Autonomic Nervous System and Basic Endocrinology Flashcards
The afferent nervous system is composed of______________
Sensory Neurons
The efferent nervous system is composed of the ______________ and ______________
Autonomic NS and Somatic NS
What is the function of the Autonomic Nervous System?
Maintenance of homeostasis
Most autonomic signals are ____________ consciously and not under ________ control
Not perceived
Voluntary control
Autonomic nerves consist of 2 neurons, the ____________ and ___________ neurons synapse in ganglia
Pre-ganglionic and Post-ganglionic
What are the advantages of a 2 neuron chains in the ANS?
- 1 Pre-ganglionic neuron can synapse onto many postganglionic neurons
- 1 Pre-ganglionic neuron can synapse onto both excitatory and inhibitory neurons
- Information from sensory axons can act before reaching the CNS
Sympathetic nerves have a _____ preganglionic neuron and a _____ postganglionic neuron.
Short
Long
Sympathetic nerves exit the CNS in the _______ and _______ regions of the spine
Thoracic and Lumbar regions
Due to the short length of the ___________ neuron, the ganglia of the sympathetic nerves form a body close to the spinal cord called the _______________
Pre-ganglionic
Sympathetic trunk
What does the sympathetic trunk allow sympathetic neurons to do?
“Talk” to each other
Parasympathetic nerves have ______ preganglionic neurons and _____ postganglionic neurons
Long
Short
Parasympathetic nerves exit the ______ and _______ region of the spine
Brain
Sacral
Parasympathetic and Sympathetic nerves generally exert _________ effect on an organ
An opposite
Sympathetic stimulation causes heart rate and cardiac output to ________.
Increase
In the presence of noradrenaline the contractility of the ventricle ______ which causes cardiac output to ______.
Increase, Increase
What are the effects of increased Sympathetic NS activation?
Increased Heart Rate and CO
Constriction of arteriole and venous smooth muscle
Dilation of pupils
Relaxation of smooth muscle in the airways
Breakdown of Glycogen and Fat stores
Increased sweating
Discuss the redistribution of blood flow when the Sympathetic NS is activated.
- At rest 15-20% of blood flow goes to the skeletal muscles
- When sympathetics are stimulated blood vessels in the skeletal muscles dilate
- The blood vessels in the kidney, stomach, intestines and liver constrict
- This causes 80-85% of blood flow to go to the skeletal muscles during activity
Sympathetic NS activity stimulates the __________ to release ________ into the blood which reinforces sympathetic actions.
Adrenal Medulla
Adrenaline
Do the Parasympathetic and Sympathetic nervous systems always have opposite effects?
No, for example in the salivary glands they both stimulate secretion of saliva
What is the Dive reflex?
When the face is submerged in water, mechanoreceptors and thermoreceptors activate the parasympathetics resulting in pronounced Bradycardia (Abnormally slow HR)
What is the Cold Shock response?
Submersion in cold water will stimulate cutaneous cold receptors to activate the sympathetic NS resulting in pronounced Tachycardia (Abnormally fast HR)
With respect to the ANS, what is the function of the hypothalamus?
To integrate information it receives into a coherent pattern of autonomic responses
What is the major neurotransmitter for all pre-ganglionic-post-ganglionic synapses?
Acetylcholine
What does Cholinergic mean?
The neuron releases Acetylcholine at its synapse
What does Adrenergic mean?
The neuron releases Noradrenaline at its synapse
In sympathetic pathways, the pre-ganglionic neuron is ____________ and the post-ganglionic is ____________
Cholinergic
Adrenergic
In sympathetic pathways sweat glands both the pre-ganglionic and post-ganglionic neurons are __________
Cholinergic
In parasympathetic pathways the pre-ganglionic neuron is _________ and the post ganglionic neuron is __________
Cholinergic
Cholinergic
Why is the effect of Acetylcholine short lived?
Acetylcholine is rapidly broken down by exctracellular Aceytlcholinesterases
Why is the effect of Noradrenaline short lived?
Noradrenaline is rapidly reabsorbed by the sympathetic nerves
What are catecholamines?
Substances derived from the amino acid tyrosine
i.e. Adrenaline, Noradrenaline
Why are the effects of adreanline and noradrenline in the blood short lived?
They are inactivated in the liver by catechol-O-methyltranferase
What are adrenergic receptors?
Receptors specific to Noradrenaline and Adrenaline
What effect do α1 - adrenergic receptors have?
They stimulate contraction of the smooth muscle in arterioles and veins
What effect do α2 - adrenergic receptors have?
They inhibit the release of insulin from the endocrine pancreas
What effect do β1 - adrenergic receptors have?
They stimulate an increase in heart rate and force of contraction
What effect do β2 - adrenergic receptors have?
They stimulate the smooth muscle in the airways to relax. These receptors have a greater affinity for adrenaline than noradrenaline
What are cholinergic receptors?
Receptors specific to Acetylcholine
What is a Muscarinic Acetylcholine receptor?
- A receptor named after the agonist muscarine
- Found on effector (target) cells innervated by the parasympathetic nerves
- It can be blocked by atropine
Whats is a Nicotinic Acetylcholine receptor?
- A receptor named after the agonist nicotine
- These receptors are found on post-ganglionic cell bodies and post-synaptic membranes of skeletal muscle cells
Peptide hormones are stored in _________. They are _________ and so bind to receptors on the cell membrane.
Vesicles
Lipophobic
Give some examples of Tyrosine derivative hormones
Adrenaline/Noradrenaline
Dopamine
Thyroxine
The pituitary gland is also known as the ________
Hypophysis
Nerves that can secrete hormones are called __________
Neuroendocrine cells
The Posterior Pituitary is also called the
Neurohypophysis
Explain how hormones are release from the Neurohypophysis
- Hormones are made in the hypothalamus’ neuroendocrine cell bodies
- The hormones are then stored in their axons in the neurohypohysis
- Hormones are released into the blood in response to neural stimulation
The Anterior Pituitary is also called the
Adenohypophysis
How is the hypothalamus able to communicated with the Adenohypophysis?
It can send chemical signals via the Hypothalamo-pituiatry portal vessels
What does GHRH stand for?
Growth Hormone Releasing Hormone
What does CRH stand for?
Corticotropin Releasing Hormone, stimulates the release of ACTH
What does TRH stand for?
Thyrotropin Releasing Hormone, stimulates secretion of Prolactin and TSH
What does GnRH stand for?
Gondaltropin Releasing Hormone, stimulates the release of FSH and LH
What does SS stand for?
Somatostatin, Inhibits the release of FSH and GH
What does DA stand for?
Dopaminne, it inhibits the release of Prolactin
Cortisol is released by the ___________ of the adrenal gland at a rate of about ___mg a day
Zona Reticularis
10mg/day
Under basal conditions, what is cortisols function?
Maintaining homeostasis of metabolic processes and fluid balance
Explain how Cortisol is secreted under stressful conditions
- The hypothalamus increases secretion of CRH
- CRH goes to the Ant. Pit. causing it to release ACTH
- ACTH goes to the Zona Reticularis portion of the Adrenal Gland’s cortex and stimulates the secretion of Cortisol
During stress what does Cortisol do?
Increase glucose and oxygen supply to the skeletal muscles, heart and brain
Increases Muscle performance
At the liver, cortisol causes an increase in _____________
Gluconeogenesis
Cortisol prevents cells that aren’t necessary from taking up _________ and __________
Amino Acid and Glucose
By activating _________ cortisol increases the amount of free fatty acids that can be used and an alternative fuel
Lipolysis
In order to conserve energy, cortisol suppresses __________, __________ and __________ functions
Immune, Digestive and Reproductive
What is Cushing’s Disease?
Overproduction of Cortisol
Cushings Disease can be caused by:
- Over-secretion of CRH by a hypothalamic tumour
- Over-secretion of ACTH by a anterior pituitary tumour
- Negative feedback issue, insensitivity to raised cortisol levels
What are some of the effects Cushings disease?
Diabetes Mellitus
Central Obesity
Thinning of Skin and bruising
Muscles
How do you treat Cushings disease?
Removal of the tumour