Autonomic Nervous System Flashcards

1
Q

ANS

A

The central nervous system (CNS) sends commands to the rest of the body via “autonomic pathways”to control functions that are essential to survival but are undertaken without conscious thought or effort.

  • It’s not about being automatic it’s about being autonomous.
  • It’s self-governed
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2
Q

ANS in history

A

Langley (early 1900s) coined the term “Autonomic Nervous System” and defined it as purely “motor”, excluding any afferent component. Sensory information relevant to autonomic control (eg degree of bladder filling, blood pressure etc) merely travels through autonomic outflows and nerve cell bodies are present in dorsal root ganglia (part of the somatic system) and in specialized sensory ganglia on particular cranial nerves.

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3
Q

Autonomics system motor neurons

A

Consists of collections of motor neurons (with cell bodies present in ganglia) in the head, neck, thorax, abdomen, and pelvis, and the axonal connections of these neurons

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4
Q

ANS MOTOR neurons Vs somatic motor neurons

A

Incorporates CNS components, including brainstem and spinal autonomic preganglionic neurons that project to the autonomic motor neurons in the peripheral ganglia
In the ANS, preganglionic motor neurons are clearly distinguished from somatic motor neurons which project from the CNS directly to the innervated tissue (skeletal muscle) without any intervening ganglia

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5
Q

Sensory component of ANS

A

Communication from organs or tissues to the brain is mediated via afferent neurons with cell bodies in the dorsal root ganglia (near the spinal cord) or in the nodose or petrosal ganglia of the lower cranial nerves (located in the neck). These visceral afferent neurons have a central process that projects into the dorsal horn of the spinal cord (from the DRG) or into sensory nuclei (eg the nucleus tractus solitarius in the dorsal medulla oblongata) in the brainstem from the cranial ganglia

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6
Q

Preganglionic neurons and post ganglionic neuron in sympathetic NS

A

preganglionic neurons lie in the thoraco-lumbar spinal
cord. Postganglionic axons arise from cell bodies
in ganglia that are either:
- arranged in a chain running parallel to the spinal cord (paravertebral) OR
- in isolated ganglia situated in the abdomen (prevertebral

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7
Q

Preganglionic neurons and post ganglionic neuron in Parasympathetic NS

A

Preganglionic neurons lie in the cranial brainstem
region or in the sacral part of the spinal cord.
Post ganglionic fibres arise from ganglionic neurons
situated close to or in target end organs

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8
Q

Preganglionic neurons and post ganglionic neuron in Enteric NS

A

A complex network of ganglia in the walls of the stomach and small intestine. These networks
lack preganglionic input and CAN operate independently of the CNS. DO contain sensory
neurons that interact with interneurons that connect with enteric motor neurons (+/-)

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9
Q

Somatic vs Autonomic Motor Outflows

A

Somatic motoneurons have no intervening synapse

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10
Q

Neurotransmitter releases in Sympathetic NS

A

“Sympathetic” outflows have an intervening synapse where preganglionic neurons use ACh as a
transmitter and postganglionic fibres use Nad (NE)
Sympathetic preganglionic neurons are myelinated and
postganglionics are unmyelinated

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11
Q

Enteric NS structure

A

The enteric nervous system is structurally and functionally organized into afferent neurons, interneurons and motoneurons, with characteristic projections and neurochemical profiles. There are some projections from afferent cell bodies within the enteric nervous system to neurons in autonomic ganglia that project back to the gut, but projections to other parts of the autonomic nervous system are sparse or absent.

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12
Q

Realities about division of ANS

A

Neither division is ever activated in its entirety

Each division has a series of distinct functional
pathways that can be activated by the CNS
either independently or in patterns depending
on homeostatic need

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13
Q

Sympathetic nervous system transmitters

A

preganglionic - acetylcholine, Ach, (fast excitatory transmitter)
- ACh acts on a nicotinic receptor (different from muscle)
- range of peptide slow excitatory transmitters
Postganglionic - Noradrenaline as the primary transmitter
- Co-transmitters ATP, Neuropeptide Y, galanin, somatostatin, opioids
- ACh is the exception in the case of the innervation of the sweat glands

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14
Q

Parasympathetic nervous system transmitters

A

preganglionic - acetylcholine, ACh, (fast excitatory transmitter)

Postganglionic - ACh and nitric oxide (NO) as main non peptide transmitters
- peptide co-transmitters including vasoactive intestinal peptide (VIP),
calcitonin gene related peptide (CGRP), somatostatin, opioids ++

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15
Q

Cranial Parasympathetic Pathways(excluding the vagus)

A

directed mainly to structures in the
head and neck

with synaptic relays in ganglia
(mainly) at a distance from
target organs (compared with
those in the vagus)
Parasympathetic preganglionic axonal outflow to facial structures and in the neck is very precise
Parasympathetic preganglionic axonal outflow to thoracic, abdominal and pelvic structures is diverse

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16
Q

Cranial nerves containing

parasympathetic outflows

A

CNIII Oculomotor
CNVII Facial
CNIX Glossopharengeal
CNX Vagus

17
Q

Parasympathetic preganglionic axonal outflows to facial structures is very precise

A

Edinger-Westphal nucleus in the midbrain —-> CN III (oculomotor) ciliary ganglion —-> Pupil aperture and lens accommodation —->
Pons—> CN VII (Facial) and sphenopalatine ganglion —> Lacrimal glands (tears), Submaxillary “ (saliva)
Submandibular (saliva)
Medulla—->CN IX (glossopharangeal) otic ganglion—-> Parotid gland (saliva)

18
Q

SNPS

A

Sympathetic Preganglionic Neurons (SPNs)
are located throughout the length of
the thoracic and lumbar spinal cord

SPNs typically have short axons and
synapse in either the:
- paravertebral ganglia in the sympathetic
chain
- prevertebral ganglia situated in the
abdomen on the walls of the coeliac
and mesenteric arteries

Sympathetic nerve fibres travel with larger
nerves containing somatic motor and
sensory fibres directed to muscle and
other tissues

19
Q

Synapse at the same level

A
  • Majority of the cases

- There’s synapse at same level as per-ganglionic sympathetic neuron