Refractory period (neurology)

The refractory period in a neuron occurs after an action potential and generally lasts one millisecond. An action potential consists of three phases. Phase one is depolarization. During depolarization, voltage-gated sodium ion channels open increasing the neuron's membrane conductance for sodium ions and depolarizing the cell's membrane potential (usually from -90mV towards 0). Phase two is repolarization. During repolarization, voltage-gated sodium ion channels inactivate (close) due to the now depolarized membrane, and voltage-gated potassium channels activate (open). Both the sodium ion channels closing and the potassium ion channels opening act to repolarize the cell's membrane potential back to its resting membrane potential. When the cell's membrane voltage overshoots its resting membrane potential (generally -90mV), the cell enters a phase of hyperpolarization. This is due to a larger than resting potassium conductance across the cell membrane. Eventually this potassium conductance drops and the cell returns to its resting membrane potential.

The refractory periods are due to the inactivation property of voltage-gated sodium channel and the lag of potassium channels in closing. Voltage-gated sodium channels have two gating mechanisms, one that opens the channel with depolarization and the inactivation mechanism that closes the channel with repolarization. While the channel is in the inactive state it will not open in response to depolarization. The period when the majority of sodium channels remain in the inactive state is the absolute refractory period. After this period there are enough voltage-activated sodium channels in the closed (active) state to respond to depolarization. However, voltage gated potassium channels that opened in response to depolarization don't close as quickly as voltage gated sodium channels return to the active closed state. During this time the extra potassium conductance means that the membrane is at a lower threshold and will require a greater stimulus to cause action potentials to fire. This period is the relative refractory period.

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