L16 Autonomic Nervous System Flashcards

1
Q

Describe the divisions of the peripheral nervous system.

A

Peripheral NS: peripheral sensory NS + autonomic NS

Autonomic NS: sympathetic, parasympathetic and enteric NS

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2
Q

What is the overall function of the ANS?

A

Contributes to homeostasis, operates without our awareness, we have no conscious control over the ANS.

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3
Q

What is the function of the sympathetic NS?

A
  • Fight or flight
  • Prepares the body for active/stressful situations
  • E.g. increases heart rate, dilates pupils and bronchioles, diverts blood flow from viscera towards striated muscle
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4
Q

What is the function of the parasympathetic NS?

A
  • Rest and digest
  • Passive, prepares body for maintenance/rest
  • E.g. decreases heart rate, pupillary and bronchiolar constriction, blood diverted to viscera, increased gut motility
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5
Q

What is the function of the enteric NS?

A
  • Self-contained, embedded in the lining of the gastrointestinal system
  • Regulated gut motility and secretion of mucous and digestive enzymes
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6
Q

Describe the anatomy of the sympathetic NS.

A
  • 2-neuron relay
  • Pre-ganglionic sympathetic neurons with cell bodies in the spinal cord, post-ganglionic sympathetic neurons in the peripheral ganglion
  • Post-ganglionic project axons to target tissues
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7
Q

Describe the preganglionic neurons of the sympathetic NS.

A
  • Neurons found in a column in the intermediolateral horn of the spinal cord
  • Short, lightly myelinated axons
  • Realease acetylcholine as their neurotransmitter
  • Make connections with postganglionic neurons in the sympathetic ganglia
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8
Q

Describe the postganglionic neurons of the sympathetic NS

A
  • Found in the sympathetic ganglia
  • Long, non-myelinated axons which project to target tissue, normally smooth muscle, cardiac muscle or glands
  • 90% release noradrenaline
  • 10% release acetylcholine
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9
Q

What are the sympathetic ganglia?

A

Paravertebral or prevertebral sympathetic ganglion.

3 main types of prevertebral ganglia: celiac, superior mesenteric, inferior mesenteric

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10
Q

Describe the anatomy of the parasympathetic NS.

A
  • 2 neuron relay
  • Preganglionic neurons are loacted in visceral efferent motor nuclei of cranial nerves, or in the sacral region of the spinal cord
  • Postganglionic neurons found in ganglia close to target organs
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11
Q

Describe the preganglionic neurons of the parasympathetic NS.

A
  • Either found in visceral efferent motor nuclei of cranial nerves or sacral region of spinal cord
  • Long and lightly-myelinated axons
  • Release acetylcholine
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12
Q

Describe the postganglionic neurons of the parasympathetic NS.

A
  • Found in loose plexi embedded in target organs
  • Short, non-myelinated axons
  • Release acetylcholine
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13
Q

Describe the 3 routes of sympathetic outflow from the spinal cord.

A
  1. Preganglionic axons project through ventral root to white ramus, make synaptic contact with postganglionic neuron in 1st paravertebral sympathetic ganglion, postganglionic neuron joins the segmental spinal nerve
  2. Preganglionic neuron projects up or down the sympathetic chain, makes contact with postganlgionic neuron in paravertebral sympathetic ganglion at different level of spinal cord
  3. Preganglionic neuron passes straight through the paravertebral sympathetic chain and enter the splanchnic nerves where they make synaptic contact with a postganglionic neuron in the prevertebral sympathetic ganglia
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14
Q

Describe some of the actions of the sympathetic NS on target organs.

A
  • Pupil dilation
  • Increases heart rate
  • Increases saliva viscosity
  • Bronchodilation
  • Inhibits digestion
  • Anal sphincter contraction
  • Stimulates release of adrenaline and noradrenaline from adrenal medulla
  • Reduces kidney blood flow, increase water and sodium
  • Bladder relaxation
  • Vasoconstriction
  • Increased sweating
  • Stimulates orgasm, vaginal contraction
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15
Q

Describe some of the actions of the parasympathetic NS on target organs.

A
  • Pupil constriction
  • Reduced heart rate
  • Secretion of saliva
  • Bronchial constriction
  • Increased peristaltic movement
  • Secretion of insulin and digestive enzymes
  • Bladder contraction
  • Secretion of tears
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16
Q

What are neuromodulators?

A

Alters the effects of acetylcholine and noradrenaline on target organs.

17
Q

Give examples of neuromodulators in the sympathetic NS.

A

Postganglionic sympathetic neurons produce:

  • NPY
  • Somatostatin
  • Substance P
18
Q

Give examples of neuromodulators in the parasympathetic NS.

A

Postganglionic parasympathetic neurons produce:

  • VIP
  • CGRP
  • Nitric oxide
19
Q

What type of receptors do adrenaline and noradrenaline bind to?

A

Adrenergic receptors

  • Type of GPCR
  • Induce slow acting and prolonged postsynaptic responses
  • α1 = contraction of smooth muscle in BVs
  • α2 = contraction of BVs
  • β1 = increased heart rate and contractility
  • β2 = relaxation of smooth muscle in gut, uterus, bronchi, BVs
  • β3 = relaxation of smooth muscle in bladder
20
Q

What type of receptors does acetylcholine bind to?

A
  • Binds to nicotinic receptors
    or
  • M1 muscarinic GPCR = smooth muscle contraction, glandular secreion
  • M2 muscarinic GPCR = reduces smooth muscle contraction in heart
  • M3 muscarinic GPCR = smooth muscle contraction and glandular secretion
21
Q

Outline the organisation of the enteric NS.

A
  • ENS is embedded in lining of GI tract
  • Outer longitudinal muscle layer
  • Inner circular muscle layer
  • Submucosa
  • Mucosa
  • Lumen
22
Q

Which plexi are found in the enteric NS?

A
  • Myenteric plexus in the outer layer
  • Submucosal plexus in submucosa

Both contain sensory, motor and interneurons

23
Q

Describe the actions of the enteric NS.

A
  • Sensory neurons measure the degree of stretch in smooth muscles and the chemical composition of the lumen
  • Excitatory and inhibitory visceromotor neurons work together to coordinate peristaltic movement of the gut
  • Secretomotor neurons promote mucous release into the lumen
24
Q

Describe the pupillary reflex.

A

Parasympathetic NS

  • Light activates retinal ganglion neurons
  • Axons project to ipsilateral pretectal nucleus
  • Bilateral innervation of Edinger-Wesphal nucleus
  • Projects axons along CN III, makes connection with postganglionic parasympathetic neurons in ciliary ganglion
  • Porjects to iris radial sphincter
  • Causes pupil contraction in both eyes
25
Q

What is the role of visceral sensory neurons in the ANS?

A

Visceral sensory neurons innervate the target tissues of postganglionic neurons of the ANS.
Visceral sensory input contributes to both local autonomic reflexes and widespread changes in ANS activity.