Exam 1 Flashcards
What cell types are effector cells of the Autonomic Nervous system?
smooth muscle, cardiac muscle, gland cells
What neurotransmitter does both neurons of the parasympathetic system release?
acetylcholine
What receptor does acetylcholine bind to?
cholinergic receptor
Pharmacology of the ANS
- Acetylcholinesterase inhibitors
- Nicotine
- Muscarine
In the sympathetic system, what does the postganglionic neuron release, and onto what?
norepinephrine onto a norepinephrine receptor
Neurochemistry of Parasympathetic Pathway
- CNS stimulates action potential
- preganglionic neuron always releases acetylcholine at parasympathetic ganglion
- ACh binds to a receptor on postganglionic neuron (nicotinic)
- postganglionic neuron release ACh on target cell
- ACh binds to receptor (muscarinic)
Neurochemistry for Sympathetic system
- CNS stimulates action potential in preganglionic
- pregang neuron release ACh at sympathetic ganglion
- ACh binds to receptor on post ganglionic neuron (nicotinic)
- postganglionic neuron release norepinephrine onto target cell
- Norepinephrine binds to adrenergic receptor
What are the subtypes of Adrenergic receptors?
Alpha 1: causes contraction of smooth muscle
Alpha 2: usually found on the varicosities of sympathetic postganglionic neurons; negative feedback to inhibit further norepinephrine release
Beta 1: found on cardiac muscle cells
Beta 2: usually cause relaxation of smooth muscle
What are the two ways to activate targets in the sympathetic system?
- Activate individual preganglionic neurons through connections in the CNS
- Activate release of epinephrine from adrenal gland; this activates receptors
What is “fight or flight”
activation of all sympathetic neurons as well as release of epinephrine into the blood stream
How does the parasympathetic system operate?
By activation of individual preganglionic neurons by the CNS, does not activate all at once
Agonist drug
Binds to a receptor and stimulates the same response in the cell as binding the transmitter
Antagonist drug
Binds to a receptor but does not create a response in the cell; it blocks the action of the transmitter by occupying the binding site
Can the body activate all parasympathetic pathways at once?
No, this can only be caused by drugs
1. Acetylcholinesterase inhibitors
2. nictoine
3. muscarine
Acetylcholinesterase inhibitors
any drug that blocks the breakdown of acetylcholine prolongs activation of ANS stimulation
Nicotine
a drug that turns on BOTH sympathetic and parasympathetic systems by activating the nicotinic acetylcholine receptor at all ganglionic synapses
Muscarine
a drug found in certain mushrooms; activates all muscarinic receptors at target organs (tearing, drooling, sweating, slow heart rate, difficulty breathing)
Norepinephrine
a neurotransmitter of the sympathetic nervous system; it activates all adrenergic receptors
Epinephrine
a hormone released from the adrenal gland; it also activates all adrenergic receptors (epinephrine=adrenaline)
Homeostasis
the maintenance of a relatively stable internal environment
Hypothalamus as the Master regulator
receives info from
-frontal lobe
-limbic system
-circulating hormones and signals
-neural signals from sensory
pathways
sends instructions to
-pituitary gland (endocrine output)
-brainstem centers (neural:automic)
-brainstem centers (neural: somatic)
-spinal cord centers (neural: autonomic)
Somatic nervous system
-cell bodies in CNS
-single neuron from CNS to effector organs (skeletal muscle)
Autonomic nervous system
-autonomic pathways are part of the motor system
-anatomically and functionally different from the somatic nervous system
-the 2 divisions of the ANS each have their own anatomy
-sympathetic and parasympathetic divisions work together
What systems control homeostasis
nervous and endocrine
Anatomy of the parasympathetic nervous system
-craniosacral system
-rest and digest
-preganglionic neurons in cranial nerves III, IX, X
Anatomy of the Sympathetic nervous system
-thoracolumbar system
-preganglionic neurons form all thoracic spinal cord levels and lumbar levels L1 and 2
-fight or flight
Dual innervation
most organs receive both sympathetic and parasympathetic control
What regulates organ function?
transmitters and receptors of the ANS
Effector cells of the ANS
-smooth muscle: ANS can increase or decrease the amount of contraction in a bed of smooth muscle
-Cardiac muscle: ANS can increase or decrease the amount of contraction in the wall of the heart, and regulate the rate of contraction
-gland cells: ANS can increase or decrease the amount of secretion produced and released from a gland
Neurochemistry of the ANS
-CNS stimulates action potential
-neurotransmitter binds to a receptor on postganglionic
-binding of transmitter stimulates action potential
-postganglionic releases neurotransmitter onto the target the cell
-binding of transmitter stimulates the target cell (smooth, cardiac, or gland cell)
What are the two exceptions in the sympathetic system?
- Sweat gland: ACh binds to muscarinic receptor
- Adrenal medulla: epinephrine and some norepinephrine get release into the blood, then it leaves the bloodstream and bind to any cell with adrenergic receptor
Acetylcholinesterase inhibitors
any drug that blocks the breakdown of ACh prolongs activation of ANS stimulation
2 main components of blood
- plasma
- formed elements
Hemopoises
aka Hematopoiesis
- the process of blood cell formation
-occurs in the hollow center of bone (red marrow)
-with aging, marrow cavity becomes filled with fat (yellow marrow)
Hemocytoblasts
stem cells that divide to form all types of blood cells; aka pluripotent stem cells
Erythrocytes
-red blood cells
-carry oxygen to cells in the body
account for slightly less than half the blood volume, and 99.9% of the formed elements
Hematocrit
measures the percentage of whole blood occupied by formed elements
Erythropoiesis
formation of new red cells
-RBCs pass through erythroblast and reticulocyte stages, during which time the cell actively produces hemoglobin
-process speeds up within the presence of erythropoietin
EPO
erythropoiesis stimulating hormone
Bioconcave disc
-provides a large surface-to-volume ratio to maximize rate of gas diffusion through membrane
-RBCs lack organelles: no nucleus
-shape allows RBCs to stack, bend, and flex
Hemoglobin
-accounts for 95% of the proteins in RBCs
-globular protein, formed from 2 pairs of protein subunits
-2 alpha and 2 beta
-each subunit contains 1 molecule of heme
-each heme has an iron ion at its center
-the iron binds and releases an oxygen molecule
-one hemoglobin can bind up to 4 oxygen molecules
Recycling hemoglobin
-aged and damaged RBCs are engulfed by macrophages of spleen, liver, and bone marrow; the hemoglobin is broken down
-raw materials are made available in blood for erythrocyte synthesis
Disorders of the blood
-jaundice
-anemia
-sickle cell anemia
Jaundince
-of the bilirubin formed in RBC breakdown, approximately 85% is removed from the blood and processed by the liver
-failure of the liver to “keep up” with RBC breakdown or blockage of the bile ducts leads to a buildup of bilirubin in the blood
-bilirubin then diffuses out into tissues all over the body, giving yellow color
Anemia
-a decrease in the oxygen-carrying capacity of blood
-symptoms: lethargy, weakness, muscle fatigue, low energy
-can include iron deficiency, hemorrhagic, and anaplastic
Sickle Cell anemia
-caused by a mutation of the amino acid sequence of the beta chain hemoglobin
-without sufficient oxygen bound to it, hemoglobin molecules cluster into rods and force the cell into a stiffened, curved shape which can get stuck in capillaries
Leukocytes
-WBCs
-can leave the blood stream in response to chemical signals by squeezing through gaps in vessel wall=diapedesis
Granulocytes (WBC)
-Neutrophil: 50-70% total WBC
-Eosinophil: phagocytes
-Basophil: migrate to damaged tissue and release histamine and heparin
Agranulocytes (WBC)
-lymphocyte: immune system cells
-monocyte: leave circulation to become macrophage
Complete Blood Count (CBC)
-one of the most common clinical tests performed
-simple blood test measuring most parameters of blood
-hematocrit and hemoglobin concentrations
-platelet count
-white blood cell count
What granular leukocytes come from a Myeloid stem cell?
-eosinophils
-basophils
-neutrophils
What agranular leukocytes form from a lymphoid stem cell?
-monocytes
-B lymphocytes
-T lymphocytes
Where do myeloid and lymphoid stem cells come from?
hematopoietic stem cell (hemocytoblast)
Disorders of the blood
-Leukemia (lymphoid and myeloid)
-immature and abnormal cells enter circulation, invade tissues
Platelets
fragments of a megakaryocyte
Steps in platelet formation
- hemocytoblast
2.megakaryoblast - megakaryocyte (II/III)
- megakaryocyte (IV)
- platelets
Steps in blood clotting
- smooth muscle contracts (vasoconstriction)
- injury to lining of blood vessel exposes collagen fibers; platelets adhere
- platelets release chemicals that make nearby platelets sticky; platelet plug forms
- fibrin forms a mesh that traps RBCs and platelets, forming the clot
Coagulation
-many blood proteins involved
-liver problems give coagulation problems
-drugs can interfere with clotting process
-final step: thrombin catalyses conversion of fibrinogen to fibrin threads
Fibrinolysis
breakdown of clot
-an inactive plasma enzyme called plasminogen is converted to plasmin
-plasmin digests fibrin threads of clot and clot eventually breaks down
Systemic circuit
-blood passes to and from most organs of the body
-arteries carry oxygenated blood
-veins carry deoxygenated blood
Pulmonary circuit
-blood passing to and from the lungs
-pulmonary arteries carry deoxygenated blood to lungs (need to be oxygenated)
-pulmonary veins carry oxygenated blood to left side of the heart
Where do arteries carry blood?
away from the heart
Where do veins carry blood?
toward the heart
Where does the RS of the heart receive blood from?
RS of heart receives deoxygenated blood through the superior and inferior vena cavae
Where does the RS pump blood to?
the pulmonary arteries
Where does the LS of heart receive blood from?
The LS of heart receives oxygenated blood from lungs via the pulmonary veins
Where does the LS of heart pump blood through?
aorta, to the rest of the body
How many layers make ip a blood vessel?
3
Tunica intima
-innermost layer of a blood vessel
-lined by epithelium
-supported by connective tissue
Tunica media
-middle layer of a blood vessel
-smooth muscle with various amounts of elastic fibers
Tunica externa
-outermost layer of a blood vessel
-connective tissue
Composition of arteries
-stronger, thicker walls than veins of the same size
-arteries generally contain more smooth muscle and often more elastic fibers
Blood vessels where have the largest diameter?
closest to the heart
Elastic arteries
largest arteries closest to heart contain lots of elastic fibers, and swell with each heart pump
Muscular arteries
smaller diameter arteries distributing to organs