10. Autonomic Nervous System Flashcards
How is the nervous system divided?
How does the nervous system act?
- The nervous system acts by means of electrical signals (APs) to control the rapid response of the body.
- Nerve and muscle cells =
= excitable tissue because they are able to produce electrical signals when excited.
What is the ANS?
- Autonomic = self- governing
- Regulates activities of systems not under voluntary control e.g. respiration, circulation, digestion, metabolism, sweating
- ANS concerned with control of tagged tissues: (4)
- Cardiac muscles
- Smooth muscle in blood vessels & viscera
- Glands
- Helps maintain a constant internal body environment ( homeostasis)
- Divided into two major anatomically districts divisions that have largely opposing actions: (2)
- Sympathetic ( Thoracolumbar/ SNS)
- Parasympathetic (craniosacral/ PNS)
- Divided into two major anatomically districts divisions that have largely opposing actions: (2)
- Sympathetic ( Thoracolumbar/ SNS)
- Parasympathetic (craniosacral/ PNS)
- importance of SNS & PNS:
- Many commonly used medications (e.g medications for treating high BP, for regulating GIT function, or for maintaining a regular heart beat) have their major actions on nerves within these systems
- importance of SNS & PNS:
- Many commonly used medications (e.g medications for treating high BP, for regulating GIT function, or for maintaining a regular heart beat) have their major actions on nerves within these systems
Where are cell bodies of primary neurones/ presynaptic/ preganglionic neurones located?
- Cell bodies of primary neurones/ presynaptic/ preganglionic neurones are located in the intermediolateral ( IML ) gray column of the spinal chord or in the brain stem nuclei.
What is the function of cell bodies of primary neurones/ presynaptic/ preganglionic neurones located? (2)
- They send axons which are usually small-diameter, myelinated,relatively slow conducting B fibres to synapse with secondary/ postsynaptic/postganglionic neurones located in one of the autonomic ganglia.
- From there, the postganglionic axon ( mostly unmyelinated C fibres) passes to its target
- The autonomic outflow system projects widely to most _____ ______ and is not as highly focused as the somatic motor system.
target tissue
- Because the postganglionic fibres outnumber preganglionic fibres by a ratio of ___:__ , a single preganglionic neurone may control the autonomic functions of a rather extensive terminal area
32:1
Comparison of the ANS with the somatic nervous system:
Autonomic Nervous System:
Somatic Nervous System:
What is the autonomic nerve pathway?
Somatic nervous system - pathway to the effector organ:
Autonomic nervous system - Parasympathetic division, pathway to the effector pathway:
Autonomic nervous system - Sympathetic division, pathway to the effector pathway:
Sympathetic nervous system (SNS)
Origin of fibres:
Parasympathetic Nervous
Origin of fibres:
Pathway to effector organs
PNS vs SNS:
Structural differences between SNS & PNS:
Structural differences between SNS & PNS:
Dual effector control: (2)
- Systems have opposing effects
- Antagonistic e.g. Heart: SNS increase HR, while PNS decrease HR
Define Tonically active:
Partially active always; balance between the two which results in more precise, fine control
- Complementary SNS & PNS _______ e.g. salivary glands: PNS causes watery saliva, while SNS causes thick, viscous saliva
activation
SNS vs PNS functions:
What are neurotransmitters? (3)
- substances released by synaptic terminals for the purpose of transmitting information from one nerve cell to another
- Bind to post synaptic membrane receptors where they have an effect
- important to ANS Acetylcholine (Ach) and noradrenaline (NA)
What are the functions of neurotransmitters?
- change cell membrane permeability to ion (open/closes channels) increase Or decrease Enzyme attached to receptor (2nd messengers)
What are the functions of neurotransmitters?
- change cell membrane permeability to ion (open/closes channels) increase Or decrease Enzyme attached to receptor (2nd messengers)
What are the receptors of neurotransmitters?
- Different types of receptors so that organs can have different reactions to the same stimulus e.g fight or flight
Cholinergic receptors:
* Synaptic transmission mediated by ________ (Ach)
acetylcholine (Ach)
What are the types of Cholinergic receptors? (2)
- Nicotinic Pre-post ganglionic
- Muscarinic Postganglionic-end organ
Where are Cholinergic receptors found?
- Always found between pre and post ganglionic neurones
True or false
All parasympathetic postganglionic neurones are also cholinergic
True, All parasympathetic postganglionic neurones are also cholinergic ie. Release Ach so must bind to Muscarinic receptors
True or false, not all sympathetic postganglionic fibres are adrenergic
False, most sympathetic post ganglionic fibres are adrenergic so act on alpha or beta receptors except sweat glands and post ganglionic neurones that end on blood vessels on some skeletal muscle
What are adrenergic receptors? (3)
- Synaptic transmission mediated by noradrenaline or adrenaline
- Alpha with subtypes a1 and a2
- Beta with subtypes B1, B2, and B3
How are cholinergic fibres found in the parasympathetic system?
How are cholinergic fibres and adrenergic fibres found in the sympathetic system?
Comparison of SNS and PNS: (5)
How does the ACh synapse work? (3)
How does the ACh synapse work? (3)
How does the noradrenaline synapse work?
What are 2nd messengers?
- An intracellular chemical that is activated by the binding of an extra cellular 1st messenger to a surface receptor site, triggering a pre- programmed series of biochemical events that alter activity of intracellular proteins controlling a particular cellular activity
2nd messengers examples: (2)
- Cyclic adenosine monophosphate (cAMP)
- Inositol triphosphate (IP3) and diacylglycerol (DAG)
How does the first messenger (neurotransmitter) utilize a cellular response?
How does the first messenger (neurotransmitter) utilize a cellular response?
Neurotransmitter: ACh
Receptor:
2nd messenger:
Increased/decreased:
Neurotransmitter: ACh
Receptor:
2nd messenger:
Increased/decreased:
Neurotransmitter: NA
Receptor:
2nd messenger:
Increased/decreased:
How do IP3 and DAG work?
How does cAMP work?
Effect of receptors on 2nd messengers:
- a1 receptors: (4)
Effect of receptors on 2nd messengers:
- a2 receptors: (3)
Effect of receptors on 2nd messengers:
- a2 receptors: (3)
Effect of receptors on 2nd messengers:
- B1 receptors: (2)
Effect of receptors on 2nd messengers:
- B1 receptors
Effect of receptors on 2nd messengers:
- B2 receptors: (3)
SNS effects on specific targets
Blood vessels:
* SNS: B2 (NA) = (2)
- SNS: B2 (NA) = vasodilation (increased blood flow to heart & skeletal muscles)
- Regulation is achieved by or the firing rate above or below the tonic level in sympathetic fibres
SNS effects on specific targets
Blood vessels:
* SNS: a1 (NA) = (2)
- SNS: a1 (NA) = vasoconstriction (decreased blood flow to skin, organs, and gut)
- Regulation is accomplished by or the firing rate above or below the tonic level in sympathetic fibres
SNS effects on specific targets
Sweat glands -
* Apocrine sweat glands: (4)
SNS effects on specific targets
Sweat glands -
* Eccrine sweat glands: (5)
SNS effects on specific targets
Eye - PUPIL
* Radial muscle of the iris: (3)
- SNS (a1) Contraction
- Dilation of the pupil Let’s more light in
- Sphincter/ circular muscle does not respond to NA, but responds to Ach
SNS effects on specific targets
Eye - PUPIL
* Ciliary muscle: (2)
- SNS (B2) —> Relaxation of the ciliary muscle
- Zonular fibre/ suspenders ligaments pulled tight —> Flattens lens —-> for distant vision
SNS effects on specific targets
Eye - PUPIL
* Ciliary muscle: (2)
- SNS (B2) —> Relaxation of the ciliary muscle
- Zonular fibre/ suspenders ligaments pulled tight —> Flattens lens —-> for distant vision
SNS effects on specific targets
Lungs (B2): (2)
- bronchodilation
- decreased mucous secretion
SNS effects on specific targets
Urinary bladder: (2)
- relaxes bladder wall (B2) —> Can hold more urine
- contracts sphincter (a1) —-> Inhibits micturition pathway
SNS effects on specific targets
GIT/stomach (a1, a2): (3)
SNS effects on specific targets
Kidneys: (2)
SNS effects on specific targets
Kidneys: (2)
SNS effects on specific targets
B3 receptors: (2)
- in adipose tissue
- increase in cAMP
SNS specific effects
Neurotransmitter: NA
Tissue: Heart Muscle, SA node
Receptor:
2nd messenger:
Effect:
SNS specific effects
Neurotransmitter: NA
Tissue: Bronchioles, BV (skeletal muscle), Bladder wall & GIT
Receptor:
2nd messenger:
Effect:
SNS specific effects
Neurotransmitter: NA
Tissue: Arteries, Bladder sphincter, Apocrine sweat glands & salivary glands
Receptor:
2nd messenger:
Effect:
SNS specific effects
Neurotransmitter: ACh
Tissue: Eccrine sweat glands
Receptor:
2nd messenger:
Effect:
PNS effects on specific targets
Gall bladder:
- Contraction to release bile
PNS effects on specific targets
Urinary bladder:
- Pathway through which micturition reflex occurs Sphincter relaxation —-> + bladder wall contraction
PNS effects on specific targets
Stomach/GIT: (3)
PNS effects on specific targets
Rectum & Anus:
- pathway through which defecation reflex occurs
PNS effects on specific targets
Rectum & Anus:
- pathway through which defecation reflex occurs
PNS specific effects
Neurotransmitter: ACh
Tissue: Heart - SA node
Receptor:
2nd messenger:
Effect:
Neurotransmitter: ACh
Tissue: Smooth muscle - GIT, bronchioles, bladder wall, bladder sphincter
Receptor:
2nd messenger:
Effect:
Neurotransmitter: ACh
Tissue: Salivary glands, GIT glands, Mucous (bronchi)
Receptor:
2nd messenger:
Effect:
Comparison of SNS and PNS target organs:
How are the lungs involved in the PNS and SNS?
What is the anatomy of an asthma attack?
How are the heart, peripheral blood vessels, adrenal gland and sweat glands involved in the PNS and SNS?
How is the liver, gall bladder, pancreas and GIT involved in the PNS and SNS?
How is the bladder involved in the PNS and SNS?
How are the eyes (iris muscle - pupil diameter) involved in the PNS and CNS?
Target Tissue: Heart
Sympathetic response
Neurotransmitter released:
Post-synaptic receptor:
Tissue response:
Parasympathetic response
Neurotransmitter released:
Tissue response:
Target Tissue: Blood vessels
Sympathetic response
Neurotransmitter released:
Post-synaptic receptor:
Tissue response:
Parasympathetic response
Neurotransmitter released:
Tissue response:
Target Tissue: Adrenal gland
Sympathetic response
Neurotransmitter released:
Post-synaptic receptor:
Tissue response:
Parasympathetic response
Neurotransmitter released:
Tissue response:
Target Tissue: Adrenal gland
Sympathetic response
Neurotransmitter released:
Post-synaptic receptor:
Tissue response:
Parasympathetic response
Neurotransmitter released:
Tissue response:
Target Tissue: Sweat glands
Sympathetic response
Neurotransmitter released:
Post-synaptic receptor:
Tissue response:
Parasympathetic response
Neurotransmitter released:
Tissue response:
Target Tissue: Lungs
Sympathetic response
Neurotransmitter released:
Post-synaptic receptor:
Tissue response:
Parasympathetic response
Neurotransmitter released:
Tissue response:
Summary of ANS control of specific target organs: READ & STUDY (1)
Summary of ANS control of specific target organs: READ & STUDY (2)
What is an agonist/stimulant/mimetic? (2)
- substance that activates receptor = agonist/stimulant/mimetic
- Enhances ANS response + binds NT receptors & mimics NT
What is an antagonist/blocker? (3)
- substances that inhibit receptor = antagonist, blocker
- depresses AND response + binds NT receptor & blocks NT
- does not elicit a response
What is an antagonist/blocker? (3)
- substances that inhibit receptor = antagonist, blocker
- depresses AND response + binds NT receptor & blocks NT
- does not elicit a response
What is an agonist?
- Chemicals (ligands) that binds to receptors to activate them —-> Cellular response & mimics actions of NTs
What is an antagonist? (2)
- Blocker
- chemicals (ligands) that bind to receptors to prevent the actions of agonists —-> No cellular response
Pharmacology & Ach synapse
Nicotinic Agonist:
Muscarinic agonist:
Pharmacology & Ach synapse process:
Pharmacology & Ach synapse:
Nicotinic Antagonist -
Muscarinic Antagonist -
Pharmacology & Ach synapse:
ACh inhibitors:
Pharmacology & NA synapse
Agonists:
Pharmacology & NA synapse
Blockers:
Pharmacology & NA synapse
Stimulants:
Pharmacology & NA synapse
Reuptake inhibitors:
Pharmacological interventions
Pharmacological Agent: Beta Blocker
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Alpha Blocker
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Muscarinic agonist
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Anticholinesterase
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Anticholinesterase
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Beta Agonist
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Alpha Agonist
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Non-specific adrenergic agonist (adrenaline)
Signs & symptoms:
Used to treat:
Pharmacological interventions
Pharmacological Agent: Muscarinic blocker
Signs & symptoms:
Used to treat:
Diseases
Horner’s syndrome:
- Lesions of cervical parts of sympathetic chain produces characteristic signs on ipsilateral side of face
Diseases
* Enophthalamos —>
Slight retraction of globe of eye Paralysis of smooth muscle
Diseases
* Ptosis —->
Drooping of eyelid —-> Paralysis of smooth muscle part of lavatory palpebrae
Diseases
* Miosis —–>
Constricted pupils —-> Unopposed PNS action
Diseases
* Anhidrosis —->
Loss of sweating —> Over the half of face and neck
What is Pheochromocytoma?
- Catecholamine-secreting tumour
Mostly increased NA
Pheochromocytoma:
HR:
BP:
Symptoms of Pheochromocytoma: (3)
Pheochromocytoma:
What are the consequences of Long term increased In catecholamines? (6)