Autonomic Nervous System

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Created by:

kerrypox  on January 4, 2012

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Costanzo physiology

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Autonomic Nervous System

somatic nervous system
voluntary motor system: motorneuron + skeletal muscle fiber
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somatic nervous system voluntary motor system: motorneuron + skeletal muscle fiber
CNS brain stem or spinal cord
ACh and motorneurons ACh the neurotransmitter and activates nicotinic receptors on motor end plates of skeletal muscle
AP in motorneuron AP in motorneuron=>AP in muscle fiber=>muscle contraction
autonomic nervous system involuntary system that controls and modulates fxns primarily of visceral organs

2 motorneurons:
1) preganglionic in CNS
-synapse on postganglions
2) postganglionic in ganglia outside CNS
-synapses on visceral effector organs
preganglionic neurons axons are short

synapse on postganglions

all cholinergic bc release ACh that interact with nicotinic receptors
postganglionic neurons axons are long

synapses on visceral effector organs

release either ACh or norepinephrine or neuropeptides
origins of preganglionic neurons

-sympathetic
-parasympathetic
sympathetic division: thoracolumbar spinal cord (T1-L3)

parasympathetic division: craniosacral=>brain stem and sacral spinal cord (CN III, VII, IX, X; S2-S4)
adrenergic neurons release norepinephrine
cholinergic neurons release ACh
adrenoreceptor activation activated by norepinephrine or epinephrine
NMJ vs NEJ1) NMJ has discrete arrangement: one motorneuron to one muscle fiber; NEJ postganglionic neurons innervate tissue in diffuse branching networks

2) NEJ target tissues can be innervated by multiple postganglionic neurons

3) in ANS postsynaptic receptors widely distributed unlike motor end plate of skeletal muscle in somatic nervous system
SNS overall fxn mobilize body for activity: modulate fxns of organ systems (heart, blood vessels, GI tract, bronchi, sweat glands

"fight or flight": ↑ arterial press/blood flow to active muscles/metabolic rate/blood glucose concentration/mental activity and alertness
varicosities site of neurotransmitter synthesis, storage, and release in postganglionic branching networks of ANS
SNS organization preganglionic neurons in thoracolumbar spinal cord=>ventral motor roots and white rami=>project to paravertebral ganglia of sympathetic chain or series of prevertebral ganglia
prevertebral ganglia supplies visceral organs, glands, and enteric nervous system of GI tract

celiac, superior mesenteric, inferior mesenteric
superior cervical ganglion projections organs in the head, eyes, and salivary glands
celiac ganglion projections stomach and small intestines
superior mesenteric ganglion projections small and large intestines
inferior mesenteric ganglion projections lower large intestines, anus, bladder, genitalia
adrenal medulla specialized sympathetic ganglion=>preganglionic neurons located in thoracic spinal cord=>travel in greater splanchnic nerve=>synapse on chromaffin cells=>release ACh=>activate nicotinic receptors=>secrete catecholamines (*epinephrine 80%/norepinephrine 20%)
sympathetic postganglionic neurons all adrenergic and act on adrenergic receptors in all effector organs EXCEPT sweat glands which are cholinergic and act on muscarinic cholinoreceptors
sympathetic adrenergic neurotransmittersATP: stored in small dense-core vesicles, binds to purinergic receptors=>acts before others

norepinephrine: stored in small dense-core vesicles, causes second prolonged contraction

NYP: stored in large dense-core vesicles, released with intense or higher frequency stimulation=>causes a third slower phase of contraction
pheochromocytoma tumor of adrenal medulla located on or near adrenal medulla

mainly secretes norepinephrine
fight or flight responsecoordinated activation of SNS and adrenal medulla

body's response to fear, extreme stress, and intense exercise

↑ HR/CO/BP/blood glucose concentration/ventilation with dilation of airways; redistributes blood flow away from skin and splanchnic regions towards skeletal muscles; ↓ GI motility and secretions
PNS overall fxn restorative: to conserve NRG
Edinger-Westphal nucleus located in midbrain where parasympathetic innervation of eye muscles originate=>travels to periphery through CNIII
CN X and parasympathetic innervation originates in nuclei of medulla and innervates heart, bronchioles, and GI
parasympathetic ganglia location vs. sympathetic ganglia location parasympathetic ganglia: near, on, or in effector organs=>preganglion axons long

sympathetic ganglia: located near CNS=>preganglion axons short
muscarinic receptors receptors for ACh in the effector organs of PNS
parasympathetic cholinergic varicosities release ACh, VIP and NO

ACh stored in small, clear vesicles

VIP stored in large dense-core vesicles and released with intense or high intensity stimulation

NO synthesized on demand
organs with only sympathetic innervation sweat glands
vascular smooth muscle
pilomotor muscles of skin
liver
adipose tissue
kidney
alpha-1 and alpha-2 receptor fxn cause contraction of smooth muscles:

vascular smooth muscle
GI and bladder spinchters
pilomotor muscles
radial muscle of iris

alpha-1 more common than alpha-2 (found in walls of GI and presynaptic adrenergic nerve terminals)

alpha-1 relatively insensitive to catecholamines compared to beta receptors=>higher concentrations required
beta-1 receptor fxn involved in metabolic fxns:

glucogenesis
lipolysis
renin secretion
all fxns of heart

norepinephrine and epinephrine are equipotent agonists
beta-2 receptor fxn cause relaxation of smooth muscles:

bronchioles
wall of GI and bladder

preferentially activated by epinephrine
autonomic centers in hypothalamus and brain stem hypothalamus: temp regulation, thirst, food intake

midbrain: micturition center

pons: pneumotaxic center (inhibits inspiration)

medulla: vasomotor center (cardiovascular), respiratory center, swallowing, coughing, vomiting centers
alpha-1 receptor agonists/antagonists agonists: NE, phenylephrine

antagonists: phenoxybenzamine, prazosin
alpha-2 receptor agonists/antagonists agonists: clonidine

antagonists: yohimbime
beta-1 receptor agonists/antagonists agonists: norepinephrine, isoproterenol

antagonists: propanolol, metoprolol
beta-2 receptor agonists/antagonists agonists: epinephrine, isoproterenol, albuterol

antagonists: propanolol, butoxamine
nicotinic receptor agonists/antagonists agonists: ACh, nicotine, carbachol

antagonists: curare, hexamethonium (blocks ganglionic receptor NOT NMJ)
muscarinic receptor agonists/antagonists agonists: ACh, muscarine, carbachol

antagonists: atropine
G protein and autonomic receptors autonomic receptors are coupled to G proteins

G proteins are heterodimer: alpha, beta, gamma=>G protein activity resides in alpha subunit=>active when bound to GTP and inactive when bound to GDP=>has intrinsic GTPase
alpha-1 receptor mechanism1) alpha subunit of G protein binds and activates PLC

2) phopholipase C catalyzes release of diacylglycerol and IP3 from phosphatidylinositol 4,5-diphosphate

3) IP3 cause Ca2+ release from endoplasmic or sarcoplasmic reticulums=>↑ intracellular [Ca2+]

4) Ca2+ and diacylglycerol activate protein kinase C=>phosphorylate proteins that execute final physiologic actions
alpha-2 receptor mechanism alpha subunit of G protein binds and inhibits adenylyl cyclase=>leads to ↓ in cAMP
beta receptor mechanism alpha subunit of G protein binds and activates adenylyl cyclase=>catalyzes conversion of ATP to cAMP=>activates protein kinases=>phosphorylate proteins that execute final physiologic actions
epinephrine major catecholamine released from adrenal medulla

slightly more potent than norepineprhine
nicotinic receptor mechanisms receptor is also a Na+ and K+ channel=>channel opens when activated by ACh=>depolarizes membrane potential

has five subunits: two alpha, one beta, one delta, one gamma that form mouth around central core=>opens when ACh binds to each alpha subunit
muscarinic receptor mechanisms1) some receptors G protein-linked similar to alpha-1: binding of ACh activates alpha subunit=>activates phospholipase C=>catalyzes release of IP3 (causes release of Ca+ from endoplasmic or sarcoplasmic reticulum) and diacyglycerol=>Ca2+ and diacylglycerol activates protein kinase C=>phosphorylate proteins that execute final physiologic actions

2) some receptors act via direct action of G protein=>no 2nd messenger

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