Autonomic nervous system Flashcards
What afferents can the PNS be split into
Motor afferents, sensory afferents
What are the 2 sections of the PNS
Autonomic, somatic
What are the 3 sections of the autonomic nervous system
Sympathetic, enteric, parasympathetic
What does the somatic system control
Voluntary control of skeletal muscles
Examples of bodily functions the ANS is involved in
Sweating, drooling, tearing up, hairs standing on end
When does discovery of the ANS date back to
Mid 1600s, Thomas Willis relied on obsevation of carcasses
What structure do the ganglia of the sympathetic nervous system form
Form segmental chain ganglia, organised segmentally according to lumbar and thoracic aspects in the organisation of the body
Where in the CNS do NO sympathetic neurons emerge from
Brain, cervical or sacral spinal cord
How does the sympathetic nervous system supply the gut
Three midline ganglia supply the gut
What are the length of the pre- and postganglionic nerves of the sympathetic nervous system
Preganglionic neurons are short
Postganglionic nerves tend to be very long
What are preganglionic neurons
Preganglionic neurons have cell bodies in the spinal cord that send out axons to the ganglion
What are postganglionic neurons
Run from the ganglion to the effector organ
What are the length of the pre- and postganglionic nerves of the PARAsympathetic nervous system
Preganglionic neurons are long
Post-ganglionic nerves are short
Why do preganglionic nerves tend to be shorter in the sympathetic nervous system than in the parasympathetic nervous system
Sympathetic ganglia are often closer to the spinal cord (making them shorter) while parasympathetic preganglionic fibers tend to project to and synapse with the postganglionic fiber close to the target organ.
What neurotransmitters do both sympathetic and parasympathetic neurons receive as input
Receives cholinergic input from the preganglionic neuron (ACh) that binds to nicotinic receptors
Why is there a segmental chain ganglia organisation
The neural crest migrates through the rostral half of each somite, forming the segmental sympathetic chain ganglia
Where is the output of the parasympathetic nervous system
Output in cranial nerves and sacral spinal cord
What is the organisation of the ganglia in the parasympathetic nervous system
No segmental ganglia, ganglia close to targets
What neurotransmitters does the postganglionic neuron of the sympathetic nervous system release onto target cells
Mostly releases noradrenaline onto alpha/beta adrenergic receptors
Sometimes releases ACh
What neurotransmitters does the postganglionic neuron of the parasympathetic nervous system release onto target cells
Releases mainly ACh onto muscarinic ACh receptors
What do autonomic nerves end in instead of synaptic junctions
Varicosities, form as a series of enlargements that release neurotransmitter
What can autonomic nerves release in addition to the main neurotransmitters
Neuromodulators- modulate the action of primary transmitters
Examples of neuromodulators released by sympathetic nerves
Enkephalin, ATP
Examples of neuromodulators released by parasympathetic nerves
Somatostatin, nitrous oxide (NO)
How is the innervation of sweat glands unusual
Sweat glands receive cholinergic sympathetic innervation(sympathetic neurons don’t usually release cholinergic transmitters)
Why do the sweat glands recieve cholinergic sympathetic innervation instead of noradrenaline
Target derived factors in development cause NA cells to switch to ACh cells in a late phenotypical switch (post-natal)
Examples of the target derived factors that cause NA cells to switch to ACh cells
Leukaemia inhibitory factor, ciliaric neurotrophic factor
How was the switch of the innervation of sweat glands discovered- procedure
By transplanting foot pad tissue (has a cholinergic neurotransmitter identity) onto a patch of skin dominated by noradrenergic innervation (Schotzinger and Landis, 1988)
How was the switch of the innervation of sweat glands discovered- results
The innervation for the transplanted tissue remained cholinergic (switch did not occur) because it receives transcription factor signals from the sweat glands themselves (Schotzinger and Landis, 1988)
What can be done if you sweat a great deal (hyperhidrosis)
The sympathetic chain innervating the sweat glands can be cut or regionally infected with Botulinum toxin to prevent sympathetic stimulation
How are piloerector muscles innervated and what is the result of input
Receive noradrenergic inputs that cause the hair shaft to move into an erected position
What is peripheral vasoconstriction
Sympathetic nerves innervating the smooth muscle cause them to contract which reduces blood flow to the fingers and heat loss (shown by, Pirzgalska et al 2015)
Paravertebral chain of sympathetic ganglia- what supplies head
Superior cervical ganglion at the top of the sympathetic chain
Paravertebral chain of sympathetic ganglia- what supplies heart and lungs
Middle cervical and stellate ganglia
Paravertebral chain of sympathetic ganglia- what supplies abdominal and pelvic organs
Pre-vertrebal ganglia
What are the 3 ways the sympathetic ganglia are innervated
Terminate in ganglia, pass along chain before terminating, some synapse with midline ganglia
How do some preganglionic nerves synapse with midline ganglia before innervating the ganglia
Synapse with midline/pre-vertebral ganglia via the splanchnic nerves eg celiac ganglia and mesenteric ganglia, which in turn project to the gut and internal organs
How do the preganglionic neurons enter and the postganglionic nerves leave the sympathetic ganglia
Preganglioic neurons enter via the white ramus
Postganglionic nerves leave via the grey ramus
Where do the preganglionic and postganglionic sympathetic neurons synapse
In the sympathetic ganglion
What innervates the gut
The main pre-vertebral ganglia innervate the gut
- celiac
- superior mesenteric
- inferior mesenteric
- inferior hypogastric
What are the pre-vertebral ganglia that innervate the gut suppled by
The greater, lesser and least splanchnic nerves
What are the 3 main pre-vertebral ganglia that innervate the gut
The celiac ganglion, the superior mesenteric ganglion, the inferior mesenteric ganglion
What supplies the foregut
The celiac ganglion
What supplies the midgut
The superior mesenteric ganglion
What supplies the pelvic organs
The inferior mesenteric ganglion
What does the rostral-most porttion of the parasympathetic nervous system consist of
Cranial nerves 3, 7, 9 and 10
What is cranial nerve 3 from the parasympathetic nervous system
Oculomotor, the iris
What is cranial nerve 7 from the parasympathetic nervous system
Facial, tear and salivary glands
What is cranial nerve 9 from the parasympathetic nervous system
Glossopharyngeal, salivary gland
What is cranial nerve 10 from the parasympathetic nervous system
Heart, lungs and viscera
Pupil reflex- parasympathetic input
Parasympathetic input stimulates post-ganglion fibres from the ciliary ganglion that innervate the iris constrictor muscles, constricting the pupil and decreasing light passage to the retina
Pupil reflex- sympathetic input
Sympathetic input stimulates post-ganglion fibres from the superior cervical ganglion, causing pupil dilation and increasing light passage to the retina
What drugs can cause parasympathetic stimulation of the eye
Opiates, making pinpoint pupils
What drugs can cause sympathetic stimulation of the eye
Sympathomimetic drugs eg Amphetamines dilate pupils (cycloplegic effect)
What are the symptoms of Horner’s syndrome
Pupils constricted, eyelid droops, dry flushed facial skin
What can cause Horner’s syndrome
Can be caused by lesion of sympathetic superiori cervical ganglion, damaging the axons between the ganglion and the target organ eg due to tumour, carotid artery lesions