TYPES OF SYNAPSES
A synapse is a site where an arriving action potential, through
excitation-secretion coupling involving Ca2+ influx, triggers the
release of one or more neurotransmitters into the synaptic cleft (typically 20
µm across).
The neurotransmitter acts on receptors on the target neuronal
membrane, altering the membrane potential
from its resting state. These postsynaptic potentials are called graded
potentials. Most synapses carrying information toward a target neuron terminate
as axodendritic or axosomatic synapses. Specialized synapses, such as
reciprocal synapses or complex arrays of synaptic interactions, provide
specific regulatory control over the excitability of their target neurons.
Dendrodendritic synapses aid in the coordinated firing of groups of related
neurons such as the phrenic nucleus neurons that cause contraction of the
diaphragm.
CLINICAL POINT
The configurations of the synapses of key neuronal populations in
particular regions of the brain and of target cells in the periphery determine
the relative influence of that input. At the neuromuscular junction, a
sufficient amount of acetylcholine is usually released by an action potential
in the motor axon to guarantee that the muscle end plate potential reaches
threshold and initiates an action potential. In contrast, the neuronal inputs
into reticular formation neurons and many other types of neurons require either
temporal or spatial summation to allow the target neuron to reach threshold;
this orchestration involves coordinated multisynaptic regulation. In some key
neurons such as lower motor neurons (LMNs), input from brain stem upper motor
neurons (UMNs) is directed mainly through spinal cord interneurons and requires
extensive summation to activate the LMNs; in contrast, direct monosynaptic
corticospinal UMNs input onto some LMNs, such as those regulating fine finger
movements, terminate close to the axon hillock/initial segment; and can
directly initiate an action potential in the LMNs. Some complex arrays of
synapses among several neuronal elements, such as those seen in structures such
as the cerebellum and retina, permit modulation of key neurons by both serial
and parallel arrays of connections, providing lateral modulation of neighboring
neuronal excitability.