# Fundamentals of Neuroscience #

MODULE 00: INTRODUCTION TO FUNDAMENTALS OF NEUROSCIENCE (MCB80X)

- Ref: https://www.mcb80x.org/
- http://funcamentalsofneuroscience.org
- Presented by: Dr. David Cox (http://www.coxlab.org/)

MODULE 01:ELECTRICAL PROPERTIES OF NEURONS

- Resting Potential
   - Ref: https://www.mcb80x.org/course/electrical_properties/resting_potential/bioelectricity_history
   - Neuron Types: Lugaro, Renshaw, Interneurons, Pyramidal, Unipolar, Afferent, Medium Spiny, Purkinje, Granule, Efferent, Mutlipolar, Bipolar, Betz,
   - Anatomy of Neuron
      - Soma: cell body (nucleus)
      - Axons
      - Dendrites
      - Cell membrane (Lipid Bilayer): outside of all cell parts
         - Ion Channels: selectively let ions move in/out cell across membrane
   - Membrane Potential: Potential across the cell membrane
      - Resting Potential = -70 mV (20 times smaller than AA battery 1.5V)
         - Resting Potential Value is close to the Nernst Potential of Potasium (K+) -80mV
      - Outside of membrane: Ground (as in electrical circuit)
      - Varies from -40mV to -90mV
   - Composition of Fluid Solution inside/outside cell
      - Water H2O, Proteins (collagen), Sugars (glucose), Ions (Na+,K+, Ca++, Cl-)
         - Cations: + ions | Anions: - ions
      - Molecules: Mg, H, HCO3 (bicarbonate), HPO4 (phosphate), SO4 (sulfate), and many proteins
   - Diffusion and Electrostatics
      - Diffusion: propagation of molecules from high concentration to low concentration
      - Electrostatic Force:  +- Attract | ++ and — Repel
   - Physics
      - Electrostatic charge is balanced on either side but not across the membrane
      - The membrane acts as a capacitor
      - Electrostatic Force much much more powerful than Diffusion
      - Only 1 in 100,000 ions need to cross the membrane to generate a -80mV potential
      - This means a very small number of ions move across membrane ion channels
      - Equilibrium is reached with concentration gradient and electrostatic gradients are equal and opposite
   - Nernst Potential
      - re: https://www.mcb80x.org/course/electrical_properties/resting_potential/nernst_potential
      - Nernst Equation: E ion = RT / zF * ln([ion outside cell]/[ion inside cell])
         - E = Nernst Potential, Reversal Potential (ion channels flow) or, Equilibrium Potential
         - R = Universal gas constant
         - T = absolute temperature in Kelvin (little effect in since there is very small variation in cell temperature 37C)
         - v = valence of the ion (Na+,K+ = +1, Cl- = -1, Ca++= +2)
         - F = Faraday’s constant
         - ln([ion outside cell]/[ion inside cell]) = Logarithm of ion outside over inside concentration
      - Nernst Equation helps calculate an individual Ion’s potential at equilibrium
      - Only affected by the relative concentration not the absolute value
      - Typical values in human neurons
         - Concentrations:
            - Extracellular: K+ = 5 nM | Na+ = 145nM | Ca++ = 0.0002nM | Cl- = 10nM
            - Intracellular: K+ = 100 nM | Na+ = 5nM | Ca++ = 2nM | Cl- = 140nM
         - Nernst Potentials (Em): K+ = -80 mV | Na+ = +90mV | Ca++ = +123mV | Cl- = -70mV
   - Nernst Potential "Driving Force": E driving force = E membrane - E ion
      - Ions are always trying to reach their Nernst Potential: the farther away the higher the driving force
      - Calcium (Ca++) has a large Driving Force which explains why is used in a wide variety of signaling cascades
         - Membrane Resting potential is around -80mV and Ca++ = +123mV = Large driving Force
   - Ion Channel Filters (Passive Leak Channels)
      - To keep a membrane potential the membrane has to let K+ in but block Na+
      - Sodium ion Na+ radius is only 116 picometers (1/10th of a billionth of a meter) | K+ did = 152 picometers
      - H2O molecules surround Na+ pointing their - side to Na+ creating a Solvation Shell
      - Ion Channel is a molecular arrangement of proteins with a hole that matches a specific Solvation Shell configuration letting only a type of ions pass through
      - Many more K+ channels than Na+ or Cl- channels
      - K+ dominates the Resting Potential because it can travel across membrane a lot easier
   - Sodium/Potassium Pump
      - Moves 3 x Na+ out for every 2 x K+ it pumps into the cell (removes salt from inside cell)
      - This requires lots of energy in the form of ATP
      - About 70% of the energy required for brain function required to maintain the electrical gradient!
      - 1/3rd of what we eat goes to power this pump mechanism
   - GHK Equation
      - Em = RT/F ln ( (Pk[K]e + Pna[Na]e + Pcl[Cl]i) / (Pk[K]i + Pna[Na]i + Pcl[Cl]e)) )
      - Helps calculate a more realistic membrane potential taking into account membrane selective ion permeability
      - By David Goldman, Alan Hodgkin and Bernard Katch
      - It adds permeability coefficients (Pk, Pna, Pcl) to weight ion relative effect in membrane potential
      - Nernst Equation describes equilibrium between ion Influx and Efflux
      - GHK Equation describes a Steady State (resting potential is stable thanks to ion pumps but not in equilibrium)
   - (ion) Permeability (of cell membrane)
      - Na+ has a strong inward driving force but there are few Na+ channels so it has Low permeability
      - K+ has High permeability to exit the membrane = more influence in Overall Resting Potential -70mV (E of K = -80mV)
      - Neurons fire once they reach their Action Potential around -55mV which can be accomplished by letting Na+ in
- Passive Membrane Properties
   - Resistance
      - How difficult is for current to travel across a conductor (copper: low resistance)
      - Conductance: inverse of resistance (copper: high conductance)
      - Resistance is measured in Ohms | Conductance: Siemens
      - Membrane Resistance: Across membrane (Ohms/square mm)
      - Axial Resistance: Along membrane - Less when cytoplasm more salty and when pipe wider
   - Capacitance
      - Cell Membrane behaves as a capacitor
      - Cell walls = Conductors | Membrane = Dialectric
      - Capacitor slows voltage changes
         - i.e.: balloon inflating and deflating with water
   - Ohms’ Law
      - I = V / R (Current (Amps) = Voltage (Volts) / Resistance (Ohms))
         - V = I * R and R = V / I
      - Voltage Clamp (Feedback Amplifier): senses potential and injects just enough current to force desired voltage
         - Very important tool in neurophysiology
   - Length Constant (λ - Lambda) = distance it takes for a potential chance to fall-off 36% of initial value (in mm)
      - λ = Square Root of R-membrane (Ohm x cm) / R-axial (Ohm / cm)
      - λ increases by increasing (↑) Membrane Resistance and decreasing (↓) Axial Resistance (across axoplasm)
   - Membrane Capacitance (Cm)
      - Length Constant - λ increases (↑) when Cm decreases (↓)
      - Affects potential responsiveness: is Membrane Capacitance (Cm) decreases (↓) = responsiveness increases (↑)
   - The Time Constant (τ) = R-membrane x C-membrane = Seconds (s)
      - Time Constant (τ): time it takes for a piece of membrane to charge up to 63% of final value after change in input voltage
   - Phineas Cage
      - Still functional (but altered personality) after damaged prefrontal cortex when tamping iron went through his skull
- The Action Potential (Active Membrane Properties)
   - SpikerBox (Backyard Brains): open source device to detect neuronal activity (in cockroaches legs)
   - All-Or-None Response: a depolarization greater than or equal to the threshold that causes all of the membrane channels to open fully
   - Voltage-Gated Channels
      - Open/Close depending on membrane potential (total time 10ms)
      - Sodium (Na+) Voltage-Gated Channels:
         - Closed when membrane is at resting potential (-70mV)
         - Open when membrane potential is a bit more positive (+)  (-56mV - 0.80ms)
         - Inactive shortly after channel opens (-75mV - 4.30ms)
      - Potassium (K+) Voltage-Gated Channels:
         - Open when membrane potential is much positive (+)  (+30mV - 2.00ms)
         - Close a bit after (Na+) Voltage-Gated Channels (-76mV - 6.50ms)
   - Phases of Voltage-Gated Channels
      - Phases (6) = Resting, Stimulation, Rising, Falling, Undershoot, Recovery (RSR-FUR)
         - Results from sequential opening/closing Sodium (Na+)  + Potassium (K+) Voltage-Gated Channels
         - Rising Phase: Depolarization of cell membrane caused by opening of Sodium (Na+) channels
         - Falling Phase: Repolarization by inactivation of Sodium (Na+) and opening of Potassium (K+) Voltage-Gated Channels
         - Undershoot Phase: hyper-depolarization Potassium (K+) channels still open.
         - Recovery Phase: gradual return to resting potential (-70mV) as voltage-gated Potassium (K+) channels close
   - Channels and Probability
      - Changes are probabilistic affected by large number of molecules and thermal noise (thermal jostling and jiggling)
      - Probability of voltage-gated channels being open/close is a function of voltage
      - Sodium (Na+) Voltage-Gated Channel more stable (more likely) in open state with higher voltage (vice versa)
         - Channels can be still closed in higher voltage (or open in lower voltage) just Less likely
   - Channel Kinetics
      - Probabilistic temporal dynamics of a reaction or movement from one state to another
      - Fast kinetics: can rapidly chance between states (open/closed, active/inactive)
      - Probability + Kinetics affects membrane permeability at different action potentials
      - Refractory Period: period of time when it’s not easy/possible to stimulate another action potential
         - Absolute Refractory Period: caused by inactivation kinetics of Na+ voltage-gated channels (impossible to trigger another Action Potential during this period))
         - Relative Refractory Period: slower to initiate another action potential because voltage is below resting potential
   - Current Behind Action Potential
      - Tetrodotoxin (TTX) blocks voltage-gated Sodium (Na+) channels (novocaine used by dentist)
         - Fundamental toxin used in neuroscience
         - Found in Puffer fish (culinary delicacy) - can kill (asphyxiation) by preventing neurons from firing
         - Cell cannot depolarize (increase in voltage) so it cannot cross the firing threshold
      - Tetraethylammonium (TEA): blocks voltage-gated Potassium (K+)
      - Action Potential current: Sodium (Na+) comes in Rising Phase then Potassium (K+) leaves Falling Phase
      - Potassium (K+) voltage-gated channels act as “delayed rectifier” channels
      - Action Potential ion transfer has minimal effect in ion concentration (only 1 in 100,000 ions need to move to have strong effect in potential)
- Action Potential Propagation
   - Ref: https://www.mcb80x.org/course/electrical_properties/action_potential_propagation/signals
   - Signal is not carried via ions or molecules but by depolarization state propagation (like a wave over water)
   - Hodgkin-Huxley model: A mathematical model that is used to describe the initiation and propagation of action potentials in neurons
   - Directionality of Action Potentials
      - Action Potential is bidirectional across cell membrane
      - 2 action potentials running into each other cancel each other
   - Speed of Action Potential propagation
      - Faster the lower both Axial Resistance (R-axial) and Membrane Capacitance (C-membrane)
         - Slower when Axial Resistance (R-axial) higher as it shortens Length Constant (λ)
            - Limits the size of the “bubble” of depolarization which limits “reach” of action potential
         - Slower when Membrane Capacitance (C-membrane) higher as is increases Time Constant (τ)
            - Capacitance increase buffer and delays depolarization limiting how far action potential goes
         - Can increase speed by larger axon diameter which reduces axial resistance (Gian squid axon = 1mm did)
      - Speed is also affected by:
         - “Chain reaction” nature of the action potential (action potential triggers adjacent membrane region action potential)
         - Membrane potential change speed limitation to trigger next action potential
         - Voltage-Gated channel opening speed limitation (relatively slow)
   - Myelination
      - Myelin Sheaths across axon which increases membrane resistance (R-membrane) by blocking ion channels leakage and reduces membrane capacitance (C-membrane)
         - Made of lipids which gives it its white color appearance
         - Also why the white brain matter is white
         - Myelin is produced my Glial Cells (Neuroglia/Glia): non-neuronal cell in CNS that form myelin and support neurons. Types:
            - Oligodendrocytes (A Supporting Cell): in the central nervous system
            - Schwann cells: in the peripheral nervous system
      - Nodes of Ranvier: open spaces between myelin that allow for voltage-gated ion channels to work
         - They act as little relay stations where action potential gets boosted again
         - Saltatory Conduction: small boosts in action potential (generation) caused by Nodes of Ranvier
      - Myelin helps keep axon diameter small while increasing speed and distance of action potential propagation
      - Pathology:
         - Demyelinating Diseases: loss of myelin which affects or kills action potential propagation (i.e. multiple sclerosis)

MODULE 02: NEURONS AND NETWORKS

- Synapses
   - Synapses: connections between neurons
      - Dendrites: signal receivers
      - Axons: signal transmitters
   - Synapse types:
      - Electrical synapses
         - Really fast: ideal for escape reflexes
         - Bidirectional: great for synchronous firing. i.e.: heart
      - Chemical synapses
         - Most common neuron type
         - Slower as they rely on chemical diffusion to transmit signal
         - Axon releases chemical into the Synaptic Cleft which goes to the dendrite receptors
         - Synaptic Cleft is a 20-40nm gap between axon/dendrite (1 microsecond to cross)
         - Advantages:
            - Signal diversity
               - Neurotransmitters: Increase/decrease firing likelihood
               - Neuromodulators: modulate neuron activity: ie: dopamine, adrenaline
            - Unidirectional: signal flows only in one direction
            - Summation: signal is decoupled. Receptor neuron may need several signals from various axons to reach firing thredshold.
   - Anatomy of a chemical synapse
      - Presynaptic Terminal
         - Bulges and contains vesicles which contain the chemicals (Neurotransmitters/Neuromodulators)
         - Neuromuscular Junction (NMJ)
         - Vesicles
            - Docked and waiting to be docked
      - Postsynaptic Terminal
         - Contains receptors
            - Receptors bind only to specific molecules
            - There are many kind of receptors
               - Ionotropic Receptors: they have ion channels. Can start depolarization
               - Metabotropic Receptors: trigger gene expression
      - Fast vs Slow synapses
      - Strong vs Weak synapses
      - Excitatory vs inhibitory synapses
   - Signal transmission
      - Neurons firing threshold is dictated by the combined effect of excitatory vs inhibitory neurons
         - Depends on frequency, timing and strength of the excitatory vs inhibitory signals
         - Signal Transduction: the process that is initiated when an extracellular molecule binds to a receptor
      - Postsynaptic potential (neuron to neuron)
         - Excitatory Postsynaptic Potential (EPSP): more likely to fire (threshold potential = -55mv)
            - Nicotinic Acetylcholine bind to Acetylcholine receptors
               - Acetylcholine receptors (AChR) mostly related to musculo-skeletar function
               - 300K Acetylcholine receptors need to open to trigger fire
               - Acetylcholine receptors (AChR) are promiscuous ion channels
                  - They let in positively charged ions: Calcium, Sodium, NMDA, Potassium ions
                  - promiscuous ion channels always show a reversal potential (-10mV)
                  - Desensitization: receptors become inactive
                     - Useful in surgery for muscle relaxant - SuccinylCholine
                     - Sarin: nerve gas that produces receptor desensitization
                     - Curare, Hexamethonium. Alpha Bungarotoxin (venums)
                     - Diseases
                        - Myasthenia Gravis: auto-immune disorder  -channelopathy
                           - Symptoms: muscle weakness and fatigue
                           - Medicine: Enzyme Inhibitors and immunosuppresants
                        - Congenital Myasthenic Syndrome (CMS)
                           - Medicine: Enzyme Inhibitors: quinidine, fluoxetine
            - Glutamate Receptors
               - Glutamate Receptors are mostly involved in the central nervous system
               - Glutamate: natural occurring amino acid and building block of proteins
                  - It also acts as a neurotransmitter
               - Ionotropic Receptors - ion channels
                  - AMPA: promiscuous ion channels like the Acetylcholine receptors
                  - NMDA: related to learning, memory, neuroplasticity (N-methyl-D-aspartate)
               - Metabotropic Receptors (GPCRs) - detects neurotransmitter and triggers internal cellular reactions
                  - Constitute 4-5% of human genome
                  - Targeted by 40% of modern drugs
         - Inhibitory Postsynaptic Potential (IPSP): (resting potential = -65mV)
            - IPSP = Action of GABA + Glycine Receptors (spinal cord)
            - Agonists vs Antagonists
               - Antagonists: signalling molecules that block
                  - Substances: Strychnine (rat poison), Picrotoxin
               - Agonists
                  - Produce - Positive Allosteric Modulation
                  - Substances: Barbiturates (old), Benzodiazepines (new), Alcohol
                     - Benzodiazepines “benzos" (Valium, Zanax) to treat anxiety and insomnia
            - Inhibitory Diseases:
               - HyperekPlexia (loss of inhibition): neurological disorder - exacerbated response by touch or audio
                  - Treatment: Clonazepam - increases inhibitory effects of GABA
      - Postsynaptic potential (nerve to muscle fiber)
         - End Plate Potential (EPP)
            - Amplitude affected by concentrations of Ca++ (calcium ions)
               - Ca++ injected before impulse = increase in amplitude
               - Ca++ injected after impulse = no effect in amplitude
         - Miniature End Plate Potentials (minis) - blips between signals in absence of stimulation
            - Caused by probabilistic Presynaptic molecular releases
      - Signal Enhancers/Inhibitors
         - Curare: Inhibitor - blocks Acetylcholine receptors (AChR) receptors
         - Neostigmine: reverses anesthesia - acetylcholinesterase inhibitor
      - Quantal Synaptic Signal Transmission
         - Neurotransmitters are released in groups not individually inside the Vesicles
      - Snare Hypothesis - How Ca++ are related to Vesicle fusion - which releases neurotransmitters
         - Snare proteins
            - v-snares: Synaptotagmin, Synaptobrevin (in vesicle)
            - t-snares: Syntaxin, Snap25 (in Presynaptic Terminal wall)
         - Toxins that affect snare proteins: enzymes - Botulinum, Tetanus
            - Botulinum: inhibits motor function (botox injection)
            - Tetanus: interferes with release of neurotransmitters in inhibitory neurons
   - Connectomics
      - Science of how neurons connect among each other to store information
      - Take brain slices and analyze then with electron microscope
      - Plots wiring diagrams from brain tissue
      - Voxal = 1 cubic mm of brain matter which contains 2000 Terabytes of synapses
      - Whole brain contains 2 million Petabytes of synapses
   - OptoGenetics
      - Study brain circuitry using genetically encodable proteins that are light sensitive
      - Wikipedia: https://en.wikipedia.org/wiki/Optogenetics
   - Excitation and Inhibition
      - Life cycle of a neurotransmitter (NT) molecule
         - NT travels a v = 0.05 miles per hour
         - 1 microsecond to transverse synaptic cleft (20-40 nm)
         - 1 millisecond to travel out of the synaptic cleft (sideways)
         - NT travels to and binds postsynaptic receptor
            - NT gets resorved by postsynaptic receptor
         - NT can be broken by enzymes inside synaptic cleft
         - NT can be captured by Glia cells
   - Small Circuits
      - Factors contributing to neuron firing
         - Distance
         - Non-Linear Summation
         - Inhibitory Input Blocking Excitatory Input
         - Temporal Summation
         - Inhibitory Input Blocking Temporal Summation
      - Convergence/Divergence & Recurrence
         - Convergence: multiple inputs sum to trigger circuit (cues that add up to conclusion)
         - Divergence: one circuit triggers many others (conclusion triggers chain reaction)
         - Recurrence: neuron A triggers neuron B which in turns triggers neuron A
            - CPG: Central Patter Generator - rhythmic contractions - firing loop
   - Neuromodulation
      - Synaptic strength is changed/controlled
         - Structural: synapse structure changes (development/aging)
         - Non-structural: synapses strength efficacy is altered = Neuromodulation
      - PreSynaptic: alteration in neurotransmitters numbers
      - PostSynaptic: alteration to neurotransmitters response
         - Ionotropic Receptors - open ion channels by neurotransmitters
            - Fast! - Ligand-band
            - Open channels alter Ion flow which alters neuron potential
         - Metabotropic Receptors - G-Protein Coupled Receptors (GPCRs)
            - Slower
            - Alter electrical and metabolic properties of the postsynaptic neuron
               - Trigger creation of proteins
            - Signaling cascades created by chain molecular reactions
            - Postsynaptic alterations can affect Inotropic Receptors behavior
            - Over 2000 Metabotropic or GPCR receptor types (10% of human genome dedicated to code GPCR receptors)
            - G-Proteins
               - Alpha, Beta, Omega bind Guanamide Triphosphate (GTP)
               - GTP plays a role in intracellular signaling
                  - Alpha protein can break free (Ga disassociation) and trigger other proteins (activating/deactivating)
                  - Trigger Enzymes which can generate other signaling molecules (2nd messengers)
                     - ATP + Adenyl Cyclase = Cyclic AMP (2nd messenger)
                     - Cyclic AMP (2nd messenger) activates Protein Kinase A
                        - Cyclic AMP can also affect gene expression inside neuron cell
                     - Protein Kinase A triggers many things eventually affecting Ion Flux
      - Serotonin System
         - Plays a role in Mood regulation
         - Main target for anti-depressant drugs
            - MAOIs Inhibit enzymes that break down serotonin 5-HT
               - Side effects: don’t eat cheese
            - Tricyclic Antidepressants - inhibit reuptake of serotonin in the synapse
               - resulting in serotonin dwelling longer with more time to bind to serotonin receptors
               - Side effects: can block Sodium/Potasium channels
            - SSRIs (Serotonin Selective Reuptake Inhibitors)
               - Prozac, Zoloft, Citalopram
            - Delayed effect of Anti-depressant drugs: can take several weeks
            - Serotonin is in the gut and blood (clotting) so these drugs affect other systems
         - Neuropeptides
            - Neuropeptides are neuromodulators made of proteins
            - Much larger than classical neurotransmitters
            - Over 100 types discovered
            - Only act via Metabotropic Receptors - G-Protein Coupled Receptors (GPCRs)
            - Examples
               - Hypocretin: regulates sleep
               - Leptin: Appetite
               - Substance-P: modulates pain sensation
            - Exogenous Opioids - all are small molecules (not protein based or Neuropeptides)
               - First Pain Killer known to man kind: Regulate pain perception
               - Morphine (10%) + Codeine (50%)
               - Synthetic opioids
                  - Heroin (diamorphine) - synthetic opioid developed in 90’s
                  - Hydrocodone
                  - Oxicodone
                  - Oxycontin
               - 4 Opioid receptors: Delta, Mu, Kappa, Nocciceptin
            - Endogenous Opioids (Natural opioids created in the body)
               - Enkephalins
               - Endorphin
               - Dynorphin
               - All Endogenous Opioids are Neuropeptides
      - Dopamine System
         - Reward, reinforced learning, pleasure, euphoria, motor function, Compulsion, Perseveration
         - Pathways
            - Mesocortical Pathway
            - MesoLimbic Pathway
            - Nigrostriatal Pathway - Movement (Parkinson’s disease)
               - Deep brain stimulation (DBS): surgical procedure to treat Parkinson’s disease
            - Tuberoinfundibular Pathway
         - Drugs:
            - L-Dopa -  awakenings Parkinson’s disease (loses effectiveness over time)
            - Cocaine: blocks the reuptake of dopamine
            - Diphenhydramine “benadrome”: antihistamine with anti-Cholinergic effects
               - Side Effects: anterograde amnesia
            - Scopolamine: “Date Drug” people forget what happened
      - Cholinergic: via M1 receptors affect muscle, motor control, learning, short term memory, general arousal
      - Noradrenaline System
         - Noradrenaline: Released by cells in the Locus Coeruleus
            - 1500 Noradrenaline recreating neurons in each brain hemisphere
            - Modulates: general arousal, fight/flight response, activation of the reward system
   - Potentiation And Depression
      - Neuronal Plasticity
      - Show-Term Plasticity and Adaptation
         - Synaptic Enhancement - increase in Excitatory Postsynaptic Potential EPSP
         - Synaptic Depression (Fatigue)
      - Long-Term Potentiation and Long-Term Depression (LTP and LTD)
         - Believed to be the neurological foundation to store memory
            - LTP may be only partialy explain memory. There are indications that memory could be stored intracellularly
               - re: http://journal.frontiersin.org/article/10.3389/fnsys.2016.00088/full
         - Donald "Hebb’s Rule" and Associative Learning
            - Neuron Cells that fire together wire together
            - Neuron Cells that fire out of sync, lose their link.
         - How LTP works
            - Increase both the amount of NT released and Number of receptors at the synapse or Increase Receptor effect
            - Hebian LTP
               - Neuron Cells that fire together Strengthen
               - NMDA-Receptor-Dependent LTP
                  - NMDA Ionotropic receptor: (Ca+ goes in) -
                     - Ligand-Gated Needs to Glutamate + Glycine to open
                     - Also Voltage-Gated to open
                     - AMPA receptor helps depolarize post-synaptic axon blocking Ca+
                     - Ca+ triggers Phosphorylation of AMPARs + Insertion of AMPARs
                  - Input Specificity: Synapse Specificity
                  - Associativity
                  - Cooperativity
                  - Persistence: can last for days to months - unique trait of LTP
            - Non-Hebian LTP
               - Neuron Cells that fire together wire together but Weaken
      - Long-Term Depression (LTD)
         - Hebian LTD
            - Neuron Cells that fire out of sync, lose their link.
            - Hippocampus and Cerebellum are the best understood regions for LTD
               - Most common LTD neurotransmitter is Glutamate
               - Cerebellum = LTD from strong synaptic stimulation
               - Hippocampus = LTD from persistent weak synaptic stimulation
         - Non-Hebian LTD
            - Heterosynaptic LTD
      - Spike Time-Dependent Plasticity (STDP)
         - LTD that only happens when signals happen at specific intervals or frequencies
         - May be a system to avoid LTD because of neuronal random firing
      - Non-Synaptic Plasticity
         - Happens elsewhere: Axon, neuron, dendrites
         - Referred to as Homeostatic Plasticity mechanisms
         - Very new and under investigation
      - MAPS (Multidisciplinary Association for Psychedelics Studies)
         - Non-profit to help people with psychedelics and marijuana
         - PTSD syndrome treatment with MDMA (3,4-methyleneDioxyMethamphetamine)

MODULE 03: THE BRAIN

- Vision
   - Video series: https://www.mcb80x.org/course/the_brain/vision/welcome_vision
   - Facts
      - About 50% of our brain power is associated to processing visual information
      - Light
         - Wave: Electromagnetic radiation
            - > 700nm (infrared) to < 390nm (ultraviolet)
         - Particles: Photons - 300km/sec
   - Path
      - Retina
      - Optic Nerve
      - Thalamus (relay station)
      - Visual Cortex
         - Processes: shape, color, object identity, motion
         - Information Flow
            - Sequential
            - Parallel
   - Anatomy
      - Cornea
      - Pupil - aperture regulation via Iris
         - Iris: aperture/depth of field
      - Lens - focus
         - changes shape with ciliary muscles
      - Retina
         - Image sensor via Photoreceptors (100 million per eye)
         - Fovea: high density of photoreceptors
         - 1 million axons carry information away from the retina
            - ie: 1 megapixel camera
         - Anatomy
            - 10 distinct Layers (3 main functional states with 2 synaptic layers)
               - Photoreception
               - Internal transmission
               - Output to the deeper brain
                  - Via Interneurons (50 different types)
                     - Bipolar Cells
                  - Retinal Ganglion Cells (feature detectors) (30 types)
                     - Bundle into the Optic Nerve
                     - Send parallel action potentials
                  - Horizontal and Amacrine Cells: located at each synaptic stage
                     - Synchronization and integration of signal input
      - Optic Nerve
      - Oculomotor muscles: Eyeball movement + optokinetic reflex
   - Processing
      - Eye has great dynamic range
         - Sensitivity to very dark to very bright light
      - Photoreception
         - Photoreceptors
            - Anatomy
               - Outer segment
                  - Electromagnetic → Chemical energy conversion
               - Inner Segment
                  - Chemical → Electrical energy conversion
               - Synaptic Terminal
                  - Electrical → Chemical energy conversion
            - Types
               - Rods
                  - Detect low light levels
                  - 20 times more rods than cones
                  - Peak sensitivity at 498nm
               - Cones
                  - High light levels and colors
                  - S-Cones (Short-wave cones): blue light - 420-440nm
                  - M-Cones (Middle-wave cones): green light - 535-550nm
                  - L-Cones (Long-wave cones): red light - 565-580nm
            - Operation
               - Phototransduction = Convert: Electromagnetic → Chemical → Electrical Energy
                  - Converts light energy (photons) into membrane potential in Photoreceptors cells
                  - Rods convert Electromagnetic → Chemical via Rodhopsin (protein)
                     - Rodhopsin: Made up of a G-protein Coupled Receptor (GPCR) = Retinal + opsin, and its ligand
                        - Retinal also known as Vitamin A adelhyde (carrots)
                     - GPCR activation: Photon is absorbed by Retinal it changes from 11-CIS-retinal to All-Trans-Retinal which causes changes in the Opsin backbone which causes activation of G-Protein Transducer
                        - This was discovered by Harvard George Wald which received Nobel Prize for it and the study of photopsins in 1967
                        - Only One photon required to trigger this reaction due to the amplifying nature of Rodhopsin chain reaction
                     - Transducer changes cytoplasmic concentration of cGMP (second messenger molecule) by the action of an enzyme known as cGMP phosphodiesterase
                     - cGMP phosphodiesterase modulates cGMP-gated ion channels which change the membrane potential
                     - Absence of Light (Dark-scotopic): cGMP opens Na+ and Ca+ ion channels in the Outer Segment of the photoreceptor which depolarizes the cell after Na (sodium) influx
                     - Light: depletes cyclic GMP (cGMP) in the Outer Segment which closes Na+ and Ca+ ion channels hyperpolarizing the cell
                     - Neurotransmitter is released in Dark not in Light
               - Cone Phototransduction (Color vision)
                  - Work better with more light and faster at detecting changes
                  - 3 Types
                     - S-Cones (Short-wave cones): Blue light - 420-440nm
                     - M-Cones (Middle-Wave cones): green light - 535-550nm
                     - L-Cones (Long-wave cones): red light - 565-580nm
                  - All cones receptor contain GPCR protein: Photopsin (coneopsin)
                  - Work same as Rods (11-Cis-retinal to All-Trans-Retinal)
                  - Trichromat vision: Color is perceived by relative activation of 3 types of cones
                  - Metamers: colors that render the same bc cannot render all spectrum
                  - Tetrachromats: Fish and birds have four pigments for vision
                     - Some women have are Tetrachromatic (X-chromosome mutation)
                  - Colorblindness: mutations in the photopsin GPCR protein
                     - Deuteranopia: Red-green colorblindness (lack of M-Cones)
                  - Scotopic vision (Nighy vision): Rods active. Cones inactive = Hard to see colors in the dark
                  - Photopic vision (Daylight vision): Rods inactive. Cones active
      - Retinal Processing
         - 3 main functional states with 2 synaptic layers
            - Outer nuclear layer contains photoreceptors: rods + cones
            - Inner nuclear layer: bipolar, horizontal and amacrine cells
            - Ganglion layer: output neurons → action potentials via optic nerve to brain
               - Only cell type in retina capable of generating action potentials
               - All other react to graded changes in membrane potential
               - Receptive Field: region of visual space when stimulated evokes a response in the cell
                  - Organized in a Center-Surround organization
                     - On Center cells: + in center, - outer
                     - Off Center cells: - in center, + outer
                  - Kuffler (1950) recorded electrophysiological responses from retinal ganglion cells of anesthetized animals
                  - John Dowling and Frank Warbling (70’s Harvard): cellular ganglion responses are built from interactions of upstream bipolar and horizontal cells
                  - Each photoreceptor and interneuron can be part of the center and surround of different retinal ganglion cells
                  - Lateral pathways (amacrine cells) responsive for the center-surround organization
                  - Most retinal ganglion cells respond better to well-aimed small spot of light than to diffuse light. Thought because of center-surround organization of receptive field enhances sensitivity to edges and contrast (bright/dark border)
      - Retinal Circuit
         - Direct Pathway: Input photoreceptor → bipolar cell → output retinal ganglion cell
            - Input photoreceptor → bipolar cell
               - Main neurotransmitter = Glutamate (amino acid)
               - Depolarization: when Dark area appears in retina releases neurotransmitter (glutamate)
               - Bipolar Cells
                  - Two Cell types
                     - Off Cells
                        - Light off = more glutamate
                        - Glutamate-gated cation channels depolarization triggers EPSP (Excitatory PostSynaptic Potential) after Sodium (Na+) influx
                     - On Cells
                        - Light On = less glutamate
                        - G-protein coupled receptors respond to Glutamate released by photoreceptors via hyper polarization
                  - Operation
                     - Each bipolar cell receives input from a cluster of photoreceptors (1 to thousands)
                     - Each bipolar cell also connected via horizontal cells to a ring of photoreceptors that surround the central direct cluster
                     - Center-Surround:
                        - Center Area: connected to cluster of photoreceptors in center
                        - Surrounding Area of retina: input via horizontal cells
                        - The differential firing accounts for unique firing patters depending on shapes and areas covered (centre vs surround)
            - Bipolar cell → output retinal ganglion cell
               - Connection happens via synapses in the ganglion cell layer
               - Modulated by lateral connections of Horizontal Amacrine cells from the Lateral Pathway which coordinates and integrating rods and cone inputs
            - Retinal ganglion cell: about 1 million in each retina
               - They also have a centre-surround receptive file organization like bipolar cells
                  - On-center retinal ganglion cell: depolarized if center is illuminated
                  - Off-center retinal ganglion cell: responds to dark spot in centre of receptive field
               - Some RGCs (retinal ganglion cells) have more complex receptive fields and respond to particular colors or movement of light patterns
         - Lateral Pathway: At each synaptic connection neuronal responses are modulated by lateral connections of Horizontal Amacrine cells
            - 30 types of amacrine cells and about dozen types of bipolar cells
            - All these types allow for many types of pattern/movement recognition which we know little about. Some may allow to compensate for oculomotor reflexes (optokinetic reflex))
      - Retinofugal Projection
         - Where does all the retina output go to?
            - Tectum or Superior Colliculus: Retinotectal Projection
               - Helps in orienting to stimuli in the environment
            - Accessory Optic System (nuclei)
               - Optokinetic reflex
               - Vibration dampening system
            - Thalamus
               - Real station in the middle of the brain
         - 5 Major Parts (towards the visual cortex)
            - Optic Nerve
               - Input from left eye → right cortical hemisphere
               - Input from right eye → left cortical hemisphere
            - Optic Chiasm
               - Decussation = Nerves from both eyes combine signals
               - Nerves from each half Right retina → sees Left side of visual field
               - Nerves from each half Left retina → sees Right side of visual field
            - Optic Tract
            - Lateral Geniculate Nucleus (LGN): inside the Thalamus
               - Located in the dorso-lateral part of the Thalamus
                  - Left hemisphere LGN process information from Right visual field
                  - Right hemisphere LGN process information from Left visual field
                  - Ipsilateral (same side) and Contralateral axons (opposite side)→ 3 layers each (6 total)
                     - Two most ventral layers
                        - M-Type large neurons (Magnocellular)
                           - Large receptive fields: respond to moving objects
                     - Four more dorsal layers
                        - P-Type smaller neurons (Parvocellular)
                           - Small center-surround receptive fields: respond to shape
                     - In between layers
                        - Koniocellular neurons
                           - Represent certain color information
                     - All layers innervated by retinal ganglion cells
               - Connectivity
                  - Most (80%) incoming connections (axons) to the LGN come back from the visual cortex
                  - 20% from the retina
                  - This creates a feedback loop (poorly understood) which can be measured with electroencephalography (EEG)
            - Optic Radiations
            - Visual Cortex: central processing of most visual information
               - Made of 6 layers (2mm thick)
               - Primary Visual Cortex V1 (Striate Cortex)
                  - Located at the very back of the brain in a deep fold called the Calcarine Sulcus
                  - Name Striate Cortex comes from dark stripe called Stria of Genari
                     - Stria of Genari coincides with Layer 4 where all LGN axons enervate the cortical sheet
                     - Retinotopy (orderly pattern of connections): LGN axons innervate preserving spatial x-y organization in the spatial dimensions of the 2D cortical sheet
                  - Layer 4: receives largest LGN input in spiny stellate neurons
                     - Gets information from magnocellular and parvocellular neurons from LGN
                     - Input is segregated from Left/Right eyes in Ocular Dominance Columns (OCDs): Laid out in a striped patter across V1 surface
                        - Monocular deprivation will cause affected eye OCD’s to degrade and taken over working eye OCD columns.
                  - Later 2 and 3: receive primary input from koniocellular axons from LGN
               - Physiology of Area V1
                  - Serve as edge detectors
                  - Ocular Dominance Columns (OCDs) showed Ocular Dominance
                  - Historical development
                     - Tungsten microelectrode: thin wire insulated except in tip (sharpened to the size of a single neuron) that records extracellular potentials (100mV) of neuronal activity
                     - Developed in 1950s by Harvard neurophysiologists David Hubel and Torsten Wiesel derived from Kuffler’s studies of retinal ganglion cell (won Nobel Prize for their work = considered fathers of modern cortical neuroscience)
      - Visual Pathways
         - Light goes to Eye
         - Eye transduces light into axon potentials via the retina
         - Optic nerve to Lateral Geniculate Nucleus (in Thalamus)
         - Optical Cortex - Area V1 (back of the brain in the Occipital Lobe)
            - Ventral Pathway: The WHAT pathway
               - V1→IT = receptive fields increase in size + complexity of stimuli
               - V1: sensitivity local orientation, small lines
               - V2: longer lines
               - V4: curvature, shapes
               - IT (Inferior Temporal cortex): in human/primates: process complex shapes: faces
            - Dorsal Pathway: the WHERE/HOW pathway
               - MT (Middles Temporal area): direction of movement
               - PPA (Posterior Pariental Area): directing attention to visual space areas = Special Attention
   - Lessions of Visual Cortex
      - Experimentally Induced Lesions (Animals Only)
         - Permanent
            - Suctioned Out
            - Chemically damaged
         - Temporary
            - Drug Injection
            - Optogenetics (new): shining light in specific neurons
      - Observed Lesions (in Humans)
         - Disease
         - Stroke
         - Injury
            - Concussions
            - Firearms (WW2)
      - Ventral Pathway Lesions:
         - V1→IT: scotomas = blind spot
         - Closer to IT: more complex disorders = Agnosias
            - Cannot process Objects
            - Cannot recognize Faces: Prosopagnosia = Face Blindness
               - Oliver Sacks wrote about Prosopagnosia in “The Man Who Mistook His Wife For A Hat”
      - Dorsal Pathway Lesions
         - MT damage: Akinetopsia = motion blindness
         - PT cortex: visual neglect: cannot pay attention to certain areas of visual field
            - Damage to Half PT cortex:
               - May only eat half of food on plate, other side ignored
               - Will only draw half of a clock
               - Can experience that half of their body or a part does't belong to them
            - Damage to Both hemispheres PT cortex
               - Balint syndrome = Simultagnosia: cannot experience the world as a whole
   - Binding Problem
      - How do we make sense of the information from all visual cortex pathways?
         - We don’t know the answer :(
- Audition
   - Sound waves - create rarefaction waves
   - Human can hear: 20K Hz
   - Process
      - Sound waves Tympanic Membrane
      - Tympanic Membrane vibrate bone (3 Ossicles in Middle Ear)
      - Bones vibrate fluids - (in Cochlea )
      - Fluids fluctuate a membrane - (Tectorial membrane)
      - Membrane moves cells (hair cells in the Organ of Corti)
      - Cells open Ion channels
      - Open Ion channels cause depolarization
      - Signal is carried to brain via auditory nerve
   - Auditory Anatomy
      - Outer Ear (Pinna)
      - Middle Ear
         - 3 Ossicles
            - Malleus (Hammer), Incus (Anvil), Stapes (Stirrup)
      - Inner Ear
         - Cochlea
            - 3 coiling tubes
               - Scala Vestiboli
               - Scala Media
                  - Tectorial membrane
                     - Stereocilia (hair cell bundles)
                     - Activated mechanically
                  - Organ of Corti
               - Scala Tympani
            - 2 membranes
               - Reissner’s Membrane
               - Basilar Membrane
            - Fluids
               - Endolymph (hi K+, lo Na+) - Scala Media - -80mV
               - Perilymph (lo K+, hi  Na+) - Scala Vestiboli and Scala Tympani
         - Semicircular Canals - Balance
         - Vestibule
      - Subcortical Auditory Pathways
         - Cochlear Nucleus
            - Arranged tonotopically
         - Superior Olive
            - Where both ear signals are integrated
         - Inferior Colliculus - Midbrain
            - Helps orient towards sound
         - Medial Geniculate Nucleus (MGN)
            - Process audio, Helps maintain attention to specific sound
         - Auditory Cortex
            - Located in areas 41 and 42
            - Where audio is processed consciously
            - Layers
               - A1: Few cell bodies (Primary Processing)
                  - Each cell is tune to each frequency
                  - Isofrequency bands - columns of A1 cells
               - A2: Pyramidal neurons (Specialized Processing)
                  - Phonemes (da, ba, la, etc)
               - A3: Pyramidal neurons
               - A4: Granule cells
               - A5: Pyramidal neurons
               - A6: Pyramidal neurons
   - Intensity control
      - Impedance Matching
      - Gating - muscles contraction to protect from loud noises and when speaking
   - Frequency Detection
      - Basilar membrane decreases in width
      - Total membrane length 30 mm
      - Basilar membrane: Tonotopic Map
         - Apex - low - 20Hz
         - Base - high - 20KHz
      - Place Coding: Stereo cilia activates according to position along membrane
   - Amplitude Detection
      - Level of activity of the hair cells
   - Localization
      - Interaural Time Differences = ITDs (0.5ms between ears)
      - Endbulb of Held
         - Large enveloping synapses that conduct signals better
         - Differential firing is used to ascertain Left/Right input
      - Interaural Level Differences = ILDs
         - Propagation distance: intensity decreases over distance
   - Auditory Issues
      - Conduction Deafness
         - Caused by damage on the physical auditory channel
      - Sensorineural Deafness
         - Damage to inner ear - hair cells
         - Aging, trauma, disease, genetic
         - Can be partially fixed with Cochlear implant
- Taste (Gustation)
   - Factors that affect taste
      - Chemical Perception
      - Smell
      - Texture
      - Temperature
      - Pain
   - Axes of Taste
      - Sweet: Sugars, Starches
      - Salty: Na+, K+
      - Sour: Acids - H+
      - Bitter: Bless, Toxins
      - Umami: MSG, Soya sauce
   - Anatomy
      - Tongue
         - Taste Buds
         - Taste receptor cells
         - Gustatory Nerve Fibers
   - Pathways
      - Cells not receptors carry neurological meaning
      - Receptors only detect chemicals but the taste is dictated by the cell
- Olfaction
   - Slower than vision and audio (2 secs to register, many seconds to reset)
   - Most processing happens in the right side of the brain
   - Odor
      - How the odorant is perceived
      - Odorant is the chemical that binds to olfactory receptors
      - Compound must be volatile
      - Hydrophobic = doesn’t mix with water
   - 1000 categorized genes that detect odor
      - Many are pseudogenes
         - Dogs 80% are expressed
         - Humans only 40% expressed
   - Shape-Pattern Theory
      - Explains how super-tasters can distinguish up to 100K odors
      - Stereoisomers
         - d-carvone - caraway smell
         - I-carvone - Spearmint
      - Quantity, Timing, and Order affect smell perceived
   - Pathways
      - Nostrils
      - Olfactory Epithelium
         - Supporting cells
         - Basal cells
         - Olfactory Sensory Neurons
         - Olfactory Nerve: regenerates! - studied to learn to regeneration in nerves
         - Olfactory Bulb
         - Primary Olfactory Cortex
            - Amigdala
            - Hippocampus
            - Limbic System (emotion, memory, behavior, motivation)
            - This explains why smells can trigger memories and emotions
   - Problems
      - Anosmia: loss of smell
         - Due to trauma and aging
         - by age 85 about 50% population is anosmic
         - Anosmia causes loss of taste
- Touch (Somatosensory receptors)
   - Modes: Pressure, Stretch ,Temperature ,Vibration
      - Proprioception: body movement
      - Mechanoreception: touch
      - Thermoception: temperature
      - Nociceotion: pain
   - Cutaneous Sensations
      - Touch, pressure, heat, cold, pain
      - Free nerve endings: heat, cold, pain
         - Transient receptor potential channels (TRP)
            - Pressure, volume, stretch, vibration, tastes
         - More cold receptors than heat receptors (heat receptors are deeper)
   - Processing
      - Primary, secondary, tertiary neurons
      - Cortex sensation is arranged somatotopically
- Motor System
   - We know less about how it works as we trace motor impulses back to the brain
   - Inputs
      - Vestibular System, Proprioception
   - Anatomy
      - Muscles
         - Cardiac Muscle
         - Smooth Muscle
         - Skeletal Muscle
            - Myocytes: main type of muscle cell. Elongated with perpendicular Striations
               - Multiple Nuclei
               - Filled with Myofibrils: long bands of protein
                  - Actin: thin filaments
                  - Myosin: thick filaments
            - Muscle Contraction
               - Myosin binds to Acting that causes filaments to slide against one another
               - Sarcomeres: main Myocytes units
            - Axial Musculature
            - Proximal Musculature
            - Distal Musculature
            - Facial musculature: brain nerve 7
      - Lower Motor Neurons
         - Also knowns as Alpha motor neurons
         - Final common pathway
         - Motor Units: bundles of motor neurons from the spinal cord
         - Henenman’s Size Principle: motor units are fired in size order which allows to vary applied force
      - Dorsal Ganglion Root Cells
      - Excitatory & Inhibitory Spinal Interneurons
      - Upper Motor neurons: connect to the brain
         - Penfield: Canadian neuroscientist pioneered brain study via electrodes
         - Created the Homunculus (small man) cortical map of muscle activation
         - From area M1
      - Cortocospinal Neurons
   - Intrinsic Motor circuits
      - Reflexes
         - Short
         - Automatic
         - Involuntary
         - Myotatic Stretch Reflex: compensates for sudden muscle stretches.
            - Muscle Spindle detects stretch via Proprioceptors
            - Intrafusal Muscle fibers: detect stretch
      - Central Pattern Generators
         - Helps locomotion, walking, fish tail movement
   - Brain control of movement
      - Dorsolateral Path
         - Fina motor control of extremities
      - Ventromedial Path
         - Controls posture
   - Problems
      - Total Locked In Syndrome
      - Motor Cortex Lessions
         - One side affects the other, contralateral side
         - Paresis: muscle weakness
         - Hypertonia: too much tension
         - Hyperreflexia
- 9 Subcortical Brain Areas
   - Function
      - Most vital functions
      - Works autonomously and can override conscious inputs (breathing)
   - Parts:
      - Hindbrain
         - Functions
            - Heart rate
            - Respiration
            - Swallowing
         - Parts
            - Brain Stem
               - Medulla
                  - Connect to higher brain
                  - Posture
                  - Protective motor reflexes
                     - Coughing, sneezing and swallowing
                  - ANS: Autonomic Nervous Systems
                     - Breathing, Hear rate, blood pressure, digestion
                     - Interacts with the sympathetic and parasympathetic nervous system
               - Pons (bridge)
                  - Relay station between the medulla, cortex, cerebellum
                  - Pontine nuclei
                     - Sleep, respiration
                     - Swallowing, chewing, bladder control,
                     - Some eye movement, facial expressions, and upright posture
               - Reticular formation
                  - Runs throughout the brain stem
               - Note: Brain Stem injuries can cause instant death
               - Disease: Central Pontine Myelinosis
                  - Loss of myelin in axons which inhibits signal transmission
                  - All brain stem related functions can be affected
                  - Locked In Syndrome (LIS): worsened scenario where patience is aware but immobile
      - Midbrain
         - Functions:
            - Vision, hearing, motor control
            - Sleep/wake cycle
            - Alertness
            - Temperature regulation
         - Parts:
            - Tectum: top part
               - Auditory and visual reflexes
               - Parts:
                  - Colliculi (little hills)
                     - Superior Colliculi
                        - Ocular muscle reflex control - eye orientation
                        - Present during REM sleep
                     - Inferior Colliculi
                        - Auditory processing
                           - Orientation control: startle response
                  - Cerebral Peduncles
                     - Bridge motor impulses between neocortex and lower brain areas
                     - More involved in voluntary body movement
                  - Tegmentum
                     - Controls voluntary movements, various reflexes and homeostatic circuits
                     - Hunger, thirst, sex, habitual automatized behavioral patterns
                     - Substantia Nigra
                        - Tied to basal ganglia and motor function
                        - Is a dark area due to presence Melanin
                        - Synthesizers many dopamine neurotransmitters
                        - In Parkinson’s disease this area decays
      - Cerebellum
         - Contains 50% of all brain neurons
         - Functions
            - Motor programming
            - Motor learning
            - Language
            - Maybe involved in the pathogenesis of several neuropsychiatric disorders such as autism
         - Anatomy:
            - Purkinje Cells
               - Very large neuron cells with huge dendritic arbors in outer layer
               - GABA, Inhibitory
               - Information only leaves the cerebellum though these cells
               - Due to consistent parallel fiber stimulation they fire about 70 times per second atomically inhibiting the cerebellar nuclei
               - Climbing fiber activation is much more rarer but can yield more permanent changes in the excitability of Purkinje cells
               - Climbing fiber stimulation is thought to underlie motor learning in the Cerebellum
            - Granule Cells
               - Smallest neuron cells in inner layer
               - Glutamate, Excitatory
            - Mossy fibers
               - One mossy fiber innervates hundreds of granule cells
            - Climbing fibers
               - Come from the medulla region Inferior Olivary
               - Each connect with about 10 Purkinje cells in about 300 places each
            - Parallel fibers
               - Axons of the granule cells which split into the top most cortical layer
               - Run in parallel to the folds of the cerebellar cortex
               - Run perpendicular to the Purkinje cell dendritic arbors
         - Modulatory input also comes via dopaminergic, serotonergic, noradrenergic and cholinergic pathways
      - Forebrain (prosencephalon)
         - Anatomy
            - Cerebral cortex
            - Basal Ganglia
               - Functions
                  - Voluntary movement
                  - Emotional & Cognitive functions
                  - Procedural Learning (learning piano, tennis)
               - Anatomy
                  - Pathways
                     - Direct
                        - Excite thalamic neurons
                     - Indirect
                        - Inhibit thalamic neurons
               - Pathology
                  - Extrapyramidal Syndromes: imbalance between direct/indirect pathways
                  - Parkinson’s Disease (PD): loss of dopaminergic neurons in the substantial nigra
                     - This reduces Basal Ganglia’s pathways indirect activity
                  - Huntington’s Disease (HD): choreiform movements. Involuntary abrupt movements. Opposite of PD. Affect extremities and face.
                     - Striatum damage which affects indirect pathways
            - Thalamus
               - Relay station between sensory and subcortical structures and higher subcortical cortex
               - Connected to most information pathways in the brain
               - Referred to as the Gateway of the cortex
               - Some sensory processing
               - State regulation (arousal, awareness)
               - Pathology
                  - Damage can lead to permanent comma
                  - Fatal Familial Insomnia: inability to fall sleep leading to death
            - Limbic System
               - Functions
                  - Rewards, reinforcements, threats, punishment
                  - Creates emotional and motivational context
                  - Controls fear, pleasure, adrenaline
                  - Formation of memories (emotional memories)
               - Anatomy
                  - Olfactory bulbs
                  - Hippocampus (seahorse)
                     - Two, one on each brain side
                     - Consolidating memories
                     - Spatial navigation: place cells
                     - H.M case: could not form short-term memories (anterograde amnesia)
                     - Neurogenesis happens here which may help in write over existing memories
                  - Amygdala (almond)
                     - The are two amygdala
                     - Taste, touch, small, vision, olfactory
                     - olfactory nerves connect directly, others via Thalamus and else
                     - Memory, decision making
                     - Associated with emotional states
                     - Associations are formed via Emotional Conditioning
                  - Anterior Thalamic Nuclei
                  - Fornix
                  - Septum
                  - Habenula,
                  - Cingulate Gyrus
                  - Limbic Cortex
                  - Midbrain areas
            - Hypothalamus
               - Thermostat for the body’s internal milieu (temperature, heart rate, plasma sodium concentration)
               - Homeostasis: steady state of equilibrium and physiological constancy
               - Engages autonomous nervous system, endocrine system, behavioral system
               - Send commands to the brain stem and the spinal cord that activate autonomic preganglionic neurons to mount a fight/flight/rest and digest response
               - Activates basal ganglia and cortex
               - Controls hormone release via the Pituitary Gland
               - Triggers thirst, hunger, fatigue, need for sleep, circadian rhythms
               - When cold it triggers a response (shivering, artery constriction, increased metabolism)
               - Regulates sex drive, parenting, and attachment behaviors
               - Pathology
                  - Hypothermia
                  - Appetite disruption
- Brain Anatomy (3.7)
   - re: https://www.mcb80x.org/course/the_brain/brain_anatomy/overview
   - Visual System
      - 125 million photoreceptors (rods and cones) in the retina
   - Auditory System
   - Olfactory System
   - Gustatory System
   - Motor System