Myelin conduction

Fiber Type Function Diameter (M-m) Myelination Conduction Velocity (m/s) Sensitivity to Block... 

R = / -C H ), in low doses, exhibits the former behavior and is used primarily as an extradural agent in obstetrics. The lowest effective extradural concentration of etidocaine (21, X = CH, R = R = 2H, R = / -C H ), however, shows both adequate sensory and profound motor blockade so that it is useful in surgical situations where maximum neuromuscular blockade is necessary. In an isolated nerve preparation, bupivacaine blocks unmyelinated C fibers which are mainly responsible for pain perception at a much greater extent than the myelinated A fibers which carry motor impulses. It is postulated that absorption of bupivacaine by the vasculature at the site of injection, combined with the slow diffusion of this agent, results in an insufficient amount of the drug penetrating the large A fibers to cause motor conduction blockade. Clinically, motor block can be observed in some procedures. 

The glial cells support the neurons physically. Certain glial cells (oligoden-droglial cells) synthesize myelin, a fatty insulation layer wrapped around the axons. Myelin is necessary for the so-called saltatory conduction of electrical... 

Primary afferent fibre type Mean diameter (gm) Myelination Mean conduction velocity (m/s)... 

The afferent fibres differ in their conduction velocity and degree of myelination, and can be distinguished by their diameter. The large diameter A S-fibres are myelinated by Schwann cells and hence have a fast conduction velocity. This group of nerve fibres innervates receptors in the dermis and is involved in the transmission of low-threshold, non-noxious information, such as touch. The A5-fibre is less densely myelinated and conveys both non-noxious and noxious sensory information. The unmyelinated C-fibre conveys high-threshold noxious inputs and has the slowest conduction velocity of all three fibre types. 

Myelin A protein and phospholipid sheath that surrounds the axons of certain neurons. Myelinated nerves conduct impulses more rapidly than nonmyelinated nerves. 

Figure 4.4 Saltatory conduction. Transmission of electrical impulses in a myelinated axon occurs by way of saltatory conduction. Composed primarily of lipid, the myelin sheath insulates the axon and prevents generation of membrane potentials. Membrane potentials occur only at gaps in the myelin sheath, referred to as the nodes of Ranvier. Therefore, transmission of the impulse, or generation of action potentials, occurs only at the nodes.

The functional significance of myelin is revealed by the neurological deficits observed in patients with multiple sclerosis. This disorder is caused by the demyelination of neurons in the brain, spinal cord, and optic nerve. The loss of myelin disrupts the normal conduction of impulses along the axons of these neurons and results in weakness, numbness, loss of bladder control, and visual disturbances. 

The axon emerges from a neuron as a slender thread and frequently does not branch until it nears its target. In contrast to the dendrite and the soma, the axon is myelinated frequently, thus increasing its efficiency as a conducting unit. Myelin, a spirally wrapped membrane (see Ch. 4), is laid down in segments, or internodes, by oligodendrocytes in the CNS and by Schwann cells in the PNS. The naked regions of axon between adjacent myelin internodes are known as nodes of Ranvier (see below). 

Ritchie, J. M. Physiological basis of conduction in myelinated nerve fibers. In P. Morell (ed.), Myelin. New York Plenum Press, 1984, pp. 117-146. 

Myelin facilitates conduction 51 Myelin has a characteristic ultrastructure 52 Myelin is an extension of a glial plasma membrane 55 Myelin affects axonal structure 56... 

Myelin facilitates conduction. Myelin is an electrical insulator, although its function of facilitating conduction in axons has no exact analogy in electrical circuitry [3], In unmyelinated fibers, impulse conduction is propagated by local circuits of ion current that flow into the active region of the axonal membrane, through the axon, and... 

FIGURE 4-1 Impulse conduction in unmyelinated (top) and myelinated (bottom) fibers. The arrows show the flow of action currents in local circuits into the active region of the membrane. In unmyelinated fibers the circuits flowthrough the adjacent piece of membrane but in myelinated fibers the circuit flow jumps to the next node. 

Myelin affects axonal structure. The presence of a myelin sheath affects the structure of the axon that it surrounds [5], presumably optimizing its properties for transmission of action potentials by saltatory conduction. Generally, one of the effects of myelin is to increase axonal diameter by inducing biochemical changes in components of the axonal cytoskeleton such as neurofilaments (see Ch. 8). The effects of myelin on axonal structure imply... 

Familial demyelinative/dysmyelinative and axonal neuropathies may also be caused by impaired lysosomal lipid metabolism. Metachromatic leukodystrophy (sulfatide lipidosis) results from mutations of the arylsulfatase A gene, which encodes a lysosomal enzyme required for sulfatide turnover. Myelin is affected in both CNS and PNS, though dysfunction is restricted to the PNS in some patients, and the onset of symptoms can occur at any time between infancy and adulthood. Bone marrow transplantation can slow disease progression and improve nerve conduction velocities [57]. (See in Ch. 41.)... 

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