24 Formation, Modification, and Repair of Neuronal Connections
Both Neurons and Connections Are Produced in Excess during Development
Neurotrophic Factors Ensure That Adequate Numbers of Neurons Survive
A critical factor that determines whether a given neuron survives or dies during development is its success in accumulating neurotrophic factors of specific kinds, different kinds for different neuronal types (Fig. 24-1). Neurotrophic factors are produced in limited amounts by target tissues (e.g., muscle, glands, other neurons), gobbled up by presynaptic endings, and transported back to the cell body. There they act to prevent apoptosis (programmed cell death) and to promote growth. Going back to the spinal cord example, more dorsal root ganglion cells and motor neurons survive at levels where there’s a lot of target tissue in the periphery (e.g., lower cervical) than at levels where there’s less (e.g., midthoracic). But this isn’t restricted to the spinal cord—throughout the nervous system, something like half of all the neurons produced during development die before birth.
Axonal Branches Are Pruned to Match Functional Requirements
Long after neurons finish competing with each other for survival, they continue to compete for neurotrophic factors in an effort to preserve their connections (Fig. 24-2).
Synaptic Connections Are Adjusted throughout Life
There Are Short-Term and Long-Term Adjustments of Synaptic Strength
Some of the short-term changes in synaptic strength follow naturally from normal synaptic function (Fig. 24-3). A little extra Ca2+ hanging around in a presynaptic terminal after transmitter release, for example, can result in potentiation of transmitter release in response to the next action potential. High-frequency stimulation of a presynaptic ending can cause depletion of synaptic vesicles, resulting in depression of subsequent release for a little while. Fast-acting retrograde messengers, such as nitric oxide, can also cause short-term changes.
Longer-term changes can involve almost any conceivable part of presynaptic or postsynaptic elements (THB6 Figure 24-10, p. 616). One prominent example is the insertion or removal of postsynaptic transmitter receptors, resulting in long-term potentiation (LTP) or long-term depression (LTD). This can be triggered by postsynaptic Ca2+ entry through NMDA receptors (Fig. 24-4). NMDA receptors (named for N-methyl-d-aspartate, which binds to them) are glutamate receptors with some special properties. First, they only open when they bind glutamate and