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Components of Central Nervous System (CNS)

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<strong>Components</strong> <strong>of</strong> <strong>Central</strong> <strong>Nervous</strong> <strong>System</strong> (<strong>CNS</strong>)<br />

Neurons, Glia: gray matter, white matter<br />

Neuropil (nerve fibers + glia processes)<br />

Synapse<br />

Glia (Neuroglia)<br />

Astrocyte (Astroglia)<br />

Microglia<br />

Oligodendrocyte (Oligodendroglia)<br />

Ependyma (choroid plexus epithelium)<br />

Histo: <strong>CNS</strong> - 1


<strong>Components</strong>: Neurons, Glia and Neuropil<br />

Gray matter: Neurons (+ processes), Glia<br />

White matter: Nerve fibers (processes), Glia<br />

Neuropil: nerve processes + glia processes<br />

Neuropil<br />

Histo: <strong>CNS</strong> - 2


Synapses<br />

Functional classifications<br />

Chemical synapse<br />

Neurotransmitters,<br />

Neuropeptides<br />

Electronic synapse: gap<br />

junction (nexus), connexin<br />

Morphological classification (EM)<br />

Histo: <strong>CNS</strong> - 3


Chemical Synapses<br />

Ultrastructures<br />

Presynaptic element: synaptic<br />

vesicles<br />

Synaptic cleft<br />

Postsynaptic element: clustering <strong>of</strong><br />

receptors/channels<br />

Neurotransmitters<br />

acetylcholine (ACh), noradrenaline<br />

(NE), gamma-aminobutyric acid<br />

(GABA), serotonin (5-HT),<br />

dopamine (DA), glycine, glutamate,<br />

aspartate et al.<br />

Neuropeptides (peptidergic):<br />

calcitonin gene-related peptide<br />

(CGRP), et al.<br />

Histo: <strong>CNS</strong> - 4


Structural classification <strong>of</strong><br />

Synapses<br />

axosomatic synapse<br />

axodendritic synapse<br />

axoaxonic synapse<br />

Axosomatic Axodendritic Axoaxonic<br />

Histo: <strong>CNS</strong> - 5


Neuroglia<br />

Microglia (macrophage)<br />

Histo: <strong>CNS</strong> - 6


Neuroglia<br />

Non-nervous elements;<br />

more abundant than<br />

neurons<br />

protective, supportive,<br />

nutritive<br />

Exist in the extraneuronal<br />

space<br />

as ionic sink<br />

little true tissue space, no<br />

lymphatics<br />

Proliferate in <strong>CNS</strong> injury<br />

Histo: <strong>CNS</strong> - 7


Types <strong>of</strong> neuroglia<br />

Astrocytes (Astroglia)<br />

Protoplasmic, Fibrous<br />

Oligodendrocytes<br />

(Oligodendroglia)<br />

Microglia (Mesoglia)<br />

Ependyma cells, Choroid<br />

epithelium<br />

Histo: <strong>CNS</strong> - 8


Astrocytes<br />

Perivascular feet (Foot<br />

plates)<br />

“glia limitans” (LM) on<br />

brain surface<br />

subpia foot <strong>of</strong><br />

astrocytes<br />

basal lamina <strong>of</strong> pia<br />

matter (EM)<br />

cytoplasm: glial fibrillary<br />

acidic protein (GFAP)<br />

?Functions: barriers,<br />

metabolism<br />

Histo: <strong>CNS</strong> - 9


Protoplasmic astrocytes<br />

in gray matter<br />

Stellate form with<br />

multiple radiating<br />

processes<br />

A larger and paler<br />

nucleus than other glial<br />

cells<br />

Processes ending as<br />

vascular feet/pedicles<br />

(perivascular feet) and<br />

perineural feet<br />

Histo: <strong>CNS</strong> - 10


Protoplasmic astrocyte<br />

Blood vessel<br />

Cajal method Silver<br />

impregnation<br />

GFAP<br />

Histo: <strong>CNS</strong> - 11


Fibrous astrocytes<br />

in white matter, and<br />

periventricular gray<br />

matter<br />

an ovoid euchromatic<br />

nucleus with<br />

pale-staining<br />

cytoplasm and long,<br />

thin processes<br />

Histo: <strong>CNS</strong> - 12


Fibrous astrocyte<br />

Immunocytochemistry GFAP<br />

Silver-gold impregnation<br />

Histo: <strong>CNS</strong> - 13


Microglia<br />

Mononuclear<br />

phagocytic cells<br />

A dense oval or<br />

elongate nucleus<br />

with scant<br />

cytoplasm<br />

Tortuous processes<br />

with spines<br />

Upon injury:<br />

proliferate, loose<br />

spines, become<br />

swollen (“amoeboid”)<br />

Histo: <strong>CNS</strong> - 14


Microglia<br />

Microgliosis<br />

Silver impregnation<br />

Immunohistochemistry: MHCII (major<br />

histocompatibility complex II) for<br />

activated microglia<br />

Histo: <strong>CNS</strong> - 15


Oligodendrocytes<br />

Form myelin sheath in <strong>CNS</strong><br />

Smaller size than astrocytes<br />

Small irregularly shaped<br />

deeply stained nucleus<br />

Various classifications and<br />

Types<br />

Perineural<br />

oligodendrocytes<br />

Perifascicular<br />

oligodendrocytes<br />

Histo: <strong>CNS</strong> - 16


Perineuronal<br />

oligodendrocytes<br />

oligo<br />

Mainly in gray matter<br />

Closely associated with<br />

soma <strong>of</strong> neurons<br />

? Functions: metabolic<br />

interdependency<br />

Histo: <strong>CNS</strong> - 17


Perifascicular<br />

oligodendrocytes<br />

Mainly in white<br />

matter<br />

arranged in rows<br />

between bundles <strong>of</strong><br />

axons<br />

Analogous to<br />

Schwann cells in<br />

PNS<br />

forming myelin<br />

sheaths <strong>of</strong> several<br />

parallel axons, up to<br />

50 or more<br />

Histo: <strong>CNS</strong> - 18


Oligodendrocytes<br />

Perineuronal<br />

oligodendrocytes<br />

Perifascicular<br />

oligodendrocytes<br />

19<br />

Histo: <strong>CNS</strong> - 19


Different patterns <strong>of</strong> myelination between <strong>CNS</strong> and PNS: 1/3<br />

1. Surface <strong>of</strong> the node: contacted by astrocyte processes in<br />

<strong>CNS</strong>; covered by Schwann cell processes in PNS.<br />

2. Cytoplasm <strong>of</strong> myelinating cells near the node <strong>of</strong> Ranvier: (-)<br />

for Oligo; (+) for Schwann cells.<br />

Histo: <strong>CNS</strong> - 20


Different patterns <strong>of</strong> myelination between <strong>CNS</strong> and PNS: 2/3<br />

3. One Oligo for several axons; One Schwann for a single axon<br />

4. Distance between cell body and myelin sheath: Oligo ><br />

Schwann<br />

Histo: <strong>CNS</strong> - 21


Different patterns <strong>of</strong> myelination between <strong>CNS</strong> and PNS: 3/3<br />

5. Basal lamina associated with myelin sheath: (-) in <strong>CNS</strong>,<br />

(+) in PNS<br />

6. Supporting connective tissue for myelinated axons: (-) in<br />

<strong>CNS</strong>, (+) in PNS<br />

Histo: <strong>CNS</strong> - 22


Demyelinating diseases<br />

Myelin proteins<br />

only in PNS: peripheral myelin protein 22 (PMP22) et al<br />

only in <strong>CNS</strong>: proteolipid protein (PLP) et al<br />

in PNS and <strong>CNS</strong>: myelin-associated glycoprotein (MAG)<br />

et al<br />

Demyelinating diseases<br />

PNS: Guillain-Barré syndrome (acute inflammatory<br />

demyelinating polyradiculopathy) 急 性 神 經 根 炎<br />

<strong>CNS</strong>: multiple sclerosis 多 發 性 硬 化 症<br />

Histo: <strong>CNS</strong> - 23


Guillain-Barré syndrome (GBS)<br />

Progressive<br />

weakness<br />

Day 1<br />

Lower limbs<br />

Day 3<br />

Upper limbs<br />

Day 7<br />

Respiratory failure<br />

Histo: <strong>CNS</strong> - 24


Ependymal cells<br />

Lining cells <strong>of</strong> ventricular system<br />

Ventricles<br />

Aqueduct<br />

<strong>Central</strong> canal<br />

Choroid plexus: continuous with<br />

ependyma cells <strong>of</strong> ventricles<br />

Histo: <strong>CNS</strong> - 25


Ependymal cells<br />

Histo: <strong>CNS</strong> - 26


Ependymal cells<br />

C: cilia<br />

M:microvilli<br />

JC: junctional complex<br />

BB: basal body<br />

G: Golgi apparatus<br />

Histo: <strong>CNS</strong> - 27


Choroid plexus<br />

Ependyma layer + vascular core<br />

(vessels + loose connective tissues)<br />

Histo: <strong>CNS</strong> - 28


Blood-Brain Barrier (BBB)<br />

Nonfenestrated endothelial<br />

cells (tight junctions)<br />

thick basal lamina with<br />

outer surfaces enclosed by<br />

Astrocytes’ foot processes<br />

(perivascular feet, end feet)<br />

Histo: <strong>CNS</strong> - 29


Blood-Brain Barrier<br />

Capillary <strong>of</strong> continuous type; Thick<br />

basal lamina; Perivascular feet<br />

Functions: impermeable to foreign<br />

substances for preventing<br />

Autoimmune damage<br />

Blood vessel<br />

Histo: <strong>CNS</strong> - 30


Meninges<br />

Dural mater<br />

(pachymeninx)<br />

periosteum <strong>of</strong><br />

skull<br />

subdural space<br />

Pia-arachnoid<br />

(leptomenginges)<br />

Arachnoid mater<br />

subarachnoid<br />

space / cistern<br />

Intact vessels<br />

Pia mater<br />

Histo: <strong>CNS</strong> - 31


Meninges<br />

Histo: <strong>CNS</strong> - 32


Pia-Arachnoid<br />

Histo: <strong>CNS</strong> - 33


Organization <strong>of</strong> <strong>CNS</strong><br />

Cerebellum: 3 layers<br />

Cerebral cortex (Neocortex): 6<br />

layers (cytoarchitecture:<br />

Broadmann area)<br />

Histo: <strong>CNS</strong> - 34


Mol: molecular layer<br />

Pkj: Purkinje cell layer<br />

Gr: granular layer<br />

Cerebellum<br />

Cerebellar cortex<br />

Histo: <strong>CNS</strong> - 35


Pyramidal cells (neurons)


Cerebral cortex<br />

(Neocortex): 6 layers<br />

1. Plexiform (molecular) layer<br />

2. Outer granular layer<br />

3. Pyramidal cell layer<br />

4. Inner granular layer<br />

5. Ganglionic layer<br />

6. Multiform cell layer<br />

White matter<br />

Histo: <strong>CNS</strong> - 37


Response <strong>of</strong> a nerve to injury<br />

Histo: <strong>CNS</strong> - 38


Nerve Degeneration and Regeneration<br />

Histo: <strong>CNS</strong> - 39


Nerve injury: PNS vs. <strong>CNS</strong><br />

Histo: <strong>CNS</strong> - 40


Nerve Degeneration and Regeneration<br />

Wallerian degeneration: disintegration <strong>of</strong> axonal<br />

cytoskeleton distal to the site <strong>of</strong> injury<br />

Cell body: chromatolysis (loss <strong>of</strong> Nissl substance)<br />

Responses<br />

PNS: proliferation <strong>of</strong> Schwann cells; migration <strong>of</strong><br />

macrophage<br />

<strong>CNS</strong>: proliferation <strong>of</strong> astrocytes<br />

Regeneration<br />

PNS: as a rule<br />

<strong>CNS</strong>: negligible<br />

inhibitory molecules, glial scar et al.<br />

Histo: <strong>CNS</strong> - 41


Review <strong>of</strong> <strong>CNS</strong> Histology<br />

<strong>Components</strong> <strong>of</strong> <strong>CNS</strong>: neurons, glia<br />

Neurons, Glia: gray matter, white matter<br />

Neuropil (nerve fibers + glia processes)<br />

Synapse<br />

Glia (Neuroglia)<br />

Meninges (Menix)<br />

Blood-Brain Barrier<br />

Organization <strong>of</strong> the <strong>CNS</strong>: layers<br />

Responses to nerve injury<br />

Histo: <strong>CNS</strong> - 42

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