السبت، 22 نوفمبر 2014

Autonomic Nervous System



¥Preganglionic neuron
§cell body in brain or spinal cord

§axon is myelinated type B fiber that extends 
to autonomic ganglion

¥Postganglionic neuron

§cell body lies outside the CNS in an 
autonomic ganglion

§axon is unmyelinated type C fiber that 
terminates in a visceral effector

¥The output (efferent) part of the ANS is divided into two principal parts:
¥
§The Sympathetic division
§
§The Parasympathetic division
¥Organs that receive impulses from both sympathetic and parasympathetic fibers are said to have dual innervation.
Cholinergic neurons include:
     - All sympathetic and parasympathetic      preganglionic neurons.
     - Sympathetic postganglionic neurons that innervate sweat glands.
      - All parasympathetic postganglionic neurons.

Nicotinic receptors:
      - are present in dendrites & cell bodies of sympathetic and parasympathetic postganglionic neurons.
     - present in NMJ as well as in chromaffin cells of adrenal gland.
Muscarinic receptors:
     - are present in plasma membranes of all effectors innervated by parasympathetic postganglionic neurons.
     - are present in sympathetic postganglionic neuron that innervate sweat glands.

Activation of nicotinic receptors by Ach causes depolarization and thus excitation.
- Activation of muscarinic receptors by Ach causes depolarization (excitation) and sometimes hyperpolarization (inhibition). 

¥Adrenergic neurons release norepinephrine
(NE)

§from postganglionic sympathetic neurons only.
¥
¥Excites or inhibits organs depending on 
receptors
¥
¥The main types of adrenergic receptors are 
alpha 
and beta receptors:
§α1 and β1 receptors produce excitation
§α2 and β2 receptors cause inhibition
§β3 receptors (brown fat) increase thermogenesis
¥
¥Effects triggered by adrenergic neurons typically 
are longer lasting than those triggered by
 cholinergic neurons.

¥Most body organs receive dual innervation
§innervation by both sympathetic & parasympathetic
¥
¥Hypothalamus regulates balance (tone) between  sympathetic and parasympathetic activity levels
¥
¥Some organs have only sympathetic innervation
§sweat glands, adrenal medulla & many blood vessels
          **  Long lasting due to lingering of NE in
 synaptic gap and release of norepinephrine by the
 adrenal gland

¥Dominance by the sympathetic system is caused by physical or emotional stress - “E situations”.
§
§emergency, embarrassment, excitement, exercise
¥
¥Alarm reaction = flight or fight response
§
§dilation of pupils
§increase of heart rate, force of contraction & BP
§decrease in blood flow to nonessential organs
§increase in blood flow to skeletal & cardiac muscle
§airways dilate & respiratory rate increases
§blood glucose level increase
¥Enhance “rest-and-digest” activities
¥
¥Mechanisms that help conserve and
 restore body energy during times of rest
¥
¥Normally dominate over sympathetic 
impulses
¥
¥SLUDD type responses =
Salivation, Lacrimation, Urination, Digestion 
& Defecation
in addition to 3 “decreases”- HR, diameter
 of airways and diameter of pupil

¥A visceral autonomic reflex adjusts the activity of a visceral effector, often unconsciously.
§changes in blood pressure, digestive functions etc
§filling & emptying of bladder or defecation
¥
¥Autonomic reflexes occur over autonomic reflex arcs. Components of that reflex arc:
§sensory receptor
§sensory neuron
§integrating center
§pre & postganglionic motor neurons
§visceral effectors
¥Not aware of autonomic responses because control center is in lower regions of the brain.
¥
¥Hypothalamus is major control center
¥
§input: emotions and visceral sensory information
 smell, taste, temperature, osmolarity of blood, etc.
§
§output: to nuclei in brainstem and spinal cord
§
§posterior & lateral portions control sympathetic NS: increase heart rate, inhibition GI tract, increase temperature.
§
§anterior & medial portions control parasympathetic NS: decrease heart rate, lower blood pressure, increased GI tract secretion and mobility.

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