 23rd Edition

Ganong's Review of Medical Physiology, 23rd Edition

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SECTION II PHYSIOLOGY OF NERVE & MUSCLE CELLS<br />

Excitable Tissue: Nerve<br />

OBJECTIVES<br />

After studying this chapter, you should be able to:<br />

■ Name the parts <strong>of</strong> a neuron and their functions.<br />

■ Name the various types <strong>of</strong> glia and their functions.<br />

■ Describe the chemical nature <strong>of</strong> myelin, and summarize the differences in the ways<br />

in which unmyelinated and myelinated neurons conduct impulses.<br />

■ Define orthograde and retrograde axonal transport and the molecular motors involved<br />

in each.<br />

■ Describe the changes in ionic channels that underlie electrotonic potentials, the<br />

action potential, and repolarization.<br />

■ List the various nerve fiber types found in the mammalian nervous system.<br />

■ Describe the function <strong>of</strong> neurotrophins.<br />

INTRODUCTION<br />

The human central nervous system (CNS) contains about<br />

10 11 (100 billion) neurons. It also contains 10–50 times this<br />

number <strong>of</strong> glial cells. The CNS is a complex organ; it has been<br />

calculated that 40% <strong>of</strong> the human genes participate, at least to<br />

a degree, in its formation. The neurons, the basic building<br />

blocks <strong>of</strong> the nervous system, have evolved from primitive<br />

neuroeffector cells that respond to various stimuli by contracting.<br />

In more complex animals, contraction has become<br />

C H A P T E R<br />

4<br />

the specialized function <strong>of</strong> muscle cells, whereas integration<br />

and transmission <strong>of</strong> nerve impulses have become the specialized<br />

functions <strong>of</strong> neurons. This chapter describes the cellular<br />

components <strong>of</strong> the CNS and the excitability <strong>of</strong> neurons, which<br />

involves the genesis <strong>of</strong> electrical signals that enable neurons<br />

to integrate and transmit impulses (action potentials, receptor<br />

potentials, and synaptic potentials).<br />

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