1. Intro to ANS Flashcards

1
Q

what autonomic system controls pupillary constriction?

A

parasympathetic system

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2
Q

what autonomic system controls cephalic (secretions) and gastric (motility/secretions) phases of gastric secretion and via which nerve?

A

parasympathetic system via the vagus nerve

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3
Q

what autonomic system is the heart mainly controlled by?

A

parasympathetic (vagal) system

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4
Q

what happens to baroreceptor firing if BP falls?

A

baroreceptor firing goes down, decreasing the stimulation of the parasympathetic system and decreasing the inhibition of the sympathetic system so BP rises

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5
Q

which autonomic system is involved in the liver and which processes occur as a result of stimulation?

A

sympathetic nervous system stimulating an increase in gycogenolysis and gluconeogenesis

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6
Q

in the parasympathetic system which ganglionic fibre is shorter and which is longer?

A

pre-ganglionic fibre is longer and post-ganglionic fibre is shorter

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7
Q

where do parasympathetic pre-ganglionic fibres originate?

A

brain (cranal) and spine (sacral)

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8
Q

where do sympathetic pre-ganglionic fibres originate?

A

spinal cord (thoracolumbar)

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9
Q

describe the nature of the parasympathetic pathway

A

discrete/localised with little divergence (1:1 pre vs post ganglionic fibres)

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10
Q

describe the nature of the sympathetic pathway

A

coordinated response that is very divergent (up to 1:20 pre vs post ganglionic fibres)

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11
Q

what are sensory neurones in the enteral nervous system connected to?

A

mucosal chemoreceptors and stretch receptors

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12
Q

what do mucosal chemoreceptors and stretch receptors detect?

A

chemical substances in the gut lumen

tension in the gut wall caused by food

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13
Q

where is information from the enteral nervous system relayed to?

A

submucosal (Meissner’s) and myenteric (Auerbach’s) plexuses via interneurons

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14
Q

what do motor neurones in the enteral nervous system release?

A

ACh or substance P to contract smooth muscle

vasoactive intestinal peptide or NO to relax smooth muscle

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15
Q

how is the somatic nervous system different from the autonomic nervous system?

A

it involves one motor neurone projecting from the spinal cord to skeletal muscle where ACh is released which stimulates skeletal muscle contraction

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16
Q

where are nicotinic receptors found and what are they stimulated by?

A

at all autonomic ganglia between pre and post ganglionic fibres

stimulated by nicotine/ACh

17
Q

what type of receptors are nicotinic receptors and what is their speed?

A

ionotropic receptors that are linked to ion channels

fast

18
Q

where are muscarinic receptors found and what are they stimulated by?

A

at all effector organs innervated by parasympathetic post-ganglionic fibres or when the effector organ is a sweat gland

stimulated by muscarine/ACh

19
Q

what type of receptors are muscarinic receptors and what is their speed?

A

G-protein coupled receptors

slow

20
Q

what are the subtypes of muscarinic cholinoceptors?

A

*M1 - neural
*M2 - cardiac
*M3 - exocrine and smooth muscle
M4 - periphery
M5 - striatal dopamine release

21
Q

where are adrenoreceptors found and what are they stimulated by?

A

at all effector organs innervated by sympathetic post-ganglionic fibres

stimulated by NA/Adrenaline

22
Q

what type of receptors are adrenoreceptors and how do these receptors work?

A

G-protein coupled

an agonist binds to the receptor causing G-protein activation. A 2nd messenger is generated which activates cell signalling

23
Q

list the steps involved in the synthesis of neurotransmitters

A
  1. NT produced by precursor via enzymatic conversion
  2. NT packaged into vesicles
  3. an action potential causes calcium influx that promotes the exocytosis of the NT
  4. vesicle fusion - NT is released into the synapse
  5. the NT reacts with the receptor
  6. the receptor transduces the response
  7. degradation of NT
  8. reuptake
24
Q

what are the precursors of ACh and what enzyme converts them to ACh?

A

Acetyl-CoA (from glucose metabolism) and choline (from diet)

enzymatic conversion by choline acetyl transferase (byproduct is CoA)

25
what does acetylcholinesterase break ACh into?
choline and acetate
26
what would happen if acetylcholinesterase was blocked? Give an example of a substance that blocks it
build up of ACh in the synaptic cleft causing a prolonged effect on the post-ganglionic neuron, eventually leading to decreased responsiveness of the receptors at neuromuscular junctions and paralysis e.g. botulinum toxin interferes with ACh exocytosis
27
How is NA formed in the pre-synaptic vesicle?
1. tyrosine is converted to DOPA by tyrosine hydroxylase 2. DOPA is converted to dopamine by DOPA decarboxylase 3. dopamine is packaged into vesicles with dopamine b hydroxylase to form NA
28
how is adrenaline formed from NA?
NA is converted to adrenaline by phenylethanolamine methyl transferase (PNMT) (methylation)
29
how is adrenaline different to NA
NA is produced by neurones whereas adrenaline is produced in chromaffin cells (stimulated by ACh)
30
what are the 2 methods of NA reuptake?
1. uptake into the pre-synaptic nerve terminal and metabolised by Monoamine Oxidase A (MAO-A) 2. uptake by the extraneuronal tissue and degraded by COMT
31
what is the rate limiting enzyme in the production of NA?
tyrosine hydroxylase which generates DOPA from tyrosine
32
what increases the production of PNMT?
cortisol upregulates the medulla's ability to produce adrenaline as the corticosteroids pass through the adrenal medulla
33
where is adrenaline released into?
the extracellular space where it eventually enters the bloodstream