Porth's Essentials of Pathophysiology, 4e - page 846

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U N I T 1 0
Nervous System
U N D E R S T A N D I N G
Synaptic Transmission
Neurons communicate with each other through chemical synapses and the use of
neurotransmitters. Chemical synapses consist of a presynaptic neuron, a synaptic
cleft, and a postsynaptic neuron.The communication process relies on (1) synthesis
and release of the neurotransmitter from a presynaptic neuron, (2) binding of the
neurotransmitter to receptors in the postsynaptic neuron, and (3) removal of the
neurotransmitter from the receptor site.
Postsynaptic
membrane Receptor
Ion channel
Presynaptic
neuron
Postsynaptic
receptor
Postsynaptic
neuron
Synaptic vesicles
with neurotransmitter
Neurotransmitter
Synaptic
cleft
Nerve
impulse
Neurotransmitter Synthesis
and Release.
Neurotransmitters
are synthesized in the presynap-
tic neuron, then stored in synaptic
vesicles. Communication between
the two neurons begins with a nerve
impulse that stimulates the presyn-
aptic neuron, followed by move-
ment of the synaptic vesicles to the
cell membrane and release of neu-
rotransmitter into the synaptic cleft.
1
Presynaptic
receptor
Postsynaptic
receptor
Synaptic
cleft
Neurotransmitter
Receptor
Ion channel
Neurotransmitter
Na +
Receptor Binding.
Once released
from the presynaptic neuron, the
neurotransmitter moves across the
synaptic cleft and binds to recep-
tors on the postsynaptic neuron.
The action of a neurotransmitter is
determined by the type of receptor
(excitatory or inhibitory) to which it
binds. Binding of a neurotransmit-
ter to a receptor with an excitatory
function often results in the opening
of an ion channel, such as the sodium
channel. Many presynaptic neurons
also have receptors to which a neu-
rotransmitter binds. The presynap-
tic receptors function in a negative
feedback manner to inhibit further
release of the neurotransmitter.
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