Organizer cells, central nervous system

Metals and metalloids that form alkyl compounds, eg, methylmercury and methylarsenic acid, tributjltin, deserve special concern because these compounds are volatile and accumulate in cells they are poisonous to the central nervous system of higher organisms. Because methylmercury or other metal alkyls may be produced at a rate faster than it is degraded by other organisms, it may accumulate in higher organisms such as fish. Hg species are also reduced to elementary Hg which is soluble in water but lost by volatilization to the atmosphere (40). 

O The acute leukemias are diseases of bone marrow resulting from aberrant proliferation of hematopoietic precursors. The hallmark of these malignancies is the leukemic blast cell, a visibly immature and abnormal cell in the peripheral blood that often replaces the bone marrow and interferes with normal hematopoiesis. These blast cells proliferate in the marrow and inhibit normal cellular elements, resulting in anemia, neutropenia, and thrombocytopenia. Leukemia also may infiltrate other organs, including the liver, spleen, bone, skin, lymph nodes, and central nervous system (CNS). Virtually anywhere there is blood flow, the potential for extramedullary (outside the bone marrow) leukemia exists. 

The transport of information from sensors to the central nervous system and of instructions from the central nervous system to the various organs occurs through electric impulses transported by nerve cells (see Fig. 6.17). These cells consist of a body with star-like projections and a long fibrous tail called an axon. While in some molluscs the whole membrane is in contact with the intercellular liquid, in other animals it is covered with a multiple myeline layer which is interrupted in definite segments (nodes of Ranvier). The Na+,K+-ATPase located in the membrane maintains marked ionic concentration differences in the nerve cell and in the intercellular liquid. For example, the squid axon contains 0.05 MNa+, 0.4 mK+, 0.04-0.1 m Cl-, 0.27 m isethionate anion and 0.075 m aspartic acid anion, while the intercellular liquid contains 0.46 m Na+, 0.01 m K+ and 0.054 m Cl-. 

NO has complex roles in immunological host responses against viruses, and especially against HIV-1 infection. In HIV-1 infection, NO cannot be rigidly classified as an anti-inflammatory or proinflammatory molecule, but it can be deemed a true inflammatory mediator. Many studies support a proviral effect of NO in HIV-1 infection, mainly based on stimulation of viral replication, and on toxic effects on various cells, including central nervous system cells, via oxidative injury that may cause cellular and organ dysfunction, and immunosuppression and immunopathology, especially in the central nervous system. 

The exclusion of organic disease as the cause of a neuropsychiatric syndrome can be difficult. In this context, among other tests, lumbar puncture is indicated because many diseases of the brain are associated with a barrier disorder or an increased cell count. Both findings, sensitive yet nonspecific, are suggestive of central nervous system disease. Apart from these two nonspecific alterations, targeted CSF analysis is an important additional tool, depending on the clinical setting (F4, R6, T2). 

The nervous system is divided into two parts the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS consists of the brain and spinal cord. The PNS consists of all afferent (sensory) neurons, which carry nerve impulses into the CNS from sensory end organs in peripheral tissues, and all efferent (motor) neurons, which carry nerve impulses from the CNS to effector cells in peripheral tissues. The peripheral efferent system is further divided into the somatic nervous system and the autonomic nervous system. The effector cells innervated by the somatic nervous system are skeletal muscle cells. The autonomic nervous system innervates three types of effector cells (1) smooth muscle, (2) cardiac muscle, and (3) exocrine glands. While the somatic nervous system can function on a reflex basis, voluntary control of skeletal muscle is of primary importance. In contrast, in the autonomic nervous system voluntary control can be exerted, but reflex control is paramount. 

The functional unit of the central nervous system (CNS) is the neuron, and most neuropharmacological agents have the neuron as their primary site of action. CNS neurons are capable of transmitting information to and receiving information from other neurons and peripheral end organs, such as muscle cells, glandular cells, and specialized receptors, for example, those involved with proprioception, temperature sensing, and so on. 

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