Physiology · Neurophysiology (Synapse, Action Potential, Tracts, Reflexes)

Long-term potentiation (LTP) in hippocampal CA1 neurons requires coincident pre- and postsynaptic activity. The molecular detector of this coincidence is the NMDA receptor acting as a 'coincidence detector' because:

  • A It requires both glutamate binding (presynaptic signal) AND postsynaptic depolarization to relieve Mg²⁺ block, allowing Ca²⁺ influx that activates CaMKII
  • B It is activated only by AMPA receptor-mediated depolarization that opens GABA channels, linking pre- and postsynaptic activity
  • C It detects coincidence through PKA phosphorylation of AMPA receptors triggered by simultaneous dopamine and glutamate binding
  • D It requires co-activation of mGluR1 (metabotropic) and kainate receptors for IP3-mediated Ca²⁺ release to trigger LTP
Correct answer: A. It requires both glutamate binding (presynaptic signal) AND postsynaptic depolarization to relieve Mg²⁺ block, allowing Ca²⁺ influx that activates CaMKII

Explanation

The NMDA receptor is the molecular coincidence detector for LTP. At resting membrane potential, the NMDA receptor channel is blocked by Mg²⁺ even when glutamate is bound. Postsynaptic depolarization (typically by prior AMPA receptor activation) displaces the Mg²⁺ block. When BOTH conditions are met simultaneously — glutamate from the presynaptic terminal AND postsynaptic depolarization — the NMDA channel opens, allowing massive Ca²⁺ influx. Elevated Ca²⁺ activates CaMKII (Ca²⁺/calmodulin-dependent kinase II), which phosphorylates AMPA receptors and triggers their trafficking to the synapse, increasing synaptic strength. This Hebbian 'fire together, wire together' mechanism underlies memory encoding.

Reference: Guyton & Hall, Textbook of Medical Physiology, 14th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

Sponsored

Want to test yourself?

Create a free account for timed mock tests, mistake tracking, and FSRS spaced-repetition revision across 23,000+ MCQs.

Start free → Log in

More Neurophysiology (Synapse, Action Potential, Tracts, Reflexes) MCQs

See all Neurophysiology (Synapse, Action Potential, Tracts, Reflexes) MCQs →