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!
       concentration will not yet drop to the resting  threshold. This type of temporal summation
       value, and residual Ca 2+  will accumulate. As a  therefore increases the excitability of the post-
       result, the more recent rise in [Ca ] i builds on  synaptic neuron (! C).
                            2+
       the former one. [Ca ] i rises to a higher level  Inhibitory transmitters include substances
                    2+
       after the second stimulus than after the first,  as glycine, GABA (γ-aminobutyric acid), and
       and also releases more transmitters. Hence,  acetylcholine (at M2 and M3 receptors;
       the first stimulus facilitates the response to the  ! p. 82). They increase the conductance, g, of
                                                             +
       second stimulus. Muscle strength increases at  the subsynaptic membrane only to K (e.g., the
                                                             –
       high stimulus frequencies for similar reasons  metabotropic GABA B receptor.) or Cl (e.g., the
    Nerve and Muscle, Physical Work  and glutamate (Glu). They are often released  creases in g K occur when E m approaches E K
       (! p. 67 A).
                                       ionotropic glycine and GABA A receptors; ! F).
         Among the many substances that act as ex-
                                       The membrane usually becomes hyper-
                                       polarized in the process (ca. 4 mV max.). In-
       citatory transmitters are acetylcholine (ACh)
       together with co-transmitters which modulate
                                       (! p. 44). However, the main effect of this in-
       the transmission of a stimulus (e.g., ACh to-
                                       hibitory postsynaptic potential IPSP (! D) is not
       gether with substance P, VIP or galanin; Glu
                                       hyperpolarization–which works counter to
                                       EPSP-related depolarization (the IPSP is some-
       with substance P or enkephalin). If the trans-
       mitter’s receptor is an ion channel itself
                                       times even slightly depolarizing). Instead, the
                                       IPSP-related increase in membrane conduct-
       (ionotropic receptor or ligand-gated ion chan-
       apse (! p. 82), the channels open more often
                                       the EPSP (high g K or g Cl levels). Since both E K
       and allow a larger number of cations to enter
                                       and E Cl are close to the resting potential
    2  nel; ! A6 and F), e.g., at the N-cholinergic syn-  ance short circuits the electrotonic currents of
                                       (! p. 44), stabilization occurs, that is, the EPSP
         +
       (Na , sometimes Ca ) and leave the cell (K ).
                                   +
                   2+
       Other, so-called metabotropic receptors in-  is cancelled out by the high K and Cl short-
                                                          +
                                                               –
       fluence the channel via G proteins that control  circuit currents. As a result, EPSP-related
       channels themselves or by means of “second  depolarization is reduced and stimulation of
       messengers” (! A7 and F). Because of the high  postsynaptic neurons is inhibited (! D).
       electrochemical Na +  gradient (! p. 32), the  Termination of synaptic transmission (! E)
                      +
       number of incoming Na ions is much larger  can occur due to inactivation of the cation
       than the number of exiting K ions. Ca 2+  can  channels due to a conformational change in
                          +
       also enter the cell, e.g., at the glutamate-NMDA  the channel similar to the one that occurs
       receptor (! F). The net influx of cations leads  during an action potential (! p. 46). This very
       to depolarization: excitatory postsynaptic  rapid process called desensitization also func-
       potential (EPSP) (maximum of ca. 20 mV; ! B).  tions in the presence of a transmitter. Other
       The EPSP begins approx. 0.5 ms after the ar-  terminating pathways include the rapid enzy-
       rival of an action potential at the presynaptic  matic decay of the transmitter (e.g., acetylcho-
       terminal. This synaptic delay (latency) is  line) while still in the synaptic cleft, the re-up-
       caused by the relatively slow release and diffu-  take of the transmitter (e.g., noradrenaline)
       sion of the transmitter.        into the presynaptic terminal or uptake into
         A single EPSP normally is not able to  extraneuronal cells (e.g., in glial cells of the
       generate a postsynaptic (axonal) action poten-  CNS), endocytotic internalization of the recep-
       tial (AP A), but requires the triggering of a large  tor (! p. 28), and binding of the transmitter to
       number of local depolarizations in the den-  a receptor on the presynaptic membrane (au-
       drites. Their depolarizations are transmitted  toceptor). In the latter case, a rise in g K and a
       electrotonically across the soma (! p. 48) and  drop in g Ca can occur, thus inhibiting transmit-
       summed on the axon hillock (spatial summa-  ter release, e.g., of GABA via GABA B receptors or
       tion; ! B). Should the individual stimuli arrive  of noradrenaline via α 2-adrenoceptors (! F
       at different times (within approx. 50 ms of  and p. 86).
       each other), the prior depolarization will not
       have dissipated before the next one arrives,
   52  and summation will make it easier to reach
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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