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Neuroendocrine Physiology: Course Outline

Neuroendocrine Physiology explores the interactions between the nervous and endocrine systems. It covers nervous system structure, function, neural development, and sensory-motor mechanisms.

Course Outline

COURSE OBJECTIVE:

Upon completion of the course III PhD Scholars should be able to:

  • Differentiate amongst the various types of chemical messenger systems.
  • Relate the role of various hormone in regulation of body function in normal and pathological conditions.
  • Relate the regulation of Calcium and Phosphate levels in ECF and Plasma for the maintenance of normal physiological process of the body.
  • Differentiate skeletal, smooth and cardiac muscles on the basis of structure and function.
  • Understand the cellular and molecular mechanism underlying neural signals and communication.
  • Explain the functional organization of nervous system at various levels from cellular of system levels.
  • Analyze neural basis of behavior and recognition including learning, memory, perception and emotion.
  • Interpret EEG using Power Lab in various physiological and pathological conditions.
  • Interpret EMG using Power Lab in various physiological and pathological conditions.

COURSE CONTENT:

  1. Pituitary Gland
  • Describe the structure of the pituitary gland and how it relates to its function
  • Define the cell types present in the anterior pituitary and understand how their numbers are controlled in response to physiologic demands
  • Enumerate Posterior `Pituitary Hormones
  • Explain the hypothalamic control of pituitary secretions with reference to hypothalamo- hypophysial portal system
  • Describe the secretion, transport and clearance of various hormones
  • Describe the various methods of estimating hormone concentration in blood

Growth hormone

  • Define the effects of the growth hormone in growth and metabolic function, and how insulin-like growth factor I (IGF-I) mediates some of its actions
  • Describe the basis of conditions where pituitary function and growth hormone secretion and function are abnormal, along with their treatment
  1. Thyroid Gland
  • Describe the structure of the thyroid gland and how it relates to its function
  • Define the chemical nature of the thyroid hormones and how they are synthesized
  • Describe the role of protein binding in the transport of thyroid hormones and peripheral metabolism
  • Describe the role of the hypothalamus and pituitary in regulating thyroid function
  • Describe the effects of the thyroid hormones in homeostasis and development
  • Discuss the basis of conditions where thyroid function is abnormal and how they can be treated
  1. Endocrine Functions of the Pancreas and Regulation of Carbohydrate Metabolism
  • Enlist the hormones that affect the plasma glucose concentration and briefly discuss the action of each
  • Describe the structure of the pancreatic islets and name the hormones secreted by each of the cell types in the islets
  • Describe the structure of insulin along with  its function
  • Describe the function of Insulin receptors in regulation of insulin
  • Describe the types  and function of glucose transporters found in the body
  • Enlist the major factors that affect the secretion of insulin
  • Describe the physiologically significant effects of glucagon and the factors that regulate its secretion
  • Describe the physiologic effects of Somatostatin in the pancreas
  • Describe the mechanisms by which Thyroid hormones, Adrenal glucocorticoids, Catecholamines, and Growth hormone affect carbohydrate metabolism
  • Describe the major difference between type 1 and type 2 diabetes
  1. Adrenal Medulla and Adrenal Cortex
  • Describe the three Catecholamine’s secreted by the adrenal medulla along with their biosynthesis, metabolism, and function
  • List the stimuli that increase adrenal medullary secretion
  • Describe the plasma proteins that bind adrenocortical steroids along with their physiologic role
  • Describe the major site of adrenocortical hormone metabolism and the principal metabolites produced from Glucocorticoids, Adrenal androgens, and Aldosterone
  • Describe the physiologic and pharmacologic effects of Glucocorticoids
  • Compare the physiologic and pathologic effects of Adrenal androgens
  • Describe the mechanisms that regulate secretion of glucocorticoids and adrenal sex
  • Describe the mechanisms that regulate aldosterone secretion
  • Describe the main features of the diseases caused by excess or deficiency of each of the hormones of the adrenal gland
  1. Hormonal Control of Calcium and Phosphate Metabolism
  • Describe the importance of maintaining homeostasis of bodily calcium and phosphate concentrations along with their regulation
  • Describe the mechanisms of calcium and phosphate absorption and excretion
  • Describe the mechanism of activation of Vitamin D3 to from 1,25 dihydroxy cholecaliferol
  • Describe the functions of Vitamin-D
  1. Physiology of Bone
  • Describe the basic anatomy of bone
  • Describe cells and their functions in bone formation and resorption
  • Describe the precipitation and absorption of calcium and phosphate in bone
  • Describe the mechanism of bone calcification
  • Describe the calcium exchange between bone and extracellular fluid
  1. Overview of Central Nervous System
  • Describe the major levels of Central Nervous System along with their functions
  • Describe the integrative function of Nervous System
  • Describe the  Electrical and Chemical synapses
  • Describe the Pre-synaptic and Post-synaptic terminal along with ion channels of synapse
  • Describe the mechanism by which action potential causes release of transmitter at pre-synaptic terminal
  • Describe the action of excitatory or inhibitory transmitter on post-synaptic neuron
  • Describe the function, types and formation of synaptic transmitters
  1. Pain and Temperature
  • Describe the  various types of peripheral nerve fibers and receptor types that mediate warmth, cold, and nociception
  • Explain the difference between Pain and Nociception
  • Explain the differences between fast and slow pain and acute and chronic pain
  • Explain Hyperalgesia and Allodynia
  • Describe and explain Referred pain
  1. Somatosensory Pathways
  • Compare the pathway that mediates sensory input from touch, proprioceptive, and vibratory senses to that mediating information from pain and thermoreceptors
  • Describe the somatotopic organization of ascending sensory pathways
  • Describe descending pathways that modulate transmission in pain pathways
  1. Control of Posture and Movement
  • Describe how skilled movements are planned and carried out
  • Describe the Posture-regulating parts of the central nervous system and discuss the role of each
  • Describe the flexor reflex along with its neuronal mechanism
  • Describe the crossed extensor reflex along with its neuronal mechanism
  • Describe reciprocal inhibition and innervations
  • Describe the postural and locomotive reflexes
  • Define decerebrate and decorticate rigidity, and comment on the cause and physiologic significance of each
  • Describe the function of Basal ganglia and list the pathways that interconnect them, along with the neurotransmitters in each pathway
  • Describe the symptoms of Parkinson disease and Huntington disease
  • Describe the functions of the Cerebellum along with its connections
  • Describe the neurologic abnormalities produced by diseases of the Cerebellum
  1. Electrical Activity of the Brain, Sleep–Wake cycle and Circadian Rhythm
  • Describe the primary types of rhythms that make up the electroencephalogram (EEG)
  • Describe the behavioural and EEG characteristics of each of the stages of non rapid eye movement (NREM) and rapid eye movement (REM) sleep and the mechanisms responsible for their production
  • Describe the pattern of normal nighttime sleep in adults and the variations in this pattern from birth to old age
  • Describe the neuronal centers, neurohormonal substances and mechanism that cause sleep
  • Discuss the circadian rhythm and the role of the suprachiasmatic nuclei (SCN) in its regulation
  • Describe the diurnal regulation of synthesis of melatonin from serotonin in the pineal gland and its secretion into the bloodstream
  1. Memory
  • Classify  various types of memory
  • Describe the roles of synaptic facilitation and synaptic inhibition in consolidation of memory
  • Describe the role of specific brain parts in memory process
  1. Organization of spinal cord for Motor functions
  • Describe the motor functions of spinal cord neurons
  • Describe the role of muscle spindle in control of voluntary muscle activity
  • Describe the dynamic and static response of muscle spindle
  • Describe muscle stretch reflex
  1. Motor Cortex
  • Describe the functions of primary motor cortex, premotor area and supplementary motor area
  • Describe the transmission of signals from the motor cortex  to the muscles
  1.  Auto regulation of Cerebrum Blood Flow
  • Describe the cerebral blood flow auto regulation that protect the brain from changes in arterial pressure
  • Describe the effect of carbon dioxide, hydrogen ions and oxygen on cerebral blood flow
  1. Regulation and function of Cerebrospinal fluid (CSF)
  • Describe the formation absorption of CSF
  • Describe the function of CSF
  1. Limbic System and Hypothalamus
  • Describe the functions of Limbic system
  • Describe the vegetative endocrine control functions of Hypothalamus
  • Describe the behavioral control functions of the Hypothalamus and associated limbic structure
  • Describe the reward and punishment of Hypothalmus
  • Describe the specific functions of Hippocampus, Amygdala, Limbic cortex
  1. Autonomic Nervous System
  • Describe the location of the cell bodies and axonal trajectories of preganglionic sympathetic and parasympathetic neurons
  • Describe the location and trajectories of Postganglionic sympathetic and parasympathetic neurons
  • Name the neurotransmitters that are released by Preganglionic autonomic neurons, Postganglionic sympathetic neurons, Postganglionic parasympathetic neurons, and Adrenal medullary cells
  • Describe the functions of the Autonomic nervous system
  • Describe how drugs act to increase or decrease the activity of the components of the Autonomic nervous system
  • Describe the location of neurons that provide input to Sympathetic preganglionic neurons
  • Describe the composition and functions of the Enteric nervous system
  1. Vision
  • Describe the various parts of the Eye and list the functions of each
  • Describe the neural pathways that transmit visual information from the rods and cones to the visual cortex
  • Explain how light rays in the environment are brought to a focus on the retina and the role of accommodation in this process
  • Define Hyperopia, Myopia, Astigmatism, Presbyopia, and Strabismus
  • Describe the electrical responses produced by Rods and Cones, and explain how these responses are produced
  • Describe the electrical responses and function of Bipolar, Horizontal, Amacrine, and Ganglion cells
  • Describe the responses of cells in the visual cortex and the functional organization of the dorsal and ventral pathways to the parietal cortex
  • Define and explain Dark and Light adaptation and visual acuity
  • Describe the neural pathways involved in Color vision
  1. Hearing & Equilibrium
  • Describe the components and functions of the External, Middle, and Inner ear
  • Describe the way that movements of molecules in the air are converted into impulses generated in hair cells in the Cochlea
  • Describe the path of auditory impulses in the neural pathways from the cochlear hair cells to the auditory cortex, along with function of the auditory cortex
  • Explain how pitch, loudness, and timbre are coded in the auditory pathways
  • Describe the various forms of deafness
  • Explain how the receptors in the Semicircular canals detect rotational acceleration and how the receptors in the saccule and utricle detect linear acceleration
  • Enlist the major sensory inputs that provide the information which is synthesized in the brain into the sense of position in space
  • Describe the functions of Utricle and Saccule in maintenance of equilibrium
  • Explain the role of Semi-circular canals in detecting head rotation
  1. Smell and Taste
  • Describe the basic features of the neural elements in the Olfactory epithelium and Olfactory bulb
  • Describe signal transduction in Odorant receptors
  • Describe the pathway by which impulses generated in the Olfactory epithelium reach the Olfactory cortex.
  • Describe the location and cellular composition of Taste buds
  • Describe the five major Taste receptors and signal transduction mechanisms in these receptors
  • Describe the pathways by which impulses generated in Taste receptors reach the insular cortex