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Autonomic nervous system: A part of the nervous
system that regulates key involuntary functions of the body,
including the activity of the heart muscle; the smooth muscles, including the muscles of the intestinal tract; and the glands.
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Autonomic Nervous System
Responsible for control of involuntary
or visceral bodily functions
cardiovascular cardiovascular
respiratory respiratory
digestive digestive
urinary urinary
reproductive functions
Key role in the bodies response to stress
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Overview: The Parts of a Reflex
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Autonomic Targets
Smooth Muscle
Cardiac Muscle
Exocrine Glands
Some Endocrine glands
Lymphoid Tissue
Adipose
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Divisions of ANS
Sympathetic
Parasympathetic
Metasympathetic
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Sympathetic and parasympathetic divisions typically function in opposition
to each other. But this opposition is better termed
complementary in nature rather than antagonistic. For an analogy, one may think of the sympathetic division as the accelerator and the parasympathetic division as the brake.
The sympathetic division typically functions in actions requiring quick responses.
The parasympathetic division functions with actions that do not require immediate reaction. Consider sympathetic as "fight or flight" and parasympathetic as "rest and digest".
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ANS
2 divisions:
Sympathetic
“Fight or flight”
“E” division
Exercise, excitement, emergency,
and embarrassment
Parasympathetic
“Rest and digest”
“D” division
Digestion, defecation, and diuresis
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1. The autonomic nervous system (ANS) is an
involuntary motor (efferent) system.
2. Autonomic nerves are typically composed
of a two-neuron chain. One neuron has its cell body in the central nervous system while the other is outside the CNS.
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Autonomic pathway: Two Efferent Neurons in Series
Preganglionic neuron
cell body in CNS
Synapse in autonomic ganglion outside CNS
(often divergence!)
Postganglionic neurons
target cells
N1
N2
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3. Although “involuntary”, the autonomic nervous system is
regulated by higher centers. The best known of these
centers is the hypothalamus which has descending projections to cell bodies of the preganglionic neurons. Other areas of the central nervous system affect the activities of the hypothalamus.
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4. The autonomic nervous system consists of two
divisions:
a) the sympathetic (or thoracolumbar) division in which the
preganglionic cells are located in the thoracic and first two lumbar segments of the spinal cord.
b) the parasympathetic (or craniosacral) division in which the preganglionic neurons are located in the brain stem and in sacral (S2 - S4) segments of the spinal cord.
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Sympathetic
“Fight or flight”
“E” division
Exercise, excitement, emergency, and
embarrassment
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= Thoracolumbar
division (T1 to L2)
Preganglionic neurons (N1)from thoracolumbar region of spinal cord
Pre and paravertebral ganglia
Long postganglionic neurins (N2) secrete NE onto adrenergic receptors
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Sympathetic (preganglionic ):
1. The cell bodies giving rise
to preganglionic neurons (N1) are located in the intermediolateral
column (lateral horn) of the gray matter in spinal cord segments T1 through L2.
2. Preganglionic fibers leave the spinal cord with the ventral roots of spinal nerves arising from cord segments T1 - L2.
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Sympathetic (postganglionic ):
1. The cell bodies giving rise
to postganglionic neurons (N2) are located in the paravertebral
ganglia (sympathetic trunk (vertebral chain)).
2. Prevertebral (collateral) ganglia: celiac, superior mesenteric, inferior mesenteric, aorticorenal and renal.
.
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Sympathetic ganglia
Sympathetic chain ganglia (paravertebral ganglia) –
preganglionic fibers of the sympathetic NS that carry motor
impulses to the body wall or thoracic cavity synapses in chain ganglia
Collateral ganglia (prevertebral ganglia) – group of second order neurons that innervate organs in the abdominopelvic region
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Sympathetic Trunk Ganglia
Located on both sides of the
vertebral column
Linked by short nerves into sympathetic trunks
Joined to
ventral rami by white and gray rami communicantes
Right and left sympathetic trunks extend from the base of the skull to the region of the coccyx; at their distal ends, the right and left trunks are fused.
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Prevertebral Ganglia
Unpaired, not segmentally arranged
Occur only in abdomen
and pelvis
Lie anterior to the vertebral column
Main ganglia
Celiac, superior
mesenteric, inferior mesenteric, inferior hypogastric ganglia
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The Organization of the Sympathetic Division of the
ANS
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Copyright
Sympathetic Pathways to Periphery
Figure 15.9
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Rejoin spinal nerves and reach their destination by
way of the dorsal and ventral rami
Those targeting structures
in the thoracic cavity form sympathetic nerves
Go directly to their destination
Postganglionic fibers
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Copyright
Sympathetic Pathways to Thoracic Organs
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Sympathetic innervation via preganglionic fibers that synapse within
collateral ganglia
Splanchic nerves – carry fibers that synapse in
collatheral ganglia
Abdominopelvic viscera
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Celiac ganglion
Innervates stomach, liver, gall bladder, pancreas, spleen
Superior
mesenteric ganglion
Innervates small intestine and initial portion of large
intestine
Inferior mesenteric ganglion
Innervates kidney, urinary bladder, sex organs, and final portion of large intestine
Abdominopelvic viscera
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Copyright
Sympathetic Pathways to the Abdominal Organs
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Copyright
Sympathetic Pathways to the Pelvic Organs
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Other important considerations:
ganglion cells are usually located at
some distance from the effectors. Accordingly, postganglionic sympathetic fibers
are usually long fibers.
Acetylcholine (Ach) - pre-ganglionic ganglionic Neurotransmitter
Norepinephrine (NE) - post-ganglionic ganglionic Neurotransmitter
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Sympathetic Division
A single sympathetic preganglionic fiber has many
axon collaterals and may synapse with 20 or more
postganglionic neurons.
The postganglionic axons typically terminate in several visceral effectors and therefore the effects of sympathetic stimulation are more widespread than the effects of parasympathetic stimulation.
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Effects of Sympathetic Division
cardiac output increases
SA node: heart
rate (chronotropic) β1, : ↑cardiac muscle: contractility (inotropic) β1
↑conduction at AV node β1 : increases
vascular smooth muscle: α = contracts; β2 = relaxes
smooth muscles of bronchioles β2: relaxes;
pupil of eye α1: relaxes
ciliary muscle β2 : relaxes
smooth muscles of GI tractα, β2: relaxes
sphincters of GI tract α1: contracts
glands of GI tract inhibits
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THE STRESS REACTION
A stressful situation activates three major
communication systems in the brain that regulate bodily functions.
The first of these systems is the voluntary nervous system, which sends messages to muscles so that we may respond to sensory information.
The second communication system is the autonomic nervous system.
The brain’s third major communication process is the neuroendocrine system, which also maintains the body’s internal functioning.
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THE STRESS REACTION
When stress occurs, the sympathetic nervous
system is triggered. Norepinephrine is released by nerves; epinephrine
and norepinephrine is secreted by the adrenal glands. By activating receptors in blood vessels and other structures, these substances ready the heart and working muscles for action.
Acetylcholine is released in the parasympathetic nervous system, producing calming effects. The digestive tract is stimulated to digest a meal, the heart rate slows, and the pupils of the eyes become smaller. The neuroendocrine system also maintains the body’s normal internal functioning.
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The two divisions of the autonomic
nervous system are not infrequently said to be antagonists
in the sense of their having opposite effects
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Homeostasis and the Autonomic Division
BP, HR, Resp., H2O
balance, Temp. . .
Mostly dual reciprocal innervation
i.e., agonist/antagonist
or excitatory/inhibitory
Sympathetic:
AKA Thoracolumbar
flight-or-fight
Parasympathetic:
AKA Craniosacral
rest and digest
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Other important considerations:
ganglion cells are usually located
at some distance from the effectors. Accordingly, postganglionic sympathetic
fibers are usually long fibers.
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The terminations of most, but not all, sympathetic
postganglionic fibers release a substance (norepinephrine). Such postganglionic fibers
are commonly called adrenergic fibers.
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The effects elicited by the action of the
sympathetic division of the ANS are typically effects useful
in “fight or flight”. These include dilation of the pupil, increase in heart rate, elevation of blood pressure, diversion of blood from the alimentary tract to skeletal muscles, etc.
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Parasympathetic
“Rest and digest”
“D” division
Digestion, defecation, and diuresis
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Parasympathetic: Craniosacral or rest and digest
Center of parasympathetic
division the ANS
Has preganglionic cell bodies (N2) in
the midbrain and brainstem and in sacral segments 2, 3 and 4 of the spinal cord.
The fibers of cells in the midbrain and brainstem are in the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves. They innervate smooth muscles of the eye (III), lacrimal and salivary glands (VII and IX), and smooth muscles of the thoracic and abdominal viscera (X).
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The Organization of the Parasympathetic Division of the
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The Distribution of Parasympathetic Innervation
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= Craniosacral Division
Long preganglionic axons from brain
& S2- S4
Intramural ganglia
Postganglionic (nonmyelinated) neurons
secrete ACh onto cholinergic muscarinic receptors
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Parasympathetic: Craniosacral or rest and digest
Center of parasympathetic
division the ANS
The cell bodies giving rise to
postganglionic neurons (N2) are located in the Intramural ganglia.
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The ganglion cells of the parasympathetic system are
located in or on the wall of the organs
supplied or in specific ganglia located near the organs supplied. Hence the postganglionic fibers are short.
Except for the vagus nerves, the area of distribution of parasympathetic nerves is somewhat limited. The number of synaptic connections is smaller than in the sympathetic division. Accordingly, the effects of the parasympathetic division tend to be local rather than widespread.
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Most postganglionic parasympathetic fibers release acetylcholine at their
terminations. These fibers are, hence, often called cholinergic fibers.
They may also release a variety of peptides that influence smooth muscle activity.
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Summary: Pre- & Postganglionic Parasympathetic Neurons Release ACh
muscarinic
nicotinic
Receptors
N1
N2
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All parasympathetic fibers release ACh
Short-lived response as ACH
is broken down by AChE and tissue cholinesterase
Neurotransmitters and
parasympathetic functions
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Parasympathetic (muscarinic)
cardiac output M2: decreases
SA nodeSA node:
heart rate (chronotropic) M2: decreases
cardiac musclecardiac muscle: contractility
(inotropiccardiac muscle: contractility (inotropic) M2: decreases (atria only)
conduction at AV node M2: decreases
smooth musclessmooth muscles of bronchioles M3: contracts
pupilpupil of eye M3: contracts
ciliary muscle M3: contracts
salivary glands: secretions stimulates watery secretions
GI tract motility M1, M3: increases
smooth musclessmooth muscles of GI tract M3: contracts
sphincterssphincters of GI tract M3: relaxes
glandsglands of GI tract M3: secretes
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Effects produced by the parasympathetic division
relaxation
food processing
energy
absorption
Parasympathetic activation
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The parasympathetic division controls body process during ordinary
situations. Generally, it conserves and restores. It slows the
heart rate and decreases blood pressure. It stimulates the digestive tract to process food and eliminate wastes. Energy from the processed food is used to restore and build tissues.
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Most Common Autonomic NTs:
Acetylcholine (ACh)
ACh neurons & ACh
receptors are called cholinergic (nicotinic or muscarinic). Located at
autonomic preganglionic & para-sympathetic postganglionic synapses
Norepinephrine (NE)
NE neurons & receptors are called (nor) adrenergic (α and β). Located at sympathetic postganglionic synapses
Fig 11-7
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NTs of Autonomic NS
Compare to Fig 11-7
α and
β
N1
N1
N2
N2
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Neuroeffector Junction
= Synapse between postganglionic cell and target
Most
are different from model synapse (compare to Fig 8-20,
p. 270)
ANS synapse: axon has varicosities containing neurotransmitter
May supply many cells, resulting in less specific communication
Synthesis of NT is in the varicosity
Fig 11-8
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Summary: Pre- & Postganglionic Parasympathetic Neurons Release ACh
muscarinic
nicotinic
Receptors
N1
N2
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Two Types of Cholinergic Receptors: Nicotinic and Muscarinic
Nicotine
= agonist
In autonomic ganglia & somatic NS
Directly opens a
Na+ & K+ channel: ⇒ ?
Curare = antagonist
1) Nicotinic cholinergic receptor
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When the neurotransmitter, acetylcholine, attaches to the portion
of the nicotinic receptor outside of the cell wall,
it induces a conformational change that selectively opens up the channel to sodium ions. The resulting influx of positively charged sodium then triggers membrane depolarization.
cholinergic receptor
Muscarine
= agonist
Found in neuro-effector junctions of parasympathetic branch
G-protein coupled mechanisms
Atropine = antagonist
Amanita muscarina
N1
N2
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Muscarinic ACh are G-protein Mediated Receptor Mechanism of
Sweat Glands:
Also some 2nd messenger mechanisms
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Note on G-Proteins:
Many functions of the nervous
system (e.g., memory) require prolonged changes in neurons after
the initial neurotransmitter is gone. Ligand-gated channels (such as those found in nicotinic receptors) are not suitable for this because the channels close in milliseconds. Prolonged changes can be achieved, however by activating G-proteins inside the post-synaptic neuron. It is then the G-proteins that trigger the prolonged effects.
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Adrenergic
Receptors
Found in neuroeffector junctions of sympathetic branch
G
protein linked, with various 2nd mess. Mech
NT is NE
α-
and β- Receptors
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Sympathetic Receptors
α Receptors:
NT is NE
(most common)
⇒ Excitation [Ca2+] In↑ ⇒ muscle contraction or secretion
by exocytosis.
⇒ Inhibition of GI tract and pancreas
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β − Receptors Clinically more important
β1 ⇒
Excitation heart ([E] = [NE])
“β - blockers” = Antagonists
(e.g.: Propranolol)
β2 usually inhibitory: smooth muscle relaxation of some blood vessels and bronchioles ([E] > [NE])
β3 Adipose; [NE]>[E]
“β -blockers” = Antagonists (e.g.: Propranolol)
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Termination of NT Activity
ACh:
ACh esterase
Catecholamine reuptake
repackaging
degradation (MAO)
Blocked by
cocaine
Fig 11-9
Fig 8-22
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Somatic Motor Division
Pathway consists of single neuron from
CNS to target
Neuromuscular junction: nicotinic cholinergic receptors
Similar to
synapse; post – synaptic membrant called Motor End Plate
Recall Motor Unit
Always excitatory ⇒ muscle contracts
All Ach mediated
Degraded by Ach esterase
Fig 11-13
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Myasthenia gravis
MG: Antibodies block, alter, or destroy the
receptors for acetylcholine at the neuromuscular junction
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Direct (Ant)agonist = mimic or block the NT
receptor
(Ant)agonist = mimic or block secretion, reuptake or degradation
of NT
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Strychnos Toxifera (Curare) from Koehler's Medicinal-Plants 1887
Direct
Antagonists
Atropine → muscarinic
Curare → nicotinic
Propranolol → β1 and β2
Metoprolol
→ β1
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Indirect (Ant)agonists
Botulinum toxin
→ inhibits ACh release
Parathion, malathion
organophosphate
insecticides → inhibit AChE (anticholinesterases)
Cocaine
→ prevents NE reuptake
Amphetamines
→ stimulates NE release
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Important physiological and functional differences exist
Comparison of the
two divisions
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Overview: The ANS
Compare the somatic motor pathway
to the parasympathetic and sympathetic motor pathways
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A Comparison of Somatic and Autonomic Function
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Activity in the ANS is controlled by centers
in the brainstem that deal with visceral functioning
Higher levels
of autonomic control
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Levels of Autonomic Control
Example of higher-level of autonomic
function would be increased heart rate when you see
a person that you dislike.
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cc
Limbic system
ГИПОТАЛАМУС
Craniosacral
anterior
nucleus
posterior
nucleus
Thoracolumbar
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Levels of Autonomic Control
Example of higher-level of autonomic
function would be increased heart rate when you see
a person that you dislike.
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Visceral Afferents and Referred Pain