Vestibular transduction

Vestibular transduction

STEP

STEP

Bones and joints of the thoracic wall
Muscles of the thoracic wall
Vessels and nerves of the thoracic wall
Anatomy of the breast
Anatomy of the pleura
Anatomy of the lungs and tracheobronchial tree
Anatomy of the heart
Anatomy of the coronary circulation
Anatomy of the superior mediastinum
Anatomy of the inferior mediastinum
Anatomy clinical correlates: Thoracic wall
Anatomy clinical correlates: Breast
Anatomy clinical correlates: Pleura and lungs
Anatomy clinical correlates: Heart
Anatomy clinical correlates: Mediastinum
Cranial nerve pathways
Anatomy of the abdominal viscera: Blood supply of the foregut, midgut and hindgut
Anatomy of the pelvic girdle
Anatomy of the pelvic cavity
Anatomy of the urinary organs of the pelvis
Anatomy of the gastrointestinal organs of the pelvis and perineum
Arteries and veins of the pelvis
Vessels and nerves of the vertebral column
Fascia, vessels and nerves of the lower limb
Anatomy of the anterior and medial thigh
Vessels and nerves of the gluteal region and posterior thigh
Fascia, vessels and nerves of the upper limb
Anatomy of the brachial plexus
Anatomy of the pectoral and scapular regions
Anatomy of the arm
Muscles of the forearm
Vessels and nerves of the forearm
Anatomy clinical correlates: Arm, elbow and forearm
Anatomy clinical correlates: Wrist and hand
Superficial structures of the neck: Posterior triangle
Superficial structures of the neck: Cervical plexus
Superficial structures of the neck: Anterior triangle
Anatomy of the larynx and trachea
Anatomy of the pharynx and esophagus
Bones of the cranium
Anatomy of the orbit
Anatomy of the cerebral cortex
Introduction to the cranial nerves
Anatomy of the oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves
Anatomy of the trigeminal nerve (CN V)
Personality disorders: Pathology review
Eating disorders: Pathology review
Selective serotonin reuptake inhibitors
Serotonin and norepinephrine reuptake inhibitors
Tricyclic antidepressants
Monoamine oxidase inhibitors
Atypical antidepressants
Typical antipsychotics
Atypical antipsychotics
Lithium
Nonbenzodiazepine anticonvulsants
Anticonvulsants and anxiolytics: Barbiturates
Anticonvulsants and anxiolytics: Benzodiazepines
Psychomotor stimulants
Glycolysis
Citric acid cycle
Electron transport chain and oxidative phosphorylation
Gluconeogenesis
Glycogen metabolism
Pentose phosphate pathway
Physiological changes during exercise
Amino acid metabolism
Nitrogen and urea cycle
Fatty acid synthesis
Fatty acid oxidation
Ketone body metabolism
Cholesterol metabolism
Type I and type II errors
Clinical trials
Cell signaling pathways
Peroxisomal disorders: Pathology review
Purine and pyrimidine synthesis and metabolism disorders: Pathology review
Human development days 1-4
Human development days 4-7
Human development week 2
Human development week 3
Autosomal trisomies: Pathology review
Miscellaneous genetic disorders: Pathology review
Necrosis and apoptosis
Inflammation
Pharmacokinetics: Drug absorption and distribution
Pharmacokinetics: Drug metabolism
Pharmacokinetics: Drug elimination and clearance
Sympathomimetics: Direct agonists
Muscarinic antagonists
Cholinomimetics: Direct agonists
Cholinomimetics: Indirect agonists (anticholinesterases)
Sympatholytics: Alpha-2 agonists
Adrenergic antagonists: Presynaptic
Adrenergic antagonists: Alpha blockers
Adrenergic antagonists: Beta blockers
Medication overdoses and toxicities: Pathology review
Development of the cardiovascular system
Fetal circulation
Pressures in the cardiovascular system
Measuring cardiac output (Fick principle)
Action potentials in myocytes
Action potentials in pacemaker cells
Excitability and refractory periods
Cardiac excitation-contraction coupling
ECG basics
ECG rate and rhythm
ECG intervals
ECG QRS transition
ECG axis
ECG normal sinus rhythm
Acyanotic congenital heart defects: Pathology review
Cyanotic congenital heart defects: Pathology review
Peripheral artery disease: Pathology review
Valvular heart disease: Pathology review
Cardiomyopathies: Pathology review
Supraventricular arrhythmias: Pathology review
Ventricular arrhythmias: Pathology review
Heart blocks: Pathology review
Endocarditis: Pathology review
Shock: Pathology review
Calcium channel blockers
Class I antiarrhythmics: Sodium channel blockers
Class II antiarrhythmics: Beta blockers
Class III antiarrhythmics: Potassium channel blockers
Class IV antiarrhythmics: Calcium channel blockers and others
Pharyngeal arches, pouches, and clefts
Oxytocin and prolactin
Thyroid hormones
Testosterone
Estrogen and progesterone
Phosphate, calcium and magnesium homeostasis
Parathyroid hormone
Vitamin D
Calcitonin
Development of the face and palate
Optic pathways and visual fields
Auditory transduction and pathways
Vestibular transduction
Vestibulo-ocular reflex and nystagmus
Taste and the tongue
Eye conditions: Retinal disorders: Pathology review
Platelet plug formation (primary hemostasis)
Coagulation (secondary hemostasis)
Role of Vitamin K in coagulation
Clot retraction and fibrinolysis
Heme synthesis disorders: Pathology review
Coagulation disorders: Pathology review
Platelet disorders: Pathology review
Mixed platelet and coagulation disorders: Pathology review
Thrombosis syndromes (hypercoagulability): Pathology review
Anticoagulants: Heparin
Anticoagulants: Warfarin
Anticoagulants: Direct factor inhibitors
Thrombolytics
Antiplatelet medications
Ribonucleotide reductase inhibitors
Topoisomerase inhibitors
Platinum containing medications
Anti-tumor antibiotics
Microtubule inhibitors
DNA alkylating medications
Monoclonal antibodies
Antimetabolites for cancer treatment
Thymus histology
Spleen histology
Lymph node histology
Introduction to the immune system
Cytokines
Innate immune system
Complement system
T-cell development
B-cell development
MHC class I and MHC class II molecules
T-cell activation
B-cell activation, differentiation, and contraction
Cell-mediated immunity of CD4 cells
Cell-mediated immunity of natural killer and CD8 cells
Antibody classes
Somatic hypermutation and affinity maturation
VDJ rearrangement
Contracting the immune response and peripheral tolerance
B- and T-cell memory
Anergy, exhaustion, and clonal deletion
Vaccinations
Type I hypersensitivity
Type II hypersensitivity
Type III hypersensitivity
Type IV hypersensitivity
Immunodeficiencies: T-cell and B-cell disorders: Pathology review
Immunodeficiencies: Combined T-cell and B-cell disorders: Pathology review
Immunodeficiencies: Phagocyte and complement dysfunction: Pathology review
Glucocorticoids
Acneiform skin disorders: Pathology review
Papulosquamous and inflammatory skin disorders: Pathology review
Vesiculobullous and desquamating skin disorders: Pathology review
Skin cancer: Pathology review
Cartilage structure and growth
Neuromuscular junction and motor unit
Sliding filament model of muscle contraction
Slow twitch and fast twitch muscle fibers
Muscle contraction
Back pain: Pathology review
Rheumatoid arthritis and osteoarthritis: Pathology review
Seronegative and septic arthritis: Pathology review
Gout and pseudogout: Pathology review
Systemic lupus erythematosus (SLE): Pathology review
Scleroderma: Pathology review
Sjogren syndrome: Pathology review
Bone disorders: Pathology review
Bone tumors: Pathology review
Myalgias and myositis: Pathology review
Neuromuscular junction disorders: Pathology review
Acetaminophen (Paracetamol)
Non-steroidal anti-inflammatory drugs
Opioid agonists, mixed agonist-antagonists and partial agonists
Antigout medications
Osteoporosis medications
Development of the nervous system
Central nervous system histology
Peripheral nervous system histology
Neuron action potential
Cerebral circulation
Blood brain barrier
Cerebrospinal fluid
Ascending and descending spinal tracts
Motor cortex
Pyramidal and extrapyramidal tracts
Muscle spindles and golgi tendon organs
Spinal cord reflexes
Sensory receptor function
Somatosensory receptors
Somatosensory pathways
Sympathetic nervous system
Adrenergic receptors
Parasympathetic nervous system
Cholinergic receptors
Enteric nervous system
Body temperature regulation (thermoregulation)
Hunger and satiety
Cerebellum
Basal ganglia: Direct and indirect pathway of movement
Memory
Sleep
Consciousness
Learning
Stress
Language
Emotion
Attention
Congenital neurological disorders: Pathology review
Headaches: Pathology review
Seizures: Pathology review
Cerebral vascular disease: Pathology review
Traumatic brain injury: Pathology review
Spinal cord disorders: Pathology review
Dementia: Pathology review
Central nervous system infections: Pathology review
Movement disorders: Pathology review
Demyelinating disorders: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Neurocutaneous disorders: Pathology review
Migraine medications
General anesthetics
Local anesthetics
Neuromuscular blockers
Anti-parkinson medications
Medications for neurodegenerative diseases
Opioid antagonists
Development of the renal system
Proximal convoluted tubule
Loop of Henle
Distal convoluted tubule
Sodium homeostasis
Potassium homeostasis
Osmoregulation
Antidiuretic hormone
Kidney countercurrent multiplication
Plasma anion gap
Congenital renal disorders: Pathology review
Renal tubular defects: Pathology review
Renal tubular acidosis: Pathology review
Acid-base disturbances: Pathology review
Electrolyte disturbances: Pathology review
Renal failure: Pathology review
Nephrotic syndromes: Pathology review
Nephritic syndromes: Pathology review
Urinary incontinence: Pathology review
Urinary tract infections: Pathology review
Kidney stones: Pathology review
Renal and urinary tract masses: Pathology review
Osmotic diuretics
Carbonic anhydrase inhibitors
Loop diuretics
Thiazide and thiazide-like diuretics
Potassium sparing diuretics
Development of the reproductive system
Menstrual cycle
Menopause
Disorders of sex chromosomes: Pathology review
Prostate disorders and cancer: Pathology review
Testicular tumors: Pathology review
Uterine disorders: Pathology review
Ovarian cysts and tumors: Pathology review
Cervical cancer: Pathology review
Vaginal and vulvar disorders: Pathology review
Benign breast conditions: Pathology review
Breast cancer: Pathology review
Complications during pregnancy: Pathology review
Congenital TORCH infections: Pathology review
Development of the respiratory system
Lung volumes and capacities
Anatomic and physiologic dead space
Alveolar surface tension and surfactant
Ventilation
Zones of pulmonary blood flow
Regulation of pulmonary blood flow
Pulmonary shunts
Ventilation-perfusion ratios and V/Q mismatch
Airflow, pressure, and resistance
Diffusion-limited and perfusion-limited gas exchange
Alveolar gas equation
Oxygen binding capacity and oxygen content
Oxygen-hemoglobin dissociation curve
Carbon dioxide transport in blood
Respiratory distress syndrome: Pathology review
Cystic fibrosis: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Obstructive lung diseases: Pathology review
Restrictive lung diseases: Pathology review
Lung cancer and mesothelioma: Pathology review
Antihistamines for allergies
Bronchodilators: Beta 2-agonists and muscarinic antagonists
Bronchodilators: Leukotriene antagonists and methylxanthines

Flashcards

Vestibular transduction

0 of 37 complete

Transcript

Watch video only

With vestibular transduction, “vestibular” refers to balance, and transduction refers to the process by which the ear converts specific head movements into electric impulses, so that we can interpret where we are in space.

The ear is made up of three parts: the outer ear, the middle ear, and the inner ear.

The first part is the outer ear which is the part you see and hang earrings on, called the pinna, as well as the ear canal.

The second part is the middle ear, which is a tiny chamber that houses even tinier ear bones—the malleus, incus, and stapes.

The outer and middle ear only play a role in hearing - however, the third part, the inner ear, deals with both hearing and balance.

On the outside, the inner ear has a tough bony shell - the bony labyrinth; and inside the bony labyrinth, there is the membranous labyrinth.

Now, both of these sections are filled with fluid - the bony labyrinth contains a fluid called perilymph, while the membranous labyrinth contains endolymph.

The bony and membranous labyrinth make up the structure of all three parts of the inner ear.

The first is the vestibule, which is like a hallway that leads up to two other parts or rooms - the cochlea, towards the front of our head, that deals with hearing, and a second room containing the three semicircular canals, towards the back.

The semicircular canals, along with two other structures - the utricle and saccule, which are located in the vestibule - make up the vestibular apparatus, that helps us detect changes in our static and dynamic equilibrium.

Our static equilibrium is a job for the utricle and saccule - also known as the otolith organs. They contain endolymph, as well as special balance receptors that detect changes in our head position in relation to horizontal or vertical acceleration.

Now, inside the utricle, there’s a region called the macula - which looks like like a bean-shaped shaggy rug lying on the floor.

The macula is where our balance receptors, called the hair cells, can be found.

Each hair cell has multiple finger-like projections - called stereocilia - and a single kinocilium.

These stereocilia are arranged in rows, depending on their length - the longer ones are closer to the kinocilium, and the shorter ones are further away from the kinocilium - like a cool haircut.

Now, the tips of these cilia are imbedded in a gel, called the otolithic membrane - which has a layer of tiny ear stones called otoconia on top of it, making the otolithic membrane heavier than the endolymph.

Finally, the bottom of each hair cell is connected to sensory neurons that make up the vestibular branch of the vestibulocochlear cranial nerve, that carries balance information to the central nervous system.

Ok, so the utricular macula senses changes in our head position in the horizontal axis - like when we feel pushed towards the back of a seat in a speeding race car. This is possible because a curved line - called the striola - divides the macular hair cells into two populations.

Some of the hair cells are in front of the striola, and some are behind it.

However, the cilia on the hair cells on either side of the striola are arranged so that the kinocilia of all cells face towards the striola, and this allows the macula to sense both backwards and forwards movement of the head.

To get a better sense of this, let’s go back to our race car example. Acceleration displaces the otolith membrane towards the back of the head, which means different things for the two populations of hair cells.

For hair cells in front of the striola, each stereocilium bends towards the longer one in the next row, and ultimately towards the kinocilium - like wind blowing your hair back.

At the tip of each stereocilium there’s a protein filament called a tip link that is attached to a mechanically gated potassium channel in the membrane of the longer stereocilium in the next row.

So the tip link is like the arm of the shorter stereocilium holding a door in the membrane of a longer stereocilium.

The tip link on the shorter stereocilia opens the potassium channel on the longer stereocilia - in other words, the arm opens the door. This makes potassium ions flow from the endolymph, through the door and into the hair cell, making the cell membrane depolarize.

At the bottom of each hair cell — called the presynaptic membrane— depolarization opens voltage-gated calcium channels. Calcium ions enter the cell and cause glutamate - which is stored inside vesicles - to be released into the synaptic space.

The sensory neurons at the bottom of the hair cells interpret glutamate as a “go” signal, and depolarize, sending an electrical impulse to the brain.

However, when the otolith membrane is displaced towards the back of the head, this also makes the kinocilium of the hair cells behind the striola bend towards the stereocilia - so no action potential and, in turn, no glutamate “go” signal is generated.

If, however, the speeding car suddenly stopped, the driver would first be pushed to the front - and this means that the otolith membrane would be displaced towards the front of the head. So this time, hair cells behind the striola generate an action potential, whereas the ones in front of it don’t.

The brain processes the activation and deactivation of particular hair cells to understand in which direction we are moving.

Now, on the other hand, we’ve got the saccule - which has its own macula.

The saccular macula has the same structure as the utricular macula - hair cells embedded in an otolith membrane, but there’s a twist. This time, the macula is vertically oriented, so basically hanging on the saccular wall like a tapestry.

The saccular macula also has a striola, which divides the hair cells in a superior and an inferior group.

Key Takeaways

Vestibular transduction refers to the process by which the vestibular system in the inner ear converts specific head movements into electric impulses so that we can interpret where we are in space. The vestibular system is responsible for transforming movements into electrical impulses that follow the vestibular pathway, passing through the vestibular nuclei, to reach different structures to maintain balance, such as external muscles of the eyes, the muscles of the head and neck, the structures that control muscle tone, the cerebellum, and the somatosensory cortex.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "Vestibular System: The Many Facets of a Multimodal Sense" Annual Review of Neuroscience (2008)
  6. "The primate semicircular canal system and locomotion" Proceedings of the National Academy of Sciences (2007)