What Are Pyramidal Cells and How Do They Work?

Pyramidal cells are a distinct category of multipolar nerve cells found in the brain, named for the triangular shape of their main cell body, or soma. They represent the primary type of excitatory neuron operating within the cerebral cortex and the hippocampus, brain regions responsible for higher cognitive functions like memory and complex thought. These cells serve as the main output units of these areas, receiving vast amounts of information and transmitting the integrated signal to other brain regions or down to the spinal cord. Their unique morphology and widespread connections allow them to link high-level processing to the execution of actions throughout the central nervous system.

Distinctive Physical Structure

The morphology of the pyramidal cell is its defining characteristic, based on the triangular shape of the soma. From the cell body emerge two distinct systems of branching extensions, known as dendrites, which are specialized to receive input from thousands of other neurons. A single, long extension called the apical dendrite ascends vertically toward the brain’s surface, receiving inputs from distant cortical layers. The base of the soma gives rise to several shorter, horizontal extensions called basal dendrites, which radiate outward. Both the apical and basal dendrites are covered in tiny protrusions known as dendritic spines, the main postsynaptic sites where excitatory signals are received. The integration of signals across this extensive dendritic tree determines whether the cell will generate an output signal, which is transmitted by a single axon emerging from the base of the cell.

Primary Locations and Layer Distribution

Pyramidal cells are predominantly located in the forebrain structures, specifically the cerebral cortex, the hippocampus, and the amygdala. The cerebral cortex organizes these neurons into six distinct horizontal layers. Pyramidal cells are the defining cell type of layers II, III, V, and VI, where they are oriented perpendicularly to the surface of the cortex. The size of the pyramidal cell and its projection targets vary depending on the layer it occupies. For example, the cells in layer V are the largest, and their axons project outside the cortex to subcortical areas like the brainstem and spinal cord, forming the basis of motor control pathways. In the hippocampus, pyramidal cells form the main cell layer within the Cornu Ammonis (CA) subregions, specifically CA1, CA2, and CA3.

Essential Role in Brain Communication

The primary function of pyramidal cells is to serve as excitatory neurons, meaning their activation increases the likelihood that a connected target cell will fire an action potential. This excitatory effect is achieved through the release of the neurotransmitter glutamate, the most abundant excitatory chemical messenger. Pyramidal cells receive an enormous number of inputs; a single cell can receive tens of thousands of excitatory connections and thousands of inhibitory connections. Communication begins when the cell integrates all these incoming signals across the massive surface area of its apical and basal dendrites. These dendrites are equipped with numerous ion channels, and their complex architecture allows the cell to perform sophisticated spatial and temporal integration of information. If the sum of excitatory inputs outweighs the inhibitory inputs, the cell reaches a firing threshold and generates an action potential. This signal travels down the axon, allowing the cell to act as the main output mechanism for the cerebral cortex and hippocampus. This output translates high-level processing—such as complex object recognition, memory formation, and cognitive ability—into signals that communicate with other brain regions and execute motor commands. In the hippocampus, the pyramidal cells of the CA1 and CA3 regions are fundamental to the neural circuits involved in memory encoding and retrieval.

Pyramidal Cells and Neurological Health

The dysfunction of pyramidal cells is implicated in several major brain disorders. In conditions like epilepsy, these neurons can become abnormally synchronized and hyper-excitable, leading to excessive rhythmic discharges. This hypersynchrony, particularly in hippocampal pyramidal cells, is a hallmark of seizure activity. Pyramidal cells are also vulnerable to the pathology associated with Alzheimer’s disease. In the early stages, hippocampal pyramidal neurons can exhibit hyperexcitability, driven by changes in ion channel function and the presence of soluble amyloid-beta protein. This excitability eventually leads to neurodegeneration and cell loss, contributing to the memory and cognitive deficits characteristic of Alzheimer’s. Changes in the structure and connectivity of pyramidal cells are also observed in schizophrenia. Postmortem studies reveal altered properties in hippocampal pyramidal neurons, sometimes accompanied by a decrease in the density of surrounding inhibitory interneurons. These changes contribute to the cognitive, social, and emotional processing impairments seen in the disorder.