Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
The authors thank Candice Kent as well as Drs. Grahame Kidd and Xinghua Yin for the preparation of the figures. Dr. Trapp is supported by NIH grant R35NS09730. Dr. Herrup is supported by The University of Pittsburgh School of Medicine and by the NHMRC grant APP 1160691 and the Albert White Matter Trust. Dr. Tse is supported by the Hong Kong Food and Health Bureau Human Medical Research Fund (HMRF04151436, HMRF05163736, and HMRF06173836) and the Research Grants Council, Hong Kong, SAR (GRF16124916).
This chapter includes an accompanying lecture presentation that has been prepared by the authors: .
A wide diversity of cells is found in the adult brain that is apparent at every level of organization, from structure to biochemistry to molecular genetics.
Molecular techniques have expanded the catalogue of cell types by allowing a detailed molecular signature to be determined for every single cell in the brain. This high-resolution perspective on cell identity promises to revolutionize our view of the brain, adding new dimensions beyond the typical three-dimensional view of the neuroanatomist.
Despite their diversity, the cells of the brain must cooperate with one another to achieve normal function. The cell-cell interactions are as complex as the cell types themselves. Yet, from moment to moment, all of the cells collaborate to enable computational tasks of incredible subtlety and power.
Nerve cells are the output cell of the brain, but the metabolic and computational contributions of nonneuronal (neuroglial) cells is significant. Thus, in an important sense, the oligodendrocytes that determine transmission speed, the astrocytes that determine metabolic homeostasis, the microglia that prune synaptic connections, and the vascular endothelial cells that nourish them all each contribute to cognition in important and quantifiable ways.
With the exception of a few stem cell populations, the cells of the brain are nonmitotic. Cell cycle regulation, in particular the suppression of unwanted cell cycle activity, turns out to be a critical part of normal brain function. For neuroglia, this regulation guards against the establishment of tumors. For neurons and oligodendrocytes, it guards against an odd phenomenon of cell cycle–related cell death.
The nervous system is structurally and functionally the most complicated organ of the human body. Normal brain function depends on the anatomic, biochemical, and physiologic integration of multiple cell types. The neuron is the communicating cell of the nervous system. All sensory, motor, and cognitive activities use circuitries consisting of multiple neurons with complex connections. We consider each of these cell types separately but stress their interactions throughout.
The definition of a neuron has little to do with morphology. Cells that are referred to as neurons can come in many forms. What is common among them is that they are all polarized epithelial cells that share specialized cellular regions or domains. In this way, the properties that make a cell a neuron relate primarily to function rather than structure. All neurons move information from one point on the cell body to another. It is this property that empowers them to function in a rich array of computational behaviors. The information is moved by local shifts in membrane potential caused by the movements across the membrane of ions such as sodium, potassium, chloride, and calcium. Information is first received in the part of the cell known as a dendrite ( Fig. 65.1 ); each neuron can have one or several dendrites. The information moves from the dendrites to the cell body by passive current flow. At the cell body it enters a single process known as an axon. The axon has a unique configuration of sodium and potassium channels that enable it to transmit current over great distances without loss of signal strength. The axon ends in a specialized structure known as a synapse that forms the connection with the downstream contact—either another neuronal dendrite or a target cell such as a muscle or gland.
Despite the constancy of these three functional domains—dendrite, cell body, and axon—it is virtually impossible to define a “typical” structure for a neuron. This is because, more than any other cell type, the various cell types that are known as neurons possess an enormous diversity of structural characteristics. Consider three examples: the Purkinje cell, the retinal photoreceptor cell, and the dorsal root ganglion neuron ( Fig. 65.2 ). All three are considered neurons, yet commonalities among them are difficult to pinpoint. The Purkinje cell is the most straightforward of the three (see Fig. 65.2A ). There is a clear cellular domain that is the neuronal dendrite, a prominent cell body, and an obvious single axon. The parts of the retinal photoreceptor (see Fig. 65.2B ) are less easily categorized. The apical portion serves as a receptor for light, yet it is hardly a normal dendrite. The cell body is apparent, but the axon is unconventional in its thickness, length, and appearance. The dorsal root ganglion neuron (see Fig. 65.2C ) also diverges from the classic neuronal form. A cell body is clear, but the process that emanates from it bifurcates; one branch connects to a peripheral target and the other branch connects with a target within the central nervous system (CNS). Functionally the two branches are distinct, but morphologically they are nearly identical; under most definitions, neither would qualify as a dendrite.
While the shape of a neuron can take many forms, the functioning of the adult neuron emphasizes the common features of several cellular subdomains. The goal of this section is not to describe the biochemical and biophysical mechanisms that the cell uses to create, store, and transmit electrical signals. Rather, this section follows a “packet” of information as it moves through a typical nerve cell in the brain, with the goal of introducing the biology of the cell.
The information arrives at the nerve cell at a highly specialized structure known as a synapse ( Fig. 65.3A ), usually located on a specialized dendritic structure known as a spine ( Fig. 65.3B ). At this site, a process from the previous neuron in the circuit approaches to within a few hundred angstroms of the next cell but does not make contact with it (see Fig. 65.3C ). The gap between the cells—the synapse—remains continuous with the extracellular space. The presence of the gap requires a specialized mechanism for transferring the electrical signal from the presynaptic to the postsynaptic cell. This transfer is achieved by way of the presynaptic cell secreting a chemical transmitter substance into the gap. The transmitter is usually a small molecule, primarily glutamate or γ-aminobutyric acid (GABA), but also acetylcholine, noradrenaline, or peptides such as substance P or vasointestinal peptide. Diffusion carries this pulse of chemicals across the gap to the membrane of the postsynaptic cell, which is covered with receptor proteins. These receptors recognize the secreted chemicals and transform the information from the chemical pulse into an electrical event that can be propagated down the neuron. This mechanism is discussed in more detail later.
A synapse can occur virtually anywhere on the postsynaptic cell, but the most common location is on the neuronal dendrite. The dendrites on many neurons have spines, and it is with these structures that the presynaptic neuron forms a synapse. A portion of the spine-rich Purkinje cell dendrite is shown in Fig. 65.3B . Spines can vary in size and shape but are generally no more than a few micrometers in length, with a bulb-like shape at the end of a tapered shaft ( white arrows, enlarged area of Fig. 65.3B ). Synaptic spines usually receive input from a single axon, although examples exist of multiple axons terminating on a single spine. An electrical signal that initiates in a spine travels to the dendritic branch on which it occurs and moves down the dendrite toward the cell body. Although many neuritic processes look similar (especially in culture), a dendrite can usually be distinguished from an axon because it is tapered—decreasing in diameter as distance from the cell body increases. A nerve cell can have a single dendritic shaft emanating from its cell body (as in the Purkinje cell in Fig. 65.2A ), or it can have several. A typical pyramidal cell in the cerebral cortex, for example, has a single apical dendrite but also several basal dendrites; a cerebellar granule cell has four to six short dendrites in a star-shaped configuration around the cell body.
The nerve cell body is the most prominent feature of the neuron in most histologic preparations (e.g., hematoxylin-eosin). If one considers size alone, however, the cell soma is usually considerably smaller than both the dendrite and the axon in surface area and volume. Consider that a typical neuronal cell body is about 25 μm in diameter. If we assume it is roughly spherical, we can calculate that its volume would be around 8000 μm 3 . The axon is much thinner, typically only about 1 μm in diameter; but it can be up to 1 meter in length, meaning its volume can be as much as 3 × 10 6 μm or nearly 400 times the cell body. The volume of the dendrite can be even larger. This relatively small soma-to–process volume ratio represents a logistic problem for the cell body: the genetic machinery is located exclusively in the nucleus, yet the products of this machinery must be transported in relatively large quantities to sites on the cell that are up to a meter away. The ways in which the neuron deals with this challenge is detailed in later sections of this chapter.
Returning to the movement of information along the neuron, once the electrical signal reaches the cell body from the dendrite, it travels to the point on the cell where the axon emerges. The axon is the structure that captures the summed electrical information from the dendrites and cell body and routes it to the next neuron (or target organ) in the circuit. Morphologically, the axon can be distinguished from the dendrite because it typically has a constant caliber over its entire length. Biochemically, the protein composition of the axonal membrane differs from the somatodendritic membrane as do the structural proteins that make up the cytoskeleton, in particular the microtubule-associated proteins. Transverse bands of actin can be found that offer structural support to the cylindrical structure, and longitudinally oriented arrays of microtubules inside the axon serve as transport highways moving vesicles and organelles in both anterior and posterior directions. Soon after the axon leaves the cell body, a specialized region known as the initial segment (or axon hillock ) can be identified ( Fig. 65.4 ). This part of the cell is the biochemical boundary between the cell body and the axon and is the point of initiation of the action potential. Up to this point, the information packets from the dendrites and cell body travel primarily by electrotonic spread, with different packets of electrical activity coming together and summing in a graded (analog) manner. By contrast, the axon transmits information in a strictly digital fashion. If the combined electrogenic signal reaching the axon from the cell body is sufficiently strong, the axon will fire and pass the information along; otherwise, the signal stops and proceeds no farther in the circuit. If the decision is a “go,” the axon transforms the information into a self-propagating electrical wave known as an action potential that travels undiminished down the axon to its end. The axon potential is an electrical signal that results from the coordinated functioning of sodium and potassium channels, usually in collaboration with glial cells (see later).
The synaptic terminal is the site where the information packet leaves the neuron for the next cell in the circuit. The morphology of the axon terminal is topologically complementary to the postsynaptic site (usually a spine) to which it will transfer its information. The regular caliber of the ending of the axon and its linear array of constituent microtubules swells in diameter, and a collection of vesicles and mitochondria are found. When the axon potential reaches the presynaptic terminal, a series of biochemical events is initiated that results in the secretion of a burst of neurotransmitter; this enables the information packet to pass across the acellular gap of the synapse and initiates an electrical response in the next cell. While this description applies directly to many neurons, it is inadequate to fully describe the large number of cells that function as neurons in the human body. Each neuron transmits information from one part of its cell body to another, but the nature of the information transferred is often quite different from one cell to the next. This diversity of functions is paralleled by the diversity of morphologies (see Fig. 65.2 ) and biochemistries.
The fundamental function of the nervous system is to enable an organism to respond quickly to its environment. To this end, a wide variety of cell types have evolved that efficiently transform information about the environment into electrical impulses that can be integrated and translated into a behavioral response. These cells are neurons, but rather than receiving information from a preceding neuron in a circuit, their input comes in the form of signals in the environment. These signals can be grouped into three basic modalities: mechanical, chemical, and physical.
The simplest receptor cells of this type receive information about touch and pain. As might be expected, most are located in the skin and other integuments. Receptors for light touch are illustrated in Fig. 65.5 . These receptor endings have different precisions and sensitivities and are specialized to receive different types of stimuli. Each receptor represents a specialized ending of a sensory ganglion axon. These include Ruffini endings or Pacini corpuscles (for deep receptors) and Merkel cells or Meissner corpuscles (for more superficial receptors). Sometimes the neurite of a mechanoreceptor is wrapped around the interfusal muscle fibers of one of the striated muscles. The cellular deformation associated with movement of the axonal membrane activates a series of stretch-sensitive ion channels. The ionic current through these channels initiates the electrical activity that signals a sensory stimulus to the organism.
A subset of mechanical receptors has evolved to serve the auditory and vestibular systems. The principal function of these cells is the same as for light touch receptors: deformation of a hair opens a number of specialized ion channels and results in the generation of an electrical signal. The difference in the acousticovestibular system is that “hairs” are actually cilia on the basal surface of the cell and hence are part of the receptor cell itself. Indeed, the ion channels that are opened in response to movement of the hair are located at the tip of the cilium. A diagram of this cell type is shown in Fig. 65.6 . In the auditory system, the vibration of sound waves is transduced into the vibration of fluid in the cochlea. Receptor cells at different positions in the cochlear spiral respond to different auditory frequencies and transmit both pitch and volume information to the auditory system. In the vestibular system, a morphologically similar configuration of receptors is found in the semicircular canals. Movement of the head in any of the three orthogonal planes leads to movement of the fluid in the canals. This movement displaces the cilia of the vestibular receptors and initiates an electrical signal that is transmitted through cranial nerve VIII to the brain, where the vestibular system interprets the information to determine the orientation and movement of the organism in space. In each of these systems, however, the common feature of the receptor is that deflection of a hair leads to deformation of the cellular membrane, which in turn leads to the opening of a specific set of ion channels. The resulting change in conductance leads to an electrical packet of information that moves along the neuron to the rest of the brain.
A second class of receptors responds directly to specific chemicals, generating an electrical response that can be propagated to other parts of the nervous system. Receptors in this group are found in the papillae of the tongue, where they respond to the presence of salt, sweet, bitter, sour, and umami (pungent) and project to the gustatory centers of the brain by way of cranial nerves VII and IX. A more sophisticated and chemically diverse set of sensors in this class is found in the lining of the nasal epithelium. These receptors are responsible for endowing the organism with a sense of smell. This more elaborate mechanism of chemical reception is based on a large family of G protein–linked receptor molecules. Family members of this receptor class number in the thousands, each apparently encoded by a different gene. Each receptor recognizes a different chemical structure and responds to the binding of the chemical by stimulating the release of the bound G protein that activates an adenylate cyclase. This, in turn, leads to an elevation in cyclic adenosine monophosphate, which then opens a cyclic nucleotide–gated channel, leading to the generation of an electrical signal that is transmitted along the neuron to the olfactory portions of the brain.
Certain nerve cells are sensitive to the physical properties of their environment. The temperature receptors of the skin are one example of this group of receptor cells; the light-sensitive cells of the eye are another. These latter cells are known as photoreceptors, and they respond to electromagnetic radiation in the visible spectrum. They are further subdivided into rods and cones, depending on their wavelength specificity. Cones are narrowly tuned to transmit information about color, whereas rods have a broad frequency range and are most useful in low-light situations. Both classes of photoreceptors contain many flat membrane sacks that are stacked like pancakes at one end of the cell (see Fig. 65.2B ). These sacks contain the photosensitive pigment rhodopsin, which allows light energy to be transduced into an electrical signal. The reception of light in the photoreceptor evolved through the use of the same class of G protein–linked receptor molecules as in the olfactory system. When light strikes the rhodopsin molecule, a chemical cascade occurs that is nearly identical to that described for the olfactory receptors.
By far the most common target of a neuron is another neuron. Thus most axons terminate with synapses on the dendritic spines or shafts of other neurons (see Fig. 65.3B ). Cell bodies and even presynaptic terminals also serve as common axonal targets. The networks of neurons formed by these interconnections are what allow an organism to perform complex behavioral responses to environmental stimuli. The axon of a neuron can have other targets, however. Usually, the function of these cells is to transmit the calculations of the nervous system to a non–nervous system cell or structure and effect a change in organism behavior.
The calculations performed by the neurons of the brain and spinal cord must eventually be transmitted outside the nervous system in order to effect a change in behavior. The most common type of cell that performs this function is the motor neuron. These cells typically have large cell bodies with multiple dendrites and a long axon that leaves the CNS in a nerve fascicle that exits on the ventral side of the hindbrain or spinal cord. The fascicle branches into finer and finer rootlets in the zone of the target muscle and terminates in a motor end plate, a specialized synapse formed with a single muscle fiber. The complete end plate structure includes the surrounding Schwann cell, which forms a functionally interactive sheath around the entire synapse. This highly specialized nonneuronal cell is discussed in greater detail later in this chapter.
A small number of specialized neurons release hormones that enter the circulation and affect targets outside the CNS. The cells of the pituitary are the best examples of this cell type. Their function is so specialized that they are known as neurosecretory cells. These neurons release the hormones of the gonadal-pituitary axis (e.g., luteinizing hormone–releasing hormone and follicle-stimulating hormone).
When several neurons link to form a circuit, sophisticated computational feats can be accomplished, and useful work can be performed. Because of this higher level of organization, neurons can be categorized on the basis of not only their own shape and size, but also the role they play in a circuit. For example, neurons are often divided into two classes based on the distance of the target from the cell body. Projection neurons send long axons to other neurons in distant regions of the nervous system. Thalamocortical neurons (thalamus to cerebral cortex) and dentatorubral neurons (cerebellar dentate nucleus to red nucleus) are two examples of this type of cell. Local circuit interneurons, by contrast, have short, ramified axons; they participate mainly in local computational processes.
Neurons can also be classified based on the function they perform within a circuit. In the simple descriptions of the previous sections, the firing of a neuron was assumed to stimulate the next neuron to fire as well. In fact, neurotransmitters can also inhibit the electrical activity of other neurons. The function of an inhibitory neuron, therefore, is to suppress the action of the downstream target, making it less likely to fire. The role of an inhibitory neuron is crucial to the more sophisticated functions of a neural circuit. It allows for the temporal or spatial sharpening of a response as neighboring cells are prevented from firing or the runaway tendency of a circuit is dampened. Epileptic activity and even more complex neurological disorders, such as autism, may well be due to a failure of such inhibitory action.
Neurons, like most other cells, are pale, clear, and difficult to see in living tissue. As a consequence, many of the significant advances in the study of the nervous system were made possible by improved methods of visualizing the nerve cell and its processes. The basophilic dyes are the oldest and still most widely used method of staining nervous tissue. Common stains of this class include hematoxylin and cresyl violet. These dyes bind avidly to RNA and DNA and thus highlight the heterochromatin of the nucleus and the rough endoplasmic reticulum of the cytoplasm ( Fig. 65.7A ). Basophilic stains are most commonly used on sections with a thickness ranging from 2 to 20 μm. Examination of nervous tissue stained with such reagents results in a clear picture of the cell body and proximal dendrites; axons and distal dendrites are usually invisible, so white matter and neuropil are generally clear of stain.
During the late 1800s and early 1900s, silver salts were found to have a special avidity for nervous tissue. Owing to their binding to neuron-specific classes of intermediate filaments, a variety of protocols were developed that revealed the neuronal axon with great clarity. Among this class of stains, the Bodian and Bielschowsky stains are still commonly used. A special class of silver stain is the Golgi impregnation method. In this procedure, pieces of tissue are incubated for many weeks in heavy metal salts. During this time, a small number of cells take up the salts, filling their entire intracellular spaces. The tissue is then embedded and sectioned. When the sections are “developed” in reducing agents, an opaque black precipitate is formed that fills the impregnated cells completely. For unknown reasons, only 1% to 2% of the cells react in this fashion (seemingly at random). The details of an individual cell can be seen against a clear background (see Fig. 65.7B ). Although the technique reveals the finest details of dendritic structures, axons are more resistant to filling and are commonly invisible in Golgi preparations. The technique is used to best advantage in sections ranging from 80 to 120 μm thick.
In the second half of the 20th century, new technologies dramatically expanded our ability to visualize and analyze the nerve cells of the brain. Beginning in the 1950s and 1960s, the transmission electron microscope led to a quantum leap in the ability to resolve the details of nerve cellular structure. In this method, small pieces of tissue (typically 2 to 3 mm wide) are embedded in plastic and cut with a glass or diamond blade into sections ranging in thickness from tens to hundreds of nanometers. Before embedding, the tissues are usually stained with uranyl acetate, lead citrate, and osmium tetroxide, lipophilic dyes that reveal membrane structure with a high degree of clarity. Phosphotungstic acid is a frequently used stain that has a particular affinity for synapses. The resolution afforded by the electron microscope allows the fine structure of the cell to be revealed, and the organelles of the cell body can be analyzed. The unique advantages of using electron microscopy to view the nervous system include the ability to resolve synaptic structures (see Fig. 65.7E ), such as synaptic vesicles, details of the pre- and postsynaptic membranes, and the material of the synaptic cleft (see Fig. 65.3C ). Axon and dendrite morphology, with their unique collections and arrangements of filaments, can also be seen.
In the 1970s and 1980s, serum antibodies were developed as highly specific stains using the techniques of immunocytochemistry. Lightly fixed tissue is exposed to an antiserum or monoclonal antibody raised against a particular neuronal epitope. The antibody selectively binds to the neural structure that contains that epitope. Most frequently, this primary antibody is revealed through the application of a secondary antibody that is derivatized to carry a detection molecule—either a fluorescent compound, such as fluorescein or rhodamine, or an enzyme, such as horseradish peroxidase or alkaline phosphatase. In the former case, the location of the antibody is determined by examining the tissue in a fluorescence microscope. In the latter instance, the marker enzyme is localized though the use of a specific substrate whose action deposits an insoluble, chromogenic product. Immunocytochemistry is most commonly used to reveal proteins (e.g., tyrosine hydroxylase, MAP-2, GABA A α 6 receptor), but the location of carbohydrates (e.g., polysialic acid, gangliosides, chondroitin sulfate proteoglycan) can also be determined. Immunocytochemistry can be used at the electron microscopic level as well, where peroxidase or gold particles are used to reveal the location of the secondary antibody. Fig. 67.5D is an example of immunocytochemistry using two different antibodies to stain a cultured neuron from the mouse cerebral cortex. The first antibody was raised against MAP-2, one of the major cytoskeletal components of neuronal dendrite. It is revealed with a green fluorophore and shows five major dendrites emanating from a cell body, which is also labeled. The second antibody is against ankyrin G, a component of the axon initial segment. This is revealed with a red fluorophore. Note that the axonal process labeled by ankyrin G (indicated by the white arrow ) is devoid of MAP-2, confirming the identity of this process as an axon.
In the 1980s and 1990s, advances in molecular biology enabled the detection of messenger RNA (mRNA) for specific proteins through a technique known as in situ hybridization. Medium- to high-abundance mRNAs can be localized to the cell body (where they await translation into protein). Rather than detection with an antibody, a specific mRNA is labeled by hybridizing one or more nucleotide probes that are uniquely complementary (antisense) to it. The labeled probes are then detected by any of several means, most of which amplify the signal by tagging custom-designed secondary probes or through an antibody reaction against such derivatized nucleotides incorporated into the probe. Commonly used derivatives include biotin or digoxigenin added to a uracil (uridine 5′-triphosphate) to mimic a thymidine that is then incorporated during the synthesis of the probe. The tissue is treated with proteinase to remove bound proteins and then hybridized at temperatures that ensure the specificity of the probe-message interaction. A digoxigenin-labeled probe hybridized to the message for the Purkinje cell–specific RAR-related orphan nuclear receptor RORα is shown in Fig. 65.7C . An important aspect of the interpretation of such images is that the location of the message marks the mRNA, not the protein. In most cases, the in situ hybridization signal is seen in the cell body, although a small number of mRNA molecules are transported into the dendrite. The image shown in Fig. 65.7C could thus be the result of labeling the mRNA for a protein found in the nucleus, the cell body, or the synapse. The strong (purple) signal tells us that the cell is capable of synthesizing the protein (the mRNA is there), but we do not learn anything about where the protein, once synthesized, will be located.
Become a Clinical Tree membership for Full access and enjoy Unlimited articles
If you are a member. Log in here