Introduction to the Autonomic Nervous System Flashcards

1
Q

Which limb of the autonomic nervous system has more of an effect on the Liver?

A

Sympathetic – causes hepatic gluconeogenesis and glycogenolysis

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2
Q

Which limb of the autonomic nervous system dominates the lungs and the eyes at rest?

A

Parasympathetic
Lungs – causes partial bronchoconstriction
Eyes – allows near vision

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3
Q

Describe the relationship between baroreceptor firing and parasympathetic discharge.

A

Baroreceptors are stimulatory to the parasympathetic nerves i.e. an increase in baroreceptor firing stimulates an increase in parasympathetic firing
- ie increased barareceptor firing activates parasympathetic fibres to heart, inhibitory and slows heart rate

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4
Q

Describe the differences between sympathetic responses and parasympathetic responses.

A

Sympathetic – coordinated and divergent

Parasympathetic – discrete and localised

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5
Q

What type of receptor are nicotinic receptors?

A

Type 1 – ionotropic receptors

They are VERY fast

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6
Q

What type of receptor are muscarinic receptors?

A

Type 2 – G-protein coupled receptors

Slower than Type 1 receptors

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7
Q

Describe the difference in the transmission through nicotinic and muscarinic receptors.

A

Nicotinic is much faster

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8
Q

What effect does parasympathetic dominance at rest have on the: lungs, gut, bladder and eyes?

A

Lungs – partial bronchoconstriction
Gut – increased gut motility
Bladder – increased urinary frequency
Eyes – short-sightedness

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9
Q

Why would giving a ganglion blocker at rest cause constipation?

A

At rest the parasympathetic nervous system is dominant, which increases gastric motility. This means that a ganglion blocker will knock out this effect and cause constipation.

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10
Q

Where are the 5 (three MAIN) types of muscarinic receptor found?

A

M1 – neural tissue (forbrain, learning and memory)
M2 – heart cardiac (slow HR) Brain (inhibitory autoreceptors)
M3 – exocrine and smooth muscle (contraction) hypothalamus (food intake)
M4 - periphery, pre-junctional nerve endings (inhib)
M5- striatal dopaminergic release

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11
Q

Which adrenergic receptors are responsible for the sympathetic control of vasculature?

A

Alpha 1 – constriction

Beta 2 – dilation

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12
Q

What type of receptor are all adrenergic receptors?

A

G-protein coupled

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13
Q

Describe the synthesis of acetylcholine. and action

A

It is formed from acetyl CoA and choline by choline acetyltransferase
It is broken down by acetyl cholinesterase
- ach + coA causes Ca2+ in and Ach out, binds to receptor in effector cell and then broken down by acetylcholine esterase)

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14
Q

Describe the synthesis of Noradrenaline and its release

A

Tyrosine -> DOPA (enzyme: tyrosine hydroxylase)
DOPA -> dopamine (enzyme: DOPA decarboxylase)
Dopamine -> Noradrenaline (enzyme: dopamine beta-hydroxylase)
This last step takes place in a vesicle
Released by Ca2+ triggered by action pot

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15
Q

What are the two uptake and breakdown mechanisms of noradrenaline?

A

Uptake 1 – neuronal tissue – mainly Monoamine Oxidase breakdown (MAO)
Uptake 2 – extraneuronal tissue – mainly Catechol-O-Methyl Transferase (COMT)

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16
Q

general location for adrenoceptors and type

A

predom at end of sympa nervous system

all GPCR than stim by NA + A

17
Q

what stimulates and blocks nicotinic receptors and where are they found

A

location: transmit pre to post ganglionic (release Ach)
stim: nicotine
inhib: hexamthonium

18
Q

nicotinic receptor method of action

A

ach binds, causes channel open and Na/Ca influx and allows signal transmission

19
Q

muscarinic receptor location, method of action, stim and inhibited by?

A

location: in all tissues innervated by post ganglionic parasympathetic fibres (and sweat glands have muscarinic receptors releasing Ach
- type 2 g protien coupled
- stim: Ach/Muscarine
- inhib: atropine
- slower than nicotinic

20
Q

what happens at rest if you block muscarinic receptors

A

increased heart rate and decreased sweat production

21
Q

muscarinic effect in heart and vasculature?

A

M2 in heart (in AV and SA node and atria)
- binding stimulates decreased cAMP production, decreased HR, CO, and Ca entry, and increased K+ efflux
On vasulature:
- most blood vessels dont have direct parasympathetic innervation but have muscarinic receptors that can be stimulated
- Ach acts on enothelial cells and stimualtes NO release, causes muscle relaxation and decrease in TPR
THESE ALL CAUSE DECREASE IN BLOOD PRESSURE

22
Q

muscarinic effects on non-vascular smooth muscle and endocrine glands

A

lungs: bronchoconstiriction, gut: increased motility, bladder: increased emptying
endo glands: increased bronchial and GI secretions (inc HCL) and increased sweating