Lecture 4 Autonomic Nervous System

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    Lecture 4

    THE AUTONOMIC NERVOUS SYSTEM

    1. Organization of the Autonomic Nervous System (ANS)

    Central components

    hypothalamus

    brain stem

    spinal cord

    Peripheral components

    sympathetic nerves

    parasympathetic nerves

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    2. The Peripheral Autonomic nervous system

    Sympathetic nervous system

    coordinates the bodys responses to stress

    nerve fibers emerge from the spinal

    segments T1-L2

    preganglionic nerve cells are located in the

    interomedial lateral nuclei (IML)

    postganglionic cells are located in ganglia

    near the spinal cord

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    neurotransmitters:

    - preganglionic fibers: acetylcholine (Ach)

    - postganglionic fibers: norepinephrine

    (NE)

    - exceptions: sweet glands, piloerector

    muscle and a few blood vessels also

    called adrenergic fibers

    receptors that NE activates

    - E receptors

    E1, E2

    F receptors (greater sensitivity to

    isoproterenol)

    F1, F2

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    Parasympathetic nervous system

    coordinates the bodys more vegetativeactivities such as digestion

    nerve fibers exit from the brain stem and

    sacral level of the spinal cord

    preganglionic fibers have long axons

    ganglia are near or in target organs

    neurotransmitters:

    preganglionic fibers: acetylcholine

    postganglionic fibers: acetylcholine

    also called cholinergic fibers

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    Autonomic neurons release their

    neurotransmitter from enlarged areas

    known as varicosities

    The varicosities of autonomic

    neurons are found along the distal

    end of the postganglionic axon

    Action potential arriving at varicosity

    opens voltage-gated Ca2+

    channels, causing exocytosis ofsynaptic vesicles

    Any NE transported back into axon

    can be metabolized by monoamine

    oxidase (MAO) or taken back into

    synaptic vesicles for re-release

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    receptors that Ach activates:

    nicotinic receptors located on thepostganglionic neurons

    muscarinic receptors

    M1, M2

    located on target cells

    Reciprocal regulation of bodily organs bysympathetic and parasympathetic systems

    reciprocal regulation at effector organse.g. blood pressure

    heart

    blood vessels

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    antagonistic actions are controlled at the

    site of the target organ- E2 on presynaptic terminals of

    cholinergic neurons

    NE E2 Ach

    - M2 on presynaptic terminals of

    adrenergic neurons

    Ach M2 NE

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    3. Actions of the ANS on organs

    Heart Sympathetic fibers: increase the overall

    activity of the heart

    by increasing the rate and the force of heart

    contraction

    Parasympathetic fibers: the opposite effects

    Lungs

    Bronchial muscles

    Bronchial glands

    Blood vessels

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    effects on target organs

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    Gastrointestinal system

    stomachmotility and tone

    sphincters

    secretion

    intestinemotility and tone

    sphincters

    secretion

    Intrinsic eye muscles iris muscles

    ciliary muscle

    Blood vessels: coronary, skeletal muscle, etc

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    4. Function of the adrenal Medulla

    Release norepinephrine (20%) and epinephrine(EP, 80%) into circulating blood

    Stimulated by sympathetic nerves

    Similar effects as sympathetic stimulation exceptof 5-10 times longer

    Differences of EP from NE

    greater effect on heart (F receptor effects)

    weak constriction of the blood vessels inthe muscles

    greater metabolic effect (5-10 times)

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    Importance of the adrenal medulla

    supports the sympathetic system and

    provides a safety factor

    can stimulate the structures that are not

    innervated by sympathetic fibers