Vinogradova has published a review [1] addressing the state of neuroscience at the change of one of millennium to the next and the paradigm shift in relation to the interactions both between neurons and between neurons and glial cells. We believe there is a need to supplement this information with further data on synapses, which underlie the operation of the mammalian brain, and this is the aim of the present article, which reviews recently published data and our own work.Traditionally, the questions of learning, memory, and forgetting are linked to neuronal plasticity, which is based on changes in synapses. The term "synapse" (from the Greek synapsis, meaning junction) was introduced by Foster and Sherrington at the end of the 19th century [22] and means "connection." The term subsequently acquired wide use in the contemporary sense to identify connections between neurons [47]. According to [5,6], plasticity can arbitrarily be divided into two categories: 1) changes in already-existing synapses without changes in neuronal connections [71] and 2) changes in interneuronal connections due to the de novo formation and disappearance of synapses [52]. The "chemical synapse" is an area of contact between a dendrite and the presynaptic part or "presynaptic bouton" of an axon and contains vesicles containing neurotransmitter, whose release into the synaptic cleft activates the postsynaptic membrane, for example a spine membrane. Neuroscience and Behavioral Physiology, Vol. 35, No. 4, 2005
333Translated from Zhurnal Vysshei Nervnoi Deyatel'nosti, Vol. 54, No. 1, pp, 120-129, January-February, 2004. Original article submitted October 17, 2002, accepted October 28, 2002 Published data are reviewed along with our own data on synaptic plasticity and rearrangements of synaptic organelles in the central nervous system. Contemporary laser scanning and confocal microscopy techniques are discussed, along with the use of serial ultrathin sections for in vivo and in vitro studies of dendritic spines, including those addressing relationships between morphological changes and the efficiency of synaptic transmission, especially in conditions of the long-term potentiation model. Different categories of dendritic spines and postsynaptic densities are analyzed, as are the roles of filopodia in originating spines. The role of serial ultrathin sections for unbiased quantitative stereological analysis and threedimensional reconstruction is assessed. The authors' data on the formation of more than two synapses on single mushroom spines on neurons in hippocampal field CA1 are discussed. Analysis of these data provides evidence for new paradigms in both the organization and functioning of synapses.