2 Neuroscience2.10 Neurodevelopment and neuroplasticity

2.10 Neurodevelopment and neuroplasticity

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Written by Resident Doctor Committee · Published

Building the brain

Neurodevelopment forms the nervous system, and plasticity changes it through experience, injury and treatment.

Process

Timing

Neural tube closes

Around day 28

Neurones migrate radially, building cortex inside out

Mainly first two trimesters

Synaptogenesis, gliogenesis and most neuronal apoptosis

Earlier development

Synaptic pruning removes surplus synapses

Adolescence, its most characteristic process; earlier in sensory than prefrontal cortex

Association pathways myelinate

Continues into adulthood

Compare the two curves: synapses overshoot adult levels and are then pruned, earlier in the visual (sensory) cortex than in the prefrontal cortex, where pruning runs through adolescence into the twenties. Drawn for MRCPsychiatrist
  • Failed neuronal migration can cause lissencephaly or heterotopia.

  • In adolescence cortical grey matter volume falls while white matter volume rises, reflecting pruning and myelination.

Neurodevelopmental model of schizophrenia

  • Weinberger, and Murray and Lewis, proposed in 1987 that early disturbances become clinically apparent years later.

  • Prenatal infection, famine and obstetric complications are associated with risk, and motor or cognitive differences can precede illness.

  • Two-hit models combine early liability with later influences such as cannabis or adversity.

Levels of plasticity

Level

Example

Cellular

CREB-driven gene transcription

Synaptic

NMDA-dependent long-term potentiation (Bliss and Lømo 1973)

Structural

Dendritic spine growth in skill learning

Network

Cortical map expansion after amputation

Behavioural

Fear extinction, motor skill acquisition

Injury at different ages

  • The Kennard principle holds that a focal early lesion recovers better, with language shifting right after left-hemisphere damage.

  • Diffuse early injury does worse than the adult equivalent because it corrupts skills not yet acquired.