In order to move and process sensory information electrical signals are sent around the body via specialised cells called neurones. Signals are transmitted between neurones across structures called synapses. A synapse is made up of a pre-synaptic neurone, a synaptic cleft and a post-synaptic neurone. Neurotransmission begins when an electrical impulse called an action potential arrives at the axon terminal of the pre-synaptic neurone.
The action potential itself cannot travel across the synapse, but it will excite the neurone causing voltage-gated calcium channels to open. The influx of calcium ions causes membrane-bound vesicles within the axon terminal to move and fuse with the pre-synaptic membrane. These vesicles contain substances called neurotransmitters that upon binding are released into the synaptic cleft. Neurotransmitters diffuse across the synapse and will bind to receptors on the post-synaptic membrane, this will cause an effect on the post-synaptic neurone. Neurotransmitters can be excitatory meaning they initiate an action potential in the post-synaptic neurone, or inhibitory preventing an action potential in the post-synaptic neurone. A key neurotransmitter to remember is acetylcholine. Once the neurotransmitter has done its job it needs to be broken down by an enzyme such as acetylcholinesterase to prevent a continuous action potential.
The neuromuscular junction is a special type of synapse that occurs between a neurone and a muscle fibre rather than two neurones. The neurotransmitter here is acetylcholine and it is always excitatory.