HESI A2 · Anatomy and Physiology · 8 min read
The Nervous and Endocrine Systems
- Explain the cellular structure of neurons, the mechanism of the action potential, and the structural and functional divisions of the human nervous system.
- Identify the major functional regions of the brain and compare the actions and chemical messengers of the sympathetic and parasympathetic autonomic pathways.
- Describe the classifications of hormones and evaluate how the pituitary, thyroid, parathyroid, adrenal, pancreatic, and pineal glands regulate human physiology.
Neuron Structure and Nerve Impulse Conduction
The nervous system relies on specialized communication cells called neurons, which serve as its primary structural and functional units. These cells are uniquely adapted to generate and transmit electrical signals throughout the body. A standard neuron features a cell body, also known as the soma, which houses the nucleus and the standard cellular organelles required for ongoing metabolism and cellular maintenance. Extending outward from the soma are dendrites, which are branched cellular extensions designed to receive incoming chemical or electrical signals from other neurons and convey those signals inward toward the cell body.
Signals gathered by the dendrites and soma travel toward the axon, a long projection responsible for conducting electrical impulses away from the cell body toward other neurons or target cells. The axon connects to the cell body at a specialized, cone-shaped region termed the axon hillock. Action potentials are typically initiated in the axon initial segment immediately adjacent to the axon hillock. To ensure that electrical signals travel rapidly, many axons are wrapped in a lipid-rich insulating layer known as the myelin sheath. In the peripheral nervous system, this protective covering is produced by Schwann cells, whereas in the central nervous system, it is formed by oligodendrocytes.
The myelin sheath is interrupted at regular intervals by uninsulated gaps known as the nodes of Ranvier. During saltatory conduction, the electrical impulse does not travel smoothly across every micrometer of the axon membrane; instead, action potentials are regenerated at these exposed nodes of Ranvier, dramatically increasing the transmission speed along the axon. Think of the myelin sheath as insulation wrapped around a long copper wire, preventing signal leakage and allowing the electrical impulse to leap efficiently from one exposed gap to the next.
An inactive or resting neuron maintains an electrical charge separation across its membrane, known as a negative resting membrane potential. This negative interior charge exists primarily because the resting neuronal membrane is considerably more permeable to potassium than to sodium. The underlying concentration gradients are continuously established and preserved by the sodium-potassium pump, an active transport mechanism that expels three sodium ions out of the neuron for every two potassium ions it imports. When a stimulus prompts an action potential, voltage-gated sodium channels open rapidly, causing sodium ions to rush into the cell; this sudden influx of positive ions constitutes depolarization. Repolarization immediately follows as voltage-gated potassium channels open, allowing potassium ions to diffuse outward, restoring the cell's negative internal charge.
Once the action potential reaches the terminal end of the axon, electrical communication converts into chemical communication at a chemical synapse. The arrival of the action potential stimulates voltage-gated channels to facilitate a calcium influx. This influx of calcium triggers the exocytosis of neurotransmitters, releasing them from the presynaptic neuron into the synaptic cleft. The released neurotransmitters then diffuse across this narrow space to interact with target cells or adjacent neurons.
Common mistakes
- Believing that the posterior pituitary synthesizes antidiuretic hormone and oxytocin, when in reality both hormones are synthesized in the hypothalamus and merely stored and released by the posterior pituitary.
- Confusing the myelin-producing cells of the two nervous system divisions by forgetting that oligodendrocytes form myelin sheaths exclusively in the central nervous system, whereas Schwann cells produce them in the peripheral nervous system.
- Reversing the actions of calcitonin and parathyroid hormone: calcitonin lowers blood calcium by inhibiting osteoclasts, while parathyroid hormone raises blood calcium by indirectly stimulating osteoclast-mediated bone resorption and promoting renal calcium reabsorption.
- Mixing up the functions of pancreatic islet cells: alpha cells secrete glucagon to raise blood glucose by promoting glycogen breakdown, while beta cells secrete insulin to lower blood glucose levels.
Key points
- Neurons are the structural and functional units of the nervous system; they receive signals via dendrites, process them in the soma, and conduct action potentials down axons insulated by myelin sheaths produced by Schwann cells (PNS) or oligodendrocytes (CNS).
- Resting membrane potentials are maintained by high potassium permeability and the sodium-potassium pump (pumping 3 Na+ out for every 2 K+ in); depolarization is driven by sodium influx, repolarization by potassium efflux, and synaptic transmission by calcium influx triggering neurotransmitter exocytosis.
- The central nervous system consists entirely of the brain and spinal cord, protected by the three meninges (dura mater, arachnoid mater, pia mater) and cushioned by cerebrospinal fluid, while the peripheral nervous system connects the body using sensory, motor, and autonomic nerves.
- The cerebrum governs conscious thought and motor control through its four lobes; the thalamus relays sensory information (excluding olfaction); the hypothalamus oversees homeostasis; the cerebellum coordinates balance; and the brainstem controls vital autonomic functions.
- The autonomic nervous system regulates involuntary effectors through sympathetic and parasympathetic divisions; both use acetylcholine at preganglionic synapses, while most sympathetic postganglionic neurons release norepinephrine and parasympathetic postganglionic neurons release acetylcholine.
- Lipid-soluble steroid hormones pass through cell membranes to bind intracellular receptors, whereas water-soluble peptide and protein hormones bind cell-surface receptors to trigger intracellular signaling cascades.
- Metabolic balance and mineral levels are governed by the thyroid (T3, T4, calcitonin), parathyroid (parathyroid hormone), adrenal cortex (aldosterone, cortisol, sex steroids), adrenal medulla (epinephrine, norepinephrine), pancreatic islets (insulin from beta cells, glucagon from alpha cells), and pineal gland (melatonin).
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