U1 · Neuroscience perspective + brain anatomy
- Levels of analysis
- Molecular → cellular → systems → behavioral → cognitive. Each level constrains the others.
- Central nervous system (CNS)
- Brain + spinal cord. Encased in bone (cranium + vertebral column), bathed in CSF.
- Peripheral nervous system (PNS)
- Cranial + spinal nerves + autonomic ganglia outside CNS.
- Major brain divisions
- Telencephalon (cerebrum, basal ganglia) · diencephalon (thalamus, hypothalamus) · mesencephalon (midbrain) · metencephalon (pons, cerebellum) · myelencephalon (medulla).
- Cerebral cortex lobes
- Frontal (motor + executive), parietal (somatosensation, spatial), temporal (auditory + memory + face), occipital (visual). Insula, cingulate sit deeper.
- Anatomical planes
- Sagittal (left-right), coronal/frontal (front-back), horizontal/axial (top-bottom). Rostral=anterior, caudal=posterior.
- Gray vs white matter
- Gray = cell bodies + dendrites + synapses. White = myelinated axon tracts.
- Ventricles
- Lateral (×2) → third → cerebral aqueduct → fourth → central canal. Choroid plexus produces CSF.
U2 · Neurons + glia
- Neuron doctrine
- Cajal: nervous system = discrete cells communicating across gaps (synapses). Defeated Golgi's reticular theory.
- Soma
- Cell body containing nucleus + organelles. Site of protein synthesis (Nissl bodies = stacks of rough ER).
- Dendrite
- Branched input region; receives synapses; spines on excitatory contacts.
- Axon
- Output process. Single per neuron. Initiates action potential at axon hillock; conducts to terminals.
- Axon hillock / initial segment
- High density of voltage-gated Na⁺ channels — site of AP initiation.
- Neuron classifications
- By shape: unipolar, bipolar, multipolar. By function: sensory (afferent), motor (efferent), interneuron.
- Astrocyte
- Star-shaped glia. K⁺ buffering, glutamate uptake (EAAT), tripartite synapse, BBB end-feet, lactate shuttle to neurons.
- Oligodendrocyte
- CNS myelinator; one cell wraps multiple axons.
- Schwann cell
- PNS myelinator; one cell wraps one axon segment.
- Microglia [Chivero focus]
- CNS-resident immune cells. Phagocytose debris + dead cells; respond to injury + infection. Activated states: M1 pro-inflammatory vs M2 anti-inflammatory. Drive neuroinflammation in HIV, methamphetamine, neurodegeneration.
- Ependymal cells
- Ciliated cells lining ventricles + central canal. Choroid plexus produces CSF.
- Blood-brain barrier (BBB)
- Tight junctions between brain capillary endothelial cells (claudin-5, occludin, ZO-1) + astrocyte end-feet + pericytes. Excludes most polar/large molecules.
U3 · Membrane potential
- Ion gradients (typical mammalian neuron)
- Inside: high K⁺ (~140 mM), low Na⁺ (~10 mM), low Cl⁻ (~10 mM), low Ca²⁺ (~100 nM). Outside: opposite.
- Resting membrane potential
- ~−65 mV (range −60 to −80 mV in different neurons). Set primarily by K⁺ permeability through leak channels.
- Nernst equation
- E_ion = (RT/zF) ln([out]/[in]). At 37°C: E_K ~ −85 mV, E_Na ~ +60 mV, E_Cl ~ −65 mV, E_Ca ~ +120 mV.
- Goldman-Hodgkin-Katz equation
- V_m = (RT/F) ln[(P_K[K]_o + P_Na[Na]_o + P_Cl[Cl]_i) / (P_K[K]_i + P_Na[Na]_i + P_Cl[Cl]_o)]. Weighted by permeabilities.
- Why is V_m close to E_K?
- Resting membrane is most permeable to K⁺ (open leak K⁺ channels). V_m drifts toward whichever ion has the highest permeability.
- Na⁺/K⁺-ATPase
- Maintains gradients: 3 Na⁺ out + 2 K⁺ in per ATP. Electrogenic — contributes ~−5 to −10 mV directly.
- Equilibrium vs steady state
- At E_ion, no net flux for that ion (reversal potential). Resting V_m is steady state — pumps balance leakage.
U4 · Action potential
- Action potential definition
- All-or-none rapid depolarization (~100 mV swing) lasting ~1-2 ms; propagates without decrement along axon.
- Threshold
- ~−55 mV. Voltage-gated Na⁺ channel opening exceeds K⁺ leak → positive feedback → AP.
- Voltage-gated Na⁺ channel
- Three states: closed (resting), open (activated), inactivated (ball-and-chain). Inactivation explains absolute refractory period.
- Voltage-gated K⁺ channel
- Slower activation (delayed rectifier). Repolarizes membrane → afterhyperpolarization. No fast inactivation.
- Phases of AP
- (1) Rising: Na⁺ in. (2) Overshoot: peaks ~+30 to +40 mV. (3) Falling: Na⁺ inactivates, K⁺ out. (4) Undershoot/AHP: V_m below rest until K⁺ closes.
- Absolute refractory period
- ~1 ms; Na⁺ channels inactivated, no AP possible regardless of stimulus.
- Relative refractory period
- ~2-4 ms; some Na⁺ channels still inactivated + AHP — stronger stimulus required.
- Saltatory conduction
- AP "jumps" between nodes of Ranvier in myelinated axons. ~10-50× faster than unmyelinated of same diameter.
- Conduction velocity factors
- ↑ axon diameter → ↑ velocity (less internal resistance). Myelin → much faster (saltatory).
- Tetrodotoxin (TTX)
- Pufferfish toxin; blocks voltage-gated Na⁺ channels → no AP. Classic experimental tool.
U5 · Synaptic transmission
- Electrical synapse
- Gap junction (connexons) between cells. Bidirectional, fast, no delay. Coupling for synchronized firing.
- Chemical synapse — sequence
- (1) AP arrives at terminal. (2) Voltage-gated Ca²⁺ channels open. (3) Ca²⁺ triggers vesicle fusion via SNAREs + synaptotagmin. (4) NT released into cleft. (5) Binds postsynaptic receptors. (6) Termination by reuptake/enzyme/diffusion.
- Vesicle fusion proteins
- v-SNARE synaptobrevin (VAMP) + t-SNAREs syntaxin + SNAP-25 form 4-helix bundle. Ca²⁺ sensor: synaptotagmin.
- EPSP
- Excitatory postsynaptic potential — depolarizing (e.g., glutamate → cation influx through AMPA/NMDA).
- IPSP
- Inhibitory postsynaptic potential — hyperpolarizing (e.g., GABA → Cl⁻ influx through GABA_A; or K⁺ efflux through GABA_B-coupled GIRK).
- Spatial vs temporal summation
- Spatial: multiple synapses simultaneously. Temporal: rapid trains from one synapse. Both bring the soma toward AP threshold.
- Ionotropic vs metabotropic receptor
- Ionotropic = ligand-gated ion channel (fast, ms). Metabotropic = GPCR → 2nd messenger (slow, seconds, modulatory).
- Long-term potentiation (LTP)
- Sustained increase in synaptic strength. Classic NMDA-dependent LTP in hippocampal CA1: Ca²⁺ through NMDA → CaMKII → AMPA insertion. Cellular basis of memory.
- Long-term depression (LTD)
- Sustained decrease in synaptic strength. Modest Ca²⁺ rise → phosphatases → AMPA internalization.
U6 · Neurotransmitters
- Glutamate
- Major excitatory NT in CNS. Receptors: AMPA (fast Na⁺/K⁺), NMDA (Ca²⁺, Mg²⁺ block, voltage-dependent), kainate, mGluRs.
- GABA
- Major inhibitory NT in CNS. Synthesized from glutamate by GAD. Receptors: GABA_A (Cl⁻ ionotropic), GABA_B (GPCR → K⁺ open + Ca²⁺ close).
- Glycine
- Inhibitory in spinal cord + brainstem. Cl⁻ channel. Strychnine antagonist.
- Acetylcholine (ACh)
- NMJ + autonomic + brain (cholinergic basal forebrain). Receptors: nicotinic (ionotropic, Na⁺/K⁺) + muscarinic (GPCR).
- Dopamine (DA)
- Motivation, reward, motor (substantia nigra → striatum). 5 receptor subtypes (D1-D5), all GPCRs. Implicated in Parkinson, addiction, schizophrenia.
- Norepinephrine (NE)
- Arousal, attention, autonomic. Locus coeruleus (CNS). α + β adrenergic receptors (GPCRs).
- Serotonin (5-HT)
- Mood, sleep, appetite. Raphe nuclei. ~14 receptor subtypes (mostly GPCR; 5-HT3 ionotropic).
- Histamine
- Wakefulness. Tuberomammillary nucleus. H1-H4 receptors.
- Endocannabinoids
- Retrograde messengers (anandamide, 2-AG). Activate presynaptic CB1 → reduce NT release.
- Nitric oxide (NO)
- Gas messenger, diffuses freely. Made by nNOS; activates soluble guanylyl cyclase → cGMP.
- Neuropeptides
- Larger NT (e.g., substance P, enkephalin, oxytocin, neuropeptide Y). Synthesized in soma, transported in dense-core vesicles, GPCR signaling.
U7 · Sensory + Somatosensory system
- Sensory transduction
- Conversion of stimulus energy into electrical signals (receptor potential).
- Receptor classes
- Mechanoreceptors (touch, hearing), thermoreceptors, photoreceptors, chemoreceptors, nociceptors (pain).
- Receptive field
- Region of stimulus space (skin area, retinal location) that affects a sensory neuron's firing.
- Adaptation
- Slowly adapting (SA) receptors fire continuously to maintained stimulus; rapidly adapting (RA) fire on changes.
- Touch receptors of glabrous skin
- Meissner (RA, fluttering touch) · Pacinian (RA, vibration deep) · Merkel (SA, pressure + form) · Ruffini (SA, skin stretch).
- Dorsal column–medial lemniscus pathway
- Fine touch, vibration, proprioception. 1st neuron → ipsilateral dorsal columns → gracile/cuneate nucleus (medulla) → DECUSSATES → medial lemniscus → VPL thalamus → S1 cortex.
- Spinothalamic (anterolateral) pathway
- Pain, temperature, crude touch. 1st neuron synapses in dorsal horn → DECUSSATES at spinal level → ascends contralaterally → VPL thalamus → S1.
- Sensory homunculus
- Distorted body map in S1 with overrepresentation of hands + face. Penfield's stimulation studies.
U8 · Pain & nociception
- Aδ fibers
- Thinly myelinated, fast (5-30 m/s); sharp, well-localized "first" pain.
- C fibers
- Unmyelinated, slow (0.5-2 m/s); dull, throbbing "second" pain; longer-lasting.
- TRPV1
- Capsaicin + heat (>43°C) receptor on nociceptors. Cation channel.
- Gate control theory (Melzack-Wall)
- Aβ touch fibers activate dorsal horn inhibitory interneurons → "gate" partially closes pain transmission. Why rubbing reduces pain.
- Periaqueductal gray (PAG)
- Midbrain center for descending pain modulation; activates raphe + locus coeruleus → spinal inhibition. Endogenous opioid system.
- Endogenous opioids
- Endorphins, enkephalins, dynorphins. Bind μ, δ, κ opioid receptors → presynaptic + postsynaptic inhibition of pain pathway.
- Hyperalgesia vs allodynia
- Hyperalgesia = exaggerated pain to noxious stimulus. Allodynia = pain from normally non-painful stimulus (light touch).
U9 · Vision
- Eye optics
- Cornea (~⅔ refraction) + lens (variable). Pupil = aperture; iris controls. Retina at back has receptors.
- Photoreceptors
- Rods (high sensitivity, low resolution, peripheral, scotopic) · cones (low sens, high res, central, photopic, color). 3 cone types (S/M/L; "blue/green/red").
- Phototransduction
- Dark: cGMP holds CNG channel open → Na⁺/Ca²⁺ in → photoreceptor depolarized → glutamate released. Light: rhodopsin → transducin → PDE → ↓ cGMP → channel closes → hyperpolarization → ↓ glutamate.
- Retinal cell layers
- Photoreceptor → bipolar → ganglion (output). Horizontal + amacrine = lateral interactions. Light enters from ganglion side.
- Center-surround receptive field
- ON-center: light in center excites, surround inhibits. OFF-center: opposite. Computed by horizontal cell lateral inhibition.
- Retinal ganglion cell axons
- Optic nerve → optic chiasm (decussation of nasal fibers) → optic tract → LGN of thalamus → V1 (primary visual cortex).
- Magnocellular vs parvocellular
- M: large, fast, motion + low contrast. P: small, slow, color + form, high acuity. Parallel processing.
- Dorsal vs ventral stream
- Dorsal "where/how" = parietal, motion + spatial. Ventral "what" = temporal, object + face recognition.
U10 · Audition + vestibular
- Outer ear
- Pinna, ear canal → tympanic membrane (eardrum).
- Middle ear
- Ossicles malleus → incus → stapes (oval window). Impedance matching air → fluid (×22 amplification).
- Cochlea
- Spiral fluid-filled tube (3 chambers: scala vestibuli, scala media, scala tympani). Basilar membrane runs length.
- Organ of Corti
- On basilar membrane. Inner hair cells (sensory; ~3,500) + outer hair cells (motile, amplify; ~12,000). Tectorial membrane on top.
- Tonotopic organization
- Base of cochlea = high frequency; apex = low frequency. Maintained through auditory pathway up to A1 cortex.
- Mechanotransduction
- Stereocilia bending → tip-link tension → mechanically gated cation channel opens → K⁺ + Ca²⁺ in → depolarize hair cell → glutamate to spiral ganglion neurons.
- Auditory pathway
- Hair cell → spiral ganglion → cochlear nucleus → superior olive (sound localization) → inferior colliculus → MGN of thalamus → A1 (Heschl's gyrus).
- Sound localization
- Interaural time difference (ITD; low freq, medial superior olive) + interaural level difference (ILD; high freq, lateral superior olive).
- Vestibular system
- Semicircular canals (3, angular acceleration via cupula + ampulla) + otolith organs (utricle + saccule, linear accel + gravity via otoconia on macula). Hair cells transduce.
U11 · Chemical senses
- Olfactory receptor neurons
- Bipolar neurons in nasal epithelium. Cilia have GPCR olfactory receptors → G_olf → AC → cAMP → CNG channel → depolarization.
- OR gene family
- ~400 functional ORs in humans (largest gene family). Each ORN expresses one OR.
- Olfactory glomerulus
- All ORNs expressing the same OR converge on ~2 glomeruli in olfactory bulb. Mitral cells → piriform cortex (no thalamus relay!).
- 5 taste modalities
- Sweet, salty, sour, bitter, umami. Sweet/bitter/umami via GPCRs (T1R, T2R) → α-gustducin. Salty + sour via ion channels (ENaC, TRP).
- Taste pathway
- Taste bud → CN VII (anterior 2/3 tongue), IX (posterior 1/3), X (epiglottis) → solitary nucleus (medulla) → VPM thalamus → gustatory cortex (insula).
U12 · Motor systems intro
- Lower motor neuron (LMN)
- Final common pathway: cell body in ventral horn or brainstem motor nuclei → axon → muscle. Lesion → flaccid paralysis, atrophy, fasciculations.
- Upper motor neuron (UMN)
- Originates in motor cortex; descends via corticospinal tract; synapses on LMN. Lesion → spastic paralysis, hyperreflexia, Babinski sign.
- Motor unit
- One LMN + all muscle fibers it innervates. Size principle: smaller units recruited first.
- Stretch reflex (myotatic)
- Muscle spindle (Ia afferent) → monosynaptic excitation of homonymous motor neuron + reciprocal inhibition of antagonist via Ia interneuron. Knee jerk.
- Golgi tendon organ reflex
- Ib afferent senses tension → inhibits its own motor neuron. Protects against overload.
- Withdrawal reflex
- Polysynaptic; flexor activation + crossed extension contralateral.
- Corticospinal tract
- M1 → internal capsule → cerebral peduncle → medulla pyramids → DECUSSATES → lateral corticospinal tract → ventral horn LMN. Lateral = limbs; ventral = trunk.
- Basal ganglia
- Caudate, putamen, globus pallidus, subthalamic, substantia nigra. Direct (D1, GO) + indirect (D2, NO-GO) pathways. Parkinson = SNc dopamine loss; Huntington = caudate degeneration.
- Cerebellum
- Coordination, balance, motor learning. Three peduncles. Purkinje cell GABAergic output to deep cerebellar nuclei. Lesions → ataxia, dysmetria.
U13 · Glia & neuroinflammation — Chivero focus
- Microglia origin
- Yolk-sac-derived; resident macrophages of CNS. Distinct from infiltrating monocytes.
- Microglial activation states
- "M1" pro-inflammatory (TNFα, IL-1β, ROS) vs "M2" anti-inflammatory/restorative (IL-10, TGF-β). Spectrum, not binary.
- NLRP3 inflammasome
- Cytosolic multiprotein complex. Two-signal activation: priming (TLR → NF-κB → upregulates components) + activation (DAMPs/PAMPs → assembly). Recruits ASC + procaspase-1 → cleaves IL-1β + IL-18 + gasdermin D → pyroptosis. Chivero's research target.
- HIV-Tat in neuroinflammation
- HIV-1 Trans-activator of transcription crosses BBB; activates microglia; primes NLRP3; contributes to HAND (HIV-associated neurocognitive disorder) even on suppressive ART. Chivero's research.
- Methamphetamine + microglia
- Meth crosses BBB, activates microglia + induces oxidative stress + NLRP3 priming. Synergistic with HIV in dual-exposed individuals. Chivero's research.
- Astrocyte tripartite synapse
- Astrocyte processes ensheath synapses; take up glutamate (EAAT1/2), release gliotransmitters (glutamate, ATP, D-serine). Buffer K⁺.
- Reactive astrocytosis
- Astrocytes upregulate GFAP, hypertrophy, form glial scar after injury. A1 (neurotoxic) vs A2 (neuroprotective) phenotypes.
- Microglial pruning
- Complement-tagged synapses (C1q, C3) phagocytosed by microglia during development + aging + Alzheimer.
- Neurodegeneration + microglia
- Alzheimer (TREM2, complement), Parkinson (α-syn-activated), ALS, MS — chronic microglial activation contributes to pathology.
U14 · Pharmacology & drugs of abuse
- Agonist vs antagonist
- Agonist binds + activates receptor. Antagonist binds + blocks. Inverse agonist reduces constitutive activity.
- Allosteric modulator
- Binds non-orthosteric site → potentiates (PAM) or inhibits (NAM) agonist effect. Benzodiazepines = PAM at GABA_A.
- Mesolimbic dopamine pathway
- VTA → nucleus accumbens (NAc) + PFC. Final common reward circuit; activated by virtually all addictive drugs.
- Cocaine
- Blocks DAT, NET, SERT → ↑ synaptic monoamines. Strong reinforcer via NAc DA.
- Amphetamine + methamphetamine
- Reverses DAT (efflux), enters vesicles displacing DA. Massive ↑ extracellular DA. Neurotoxic at high doses (oxidative stress, microglia).
- Opioids
- μ receptor agonists → presynaptic Ca²⁺ ↓ + postsynaptic K⁺ ↑ → inhibition. Analgesia + euphoria + respiratory depression.
- Alcohol
- Enhances GABA_A + inhibits NMDA → sedation. Chronic → withdrawal hyperexcitability + addiction.
- Nicotine
- Nicotinic ACh receptor agonist; α4β2 on VTA DA neurons → NAc reward.
- Cannabis (THC)
- CB1 agonist; presynaptic; reduces NT release. Affects memory (hippocampus), motor (basal ganglia), reward.
- Tolerance
- Reduced response after repeated exposure. Pharmacodynamic (receptor downregulation) + pharmacokinetic (faster metabolism).
- Sensitization
- Increased response with repeated exposure (especially psychomotor stimulants).
- Addiction circuits
- VTA → NAc + amygdala + PFC; loss of top-down PFC control + amygdala stress dysregulation. Chivero's lab studies SUD-microglia interactions.
U15 · Methods + integration
- EEG
- Scalp electrodes record summed dendritic potentials. Excellent temporal (ms), poor spatial. Frequency bands: δ, θ, α, β, γ.
- fMRI
- BOLD signal — blood oxygenation. Good spatial (~mm), poor temporal (~seconds). Indirect measure of activity.
- Patch clamp
- Glass pipette suction onto cell membrane → record currents from individual ion channels (single-channel) or whole cell.
- Intracellular vs extracellular recording
- Intra: pipette inside cell; measures V_m + APs + synaptic potentials. Extra: outside; only spikes resolved.
- Optogenetics
- Express channelrhodopsin (ChR2, Na⁺ in, excitation) or halorhodopsin (Cl⁻ in, inhibition) → light-triggered control of neurons in vivo.
- Chemogenetics (DREADDs)
- Designer GPCRs (hM3Dq, hM4Di) activated by clozapine-N-oxide → minute-scale modulation.
- Calcium imaging
- GCaMP fluoresces with Ca²⁺. Bulk or single-cell readout of activity over time.
- Lesion studies
- Loss of function via surgical, chemical, or pharmacological ablation → infer normal role.
Chivero-targeted exam tips
- Be ready to diagram an action potential with phases + ion movements + channel states.
- Know NLRP3 inflammasome: priming → activation → caspase-1 → IL-1β + gasdermin D → pyroptosis.
- For each NT system: synthesis enzyme, source nucleus, receptor types, behavioral role.
- Sensory pathways — DC-ML vs spinothalamic vs visual — be able to draw decussation point + relay nuclei.
- Watch for Chivero's HIV-Tat / methamphetamine / microglia framing on standard topics.