Nervous System


Contents

Neurons and Nerves
Neurotransmitters
The Brain
Spinal Cord
Peripheral Nervous System
Autonomic Nervous System
Senses: Sight, Hearing, Smell, Taste, Sensations, Balance
Memory
Higher Functions
Default State (Network)
Altered States

Neurons and Nerves

Nervous System The human nervous system has two main divisions (Figure 01a): the central nervous system (CNS), and the peripheral nervous system (PNS), which includes the somatic motor nervous system, and the sensory nervous system. The CNS consists of the brain and spinal cord. It acts as the central control region of the human nervous system, processing information and issuing commands. The autonomic nervous system (ANS) is the command network the CNS uses to maintain the body's homeostasis. It automatically regulates heartbeat and controls muscle contractions in the walls of blood vessels, digestive, urinary, and reproductive tracts. It also carries messages that help stimulate glands to secrete tears, mucus, and digestive enzymes.

The nerves (Figure 01b) that are easily visible to the unaided eye are not single cells. Rather, they are bundles of nerve fibers (neurons) each of which is itself a portion of a cell. The fibers are all traveling in the same direction and are bound together for the sake of convenience, though the individual fibers of the bundle may have widely differing

Figure 01a Nervous System
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functions. There are no cell bodies in nerves; cell bodies are found only in the CNS or in the ganglia. Ganglia are collections of cell bodies within the PNS.

Neuron and Nerve The main portion of the neuron, the cell body, is not too different from other cells. It contains a nucleus and cytoplasm. Where it is most distinct from cells of other types is that out of the cell body, long threadlike projections emerge. Over most of the cell there are numerous projections that branch out into still finer extensions. These branching threads are called dendrites ("tree" in Greek). At one point of the cell, however, there is a particularly long extension that usually does not branch throughout most of its sometimes enormous length. This is the axon (the axis). Figure 01b shows the three parts of the neurons: dentrite(s), cell body, and axon. A dendrites conducts nerve impulses toward the cell body, the part of a neuron that contains the nucleus and other organelles. An axon conducts nerve implses away from the cell body. There are three types of

Figure 01b Neuron and Nerve [view large image]

neurons: sensory neuron, motor neuron, and interneuron. A sensory neuron takes a message from the recptors in the sense organ to the CNS. A motor neuron sends a message away from

Neuron the CNS to an effector, a muscle fiber or a gland. An interneuron is always found completely within the CNS and conveys messages between parts of the system (Figure 3a). In addition to neurons, nervous tissue contains glial cells such as the Schwann cells covering the neurons with sheath. These cells maintain the tissue by supporting and protecing the neurons. They also provide nutrients to neurons and help to keep the tissue free of debris. The neurons require a great deal of energy for the maintenance of the ionic imbalance between themselves and their surrounding fluids, which is constantly in flux as a result of the opening and closing of channels through the neuronal membranes. Thus while the brain is only 2% of our body weight,

Figure 01c Neurons [view large image]

it consumes 20% of our energy and moreover 80% of this energy consumption is devoted to maintain the imbalance.


Action Potential Neurons are dynamically polarized, so that information flows from the fine dendrites into the main dendrites and then to the cell body, where it is converted into all-or-none signals, the action potentials, which are relayed to other neurons by the axon, a long wirelike structure. The neuron is actually a very poor conductor; the signal drops to 37% of its original strength in only about 0.15 mm. Thus it needs amplification all along its length in the form of sodium-potassium pumps and gates (see Figure 01d). The amplification is initiated by detection of small changes in voltage across the membrane with the opening of voltage-sensitive sodium channels in the membrane of the neuron. Sodium ions rush into the neurons from the extracellular fluid, resulting in a transient change in the voltage difference between the neuron and the surrounding environment. The action potential travels like a wave from the cell body down the neuron via the repeating amplifications. Thus, the action potential enables the neuron to communicate rapidly with other neurons over sizable distances, sometime more than a meter away with a speed from 20 -200 m/sec. When the action potential reaches an axon terminal (the synapse), it causes the terminals to secrete a chemical messenger (neurotransmitter), generally an amino acid or its derivative, which binds to receptors in the post-synaptic neurons on the far side of the synaptic cleft. When the postsynaptic potential has reached a specific value an action potential is triggered and the signal is passed to the next neuron.

Figure 01d Action Potential
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Neurotransmitters

Neurotransmitters are chemicals that take a nerve signal across the synaptic gap (Figure 02a) between a sending neuron, and a receiving one. On the receiving neuron are receptors into which the neurotransmitters fit like a key in a lock. Once a neuro-transmitter is bound to its specific receptor, the likelihood of the receiving cell "firing" to send its own message is affected. The excitatory neurotransmitter-receptor systems make receiving cells more likely to fire, whereas the inhibitory systems make the
Synapse Neurotransmitters firing less likely (see Figure 29a). It all depends on the type of neurotransmitter. An individual nerve cell can possess both kinds of synaptic connections (with a total of about 50000 synapses on the surface) to other nerve cells. Only if the excitatory charges (positive charge) exceed a threshold does the target neuron starting a nerve impulse of its own and is known as transduction. Figure 02b shows the various components in the synapse. The vesicle contains the neuro-transmitters in the axon. The receptor is located on the surface of the dendrite to pick up the neuro-transmitters. The

Figure 02a Synapse
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Figure 02b Neurotransmitter
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transporter is for recycling un-used neutrotransmitters back into the axon; while the glial cell provides nutrition and support for the neurons.
Since the neurotransmitters are more accessible than the neuron itself, it can be subjected to a lot of internal and external
Neuromodulator manipulations and abuses. Natural neuromodulators can aid the release or inhibit the reabsorption of neurotransmitters; still others delay the breakdown after reabsorption, leaving them in the tip to be reused by the next nerve impulse. Mood, pleasure, pain, and other mental states are determined by particular groups of neurons in the brain that use special sets of neurotransmitters and neuromodulators. For example, mood is strongly influenced by the neurotransmitter serotonin. It is believed that depression results from a shortage of serotonin. It is difficult to treat depression directly with serotonin because the chemical has too many other side effects. However, depression can be successfully treated with drugs that act as serotornin neuromodulators (Figure 02d). Prozac, the

Figure 02d Neuromodulator
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world's top-selling antidepressant, inhibits the reabsorption of serotonin, increasing the amount in the synapse by slowing down its removal.

Drug Addiction When a neuron cell is exposed to a neurotransmitter for a prolonged period, it tends to lose its ability to respond to the stimulus with its original intensity. This is known as habituation, which is the result of the cell producing fewer receptors for that particular neurotransmitter. If someone takes a drug that acts as a neuromodulator (such as cocaine), which causes abnormally large amounts of neurotransmitter (dopamine in this case, Figure 02e) to remain in the synapses for long periods of time, it would generate more pleasure messages. Such action reduces the number of receptors in the neuron. Next time a higher dosage is required to maintain the pleasurable sensation. The result is addiction. Cocaine is a stimulant discovered in the mid-1800s. Many physicians at first considered it a miracle drug, prescribing it for all sorts of physical and mental ailments; it was even added to soft drinks. Today United States law forbids the importation, manufacture, and use of cocaine for nonmedical purposes, and even the medical use is extremely limited.

Figure 02e Drug Addiction
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Types of Neurotransmitter Neurotransmitters can be broadly classified into two groups - the "classical", small molecule neurotransmitters and the relatively larger neuropeptide neurotransmitters. The small molecule types are mainly amino acids and amines (a nitrogen atom bonds to a maximum of three hydrocarbon groups). The larger neurotransmitters are combination of two or more amino acids joined by peptide bonds. Some fifty different neurotransmitters have been identified. The form of receptors for the neurotransmitters varies depending on the location in the body and produces different physiologic symptom. Understanding the numerous neurotransmitters, their receptors, locations and interactions with one another has been central to the design of medicines for mental illness. Figure 02f shows the effects of three major neurotransmitters and the mental states induced by their interactions.
Table 01 summarizes the properties of some important neurotransmitters.

Figure 02f Types of Neuro-transmitter [view large image]

Name Type Postsynaptic Effect Location(s) Function(s)
Dopamine Amine Excitatory Brain, smooth muscle Control arousal levels
Serotonin Amine Excitatory Brain, smooth muscle Effects on mood, sleep, pain, appetite
Noradrenaline Amine Excitatory Brain, smooth muscle Induce arousal, heighten mood
Acetylcholine (ACh) Acetic acid Excitatory & Inhibitory Parasymathetic nervous system, brainstem Role in memory, vasodilation
GABA§ amino acid Inhibitory Brain Control anxiety level
Enkephalin (opiate) Neuropeptide Inhibitory Brain, spinal cord Reduce stress, promote calm, natural painkiller

Table 01 Neurotransmitters

§GABA stands for gamma aminobutyric acid, which is synthesized from glutamate by organisms.

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The Brain

Brains exist because the distribution of resources necessary for survival and the hazards that threaten survival vary in space and time. There would be little need for a nervous system in an immobile organism or an organism that lived in regular and predictable environment. Brains are informed by the senses about the presence of resources and hazards; they evaluate and store this input and generate adaptive responses executed by the muscles.

Chemical Gradient Some of the most basic features of brains can be found in bacteria because even the simplest motile organisms must solve the problem of locating resources and avoiding toxins. They sense their environment through a large number of receptors, which are protein molecules embedded in the cell wall. The action taken in response to the inputs usually depends on the gradient of the chemicals (see Figure 03a). Thus memory is required to compare the inputs from different locations. The strength of the signal is modulated by immediate past experience. This in turn regulates the strength of the signal sent by chemical messengers from

Figure 03a E. coli's Response to Chemical Gradient [view large image]

the receptor to the flagellar motors. Thus even at the unicellular level, the bacteria have already possessed the ability to integrate numerous analog inputs and generate a binary (digital) output of stop or go.
In multicellur organism, cells specialized for receptor function are located on the surface. Other cells specialized for the transmission and analysis of information are located in the protected interior and are linked to effector cells, usually muscles, which produce adaptive responses. As do unicellular organisms, neurons integrate the diverse array of incoming information from the receptors, which in neurons may result in the firing of an action potential (when the summation is above a threshold level) rather than swimming toward a nutrient source as in the unicellular organisms. Once the threshold for generating an action potential is reached, the signal is always the same, both in amplitude and shape (a nerve consists of many neurons, it does not obey the all-or-none law).

Action potentials and voltage-gated sodium channels are present in jellyfish, which are the simplest organisms to possess nervous systems. The development of this basic neuronal mechanism set the stage for the proliferation of animal life that occurred during the Cambrian period. Among these Cambrian animals were the early chordates, which possessed very simple brains. Some of these early fish developed a unique way to insulate their axons by wrapping them with a fatty material called myelin, which greatly facilitated axonal transmission and evolution of larger brains. Some of their descendants, which also were small predators, crawled up on the muddy shores and eventually took up permanent residence on dry land. Challenged by the severe temperature changes in the terrestrial environment, some experimented with becoming warm-blooded, and the most successful became the ancestors of birds and mammals. Changes in the brain and parental care were a crucial part of the set of mechanisms that enabled these animals to maintain a constant body temperature.

Animals with large brains are rare -- there are tremendous costs associated with large brains (the active human brain consumes about 20 watts). The brain must compete with other organs in the body for the limited amount of energy available, which is a powerful constraint on the evolution of large brains. Large brains also require a long time to mature, which greatly reduces the rate at which their possessors can reproduce. Because large-brained infants are slow to develop and are dependent on their parents for such a long time, the parents must invest a great deal of effort in raising their infants. Young reptiles function as
Maternal Care miniature versions of adults, but baby mammals and birds are dependent because of their poor capacity to thermo-regulate, the consequence of their need to devote most their energy to growth. Most mammals solve the problem with maternal care (Figure 03b), shelter, warmth, and milk. In most birds, both parents cooperate to provide food and shelter to their young. The expanded forebrain and parental care provide mechanisms for the extra-genetic transmission of information from one generation to the next. This transmission results from the close contact with parents during infancy, which provides the young with opportunity to observe and learn from their behavior; the expanded forebrain provides an enhanced capacity to store these memories. The expanded forebrain and the observation of parents

Figure 03b Maternal Care
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are probably necessary for the establishment of successful care giving behavior itself, as the young mature into adults that will in their turn have to serve dependent young. During the period of infant dependency, baby mammals and birds play,
behavior that may be essential for the development of the forebrain. The baby's playful interaction with its environment may serve to provide the initial training of the forebrain networks that ultimately will enable the animal to localize, identify, and capture resources in its environment.

Brain 1 Brain 2 The human brain can be divided into three parts: the hindbrain, which has been inherited from the reptiles; the limbic system, which was first emerged in mammals; and the forebrain, which has its full development in human. Different views of the human brain are shown in Figure 03c, d, and e. Tables 01 lists the functions of the different parts of the human brain. The brain is separated into two hemispheres. Apart from a single little organ -- the pineal gland in the centre base of the brain -- every brain module is duplicated in each hemisphere. The left brain is calculating, communicative and capable of conceiving and executing complicated plans --

Figure 03c Human Brain 1

Figure 03d Human Brain 2
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the reductionistic brain; while the right one is considered as gentle, emotional and more at one with the natural world -- the holistic brain. The cerebral cortex is covered in a thin skin
Brain 3 of deeply wrinkled grey tissue called the grey matter (densely packed neurons for information processing). Each infold on the surface is known as a sulcus, and each bulge is know as a gyrus. While the white tissue inside are axons -- tentacles which reach out to other cells (to relay information). The cortex can be broken down into many functional regions, each containing thousands of cortical columns (oriented perpendicular to the cortical surface). Columns are typically about half a millimeter in diameter and contain about one hundred thousand neurons. They are the units of cognition (the mental process

Figure 03e Human Brain 3
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of acquiring knowledge by the use of reasoning, intuition or perception). Table 02 below lists the location and functions of the major components in the human brain.


Structure Location Functions
Hindbrain
(Reptilian Brain)
   
Medulla at the top of the spinal cord controls breathing, heart rate, and blood pressure.
Pons above the medulla regulates sensory information and facial expressions.
Cerebellum at the lower rear controls movement, coordination, balance, muscle tone, and learning motor skills.
Reticular Formation a network of nerves extends from the medulla to the cerebrum monitors the general level of activity in the hindbrain and maintains a state of arousal; essential for the regulation of sleep and wakefulness.
Midbrain (superior & inferior colliculus) above the pons between the hindbrain and forebrain relays sensory information from the spinal cord to the forebrain.
Pineal Gland on top of the midbrain behind the thalamus (the third eye¤ for fishes, amphibians, reptiles, and some birds) involves in circadian and circannual rhythms; possibly involves in maturation of sex organs.
Limbic System
(Mammalian Brain)
   
Thalamus in the middle of the limbic system relays incoming information (except smell) to the appropriate part of the brain for further processing.
Hypothalamus, Pituitary Gland beneath thalamus regulates basic biological drives, hormonal levels, sexual behavior, and controls autonomic functions such as hunger, thirst, and body temperature.
Optic Chiasm in front of the pituitary gland left-right optic nerves cross-over point.
Septum adjacent to hypothalamus stimulates sexual pleasure
Hippocampus within the temporal lobe mediates learning and memory formation.
Amygdala in front of the hippocampus responsible for anxiety, emotion, and fear
Mammillary Body, Fornix linked to the hippocampus have a role in emotional behavior, learning, and motivation.
Basal Ganglia (Striatum): Caudate Nucleus, Putamen, Globus Pallidus outside the thalamus involves in movement, emotions, planning and in integrating sensory information
Ventricles and Central Canal from tiny central canal within the spinal cord to the enlarged hollows within the skull called ventricles fills with cerebrospinal fluid for mechanical protection.
Cingulate Gyrus above corpus callosum concentrates attention on adverse internal stimuli such as pain, contains the feeling of self.
Corpus Callosum under the cingulate gyrus is a bundle of nerve fibers linking the cerebral hemispheres, involve in language learning.
Forebrain
(Human Brain)
   
Frontal Lobe
(Conscious Brain)
in front of the head controls voluntary movement, thinking, and feeling.
Prefrontal Cortex in front of the frontal lobe inhibits inappropriate actions, forms plans and concepts, helps focus attention, and bestows meaning to perceptions.
Parietal Lobe in top rear of the head contains the primary somatosensory area that manages skin sensation.
Occipital Lobe in the back of the head contains the visual cortex to manage vision.
Temporal Lobe on each side of the head above the temples contains the auditory cortex to manage hearing and speech.

Table 02 Human Brain

¤The parietal eye is not an eye in the traditional sense in that it does not see images, but rather is a photosensitive organ which only reacts to light and dark. The parietal eye is connected to the pineal body and is used to trigger hormone production and thermoregulation. It often shows up as either a dark spot or an opalescent spot. Opsin proteins sensitive to blue and green light has been identified in the cell.

Throughout its lifetime, the human brain undergoes more changes than any other part of the body. They can be broadly divided into five stages. Table 03 summarizes the significant events within each stage, the "DO" and "DON'T" to keep a healthy mind.

Stage Age Event(s) DO DON'T
1 0 - 10 months
Gestation
* Growing neurons and connections
* Making sure each section of the brain grows properly and in the right place
Mother should:
* be stress-free, eats well
* take folic acid and vitamin B12
* stimulate the young brain with sounds and sensations
* Mother should stay away from cigarettes, alcohol and other toxins
2 Birth - 6
Childhood
* A sense of self develops as the parietal and frontal lobe circuits become more integrated.
* Development of voluntary movement, reasoning, and perception
* Frontal lobes become active leading to the development of emotions, attachments, planning, working memory and attention
* Life experiences shape the emotional well-being in adulthood
* At age 6, the brain is 95% of its adult weight and at its peak of energy consumption
* Parents should provide a nurturing environment and one-on-one interaction
* Parents should beware of the emotional consequence of neglect or harsh parenting
3 7 - 22
Adolescence
* Wiring of the brain is still in progress
* Grey matter (neural connections) pruning
* White matter (fatty tissue surrounding neurons) increase helps to speed up electrical impulses and stabilize connections
* The prefrontal cortex (involving control of impulses, judgment and decision-making) is the last to mature
* Teenagers should learn to control reckless, irrational and irritable behaviors
* Do learn a skill to support life in the future
* Teenagers should avoid alcohol abuse, smoking, drug and unprotected sex.
4 23 - 65
Adulthood
* The brain reaches the peak power at around age 22 and lasts for about 5 years; thereafter it's downhill all the way
* The last to mature and first to go brain functions are those involve executive control in the prefrontal and temporal cortices
* Episodic memory for recalling events also declines rapidly
* Processing speed slows down
* Working memory is able to store less information
* Stay active mentally and physically
* Eat healthy diet
* Avoid cigarettes, booze, and mind-altering drugs.
5 > 65
Old Age
* Losing brain cells in critical areas such as the hippocampus where memories are processed
* Exercise to improve abstract reasoning and concentration
* Learn new skill such as guitar playing to attain the same effect
* Practice meditation can promote neutral emotions
* Avoid grumpiness by eating certain foods, such as yogurt, chocolate, and almonds to get a good dose of dopamine (for promoting positive emotions)
* Don't stressed out as it is related to higher risk of developing dementia.

Table 03 The Five Stages of Human Brain

Figure 03f below depicts pictorially the four stages of human brain after birth tracing the up and down of physiology, aptitudes, and emotions as we grow old.

Four Stages of Human Brain

Figure 03f The Four Stages of Human Brain [view large image]

Brain Waves It is well known that the brain is an electrochemical organ; a fully functioning brain can generate as much as 20 watts of electrical power. Even though this electrical power is very limited, it does occur in very specific ways that are characteristic of the human brain. Electrical activity emanating from the brain can be displayed in the form of brainwaves. There are four categories of these brainwaves, ranging from the most active to the least active. Figure 03g is produced by an EEG (ElectroEncephaloGraph) chart recorder to show the different kind of brainwave according to the different state of the brain. These are all oscillating electrical voltages in the brain, but they are very tiny voltages, just a few millionths of a volt. Electrodes are placed on the outer surface of the head to detect electrical changes in the extracellular fluid of the brain in response to changes in potential among large groups of neurons. The resulting

Figure 03g Brain Waves
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signals from the electrodes are amplified and recorded.


Brain waves originate from the cerebral cortex, but also reflect activities in other parts of the brain that influence the cortex, such as the reticular formation. Because the intensity of electrical changes is directly related to the degree of neuronal activity, brain waves vary markedly in amplitude and frequency between sleep and wakefulness. Beta wave rhythms appear to be involved in higher mental activity, including perception and consciousness. It seems to be associated with consciousness, e.g., it disappears with general anesthesia. Other waves that can be detected are Alpha, Theta, and Delta. When the hemispheres or regions of the brain are producing a wave synchronously, they are said to be coherent. Alpha waves are generated in the Thalamus (the brain within the brain), while Theta waves occur mainly in the parietal and temporal regions of the cerebrum. The Alpha and Theta waves seem to
Integration of Brain Waves 2 be associated with creative, insightful thought. When an artist or scientist has the "aha" experience, there's a good chance he or she is in Alpha or Theta. These two kinds of brain waves are also associated with relaxation and, stronger immune systems. Therefore, many people try to train themselves to enter such states through various biofeedback7 techniques (with varying degree of success). Delta Waves occur during sleep. They originate from the cerebral cortex when it is not being activated by the reticular formation. In slow-wave sleep, the entire brain oscillates in a gentle rhythm quite unlike the fragmented oscillations of normal consciousness. The neocortical activity is often modulated by a rhythm of 40-80 Hz, called the Gamma wave (not shown in Figure 03g). When there are strong gamma oscillations in certain parts of the neocortex, human subjects do better on learning and memory tasks. A 2010 study indicates that brainwaves are for integrating various sensations to ensure all the relevant signals

Figure 03h Integration of Brain Waves

for one event arrive at the binding site at exactly the same time. This allows the receiving neurons to process the signals together, recombining them into a single sensation. For example, we see an apple as red and round, not one red thing and another round thing although red and
round are processed by different neuron cells. Figure 03h shows the brain experiences simultaneously many types of brainwaves within its various regions, each performing different functions.

Disorder like schizophrenia can be explained by irregularity in brainwaves. They either don't spread far enough in the brain, or aren't tightly synchronized with one another. For reduced synchronization, a person with schizophrenia would fail to recognize the words they have uttered as being their own, leading them to attribute the voice to someone else instead. Faulty gamma waves in the hippocampus, might lead to the inability to clearly distinguish thoughts formed within from outside sensory events. That is, they often ascribe too much importance to random environmental stimuli, misattribute the cause of something, or have confused memories for something that they didn't do. Reliefs include drugs to boost up the neurotransmitter GABA (related to gamma oscillations), magnetic stimulation to correct neural rhythms, or re-tune the brainwaves by training.

Blood Brain Barrier With all these delicate components inside the brain, it will not work properly without a critical modification of the capillaries. This is the blood brain barrier (BBB), which prevents harmful substances getting into the brain from the blood. Usually, the capillaries provide a small gap between the endothelial cells (the inner-most layer of cells) to let nutrients and oxygen going into the organs. The gap is large enough for bacteria, and large hydrophilic molecules to escape from the blood vessel causing diseases and other kind of damages to the brain.

Figure 03i Blood Brain Barrier

The special functions provided by the blood brain barrier is summarized below (Figure 03i):
  1. The feet of the astrocytes (a type of glial cells) form a supportive layer around the capillaries.
  2. It is suggested that the astrocytes may promote the formation of the tight junctions between the endothelial cells. The tight junction is the key component to seal the pathway for water-soluble substances from getting through.
  3. Fat-soluble molecules such as CO2, O2, hormones, and alcohol (that's why we get drunk), etc. can pass through the membrane freely.
  4. Nutrients such as sugar , amino acid etc. manage to come out by carriers and ion channels.
  5. Additional enzymatic barrier bound to the wall is used to remove harmful molecules from the blood.
  6. There is also the efflux pump to extrude un-wanted fat-soluble molecules back into the blood.
However, the barrier is not perfect. Harmful substances such as some viruses and bacteria can cross the barrier causing meningitis. The barrier may break down (by radiation, infection, hypertension, etc.) resulting in epilepsy, multiple sclerosis, and Alzheimer etc. The BBB also provide another important function by preventing excessive water and salts into the brain. Since the brain is contained within a rigid, bony skull, the raise in intracranial pressure by leaky blood vessel can be fatal (as in the cases of trauma or infection). Thus, the successful evolution of a complex brain depends on the development of the BBB. It exists in all vertebrates, and also in insects and cephalopod. In human the BBB is fully formed by the third month of gestation, and error in this process lead to defects such as spina bifida (incomplete closure of the embryonic neural tube).

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Spinal Cord

Spinal Cord Neuron and Nerve The spinal cord (Figure 04a) lies along the middorsal line of the body. It has two main functions: (1) it is the center for many reflex actions, and (2) it provides a means of commu-nication between the brain and the spinal nerves that leave the cord (Figure 04b). The white matter of the cord is white because it contains myelinated long fibers of interneurons that run to-gether in bundles call tracts. These tracts connect the cord to the brain. The dorsal ones are primarily ascending to the brain, while the ventral tracts bring information down from the brain. The inner portion of the

Figure 04a Spinal Cord
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Figure 04b CNS and PNS
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cord is filled with a mass of nerve cell bodies called gray matter. Each spinal nerve emerges from the spinal cord as two short branches, the dorsal and the ventral roots. These roots join just before the nerve leaves the vertebral column.

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Peripheral Nervous System

Cranial Nerves Spinal Nerves The peripheral nervous system is outside the CNS. It consists of the various nerves that connect particular parts of the CNS with particular organs. Humans have 12 pairs of cranial nerves and 31 pairs of spinal nerves. Cranial nerves (Figure 05) are either sensory nerves, motor nerves, or mixed nerves. All of them, except the vagus nerve, control the head, the face, the neck, and the shoulders. The vagus nerve controls the internal organs. Table 04 lists the functions of the various cranial nerves. All spinal nerves (Figure 06) are mixed nerves that take impulses to and from the spinal cord. Table 05

Figure 05 Cranial Nerves [view large image]

Figure 06 Spinal Nerves
[view large image]

describes the symptom of spinal cord injury (SCI) with the particular spinal nerve(s).



Cranial Nerve CN# Brain Region Major Functions
Terminal§ 0 Near the olfactory Reception of pheromone for sex
Olfactory 1 Cerebral Cortex Smell
Optic 2 Limbic System Vision
Oculomotor 3 Midbrain Eyelid & eyeball movement; pupil dilation
Trochlear 4 Pons Control downward & lateral eye movement
Trigeminal 5 " Chewing; sensation of face & mouth
Abducens 6 " Control lateral eye movement
Facial 7 " Control most facial expressions; secretion of tears & saliva; taste; ear sensation
Auditory 8 Medulla Hearing; balance
Glossopharyngeal 9 " Taste; swallowing; sensation from tongue, tonsil, pharynx, carotid blood pressure
Vagus 10 " Sensory, motor and autonomic functions of viscera - glands, digestion,
heart rate, breathing rate, aortic blood pressure
Spinal Accessory 11 " Controls muscles used in head movement
Hypoglossal 12 " Controls tongue movements

Table 04 Functions of Cranial Nerves

§ The exact function of the terminal nerve in human is still under investigation, which is hampered by its small size and proximity to the olfactory nerve. For mouse and other animals at least, it is connected to the vomeronasal organ (vestige in human), which leads to a pathway for controlling sexual arousal.

Spinal Nerve(s) Innervated Body Part(s) Symptom(s) of SCI
C1 Head and Neck Quadriplegia
C2-C4 Diaphragm Breathing problem
C5 Deltoids, biceps No control at wrist or hand
C6 Wrist extenders No hand function
C7-T1 Triceps, hand dexterity problems with hand and fingers
T2-T8 Chest muscles Paraplegia, poor trunk control
T9-T12 Abdominal muscles Paraplegia
Lumbar and Sacral Leg muscles, bowel, bladder, sexual organs Decreasing control of hip flexors and legs, dysfunction of bowel, bladder, and sex

Table 05 Symptom(s) of Spinal Cord Injury

Note: Other effects of SCI may include low blood pressure, inability to regulate blood pressure effectively, reduced control of body temperature, inability to sweat below the level of injury, and chronic pain.

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Autonomic Nervous System

ANS Side View One division of the autonomic nervous system, called the sympathetic nervous system, dominates in times of stress. It controls the "fight or flight" reaction, increasing blood pressure, heart rate, breathing rate, and blood flow to the muscles. Another division, called the parasympathetic nervous system, has the opposite effect. It conserves energy by slowing the heartbeat and breathing rate, and by promoting digestion and elimination (of waste). Most glands, smooth muscles, and cardiac muscles constantly get inputs from both the sympathetic and parasympathetic systems. The CNS controls the activity by varying the ratio of the signals. Depending on which motor neurons are selected by the CNS, the net effect of the arriving signals

Figure 07 ANS Side View [view large image]

will either stimulate or inhibit the organ. Figure 07 shows the various organs and actions, which are related to the two different divisions.
Motor fibers that govern involuntary responses, do not lead directly to the organs they innervate. Instead, they make their trips in two stages. The first set of fibers leads from the CNS to ganglia (which are collections of nerve cell bodies) that lie outside
ANS Front View the CNS (the preganglionic fibers). At the ganglia the fibers form synaptic junctions with the dendrites of as many as twenty different cell bodies. The axons of these cell bodies form a second set of fibers, the postganglionic fibers. It is these postganglionic fibers that lead to the organs.

The chief ganglia involved in the autonomic nervous system form two lines running down either side of the spinal column. They are outside the bony vertebrae. These two lines of ganglia outside the column resemble a pair of long beaded cords. At the lower end, the two cords join and finish in a single central stretch. These lines of ganglia are sometimes called the sympathetic trunks (used by the sympathetic nervous system). Not all ganglia are located in the sympathetic trunks. Some are not; and it is possible for a preganglionic fiber to go right through, making no synaptic junction there at all, joining instead with ganglia located in front of the vertebrae. For the parasympathetic nervous system, some of the ganglia separating the preganglionic fibers from the postganglionic fibers are actually located within the organ the nerve is servicing. In that case, the preganglionic fiber runs almost the full length of the total track, whereas the postganglionic fiber is at most just a few millimeters long.

The splanchnic nerves, which originate from some of the thoracic nerves, have their preganglionic fibers ending in a mass of ganglia lying just behind the stomach. It represents the largest mass of nerve cells that is not within the CNS and is sometimes called the "abdominal brain". It is a vital spot to be protected during boxing.

Figure 08 ANS Front View [view large image]

Figure 08 is the front view of a more detailed ANS anatomy.

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Senses

Senses Cerebrum Mapping Senses organs receive external and internal stimuli; therefore, they are called receptors. Each type of receptor is sensitive to only one type of stimulus as listed Table 06, while Figure 09 shows many types of receptors. When a receptor is stimulated, it generated nerve impulses that are transmitted to the spinal cord and/or the brain, but we are conscious of a sensation only if the impulses reach the cerebrum.

Figure 09 Senses
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Figure 10 Cerebrum Mapping [view large image]



Receptor Type Sense Stimulus
General      
Ruffini's endings, Krause end bulbs Radioreceptor Hot-cold Heat flow
Merkel's and Meissner's endings Mechanoreceptor Touch Mechanical displacement of tissue
Pacinian corpuscles Mechanoreceptor Pressure Mechanical displacement of tissue
Free nerve endings Chemoreceptor Pain Tissue damage
Proprioceptors Mechanoreceptor Limb placement Mechanical displacement
Special      
Eye Radioreceptor Sight Light
Ear Mechanoreceptor Hearing Sound wave
Olfactory cells Chemoreceptor Smell Chemicals
Taste buds Chemoreceptor Taste Chemicals

Table 06 Receptors



The general receptors distribute all over the skin. They are usually grouped together as sensation. The special receptors locate only at certain part of the body in the head. Altogether, they are referred to as the five senses. The followings present a further break down into components, and functions.

  • Papillae - The papillae are those small elevations visible to the naked eyes. There are three types of papillae located from the back of the tongue toward the tip. Filiform papillae are generally conical or pointed; fungiform papillae are flat-toped; vallate papillae are larger with an outer groove (see Figure 20). Many taste buds lie along the walls of the papillae. Isolated ones also are present on the palate, the pharynx, and the epiglottis.
  • Sense of Taste
  • Taste buds - The tasting, or gustatory, cells in the buds have hairy tips which detect chemicals in solution (secreted by the gland at the bottom of papilla). When stimulated by flavor molecules, these cells generate nerve signals, which they send to the taste center on the brain's cortex, and also to the hypothalamus, which is concerned with appetite and the salivating reflex.
  • Taste nerve pathway - The nerve signals are carried by three nerves in each side of the tongue (cranial nerves) to a small part of the medulla (brain stem). The signals then travel to parts of the brain, such as the hypothalamus, the thalamus, and the gustatory part of the sensory cortex - the "taste center", where the signals are interpreted (Figure 21). The thalamus acts like a relay station, shunting the data onto appropriate cortical areas for processing. The sense of taste tells us what is good to eat. It evolved to pick out sweet, ripe fruits and energy-packed sugars
  • Figure 21 Sense of Taste
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    and starches. Likewise, taste is is extremely sensitive to bitter flavors, because many poisonous berries, fruits and fungi are bitter-tasting.

    Balance

      Balance is an ongoing process that keeps our two-legged posture stable. Four main sets of sensory input are involved:

    1. Information from the skin is important, especially from the touch and pressure sensors on different parts of the feet, which tell the brain if you are leaning. This sense is not available in a free falling environment such as in a spacecraft.
    2. Eyesight is used to judge verticals and horizontals to which your body should be parallel and at right angle respectively.
    3. The body's proprioceptive sense of stretch in muscles, tendons, and joints tell the brain about the positions and angles of the arms, legs, torso, and neck.
    4. The sensory parts dedicated to balance is located deep inside each inner ear, next to the cochlea (see Figure 09). These parts are known collectively as the vestibular apparatus and are part of the same network of fluid-filled chambers as the cochlea. They consist of the utricle, the saccule, and the semicircular canals (Figure 23a). In certain parts of their linings are tinny hairs, whose roots are embedded in lumpy crystals or gels. The crystals or gels are attracted downward by gravity, and they are also pushed to and fro by the fluid in the chambers, which swirls as the head changes its position.
    Balance
      The functions of the these organs are shown in Figure 23a:
    • (a) The ampullae of the semicircular canals contain hair cells with cilia embedded in a gelationous material.
    • (b) When the head rotates, the material is displaced and the bending of the cilia initiates nerve impulses in sensory nerve fibers for maintaining dynamic equilibrium.
    • (c) The utricle and saccule are sacs that contain hair cell with cilia embedded in the gelationous material.
    • (d) When the head bends, otoliths are displaced, causing the gelationous material to sag and the cilia to bend. This initiates nerve impulses in sensory nerve fibers for maintaining static equilibrium.

    Figure 23a Balance
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    The vestibular nerve feeds its information chiefly to the cerebellum and to four structures in the medulla known as vestibular bodies. Using these data, as well as input from the other three sensory sources, the brain works out what to do, usually subconsciously.

    Neuromast It turns out that such structure of hair within gel to detect disturbance has been around hundred of million years in the shark and fish (Figure 23b). This is the neuromasts embedded in the skin of fish. They give the fish information about the flow of water. Amphibians and reptiles have a simple uncoiled inner ear. Jawless fish has only one semicircular canal instead of three in mammals (for detecting three dimensional movement). Ultimately, it is the Pax 2 gene that give rise to these structures. It is also known that the Pax 6 gene is responsible for the development of eye. The connection to ancient creatures goes even deeper when it is

    Figure 23b Neuromast
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    found that the box jellyfish carries a gene which is the combination of Pax 2 and Pax 6.
    The box jellyfish is an amazing animal with more than 20 eye pits and many eyes very similar to ours. They seem to double for ears as well.

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    Memory

    Types of Memory As shown in Figure 03a, the ability to modify our behaviour in response to life's experiences is shared by all animals including the bacteria E. coli. Such feat requires the brain's willingness to learn. Learning results in the formation of memories and in humans this process reaches its most sophisticated form, allowing us creatively to associate different reflections on the past, to generate new ideas, and most importantly to acquire language as a medium of expression and communication. Memory requires the brain to be physically altered by experience and it is this remarkable property that makes thought, consciousness, and language possible. The basic mechanism of memory formation is highly conservative over

    Figure 24a Memory Classification
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    billion years of biological evolution. The difference in humans is that we have a lot more of the stuffs. There are about 100 trillion synaptic connections in our brain.

    Memory There are many ways to classify the memory. The concept of explicit and implicit memory refers to whether or not the recollection is produced consciously and intentionally. While the scheme of declarative and nondeclarative memory depend on the retrieval that can be declared verbally or not. Associative memory is triggered by clues; nonassociative memory can be habitual or sensitive. There are also short term and long term memory. One of the classification schemes is shown in Figure 24a. Table 07 is an attempt to put them all together. In the table, the declarative, and the procedural memory are explicit with the rest of nondeclarative memories being implicit. Only the working memory belongs to the category of short term memory fading away in hours, while the others are long term, and available for retrieval in years. Figure 24b shows the components,

    Figure 24b Types of Memory
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    locations, and pathways for many types of memory.




    Type Location(s) Function Example(s)
    Working Memory      
    Phonological Loop Left hemisphere Rehearsing verbal information to keep it in the short-term memory String of numerals and alphabets such as telephone numbers
    Visual-spatial Scratch Pad Visual Cortex Controlling visual imagery Scanning text
    Central Executive Frontal lobe Controlling awareness of the information in working memory Constructing sentence, comprehending speech
    Non-declarative Memory      
    Procedural Memory Cerebellum, temporal lobes Managing "how to" Riding a bicycle, kungfu exercise
    Classical Conditioning Cerebellum Forming habitual behaviour Coffee break, afternoon tea
    Fear Memory Amygdala Emotional conditioning Phobias, flashbacks
    Nonassociative Memory Spinal cord Habituation and Sensitization Decreased or increased responsiveness to stimulus
    Remote Memory (Priming) Scattered around the cortex Foundation for new memories Childhood memory
    Declarative Memory      
    Episodic Memory Cortex Remembering past experience Some enchanted evening
    Semantic Memory Frontal lobe, temporal lobe Registering facts Meanings of words and symbols

    Table 07 Types of Memory



    Memory is created by association between a group of neurons such that when one fires, they all fire, producing a specific pattern. Thought, sensory perceptions, ideas, and hallucinations - any brain function is made up of this same thing. For example, a group of neighbouring neurons firing together in the auditory cortex would bring about the experience of a certain note of music. A memory is a pattern like these. The only difference is that it remains encoded in the brain after the stimulation that originally gave rise it has ceased. Memories form when a pattern is repeated frequently, or in circumstances that encourage it to be encoded. This is because each time a group of neurons fires together the tendency to do so again is increased. Once the neighbour has been triggered to fire a chemical change takes place on its surface which leaves it more sensitive to stimulation from that same neighbour. This process is called long-term potentiation (LTP). If the neighbour cell is not stimulated again it will stay in this state of readiness for hours, maybe days. If the first cell fires again during this period, the neighbour may respond even if the firing rate of cell number one relatively slow. A second firing makes it even more receptive and so on. Eventually, repeated synchronous firing binds neurons together so that the slightest activity in one will trigger all those that have become associated with it to fire, too. A memory has been formed.

    The giant sea slug called Aplysia californica is often chosen for the studying of memory. Its brain has about 20000 neurons, some of which are large enough to be visible to the naked eye. Aplysia can learn and most importantly it is found that the
    Aplysia mechanisms and principles involved in its formation of short- and long-term memories are conserved throughout the animal kingdom, including in humans. Aplysia exhibits a behaviour of protective reflex in which the sea slug withdraws its gill into the safety of the mantel cavity in response to a mild touch stimulus to another part of the body called the siphon (Figure 29a). If the stimulus is repeated a number of times, the gill withdrawal reflex becomes weaker until finally the animal ignores the touch stimulus. The waning of sensitivity to repeated stimulation is known as habituation and is a very simple form of learning found in all animals, including humans. Another type of learning is sensitization, when we are exposed to an unexpected or strongly unpleasant stimulus. Generally the sensitizing effect of

    Figure 29a Memory in Aplysia
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    a single alarming stimulus is short-lived, lasting perhaps for just a few minutes. But if the alarming stimulus is repeated a number of times our senses may be heightened for days and now such sensitization becomes a form of long-term memory.


    It turns out that short term changes involves only modification of pre existing proteins and alterations of pre existing connections. The short term process does not involve ongoing macromolecule synthesis. The effect wears off with time or repeated applications with no untoward happening. On the other hand, long term process involves a structural change which is not seen in the short term. In long term processes, there is a growth in new synaptic connections by sensory neurons onto follower cells. The growth of new synaptic connections is activated by the gene expression resulting in new protein synthesis.

    At the macromolecule level, it is known that the neurotransmitter involved in the processes is the serotonin. A puff of serotonin alone can substitute for the siphon shock. It is shown further that the serotonin triggers the release of the second chemical messenger called cyclic-AMP. It activates an important type of enzyme called a kinase, which modifies the properties of particular target proteins by adding a phosphate molecule to them; the term for this is protein phosphorylation. The target for this modification in the sensory neuron is a potassium channel protein. It is mentioned earlier that a potassium channel is important in the downward phase of the action potential. The net result of phosphorylation is a prolongation of the action potential in the sensory neuron and so more neurotransmitter is released by the sensory neuron. Thus the sensory neuron's synapse with the gill motor neuron is strengthened. In short-term memory, special enzymes quickly remove phosphates from the proteins and return them to their original state, restoring the synaptic strength to its lower pre-sensitized level. However, following repeated serotonin delivery, the level of cAMP-activated kinase is much higher and this allows the crucial step in the formation of long-term memory to occur. This crucial step is the transport from the synapse to the cell body of kinase molecules that have been activated by c-AMP. Once in the cell body the activated kinases enter the nucleus and start to regulate the expression of particular genes. In Aplysia, proteins that result from this process of gene activation are transported back to the synapse where they are used to maintain the strength of synapses already affected by local effects of c-AMP and to grow new synaptic connections. So in Aplysia (as in other animals) the conversion of a short-term into a long-term memory involves the reinforcement of the short-term changes in synaptic strength and the growth of new synapses, both of which require the synthesis of new proteins.

    LTP, Molecular Basis As mentioned earlier, repeated activation yields a lasting increase in the efficiency of synaptic transmission -- a process called long-term potentiation (LTP) -- which is thought to underlie memory formation. LTP depends both on enhanced insertion of receptors for the neurotransmitter glutamate at spines (the sites of synapses) and on spine growth. Figure 29b shows the molecular basis of LTP as described in a 2008 neuroscience article. Essentially, it reports that the process is driven by the myosin V proteins, which shuttling receptors and membranes to make synaptic junctions better detectors of incoming signals.

    Figure 29b LTP, Molecular Basis of [view large image]

    A brief description for each step of the process is outlined in the following (also see
    Figure 29b):
    1. Neurons receive synaptic transmission from other neurons (not shown) at dendritic spines.
    2. Influx of Ca2+ through NMDA receptors activates the folded (inactive) form of the myosin V motor protein.
    3. The active myosin V protein (in extended form) then moves to the dendrite shaft and binds to Rab11/Rab11-FIP2 on recycling endosome (reused membraneous sac) containing AMAP receptors.
    4. Finally, it transports the cargo into and along spines via actin filaments (microtubules) to mediate insertion of AMPA receptors at the cell surface, as well as spine growth through membrane insertion.
    Seat of Memory Memory Code It is reported in 2007 that the seat of memory has been pinpointed in mouse. By monitoring 260 neurons in the hippocampus (Figure 29c), researchers have discovered that different experience is recorded in different area called "clique", which can be categorized from very general to very specific. Furthermore, such brain activities can be translated into binary codes (Figure 29d). Supposedly, we can read the mind from such codes and tell what it is

    Figure 29c Seat of Memory
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    Figure 29d Memory Code
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    thinking by the process of backward translation. The followings are steps to uncover the memory code:

    1. Recorded Experiences - The mice are exposed to three startling experiences - a puff of air on the back (to mimic an owl attack from the sky), a fall in a container (the "elevator" drop), and shaking in a cage (the "earthquake") - while a recorded plotted firing from a large set of CA1 neurons. Each row in the plot captures firing of a single cell over time.
    2. Patterns of Mental Activities - The points in the 520 dimensional phase space (corresponding to the activities of 260 neurons before and after an event) are projected into a 3 dimensional phase space. Different mental activity falls into different area in such plot starting from "rest". Temporal analysis revealed that the activity patterns associated with those startling experiences recurred spontaneously at intervals ranging from seconds to minutes after the actual event, but with smaller amplitudes than the original response. Such patterns provide evidence that the information traveling through the hippocampal system was inscribed into the brain's memory circuits. The replay corresponds to a recollection of the experience after the fact.
    3. Coding Cliques - It is discovered that neuron ensembles active during an event contain subsets -termed neural cliques. The cells in a clique all show very similar firing patterns and are not part of the other cliques.
    4. Organization of Memories - Further analyses showed that each clique encodes a different aspect of an experience, ranging from the general to the specific. It can be visualized as a hierarchical organization with the most general clique at bottom, and the very specific on top. Any given pyramid can be a component of a more general polyhedron representing all events of a given category, such as "all startling events".
    5. Translated into Binary Code - The clique activity is represented as a string of binary code with 1 as being active and 0 signifies inactivity. Thus the earthquake binary code is 11001 corresponding to: "starting event", "disturbing motion", "air puff", "drop", and "shake". While the elevator drop binary code is 11010 for the same sequence.

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    Higher Functions

    Higher Functions The frontal lobes are where ideas are created; plans constructed; thoughts joined with their associations to form new memories; and fleeting perceptions held in mind until they are dispatched to long-term memory or to oblivion. This brain region is the home of consciousness, where the products of the brain's subterranean assembly lines emerge for scrutiny. Self-awareness arises here, and emotions are transformed in this place from physical survival systems to subjective feelings. The area of the frontal lobe most closely associated with the generation of consciousness is in the prefrontal cortex. Figure 30 shows four areas, which endow human with fucntions not available in other animal:

    Figure 30 Higher Functions
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    1. Orbito-frontal cortex - This area inhibits inappropriate action, freeing us from the tyranny of our urges and allowing us to defer immediate reward in favour of long-term advantage.
    2. Dorsolateral prefrontal cortex - Things are held "in mind" here, and manipulated to form plans and concepts. This area also seems to choose to do one thing rather than another.
    3. Ventromedial cortex - This is where emotions are experienced and meaning bestowed on our perceptions.
    4. Anterior cingulate cortex - It helps focus attention and "tune in" to own thoughts.
    The frontal lobes are connected by numerous neural pathways to almost all the other cortical areas and also to the limbic region. These paths are two-way. Information must flow in to the frontal lobes in order for them to function, but a heavy input from below can inhibit activity on the surface and vice versa. This means that a sudden flood of emotion may occlude thought, while an arduous cognitive task may dampen emotion. The ebb and flow of neural traffic is mediated by the neurotransmitters dopamine, serotonin and adrenaline, and any disturbance to these chemicals, or damage to the tissue that is sensitive to them, can have catastrophic effects on the way we think, feel and behave.

    Consciousness is remarkably difficult to define. It is variably identified to the soul, the mind, and somehow associated with awareness (Figure 31a). The soul belongs to religious domain, which is not possible to investigate scientifically. It was believed that the mind was in the brain and controlled the body, but was something intangible. The development in neuroscience has brought new insights into the subject of consciousness. This new science has adopted the working definition of consciousness as a state of perceptual awareness. Conscious attention allows us to shut out extraneous experiences and focus on the critical event that confronts us. It recognizes two characteristics to the conscious state: unitary and subjectivity. The unitary nature of consciousness refers to the fact that our experiences come to us as a unified whole. All of the various sensory modalities are melded into a single, coherent, conscious experience. This is the "easy problem" that neuroscience can probe into via NCC.
    Consciousness The answer was still elusive at the end of Francis Crick's life, when he was struggling in vain trying to understand the role of claustrum in consciousness. Subjectivity poses the more formidable scientific challenge. Each of us experiences a world of private and unique sensations that another person can only appreciate indirectly. If the senses ultimately produce experiences that are completely and personally subjective, then we cannot arrive at a general definition of consciousness because there would be an infinite number of them. This is the "hard problem" of consciousness. According to some researchers, science cannot take on consciousness without a significant change in methodology, a change that would enable scientists to identify and analyze the elements of subjective experience. Others argue that we only need an underlying theory.

    Figure 31a Consciousness
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    Just like the Newtonian mechanics, one theory is sufficient to describe the multitude of orbits and trajectories.

    Free Will The nature of free will is another issue that can be tackled by the new biology of mind. Free will is the ability to act or make choices as a free and autonomous being and not solely as a result of compulsion or predestination. According to Freud's discovery of psychic determinism - the fact that much of our cognitive and affective life is unconscious - there is not much left for freedom of action. Experiment on the correlation between electrical activity of the brain and movement (lifting a finger for example), reveals that the electrical activity precedes the movement by 200 milliseconds. It is proposed that the process of initiating a voluntary action occurs in an unconscious part of the brain, but that just before the action is taken, consciousness is recruited to approve or veto the action. In the 200 milliseconds before a finger is lifted, consciousness determines whether it moves or not. Thus, our conscious mind may not have free will, but it can freely modify inappropriate behavior (Figure 31b). This is the reason for the laws in our society to hold all of us accountable for our own action. It is suggested that we should update our idea of free will to mean self-control over our behaviour.

    Figure 31b Free Will [view large image]

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    Default State (Network)

    A common perception (or misperception) about a resting brain is to assume that it is doing nothing. But according to PET scan (in the old days) and fMRI scan on hundred of volunteers, whenever the brain is not working, it switches to some kind of
    Default State internal processing with a lot of activities in the prefrontal cortex and hippocampus (Figure 32). One theory likens it to daydream with a very serious purpose - for incorporating lessons learned in the past (by activating the hippocampus) into our plans for the future (using the higher function in the prefrontal cortex), such process is called default network. The association of default network with very slow brain wave (0.1 Hz or less) even in sedated humans and heavily anaesthetized monkeys lead to suggestion linking it with sorting and preserving memories. Since it devours huge amounts of glucose (used up 30% more energy than other area of the brain) in the process and its impairment is related to many brain diseases, it must be very important whatever function it serves. BTW, the brain seems to go into a truly resting state via

    Figure 32 Default State
    [view large image]

    meditation, which deliberately turns off the default network. Such feat actually requires a lot of training and is not easily attainable.

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    Altered States

    It is not possible to divide states of being into the neat categories of consciousness and unconsciousness. Too many curious and interesting states lie between, challenging a simple definition. These altered states of consciousness defy objective description because they are intensely personal. Nevertheless, these experiences, which range from the mild distraction of a daydream to wild, drug-induced hallucinations, can have certain common characteristics related to the change of perceptions of the self and the outside world. The term "altered states" covers a number of phenomena. Some arise naturally and automatically (dreaming, for example,
    Altered States is thought to be common to all mammals). Others are attained through learned techniques such as meditation. Some are induced by drugs. Other still - the vision and trance states - are highly controversial, and many people doubt their existence. To understand altered states one must assess subjective accounts of what it is like to "be in" these states, along with objective research that tries to identify their physiological basis and effects. Figure 33 shows the brain scan for some of the altered states listed below. The areas in light blue color represent over-activity in the upper row, while the same color indicates under-activity in the lower pictures.

    Figure 33 Altered States
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      Dreaming Cat
    • Dreaming - Vivid visual dreams light up the visual cortex; nightmares trigger activity in the amygdala and the hippocampus flares up from time to time to replay recent events. The areas, which seem to be most commonly active are the pathways carrying alerting signals from the brainstem and the auditory cortex; supplementary motor area and visual association areas - all of which produce the "virtual reality" effect of dreaming. Activity is decreased in the dorsolateral prefrontal cortex, the area of waking thought and reality testing (Figure 33). Studies have shown that dreaming sleep occurs in a wide range of animal species. Figure 34 shows a dreaming cat. When its pons is surgically removed to permit movement during REM sleep, the very nice cat
    • Figure 34 Dreaming Cat
      [view large image]

      becomes a vicious tiger when it is dreaming and throws itself at imaginary prey.


      Daydream
    • Daydream - Many surveys suggest that ordinary men and women, who are neither disturbed nor neurotic, spend a large part of each day in some sort of fantasy, reverie or daydream. This kind of quick fantasy rarely has a structured narrative. It is the moment when we stop paying attention to what we are seeing and hearing and switch into an inner theatre of the imagination where we can play at wish fulfillment (Figure 35). But there are other fantasies qualitatively different from these "wouldn't it be nice if ..." stories. These are sustained fantasies, which often seem to have been crafted, worked and reworked to meet some more profound psychological need. When one daydreams, normal inhibitions are bypassed. The evidence of the rather macabre biographies of
    • Figure 35 Daydream
      [view large image]

      serial killers shows that they had frequently recurring violent fantasies before they turned to murder.

      Meditation
    • Meditation - One function of consciousness is to knit together our sense of self-identity. But many religious traditions believe that enlightenment can be achieved only by breaking the shackles of self and attaining "purer" states of consciousness through meditation (Figure 36). As well as its psychological benefits, the meditative state has marked physiological effects - these phenomena are measurable and reliably repeatable, and thus are a suitable object of scientific study. Such studies have revealed some remarkable effects: meditation can lower a subject's metabolic rate, decreasing blood pressure, pulse rate and muscle tension. One study shows that the subject could reduce his oxygen intake to one-third of the normal resting state. Scans of people in a self-induced state of "passive attention" have been shown to "turn off" areas of the
    • Figure 36 Meditation
      [view large image]

      brain normally associated with seeking stimuli, including the parietal, anterior and premotor cortexes (Figure 33).



      Hypnosis
    • Hypnosis - Modern studies show that the brain waves of hypnotized subjects are much like those of the waking state. When subjects are hypnotized, they can speak, walk and carry out instructions. Yet there are some noticeable changes from normal consciousness: attention becomes very selective, with the subject ignoring everything but the hypnotist's voice; the subject rarely initiates thought or activity, but waits for suggestions from the hypnotist; and fantastic ideas or situations are more readily accepted as reality. It is almost as if the willing, relaxed subject relinquishes control over part of his or her consciousness to the hypnotist. The classic method of hypnotism is to put a subject into a relaxed frame of mind and ask him or her to concentrate on an object, such as a swinging pocket watch (Figure 37). Brain scans (Figure 33) show increased activity during hypnosis in the motor and sensory areas
    • Figure 37 Hypnosis
      [view large image]

      suggesting heightened mental imagery. Increased blood flow in the right anterior cingulate cortex indicates that attention is focused on internal events. The brain activity seen in this state is quite different from that seen in normal waking or sleeping.


      Fantasy
    • Sexual fantasy - This is the ability to use our imaginations erotically. It is found that people spend a surprising amount of time thinking about sex. There are vast cultural differences in what different societies consider acceptable material for sexual fantasy and fetishes. The Victorians considered fetish to be shocking and dangerous, the true dark side of sexuality; while the Freudian view treats fetishism as the result of linking unresolved childhood drives to object that seems "safe" such as the high-heeled shoe. Many therapists now consider that it is perfectly normal to have sexual fantasies, and some even believe that they can be used to achieve a more fulfilling sex life. Research into sexual fantasies is complicated and must rely on what patients report to their therapists, but some studies have found links with childhood events - either sexual violence or a strict, repressed upbringing. There is an obvious distinction between fantasy and action - a fantasy does not harm others. However, some people who have fantasies that involves inflicting pain to
    • Figure 38 Fantasy
      [view large image]

      themselves or others (such as to the cat in Figure 38) claim that they feel compelled to act them out. Sometimes people with less extreme fantasies also choose to turn them into realities such as in the form of cross dressing.


      Drug Addiction
    • Addiction - Drug addiction is caused by a similar train of events to hunger. However, unlike most types of food, addictive drugs cause changes in the receptors to which they bind, making them less sensitive. This creates tolerance and addiction. Most addictive drugs work by altering levels of neurotransmitters in the brain's reward circuitry centered on the limbic areas. Other brain areas are also involved and each type of drug works in a slightly different way to produce its characteristic effects. Opiates are drugs derived from the dried resin of the opium poppy (Figure 39), or synthetic versions of these chemicals, such as heroin, codeine and morphine. All have been used medicinally
    • Figure 39 Drug Addiction
      [view large image]

      at some time for their pain-killing properties. They are used illegally for similar reasons: heroin gives the user a "high", reducing anxiety and producing a sense of temporary well-being.



    • Schizophrenia (shattered mind) - There is evidence to suggest that genetic vulnerability and environmental stressors can act in combination to cause schizophrenia. Some researchers estimate schizophrenia to be highly heritable. But a recent review of the genetic evidence has suggested only a 28% chance of one identical twin developing schizophrenia if the other already has it. A recent study listed seven genes as likely to be involved in the inheritance of schizophrenia or the risk of developing the disease. One of these genes known as COMT is involved in encoding the dopamine catabolic enzyme. This is interesting because of the known link between dopamine function, psychosis, and schizophrenia. There is considerable evidence indicating that stressful life events cause or trigger schizophrenia psychosis. Childhood experiences of abuse or trauma have also been implicated as risk factors for a diagnosis of schizophrenia later in life. There is also consistent evidence that negative attitudes towards individuals with schizophrenia can have a significant adverse impact. In particular, critical comments, hostility, and intrusive or controlling attitudes from family members have been found to correlate with a higher risk of relapse in schizophrenia across cultures. Factors such as
    • Schizophrenia poverty and discrimination also appear to be involved in increasing the risk of schizophrenia or schizophrenia relapse, perhaps due to the high levels of stress they engender. The disease is frequently accompanied by paranoia and delusions. Some may experience extremely bizarre hallucinations. Ironically, while some areas of the schizophrenic brain may be dead, in other ways the sufferer's brain is overactive. Most schizophrenics appear to have an excess of dopamine in the brain, the neurons become overloaded and relay inappropriate messages (see Figure 40 for a modern view). Lack of activity in the frontal lobes is a feature of states of mind in which consciousness is disturbed. This might account for the state's common reduction in planned or spontaneous behavior and social withdrawal. The anterior cingulate cortex - thought to distinguish between external and internal stimuli - is also underactive (Figure 33), which may be one reason schizophrenics confuse their own thoughts with outside

      Figure 40 Schizophrenia
      [view large image]



      voices. Recently in 2006, it is found that those with mutations in the PCM1 gene had a significantly lower volume of grey matter in their orbitofrontal cortex resulting in poor judgement, inappropriate social behaviour and not keeping themselves clean. PCM1 plays a role in cell division, which in the brain occurs more actively at adolescence - an age at which schizophrenia is commonly diagnosed.

    • Dementia - Dementia is used to describe the organic deterioration of the brain that affects the elderly. The main, but not sole, form of dementia is Alzheimer's disease, and 25 percent of people who live to be older than 85 will show some symptoms. One of the hallmarks of Alzheimer's disease is the accumulation of amyloid plaques between neurons in the brain. Amyloid is a general term for protein fragments that the body produces normally. In a healthy brain, these protein fragments would be broken down and eliminated. In Alzheimer's disease, the fragments accumulate to form hard, insoluble plaques blocking signals from reaching the receptors. Neurofibrillary tangles consist of insoluble twisted fibers that are found inside of the brain's cells. They primarily consist of a protein called tau, which forms part of a structure called a microtubule. The microtubule helps transport nutrients and other important substances from one part of the nerve cell to another. In Alzheimer's disease the tau protein is abnormal and the microtubule structures collapse (this is the 2nd stage). There is an overall shrinkage of brain tissue as Alzheimer's disease progresses. In addition, the ventricles are noticeably enlarged. In the early stages of Alzheimer's disease, short-term memory begins to decline
    • Dementia when the cells in the hippocampus degenerate (see Figure 41). The ability to perform routine tasks also declines. As Alzheimer's disease spreads through the cerebral cortex, judgment declines, emotional outbursts may occur and language is impaired. Progression of the disease leads to the death of more nerve cells and subsequent behavior changes, such as wandering and agitation. The ability to recognize faces and to communicate is completely lost in the final stages. Patients lose bowel and bladder control, and eventually need constant care. This stage of complete dependency may last for years before the patient dies. The average length of time from diagnosis to death is 4 to 8 years, although it can take 20 years or more for the disease to run its course.

      Figure 41 Alzheimer's Disease
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    • Transcendence - In this state, the subject experiences a feeling of merging the self with the rest of the universe. It used to be considered as the attainment of moving up to a higher level of existence. For example, in the ancient text of "Tao Te Ching"
      Transcendence ("Book of Tao"), Lao Tsu (the author) mentioned that "Those who know do not talk. Those who talk do not know". A straight forward translation would mean someone is hiding knowledge from the prying eyes. A more subtle interpretation would attribute the silence as the difficulty to describe the experience by words. It has been known for some time that an area in the posterior partietal cortex (PPC) is responsible for the separation of self from the external environment. Impairment of this part of the brain would induce a feeling of union with the whole universe. A 2010 report in the Journal of Neuron confirms this observation by checking on people with brain cancer. Those who have some neurons in the PPC removed, tend to believe in miracles, extrasensory perception and other non-material phenomena; while the others with intact PPC do not

      Figure 42 Transcendence [view large image]

      have such sentiments. It could be that Lao Tsu's claim about transcendental experience is real, but such occurrence can be explained in term of modern medical knowledge without invoking another level of existence. He must be able to inactivate the PPC somehow, perhaps via meditation.

    • Vision - It is virtually impossible to carry out research into visions in the laboratory, because they do not happen on demand; as a result, the only evidence that visions do exist is the accounts of those people who have experienced them. Vision may occur in response to stress. They are often central to religious experience. Out-of-body experiences are not restricted to religious practices: they seem to occur in response to some kind of emergency situation. This is the case with near-death experiences.
      Vision There have been thousands of reports of near-death experiences, many noting the same types of sensations. Subjects feel as though they have left their bodies watching the scene unfold -- as if from above. Others saw deceased loved ones in a very peaceful and beautiful scene. Some people report traveling down a tunnel toward a bright light (Figure 43), where benevolent presences wait. Scientists have been unable to explain them conclusively. Some physiologists have suggested that hypoxia, or low oxygen levels in the brain, might cause a consistent pattern of hallucination in all sufferers. Other scientists argue that the experience stems

      Figure 43 Vision [view large image]

      from an acute bout of "REM intrusion" into the partially awakening state (in time of extreme stress) similar to narcolepsy - a neurological disorder characterized by uncontrollable bouts of sleep that can cause elaborate hallucinations and, sometimes, out-of-body experiences. The re-appearance of loved ones are explained as
      the last of the dieing memory lingering on after the official declaration of death. Some neurologists suggest that tunnel vision is caused by lack of blood flow to the eye. The eye, the retina of the eye, is one of the most exquisitely sensitive tissues to a loss of blood flow. So when blood flow does not reach the eye, vision fails, and darkness ensues from the periphery to the center.


    • The challenge of finding an ideal model animal in which a physical basis of memory formation might be revealed was taken up in the 1960s by E. R. Kandel, who eventually received the Nobel Prize in Physiology or Medicine in 2000 for his efforts on investigating the nervous system with Aplysia. The Aplysia did not share the prize, but his daughter Minouche at the age of seven has written a poem to enshrine the animal:

      A Poem An aplisa is like a squishy snail.
      In rain, in snow, in sleet, in hail.
      When it is angry, it shoots out ink.
      The ink is purple, it's not pink.
      An aplisa cannot live on land.
      It doesn't have feet so it can't stand.
      It has a very funny mouth.
      And in winter it goes to the south.

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