Lecture 12: Enteric Nervous System 1 Flashcards

1
Q

What can the ENS produce?

A

complex behaviours without input from the brain

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2
Q

Where are most neurotransmitters and their receptors found?

A

in the ENS

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3
Q

What is the ENS?

A

network of neuron cell bodies, processes and axons in wall of gastrointestinal tract
largest part of the ANS

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4
Q

The axons and terminals of which neurons are found in the ENS?

A

visceral sensory neurons, sympathetic neurons and parasympathetic neurons

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5
Q

What does the ENS innervate?

A

all layers of GI tract including smooth muscle, mucosal epithelium and endocrine cells

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6
Q

Where does the ENS run?

A

the entire length of the GI tract from back of mouth to anus

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7
Q

What are the two ganglionated plexuses of the ENS?

A

myenteric plexus and submucosal plexus

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8
Q

Where is the submucosal plexus? Where is the submucosal plexus ganglionated?

A

present in stomach, but not ganglionated

ganglionated submucosal plexus begins at pylorus

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9
Q

Where does ganglionated myenteric plexus begin?

A

at upper esophageal sphincter

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10
Q

What is the extrinsic nerve supply of the ENS?

A

sympathetic nerves innervate whole length of GI tract

parasympathetic nerves primarily innervate upper and lower GI tract (less prominent in jejunum and ileum)

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11
Q

What do extrinsic sensory neurons (visceral primary afferents) innervate?

A

the full length

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12
Q

Where are extrinsic primary afferents that supply the upper GI tract? What proportion of vagal axons are primary afferents?

A

in the vagus nerve

90%

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13
Q

Where do dorsal root ganglion cells (spinal) afferents run?

A

in splanchnic and pelvic nerves

often thought to be nociceptive

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14
Q

What is different about vagal afferents and dorsal root afferents?

A

functions and central terminations

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15
Q

What are functions of the ENS?

A

controls movement of intestinal content
regulation of water and electrolyte transport across the mucosa
contributes to control of acid secretion in stomach, mucus secretion along length and bicarbonate secretion in duodenum

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16
Q

What do contractions of intestinal smooth muscle depend on?

A

the brain or spinal cord

17
Q

What does the jejunum contain?

A

entire circuit for generation of a complex behaviour

circuit involves two types of cholinergic neurons

18
Q

What are neurons that must be in the ENS?

A

intrinsic sensory neurons, excitatory motor neurons, inhibitory motor neurons, interneurons, secretomotor neurons, vasodilator neurons, intestinofugal neurons and interplexus neurons

19
Q

How many different neuron subtypes may each ganglion contain?

A

20+ different neuron subtypes

20
Q

How can functionally distinct enteric neurons be identified and put into circuits mediating behaviour?

A

top down approach -> define the properties specific neurons must have to produce an identified behaviour e.g. a neuron that has terminals in the muscle is likely to be a motor neuron

21
Q

What is the Law of the Intestine?

A

a “physiological” stimulus applied to the intestinal wall will cause a contraction above the stimulus and a relaxation below
if a neuron sends an axon orally, then it is likely to be in an excitatory pathway, if its axon has terminals in the muscle then it may be an excitatory motor neuron
if a neuron sends an axon anally, then it is likely to be in an inhibitory pathway and if it has terminals in the muscle it may be an inhibitory motor neuron

22
Q

What excites intestinal smooth muscle?

A

acetylcholine and substance P

23
Q

What mediates inhibition in the muscle?

A

nitric oxide (NO) and a purine released by the same nerve terminals

24
Q

What is immunofluorescence used to identify?

A

neurochemical codes of 2-3 antigens for many neuron subtypes

25
Q

What does assigning function depend on?

A

projections and physiology