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Neurology · Topical Diagnosis in Neurology

Nerve fibers

Neurofibra

The endings of nerve fibers form specialized contacts known as chemical synapses. This is where an electrical impulse is transformed into a chemical signal via neurotransmitters, ensuring the transmission of excitation or inhibition to other cells.

NeurotransmitterStored in synaptic vesicles within the presynaptic terminal
ExocytosisRelease of the neurotransmitter forms a characteristic omega-shaped figure
ReceptorsIntegrated into the postsynaptic membrane of the target cell
SpeedLigand-gated channels operate significantly faster than G-protein-coupled receptors
4 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Structural elements of the synapse

A chemical synapse is a complex microscopic apparatus located at the end of a nerve fiber. According to its anatomical layout, it consists of several key components:

  • Presynaptic membrane. The terminal part of the transmitting fiber. Its distinctive feature is the presence of specialized lattice-like thickenings, between which hexagonal spaces are located.
  • Synaptic cleft. A narrow intercellular space that physically separates the transmitting (presynaptic) and receiving (postsynaptic) parts of the contact.
  • Postsynaptic membrane. The receptive surface of the target cell, containing specific receptors.
  • Synaptic vesicles. Intracellular structures that act as a depot for neurotransmitter molecules.
  • Zone of exocytosis. The site where a vesicle fuses with the presynaptic membrane. At the moment of neurotransmitter release into the cleft, a characteristic structure is formed — the $\Omega$ figure (omega-shaped figure).
  • Endocytotic vesicles. Formed to return neurotransmitter molecules back into the synaptic terminal via a reuptake mechanism (reuptake).
  • Axonal filaments. Cytoskeletal elements of the nerve fiber that provide structural support to the terminal and facilitate substance transport.

Mechanism of synaptic transmission

The transmission of a nerve impulse across a synapse is a strictly sequential process that includes the following stages:

  1. Exocytosis. Neurotransmitter molecules leave the synaptic vesicles and are poured into the synaptic cleft.
  2. Reception. The released neurotransmitter crosses the synaptic cleft and binds to specific receptors on the postsynaptic membrane.
  3. Generation of ionic currents. The interaction of the neurotransmitter with the receptor apparatus triggers the opening of ion channels, causing ionic currents to flow across the membrane.
  4. Change in membrane potential. Depending on which specific channels open, the postsynaptic membrane transitions into one of two states:
  5. Depolarization — forms an excitatory postsynaptic potential.
  6. Hyperpolarization — forms an inhibitory postsynaptic potential.
Test your knowledge on this topicTasks from the Neurology course bank — immediate answers and explanations.

Function of the glutamatergic synapse

Glutamatergic synapses are excitatory. The process of signal transmission using glutamate proceeds according to the following scenario:

  • An action potential arriving along the nerve fiber activates calcium channels.
  • Calcium ions ($Ca^{2+}$) rush into the presynaptic terminal.
  • The increase in $Ca^{2+}$ concentration causes synaptic vesicles to fuse with the membrane.
  • Glutamate is released into the synaptic cleft, diffuses across it, and binds to receptors on the postsynaptic membrane.
  • This binding triggers the opening of sodium channels.
  • Sodium ($Na^+$) and calcium ($Ca^{2+}$) ions enter the postsynaptic neuron, causing its depolarization (generating an excitatory potential).
  • The resulting membrane depolarization removes the magnesium block (caused by $Mg^{2+}$ ions) from specific NMDA receptors, making them permeable to further signal transmission.

Receptor types and transmission speed

The speed at which a signal is transmitted to the postsynaptic cell largely depends on the mechanism of receptor function. There are two main types:

  • Mediator-activated (ligand-gated) ion channels. These are fast-acting structures. The channel opens immediately upon the attachment of a neurotransmitter (ligand) molecule.
  • G-protein-coupled receptors. Named for their ability to bind guanine nucleotides. Their action is mediated by triggering a complex intracellular signaling cascade. Because of this multi-step process, ion current flow through the channels is much slower compared to ligand-gated systems.

Briefly: answers to topical questions

Which proteins mediate the process of exocytosis and the fusion of synaptic vesicles with the presynaptic membrane?

The process of exocytosis and the fusion of synaptic vesicles with the presynaptic membrane are mediated by specific proteins that form the SNARE complex. This complex includes the following structural elements:

  • SNAP-25 — a presynaptic membrane protein.
  • Syntaxin — a presynaptic membrane protein.
  • Synaptobrevin — a protein of the vesicle (synaptic vesicle) membrane.

The interaction of these proteins enables vesicle fusion with the presynaptic membrane and the subsequent release of the neurotransmitter into the synaptic cleft.

What mechanisms exist for the inactivation and removal of the neurotransmitter from the synaptic cleft?

The inactivation and removal of the neurotransmitter from the synaptic cleft are carried out through several pathways. The main mechanisms are:

  • Enzymatic degradation — the neurotransmitter is broken down by specific enzymes.
  • Reuptake (reuptake) — the active transport of the neurotransmitter or its degradation products back into the presynaptic terminal via transport proteins.
  • Diffusion — a portion of the neurotransmitter is lost by diffusing away from the synaptic cleft.
  • Endocytosis — uptake of the signal ligand-receptor complex.
  • Immobilization — binding of signaling molecules.

Inactivation can also be achieved by reducing the sensitivity of the postsynaptic receptor.

Which specific neurotransmitters cause hyperpolarization and form the inhibitory postsynaptic potential?

Hyperpolarization of the postsynaptic membrane and the formation of the inhibitory postsynaptic potential are caused by gamma-aminobutyric acid and glycine.

  • GABA — the main inhibitory neurotransmitter; its receptors are coupled to anion channels.
  • Glycine — the neurotransmitter of glycinergic synapses, operating via a similar mechanism.

Activation of these neurotransmitter receptors leads to the opening of channels and the influx of negatively charged chloride ions into the cell, which causes hyperpolarization of the postsynaptic membrane. GABAergic neurons provide postsynaptic and presynaptic inhibition, while glycinergic neurons provide postsynaptic inhibition.

How to memorize

To memorize the steps in the glutamatergic synapse, use the mnemonic: "Calcium Drives Vesicles, Sodium Crafts Depolarization" (Ca2+ influx → vesicle fusion → glutamate release → Na+ influx → depolarization → relief of Mg2+ block).

Class and exam questions

What is the omega (Ω) figure in a synapse?

This is a characteristic shape assumed by the presynaptic membrane in the exocytosis zone at the moment of fusion with a synaptic vesicle for neurotransmitter release.

What is the difference between the effects of ion currents on the postsynaptic membrane?

Depending on the type of opened ion channels, either depolarization (excitatory postsynaptic potential) or hyperpolarization (inhibitory postsynaptic potential) occurs.

Why do G-protein-coupled receptors work more slowly?

They do not open the ion channel directly upon ligand binding, but instead trigger a complex intracellular signaling cascade, which takes significantly more time.

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What else to study on this topic

  • The role of axonal filaments in presynaptic transport and cytoskeletal support
  • The mechanism of neurotransmitter reuptake via endocytotic vesicles
  • Differences in the generation of excitatory and postsynaptic inhibitory potentials
  • Removal of the magnesium block from NMDA receptors during depolarization
  • Binding of G-protein-coupled receptors to guanine nucleotides

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